Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity
Inhibition of catechol- O-methyltransferase (COMT) has protective effects on levodopa ( l-DOPA), but not d-DOPA toxicity towards dopamine (DA) neurons in rat primary mesencephalic cultures [Mol. Pharmacol. 57 (2000) 589]. Here, we extend our recent studies to elucidate the mechanisms of these protec...
Gespeichert in:
Veröffentlicht in: | Neurochemistry international 2003, Vol.42 (2), p.139-151 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 151 |
---|---|
container_issue | 2 |
container_start_page | 139 |
container_title | Neurochemistry international |
container_volume | 42 |
creator | Blessing, Heike Bareiss, Markus Zettlmeisl, Heinz Schwarz, Johannes Storch, Alexander |
description | Inhibition of catechol-
O-methyltransferase (COMT) has protective effects on levodopa (
l-DOPA), but not
d-DOPA toxicity towards dopamine (DA) neurons in rat primary mesencephalic cultures [Mol. Pharmacol. 57 (2000) 589]. Here, we extend our recent studies to elucidate the mechanisms of these protective effects. Thus, we investigated the effects of all main
l-DOPA/DA metabolites on survival of tyrosine hydroxylase immunoreactive (THir) neurons in primary rat mesencephalic cultures. 3-
O-Methyldopa, homovanillic acid, dihydroxyphenyl acetate and 3-methoxytyramine had no effects at concentrations up to 300
μM after 24
h, whereas DA was more toxic than
l-DOPA with toxicity at concentrations of ≥1
μM. The coenzyme of COMT,
S-adenosyl-
l-methionine (SAM), and its demethylated product
S-adenosylhomocystein caused no relevant alteration of THir neuron survival or
l-DOPA toxicity. In contrast, inhibition of SAM synthesis by selenomethionine showed time- and dose-dependent increase of THir neuron survival, but did not affect
l-DOPA toxicity.
l-DOPA-induced lipid peroxidation in mesencephalic cultures was not modified by the COMT inhibitor Ro 41-0960 (1
μM). Increased contamination of the cultures with glial cells attenuated
l- and
d-DOPA toxicity, but caused significant enhancement of protection by COMT inhibitors against
l-DOPA toxicity only. Investigations of
l-DOPA uptake in rat striatal cultures using HPLC revealed a significant reduction of extracellular
l-DOPA concentrations by Ro 41-0960. Our data confirm that
l-DOPA toxicity towards DA neurons is mediated by an autooxidative process, which is attenuated by glial cells. In addition, we demonstrate a second mechanism of
l-DOPA toxicity in vitro mediated by a COMT- and glia-dependent pathway, which is blocked by COMT inhibitors, most likely due to enhanced glial uptake of
l-DOPA. |
doi_str_mv | 10.1016/S0197-0186(02)00075-X |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_18640696</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S019701860200075X</els_id><sourcerecordid>18640696</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-2b1066d5ba1cc515f48d65d1a5c0164cf4d4e31d6769c65c82b0af97615d0a303</originalsourceid><addsrcrecordid>eNqFkctu1DAUhi0EokPhEUDegFqJgJ2xnQkbVA1XqdIgAVJ3lsc-aYwce7Cd0jwTL4lnJmqXrM7mO7f_Q-g5JW8ooeLtd0LbpiJ0Jc5IfU4IaXh19QAt6Kqpq7bh7CFa3CEn6ElKv_ZQS_hjdEJrVlPesgX6u1YZdB9chTfVALmfXI7Kpw6iSoCt7-3WZhs83sVQyJywulbWp4yXr1llbD-ZGG6nXQ9-csopbz3gsw-bbxfnOIdbq22eypjSbgcVJzxAAq9h1ytnNdajy2OE9A57-FOwZK_7ssL6HLCDm2DCTt2NeYoedcoleDbXU_Tz08cf6y_V5ebz1_XFZaVZXeeq3lIihOFbRbXmlHdsZQQ3VHFdgmO6Y4bBkhrRiFYLrlf1lqiubQTlhqglWZ6iV8e55eXfI6QsB5s0uPIchDHJEigjohUF5EdQx5BShE7OX0pK5N6SPFiSewWS1PJgSV6VvhfzgnE7gLnvmrUU4OUMqKSV64oRbdM9xwhpyeGA90cOShw3FqJM2u7jNTYWV9IE-59T_gEJDbMq</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18640696</pqid></control><display><type>article</type><title>Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Blessing, Heike ; Bareiss, Markus ; Zettlmeisl, Heinz ; Schwarz, Johannes ; Storch, Alexander</creator><creatorcontrib>Blessing, Heike ; Bareiss, Markus ; Zettlmeisl, Heinz ; Schwarz, Johannes ; Storch, Alexander</creatorcontrib><description>Inhibition of catechol-
O-methyltransferase (COMT) has protective effects on levodopa (
l-DOPA), but not
d-DOPA toxicity towards dopamine (DA) neurons in rat primary mesencephalic cultures [Mol. Pharmacol. 57 (2000) 589]. Here, we extend our recent studies to elucidate the mechanisms of these protective effects. Thus, we investigated the effects of all main
l-DOPA/DA metabolites on survival of tyrosine hydroxylase immunoreactive (THir) neurons in primary rat mesencephalic cultures. 3-
O-Methyldopa, homovanillic acid, dihydroxyphenyl acetate and 3-methoxytyramine had no effects at concentrations up to 300
μM after 24
h, whereas DA was more toxic than
l-DOPA with toxicity at concentrations of ≥1
μM. The coenzyme of COMT,
S-adenosyl-
l-methionine (SAM), and its demethylated product
S-adenosylhomocystein caused no relevant alteration of THir neuron survival or
l-DOPA toxicity. In contrast, inhibition of SAM synthesis by selenomethionine showed time- and dose-dependent increase of THir neuron survival, but did not affect
l-DOPA toxicity.
l-DOPA-induced lipid peroxidation in mesencephalic cultures was not modified by the COMT inhibitor Ro 41-0960 (1
μM). Increased contamination of the cultures with glial cells attenuated
l- and
d-DOPA toxicity, but caused significant enhancement of protection by COMT inhibitors against
l-DOPA toxicity only. Investigations of
l-DOPA uptake in rat striatal cultures using HPLC revealed a significant reduction of extracellular
l-DOPA concentrations by Ro 41-0960. Our data confirm that
l-DOPA toxicity towards DA neurons is mediated by an autooxidative process, which is attenuated by glial cells. In addition, we demonstrate a second mechanism of
l-DOPA toxicity in vitro mediated by a COMT- and glia-dependent pathway, which is blocked by COMT inhibitors, most likely due to enhanced glial uptake of
l-DOPA.</description><identifier>ISSN: 0197-0186</identifier><identifier>EISSN: 1872-9754</identifier><identifier>DOI: 10.1016/S0197-0186(02)00075-X</identifier><identifier>PMID: 12421594</identifier><identifier>CODEN: NEUIDS</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Animals ; Benzophenones - pharmacology ; Biological and medical sciences ; Catechol O-Methyltransferase Inhibitors ; Catechol- O-methyltransferase ; Cell Survival - drug effects ; Cells, Cultured ; Chromatography, High Pressure Liquid ; Dopamine - metabolism ; Dopamine Agents - metabolism ; Dopamine Agents - toxicity ; Enzyme Inhibitors - pharmacology ; Female ; Fundamental and applied biological sciences. Psychology ; Levodopa - antagonists & inhibitors ; Levodopa - metabolism ; Levodopa - toxicity ; Lipid Peroxidation - drug effects ; Mesencephalon - cytology ; Mesencephalon - drug effects ; Neuroglia - drug effects ; Neuroglia - metabolism ; Neurons - drug effects ; Neurons - enzymology ; Pregnancy ; Rats ; Rats, Wistar ; S-Adenosylmethionine - pharmacology ; Selenomethionine - pharmacology ; Stereoisomerism ; Tyrosine hydroxylase immunoreactive</subject><ispartof>Neurochemistry international, 2003, Vol.42 (2), p.139-151</ispartof><rights>2003 Elsevier Science Ltd</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-2b1066d5ba1cc515f48d65d1a5c0164cf4d4e31d6769c65c82b0af97615d0a303</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0197-0186(02)00075-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,4026,27930,27931,27932,46002</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14009096$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12421594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blessing, Heike</creatorcontrib><creatorcontrib>Bareiss, Markus</creatorcontrib><creatorcontrib>Zettlmeisl, Heinz</creatorcontrib><creatorcontrib>Schwarz, Johannes</creatorcontrib><creatorcontrib>Storch, Alexander</creatorcontrib><title>Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity</title><title>Neurochemistry international</title><addtitle>Neurochem Int</addtitle><description>Inhibition of catechol-
O-methyltransferase (COMT) has protective effects on levodopa (
l-DOPA), but not
d-DOPA toxicity towards dopamine (DA) neurons in rat primary mesencephalic cultures [Mol. Pharmacol. 57 (2000) 589]. Here, we extend our recent studies to elucidate the mechanisms of these protective effects. Thus, we investigated the effects of all main
l-DOPA/DA metabolites on survival of tyrosine hydroxylase immunoreactive (THir) neurons in primary rat mesencephalic cultures. 3-
O-Methyldopa, homovanillic acid, dihydroxyphenyl acetate and 3-methoxytyramine had no effects at concentrations up to 300
μM after 24
h, whereas DA was more toxic than
l-DOPA with toxicity at concentrations of ≥1
μM. The coenzyme of COMT,
S-adenosyl-
l-methionine (SAM), and its demethylated product
S-adenosylhomocystein caused no relevant alteration of THir neuron survival or
l-DOPA toxicity. In contrast, inhibition of SAM synthesis by selenomethionine showed time- and dose-dependent increase of THir neuron survival, but did not affect
l-DOPA toxicity.
l-DOPA-induced lipid peroxidation in mesencephalic cultures was not modified by the COMT inhibitor Ro 41-0960 (1
μM). Increased contamination of the cultures with glial cells attenuated
l- and
d-DOPA toxicity, but caused significant enhancement of protection by COMT inhibitors against
l-DOPA toxicity only. Investigations of
l-DOPA uptake in rat striatal cultures using HPLC revealed a significant reduction of extracellular
l-DOPA concentrations by Ro 41-0960. Our data confirm that
l-DOPA toxicity towards DA neurons is mediated by an autooxidative process, which is attenuated by glial cells. In addition, we demonstrate a second mechanism of
l-DOPA toxicity in vitro mediated by a COMT- and glia-dependent pathway, which is blocked by COMT inhibitors, most likely due to enhanced glial uptake of
l-DOPA.</description><subject>Animals</subject><subject>Benzophenones - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Catechol O-Methyltransferase Inhibitors</subject><subject>Catechol- O-methyltransferase</subject><subject>Cell Survival - drug effects</subject><subject>Cells, Cultured</subject><subject>Chromatography, High Pressure Liquid</subject><subject>Dopamine - metabolism</subject><subject>Dopamine Agents - metabolism</subject><subject>Dopamine Agents - toxicity</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Levodopa - antagonists & inhibitors</subject><subject>Levodopa - metabolism</subject><subject>Levodopa - toxicity</subject><subject>Lipid Peroxidation - drug effects</subject><subject>Mesencephalon - cytology</subject><subject>Mesencephalon - drug effects</subject><subject>Neuroglia - drug effects</subject><subject>Neuroglia - metabolism</subject><subject>Neurons - drug effects</subject><subject>Neurons - enzymology</subject><subject>Pregnancy</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>S-Adenosylmethionine - pharmacology</subject><subject>Selenomethionine - pharmacology</subject><subject>Stereoisomerism</subject><subject>Tyrosine hydroxylase immunoreactive</subject><issn>0197-0186</issn><issn>1872-9754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1DAUhi0EokPhEUDegFqJgJ2xnQkbVA1XqdIgAVJ3lsc-aYwce7Cd0jwTL4lnJmqXrM7mO7f_Q-g5JW8ooeLtd0LbpiJ0Jc5IfU4IaXh19QAt6Kqpq7bh7CFa3CEn6ElKv_ZQS_hjdEJrVlPesgX6u1YZdB9chTfVALmfXI7Kpw6iSoCt7-3WZhs83sVQyJywulbWp4yXr1llbD-ZGG6nXQ9-csopbz3gsw-bbxfnOIdbq22eypjSbgcVJzxAAq9h1ytnNdajy2OE9A57-FOwZK_7ssL6HLCDm2DCTt2NeYoedcoleDbXU_Tz08cf6y_V5ebz1_XFZaVZXeeq3lIihOFbRbXmlHdsZQQ3VHFdgmO6Y4bBkhrRiFYLrlf1lqiubQTlhqglWZ6iV8e55eXfI6QsB5s0uPIchDHJEigjohUF5EdQx5BShE7OX0pK5N6SPFiSewWS1PJgSV6VvhfzgnE7gLnvmrUU4OUMqKSV64oRbdM9xwhpyeGA90cOShw3FqJM2u7jNTYWV9IE-59T_gEJDbMq</recordid><startdate>2003</startdate><enddate>2003</enddate><creator>Blessing, Heike</creator><creator>Bareiss, Markus</creator><creator>Zettlmeisl, Heinz</creator><creator>Schwarz, Johannes</creator><creator>Storch, Alexander</creator><general>Elsevier Ltd</general><general>Elsevier</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>7U7</scope><scope>C1K</scope></search><sort><creationdate>2003</creationdate><title>Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity</title><author>Blessing, Heike ; Bareiss, Markus ; Zettlmeisl, Heinz ; Schwarz, Johannes ; Storch, Alexander</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-2b1066d5ba1cc515f48d65d1a5c0164cf4d4e31d6769c65c82b0af97615d0a303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Animals</topic><topic>Benzophenones - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Catechol O-Methyltransferase Inhibitors</topic><topic>Catechol- O-methyltransferase</topic><topic>Cell Survival - drug effects</topic><topic>Cells, Cultured</topic><topic>Chromatography, High Pressure Liquid</topic><topic>Dopamine - metabolism</topic><topic>Dopamine Agents - metabolism</topic><topic>Dopamine Agents - toxicity</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Levodopa - antagonists & inhibitors</topic><topic>Levodopa - metabolism</topic><topic>Levodopa - toxicity</topic><topic>Lipid Peroxidation - drug effects</topic><topic>Mesencephalon - cytology</topic><topic>Mesencephalon - drug effects</topic><topic>Neuroglia - drug effects</topic><topic>Neuroglia - metabolism</topic><topic>Neurons - drug effects</topic><topic>Neurons - enzymology</topic><topic>Pregnancy</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>S-Adenosylmethionine - pharmacology</topic><topic>Selenomethionine - pharmacology</topic><topic>Stereoisomerism</topic><topic>Tyrosine hydroxylase immunoreactive</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blessing, Heike</creatorcontrib><creatorcontrib>Bareiss, Markus</creatorcontrib><creatorcontrib>Zettlmeisl, Heinz</creatorcontrib><creatorcontrib>Schwarz, Johannes</creatorcontrib><creatorcontrib>Storch, Alexander</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>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Neurochemistry international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blessing, Heike</au><au>Bareiss, Markus</au><au>Zettlmeisl, Heinz</au><au>Schwarz, Johannes</au><au>Storch, Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity</atitle><jtitle>Neurochemistry international</jtitle><addtitle>Neurochem Int</addtitle><date>2003</date><risdate>2003</risdate><volume>42</volume><issue>2</issue><spage>139</spage><epage>151</epage><pages>139-151</pages><issn>0197-0186</issn><eissn>1872-9754</eissn><coden>NEUIDS</coden><abstract>Inhibition of catechol-
O-methyltransferase (COMT) has protective effects on levodopa (
l-DOPA), but not
d-DOPA toxicity towards dopamine (DA) neurons in rat primary mesencephalic cultures [Mol. Pharmacol. 57 (2000) 589]. Here, we extend our recent studies to elucidate the mechanisms of these protective effects. Thus, we investigated the effects of all main
l-DOPA/DA metabolites on survival of tyrosine hydroxylase immunoreactive (THir) neurons in primary rat mesencephalic cultures. 3-
O-Methyldopa, homovanillic acid, dihydroxyphenyl acetate and 3-methoxytyramine had no effects at concentrations up to 300
μM after 24
h, whereas DA was more toxic than
l-DOPA with toxicity at concentrations of ≥1
μM. The coenzyme of COMT,
S-adenosyl-
l-methionine (SAM), and its demethylated product
S-adenosylhomocystein caused no relevant alteration of THir neuron survival or
l-DOPA toxicity. In contrast, inhibition of SAM synthesis by selenomethionine showed time- and dose-dependent increase of THir neuron survival, but did not affect
l-DOPA toxicity.
l-DOPA-induced lipid peroxidation in mesencephalic cultures was not modified by the COMT inhibitor Ro 41-0960 (1
μM). Increased contamination of the cultures with glial cells attenuated
l- and
d-DOPA toxicity, but caused significant enhancement of protection by COMT inhibitors against
l-DOPA toxicity only. Investigations of
l-DOPA uptake in rat striatal cultures using HPLC revealed a significant reduction of extracellular
l-DOPA concentrations by Ro 41-0960. Our data confirm that
l-DOPA toxicity towards DA neurons is mediated by an autooxidative process, which is attenuated by glial cells. In addition, we demonstrate a second mechanism of
l-DOPA toxicity in vitro mediated by a COMT- and glia-dependent pathway, which is blocked by COMT inhibitors, most likely due to enhanced glial uptake of
l-DOPA.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12421594</pmid><doi>10.1016/S0197-0186(02)00075-X</doi><tpages>13</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0197-0186 |
ispartof | Neurochemistry international, 2003, Vol.42 (2), p.139-151 |
issn | 0197-0186 1872-9754 |
language | eng |
recordid | cdi_proquest_miscellaneous_18640696 |
source | MEDLINE; Access via ScienceDirect (Elsevier) |
subjects | Animals Benzophenones - pharmacology Biological and medical sciences Catechol O-Methyltransferase Inhibitors Catechol- O-methyltransferase Cell Survival - drug effects Cells, Cultured Chromatography, High Pressure Liquid Dopamine - metabolism Dopamine Agents - metabolism Dopamine Agents - toxicity Enzyme Inhibitors - pharmacology Female Fundamental and applied biological sciences. Psychology Levodopa - antagonists & inhibitors Levodopa - metabolism Levodopa - toxicity Lipid Peroxidation - drug effects Mesencephalon - cytology Mesencephalon - drug effects Neuroglia - drug effects Neuroglia - metabolism Neurons - drug effects Neurons - enzymology Pregnancy Rats Rats, Wistar S-Adenosylmethionine - pharmacology Selenomethionine - pharmacology Stereoisomerism Tyrosine hydroxylase immunoreactive |
title | Catechol- O-methyltransferase inhibition protects against 3,4-dihydroxyphenylalanine (DOPA) toxicity in primary mesencephalic cultures: new insights into levodopa toxicity |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T21%3A43%3A01IST&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=Catechol-%20O-methyltransferase%20inhibition%20protects%20against%203,4-dihydroxyphenylalanine%20(DOPA)%20toxicity%20in%20primary%20mesencephalic%20cultures:%20new%20insights%20into%20levodopa%20toxicity&rft.jtitle=Neurochemistry%20international&rft.au=Blessing,%20Heike&rft.date=2003&rft.volume=42&rft.issue=2&rft.spage=139&rft.epage=151&rft.pages=139-151&rft.issn=0197-0186&rft.eissn=1872-9754&rft.coden=NEUIDS&rft_id=info:doi/10.1016/S0197-0186(02)00075-X&rft_dat=%3Cproquest_cross%3E18640696%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=18640696&rft_id=info:pmid/12421594&rft_els_id=S019701860200075X&rfr_iscdi=true |