Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats

Sequestration of adenovirus serotype 5 (Ad5) in liver restricts its use for gene delivery to other target sites in vivo. To date, no studies have systematically assessed the impact of genetic capsid modifications on in vivo tropism in rats, an important preclinical model for many disease types. We e...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Molecular therapy 2004-08, Vol.10 (2), p.344-354
Hauptverfasser: Nicol, Campbell G, Graham, Delyth, Miller, William H, White, Stephen J, Smith, Theodore A G, Nicklin, Stuart A, Stevenson, Susan C, Baker, Andrew H
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 354
container_issue 2
container_start_page 344
container_title Molecular therapy
container_volume 10
creator Nicol, Campbell G
Graham, Delyth
Miller, William H
White, Stephen J
Smith, Theodore A G
Nicklin, Stuart A
Stevenson, Susan C
Baker, Andrew H
description Sequestration of adenovirus serotype 5 (Ad5) in liver restricts its use for gene delivery to other target sites in vivo. To date, no studies have systematically assessed the impact of genetic capsid modifications on in vivo tropism in rats, an important preclinical model for many disease types. We evaluated a panel of Ad5 vectors with capsid mutations or pseudotyped with the short fiber from serotype 41 (Ad41s) for infectivity in Wistar Kyoto rats in vitro and systemically in vivo. In vitro studies demonstrated that both coxsackie and adenovirus receptor (CAR) and heparan sulfate proteoglycan (HSPG) binding were predominant predictors of Ad5 tropism. In vivo, neither CAR nor integrin mutations alone affected liver transduction. The HSPG-binding mutation alone moderately reduced rat liver transgene levels by 2-fold (P < 0.05). This was further substantially decreased by additional mutation of CAR binding (95-fold). Combining CAR and integrin mutations reduced transgene levels by >99% (509-fold, P < 0.01), an effect not observed in parallel experiments in mice and highly variable when studied further in an additional two strains of rat. Ad41s mediated very low liver transduction (58-fold lower than AdCTL). Moreover, CAR-binding mutants (KO1-containing) or pseudotyping 41s eliminated hemagglutination of rat and human red blood cells in vitro. This highlights some important potential species and strain differences dictating Ad5 tropism in vivo and identifies vectors that are substantially detargeted from rat liver in vivo.
doi_str_mv 10.1016/j.ymthe.2004.05.020
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66756852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66756852</sourcerecordid><originalsourceid>FETCH-LOGICAL-c374t-b12edef3aaedd1aa6c610c4437a70df6a56a1baf7b819e2f24bd13de113409cc3</originalsourceid><addsrcrecordid>eNpdkE9r3DAQxUVoyb_mEwSKoNDbuhpZku1jCEkTWMilPfQkZGlEtKwtR5IX9tvHmywN5DRvZt48hh8h18AqYKB-bar9UJ6x4oyJismKcXZCzkFyuWKMiy__NagzcpHzZlEgO3VKzpZFJ6CFc_Lvznu0hUZPjcMx7kKaM82YYtlPSCX1ocdEzejohGOJIx2iCz5YU0IcM10GYaS7sIu0pDiFPBz6ZEr-Rr56s814dayX5O_93Z_bh9X66ffj7c16ZetGlFUPHB362hh0DoxRVgGzQtSNaZjzykhloDe-6VvokHsuege1Q4BasM7a-pL8fM-dUnyZMRc9hGxxuzUjxjlrpRqpWskX449Pxk2c07j8pqHpeCta2cLiqt9dNsWcE3o9pTCYtNfA9IG73ug37vrAXTOpF-7L1fdj9twP6D5ujqDrVx_UgN4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1792848581</pqid></control><display><type>article</type><title>Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>ProQuest Central UK/Ireland</source><source>Alma/SFX Local Collection</source><creator>Nicol, Campbell G ; Graham, Delyth ; Miller, William H ; White, Stephen J ; Smith, Theodore A G ; Nicklin, Stuart A ; Stevenson, Susan C ; Baker, Andrew H</creator><creatorcontrib>Nicol, Campbell G ; Graham, Delyth ; Miller, William H ; White, Stephen J ; Smith, Theodore A G ; Nicklin, Stuart A ; Stevenson, Susan C ; Baker, Andrew H</creatorcontrib><description>Sequestration of adenovirus serotype 5 (Ad5) in liver restricts its use for gene delivery to other target sites in vivo. To date, no studies have systematically assessed the impact of genetic capsid modifications on in vivo tropism in rats, an important preclinical model for many disease types. We evaluated a panel of Ad5 vectors with capsid mutations or pseudotyped with the short fiber from serotype 41 (Ad41s) for infectivity in Wistar Kyoto rats in vitro and systemically in vivo. In vitro studies demonstrated that both coxsackie and adenovirus receptor (CAR) and heparan sulfate proteoglycan (HSPG) binding were predominant predictors of Ad5 tropism. In vivo, neither CAR nor integrin mutations alone affected liver transduction. The HSPG-binding mutation alone moderately reduced rat liver transgene levels by 2-fold (P &lt; 0.05). This was further substantially decreased by additional mutation of CAR binding (95-fold). Combining CAR and integrin mutations reduced transgene levels by &gt;99% (509-fold, P &lt; 0.01), an effect not observed in parallel experiments in mice and highly variable when studied further in an additional two strains of rat. Ad41s mediated very low liver transduction (58-fold lower than AdCTL). Moreover, CAR-binding mutants (KO1-containing) or pseudotyping 41s eliminated hemagglutination of rat and human red blood cells in vitro. This highlights some important potential species and strain differences dictating Ad5 tropism in vivo and identifies vectors that are substantially detargeted from rat liver in vivo.</description><identifier>ISSN: 1525-0016</identifier><identifier>EISSN: 1525-0024</identifier><identifier>DOI: 10.1016/j.ymthe.2004.05.020</identifier><identifier>PMID: 15294181</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Ablation ; Adenoviridae - genetics ; Adenoviridae - metabolism ; Adenoviruses ; Animals ; beta-Galactosidase - analysis ; beta-Galactosidase - genetics ; Biodistribution ; Blood ; Capsid Proteins - genetics ; Capsid Proteins - metabolism ; Cell Line ; Coxsackie and Adenovirus Receptor-Like Membrane Protein ; DNA, Viral - analysis ; DNA, Viral - metabolism ; Endothelial Cells - metabolism ; Endothelial Cells - virology ; Gene therapy ; Genetic Vectors ; Hemagglutination ; Heparan sulfate ; Heparan Sulfate Proteoglycans - metabolism ; Hepatocytes - metabolism ; Hepatocytes - virology ; Liver ; Liver - chemistry ; Liver - metabolism ; Liver - virology ; Mutation ; Mutation - genetics ; Proteins ; Rats ; Rats, Inbred WKY ; Receptors, Virus - metabolism ; Transduction, Genetic ; Vectors (Biology) ; Viruses</subject><ispartof>Molecular therapy, 2004-08, Vol.10 (2), p.344-354</ispartof><rights>Copyright The American Society of Gene Therapy</rights><rights>Copyright Nature Publishing Group Aug 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-b12edef3aaedd1aa6c610c4437a70df6a56a1baf7b819e2f24bd13de113409cc3</citedby><cites>FETCH-LOGICAL-c374t-b12edef3aaedd1aa6c610c4437a70df6a56a1baf7b819e2f24bd13de113409cc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1792848581?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15294181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicol, Campbell G</creatorcontrib><creatorcontrib>Graham, Delyth</creatorcontrib><creatorcontrib>Miller, William H</creatorcontrib><creatorcontrib>White, Stephen J</creatorcontrib><creatorcontrib>Smith, Theodore A G</creatorcontrib><creatorcontrib>Nicklin, Stuart A</creatorcontrib><creatorcontrib>Stevenson, Susan C</creatorcontrib><creatorcontrib>Baker, Andrew H</creatorcontrib><title>Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats</title><title>Molecular therapy</title><addtitle>Mol Ther</addtitle><description>Sequestration of adenovirus serotype 5 (Ad5) in liver restricts its use for gene delivery to other target sites in vivo. To date, no studies have systematically assessed the impact of genetic capsid modifications on in vivo tropism in rats, an important preclinical model for many disease types. We evaluated a panel of Ad5 vectors with capsid mutations or pseudotyped with the short fiber from serotype 41 (Ad41s) for infectivity in Wistar Kyoto rats in vitro and systemically in vivo. In vitro studies demonstrated that both coxsackie and adenovirus receptor (CAR) and heparan sulfate proteoglycan (HSPG) binding were predominant predictors of Ad5 tropism. In vivo, neither CAR nor integrin mutations alone affected liver transduction. The HSPG-binding mutation alone moderately reduced rat liver transgene levels by 2-fold (P &lt; 0.05). This was further substantially decreased by additional mutation of CAR binding (95-fold). Combining CAR and integrin mutations reduced transgene levels by &gt;99% (509-fold, P &lt; 0.01), an effect not observed in parallel experiments in mice and highly variable when studied further in an additional two strains of rat. Ad41s mediated very low liver transduction (58-fold lower than AdCTL). Moreover, CAR-binding mutants (KO1-containing) or pseudotyping 41s eliminated hemagglutination of rat and human red blood cells in vitro. This highlights some important potential species and strain differences dictating Ad5 tropism in vivo and identifies vectors that are substantially detargeted from rat liver in vivo.</description><subject>Ablation</subject><subject>Adenoviridae - genetics</subject><subject>Adenoviridae - metabolism</subject><subject>Adenoviruses</subject><subject>Animals</subject><subject>beta-Galactosidase - analysis</subject><subject>beta-Galactosidase - genetics</subject><subject>Biodistribution</subject><subject>Blood</subject><subject>Capsid Proteins - genetics</subject><subject>Capsid Proteins - metabolism</subject><subject>Cell Line</subject><subject>Coxsackie and Adenovirus Receptor-Like Membrane Protein</subject><subject>DNA, Viral - analysis</subject><subject>DNA, Viral - metabolism</subject><subject>Endothelial Cells - metabolism</subject><subject>Endothelial Cells - virology</subject><subject>Gene therapy</subject><subject>Genetic Vectors</subject><subject>Hemagglutination</subject><subject>Heparan sulfate</subject><subject>Heparan Sulfate Proteoglycans - metabolism</subject><subject>Hepatocytes - metabolism</subject><subject>Hepatocytes - virology</subject><subject>Liver</subject><subject>Liver - chemistry</subject><subject>Liver - metabolism</subject><subject>Liver - virology</subject><subject>Mutation</subject><subject>Mutation - genetics</subject><subject>Proteins</subject><subject>Rats</subject><subject>Rats, Inbred WKY</subject><subject>Receptors, Virus - metabolism</subject><subject>Transduction, Genetic</subject><subject>Vectors (Biology)</subject><subject>Viruses</subject><issn>1525-0016</issn><issn>1525-0024</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkE9r3DAQxUVoyb_mEwSKoNDbuhpZku1jCEkTWMilPfQkZGlEtKwtR5IX9tvHmywN5DRvZt48hh8h18AqYKB-bar9UJ6x4oyJismKcXZCzkFyuWKMiy__NagzcpHzZlEgO3VKzpZFJ6CFc_Lvznu0hUZPjcMx7kKaM82YYtlPSCX1ocdEzejohGOJIx2iCz5YU0IcM10GYaS7sIu0pDiFPBz6ZEr-Rr56s814dayX5O_93Z_bh9X66ffj7c16ZetGlFUPHB362hh0DoxRVgGzQtSNaZjzykhloDe-6VvokHsuege1Q4BasM7a-pL8fM-dUnyZMRc9hGxxuzUjxjlrpRqpWskX449Pxk2c07j8pqHpeCta2cLiqt9dNsWcE3o9pTCYtNfA9IG73ug37vrAXTOpF-7L1fdj9twP6D5ujqDrVx_UgN4</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>Nicol, Campbell G</creator><creator>Graham, Delyth</creator><creator>Miller, William H</creator><creator>White, Stephen J</creator><creator>Smith, Theodore A G</creator><creator>Nicklin, Stuart A</creator><creator>Stevenson, Susan C</creator><creator>Baker, Andrew H</creator><general>Elsevier Limited</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200408</creationdate><title>Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats</title><author>Nicol, Campbell G ; Graham, Delyth ; Miller, William H ; White, Stephen J ; Smith, Theodore A G ; Nicklin, Stuart A ; Stevenson, Susan C ; Baker, Andrew H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-b12edef3aaedd1aa6c610c4437a70df6a56a1baf7b819e2f24bd13de113409cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Ablation</topic><topic>Adenoviridae - genetics</topic><topic>Adenoviridae - metabolism</topic><topic>Adenoviruses</topic><topic>Animals</topic><topic>beta-Galactosidase - analysis</topic><topic>beta-Galactosidase - genetics</topic><topic>Biodistribution</topic><topic>Blood</topic><topic>Capsid Proteins - genetics</topic><topic>Capsid Proteins - metabolism</topic><topic>Cell Line</topic><topic>Coxsackie and Adenovirus Receptor-Like Membrane Protein</topic><topic>DNA, Viral - analysis</topic><topic>DNA, Viral - metabolism</topic><topic>Endothelial Cells - metabolism</topic><topic>Endothelial Cells - virology</topic><topic>Gene therapy</topic><topic>Genetic Vectors</topic><topic>Hemagglutination</topic><topic>Heparan sulfate</topic><topic>Heparan Sulfate Proteoglycans - metabolism</topic><topic>Hepatocytes - metabolism</topic><topic>Hepatocytes - virology</topic><topic>Liver</topic><topic>Liver - chemistry</topic><topic>Liver - metabolism</topic><topic>Liver - virology</topic><topic>Mutation</topic><topic>Mutation - genetics</topic><topic>Proteins</topic><topic>Rats</topic><topic>Rats, Inbred WKY</topic><topic>Receptors, Virus - metabolism</topic><topic>Transduction, Genetic</topic><topic>Vectors (Biology)</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicol, Campbell G</creatorcontrib><creatorcontrib>Graham, Delyth</creatorcontrib><creatorcontrib>Miller, William H</creatorcontrib><creatorcontrib>White, Stephen J</creatorcontrib><creatorcontrib>Smith, Theodore A G</creatorcontrib><creatorcontrib>Nicklin, Stuart A</creatorcontrib><creatorcontrib>Stevenson, Susan C</creatorcontrib><creatorcontrib>Baker, Andrew H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Molecular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nicol, Campbell G</au><au>Graham, Delyth</au><au>Miller, William H</au><au>White, Stephen J</au><au>Smith, Theodore A G</au><au>Nicklin, Stuart A</au><au>Stevenson, Susan C</au><au>Baker, Andrew H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats</atitle><jtitle>Molecular therapy</jtitle><addtitle>Mol Ther</addtitle><date>2004-08</date><risdate>2004</risdate><volume>10</volume><issue>2</issue><spage>344</spage><epage>354</epage><pages>344-354</pages><issn>1525-0016</issn><eissn>1525-0024</eissn><abstract>Sequestration of adenovirus serotype 5 (Ad5) in liver restricts its use for gene delivery to other target sites in vivo. To date, no studies have systematically assessed the impact of genetic capsid modifications on in vivo tropism in rats, an important preclinical model for many disease types. We evaluated a panel of Ad5 vectors with capsid mutations or pseudotyped with the short fiber from serotype 41 (Ad41s) for infectivity in Wistar Kyoto rats in vitro and systemically in vivo. In vitro studies demonstrated that both coxsackie and adenovirus receptor (CAR) and heparan sulfate proteoglycan (HSPG) binding were predominant predictors of Ad5 tropism. In vivo, neither CAR nor integrin mutations alone affected liver transduction. The HSPG-binding mutation alone moderately reduced rat liver transgene levels by 2-fold (P &lt; 0.05). This was further substantially decreased by additional mutation of CAR binding (95-fold). Combining CAR and integrin mutations reduced transgene levels by &gt;99% (509-fold, P &lt; 0.01), an effect not observed in parallel experiments in mice and highly variable when studied further in an additional two strains of rat. Ad41s mediated very low liver transduction (58-fold lower than AdCTL). Moreover, CAR-binding mutants (KO1-containing) or pseudotyping 41s eliminated hemagglutination of rat and human red blood cells in vitro. This highlights some important potential species and strain differences dictating Ad5 tropism in vivo and identifies vectors that are substantially detargeted from rat liver in vivo.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>15294181</pmid><doi>10.1016/j.ymthe.2004.05.020</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1525-0016
ispartof Molecular therapy, 2004-08, Vol.10 (2), p.344-354
issn 1525-0016
1525-0024
language eng
recordid cdi_proquest_miscellaneous_66756852
source MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; Alma/SFX Local Collection
subjects Ablation
Adenoviridae - genetics
Adenoviridae - metabolism
Adenoviruses
Animals
beta-Galactosidase - analysis
beta-Galactosidase - genetics
Biodistribution
Blood
Capsid Proteins - genetics
Capsid Proteins - metabolism
Cell Line
Coxsackie and Adenovirus Receptor-Like Membrane Protein
DNA, Viral - analysis
DNA, Viral - metabolism
Endothelial Cells - metabolism
Endothelial Cells - virology
Gene therapy
Genetic Vectors
Hemagglutination
Heparan sulfate
Heparan Sulfate Proteoglycans - metabolism
Hepatocytes - metabolism
Hepatocytes - virology
Liver
Liver - chemistry
Liver - metabolism
Liver - virology
Mutation
Mutation - genetics
Proteins
Rats
Rats, Inbred WKY
Receptors, Virus - metabolism
Transduction, Genetic
Vectors (Biology)
Viruses
title Effect of adenovirus serotype 5 fiber and penton modifications on in vivo tropism in rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T21%3A50%3A14IST&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=Effect%20of%20adenovirus%20serotype%205%20fiber%20and%20penton%20modifications%20on%20in%20vivo%20tropism%20in%20rats&rft.jtitle=Molecular%20therapy&rft.au=Nicol,%20Campbell%20G&rft.date=2004-08&rft.volume=10&rft.issue=2&rft.spage=344&rft.epage=354&rft.pages=344-354&rft.issn=1525-0016&rft.eissn=1525-0024&rft_id=info:doi/10.1016/j.ymthe.2004.05.020&rft_dat=%3Cproquest_cross%3E66756852%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=1792848581&rft_id=info:pmid/15294181&rfr_iscdi=true