Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates

Abstract Background Platelet lysates (PL) represent a promising replacement for xenogenic growth supplement for adipose-derived stem cell (ASC) expansions. However, fresh platelets from human blood donors are not clinically feasible for large-scale cell expansion based on their limited supply. There...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cytotherapy (Oxford, England) England), 2017-02, Vol.19 (2), p.222-234
Hauptverfasser: Glovinski, Peter V, Herly, Mikkel, Mathiasen, Anders B, Svalgaard, Jesper D, Borup, Rehannah, Talman, Maj-Lis M, Elberg, Jens J, Kølle, Stig-Frederik T, Drzewiecki, Krzysztof T, Fischer-Nielsen, Anne
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 234
container_issue 2
container_start_page 222
container_title Cytotherapy (Oxford, England)
container_volume 19
creator Glovinski, Peter V
Herly, Mikkel
Mathiasen, Anders B
Svalgaard, Jesper D
Borup, Rehannah
Talman, Maj-Lis M
Elberg, Jens J
Kølle, Stig-Frederik T
Drzewiecki, Krzysztof T
Fischer-Nielsen, Anne
description Abstract Background Platelet lysates (PL) represent a promising replacement for xenogenic growth supplement for adipose-derived stem cell (ASC) expansions. However, fresh platelets from human blood donors are not clinically feasible for large-scale cell expansion based on their limited supply. Therefore, we tested PLs prepared via three methods from outdated buffy coat–derived platelet concentrates (PCs) to establish an efficient and feasible expansion of ASCs for clinical use. Methods PLs were prepared by the freeze-thaw method from freshly drawn platelets or from outdated buffy coat–derived PCs stored in the platelet additive solution, InterSol. Three types of PLs were prepared from outdated PCs with platelets suspended in either (1) InterSol (not manipulated), (2) InterSol + supplemented with plasma or (3) plasma alone (InterSol removed). Using these PLs, we compared ASC population doubling time, cell yield, differentiation potential and cell surface markers. Gene expression profiles were analyzed using microarray assays, and growth factor concentrations in the cell culture medium were measured using enzyme-linked immunosorbent assay (ELISA). Results Of the three PL compositions produced from outdated PCs, removal of Intersol and resuspension in plasma prior to the first freezing process was overall the best. This specific outdated PL induced ASC growth kinetics, surface markers, plastic adherence and differentiation potentials comparable with PL from fresh platelets. ASCs expanded in PL from fresh versus outdated PCs exhibited different expressions of 17 overlapping genes, of which 10 were involved in cellular proliferation, although not significantly reflected by cell growth. Only minor differences in growth factor turnover were observed. Conclusion PLs from outdated platelets may be an efficient and reliable source of human growth supplement allowing for large-scale ASC expansion for clinical use.
doi_str_mv 10.1016/j.jcyt.2016.10.014
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1844031563</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1465324916305758</els_id><sourcerecordid>1844031563</sourcerecordid><originalsourceid>FETCH-LOGICAL-c455t-f45311c42c814946ab9dee6027f335e05be7788f2a94d7861746118cabb186c03</originalsourceid><addsrcrecordid>eNp9Ustu1DAUjRCIlsIPsEBesslgJ7bjQQipqnhJlboA1pbj3LSeOnHwdUZkxz_whyz5ChxNpwuEWPn66pz7OOcWxXNGN4wy-Wq32dklbaoc58SGMv6gOGW8acpKSPlwjaUo64pvT4oniDtKK6qUeFycVI1SjZLitPh9tYdow-DGa5JugLQhJQ8j2FsSejJ5k8BDIn7BHBGcp8kvxI3Em3gNJVrjgVjvRpcjAt8nM6IL48o1nZsCQtlBdHvoCCYYiAXv8TU5J7nlZKLDA7aPgDckT4Iz5jEiAEnLBPiPGTCDw0DCnLr860g79_2Sy5n068fPY697jg2jhTHFlfi0eNQbj_Ds7j0rvr5_9-XiY3l59eHTxfllabkQqey5qBmzvLKK8S2Xpt12AJJWTV_XAqhoocny9ZXZ8i6LyBouGVPWtC1T0tL6rHh5qDvF8G0GTHpwuC5uRggzaqY4pzUTss7Q6gC1MSBG6PUU3WDiohnVq8d6p1eP9erxmsseZ9KLu_pzO0B3TzmamgFvDgDIW-4dRI3WQRaicxFs0l1w_6__9i_60eBbWAB3YY5j1k8zjZWm-vN6ZeuRMVlT0QhV_wFhF9Tr</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1844031563</pqid></control><display><type>article</type><title>Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Glovinski, Peter V ; Herly, Mikkel ; Mathiasen, Anders B ; Svalgaard, Jesper D ; Borup, Rehannah ; Talman, Maj-Lis M ; Elberg, Jens J ; Kølle, Stig-Frederik T ; Drzewiecki, Krzysztof T ; Fischer-Nielsen, Anne</creator><creatorcontrib>Glovinski, Peter V ; Herly, Mikkel ; Mathiasen, Anders B ; Svalgaard, Jesper D ; Borup, Rehannah ; Talman, Maj-Lis M ; Elberg, Jens J ; Kølle, Stig-Frederik T ; Drzewiecki, Krzysztof T ; Fischer-Nielsen, Anne</creatorcontrib><description>Abstract Background Platelet lysates (PL) represent a promising replacement for xenogenic growth supplement for adipose-derived stem cell (ASC) expansions. However, fresh platelets from human blood donors are not clinically feasible for large-scale cell expansion based on their limited supply. Therefore, we tested PLs prepared via three methods from outdated buffy coat–derived platelet concentrates (PCs) to establish an efficient and feasible expansion of ASCs for clinical use. Methods PLs were prepared by the freeze-thaw method from freshly drawn platelets or from outdated buffy coat–derived PCs stored in the platelet additive solution, InterSol. Three types of PLs were prepared from outdated PCs with platelets suspended in either (1) InterSol (not manipulated), (2) InterSol + supplemented with plasma or (3) plasma alone (InterSol removed). Using these PLs, we compared ASC population doubling time, cell yield, differentiation potential and cell surface markers. Gene expression profiles were analyzed using microarray assays, and growth factor concentrations in the cell culture medium were measured using enzyme-linked immunosorbent assay (ELISA). Results Of the three PL compositions produced from outdated PCs, removal of Intersol and resuspension in plasma prior to the first freezing process was overall the best. This specific outdated PL induced ASC growth kinetics, surface markers, plastic adherence and differentiation potentials comparable with PL from fresh platelets. ASCs expanded in PL from fresh versus outdated PCs exhibited different expressions of 17 overlapping genes, of which 10 were involved in cellular proliferation, although not significantly reflected by cell growth. Only minor differences in growth factor turnover were observed. Conclusion PLs from outdated platelets may be an efficient and reliable source of human growth supplement allowing for large-scale ASC expansion for clinical use.</description><identifier>ISSN: 1465-3249</identifier><identifier>EISSN: 1477-2566</identifier><identifier>DOI: 10.1016/j.jcyt.2016.10.014</identifier><identifier>PMID: 27887865</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adipose Tissue - cytology ; adipose-derived stem cells ; Adult ; Adult Stem Cells - cytology ; Adult Stem Cells - physiology ; Advanced Basic Science ; Blood Buffy Coat - cytology ; Blood Buffy Coat - transplantation ; Blood Platelets - chemistry ; Blood Platelets - cytology ; Blood Preservation - methods ; Blood Specimen Collection - methods ; Cell Culture Techniques - methods ; Cell Extracts - supply &amp; distribution ; Cell Proliferation ; Cell Separation ; cell therapy ; Culture Media - metabolism ; Female ; Freezing ; gene expression ; growth factors ; Humans ; Other ; Plasma - cytology ; platelet lysate ; Platelet Transfusion - methods ; Platelet-Rich Plasma - cytology ; Refrigeration ; Time Factors</subject><ispartof>Cytotherapy (Oxford, England), 2017-02, Vol.19 (2), p.222-234</ispartof><rights>International Society for Cellular Therapy</rights><rights>2017 International Society for Cellular Therapy</rights><rights>Copyright © 2017 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-f45311c42c814946ab9dee6027f335e05be7788f2a94d7861746118cabb186c03</citedby><cites>FETCH-LOGICAL-c455t-f45311c42c814946ab9dee6027f335e05be7788f2a94d7861746118cabb186c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27887865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glovinski, Peter V</creatorcontrib><creatorcontrib>Herly, Mikkel</creatorcontrib><creatorcontrib>Mathiasen, Anders B</creatorcontrib><creatorcontrib>Svalgaard, Jesper D</creatorcontrib><creatorcontrib>Borup, Rehannah</creatorcontrib><creatorcontrib>Talman, Maj-Lis M</creatorcontrib><creatorcontrib>Elberg, Jens J</creatorcontrib><creatorcontrib>Kølle, Stig-Frederik T</creatorcontrib><creatorcontrib>Drzewiecki, Krzysztof T</creatorcontrib><creatorcontrib>Fischer-Nielsen, Anne</creatorcontrib><title>Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates</title><title>Cytotherapy (Oxford, England)</title><addtitle>Cytotherapy</addtitle><description>Abstract Background Platelet lysates (PL) represent a promising replacement for xenogenic growth supplement for adipose-derived stem cell (ASC) expansions. However, fresh platelets from human blood donors are not clinically feasible for large-scale cell expansion based on their limited supply. Therefore, we tested PLs prepared via three methods from outdated buffy coat–derived platelet concentrates (PCs) to establish an efficient and feasible expansion of ASCs for clinical use. Methods PLs were prepared by the freeze-thaw method from freshly drawn platelets or from outdated buffy coat–derived PCs stored in the platelet additive solution, InterSol. Three types of PLs were prepared from outdated PCs with platelets suspended in either (1) InterSol (not manipulated), (2) InterSol + supplemented with plasma or (3) plasma alone (InterSol removed). Using these PLs, we compared ASC population doubling time, cell yield, differentiation potential and cell surface markers. Gene expression profiles were analyzed using microarray assays, and growth factor concentrations in the cell culture medium were measured using enzyme-linked immunosorbent assay (ELISA). Results Of the three PL compositions produced from outdated PCs, removal of Intersol and resuspension in plasma prior to the first freezing process was overall the best. This specific outdated PL induced ASC growth kinetics, surface markers, plastic adherence and differentiation potentials comparable with PL from fresh platelets. ASCs expanded in PL from fresh versus outdated PCs exhibited different expressions of 17 overlapping genes, of which 10 were involved in cellular proliferation, although not significantly reflected by cell growth. Only minor differences in growth factor turnover were observed. Conclusion PLs from outdated platelets may be an efficient and reliable source of human growth supplement allowing for large-scale ASC expansion for clinical use.</description><subject>Adipose Tissue - cytology</subject><subject>adipose-derived stem cells</subject><subject>Adult</subject><subject>Adult Stem Cells - cytology</subject><subject>Adult Stem Cells - physiology</subject><subject>Advanced Basic Science</subject><subject>Blood Buffy Coat - cytology</subject><subject>Blood Buffy Coat - transplantation</subject><subject>Blood Platelets - chemistry</subject><subject>Blood Platelets - cytology</subject><subject>Blood Preservation - methods</subject><subject>Blood Specimen Collection - methods</subject><subject>Cell Culture Techniques - methods</subject><subject>Cell Extracts - supply &amp; distribution</subject><subject>Cell Proliferation</subject><subject>Cell Separation</subject><subject>cell therapy</subject><subject>Culture Media - metabolism</subject><subject>Female</subject><subject>Freezing</subject><subject>gene expression</subject><subject>growth factors</subject><subject>Humans</subject><subject>Other</subject><subject>Plasma - cytology</subject><subject>platelet lysate</subject><subject>Platelet Transfusion - methods</subject><subject>Platelet-Rich Plasma - cytology</subject><subject>Refrigeration</subject><subject>Time Factors</subject><issn>1465-3249</issn><issn>1477-2566</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Ustu1DAUjRCIlsIPsEBesslgJ7bjQQipqnhJlboA1pbj3LSeOnHwdUZkxz_whyz5ChxNpwuEWPn66pz7OOcWxXNGN4wy-Wq32dklbaoc58SGMv6gOGW8acpKSPlwjaUo64pvT4oniDtKK6qUeFycVI1SjZLitPh9tYdow-DGa5JugLQhJQ8j2FsSejJ5k8BDIn7BHBGcp8kvxI3Em3gNJVrjgVjvRpcjAt8nM6IL48o1nZsCQtlBdHvoCCYYiAXv8TU5J7nlZKLDA7aPgDckT4Iz5jEiAEnLBPiPGTCDw0DCnLr860g79_2Sy5n068fPY697jg2jhTHFlfi0eNQbj_Ds7j0rvr5_9-XiY3l59eHTxfllabkQqey5qBmzvLKK8S2Xpt12AJJWTV_XAqhoocny9ZXZ8i6LyBouGVPWtC1T0tL6rHh5qDvF8G0GTHpwuC5uRggzaqY4pzUTss7Q6gC1MSBG6PUU3WDiohnVq8d6p1eP9erxmsseZ9KLu_pzO0B3TzmamgFvDgDIW-4dRI3WQRaicxFs0l1w_6__9i_60eBbWAB3YY5j1k8zjZWm-vN6ZeuRMVlT0QhV_wFhF9Tr</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Glovinski, Peter V</creator><creator>Herly, Mikkel</creator><creator>Mathiasen, Anders B</creator><creator>Svalgaard, Jesper D</creator><creator>Borup, Rehannah</creator><creator>Talman, Maj-Lis M</creator><creator>Elberg, Jens J</creator><creator>Kølle, Stig-Frederik T</creator><creator>Drzewiecki, Krzysztof T</creator><creator>Fischer-Nielsen, Anne</creator><general>Elsevier Inc</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>20170201</creationdate><title>Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates</title><author>Glovinski, Peter V ; Herly, Mikkel ; Mathiasen, Anders B ; Svalgaard, Jesper D ; Borup, Rehannah ; Talman, Maj-Lis M ; Elberg, Jens J ; Kølle, Stig-Frederik T ; Drzewiecki, Krzysztof T ; Fischer-Nielsen, Anne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-f45311c42c814946ab9dee6027f335e05be7788f2a94d7861746118cabb186c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adipose Tissue - cytology</topic><topic>adipose-derived stem cells</topic><topic>Adult</topic><topic>Adult Stem Cells - cytology</topic><topic>Adult Stem Cells - physiology</topic><topic>Advanced Basic Science</topic><topic>Blood Buffy Coat - cytology</topic><topic>Blood Buffy Coat - transplantation</topic><topic>Blood Platelets - chemistry</topic><topic>Blood Platelets - cytology</topic><topic>Blood Preservation - methods</topic><topic>Blood Specimen Collection - methods</topic><topic>Cell Culture Techniques - methods</topic><topic>Cell Extracts - supply &amp; distribution</topic><topic>Cell Proliferation</topic><topic>Cell Separation</topic><topic>cell therapy</topic><topic>Culture Media - metabolism</topic><topic>Female</topic><topic>Freezing</topic><topic>gene expression</topic><topic>growth factors</topic><topic>Humans</topic><topic>Other</topic><topic>Plasma - cytology</topic><topic>platelet lysate</topic><topic>Platelet Transfusion - methods</topic><topic>Platelet-Rich Plasma - cytology</topic><topic>Refrigeration</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glovinski, Peter V</creatorcontrib><creatorcontrib>Herly, Mikkel</creatorcontrib><creatorcontrib>Mathiasen, Anders B</creatorcontrib><creatorcontrib>Svalgaard, Jesper D</creatorcontrib><creatorcontrib>Borup, Rehannah</creatorcontrib><creatorcontrib>Talman, Maj-Lis M</creatorcontrib><creatorcontrib>Elberg, Jens J</creatorcontrib><creatorcontrib>Kølle, Stig-Frederik T</creatorcontrib><creatorcontrib>Drzewiecki, Krzysztof T</creatorcontrib><creatorcontrib>Fischer-Nielsen, Anne</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>Cytotherapy (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glovinski, Peter V</au><au>Herly, Mikkel</au><au>Mathiasen, Anders B</au><au>Svalgaard, Jesper D</au><au>Borup, Rehannah</au><au>Talman, Maj-Lis M</au><au>Elberg, Jens J</au><au>Kølle, Stig-Frederik T</au><au>Drzewiecki, Krzysztof T</au><au>Fischer-Nielsen, Anne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates</atitle><jtitle>Cytotherapy (Oxford, England)</jtitle><addtitle>Cytotherapy</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>19</volume><issue>2</issue><spage>222</spage><epage>234</epage><pages>222-234</pages><issn>1465-3249</issn><eissn>1477-2566</eissn><abstract>Abstract Background Platelet lysates (PL) represent a promising replacement for xenogenic growth supplement for adipose-derived stem cell (ASC) expansions. However, fresh platelets from human blood donors are not clinically feasible for large-scale cell expansion based on their limited supply. Therefore, we tested PLs prepared via three methods from outdated buffy coat–derived platelet concentrates (PCs) to establish an efficient and feasible expansion of ASCs for clinical use. Methods PLs were prepared by the freeze-thaw method from freshly drawn platelets or from outdated buffy coat–derived PCs stored in the platelet additive solution, InterSol. Three types of PLs were prepared from outdated PCs with platelets suspended in either (1) InterSol (not manipulated), (2) InterSol + supplemented with plasma or (3) plasma alone (InterSol removed). Using these PLs, we compared ASC population doubling time, cell yield, differentiation potential and cell surface markers. Gene expression profiles were analyzed using microarray assays, and growth factor concentrations in the cell culture medium were measured using enzyme-linked immunosorbent assay (ELISA). Results Of the three PL compositions produced from outdated PCs, removal of Intersol and resuspension in plasma prior to the first freezing process was overall the best. This specific outdated PL induced ASC growth kinetics, surface markers, plastic adherence and differentiation potentials comparable with PL from fresh platelets. ASCs expanded in PL from fresh versus outdated PCs exhibited different expressions of 17 overlapping genes, of which 10 were involved in cellular proliferation, although not significantly reflected by cell growth. Only minor differences in growth factor turnover were observed. Conclusion PLs from outdated platelets may be an efficient and reliable source of human growth supplement allowing for large-scale ASC expansion for clinical use.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>27887865</pmid><doi>10.1016/j.jcyt.2016.10.014</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1465-3249
ispartof Cytotherapy (Oxford, England), 2017-02, Vol.19 (2), p.222-234
issn 1465-3249
1477-2566
language eng
recordid cdi_proquest_miscellaneous_1844031563
source MEDLINE; Alma/SFX Local Collection
subjects Adipose Tissue - cytology
adipose-derived stem cells
Adult
Adult Stem Cells - cytology
Adult Stem Cells - physiology
Advanced Basic Science
Blood Buffy Coat - cytology
Blood Buffy Coat - transplantation
Blood Platelets - chemistry
Blood Platelets - cytology
Blood Preservation - methods
Blood Specimen Collection - methods
Cell Culture Techniques - methods
Cell Extracts - supply & distribution
Cell Proliferation
Cell Separation
cell therapy
Culture Media - metabolism
Female
Freezing
gene expression
growth factors
Humans
Other
Plasma - cytology
platelet lysate
Platelet Transfusion - methods
Platelet-Rich Plasma - cytology
Refrigeration
Time Factors
title Overcoming the bottleneck of platelet lysate supply in large-scale clinical expansion of adipose-derived stem cells: A comparison of fresh versus three types of platelet lysates from outdated buffy coat–derived platelet concentrates
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T10%3A07%3A13IST&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=Overcoming%20the%20bottleneck%20of%20platelet%20lysate%20supply%20in%20large-scale%20clinical%20expansion%20of%20adipose-derived%20stem%20cells:%20A%20comparison%20of%20fresh%20versus%20three%20types%20of%20platelet%20lysates%20from%20outdated%20buffy%20coat%E2%80%93derived%20platelet%20concentrates&rft.jtitle=Cytotherapy%20(Oxford,%20England)&rft.au=Glovinski,%20Peter%20V&rft.date=2017-02-01&rft.volume=19&rft.issue=2&rft.spage=222&rft.epage=234&rft.pages=222-234&rft.issn=1465-3249&rft.eissn=1477-2566&rft_id=info:doi/10.1016/j.jcyt.2016.10.014&rft_dat=%3Cproquest_cross%3E1844031563%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=1844031563&rft_id=info:pmid/27887865&rft_els_id=S1465324916305758&rfr_iscdi=true