FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells

ABSTRACTEndothelial progenitor cells (EPCs) contribute to postnatal neovascularization. Risk factors for coronary artery disease reduce the number of EPCs in humans. Since EPC apoptosis might be a potential mechanism to regulate the number of EPCs, we investigated the effects of oxidative stress and...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The FASEB journal 2005-06, Vol.19 (8), p.974-976
Hauptverfasser: Urbich, Carmen, Knau, Andrea, Fichtlscherer, Stephan, Walter, Dirk H, Brůhl, Thomas, Potente, Michael, Hofmann, Wolf K, de Vos, Sven, Zeiher, Andreas M, Dimmeler, Stefanie
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 976
container_issue 8
container_start_page 974
container_title The FASEB journal
container_volume 19
creator Urbich, Carmen
Knau, Andrea
Fichtlscherer, Stephan
Walter, Dirk H
Brůhl, Thomas
Potente, Michael
Hofmann, Wolf K
de Vos, Sven
Zeiher, Andreas M
Dimmeler, Stefanie
description ABSTRACTEndothelial progenitor cells (EPCs) contribute to postnatal neovascularization. Risk factors for coronary artery disease reduce the number of EPCs in humans. Since EPC apoptosis might be a potential mechanism to regulate the number of EPCs, we investigated the effects of oxidative stress and HMG‐CoA‐reductase inhibitors (statins) on EPC apoptosis. Atorvastatin, mevastatin, or VEGF prevented EPC apoptosis induced by H2O2. The antiapoptotic effect was reversed by inhibition of the PI3K/Akt pathway. Forkhead transcription factors (FOXO1, FOXO3a, FOXO4) exert proapoptotic effects and are phosphorylated and, thereby, inactivated by Akt. Therefore, we elucidated the involvement of forkhead transcription factors. Atorvastatin induced the phosphorylation of the predominant forkhead factor FOXO4 in EPCs. In addition, atorvastatin reduced the expression of the proapoptotic forkhead‐regulated protein Bim in a PI3K‐dependent manner. Consistently, overexpression of FOXO4 activated the Bim promoter as determined by reporter gene expression and stimulated the expression of Bim, resulting in an increased EPC apoptosis. Statins failed to prevent EPC apoptosis induced by overexpression of Bim or nonphosphorylatable FOXO4, suggesting that the protective effects of statins depend on this pathway. In summary, our results show that FOXO‐dependent expression of Bim plays a pivotal role for EPC apoptosis. Statins reduce oxidative stress‐induced EPC apoptosis, inactivate FOXO4, and down‐regulate Bim.
doi_str_mv 10.1096/fj.04-2727fje
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67881534</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67881534</sourcerecordid><originalsourceid>FETCH-LOGICAL-c432E-23753e7b9871088b96d472abe5f35a8de4695d79b92522c96f48fbfc46660df93</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EotvCkSv4xC3FX_FHb7TaFKpKeyiVuFlOMl68ysbBzhZ64q_jVVbixmVGIz3zaPQOQu8ouaTEyE9-d0lExRRTfgcv0IrWnFRSS_ISrYg2rJKS6zN0nvOOEEIJla_RGa01E0SrFfrTbL5vqh4mGHsYZwy_pwQ5hzji6PH8A_CUopviNMc5dMdhhjDi67C_wlN4irMbcIoDYB8TXrgcMs5hO7ohjFtc4KKOxTSEwhbBFsYwF7qDYchv0CvvhgxvT_0CPTbrbzdfqvvN7debz_dVJzhbV4yrmoNqjVaUaN0a2QvFXAu157XTPQhp6l6Z1rCasc5IL7RvfSeklKT3hl-gj4u3HPDzAHm2-5CPF7gR4iFbqbQu0YkCVgvYpZhzAm-nFPYuPVtK7DFx63eWCHtKvPDvT-JDu4f-H32KuABXC_ArDPD8f5ttHq5Zc0fEcW7u1mX5w7LsXbRum0K2jw-MUF4-Waoi_C_8cZpd</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67881534</pqid></control><display><type>article</type><title>FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><creator>Urbich, Carmen ; Knau, Andrea ; Fichtlscherer, Stephan ; Walter, Dirk H ; Brůhl, Thomas ; Potente, Michael ; Hofmann, Wolf K ; de Vos, Sven ; Zeiher, Andreas M ; Dimmeler, Stefanie</creator><creatorcontrib>Urbich, Carmen ; Knau, Andrea ; Fichtlscherer, Stephan ; Walter, Dirk H ; Brůhl, Thomas ; Potente, Michael ; Hofmann, Wolf K ; de Vos, Sven ; Zeiher, Andreas M ; Dimmeler, Stefanie</creatorcontrib><description>ABSTRACTEndothelial progenitor cells (EPCs) contribute to postnatal neovascularization. Risk factors for coronary artery disease reduce the number of EPCs in humans. Since EPC apoptosis might be a potential mechanism to regulate the number of EPCs, we investigated the effects of oxidative stress and HMG‐CoA‐reductase inhibitors (statins) on EPC apoptosis. Atorvastatin, mevastatin, or VEGF prevented EPC apoptosis induced by H2O2. The antiapoptotic effect was reversed by inhibition of the PI3K/Akt pathway. Forkhead transcription factors (FOXO1, FOXO3a, FOXO4) exert proapoptotic effects and are phosphorylated and, thereby, inactivated by Akt. Therefore, we elucidated the involvement of forkhead transcription factors. Atorvastatin induced the phosphorylation of the predominant forkhead factor FOXO4 in EPCs. In addition, atorvastatin reduced the expression of the proapoptotic forkhead‐regulated protein Bim in a PI3K‐dependent manner. Consistently, overexpression of FOXO4 activated the Bim promoter as determined by reporter gene expression and stimulated the expression of Bim, resulting in an increased EPC apoptosis. Statins failed to prevent EPC apoptosis induced by overexpression of Bim or nonphosphorylatable FOXO4, suggesting that the protective effects of statins depend on this pathway. In summary, our results show that FOXO‐dependent expression of Bim plays a pivotal role for EPC apoptosis. Statins reduce oxidative stress‐induced EPC apoptosis, inactivate FOXO4, and down‐regulate Bim.</description><identifier>ISSN: 0892-6638</identifier><identifier>EISSN: 1530-6860</identifier><identifier>DOI: 10.1096/fj.04-2727fje</identifier><identifier>PMID: 15824087</identifier><language>eng</language><publisher>United States: Federation of American Societies for Experimental Biology</publisher><subject>Apoptosis - drug effects ; Apoptosis - physiology ; Apoptosis Regulatory Proteins - genetics ; Apoptosis Regulatory Proteins - physiology ; Atorvastatin Calcium ; Bcl-2-Like Protein 11 ; cell death ; Cell Line ; Cell Survival - drug effects ; Cells, Cultured ; Endothelial Cells - physiology ; Flow Cytometry ; forkhead transcription factors ; Gene Expression - drug effects ; Heptanoic Acids - pharmacology ; Humans ; Hydrogen Peroxide - pharmacology ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology ; Leukocytes, Mononuclear ; Membrane Proteins - genetics ; Membrane Proteins - physiology ; Oxidative Stress ; Phosphatidylinositol 3-Kinases - metabolism ; Phosphorylation ; PI3K/Akt signaling ; Promoter Regions, Genetic - genetics ; Proto-Oncogene Proteins - genetics ; Proto-Oncogene Proteins - physiology ; Pyrroles - pharmacology ; statins ; Stem Cells - physiology ; Transcription Factors - physiology ; Transfection ; Umbilical Veins</subject><ispartof>The FASEB journal, 2005-06, Vol.19 (8), p.974-976</ispartof><rights>FASEB</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432E-23753e7b9871088b96d472abe5f35a8de4695d79b92522c96f48fbfc46660df93</citedby><cites>FETCH-LOGICAL-c432E-23753e7b9871088b96d472abe5f35a8de4695d79b92522c96f48fbfc46660df93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1096%2Ffj.04-2727fje$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1096%2Ffj.04-2727fje$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15824087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Urbich, Carmen</creatorcontrib><creatorcontrib>Knau, Andrea</creatorcontrib><creatorcontrib>Fichtlscherer, Stephan</creatorcontrib><creatorcontrib>Walter, Dirk H</creatorcontrib><creatorcontrib>Brůhl, Thomas</creatorcontrib><creatorcontrib>Potente, Michael</creatorcontrib><creatorcontrib>Hofmann, Wolf K</creatorcontrib><creatorcontrib>de Vos, Sven</creatorcontrib><creatorcontrib>Zeiher, Andreas M</creatorcontrib><creatorcontrib>Dimmeler, Stefanie</creatorcontrib><title>FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells</title><title>The FASEB journal</title><addtitle>FASEB J</addtitle><description>ABSTRACTEndothelial progenitor cells (EPCs) contribute to postnatal neovascularization. Risk factors for coronary artery disease reduce the number of EPCs in humans. Since EPC apoptosis might be a potential mechanism to regulate the number of EPCs, we investigated the effects of oxidative stress and HMG‐CoA‐reductase inhibitors (statins) on EPC apoptosis. Atorvastatin, mevastatin, or VEGF prevented EPC apoptosis induced by H2O2. The antiapoptotic effect was reversed by inhibition of the PI3K/Akt pathway. Forkhead transcription factors (FOXO1, FOXO3a, FOXO4) exert proapoptotic effects and are phosphorylated and, thereby, inactivated by Akt. Therefore, we elucidated the involvement of forkhead transcription factors. Atorvastatin induced the phosphorylation of the predominant forkhead factor FOXO4 in EPCs. In addition, atorvastatin reduced the expression of the proapoptotic forkhead‐regulated protein Bim in a PI3K‐dependent manner. Consistently, overexpression of FOXO4 activated the Bim promoter as determined by reporter gene expression and stimulated the expression of Bim, resulting in an increased EPC apoptosis. Statins failed to prevent EPC apoptosis induced by overexpression of Bim or nonphosphorylatable FOXO4, suggesting that the protective effects of statins depend on this pathway. In summary, our results show that FOXO‐dependent expression of Bim plays a pivotal role for EPC apoptosis. Statins reduce oxidative stress‐induced EPC apoptosis, inactivate FOXO4, and down‐regulate Bim.</description><subject>Apoptosis - drug effects</subject><subject>Apoptosis - physiology</subject><subject>Apoptosis Regulatory Proteins - genetics</subject><subject>Apoptosis Regulatory Proteins - physiology</subject><subject>Atorvastatin Calcium</subject><subject>Bcl-2-Like Protein 11</subject><subject>cell death</subject><subject>Cell Line</subject><subject>Cell Survival - drug effects</subject><subject>Cells, Cultured</subject><subject>Endothelial Cells - physiology</subject><subject>Flow Cytometry</subject><subject>forkhead transcription factors</subject><subject>Gene Expression - drug effects</subject><subject>Heptanoic Acids - pharmacology</subject><subject>Humans</subject><subject>Hydrogen Peroxide - pharmacology</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology</subject><subject>Leukocytes, Mononuclear</subject><subject>Membrane Proteins - genetics</subject><subject>Membrane Proteins - physiology</subject><subject>Oxidative Stress</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Phosphorylation</subject><subject>PI3K/Akt signaling</subject><subject>Promoter Regions, Genetic - genetics</subject><subject>Proto-Oncogene Proteins - genetics</subject><subject>Proto-Oncogene Proteins - physiology</subject><subject>Pyrroles - pharmacology</subject><subject>statins</subject><subject>Stem Cells - physiology</subject><subject>Transcription Factors - physiology</subject><subject>Transfection</subject><subject>Umbilical Veins</subject><issn>0892-6638</issn><issn>1530-6860</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EotvCkSv4xC3FX_FHb7TaFKpKeyiVuFlOMl68ysbBzhZ64q_jVVbixmVGIz3zaPQOQu8ouaTEyE9-d0lExRRTfgcv0IrWnFRSS_ISrYg2rJKS6zN0nvOOEEIJla_RGa01E0SrFfrTbL5vqh4mGHsYZwy_pwQ5hzji6PH8A_CUopviNMc5dMdhhjDi67C_wlN4irMbcIoDYB8TXrgcMs5hO7ohjFtc4KKOxTSEwhbBFsYwF7qDYchv0CvvhgxvT_0CPTbrbzdfqvvN7debz_dVJzhbV4yrmoNqjVaUaN0a2QvFXAu157XTPQhp6l6Z1rCasc5IL7RvfSeklKT3hl-gj4u3HPDzAHm2-5CPF7gR4iFbqbQu0YkCVgvYpZhzAm-nFPYuPVtK7DFx63eWCHtKvPDvT-JDu4f-H32KuABXC_ArDPD8f5ttHq5Zc0fEcW7u1mX5w7LsXbRum0K2jw-MUF4-Waoi_C_8cZpd</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Urbich, Carmen</creator><creator>Knau, Andrea</creator><creator>Fichtlscherer, Stephan</creator><creator>Walter, Dirk H</creator><creator>Brůhl, Thomas</creator><creator>Potente, Michael</creator><creator>Hofmann, Wolf K</creator><creator>de Vos, Sven</creator><creator>Zeiher, Andreas M</creator><creator>Dimmeler, Stefanie</creator><general>Federation of American Societies for Experimental Biology</general><scope>FBQ</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>7X8</scope></search><sort><creationdate>200506</creationdate><title>FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells</title><author>Urbich, Carmen ; Knau, Andrea ; Fichtlscherer, Stephan ; Walter, Dirk H ; Brůhl, Thomas ; Potente, Michael ; Hofmann, Wolf K ; de Vos, Sven ; Zeiher, Andreas M ; Dimmeler, Stefanie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432E-23753e7b9871088b96d472abe5f35a8de4695d79b92522c96f48fbfc46660df93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Apoptosis - drug effects</topic><topic>Apoptosis - physiology</topic><topic>Apoptosis Regulatory Proteins - genetics</topic><topic>Apoptosis Regulatory Proteins - physiology</topic><topic>Atorvastatin Calcium</topic><topic>Bcl-2-Like Protein 11</topic><topic>cell death</topic><topic>Cell Line</topic><topic>Cell Survival - drug effects</topic><topic>Cells, Cultured</topic><topic>Endothelial Cells - physiology</topic><topic>Flow Cytometry</topic><topic>forkhead transcription factors</topic><topic>Gene Expression - drug effects</topic><topic>Heptanoic Acids - pharmacology</topic><topic>Humans</topic><topic>Hydrogen Peroxide - pharmacology</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology</topic><topic>Leukocytes, Mononuclear</topic><topic>Membrane Proteins - genetics</topic><topic>Membrane Proteins - physiology</topic><topic>Oxidative Stress</topic><topic>Phosphatidylinositol 3-Kinases - metabolism</topic><topic>Phosphorylation</topic><topic>PI3K/Akt signaling</topic><topic>Promoter Regions, Genetic - genetics</topic><topic>Proto-Oncogene Proteins - genetics</topic><topic>Proto-Oncogene Proteins - physiology</topic><topic>Pyrroles - pharmacology</topic><topic>statins</topic><topic>Stem Cells - physiology</topic><topic>Transcription Factors - physiology</topic><topic>Transfection</topic><topic>Umbilical Veins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Urbich, Carmen</creatorcontrib><creatorcontrib>Knau, Andrea</creatorcontrib><creatorcontrib>Fichtlscherer, Stephan</creatorcontrib><creatorcontrib>Walter, Dirk H</creatorcontrib><creatorcontrib>Brůhl, Thomas</creatorcontrib><creatorcontrib>Potente, Michael</creatorcontrib><creatorcontrib>Hofmann, Wolf K</creatorcontrib><creatorcontrib>de Vos, Sven</creatorcontrib><creatorcontrib>Zeiher, Andreas M</creatorcontrib><creatorcontrib>Dimmeler, Stefanie</creatorcontrib><collection>AGRIS</collection><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>The FASEB journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Urbich, Carmen</au><au>Knau, Andrea</au><au>Fichtlscherer, Stephan</au><au>Walter, Dirk H</au><au>Brůhl, Thomas</au><au>Potente, Michael</au><au>Hofmann, Wolf K</au><au>de Vos, Sven</au><au>Zeiher, Andreas M</au><au>Dimmeler, Stefanie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells</atitle><jtitle>The FASEB journal</jtitle><addtitle>FASEB J</addtitle><date>2005-06</date><risdate>2005</risdate><volume>19</volume><issue>8</issue><spage>974</spage><epage>976</epage><pages>974-976</pages><issn>0892-6638</issn><eissn>1530-6860</eissn><abstract>ABSTRACTEndothelial progenitor cells (EPCs) contribute to postnatal neovascularization. Risk factors for coronary artery disease reduce the number of EPCs in humans. Since EPC apoptosis might be a potential mechanism to regulate the number of EPCs, we investigated the effects of oxidative stress and HMG‐CoA‐reductase inhibitors (statins) on EPC apoptosis. Atorvastatin, mevastatin, or VEGF prevented EPC apoptosis induced by H2O2. The antiapoptotic effect was reversed by inhibition of the PI3K/Akt pathway. Forkhead transcription factors (FOXO1, FOXO3a, FOXO4) exert proapoptotic effects and are phosphorylated and, thereby, inactivated by Akt. Therefore, we elucidated the involvement of forkhead transcription factors. Atorvastatin induced the phosphorylation of the predominant forkhead factor FOXO4 in EPCs. In addition, atorvastatin reduced the expression of the proapoptotic forkhead‐regulated protein Bim in a PI3K‐dependent manner. Consistently, overexpression of FOXO4 activated the Bim promoter as determined by reporter gene expression and stimulated the expression of Bim, resulting in an increased EPC apoptosis. Statins failed to prevent EPC apoptosis induced by overexpression of Bim or nonphosphorylatable FOXO4, suggesting that the protective effects of statins depend on this pathway. In summary, our results show that FOXO‐dependent expression of Bim plays a pivotal role for EPC apoptosis. Statins reduce oxidative stress‐induced EPC apoptosis, inactivate FOXO4, and down‐regulate Bim.</abstract><cop>United States</cop><pub>Federation of American Societies for Experimental Biology</pub><pmid>15824087</pmid><doi>10.1096/fj.04-2727fje</doi><tpages>3</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0892-6638
ispartof The FASEB journal, 2005-06, Vol.19 (8), p.974-976
issn 0892-6638
1530-6860
language eng
recordid cdi_proquest_miscellaneous_67881534
source MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection
subjects Apoptosis - drug effects
Apoptosis - physiology
Apoptosis Regulatory Proteins - genetics
Apoptosis Regulatory Proteins - physiology
Atorvastatin Calcium
Bcl-2-Like Protein 11
cell death
Cell Line
Cell Survival - drug effects
Cells, Cultured
Endothelial Cells - physiology
Flow Cytometry
forkhead transcription factors
Gene Expression - drug effects
Heptanoic Acids - pharmacology
Humans
Hydrogen Peroxide - pharmacology
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Leukocytes, Mononuclear
Membrane Proteins - genetics
Membrane Proteins - physiology
Oxidative Stress
Phosphatidylinositol 3-Kinases - metabolism
Phosphorylation
PI3K/Akt signaling
Promoter Regions, Genetic - genetics
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins - physiology
Pyrroles - pharmacology
statins
Stem Cells - physiology
Transcription Factors - physiology
Transfection
Umbilical Veins
title FOXO-dependent expression of the proapoptotic protein Bim: pivotal role for apoptosis signaling in endothelial progenitor cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T16%3A02%3A40IST&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=FOXO-dependent%20expression%20of%20the%20proapoptotic%20protein%20Bim:%20pivotal%20role%20for%20apoptosis%20signaling%20in%20endothelial%20progenitor%20cells&rft.jtitle=The%20FASEB%20journal&rft.au=Urbich,%20Carmen&rft.date=2005-06&rft.volume=19&rft.issue=8&rft.spage=974&rft.epage=976&rft.pages=974-976&rft.issn=0892-6638&rft.eissn=1530-6860&rft_id=info:doi/10.1096/fj.04-2727fje&rft_dat=%3Cproquest_cross%3E67881534%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=67881534&rft_id=info:pmid/15824087&rfr_iscdi=true