Immunocytochemical characterization of the incubated rat renal cortical slices

The use of renal cortical slices in vitro and the data obtained in these studies have been subjects of controversy, largely due to uncertain viability, e.g., structural and functional integrity of the proximal and other tubules. However, detailed studies of tubule integrity have not been reported. T...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Pflügers Archiv 2005-07, Vol.450 (4), p.269-279
Hauptverfasser: Crljen, Vladiana, Sabolić, Ivana, Susac, Jelena, Appenroth, Dorothea, Herak-Kramberger, Carol M, Ljubojević, Marija, Anzai, Naohiko, Antolović, Roberto, Burckhardt, Gerhard, Fleck, Christian, Sabolić, Ivan
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 279
container_issue 4
container_start_page 269
container_title Pflügers Archiv
container_volume 450
creator Crljen, Vladiana
Sabolić, Ivana
Susac, Jelena
Appenroth, Dorothea
Herak-Kramberger, Carol M
Ljubojević, Marija
Anzai, Naohiko
Antolović, Roberto
Burckhardt, Gerhard
Fleck, Christian
Sabolić, Ivan
description The use of renal cortical slices in vitro and the data obtained in these studies have been subjects of controversy, largely due to uncertain viability, e.g., structural and functional integrity of the proximal and other tubules. However, detailed studies of tubule integrity have not been reported. To correlate functional and structural viability of the hand-cut rat renal cortical slices, incubated in optimally conditioned media for up to 25 h, we studied the time course of p-aminohippurate (PAH) uptake, the immunocytochemical distribution of several proteins that reside in the proximal tubule basolateral [Na/K-ATPase, organic anion transporters (OAT)1 and OAT3], or brush border [megalin, sodium-proton exchanger (NHE)3] membrane, as well as the general integrity of the tubule epithelium and its cytoskeleton (actin filaments, microtubules). PAH uptake in slices was proportional to time within 1 h of incubation and gradually declined thereafter. The immunostaining experiments indicated a fast, time-dependent loss of basolateral transporters, at a rate of OAT1 > Na/K-ATPase > OAT3. In the brush border membrane, the loss of megalin was faster than that of NHE3, and a partial redistribution of NHE3 into the basolateral domain indicated the loss of cell polarity. The loss of intracellular actin and tubulin cytoskeleton in the proximal tubule was already visible after 15 min of incubation and gradually increased with time, whereas a partial redistribution of actin to the basolateral domain indicated a compromised polarity of the cells. The data also revealed very early (after 15 min) necrotic events in the proximal tubule epithelium, with sloughing of brush border and cell debris into the tubule lumen, detachment of cells from the basal membrane, and opening and widening of the tubule lumen. We conclude that the loss of cellular structure, cytoskeleton, and cell membrane transporters in the nephron epithelium is a very early event in the incubated rat renal cortical slices.
doi_str_mv 10.1007/s00424-005-1412-8
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68016785</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68016785</sourcerecordid><originalsourceid>FETCH-LOGICAL-c392t-c0fae3809f1bb76210f514f877b6e55bb482b96fda5e83d0be8a41f7b957c42a3</originalsourceid><addsrcrecordid>eNpdkDtPwzAYRS0EoqXwA1hQxMAW-PyKnRFVPCpVsMBs2a6tpkriYjtD-fWktBIS013Ovbo6CF1juMcA4iEBMMJKAF5ihkkpT9AUM0pKApieoikAxWUlKjlBFyltAIAwSc7RBHNZc8LqKXpbdN3QB7vLwa5d11jdFnato7bZxeZb5yb0RfBFXrui6e1gdHarIupcRNfv2RDzbym1jXXpEp153SZ3dcwZ-nx--pi_lsv3l8X8cVlaWpNcWvDaUQm1x8aIimDwHDMvhTCV49yY8aapK7_S3Em6AuOkZtgLU3NhGdF0hu4Ou9sYvgaXsuqaZF3b6t6FIalKAq6E5CN4-w_chCGOz5MSDENVU1KPED5ANoaUovNqG5tOx53CoPam1cG0Gk2rvWklx87NcXgwnVv9NY5q6Q9fsHmm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>741069329</pqid></control><display><type>article</type><title>Immunocytochemical characterization of the incubated rat renal cortical slices</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Crljen, Vladiana ; Sabolić, Ivana ; Susac, Jelena ; Appenroth, Dorothea ; Herak-Kramberger, Carol M ; Ljubojević, Marija ; Anzai, Naohiko ; Antolović, Roberto ; Burckhardt, Gerhard ; Fleck, Christian ; Sabolić, Ivan</creator><creatorcontrib>Crljen, Vladiana ; Sabolić, Ivana ; Susac, Jelena ; Appenroth, Dorothea ; Herak-Kramberger, Carol M ; Ljubojević, Marija ; Anzai, Naohiko ; Antolović, Roberto ; Burckhardt, Gerhard ; Fleck, Christian ; Sabolić, Ivan</creatorcontrib><description>The use of renal cortical slices in vitro and the data obtained in these studies have been subjects of controversy, largely due to uncertain viability, e.g., structural and functional integrity of the proximal and other tubules. However, detailed studies of tubule integrity have not been reported. To correlate functional and structural viability of the hand-cut rat renal cortical slices, incubated in optimally conditioned media for up to 25 h, we studied the time course of p-aminohippurate (PAH) uptake, the immunocytochemical distribution of several proteins that reside in the proximal tubule basolateral [Na/K-ATPase, organic anion transporters (OAT)1 and OAT3], or brush border [megalin, sodium-proton exchanger (NHE)3] membrane, as well as the general integrity of the tubule epithelium and its cytoskeleton (actin filaments, microtubules). PAH uptake in slices was proportional to time within 1 h of incubation and gradually declined thereafter. The immunostaining experiments indicated a fast, time-dependent loss of basolateral transporters, at a rate of OAT1 &gt; Na/K-ATPase &gt; OAT3. In the brush border membrane, the loss of megalin was faster than that of NHE3, and a partial redistribution of NHE3 into the basolateral domain indicated the loss of cell polarity. The loss of intracellular actin and tubulin cytoskeleton in the proximal tubule was already visible after 15 min of incubation and gradually increased with time, whereas a partial redistribution of actin to the basolateral domain indicated a compromised polarity of the cells. The data also revealed very early (after 15 min) necrotic events in the proximal tubule epithelium, with sloughing of brush border and cell debris into the tubule lumen, detachment of cells from the basal membrane, and opening and widening of the tubule lumen. We conclude that the loss of cellular structure, cytoskeleton, and cell membrane transporters in the nephron epithelium is a very early event in the incubated rat renal cortical slices.</description><identifier>ISSN: 0031-6768</identifier><identifier>EISSN: 1432-2013</identifier><identifier>DOI: 10.1007/s00424-005-1412-8</identifier><identifier>PMID: 15895249</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Actins - analysis ; Animals ; Cytoskeleton ; Female ; Immunohistochemistry ; Kidney Cortex - cytology ; Kidney Cortex - physiology ; Kidneys ; Low Density Lipoprotein Receptor-Related Protein-2 - analysis ; Organic Anion Transport Protein 1 - analysis ; Organic Anion Transporters, Sodium-Independent - analysis ; p-Aminohippuric Acid - metabolism ; Proteins ; Rats ; Rats, Wistar ; Sodium-Hydrogen Exchanger 3 ; Sodium-Hydrogen Exchangers - analysis ; Sodium-Potassium-Exchanging ATPase - analysis ; Tubulin - analysis</subject><ispartof>Pflügers Archiv, 2005-07, Vol.450 (4), p.269-279</ispartof><rights>Springer-Verlag 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-c0fae3809f1bb76210f514f877b6e55bb482b96fda5e83d0be8a41f7b957c42a3</citedby><cites>FETCH-LOGICAL-c392t-c0fae3809f1bb76210f514f877b6e55bb482b96fda5e83d0be8a41f7b957c42a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15895249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crljen, Vladiana</creatorcontrib><creatorcontrib>Sabolić, Ivana</creatorcontrib><creatorcontrib>Susac, Jelena</creatorcontrib><creatorcontrib>Appenroth, Dorothea</creatorcontrib><creatorcontrib>Herak-Kramberger, Carol M</creatorcontrib><creatorcontrib>Ljubojević, Marija</creatorcontrib><creatorcontrib>Anzai, Naohiko</creatorcontrib><creatorcontrib>Antolović, Roberto</creatorcontrib><creatorcontrib>Burckhardt, Gerhard</creatorcontrib><creatorcontrib>Fleck, Christian</creatorcontrib><creatorcontrib>Sabolić, Ivan</creatorcontrib><title>Immunocytochemical characterization of the incubated rat renal cortical slices</title><title>Pflügers Archiv</title><addtitle>Pflugers Arch</addtitle><description>The use of renal cortical slices in vitro and the data obtained in these studies have been subjects of controversy, largely due to uncertain viability, e.g., structural and functional integrity of the proximal and other tubules. However, detailed studies of tubule integrity have not been reported. To correlate functional and structural viability of the hand-cut rat renal cortical slices, incubated in optimally conditioned media for up to 25 h, we studied the time course of p-aminohippurate (PAH) uptake, the immunocytochemical distribution of several proteins that reside in the proximal tubule basolateral [Na/K-ATPase, organic anion transporters (OAT)1 and OAT3], or brush border [megalin, sodium-proton exchanger (NHE)3] membrane, as well as the general integrity of the tubule epithelium and its cytoskeleton (actin filaments, microtubules). PAH uptake in slices was proportional to time within 1 h of incubation and gradually declined thereafter. The immunostaining experiments indicated a fast, time-dependent loss of basolateral transporters, at a rate of OAT1 &gt; Na/K-ATPase &gt; OAT3. In the brush border membrane, the loss of megalin was faster than that of NHE3, and a partial redistribution of NHE3 into the basolateral domain indicated the loss of cell polarity. The loss of intracellular actin and tubulin cytoskeleton in the proximal tubule was already visible after 15 min of incubation and gradually increased with time, whereas a partial redistribution of actin to the basolateral domain indicated a compromised polarity of the cells. The data also revealed very early (after 15 min) necrotic events in the proximal tubule epithelium, with sloughing of brush border and cell debris into the tubule lumen, detachment of cells from the basal membrane, and opening and widening of the tubule lumen. We conclude that the loss of cellular structure, cytoskeleton, and cell membrane transporters in the nephron epithelium is a very early event in the incubated rat renal cortical slices.</description><subject>Actins - analysis</subject><subject>Animals</subject><subject>Cytoskeleton</subject><subject>Female</subject><subject>Immunohistochemistry</subject><subject>Kidney Cortex - cytology</subject><subject>Kidney Cortex - physiology</subject><subject>Kidneys</subject><subject>Low Density Lipoprotein Receptor-Related Protein-2 - analysis</subject><subject>Organic Anion Transport Protein 1 - analysis</subject><subject>Organic Anion Transporters, Sodium-Independent - analysis</subject><subject>p-Aminohippuric Acid - metabolism</subject><subject>Proteins</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Sodium-Hydrogen Exchanger 3</subject><subject>Sodium-Hydrogen Exchangers - analysis</subject><subject>Sodium-Potassium-Exchanging ATPase - analysis</subject><subject>Tubulin - analysis</subject><issn>0031-6768</issn><issn>1432-2013</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkDtPwzAYRS0EoqXwA1hQxMAW-PyKnRFVPCpVsMBs2a6tpkriYjtD-fWktBIS013Ovbo6CF1juMcA4iEBMMJKAF5ihkkpT9AUM0pKApieoikAxWUlKjlBFyltAIAwSc7RBHNZc8LqKXpbdN3QB7vLwa5d11jdFnato7bZxeZb5yb0RfBFXrui6e1gdHarIupcRNfv2RDzbym1jXXpEp153SZ3dcwZ-nx--pi_lsv3l8X8cVlaWpNcWvDaUQm1x8aIimDwHDMvhTCV49yY8aapK7_S3Em6AuOkZtgLU3NhGdF0hu4Ou9sYvgaXsuqaZF3b6t6FIalKAq6E5CN4-w_chCGOz5MSDENVU1KPED5ANoaUovNqG5tOx53CoPam1cG0Gk2rvWklx87NcXgwnVv9NY5q6Q9fsHmm</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>Crljen, Vladiana</creator><creator>Sabolić, Ivana</creator><creator>Susac, Jelena</creator><creator>Appenroth, Dorothea</creator><creator>Herak-Kramberger, Carol M</creator><creator>Ljubojević, Marija</creator><creator>Anzai, Naohiko</creator><creator>Antolović, Roberto</creator><creator>Burckhardt, Gerhard</creator><creator>Fleck, Christian</creator><creator>Sabolić, Ivan</creator><general>Springer Nature B.V</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>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</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>20050701</creationdate><title>Immunocytochemical characterization of the incubated rat renal cortical slices</title><author>Crljen, Vladiana ; Sabolić, Ivana ; Susac, Jelena ; Appenroth, Dorothea ; Herak-Kramberger, Carol M ; Ljubojević, Marija ; Anzai, Naohiko ; Antolović, Roberto ; Burckhardt, Gerhard ; Fleck, Christian ; Sabolić, Ivan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-c0fae3809f1bb76210f514f877b6e55bb482b96fda5e83d0be8a41f7b957c42a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Actins - analysis</topic><topic>Animals</topic><topic>Cytoskeleton</topic><topic>Female</topic><topic>Immunohistochemistry</topic><topic>Kidney Cortex - cytology</topic><topic>Kidney Cortex - physiology</topic><topic>Kidneys</topic><topic>Low Density Lipoprotein Receptor-Related Protein-2 - analysis</topic><topic>Organic Anion Transport Protein 1 - analysis</topic><topic>Organic Anion Transporters, Sodium-Independent - analysis</topic><topic>p-Aminohippuric Acid - metabolism</topic><topic>Proteins</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Sodium-Hydrogen Exchanger 3</topic><topic>Sodium-Hydrogen Exchangers - analysis</topic><topic>Sodium-Potassium-Exchanging ATPase - analysis</topic><topic>Tubulin - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crljen, Vladiana</creatorcontrib><creatorcontrib>Sabolić, Ivana</creatorcontrib><creatorcontrib>Susac, Jelena</creatorcontrib><creatorcontrib>Appenroth, Dorothea</creatorcontrib><creatorcontrib>Herak-Kramberger, Carol M</creatorcontrib><creatorcontrib>Ljubojević, Marija</creatorcontrib><creatorcontrib>Anzai, Naohiko</creatorcontrib><creatorcontrib>Antolović, Roberto</creatorcontrib><creatorcontrib>Burckhardt, Gerhard</creatorcontrib><creatorcontrib>Fleck, Christian</creatorcontrib><creatorcontrib>Sabolić, Ivan</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>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</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>Pflügers Archiv</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crljen, Vladiana</au><au>Sabolić, Ivana</au><au>Susac, Jelena</au><au>Appenroth, Dorothea</au><au>Herak-Kramberger, Carol M</au><au>Ljubojević, Marija</au><au>Anzai, Naohiko</au><au>Antolović, Roberto</au><au>Burckhardt, Gerhard</au><au>Fleck, Christian</au><au>Sabolić, Ivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunocytochemical characterization of the incubated rat renal cortical slices</atitle><jtitle>Pflügers Archiv</jtitle><addtitle>Pflugers Arch</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>450</volume><issue>4</issue><spage>269</spage><epage>279</epage><pages>269-279</pages><issn>0031-6768</issn><eissn>1432-2013</eissn><abstract>The use of renal cortical slices in vitro and the data obtained in these studies have been subjects of controversy, largely due to uncertain viability, e.g., structural and functional integrity of the proximal and other tubules. However, detailed studies of tubule integrity have not been reported. To correlate functional and structural viability of the hand-cut rat renal cortical slices, incubated in optimally conditioned media for up to 25 h, we studied the time course of p-aminohippurate (PAH) uptake, the immunocytochemical distribution of several proteins that reside in the proximal tubule basolateral [Na/K-ATPase, organic anion transporters (OAT)1 and OAT3], or brush border [megalin, sodium-proton exchanger (NHE)3] membrane, as well as the general integrity of the tubule epithelium and its cytoskeleton (actin filaments, microtubules). PAH uptake in slices was proportional to time within 1 h of incubation and gradually declined thereafter. The immunostaining experiments indicated a fast, time-dependent loss of basolateral transporters, at a rate of OAT1 &gt; Na/K-ATPase &gt; OAT3. In the brush border membrane, the loss of megalin was faster than that of NHE3, and a partial redistribution of NHE3 into the basolateral domain indicated the loss of cell polarity. The loss of intracellular actin and tubulin cytoskeleton in the proximal tubule was already visible after 15 min of incubation and gradually increased with time, whereas a partial redistribution of actin to the basolateral domain indicated a compromised polarity of the cells. The data also revealed very early (after 15 min) necrotic events in the proximal tubule epithelium, with sloughing of brush border and cell debris into the tubule lumen, detachment of cells from the basal membrane, and opening and widening of the tubule lumen. We conclude that the loss of cellular structure, cytoskeleton, and cell membrane transporters in the nephron epithelium is a very early event in the incubated rat renal cortical slices.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15895249</pmid><doi>10.1007/s00424-005-1412-8</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0031-6768
ispartof Pflügers Archiv, 2005-07, Vol.450 (4), p.269-279
issn 0031-6768
1432-2013
language eng
recordid cdi_proquest_miscellaneous_68016785
source MEDLINE; Springer Nature - Complete Springer Journals
subjects Actins - analysis
Animals
Cytoskeleton
Female
Immunohistochemistry
Kidney Cortex - cytology
Kidney Cortex - physiology
Kidneys
Low Density Lipoprotein Receptor-Related Protein-2 - analysis
Organic Anion Transport Protein 1 - analysis
Organic Anion Transporters, Sodium-Independent - analysis
p-Aminohippuric Acid - metabolism
Proteins
Rats
Rats, Wistar
Sodium-Hydrogen Exchanger 3
Sodium-Hydrogen Exchangers - analysis
Sodium-Potassium-Exchanging ATPase - analysis
Tubulin - analysis
title Immunocytochemical characterization of the incubated rat renal cortical slices
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T19%3A31%3A52IST&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=Immunocytochemical%20characterization%20of%20the%20incubated%20rat%20renal%20cortical%20slices&rft.jtitle=Pfl%C3%BCgers%20Archiv&rft.au=Crljen,%20Vladiana&rft.date=2005-07-01&rft.volume=450&rft.issue=4&rft.spage=269&rft.epage=279&rft.pages=269-279&rft.issn=0031-6768&rft.eissn=1432-2013&rft_id=info:doi/10.1007/s00424-005-1412-8&rft_dat=%3Cproquest_cross%3E68016785%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=741069329&rft_id=info:pmid/15895249&rfr_iscdi=true