Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives

Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with ce...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Free radical biology & medicine 2018-02, Vol.115, p.232-245
Hauptverfasser: Filipe, Hugo A.L., Sousa, Carla, Marquês, Joaquim T., Vila-Viçosa, Diogo, de Granada-Flor, António, Viana, Ana S., Santos, M. Soledade C.S., Machuqueiro, Miguel, de Almeida, Rodrigo F.M.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 245
container_issue
container_start_page 232
container_title Free radical biology & medicine
container_volume 115
creator Filipe, Hugo A.L.
Sousa, Carla
Marquês, Joaquim T.
Vila-Viçosa, Diogo
de Granada-Flor, António
Viana, Ana S.
Santos, M. Soledade C.S.
Machuqueiro, Miguel
de Almeida, Rodrigo F.M.
description Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with cell membrane surface. This hypothesis was tested using the paradigmatic caffeic acid (CA) and two of its ester derivatives, rosmarinic (RA) and chlorogenic (CGA) acids, for which we predict, based on molecular dynamics simulations, a shallow location in phospholipid bilayers dependent on the protonation-state. Using complementary experimental approaches, an interaction with the membrane was definitely revealed for the three compounds, with RA exhibiting the highest lipid bilayer partition, and the redox signals of membrane-bound RA and CA being clearly detected. Cholesterol decreased the compounds bilayer partition, but not their ability to lower membrane dipole potential. In more complex membrane models containing also sphingomyelin, with liquid disordered (ld)/ liquid ordered (lo) phases coexistence, mimicking domains in the external leaflet of human plasma membrane, all compounds were able to affect nanodomains lateral organization. RA, and to a lesser extent CGA, decreased the size of lo domains. The most significant effect of CA was the possible formation of a rigid gel-like phase, enriched in sphingomyelin. In addition, all phenolic acids decreased the order of lo domains. In sum, phenolic acid effects on the membrane are enhanced in cholesterol-rich lo phases, which predominate in the outer leaflet of human cell membranes and are involved in many key cellular processes. [Display omitted] •Phenolic acids interplay with membrane domains support diverse biological actions.•Lipid bilayer partition depends on phenolic acid structure and membrane cholesterol.•Redox signals of membrane-bound rosmarinic and caffeic acids were clearly detected.•Rosmarinic and chlorogenic acids disturb cholesterol-enriched domains.•Caffeic acid specifically targets sphingomyelin in membrane ordered domains.
doi_str_mv 10.1016/j.freeradbiomed.2017.12.002
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1975029382</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0891584917312340</els_id><sourcerecordid>1975029382</sourcerecordid><originalsourceid>FETCH-LOGICAL-c383t-57a3a706359c7db651a69865208ab914129bd1d9010bafc543071139a1dd62043</originalsourceid><addsrcrecordid>eNqNkE9vFDEMxSMEotvCV0CRuHCZaZxMZhJxQu1SkCr1AhcuUSbxVF7NnyWZXanfvllte-DGyZL9nv38Y-wziBoEtNe7ekiIyceelgljLQV0NchaCPmGbcB0qmq0bd-yjTAWKm0ae8Euc94JIRqtzHt2Ia2UYI3dsD-3NAyYcF7Jj3z16RFXmh_5MvAJpz75GflIe4o8LpOnOfP-iQdfPBS4D6Xv58hpzRzziolHTHT0Kx0xf2DvBj9m_PhSr9jv79tfNz-q-4e7nzff7qugjFor3XnlO9EqbUMX-1aDb61ptRTG9xYakLaPEK0A0fsh6EaJDkBZDzG2UjTqin05792n5e-hxHAT5YDjWLIvh-zAdlpIq4ws0q9naUhLzgkHt080-fTkQLgTXLdz_8B1J7gOpCtwi_vTy6FDf5q9el9pFsH2LMDy7pEwuRwI54CREobVxYX-69Az6a6SQw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1975029382</pqid></control><display><type>article</type><title>Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Filipe, Hugo A.L. ; Sousa, Carla ; Marquês, Joaquim T. ; Vila-Viçosa, Diogo ; de Granada-Flor, António ; Viana, Ana S. ; Santos, M. Soledade C.S. ; Machuqueiro, Miguel ; de Almeida, Rodrigo F.M.</creator><creatorcontrib>Filipe, Hugo A.L. ; Sousa, Carla ; Marquês, Joaquim T. ; Vila-Viçosa, Diogo ; de Granada-Flor, António ; Viana, Ana S. ; Santos, M. Soledade C.S. ; Machuqueiro, Miguel ; de Almeida, Rodrigo F.M.</creatorcontrib><description>Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with cell membrane surface. This hypothesis was tested using the paradigmatic caffeic acid (CA) and two of its ester derivatives, rosmarinic (RA) and chlorogenic (CGA) acids, for which we predict, based on molecular dynamics simulations, a shallow location in phospholipid bilayers dependent on the protonation-state. Using complementary experimental approaches, an interaction with the membrane was definitely revealed for the three compounds, with RA exhibiting the highest lipid bilayer partition, and the redox signals of membrane-bound RA and CA being clearly detected. Cholesterol decreased the compounds bilayer partition, but not their ability to lower membrane dipole potential. In more complex membrane models containing also sphingomyelin, with liquid disordered (ld)/ liquid ordered (lo) phases coexistence, mimicking domains in the external leaflet of human plasma membrane, all compounds were able to affect nanodomains lateral organization. RA, and to a lesser extent CGA, decreased the size of lo domains. The most significant effect of CA was the possible formation of a rigid gel-like phase, enriched in sphingomyelin. In addition, all phenolic acids decreased the order of lo domains. In sum, phenolic acid effects on the membrane are enhanced in cholesterol-rich lo phases, which predominate in the outer leaflet of human cell membranes and are involved in many key cellular processes. [Display omitted] •Phenolic acids interplay with membrane domains support diverse biological actions.•Lipid bilayer partition depends on phenolic acid structure and membrane cholesterol.•Redox signals of membrane-bound rosmarinic and caffeic acids were clearly detected.•Rosmarinic and chlorogenic acids disturb cholesterol-enriched domains.•Caffeic acid specifically targets sphingomyelin in membrane ordered domains.</description><identifier>ISSN: 0891-5849</identifier><identifier>EISSN: 1873-4596</identifier><identifier>DOI: 10.1016/j.freeradbiomed.2017.12.002</identifier><identifier>PMID: 29221989</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antioxidant-membrane interactions ; Caffeic Acids - chemistry ; Caffeic Acids - metabolism ; Cell Membrane - metabolism ; Cells, Cultured ; Chlorogenic Acid - chemistry ; Chlorogenic Acid - metabolism ; Cholesterol - chemistry ; Cholesterol - metabolism ; Cinnamates - chemistry ; Cinnamates - metabolism ; Cyclic voltammetry ; Depsides - chemistry ; Depsides - metabolism ; Esters - chemistry ; Fluorescence spectroscopy ; Humans ; Hydroxybenzoates - chemistry ; Hydroxybenzoates - metabolism ; Hydroxycinnamic acids ; Lipid Bilayers - chemistry ; Lipid rafts ; Membrane Lipids - chemistry ; Membrane Lipids - metabolism ; Membrane Microdomains - metabolism ; Membrane model systems ; Membrane Potentials ; Molecular dynamics ; Molecular Dynamics Simulation ; Phospholipids ; Rosmarinic Acid ; Sphingomyelins - chemistry ; Sphingomyelins - metabolism</subject><ispartof>Free radical biology &amp; medicine, 2018-02, Vol.115, p.232-245</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-57a3a706359c7db651a69865208ab914129bd1d9010bafc543071139a1dd62043</citedby><cites>FETCH-LOGICAL-c383t-57a3a706359c7db651a69865208ab914129bd1d9010bafc543071139a1dd62043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0891584917312340$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29221989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Filipe, Hugo A.L.</creatorcontrib><creatorcontrib>Sousa, Carla</creatorcontrib><creatorcontrib>Marquês, Joaquim T.</creatorcontrib><creatorcontrib>Vila-Viçosa, Diogo</creatorcontrib><creatorcontrib>de Granada-Flor, António</creatorcontrib><creatorcontrib>Viana, Ana S.</creatorcontrib><creatorcontrib>Santos, M. Soledade C.S.</creatorcontrib><creatorcontrib>Machuqueiro, Miguel</creatorcontrib><creatorcontrib>de Almeida, Rodrigo F.M.</creatorcontrib><title>Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives</title><title>Free radical biology &amp; medicine</title><addtitle>Free Radic Biol Med</addtitle><description>Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with cell membrane surface. This hypothesis was tested using the paradigmatic caffeic acid (CA) and two of its ester derivatives, rosmarinic (RA) and chlorogenic (CGA) acids, for which we predict, based on molecular dynamics simulations, a shallow location in phospholipid bilayers dependent on the protonation-state. Using complementary experimental approaches, an interaction with the membrane was definitely revealed for the three compounds, with RA exhibiting the highest lipid bilayer partition, and the redox signals of membrane-bound RA and CA being clearly detected. Cholesterol decreased the compounds bilayer partition, but not their ability to lower membrane dipole potential. In more complex membrane models containing also sphingomyelin, with liquid disordered (ld)/ liquid ordered (lo) phases coexistence, mimicking domains in the external leaflet of human plasma membrane, all compounds were able to affect nanodomains lateral organization. RA, and to a lesser extent CGA, decreased the size of lo domains. The most significant effect of CA was the possible formation of a rigid gel-like phase, enriched in sphingomyelin. In addition, all phenolic acids decreased the order of lo domains. In sum, phenolic acid effects on the membrane are enhanced in cholesterol-rich lo phases, which predominate in the outer leaflet of human cell membranes and are involved in many key cellular processes. [Display omitted] •Phenolic acids interplay with membrane domains support diverse biological actions.•Lipid bilayer partition depends on phenolic acid structure and membrane cholesterol.•Redox signals of membrane-bound rosmarinic and caffeic acids were clearly detected.•Rosmarinic and chlorogenic acids disturb cholesterol-enriched domains.•Caffeic acid specifically targets sphingomyelin in membrane ordered domains.</description><subject>Antioxidant-membrane interactions</subject><subject>Caffeic Acids - chemistry</subject><subject>Caffeic Acids - metabolism</subject><subject>Cell Membrane - metabolism</subject><subject>Cells, Cultured</subject><subject>Chlorogenic Acid - chemistry</subject><subject>Chlorogenic Acid - metabolism</subject><subject>Cholesterol - chemistry</subject><subject>Cholesterol - metabolism</subject><subject>Cinnamates - chemistry</subject><subject>Cinnamates - metabolism</subject><subject>Cyclic voltammetry</subject><subject>Depsides - chemistry</subject><subject>Depsides - metabolism</subject><subject>Esters - chemistry</subject><subject>Fluorescence spectroscopy</subject><subject>Humans</subject><subject>Hydroxybenzoates - chemistry</subject><subject>Hydroxybenzoates - metabolism</subject><subject>Hydroxycinnamic acids</subject><subject>Lipid Bilayers - chemistry</subject><subject>Lipid rafts</subject><subject>Membrane Lipids - chemistry</subject><subject>Membrane Lipids - metabolism</subject><subject>Membrane Microdomains - metabolism</subject><subject>Membrane model systems</subject><subject>Membrane Potentials</subject><subject>Molecular dynamics</subject><subject>Molecular Dynamics Simulation</subject><subject>Phospholipids</subject><subject>Rosmarinic Acid</subject><subject>Sphingomyelins - chemistry</subject><subject>Sphingomyelins - metabolism</subject><issn>0891-5849</issn><issn>1873-4596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9vFDEMxSMEotvCV0CRuHCZaZxMZhJxQu1SkCr1AhcuUSbxVF7NnyWZXanfvllte-DGyZL9nv38Y-wziBoEtNe7ekiIyceelgljLQV0NchaCPmGbcB0qmq0bd-yjTAWKm0ae8Euc94JIRqtzHt2Ia2UYI3dsD-3NAyYcF7Jj3z16RFXmh_5MvAJpz75GflIe4o8LpOnOfP-iQdfPBS4D6Xv58hpzRzziolHTHT0Kx0xf2DvBj9m_PhSr9jv79tfNz-q-4e7nzff7qugjFor3XnlO9EqbUMX-1aDb61ptRTG9xYakLaPEK0A0fsh6EaJDkBZDzG2UjTqin05792n5e-hxHAT5YDjWLIvh-zAdlpIq4ws0q9naUhLzgkHt080-fTkQLgTXLdz_8B1J7gOpCtwi_vTy6FDf5q9el9pFsH2LMDy7pEwuRwI54CREobVxYX-69Az6a6SQw</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Filipe, Hugo A.L.</creator><creator>Sousa, Carla</creator><creator>Marquês, Joaquim T.</creator><creator>Vila-Viçosa, Diogo</creator><creator>de Granada-Flor, António</creator><creator>Viana, Ana S.</creator><creator>Santos, M. Soledade C.S.</creator><creator>Machuqueiro, Miguel</creator><creator>de Almeida, Rodrigo F.M.</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>20180201</creationdate><title>Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives</title><author>Filipe, Hugo A.L. ; Sousa, Carla ; Marquês, Joaquim T. ; Vila-Viçosa, Diogo ; de Granada-Flor, António ; Viana, Ana S. ; Santos, M. Soledade C.S. ; Machuqueiro, Miguel ; de Almeida, Rodrigo F.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-57a3a706359c7db651a69865208ab914129bd1d9010bafc543071139a1dd62043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Antioxidant-membrane interactions</topic><topic>Caffeic Acids - chemistry</topic><topic>Caffeic Acids - metabolism</topic><topic>Cell Membrane - metabolism</topic><topic>Cells, Cultured</topic><topic>Chlorogenic Acid - chemistry</topic><topic>Chlorogenic Acid - metabolism</topic><topic>Cholesterol - chemistry</topic><topic>Cholesterol - metabolism</topic><topic>Cinnamates - chemistry</topic><topic>Cinnamates - metabolism</topic><topic>Cyclic voltammetry</topic><topic>Depsides - chemistry</topic><topic>Depsides - metabolism</topic><topic>Esters - chemistry</topic><topic>Fluorescence spectroscopy</topic><topic>Humans</topic><topic>Hydroxybenzoates - chemistry</topic><topic>Hydroxybenzoates - metabolism</topic><topic>Hydroxycinnamic acids</topic><topic>Lipid Bilayers - chemistry</topic><topic>Lipid rafts</topic><topic>Membrane Lipids - chemistry</topic><topic>Membrane Lipids - metabolism</topic><topic>Membrane Microdomains - metabolism</topic><topic>Membrane model systems</topic><topic>Membrane Potentials</topic><topic>Molecular dynamics</topic><topic>Molecular Dynamics Simulation</topic><topic>Phospholipids</topic><topic>Rosmarinic Acid</topic><topic>Sphingomyelins - chemistry</topic><topic>Sphingomyelins - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Filipe, Hugo A.L.</creatorcontrib><creatorcontrib>Sousa, Carla</creatorcontrib><creatorcontrib>Marquês, Joaquim T.</creatorcontrib><creatorcontrib>Vila-Viçosa, Diogo</creatorcontrib><creatorcontrib>de Granada-Flor, António</creatorcontrib><creatorcontrib>Viana, Ana S.</creatorcontrib><creatorcontrib>Santos, M. Soledade C.S.</creatorcontrib><creatorcontrib>Machuqueiro, Miguel</creatorcontrib><creatorcontrib>de Almeida, Rodrigo F.M.</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>Free radical biology &amp; medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Filipe, Hugo A.L.</au><au>Sousa, Carla</au><au>Marquês, Joaquim T.</au><au>Vila-Viçosa, Diogo</au><au>de Granada-Flor, António</au><au>Viana, Ana S.</au><au>Santos, M. Soledade C.S.</au><au>Machuqueiro, Miguel</au><au>de Almeida, Rodrigo F.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives</atitle><jtitle>Free radical biology &amp; medicine</jtitle><addtitle>Free Radic Biol Med</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>115</volume><spage>232</spage><epage>245</epage><pages>232-245</pages><issn>0891-5849</issn><eissn>1873-4596</eissn><abstract>Phenolic acids have been associated to a wide range of important health benefits underlain by a common molecular mechanism of action. Considering that significant membrane permeation is prevented by their hydrophilic character, we hypothesize that their main effects result from the interplay with cell membrane surface. This hypothesis was tested using the paradigmatic caffeic acid (CA) and two of its ester derivatives, rosmarinic (RA) and chlorogenic (CGA) acids, for which we predict, based on molecular dynamics simulations, a shallow location in phospholipid bilayers dependent on the protonation-state. Using complementary experimental approaches, an interaction with the membrane was definitely revealed for the three compounds, with RA exhibiting the highest lipid bilayer partition, and the redox signals of membrane-bound RA and CA being clearly detected. Cholesterol decreased the compounds bilayer partition, but not their ability to lower membrane dipole potential. In more complex membrane models containing also sphingomyelin, with liquid disordered (ld)/ liquid ordered (lo) phases coexistence, mimicking domains in the external leaflet of human plasma membrane, all compounds were able to affect nanodomains lateral organization. RA, and to a lesser extent CGA, decreased the size of lo domains. The most significant effect of CA was the possible formation of a rigid gel-like phase, enriched in sphingomyelin. In addition, all phenolic acids decreased the order of lo domains. In sum, phenolic acid effects on the membrane are enhanced in cholesterol-rich lo phases, which predominate in the outer leaflet of human cell membranes and are involved in many key cellular processes. [Display omitted] •Phenolic acids interplay with membrane domains support diverse biological actions.•Lipid bilayer partition depends on phenolic acid structure and membrane cholesterol.•Redox signals of membrane-bound rosmarinic and caffeic acids were clearly detected.•Rosmarinic and chlorogenic acids disturb cholesterol-enriched domains.•Caffeic acid specifically targets sphingomyelin in membrane ordered domains.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29221989</pmid><doi>10.1016/j.freeradbiomed.2017.12.002</doi><tpages>14</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0891-5849
ispartof Free radical biology & medicine, 2018-02, Vol.115, p.232-245
issn 0891-5849
1873-4596
language eng
recordid cdi_proquest_miscellaneous_1975029382
source MEDLINE; Elsevier ScienceDirect Journals
subjects Antioxidant-membrane interactions
Caffeic Acids - chemistry
Caffeic Acids - metabolism
Cell Membrane - metabolism
Cells, Cultured
Chlorogenic Acid - chemistry
Chlorogenic Acid - metabolism
Cholesterol - chemistry
Cholesterol - metabolism
Cinnamates - chemistry
Cinnamates - metabolism
Cyclic voltammetry
Depsides - chemistry
Depsides - metabolism
Esters - chemistry
Fluorescence spectroscopy
Humans
Hydroxybenzoates - chemistry
Hydroxybenzoates - metabolism
Hydroxycinnamic acids
Lipid Bilayers - chemistry
Lipid rafts
Membrane Lipids - chemistry
Membrane Lipids - metabolism
Membrane Microdomains - metabolism
Membrane model systems
Membrane Potentials
Molecular dynamics
Molecular Dynamics Simulation
Phospholipids
Rosmarinic Acid
Sphingomyelins - chemistry
Sphingomyelins - metabolism
title Differential targeting of membrane lipid domains by caffeic acid and its ester derivatives
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T15%3A25%3A02IST&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=Differential%20targeting%20of%20membrane%20lipid%20domains%20by%20caffeic%20acid%20and%20its%20ester%20derivatives&rft.jtitle=Free%20radical%20biology%20&%20medicine&rft.au=Filipe,%20Hugo%20A.L.&rft.date=2018-02-01&rft.volume=115&rft.spage=232&rft.epage=245&rft.pages=232-245&rft.issn=0891-5849&rft.eissn=1873-4596&rft_id=info:doi/10.1016/j.freeradbiomed.2017.12.002&rft_dat=%3Cproquest_cross%3E1975029382%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=1975029382&rft_id=info:pmid/29221989&rft_els_id=S0891584917312340&rfr_iscdi=true