Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice

Extracts from the leaves of Orthosiphon stamineus are used in phytotherapy for treatment of uncomplicated urinary tract infections. Evaluation of an aqueous extract against infection with uropathogenic Escherichia coli in vivo; investigation of underlying microbiological mechanisms. In vivo studies...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Phytomedicine (Stuttgart) 2017-05, Vol.28, p.1-9
Hauptverfasser: Sarshar, S., Brandt, S., Asadi Karam, M.R., Habibi, M., Bouzari, S., Lechtenberg, M., Dobrindt, U., Qin, X., Goycoolea, F.M., Hensel, A.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 9
container_issue
container_start_page 1
container_title Phytomedicine (Stuttgart)
container_volume 28
creator Sarshar, S.
Brandt, S.
Asadi Karam, M.R.
Habibi, M.
Bouzari, S.
Lechtenberg, M.
Dobrindt, U.
Qin, X.
Goycoolea, F.M.
Hensel, A.
description Extracts from the leaves of Orthosiphon stamineus are used in phytotherapy for treatment of uncomplicated urinary tract infections. Evaluation of an aqueous extract against infection with uropathogenic Escherichia coli in vivo; investigation of underlying microbiological mechanisms. In vivo studies in mice and in vitro investigations on cytotoxicity, antiadhesive potential, influence on bacterial gene expression and quorum sensing. Extract OWE was prepared by hot water extraction. For in vivo studies BALB/c mice were used in an UPEC infection model. The effect of OWE on bacterial load in bladder/kidney tissue was monitored in pre- and posttreatment. Cytotoxicity of OWE against different UPEC strains, T24 bladder/A498 kidney cells, gene expression analysis, monitoring of phenotypic motility and quorum sensing was investigated by standard methods of microbiology. OWE was quantified (UHPLC) according to the content of rosmarinic acid, cichoric acid, caffeic acid. Three- and 5-day treatment of animals with OWE (750mg/kg) after transurethral infection with UPEC CFT073 reduced the bacterial load in bladder and kidney, similar to norfloxacin. Four- and 7-day pretreatment of mice prior to the infection with UPEC NU14 reduced bacterial bladder colonization. In vitro investigations indicated that OWE (≤2mg/ml) has no cytotoxic or proliferation-inhibiting activity against different UPEC strains as well as against T24 bladder and A498 kidney cells. OWE exerts a dose dependent antiadhesive activity against UPEC strains NU14 and UTI89. OWE reduced gene expression of fimH, but evoked increase of the expression of motility/fitness gene fliC. Increase of bacterial motility on gene level was confirmed by a changed bacterial phenotype by an increased bacterial motility in soft agar assay. OWE inhibited in a concentration-dependent manner bacterial quorum sensing. OWE is assessed as a strong antiadhesive plant extract for which the traditional use in phytotherapy for UTI might be justified. [Display omitted]
doi_str_mv 10.1016/j.phymed.2017.02.009
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1896414449</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0944711317300417</els_id><sourcerecordid>1896414449</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-8656d4fea95f8184f28f4ab1d611ff3acb886bc3336dc1f0df543e894312ec543</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMoun78A5EcvbRm2mybXgQRv0DwouAtpMmEzdqmNeku7r83y7pXTxnI887wPoRcAsuBQXWzzMfFpkeTFwzqnBU5Y80BmUEFImPN_POQzFjDeVYDlCfkNMYlY8Cbmh2Tk0LwWghWz4i8-17hsIoUf6ag9ERtGHr6FqbFEN24GDyNk-qdx4R0qNYY6RhwjX6KtO2UMRio8oZ-OeNxQ523qCeXYs7T3mk8J0dWdREv_t4z8vH48H7_nL2-Pb3c371mmjMxZaKaV4ZbVM3cChDcFsJy1YKpAKwtlW6FqFpdlmVlNFhm7JyXKBpeQoE6zWfkerd3DENqFCfZu6ix65Tf1pMgmooD57xJKN-hOgwxBrRyDK5XYSOBya1auZQ7tXKrVrJCJrUpdvV3YdVu__ahvcsE3O4ATD3XDoOM2qHXaFxIUqQZ3P8XfgFY4o4d</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1896414449</pqid></control><display><type>article</type><title>Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Sarshar, S. ; Brandt, S. ; Asadi Karam, M.R. ; Habibi, M. ; Bouzari, S. ; Lechtenberg, M. ; Dobrindt, U. ; Qin, X. ; Goycoolea, F.M. ; Hensel, A.</creator><creatorcontrib>Sarshar, S. ; Brandt, S. ; Asadi Karam, M.R. ; Habibi, M. ; Bouzari, S. ; Lechtenberg, M. ; Dobrindt, U. ; Qin, X. ; Goycoolea, F.M. ; Hensel, A.</creatorcontrib><description>Extracts from the leaves of Orthosiphon stamineus are used in phytotherapy for treatment of uncomplicated urinary tract infections. Evaluation of an aqueous extract against infection with uropathogenic Escherichia coli in vivo; investigation of underlying microbiological mechanisms. In vivo studies in mice and in vitro investigations on cytotoxicity, antiadhesive potential, influence on bacterial gene expression and quorum sensing. Extract OWE was prepared by hot water extraction. For in vivo studies BALB/c mice were used in an UPEC infection model. The effect of OWE on bacterial load in bladder/kidney tissue was monitored in pre- and posttreatment. Cytotoxicity of OWE against different UPEC strains, T24 bladder/A498 kidney cells, gene expression analysis, monitoring of phenotypic motility and quorum sensing was investigated by standard methods of microbiology. OWE was quantified (UHPLC) according to the content of rosmarinic acid, cichoric acid, caffeic acid. Three- and 5-day treatment of animals with OWE (750mg/kg) after transurethral infection with UPEC CFT073 reduced the bacterial load in bladder and kidney, similar to norfloxacin. Four- and 7-day pretreatment of mice prior to the infection with UPEC NU14 reduced bacterial bladder colonization. In vitro investigations indicated that OWE (≤2mg/ml) has no cytotoxic or proliferation-inhibiting activity against different UPEC strains as well as against T24 bladder and A498 kidney cells. OWE exerts a dose dependent antiadhesive activity against UPEC strains NU14 and UTI89. OWE reduced gene expression of fimH, but evoked increase of the expression of motility/fitness gene fliC. Increase of bacterial motility on gene level was confirmed by a changed bacterial phenotype by an increased bacterial motility in soft agar assay. OWE inhibited in a concentration-dependent manner bacterial quorum sensing. OWE is assessed as a strong antiadhesive plant extract for which the traditional use in phytotherapy for UTI might be justified. [Display omitted]</description><identifier>ISSN: 0944-7113</identifier><identifier>EISSN: 1618-095X</identifier><identifier>DOI: 10.1016/j.phymed.2017.02.009</identifier><identifier>PMID: 28478807</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>Adhesion ; Animals ; Anti-Bacterial Agents - chemistry ; Anti-Bacterial Agents - pharmacology ; Antiadhesion ; Disease Models, Animal ; Epithelial Cells - drug effects ; Escherichia coli Infections - drug therapy ; Escherichia coli Infections - prevention &amp; control ; Female ; Humans ; Kidney Diseases - microbiology ; Kidney Diseases - pathology ; Kidney Diseases - prevention &amp; control ; Mice ; Mice, Inbred BALB C ; Orthosiphon - chemistry ; Orthosiphon stamineus ; Plant Extracts - chemistry ; Plant Extracts - pharmacology ; Plant Leaves - chemistry ; Quorum sensing ; UPEC ; Urinary Bladder Diseases - microbiology ; Urinary Bladder Diseases - prevention &amp; control ; Urinary Tract Infections - microbiology ; Uropathogenic E. coli ; Uropathogenic Escherichia coli - drug effects ; Uropathogenic Escherichia coli - pathogenicity</subject><ispartof>Phytomedicine (Stuttgart), 2017-05, Vol.28, p.1-9</ispartof><rights>2017 Elsevier GmbH</rights><rights>Copyright © 2017 Elsevier GmbH. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-8656d4fea95f8184f28f4ab1d611ff3acb886bc3336dc1f0df543e894312ec543</citedby><cites>FETCH-LOGICAL-c408t-8656d4fea95f8184f28f4ab1d611ff3acb886bc3336dc1f0df543e894312ec543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.phymed.2017.02.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28478807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarshar, S.</creatorcontrib><creatorcontrib>Brandt, S.</creatorcontrib><creatorcontrib>Asadi Karam, M.R.</creatorcontrib><creatorcontrib>Habibi, M.</creatorcontrib><creatorcontrib>Bouzari, S.</creatorcontrib><creatorcontrib>Lechtenberg, M.</creatorcontrib><creatorcontrib>Dobrindt, U.</creatorcontrib><creatorcontrib>Qin, X.</creatorcontrib><creatorcontrib>Goycoolea, F.M.</creatorcontrib><creatorcontrib>Hensel, A.</creatorcontrib><title>Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice</title><title>Phytomedicine (Stuttgart)</title><addtitle>Phytomedicine</addtitle><description>Extracts from the leaves of Orthosiphon stamineus are used in phytotherapy for treatment of uncomplicated urinary tract infections. Evaluation of an aqueous extract against infection with uropathogenic Escherichia coli in vivo; investigation of underlying microbiological mechanisms. In vivo studies in mice and in vitro investigations on cytotoxicity, antiadhesive potential, influence on bacterial gene expression and quorum sensing. Extract OWE was prepared by hot water extraction. For in vivo studies BALB/c mice were used in an UPEC infection model. The effect of OWE on bacterial load in bladder/kidney tissue was monitored in pre- and posttreatment. Cytotoxicity of OWE against different UPEC strains, T24 bladder/A498 kidney cells, gene expression analysis, monitoring of phenotypic motility and quorum sensing was investigated by standard methods of microbiology. OWE was quantified (UHPLC) according to the content of rosmarinic acid, cichoric acid, caffeic acid. Three- and 5-day treatment of animals with OWE (750mg/kg) after transurethral infection with UPEC CFT073 reduced the bacterial load in bladder and kidney, similar to norfloxacin. Four- and 7-day pretreatment of mice prior to the infection with UPEC NU14 reduced bacterial bladder colonization. In vitro investigations indicated that OWE (≤2mg/ml) has no cytotoxic or proliferation-inhibiting activity against different UPEC strains as well as against T24 bladder and A498 kidney cells. OWE exerts a dose dependent antiadhesive activity against UPEC strains NU14 and UTI89. OWE reduced gene expression of fimH, but evoked increase of the expression of motility/fitness gene fliC. Increase of bacterial motility on gene level was confirmed by a changed bacterial phenotype by an increased bacterial motility in soft agar assay. OWE inhibited in a concentration-dependent manner bacterial quorum sensing. OWE is assessed as a strong antiadhesive plant extract for which the traditional use in phytotherapy for UTI might be justified. [Display omitted]</description><subject>Adhesion</subject><subject>Animals</subject><subject>Anti-Bacterial Agents - chemistry</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antiadhesion</subject><subject>Disease Models, Animal</subject><subject>Epithelial Cells - drug effects</subject><subject>Escherichia coli Infections - drug therapy</subject><subject>Escherichia coli Infections - prevention &amp; control</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Diseases - microbiology</subject><subject>Kidney Diseases - pathology</subject><subject>Kidney Diseases - prevention &amp; control</subject><subject>Mice</subject><subject>Mice, Inbred BALB C</subject><subject>Orthosiphon - chemistry</subject><subject>Orthosiphon stamineus</subject><subject>Plant Extracts - chemistry</subject><subject>Plant Extracts - pharmacology</subject><subject>Plant Leaves - chemistry</subject><subject>Quorum sensing</subject><subject>UPEC</subject><subject>Urinary Bladder Diseases - microbiology</subject><subject>Urinary Bladder Diseases - prevention &amp; control</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Uropathogenic E. coli</subject><subject>Uropathogenic Escherichia coli - drug effects</subject><subject>Uropathogenic Escherichia coli - pathogenicity</subject><issn>0944-7113</issn><issn>1618-095X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMoun78A5EcvbRm2mybXgQRv0DwouAtpMmEzdqmNeku7r83y7pXTxnI887wPoRcAsuBQXWzzMfFpkeTFwzqnBU5Y80BmUEFImPN_POQzFjDeVYDlCfkNMYlY8Cbmh2Tk0LwWghWz4i8-17hsIoUf6ag9ERtGHr6FqbFEN24GDyNk-qdx4R0qNYY6RhwjX6KtO2UMRio8oZ-OeNxQ523qCeXYs7T3mk8J0dWdREv_t4z8vH48H7_nL2-Pb3c371mmjMxZaKaV4ZbVM3cChDcFsJy1YKpAKwtlW6FqFpdlmVlNFhm7JyXKBpeQoE6zWfkerd3DENqFCfZu6ix65Tf1pMgmooD57xJKN-hOgwxBrRyDK5XYSOBya1auZQ7tXKrVrJCJrUpdvV3YdVu__ahvcsE3O4ATD3XDoOM2qHXaFxIUqQZ3P8XfgFY4o4d</recordid><startdate>20170515</startdate><enddate>20170515</enddate><creator>Sarshar, S.</creator><creator>Brandt, S.</creator><creator>Asadi Karam, M.R.</creator><creator>Habibi, M.</creator><creator>Bouzari, S.</creator><creator>Lechtenberg, M.</creator><creator>Dobrindt, U.</creator><creator>Qin, X.</creator><creator>Goycoolea, F.M.</creator><creator>Hensel, A.</creator><general>Elsevier GmbH</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>20170515</creationdate><title>Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice</title><author>Sarshar, S. ; Brandt, S. ; Asadi Karam, M.R. ; Habibi, M. ; Bouzari, S. ; Lechtenberg, M. ; Dobrindt, U. ; Qin, X. ; Goycoolea, F.M. ; Hensel, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-8656d4fea95f8184f28f4ab1d611ff3acb886bc3336dc1f0df543e894312ec543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adhesion</topic><topic>Animals</topic><topic>Anti-Bacterial Agents - chemistry</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antiadhesion</topic><topic>Disease Models, Animal</topic><topic>Epithelial Cells - drug effects</topic><topic>Escherichia coli Infections - drug therapy</topic><topic>Escherichia coli Infections - prevention &amp; control</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Diseases - microbiology</topic><topic>Kidney Diseases - pathology</topic><topic>Kidney Diseases - prevention &amp; control</topic><topic>Mice</topic><topic>Mice, Inbred BALB C</topic><topic>Orthosiphon - chemistry</topic><topic>Orthosiphon stamineus</topic><topic>Plant Extracts - chemistry</topic><topic>Plant Extracts - pharmacology</topic><topic>Plant Leaves - chemistry</topic><topic>Quorum sensing</topic><topic>UPEC</topic><topic>Urinary Bladder Diseases - microbiology</topic><topic>Urinary Bladder Diseases - prevention &amp; control</topic><topic>Urinary Tract Infections - microbiology</topic><topic>Uropathogenic E. coli</topic><topic>Uropathogenic Escherichia coli - drug effects</topic><topic>Uropathogenic Escherichia coli - pathogenicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarshar, S.</creatorcontrib><creatorcontrib>Brandt, S.</creatorcontrib><creatorcontrib>Asadi Karam, M.R.</creatorcontrib><creatorcontrib>Habibi, M.</creatorcontrib><creatorcontrib>Bouzari, S.</creatorcontrib><creatorcontrib>Lechtenberg, M.</creatorcontrib><creatorcontrib>Dobrindt, U.</creatorcontrib><creatorcontrib>Qin, X.</creatorcontrib><creatorcontrib>Goycoolea, F.M.</creatorcontrib><creatorcontrib>Hensel, A.</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>Phytomedicine (Stuttgart)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarshar, S.</au><au>Brandt, S.</au><au>Asadi Karam, M.R.</au><au>Habibi, M.</au><au>Bouzari, S.</au><au>Lechtenberg, M.</au><au>Dobrindt, U.</au><au>Qin, X.</au><au>Goycoolea, F.M.</au><au>Hensel, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice</atitle><jtitle>Phytomedicine (Stuttgart)</jtitle><addtitle>Phytomedicine</addtitle><date>2017-05-15</date><risdate>2017</risdate><volume>28</volume><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>0944-7113</issn><eissn>1618-095X</eissn><abstract>Extracts from the leaves of Orthosiphon stamineus are used in phytotherapy for treatment of uncomplicated urinary tract infections. Evaluation of an aqueous extract against infection with uropathogenic Escherichia coli in vivo; investigation of underlying microbiological mechanisms. In vivo studies in mice and in vitro investigations on cytotoxicity, antiadhesive potential, influence on bacterial gene expression and quorum sensing. Extract OWE was prepared by hot water extraction. For in vivo studies BALB/c mice were used in an UPEC infection model. The effect of OWE on bacterial load in bladder/kidney tissue was monitored in pre- and posttreatment. Cytotoxicity of OWE against different UPEC strains, T24 bladder/A498 kidney cells, gene expression analysis, monitoring of phenotypic motility and quorum sensing was investigated by standard methods of microbiology. OWE was quantified (UHPLC) according to the content of rosmarinic acid, cichoric acid, caffeic acid. Three- and 5-day treatment of animals with OWE (750mg/kg) after transurethral infection with UPEC CFT073 reduced the bacterial load in bladder and kidney, similar to norfloxacin. Four- and 7-day pretreatment of mice prior to the infection with UPEC NU14 reduced bacterial bladder colonization. In vitro investigations indicated that OWE (≤2mg/ml) has no cytotoxic or proliferation-inhibiting activity against different UPEC strains as well as against T24 bladder and A498 kidney cells. OWE exerts a dose dependent antiadhesive activity against UPEC strains NU14 and UTI89. OWE reduced gene expression of fimH, but evoked increase of the expression of motility/fitness gene fliC. Increase of bacterial motility on gene level was confirmed by a changed bacterial phenotype by an increased bacterial motility in soft agar assay. OWE inhibited in a concentration-dependent manner bacterial quorum sensing. OWE is assessed as a strong antiadhesive plant extract for which the traditional use in phytotherapy for UTI might be justified. [Display omitted]</abstract><cop>Germany</cop><pub>Elsevier GmbH</pub><pmid>28478807</pmid><doi>10.1016/j.phymed.2017.02.009</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0944-7113
ispartof Phytomedicine (Stuttgart), 2017-05, Vol.28, p.1-9
issn 0944-7113
1618-095X
language eng
recordid cdi_proquest_miscellaneous_1896414449
source MEDLINE; Elsevier ScienceDirect Journals
subjects Adhesion
Animals
Anti-Bacterial Agents - chemistry
Anti-Bacterial Agents - pharmacology
Antiadhesion
Disease Models, Animal
Epithelial Cells - drug effects
Escherichia coli Infections - drug therapy
Escherichia coli Infections - prevention & control
Female
Humans
Kidney Diseases - microbiology
Kidney Diseases - pathology
Kidney Diseases - prevention & control
Mice
Mice, Inbred BALB C
Orthosiphon - chemistry
Orthosiphon stamineus
Plant Extracts - chemistry
Plant Extracts - pharmacology
Plant Leaves - chemistry
Quorum sensing
UPEC
Urinary Bladder Diseases - microbiology
Urinary Bladder Diseases - prevention & control
Urinary Tract Infections - microbiology
Uropathogenic E. coli
Uropathogenic Escherichia coli - drug effects
Uropathogenic Escherichia coli - pathogenicity
title Aqueous extract from Orthosiphon stamineus leaves prevents bladder and kidney infection in mice
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T16%3A10%3A19IST&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=Aqueous%20extract%20from%20Orthosiphon%20stamineus%20leaves%20prevents%20bladder%20and%20kidney%20infection%20in%20mice&rft.jtitle=Phytomedicine%20(Stuttgart)&rft.au=Sarshar,%20S.&rft.date=2017-05-15&rft.volume=28&rft.spage=1&rft.epage=9&rft.pages=1-9&rft.issn=0944-7113&rft.eissn=1618-095X&rft_id=info:doi/10.1016/j.phymed.2017.02.009&rft_dat=%3Cproquest_cross%3E1896414449%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=1896414449&rft_id=info:pmid/28478807&rft_els_id=S0944711317300417&rfr_iscdi=true