Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis
Fat infiltration and inflammation cause liver injury and fibrosis and may progress to nonalcoholic steatohepatitis (NASH) and end-stage liver disease. Currently, there are no effective treatments for NASH. Zeaxanthin is a carotenoid which has been shown to be preferentially accumulated in the adipos...
Gespeichert in:
Veröffentlicht in: | Digestive diseases and sciences 2009-07, Vol.54 (7), p.1460-1464 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1464 |
---|---|
container_issue | 7 |
container_start_page | 1460 |
container_title | Digestive diseases and sciences |
container_volume | 54 |
creator | Chamberlain, Sherman M Hall, Joshua D Patel, Jigneshkumar Lee, Jeffrey R Marcus, Dennis M Sridhar, Subbaramiah Romero, Maritza J Labazi, Mohamed Caldwell, Robert W Bartoli, Manuela |
description | Fat infiltration and inflammation cause liver injury and fibrosis and may progress to nonalcoholic steatohepatitis (NASH) and end-stage liver disease. Currently, there are no effective treatments for NASH. Zeaxanthin is a carotenoid which has been shown to be preferentially accumulated in the adipose tissue and liver. We hypothesized that treatment with zeaxanthin may decrease oxidative stress in the liver and, possibly, halt the inflammation and fibrosis associated with NASH. Here we tested zeaxanthin effects in preventing progression of liver injury in a model of NASH. Mongolian gerbils, fed a methionine-choline-deficient diet, were treated with different doses of zeaxanthin. We assessed histopathological changes by hematoxylin-eosin and Masson trichrome staining and determined oxidative stress by measuring lipid peroxidation. The obtained results show that zeaxanthin significantly prevented NASH progression by decreasing oxidative stress and liver fibrosis, thus suggesting a potential therapeutic application for this carotenoid in the management of NASH. |
doi_str_mv | 10.1007/s10620-009-0824-2 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67320433</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67320433</sourcerecordid><originalsourceid>FETCH-LOGICAL-c423t-307c62db51822c2250f01471558566f89537193485fd6be25af4cd3eac01552d3</originalsourceid><addsrcrecordid>eNp9kk2LFDEQhoMo7uzoD_CijbDeWlOVr-6jDOMHLCqsexEhZNLJTpaezmySkfXfm6EHFzwIISmop95KvQkhL4C-BUrVuwxUIm0p7VvaIW_xEVmAUKxFIbvHZEFB1hhAnpHznG9pBRXIp-QMeo5c9d2C_PyWYnG2hF-uWXtfo9xE35Sta1bmmJpiGJofztybqWzD1NS1vt-7FHZuKmZsvsTJjDZu4xhsc1WcKXHr9qaEEvIz8sSbMbvnp3NJrj-sv68-tZdfP35evb9sLUdWWkaVlThsBHSIFlFQT4ErEKITUvquF0xBz3gn_CA3DoXx3A7MGUsrgwNbkjez7j7Fu4PLRe9Ctm4czeTiIWupGFLOWAVf_wPexkOqA2SNUAHOq2NLAjNkU8w5Oa_3dVqTfmug-ui7nn3X1U599F1jrXl5Ej5sdm54qDgZXYGLE2CyNaNPZrIh_-UQFHSyPt2S4MzlmppuXHq44f-6v5qLvIna3KQqfH2FFNjxA_Ssbn8AviminA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>214334416</pqid></control><display><type>article</type><title>Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Chamberlain, Sherman M ; Hall, Joshua D ; Patel, Jigneshkumar ; Lee, Jeffrey R ; Marcus, Dennis M ; Sridhar, Subbaramiah ; Romero, Maritza J ; Labazi, Mohamed ; Caldwell, Robert W ; Bartoli, Manuela</creator><creatorcontrib>Chamberlain, Sherman M ; Hall, Joshua D ; Patel, Jigneshkumar ; Lee, Jeffrey R ; Marcus, Dennis M ; Sridhar, Subbaramiah ; Romero, Maritza J ; Labazi, Mohamed ; Caldwell, Robert W ; Bartoli, Manuela</creatorcontrib><description>Fat infiltration and inflammation cause liver injury and fibrosis and may progress to nonalcoholic steatohepatitis (NASH) and end-stage liver disease. Currently, there are no effective treatments for NASH. Zeaxanthin is a carotenoid which has been shown to be preferentially accumulated in the adipose tissue and liver. We hypothesized that treatment with zeaxanthin may decrease oxidative stress in the liver and, possibly, halt the inflammation and fibrosis associated with NASH. Here we tested zeaxanthin effects in preventing progression of liver injury in a model of NASH. Mongolian gerbils, fed a methionine-choline-deficient diet, were treated with different doses of zeaxanthin. We assessed histopathological changes by hematoxylin-eosin and Masson trichrome staining and determined oxidative stress by measuring lipid peroxidation. The obtained results show that zeaxanthin significantly prevented NASH progression by decreasing oxidative stress and liver fibrosis, thus suggesting a potential therapeutic application for this carotenoid in the management of NASH.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-009-0824-2</identifier><identifier>PMID: 19424798</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Boston : Springer US</publisher><subject>Animals ; Biochemistry ; Biological and medical sciences ; Disease Models, Animal ; Disease Progression ; Feeding. Feeding behavior ; Fundamental and applied biological sciences. Psychology ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gerbillinae ; Hepatitis - metabolism ; Hepatitis - pathology ; Hepatitis - prevention & control ; Hepatology ; Lipid Peroxidation - drug effects ; Liver - drug effects ; Liver - metabolism ; Liver - pathology ; Liver Cirrhosis - metabolism ; Liver Cirrhosis - prevention & control ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Oncology ; Original Article ; Other diseases. Semiology ; Oxidative Stress - drug effects ; Transplant Surgery ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Xanthophylls - pharmacology ; Zeaxanthins</subject><ispartof>Digestive diseases and sciences, 2009-07, Vol.54 (7), p.1460-1464</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-307c62db51822c2250f01471558566f89537193485fd6be25af4cd3eac01552d3</citedby><cites>FETCH-LOGICAL-c423t-307c62db51822c2250f01471558566f89537193485fd6be25af4cd3eac01552d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-009-0824-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-009-0824-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21718657$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19424798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chamberlain, Sherman M</creatorcontrib><creatorcontrib>Hall, Joshua D</creatorcontrib><creatorcontrib>Patel, Jigneshkumar</creatorcontrib><creatorcontrib>Lee, Jeffrey R</creatorcontrib><creatorcontrib>Marcus, Dennis M</creatorcontrib><creatorcontrib>Sridhar, Subbaramiah</creatorcontrib><creatorcontrib>Romero, Maritza J</creatorcontrib><creatorcontrib>Labazi, Mohamed</creatorcontrib><creatorcontrib>Caldwell, Robert W</creatorcontrib><creatorcontrib>Bartoli, Manuela</creatorcontrib><title>Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Fat infiltration and inflammation cause liver injury and fibrosis and may progress to nonalcoholic steatohepatitis (NASH) and end-stage liver disease. Currently, there are no effective treatments for NASH. Zeaxanthin is a carotenoid which has been shown to be preferentially accumulated in the adipose tissue and liver. We hypothesized that treatment with zeaxanthin may decrease oxidative stress in the liver and, possibly, halt the inflammation and fibrosis associated with NASH. Here we tested zeaxanthin effects in preventing progression of liver injury in a model of NASH. Mongolian gerbils, fed a methionine-choline-deficient diet, were treated with different doses of zeaxanthin. We assessed histopathological changes by hematoxylin-eosin and Masson trichrome staining and determined oxidative stress by measuring lipid peroxidation. The obtained results show that zeaxanthin significantly prevented NASH progression by decreasing oxidative stress and liver fibrosis, thus suggesting a potential therapeutic application for this carotenoid in the management of NASH.</description><subject>Animals</subject><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Disease Models, Animal</subject><subject>Disease Progression</subject><subject>Feeding. Feeding behavior</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gerbillinae</subject><subject>Hepatitis - metabolism</subject><subject>Hepatitis - pathology</subject><subject>Hepatitis - prevention & control</subject><subject>Hepatology</subject><subject>Lipid Peroxidation - drug effects</subject><subject>Liver - drug effects</subject><subject>Liver - metabolism</subject><subject>Liver - pathology</subject><subject>Liver Cirrhosis - metabolism</subject><subject>Liver Cirrhosis - prevention & control</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Other diseases. Semiology</subject><subject>Oxidative Stress - drug effects</subject><subject>Transplant Surgery</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Xanthophylls - pharmacology</subject><subject>Zeaxanthins</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kk2LFDEQhoMo7uzoD_CijbDeWlOVr-6jDOMHLCqsexEhZNLJTpaezmySkfXfm6EHFzwIISmop95KvQkhL4C-BUrVuwxUIm0p7VvaIW_xEVmAUKxFIbvHZEFB1hhAnpHznG9pBRXIp-QMeo5c9d2C_PyWYnG2hF-uWXtfo9xE35Sta1bmmJpiGJofztybqWzD1NS1vt-7FHZuKmZsvsTJjDZu4xhsc1WcKXHr9qaEEvIz8sSbMbvnp3NJrj-sv68-tZdfP35evb9sLUdWWkaVlThsBHSIFlFQT4ErEKITUvquF0xBz3gn_CA3DoXx3A7MGUsrgwNbkjez7j7Fu4PLRe9Ctm4czeTiIWupGFLOWAVf_wPexkOqA2SNUAHOq2NLAjNkU8w5Oa_3dVqTfmug-ui7nn3X1U599F1jrXl5Ej5sdm54qDgZXYGLE2CyNaNPZrIh_-UQFHSyPt2S4MzlmppuXHq44f-6v5qLvIna3KQqfH2FFNjxA_Ssbn8AviminA</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Chamberlain, Sherman M</creator><creator>Hall, Joshua D</creator><creator>Patel, Jigneshkumar</creator><creator>Lee, Jeffrey R</creator><creator>Marcus, Dennis M</creator><creator>Sridhar, Subbaramiah</creator><creator>Romero, Maritza J</creator><creator>Labazi, Mohamed</creator><creator>Caldwell, Robert W</creator><creator>Bartoli, Manuela</creator><general>Boston : Springer US</general><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>FBQ</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis</title><author>Chamberlain, Sherman M ; Hall, Joshua D ; Patel, Jigneshkumar ; Lee, Jeffrey R ; Marcus, Dennis M ; Sridhar, Subbaramiah ; Romero, Maritza J ; Labazi, Mohamed ; Caldwell, Robert W ; Bartoli, Manuela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-307c62db51822c2250f01471558566f89537193485fd6be25af4cd3eac01552d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Animals</topic><topic>Biochemistry</topic><topic>Biological and medical sciences</topic><topic>Disease Models, Animal</topic><topic>Disease Progression</topic><topic>Feeding. Feeding behavior</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gerbillinae</topic><topic>Hepatitis - metabolism</topic><topic>Hepatitis - pathology</topic><topic>Hepatitis - prevention & control</topic><topic>Hepatology</topic><topic>Lipid Peroxidation - drug effects</topic><topic>Liver - drug effects</topic><topic>Liver - metabolism</topic><topic>Liver - pathology</topic><topic>Liver Cirrhosis - metabolism</topic><topic>Liver Cirrhosis - prevention & control</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Other diseases. Semiology</topic><topic>Oxidative Stress - drug effects</topic><topic>Transplant Surgery</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Xanthophylls - pharmacology</topic><topic>Zeaxanthins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chamberlain, Sherman M</creatorcontrib><creatorcontrib>Hall, Joshua D</creatorcontrib><creatorcontrib>Patel, Jigneshkumar</creatorcontrib><creatorcontrib>Lee, Jeffrey R</creatorcontrib><creatorcontrib>Marcus, Dennis M</creatorcontrib><creatorcontrib>Sridhar, Subbaramiah</creatorcontrib><creatorcontrib>Romero, Maritza J</creatorcontrib><creatorcontrib>Labazi, Mohamed</creatorcontrib><creatorcontrib>Caldwell, Robert W</creatorcontrib><creatorcontrib>Bartoli, Manuela</creatorcontrib><collection>AGRIS</collection><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>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma 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>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chamberlain, Sherman M</au><au>Hall, Joshua D</au><au>Patel, Jigneshkumar</au><au>Lee, Jeffrey R</au><au>Marcus, Dennis M</au><au>Sridhar, Subbaramiah</au><au>Romero, Maritza J</au><au>Labazi, Mohamed</au><au>Caldwell, Robert W</au><au>Bartoli, Manuela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>54</volume><issue>7</issue><spage>1460</spage><epage>1464</epage><pages>1460-1464</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>Fat infiltration and inflammation cause liver injury and fibrosis and may progress to nonalcoholic steatohepatitis (NASH) and end-stage liver disease. Currently, there are no effective treatments for NASH. Zeaxanthin is a carotenoid which has been shown to be preferentially accumulated in the adipose tissue and liver. We hypothesized that treatment with zeaxanthin may decrease oxidative stress in the liver and, possibly, halt the inflammation and fibrosis associated with NASH. Here we tested zeaxanthin effects in preventing progression of liver injury in a model of NASH. Mongolian gerbils, fed a methionine-choline-deficient diet, were treated with different doses of zeaxanthin. We assessed histopathological changes by hematoxylin-eosin and Masson trichrome staining and determined oxidative stress by measuring lipid peroxidation. The obtained results show that zeaxanthin significantly prevented NASH progression by decreasing oxidative stress and liver fibrosis, thus suggesting a potential therapeutic application for this carotenoid in the management of NASH.</abstract><cop>Boston</cop><pub>Boston : Springer US</pub><pmid>19424798</pmid><doi>10.1007/s10620-009-0824-2</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0163-2116 |
ispartof | Digestive diseases and sciences, 2009-07, Vol.54 (7), p.1460-1464 |
issn | 0163-2116 1573-2568 |
language | eng |
recordid | cdi_proquest_miscellaneous_67320433 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Animals Biochemistry Biological and medical sciences Disease Models, Animal Disease Progression Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology Gastroenterology Gastroenterology. Liver. Pancreas. Abdomen Gerbillinae Hepatitis - metabolism Hepatitis - pathology Hepatitis - prevention & control Hepatology Lipid Peroxidation - drug effects Liver - drug effects Liver - metabolism Liver - pathology Liver Cirrhosis - metabolism Liver Cirrhosis - prevention & control Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Medicine Medicine & Public Health Oncology Original Article Other diseases. Semiology Oxidative Stress - drug effects Transplant Surgery Vertebrates: anatomy and physiology, studies on body, several organs or systems Xanthophylls - pharmacology Zeaxanthins |
title | Protective Effects of the Carotenoid Zeaxanthin in Experimental Nonalcoholic Steatohepatitis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T04%3A01%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=Protective%20Effects%20of%20the%20Carotenoid%20Zeaxanthin%20in%20Experimental%20Nonalcoholic%20Steatohepatitis&rft.jtitle=Digestive%20diseases%20and%20sciences&rft.au=Chamberlain,%20Sherman%20M&rft.date=2009-07-01&rft.volume=54&rft.issue=7&rft.spage=1460&rft.epage=1464&rft.pages=1460-1464&rft.issn=0163-2116&rft.eissn=1573-2568&rft.coden=DDSCDJ&rft_id=info:doi/10.1007/s10620-009-0824-2&rft_dat=%3Cproquest_cross%3E67320433%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=214334416&rft_id=info:pmid/19424798&rfr_iscdi=true |