Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration

We have investigated the effects of an improved liposomal formulation (extruded DOTAP:cholesterol (DOTAP:Chol)–DNA complex) on transgene expression in tumor cells and normal cells of murine and human origin both in vitro and in vivo. In vitro, transgene expression was significantly increased (P = 0....

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Molecular therapy 2003-03, Vol.7 (3), p.409-418
Hauptverfasser: Ito, Isao, Began, Gopalan, Mohiuddin, Imran, Saeki, Tomoyuki, Saito, Yuji, Branch, Cynthia D, Vaporciyan, Ara, Clifton Stephens, L, Yen, Nancy, Roth, Jack A, Ramesh, Rajagopal
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 418
container_issue 3
container_start_page 409
container_title Molecular therapy
container_volume 7
creator Ito, Isao
Began, Gopalan
Mohiuddin, Imran
Saeki, Tomoyuki
Saito, Yuji
Branch, Cynthia D
Vaporciyan, Ara
Clifton Stephens, L
Yen, Nancy
Roth, Jack A
Ramesh, Rajagopal
description We have investigated the effects of an improved liposomal formulation (extruded DOTAP:cholesterol (DOTAP:Chol)–DNA complex) on transgene expression in tumor cells and normal cells of murine and human origin both in vitro and in vivo. In vitro, transgene expression was significantly increased (P = 0.01) in human tumor cells compared to normal human cells. The increased transgene expression was due to increased uptake of the liposome–DNA complex by tumor cell phagocytosis. Furthermore, immunohistochemical analysis demonstrated a greater transgene expression in lung tumors than in surrounding normal tissues. Increased transgene expression due to enhanced uptake of the liposome–DNA complexes by tumor cells in vivo was also demonstrated using fluorescently labeled DOTAP:Chol liposomes. Finally, evaluation of lung tissue explants obtained from patients undergoing pulmonary resection demonstrated significantly higher (P = 0.001) transgene expression in tumor cells than in normal cells. Thus, we demonstrated that intravenous injection of DOTAP:Chol–DNA complex results in increased transgene expression in tumor and is due to increased phagocytosis of the complexes by tumor cells.
doi_str_mv 10.1016/S1525-0016(03)00004-2
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73162664</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1525001603000042</els_id><sourcerecordid>4074089321</sourcerecordid><originalsourceid>FETCH-LOGICAL-c502t-20e53cd0c38dc7002a331cb9c8c422b9e69469a8a8f78cc02dee02149c6617c73</originalsourceid><addsrcrecordid>eNqFUdtKHTEUDUWp1vYTKgOC1Idpc5nJzDyJSL2A0Ie2zyFnZ49EM8mYzJzqm__gH_oljZ6Dgi-GQBaLtXf2XouQr4x-Z5TJH79ZzeuSZviNigOaT1XyD2R7TfNq4wUzuUU-pXSVEas7-ZFsMS5ly0SzTfDcQ0Sd0BTzOOlrLEJfODuGFAbtHu8fjNcFhGF0eIupWNwVbvaXxYCTTvlmqg_OhX82k9ZPUS_RhzkV2gzW25SJyQb_mWz22iX8sn53yN-Tn3-Oz8qLX6fnx0cXJdSUTyWnWAswFERroMlLaCEYLDpooeJ80aHsKtnpVrd90wJQbhApZ1UHUrIGGrFD9ld9xxhuZkyTGmwCdE57zFOpRjCZV6-ycO-N8CrM0efZFGs63rKmrmVW1SsVxJBSxF6N0Q463ilG1VMK6jkF9WSxokI9p6B4rttdd58XA5rXqrXtWXC4EmA2Y2kxqgQWPaCxEWFSJth3vvgPoLmYxQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1792817556</pqid></control><display><type>article</type><title>Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Ito, Isao ; Began, Gopalan ; Mohiuddin, Imran ; Saeki, Tomoyuki ; Saito, Yuji ; Branch, Cynthia D ; Vaporciyan, Ara ; Clifton Stephens, L ; Yen, Nancy ; Roth, Jack A ; Ramesh, Rajagopal</creator><creatorcontrib>Ito, Isao ; Began, Gopalan ; Mohiuddin, Imran ; Saeki, Tomoyuki ; Saito, Yuji ; Branch, Cynthia D ; Vaporciyan, Ara ; Clifton Stephens, L ; Yen, Nancy ; Roth, Jack A ; Ramesh, Rajagopal</creatorcontrib><description>We have investigated the effects of an improved liposomal formulation (extruded DOTAP:cholesterol (DOTAP:Chol)–DNA complex) on transgene expression in tumor cells and normal cells of murine and human origin both in vitro and in vivo. In vitro, transgene expression was significantly increased (P = 0.01) in human tumor cells compared to normal human cells. The increased transgene expression was due to increased uptake of the liposome–DNA complex by tumor cell phagocytosis. Furthermore, immunohistochemical analysis demonstrated a greater transgene expression in lung tumors than in surrounding normal tissues. Increased transgene expression due to enhanced uptake of the liposome–DNA complexes by tumor cells in vivo was also demonstrated using fluorescently labeled DOTAP:Chol liposomes. Finally, evaluation of lung tissue explants obtained from patients undergoing pulmonary resection demonstrated significantly higher (P = 0.001) transgene expression in tumor cells than in normal cells. Thus, we demonstrated that intravenous injection of DOTAP:Chol–DNA complex results in increased transgene expression in tumor and is due to increased phagocytosis of the complexes by tumor cells.</description><identifier>ISSN: 1525-0016</identifier><identifier>EISSN: 1525-0024</identifier><identifier>DOI: 10.1016/S1525-0016(03)00004-2</identifier><identifier>PMID: 12668137</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; cancer ; Cancer therapies ; Carcinoma, Non-Small-Cell Lung - metabolism ; Carcinoma, Non-Small-Cell Lung - secondary ; Carcinoma, Non-Small-Cell Lung - therapy ; Cell Survival ; Cholesterol - metabolism ; DNA - metabolism ; Fatty Acids, Monounsaturated - metabolism ; Gene expression ; Gene therapy ; Genetic Therapy ; Heart surgery ; Humans ; Immunoenzyme Techniques ; Injections, Intravenous ; liposome ; Liposomes ; Luciferases - metabolism ; Lung Neoplasms - metabolism ; Lung Neoplasms - secondary ; Lung Neoplasms - therapy ; Lungs ; Metastasis ; Mice ; Mice, Inbred C3H ; Microscopy ; Phagocytosis ; Pinocytosis ; Protein expression ; Proteins ; Quaternary Ammonium Compounds - metabolism ; Toxicity ; Transgenes ; Tumor Cells, Cultured ; Tumors</subject><ispartof>Molecular therapy, 2003-03, Vol.7 (3), p.409-418</ispartof><rights>2003 The American Society of Gene Therapy</rights><rights>Copyright Nature Publishing Group Mar 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-20e53cd0c38dc7002a331cb9c8c422b9e69469a8a8f78cc02dee02149c6617c73</citedby><cites>FETCH-LOGICAL-c502t-20e53cd0c38dc7002a331cb9c8c422b9e69469a8a8f78cc02dee02149c6617c73</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/12668137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ito, Isao</creatorcontrib><creatorcontrib>Began, Gopalan</creatorcontrib><creatorcontrib>Mohiuddin, Imran</creatorcontrib><creatorcontrib>Saeki, Tomoyuki</creatorcontrib><creatorcontrib>Saito, Yuji</creatorcontrib><creatorcontrib>Branch, Cynthia D</creatorcontrib><creatorcontrib>Vaporciyan, Ara</creatorcontrib><creatorcontrib>Clifton Stephens, L</creatorcontrib><creatorcontrib>Yen, Nancy</creatorcontrib><creatorcontrib>Roth, Jack A</creatorcontrib><creatorcontrib>Ramesh, Rajagopal</creatorcontrib><title>Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration</title><title>Molecular therapy</title><addtitle>Mol Ther</addtitle><description>We have investigated the effects of an improved liposomal formulation (extruded DOTAP:cholesterol (DOTAP:Chol)–DNA complex) on transgene expression in tumor cells and normal cells of murine and human origin both in vitro and in vivo. In vitro, transgene expression was significantly increased (P = 0.01) in human tumor cells compared to normal human cells. The increased transgene expression was due to increased uptake of the liposome–DNA complex by tumor cell phagocytosis. Furthermore, immunohistochemical analysis demonstrated a greater transgene expression in lung tumors than in surrounding normal tissues. Increased transgene expression due to enhanced uptake of the liposome–DNA complexes by tumor cells in vivo was also demonstrated using fluorescently labeled DOTAP:Chol liposomes. Finally, evaluation of lung tissue explants obtained from patients undergoing pulmonary resection demonstrated significantly higher (P = 0.001) transgene expression in tumor cells than in normal cells. Thus, we demonstrated that intravenous injection of DOTAP:Chol–DNA complex results in increased transgene expression in tumor and is due to increased phagocytosis of the complexes by tumor cells.</description><subject>Animals</subject><subject>cancer</subject><subject>Cancer therapies</subject><subject>Carcinoma, Non-Small-Cell Lung - metabolism</subject><subject>Carcinoma, Non-Small-Cell Lung - secondary</subject><subject>Carcinoma, Non-Small-Cell Lung - therapy</subject><subject>Cell Survival</subject><subject>Cholesterol - metabolism</subject><subject>DNA - metabolism</subject><subject>Fatty Acids, Monounsaturated - metabolism</subject><subject>Gene expression</subject><subject>Gene therapy</subject><subject>Genetic Therapy</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Injections, Intravenous</subject><subject>liposome</subject><subject>Liposomes</subject><subject>Luciferases - metabolism</subject><subject>Lung Neoplasms - metabolism</subject><subject>Lung Neoplasms - secondary</subject><subject>Lung Neoplasms - therapy</subject><subject>Lungs</subject><subject>Metastasis</subject><subject>Mice</subject><subject>Mice, Inbred C3H</subject><subject>Microscopy</subject><subject>Phagocytosis</subject><subject>Pinocytosis</subject><subject>Protein expression</subject><subject>Proteins</subject><subject>Quaternary Ammonium Compounds - metabolism</subject><subject>Toxicity</subject><subject>Transgenes</subject><subject>Tumor Cells, Cultured</subject><subject>Tumors</subject><issn>1525-0016</issn><issn>1525-0024</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFUdtKHTEUDUWp1vYTKgOC1Idpc5nJzDyJSL2A0Ie2zyFnZ49EM8mYzJzqm__gH_oljZ6Dgi-GQBaLtXf2XouQr4x-Z5TJH79ZzeuSZviNigOaT1XyD2R7TfNq4wUzuUU-pXSVEas7-ZFsMS5ly0SzTfDcQ0Sd0BTzOOlrLEJfODuGFAbtHu8fjNcFhGF0eIupWNwVbvaXxYCTTvlmqg_OhX82k9ZPUS_RhzkV2gzW25SJyQb_mWz22iX8sn53yN-Tn3-Oz8qLX6fnx0cXJdSUTyWnWAswFERroMlLaCEYLDpooeJ80aHsKtnpVrd90wJQbhApZ1UHUrIGGrFD9ld9xxhuZkyTGmwCdE57zFOpRjCZV6-ycO-N8CrM0efZFGs63rKmrmVW1SsVxJBSxF6N0Q463ilG1VMK6jkF9WSxokI9p6B4rttdd58XA5rXqrXtWXC4EmA2Y2kxqgQWPaCxEWFSJth3vvgPoLmYxQ</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Ito, Isao</creator><creator>Began, Gopalan</creator><creator>Mohiuddin, Imran</creator><creator>Saeki, Tomoyuki</creator><creator>Saito, Yuji</creator><creator>Branch, Cynthia D</creator><creator>Vaporciyan, Ara</creator><creator>Clifton Stephens, L</creator><creator>Yen, Nancy</creator><creator>Roth, Jack A</creator><creator>Ramesh, Rajagopal</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</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>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>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration</title><author>Ito, Isao ; Began, Gopalan ; Mohiuddin, Imran ; Saeki, Tomoyuki ; Saito, Yuji ; Branch, Cynthia D ; Vaporciyan, Ara ; Clifton Stephens, L ; Yen, Nancy ; Roth, Jack A ; Ramesh, Rajagopal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-20e53cd0c38dc7002a331cb9c8c422b9e69469a8a8f78cc02dee02149c6617c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Animals</topic><topic>cancer</topic><topic>Cancer therapies</topic><topic>Carcinoma, Non-Small-Cell Lung - metabolism</topic><topic>Carcinoma, Non-Small-Cell Lung - secondary</topic><topic>Carcinoma, Non-Small-Cell Lung - therapy</topic><topic>Cell Survival</topic><topic>Cholesterol - metabolism</topic><topic>DNA - metabolism</topic><topic>Fatty Acids, Monounsaturated - metabolism</topic><topic>Gene expression</topic><topic>Gene therapy</topic><topic>Genetic Therapy</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Injections, Intravenous</topic><topic>liposome</topic><topic>Liposomes</topic><topic>Luciferases - metabolism</topic><topic>Lung Neoplasms - metabolism</topic><topic>Lung Neoplasms - secondary</topic><topic>Lung Neoplasms - therapy</topic><topic>Lungs</topic><topic>Metastasis</topic><topic>Mice</topic><topic>Mice, Inbred C3H</topic><topic>Microscopy</topic><topic>Phagocytosis</topic><topic>Pinocytosis</topic><topic>Protein expression</topic><topic>Proteins</topic><topic>Quaternary Ammonium Compounds - metabolism</topic><topic>Toxicity</topic><topic>Transgenes</topic><topic>Tumor Cells, Cultured</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ito, Isao</creatorcontrib><creatorcontrib>Began, Gopalan</creatorcontrib><creatorcontrib>Mohiuddin, Imran</creatorcontrib><creatorcontrib>Saeki, Tomoyuki</creatorcontrib><creatorcontrib>Saito, Yuji</creatorcontrib><creatorcontrib>Branch, Cynthia D</creatorcontrib><creatorcontrib>Vaporciyan, Ara</creatorcontrib><creatorcontrib>Clifton Stephens, L</creatorcontrib><creatorcontrib>Yen, Nancy</creatorcontrib><creatorcontrib>Roth, Jack A</creatorcontrib><creatorcontrib>Ramesh, Rajagopal</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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>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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Molecular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ito, Isao</au><au>Began, Gopalan</au><au>Mohiuddin, Imran</au><au>Saeki, Tomoyuki</au><au>Saito, Yuji</au><au>Branch, Cynthia D</au><au>Vaporciyan, Ara</au><au>Clifton Stephens, L</au><au>Yen, Nancy</au><au>Roth, Jack A</au><au>Ramesh, Rajagopal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration</atitle><jtitle>Molecular therapy</jtitle><addtitle>Mol Ther</addtitle><date>2003-03</date><risdate>2003</risdate><volume>7</volume><issue>3</issue><spage>409</spage><epage>418</epage><pages>409-418</pages><issn>1525-0016</issn><eissn>1525-0024</eissn><abstract>We have investigated the effects of an improved liposomal formulation (extruded DOTAP:cholesterol (DOTAP:Chol)–DNA complex) on transgene expression in tumor cells and normal cells of murine and human origin both in vitro and in vivo. In vitro, transgene expression was significantly increased (P = 0.01) in human tumor cells compared to normal human cells. The increased transgene expression was due to increased uptake of the liposome–DNA complex by tumor cell phagocytosis. Furthermore, immunohistochemical analysis demonstrated a greater transgene expression in lung tumors than in surrounding normal tissues. Increased transgene expression due to enhanced uptake of the liposome–DNA complexes by tumor cells in vivo was also demonstrated using fluorescently labeled DOTAP:Chol liposomes. Finally, evaluation of lung tissue explants obtained from patients undergoing pulmonary resection demonstrated significantly higher (P = 0.001) transgene expression in tumor cells than in normal cells. Thus, we demonstrated that intravenous injection of DOTAP:Chol–DNA complex results in increased transgene expression in tumor and is due to increased phagocytosis of the complexes by tumor cells.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>12668137</pmid><doi>10.1016/S1525-0016(03)00004-2</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1525-0016
ispartof Molecular therapy, 2003-03, Vol.7 (3), p.409-418
issn 1525-0016
1525-0024
language eng
recordid cdi_proquest_miscellaneous_73162664
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Animals
cancer
Cancer therapies
Carcinoma, Non-Small-Cell Lung - metabolism
Carcinoma, Non-Small-Cell Lung - secondary
Carcinoma, Non-Small-Cell Lung - therapy
Cell Survival
Cholesterol - metabolism
DNA - metabolism
Fatty Acids, Monounsaturated - metabolism
Gene expression
Gene therapy
Genetic Therapy
Heart surgery
Humans
Immunoenzyme Techniques
Injections, Intravenous
liposome
Liposomes
Luciferases - metabolism
Lung Neoplasms - metabolism
Lung Neoplasms - secondary
Lung Neoplasms - therapy
Lungs
Metastasis
Mice
Mice, Inbred C3H
Microscopy
Phagocytosis
Pinocytosis
Protein expression
Proteins
Quaternary Ammonium Compounds - metabolism
Toxicity
Transgenes
Tumor Cells, Cultured
Tumors
title Increased uptake of liposomal–dna complexes by lung metastases following intravenous administration
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T03%3A26%3A15IST&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=Increased%20uptake%20of%20liposomal%E2%80%93dna%20complexes%20by%20lung%20metastases%20following%20intravenous%20administration&rft.jtitle=Molecular%20therapy&rft.au=Ito,%20Isao&rft.date=2003-03&rft.volume=7&rft.issue=3&rft.spage=409&rft.epage=418&rft.pages=409-418&rft.issn=1525-0016&rft.eissn=1525-0024&rft_id=info:doi/10.1016/S1525-0016(03)00004-2&rft_dat=%3Cproquest_cross%3E4074089321%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=1792817556&rft_id=info:pmid/12668137&rft_els_id=S1525001603000042&rfr_iscdi=true