Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models

We investigated the significance of erythropoietin receptor (EPOR) expression following treatment with recombinant human erythropoietin (rHuEPO; epoetin α) and the effect of recombinant epoetins (epoetin α, epoetin β, and darbepoetin α) alone or in combination with anticancer therapy on tumor growth...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Molecular cancer therapeutics 2006-02, Vol.5 (2), p.347-355
Hauptverfasser: LaMontagne, Kenneth R, Butler, Jeannene, Marshall, Deborah J, Tullai, Jennifer, Gechtman, Ze'ev, Hall, Chassidy, Meshaw, Alan, Farrell, Francis X
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 355
container_issue 2
container_start_page 347
container_title Molecular cancer therapeutics
container_volume 5
creator LaMontagne, Kenneth R
Butler, Jeannene
Marshall, Deborah J
Tullai, Jennifer
Gechtman, Ze'ev
Hall, Chassidy
Meshaw, Alan
Farrell, Francis X
description We investigated the significance of erythropoietin receptor (EPOR) expression following treatment with recombinant human erythropoietin (rHuEPO; epoetin α) and the effect of recombinant epoetins (epoetin α, epoetin β, and darbepoetin α) alone or in combination with anticancer therapy on tumor growth in two well-established preclinical models of breast carcinoma (MDA-MB-231 and MCF-7 cell lines). Expression and localization of EPOR under hypoxic and normoxic conditions in MDA-MB-231 and MCF-7 cells were evaluated by immunoblotting, flow cytometry, and immunohistochemistry. EPOR binding was evaluated using [ 125 I]rHuEPO. Proliferation, migration, and signaling in MDA-MB-231 and MCF-7 cells following treatment with rHuEPO were evaluated. Tumor growth was assessed following administration of recombinant epoetins alone and in combination with paclitaxel (anticancer therapy) in orthotopically implanted MDA-MB-231 and MCF-7 breast carcinoma xenograft models in athymic mice. EPOR expression was detected in both tumor cell lines. EPOR localization was found to be exclusively cytosolic and no specific [ 125 I]rHuEPO binding was observed. There was no stimulated migration, proliferation, or activation of mitogen-activated protein kinase and AKT following rHuEPO treatment. In mice, treatment with recombinant epoetins alone and in combination with paclitaxel resulted in equivalent tumor burdens compared with vehicle-treated controls. Results from our study suggest that although EPOR expression was observed in two well-established breast carcinoma cell lines, it was localized to a cytosolic distribution and did not transduce a signaling cascade in tumors that leads to tumor growth. The addition of recombinant epoetins to paclitaxel did not affect the outcome of paclitaxel therapy in breast carcinoma xenograft models. These results show that recombinant epoetins do not evoke a physiologic response on EPOR-bearing tumor cells as assessed by numerous variables, including growth, migration, and cytotoxic challenge in preclinical in vivo tumor models. [Mol Cancer Ther 2006;5(2):347–55]
doi_str_mv 10.1158/1535-7163.MCT-05-0203
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67696698</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19429730</sourcerecordid><originalsourceid>FETCH-LOGICAL-c416t-499fc14e3d4388c7294ce3f00469cbcfe5756182c33bda5f379983141aff6353</originalsourceid><addsrcrecordid>eNqFkc1u1TAQhS0EoqXwCCCv2KV44p_YS3RFAakICd295TiTxiiJg-1Qdcc78IY8CQn3Sl2ymtHoOzOjcwh5DewaQOp3ILmsGlD8-svhWDFZsZrxJ-Rym-tKSxBP__Un5oK8yPk7Y6BNDc_JBSjJJDB9SZZv6OPUhtnNheISsYQ50y7SORaaS5jW0RWkZZ1ioncp3peBhplieihDiksMu4Am9LiUmP78-r3EHEr4ibRN6HKh3iUf5jg5OsUOx_ySPOvdmPHVuV6R482H4-FTdfv14-fD-9vKC1ClEsb0HgTyTnCtfVMb4ZH3jAllfOt7lI1UoGvPeds52fPGGM1BgOt7xSW_Im9Pa5cUf6yYi51C9jiObsa4ZqsaZZTaJP8DwYjaNJxtoDyBPsWcE_Z2SWFy6cECs3skdrfb7nbbLRLLpN0j2XRvzgfWdsLuUXXO4PGDIdwN9yGh9W72mBJm3MwbrLS15aLhfwHxBpiO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>19429730</pqid></control><display><type>article</type><title>Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>American Association for Cancer Research</source><creator>LaMontagne, Kenneth R ; Butler, Jeannene ; Marshall, Deborah J ; Tullai, Jennifer ; Gechtman, Ze'ev ; Hall, Chassidy ; Meshaw, Alan ; Farrell, Francis X</creator><creatorcontrib>LaMontagne, Kenneth R ; Butler, Jeannene ; Marshall, Deborah J ; Tullai, Jennifer ; Gechtman, Ze'ev ; Hall, Chassidy ; Meshaw, Alan ; Farrell, Francis X</creatorcontrib><description>We investigated the significance of erythropoietin receptor (EPOR) expression following treatment with recombinant human erythropoietin (rHuEPO; epoetin α) and the effect of recombinant epoetins (epoetin α, epoetin β, and darbepoetin α) alone or in combination with anticancer therapy on tumor growth in two well-established preclinical models of breast carcinoma (MDA-MB-231 and MCF-7 cell lines). Expression and localization of EPOR under hypoxic and normoxic conditions in MDA-MB-231 and MCF-7 cells were evaluated by immunoblotting, flow cytometry, and immunohistochemistry. EPOR binding was evaluated using [ 125 I]rHuEPO. Proliferation, migration, and signaling in MDA-MB-231 and MCF-7 cells following treatment with rHuEPO were evaluated. Tumor growth was assessed following administration of recombinant epoetins alone and in combination with paclitaxel (anticancer therapy) in orthotopically implanted MDA-MB-231 and MCF-7 breast carcinoma xenograft models in athymic mice. EPOR expression was detected in both tumor cell lines. EPOR localization was found to be exclusively cytosolic and no specific [ 125 I]rHuEPO binding was observed. There was no stimulated migration, proliferation, or activation of mitogen-activated protein kinase and AKT following rHuEPO treatment. In mice, treatment with recombinant epoetins alone and in combination with paclitaxel resulted in equivalent tumor burdens compared with vehicle-treated controls. Results from our study suggest that although EPOR expression was observed in two well-established breast carcinoma cell lines, it was localized to a cytosolic distribution and did not transduce a signaling cascade in tumors that leads to tumor growth. The addition of recombinant epoetins to paclitaxel did not affect the outcome of paclitaxel therapy in breast carcinoma xenograft models. These results show that recombinant epoetins do not evoke a physiologic response on EPOR-bearing tumor cells as assessed by numerous variables, including growth, migration, and cytotoxic challenge in preclinical in vivo tumor models. [Mol Cancer Ther 2006;5(2):347–55]</description><identifier>ISSN: 1535-7163</identifier><identifier>EISSN: 1538-8514</identifier><identifier>DOI: 10.1158/1535-7163.MCT-05-0203</identifier><identifier>PMID: 16505108</identifier><language>eng</language><publisher>United States: American Association for Cancer Research</publisher><subject>Animals ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; breast carcinoma ; Breast Neoplasms - chemistry ; Breast Neoplasms - drug therapy ; Breast Neoplasms - metabolism ; Carcinoma - chemistry ; Carcinoma - drug therapy ; Carcinoma - metabolism ; Cell Hypoxia ; Cell Movement - drug effects ; Cell Proliferation - drug effects ; epoetin α ; Erythropoietin - adverse effects ; Erythropoietin - therapeutic use ; erythropoietin receptor ; Female ; Humans ; Mice ; Mice, Nude ; Mitogen-Activated Protein Kinase Kinases - metabolism ; Paclitaxel - therapeutic use ; Proto-Oncogene Proteins c-akt - metabolism ; Receptors, Erythropoietin - analysis ; Receptors, Erythropoietin - metabolism ; recombinant epoetins ; Recombinant Proteins ; tumor growth ; Xenograft Model Antitumor Assays</subject><ispartof>Molecular cancer therapeutics, 2006-02, Vol.5 (2), p.347-355</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-499fc14e3d4388c7294ce3f00469cbcfe5756182c33bda5f379983141aff6353</citedby><cites>FETCH-LOGICAL-c416t-499fc14e3d4388c7294ce3f00469cbcfe5756182c33bda5f379983141aff6353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3342,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16505108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LaMontagne, Kenneth R</creatorcontrib><creatorcontrib>Butler, Jeannene</creatorcontrib><creatorcontrib>Marshall, Deborah J</creatorcontrib><creatorcontrib>Tullai, Jennifer</creatorcontrib><creatorcontrib>Gechtman, Ze'ev</creatorcontrib><creatorcontrib>Hall, Chassidy</creatorcontrib><creatorcontrib>Meshaw, Alan</creatorcontrib><creatorcontrib>Farrell, Francis X</creatorcontrib><title>Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models</title><title>Molecular cancer therapeutics</title><addtitle>Mol Cancer Ther</addtitle><description>We investigated the significance of erythropoietin receptor (EPOR) expression following treatment with recombinant human erythropoietin (rHuEPO; epoetin α) and the effect of recombinant epoetins (epoetin α, epoetin β, and darbepoetin α) alone or in combination with anticancer therapy on tumor growth in two well-established preclinical models of breast carcinoma (MDA-MB-231 and MCF-7 cell lines). Expression and localization of EPOR under hypoxic and normoxic conditions in MDA-MB-231 and MCF-7 cells were evaluated by immunoblotting, flow cytometry, and immunohistochemistry. EPOR binding was evaluated using [ 125 I]rHuEPO. Proliferation, migration, and signaling in MDA-MB-231 and MCF-7 cells following treatment with rHuEPO were evaluated. Tumor growth was assessed following administration of recombinant epoetins alone and in combination with paclitaxel (anticancer therapy) in orthotopically implanted MDA-MB-231 and MCF-7 breast carcinoma xenograft models in athymic mice. EPOR expression was detected in both tumor cell lines. EPOR localization was found to be exclusively cytosolic and no specific [ 125 I]rHuEPO binding was observed. There was no stimulated migration, proliferation, or activation of mitogen-activated protein kinase and AKT following rHuEPO treatment. In mice, treatment with recombinant epoetins alone and in combination with paclitaxel resulted in equivalent tumor burdens compared with vehicle-treated controls. Results from our study suggest that although EPOR expression was observed in two well-established breast carcinoma cell lines, it was localized to a cytosolic distribution and did not transduce a signaling cascade in tumors that leads to tumor growth. The addition of recombinant epoetins to paclitaxel did not affect the outcome of paclitaxel therapy in breast carcinoma xenograft models. These results show that recombinant epoetins do not evoke a physiologic response on EPOR-bearing tumor cells as assessed by numerous variables, including growth, migration, and cytotoxic challenge in preclinical in vivo tumor models. [Mol Cancer Ther 2006;5(2):347–55]</description><subject>Animals</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>breast carcinoma</subject><subject>Breast Neoplasms - chemistry</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - metabolism</subject><subject>Carcinoma - chemistry</subject><subject>Carcinoma - drug therapy</subject><subject>Carcinoma - metabolism</subject><subject>Cell Hypoxia</subject><subject>Cell Movement - drug effects</subject><subject>Cell Proliferation - drug effects</subject><subject>epoetin α</subject><subject>Erythropoietin - adverse effects</subject><subject>Erythropoietin - therapeutic use</subject><subject>erythropoietin receptor</subject><subject>Female</subject><subject>Humans</subject><subject>Mice</subject><subject>Mice, Nude</subject><subject>Mitogen-Activated Protein Kinase Kinases - metabolism</subject><subject>Paclitaxel - therapeutic use</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>Receptors, Erythropoietin - analysis</subject><subject>Receptors, Erythropoietin - metabolism</subject><subject>recombinant epoetins</subject><subject>Recombinant Proteins</subject><subject>tumor growth</subject><subject>Xenograft Model Antitumor Assays</subject><issn>1535-7163</issn><issn>1538-8514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1TAQhS0EoqXwCCCv2KV44p_YS3RFAakICd295TiTxiiJg-1Qdcc78IY8CQn3Sl2ymtHoOzOjcwh5DewaQOp3ILmsGlD8-svhWDFZsZrxJ-Rym-tKSxBP__Un5oK8yPk7Y6BNDc_JBSjJJDB9SZZv6OPUhtnNheISsYQ50y7SORaaS5jW0RWkZZ1ioncp3peBhplieihDiksMu4Am9LiUmP78-r3EHEr4ibRN6HKh3iUf5jg5OsUOx_ySPOvdmPHVuV6R482H4-FTdfv14-fD-9vKC1ClEsb0HgTyTnCtfVMb4ZH3jAllfOt7lI1UoGvPeds52fPGGM1BgOt7xSW_Im9Pa5cUf6yYi51C9jiObsa4ZqsaZZTaJP8DwYjaNJxtoDyBPsWcE_Z2SWFy6cECs3skdrfb7nbbLRLLpN0j2XRvzgfWdsLuUXXO4PGDIdwN9yGh9W72mBJm3MwbrLS15aLhfwHxBpiO</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>LaMontagne, Kenneth R</creator><creator>Butler, Jeannene</creator><creator>Marshall, Deborah J</creator><creator>Tullai, Jennifer</creator><creator>Gechtman, Ze'ev</creator><creator>Hall, Chassidy</creator><creator>Meshaw, Alan</creator><creator>Farrell, Francis X</creator><general>American Association for Cancer Research</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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060201</creationdate><title>Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models</title><author>LaMontagne, Kenneth R ; Butler, Jeannene ; Marshall, Deborah J ; Tullai, Jennifer ; Gechtman, Ze'ev ; Hall, Chassidy ; Meshaw, Alan ; Farrell, Francis X</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-499fc14e3d4388c7294ce3f00469cbcfe5756182c33bda5f379983141aff6353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Animals</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>breast carcinoma</topic><topic>Breast Neoplasms - chemistry</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - metabolism</topic><topic>Carcinoma - chemistry</topic><topic>Carcinoma - drug therapy</topic><topic>Carcinoma - metabolism</topic><topic>Cell Hypoxia</topic><topic>Cell Movement - drug effects</topic><topic>Cell Proliferation - drug effects</topic><topic>epoetin α</topic><topic>Erythropoietin - adverse effects</topic><topic>Erythropoietin - therapeutic use</topic><topic>erythropoietin receptor</topic><topic>Female</topic><topic>Humans</topic><topic>Mice</topic><topic>Mice, Nude</topic><topic>Mitogen-Activated Protein Kinase Kinases - metabolism</topic><topic>Paclitaxel - therapeutic use</topic><topic>Proto-Oncogene Proteins c-akt - metabolism</topic><topic>Receptors, Erythropoietin - analysis</topic><topic>Receptors, Erythropoietin - metabolism</topic><topic>recombinant epoetins</topic><topic>Recombinant Proteins</topic><topic>tumor growth</topic><topic>Xenograft Model Antitumor Assays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LaMontagne, Kenneth R</creatorcontrib><creatorcontrib>Butler, Jeannene</creatorcontrib><creatorcontrib>Marshall, Deborah J</creatorcontrib><creatorcontrib>Tullai, Jennifer</creatorcontrib><creatorcontrib>Gechtman, Ze'ev</creatorcontrib><creatorcontrib>Hall, Chassidy</creatorcontrib><creatorcontrib>Meshaw, Alan</creatorcontrib><creatorcontrib>Farrell, Francis X</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Molecular cancer therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LaMontagne, Kenneth R</au><au>Butler, Jeannene</au><au>Marshall, Deborah J</au><au>Tullai, Jennifer</au><au>Gechtman, Ze'ev</au><au>Hall, Chassidy</au><au>Meshaw, Alan</au><au>Farrell, Francis X</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models</atitle><jtitle>Molecular cancer therapeutics</jtitle><addtitle>Mol Cancer Ther</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>5</volume><issue>2</issue><spage>347</spage><epage>355</epage><pages>347-355</pages><issn>1535-7163</issn><eissn>1538-8514</eissn><abstract>We investigated the significance of erythropoietin receptor (EPOR) expression following treatment with recombinant human erythropoietin (rHuEPO; epoetin α) and the effect of recombinant epoetins (epoetin α, epoetin β, and darbepoetin α) alone or in combination with anticancer therapy on tumor growth in two well-established preclinical models of breast carcinoma (MDA-MB-231 and MCF-7 cell lines). Expression and localization of EPOR under hypoxic and normoxic conditions in MDA-MB-231 and MCF-7 cells were evaluated by immunoblotting, flow cytometry, and immunohistochemistry. EPOR binding was evaluated using [ 125 I]rHuEPO. Proliferation, migration, and signaling in MDA-MB-231 and MCF-7 cells following treatment with rHuEPO were evaluated. Tumor growth was assessed following administration of recombinant epoetins alone and in combination with paclitaxel (anticancer therapy) in orthotopically implanted MDA-MB-231 and MCF-7 breast carcinoma xenograft models in athymic mice. EPOR expression was detected in both tumor cell lines. EPOR localization was found to be exclusively cytosolic and no specific [ 125 I]rHuEPO binding was observed. There was no stimulated migration, proliferation, or activation of mitogen-activated protein kinase and AKT following rHuEPO treatment. In mice, treatment with recombinant epoetins alone and in combination with paclitaxel resulted in equivalent tumor burdens compared with vehicle-treated controls. Results from our study suggest that although EPOR expression was observed in two well-established breast carcinoma cell lines, it was localized to a cytosolic distribution and did not transduce a signaling cascade in tumors that leads to tumor growth. The addition of recombinant epoetins to paclitaxel did not affect the outcome of paclitaxel therapy in breast carcinoma xenograft models. These results show that recombinant epoetins do not evoke a physiologic response on EPOR-bearing tumor cells as assessed by numerous variables, including growth, migration, and cytotoxic challenge in preclinical in vivo tumor models. [Mol Cancer Ther 2006;5(2):347–55]</abstract><cop>United States</cop><pub>American Association for Cancer Research</pub><pmid>16505108</pmid><doi>10.1158/1535-7163.MCT-05-0203</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1535-7163
ispartof Molecular cancer therapeutics, 2006-02, Vol.5 (2), p.347-355
issn 1535-7163
1538-8514
language eng
recordid cdi_proquest_miscellaneous_67696698
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research
subjects Animals
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
breast carcinoma
Breast Neoplasms - chemistry
Breast Neoplasms - drug therapy
Breast Neoplasms - metabolism
Carcinoma - chemistry
Carcinoma - drug therapy
Carcinoma - metabolism
Cell Hypoxia
Cell Movement - drug effects
Cell Proliferation - drug effects
epoetin α
Erythropoietin - adverse effects
Erythropoietin - therapeutic use
erythropoietin receptor
Female
Humans
Mice
Mice, Nude
Mitogen-Activated Protein Kinase Kinases - metabolism
Paclitaxel - therapeutic use
Proto-Oncogene Proteins c-akt - metabolism
Receptors, Erythropoietin - analysis
Receptors, Erythropoietin - metabolism
recombinant epoetins
Recombinant Proteins
tumor growth
Xenograft Model Antitumor Assays
title Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor–positive breast carcinoma models
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T09%3A25%3A37IST&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=Recombinant%20epoetins%20do%20not%20stimulate%20tumor%20growth%20in%20erythropoietin%20receptor%E2%80%93positive%20breast%20carcinoma%20models&rft.jtitle=Molecular%20cancer%20therapeutics&rft.au=LaMontagne,%20Kenneth%20R&rft.date=2006-02-01&rft.volume=5&rft.issue=2&rft.spage=347&rft.epage=355&rft.pages=347-355&rft.issn=1535-7163&rft.eissn=1538-8514&rft_id=info:doi/10.1158/1535-7163.MCT-05-0203&rft_dat=%3Cproquest_cross%3E19429730%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=19429730&rft_id=info:pmid/16505108&rfr_iscdi=true