Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells

Cytotoxic T lymphocytes (CTLs) play an essential role in immunological responses for tumor rejection. In the past decade, many tumor-associated antigens (TAAs) have been identified predominantly in melanomas. Several clinical trials based on such antigenic peptides with or without adjuvants brought...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Experimental and molecular pathology 2010-02, Vol.88 (1), p.128-132
Hauptverfasser: Hirohashi, Yoshihiko, Torigoe, Toshihiko, Hirai, Itaru, Tamura, Yasuaki, Nakatsugawa, Munehide, Inoue, Yuuji, Kanaseki, Takayuki, Kamiguchi, Kenjiro, Ikeda, Hideyuki, Sasaki, Aya, Yamanaka, Noboru, Sato, Noriyuki
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 132
container_issue 1
container_start_page 128
container_title Experimental and molecular pathology
container_volume 88
creator Hirohashi, Yoshihiko
Torigoe, Toshihiko
Hirai, Itaru
Tamura, Yasuaki
Nakatsugawa, Munehide
Inoue, Yuuji
Kanaseki, Takayuki
Kamiguchi, Kenjiro
Ikeda, Hideyuki
Sasaki, Aya
Yamanaka, Noboru
Sato, Noriyuki
description Cytotoxic T lymphocytes (CTLs) play an essential role in immunological responses for tumor rejection. In the past decade, many tumor-associated antigens (TAAs) have been identified predominantly in melanomas. Several clinical trials based on such antigenic peptides with or without adjuvants brought about partially favorable results, suggesting that identification of more immunogenic TAAs is needed. We show here the successful establishment of human leukocyte antigen (HLA)-A24-restricted CTL (TcLHK2 line1) from a pleural effusion of lung cancer patient, using B7.1 (CD80) transduced autologous lung cancer cells as an antigen-presenting cell (APC). TcLHK2 line1 recognized autologous lung adenocarcinoma cell line LHK2 in an HLA-A24-restricted fashion. Moreover, this CTL line also recognized allogeneic HLA-A24-positive lung adenocarcinoma cell line, gastric carcinoma cell line and melanoma cell line. These data raise the possibility that co-stimulatory molecule B7.1 (CD80) plays important role to overcome the immunological tolerance. Furthermore, TcLHK2 line1 is a useful tool for the identification of widely expressed shared antigens restricted by HLA-A24. Further analysis of this CTL and autologous cancer cell line will bring about novel TAAs.
doi_str_mv 10.1016/j.yexmp.2009.09.021
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734266286</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0014480009001348</els_id><sourcerecordid>734266286</sourcerecordid><originalsourceid>FETCH-LOGICAL-c388t-eeed4fa6e25380c5d9846f111fad71c365d7535aa56dab961ff5cca84ff2e59e3</originalsourceid><addsrcrecordid>eNp9kE1rGzEQhkVpaNykv6BQdCk9rSNpV7L20EMJ6QcEeknOQpZGtox25UrakL31p0dbm_ZWGBgYnnl5eRB6T8maEipuDusZnofjmhHSr5dh9BVaUdKLhvQdf41WhNCu6SQhl-htzgdSQULZG3RJe0nlRogV-n2Xi94Gn_cDjAVHh_NeJ7BYj8XvYMQJtCn-CbCZSyzx2Rv8gMM8HPexXgBP2Y87bGKTix-moEtMMx5iADMFwH4sKdrJLIFTiSHu4pSx0aOBhA2EkK_RhdMhw7vzvkKPX-8ebr839z-__bj9ct-YVsrSAIDtnBbAeCuJ4baXnXCUUqfthppWcLvhLdeaC6u3vaDOcWO07JxjwHtor9CnU-4xxV8T5KIGn5cGeoTaSW3ajgnBpKhkeyJNijkncOqY_KDTrChRi3l1UH_Mq8W8WobR-vXhnD9tB7D_fs6qK_DxDOhsdHCpSvD5L8dYJzhnfeU-nzioNp48JJWNhyrM-gSmKBv9f4u8AJXgp4w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734266286</pqid></control><display><type>article</type><title>Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Hirohashi, Yoshihiko ; Torigoe, Toshihiko ; Hirai, Itaru ; Tamura, Yasuaki ; Nakatsugawa, Munehide ; Inoue, Yuuji ; Kanaseki, Takayuki ; Kamiguchi, Kenjiro ; Ikeda, Hideyuki ; Sasaki, Aya ; Yamanaka, Noboru ; Sato, Noriyuki</creator><creatorcontrib>Hirohashi, Yoshihiko ; Torigoe, Toshihiko ; Hirai, Itaru ; Tamura, Yasuaki ; Nakatsugawa, Munehide ; Inoue, Yuuji ; Kanaseki, Takayuki ; Kamiguchi, Kenjiro ; Ikeda, Hideyuki ; Sasaki, Aya ; Yamanaka, Noboru ; Sato, Noriyuki</creatorcontrib><description>Cytotoxic T lymphocytes (CTLs) play an essential role in immunological responses for tumor rejection. In the past decade, many tumor-associated antigens (TAAs) have been identified predominantly in melanomas. Several clinical trials based on such antigenic peptides with or without adjuvants brought about partially favorable results, suggesting that identification of more immunogenic TAAs is needed. We show here the successful establishment of human leukocyte antigen (HLA)-A24-restricted CTL (TcLHK2 line1) from a pleural effusion of lung cancer patient, using B7.1 (CD80) transduced autologous lung cancer cells as an antigen-presenting cell (APC). TcLHK2 line1 recognized autologous lung adenocarcinoma cell line LHK2 in an HLA-A24-restricted fashion. Moreover, this CTL line also recognized allogeneic HLA-A24-positive lung adenocarcinoma cell line, gastric carcinoma cell line and melanoma cell line. These data raise the possibility that co-stimulatory molecule B7.1 (CD80) plays important role to overcome the immunological tolerance. Furthermore, TcLHK2 line1 is a useful tool for the identification of widely expressed shared antigens restricted by HLA-A24. Further analysis of this CTL and autologous cancer cell line will bring about novel TAAs.</description><identifier>ISSN: 0014-4800</identifier><identifier>EISSN: 1096-0945</identifier><identifier>DOI: 10.1016/j.yexmp.2009.09.021</identifier><identifier>PMID: 19818766</identifier><identifier>CODEN: EXMPA6</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adenocarcinoma ; Adenocarcinoma - immunology ; Adenocarcinoma - pathology ; Aged ; Antigen-Presenting Cells ; Antigens, Neoplasm - immunology ; B7-1 Antigen - immunology ; B7.1 (CD80) ; Biological and medical sciences ; Cell Line, Tumor ; CTL ; Cytotoxicity, Immunologic - immunology ; Epitopes - immunology ; HLA-A Antigens - immunology ; HLA-A24 ; HLA-A24 Antigen ; Humans ; Immune Tolerance ; Investigative techniques, diagnostic techniques (general aspects) ; Lung cancer ; Lung Neoplasms - immunology ; Lung Neoplasms - pathology ; Male ; Medical sciences ; Melanoma - immunology ; Melanoma - pathology ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Pneumology ; Stomach Neoplasms - immunology ; Stomach Neoplasms - pathology ; T-Lymphocytes, Cytotoxic - cytology ; T-Lymphocytes, Cytotoxic - immunology ; Tolerance ; Tumors of the respiratory system and mediastinum</subject><ispartof>Experimental and molecular pathology, 2010-02, Vol.88 (1), p.128-132</ispartof><rights>2009 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2009 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-eeed4fa6e25380c5d9846f111fad71c365d7535aa56dab961ff5cca84ff2e59e3</citedby><cites>FETCH-LOGICAL-c388t-eeed4fa6e25380c5d9846f111fad71c365d7535aa56dab961ff5cca84ff2e59e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.yexmp.2009.09.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22465529$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19818766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirohashi, Yoshihiko</creatorcontrib><creatorcontrib>Torigoe, Toshihiko</creatorcontrib><creatorcontrib>Hirai, Itaru</creatorcontrib><creatorcontrib>Tamura, Yasuaki</creatorcontrib><creatorcontrib>Nakatsugawa, Munehide</creatorcontrib><creatorcontrib>Inoue, Yuuji</creatorcontrib><creatorcontrib>Kanaseki, Takayuki</creatorcontrib><creatorcontrib>Kamiguchi, Kenjiro</creatorcontrib><creatorcontrib>Ikeda, Hideyuki</creatorcontrib><creatorcontrib>Sasaki, Aya</creatorcontrib><creatorcontrib>Yamanaka, Noboru</creatorcontrib><creatorcontrib>Sato, Noriyuki</creatorcontrib><title>Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells</title><title>Experimental and molecular pathology</title><addtitle>Exp Mol Pathol</addtitle><description>Cytotoxic T lymphocytes (CTLs) play an essential role in immunological responses for tumor rejection. In the past decade, many tumor-associated antigens (TAAs) have been identified predominantly in melanomas. Several clinical trials based on such antigenic peptides with or without adjuvants brought about partially favorable results, suggesting that identification of more immunogenic TAAs is needed. We show here the successful establishment of human leukocyte antigen (HLA)-A24-restricted CTL (TcLHK2 line1) from a pleural effusion of lung cancer patient, using B7.1 (CD80) transduced autologous lung cancer cells as an antigen-presenting cell (APC). TcLHK2 line1 recognized autologous lung adenocarcinoma cell line LHK2 in an HLA-A24-restricted fashion. Moreover, this CTL line also recognized allogeneic HLA-A24-positive lung adenocarcinoma cell line, gastric carcinoma cell line and melanoma cell line. These data raise the possibility that co-stimulatory molecule B7.1 (CD80) plays important role to overcome the immunological tolerance. Furthermore, TcLHK2 line1 is a useful tool for the identification of widely expressed shared antigens restricted by HLA-A24. Further analysis of this CTL and autologous cancer cell line will bring about novel TAAs.</description><subject>Adenocarcinoma</subject><subject>Adenocarcinoma - immunology</subject><subject>Adenocarcinoma - pathology</subject><subject>Aged</subject><subject>Antigen-Presenting Cells</subject><subject>Antigens, Neoplasm - immunology</subject><subject>B7-1 Antigen - immunology</subject><subject>B7.1 (CD80)</subject><subject>Biological and medical sciences</subject><subject>Cell Line, Tumor</subject><subject>CTL</subject><subject>Cytotoxicity, Immunologic - immunology</subject><subject>Epitopes - immunology</subject><subject>HLA-A Antigens - immunology</subject><subject>HLA-A24</subject><subject>HLA-A24 Antigen</subject><subject>Humans</subject><subject>Immune Tolerance</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - immunology</subject><subject>Lung Neoplasms - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melanoma - immunology</subject><subject>Melanoma - pathology</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Pneumology</subject><subject>Stomach Neoplasms - immunology</subject><subject>Stomach Neoplasms - pathology</subject><subject>T-Lymphocytes, Cytotoxic - cytology</subject><subject>T-Lymphocytes, Cytotoxic - immunology</subject><subject>Tolerance</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0014-4800</issn><issn>1096-0945</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVpaNykv6BQdCk9rSNpV7L20EMJ6QcEeknOQpZGtox25UrakL31p0dbm_ZWGBgYnnl5eRB6T8maEipuDusZnofjmhHSr5dh9BVaUdKLhvQdf41WhNCu6SQhl-htzgdSQULZG3RJe0nlRogV-n2Xi94Gn_cDjAVHh_NeJ7BYj8XvYMQJtCn-CbCZSyzx2Rv8gMM8HPexXgBP2Y87bGKTix-moEtMMx5iADMFwH4sKdrJLIFTiSHu4pSx0aOBhA2EkK_RhdMhw7vzvkKPX-8ebr839z-__bj9ct-YVsrSAIDtnBbAeCuJ4baXnXCUUqfthppWcLvhLdeaC6u3vaDOcWO07JxjwHtor9CnU-4xxV8T5KIGn5cGeoTaSW3ajgnBpKhkeyJNijkncOqY_KDTrChRi3l1UH_Mq8W8WobR-vXhnD9tB7D_fs6qK_DxDOhsdHCpSvD5L8dYJzhnfeU-nzioNp48JJWNhyrM-gSmKBv9f4u8AJXgp4w</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Hirohashi, Yoshihiko</creator><creator>Torigoe, Toshihiko</creator><creator>Hirai, Itaru</creator><creator>Tamura, Yasuaki</creator><creator>Nakatsugawa, Munehide</creator><creator>Inoue, Yuuji</creator><creator>Kanaseki, Takayuki</creator><creator>Kamiguchi, Kenjiro</creator><creator>Ikeda, Hideyuki</creator><creator>Sasaki, Aya</creator><creator>Yamanaka, Noboru</creator><creator>Sato, Noriyuki</creator><general>Elsevier Inc</general><general>Elsevier</general><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>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells</title><author>Hirohashi, Yoshihiko ; Torigoe, Toshihiko ; Hirai, Itaru ; Tamura, Yasuaki ; Nakatsugawa, Munehide ; Inoue, Yuuji ; Kanaseki, Takayuki ; Kamiguchi, Kenjiro ; Ikeda, Hideyuki ; Sasaki, Aya ; Yamanaka, Noboru ; Sato, Noriyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-eeed4fa6e25380c5d9846f111fad71c365d7535aa56dab961ff5cca84ff2e59e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adenocarcinoma</topic><topic>Adenocarcinoma - immunology</topic><topic>Adenocarcinoma - pathology</topic><topic>Aged</topic><topic>Antigen-Presenting Cells</topic><topic>Antigens, Neoplasm - immunology</topic><topic>B7-1 Antigen - immunology</topic><topic>B7.1 (CD80)</topic><topic>Biological and medical sciences</topic><topic>Cell Line, Tumor</topic><topic>CTL</topic><topic>Cytotoxicity, Immunologic - immunology</topic><topic>Epitopes - immunology</topic><topic>HLA-A Antigens - immunology</topic><topic>HLA-A24</topic><topic>HLA-A24 Antigen</topic><topic>Humans</topic><topic>Immune Tolerance</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - immunology</topic><topic>Lung Neoplasms - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - immunology</topic><topic>Melanoma - pathology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Pneumology</topic><topic>Stomach Neoplasms - immunology</topic><topic>Stomach Neoplasms - pathology</topic><topic>T-Lymphocytes, Cytotoxic - cytology</topic><topic>T-Lymphocytes, Cytotoxic - immunology</topic><topic>Tolerance</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirohashi, Yoshihiko</creatorcontrib><creatorcontrib>Torigoe, Toshihiko</creatorcontrib><creatorcontrib>Hirai, Itaru</creatorcontrib><creatorcontrib>Tamura, Yasuaki</creatorcontrib><creatorcontrib>Nakatsugawa, Munehide</creatorcontrib><creatorcontrib>Inoue, Yuuji</creatorcontrib><creatorcontrib>Kanaseki, Takayuki</creatorcontrib><creatorcontrib>Kamiguchi, Kenjiro</creatorcontrib><creatorcontrib>Ikeda, Hideyuki</creatorcontrib><creatorcontrib>Sasaki, Aya</creatorcontrib><creatorcontrib>Yamanaka, Noboru</creatorcontrib><creatorcontrib>Sato, Noriyuki</creatorcontrib><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>MEDLINE - Academic</collection><jtitle>Experimental and molecular pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirohashi, Yoshihiko</au><au>Torigoe, Toshihiko</au><au>Hirai, Itaru</au><au>Tamura, Yasuaki</au><au>Nakatsugawa, Munehide</au><au>Inoue, Yuuji</au><au>Kanaseki, Takayuki</au><au>Kamiguchi, Kenjiro</au><au>Ikeda, Hideyuki</au><au>Sasaki, Aya</au><au>Yamanaka, Noboru</au><au>Sato, Noriyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells</atitle><jtitle>Experimental and molecular pathology</jtitle><addtitle>Exp Mol Pathol</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>88</volume><issue>1</issue><spage>128</spage><epage>132</epage><pages>128-132</pages><issn>0014-4800</issn><eissn>1096-0945</eissn><coden>EXMPA6</coden><abstract>Cytotoxic T lymphocytes (CTLs) play an essential role in immunological responses for tumor rejection. In the past decade, many tumor-associated antigens (TAAs) have been identified predominantly in melanomas. Several clinical trials based on such antigenic peptides with or without adjuvants brought about partially favorable results, suggesting that identification of more immunogenic TAAs is needed. We show here the successful establishment of human leukocyte antigen (HLA)-A24-restricted CTL (TcLHK2 line1) from a pleural effusion of lung cancer patient, using B7.1 (CD80) transduced autologous lung cancer cells as an antigen-presenting cell (APC). TcLHK2 line1 recognized autologous lung adenocarcinoma cell line LHK2 in an HLA-A24-restricted fashion. Moreover, this CTL line also recognized allogeneic HLA-A24-positive lung adenocarcinoma cell line, gastric carcinoma cell line and melanoma cell line. These data raise the possibility that co-stimulatory molecule B7.1 (CD80) plays important role to overcome the immunological tolerance. Furthermore, TcLHK2 line1 is a useful tool for the identification of widely expressed shared antigens restricted by HLA-A24. Further analysis of this CTL and autologous cancer cell line will bring about novel TAAs.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>19818766</pmid><doi>10.1016/j.yexmp.2009.09.021</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0014-4800
ispartof Experimental and molecular pathology, 2010-02, Vol.88 (1), p.128-132
issn 0014-4800
1096-0945
language eng
recordid cdi_proquest_miscellaneous_734266286
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adenocarcinoma
Adenocarcinoma - immunology
Adenocarcinoma - pathology
Aged
Antigen-Presenting Cells
Antigens, Neoplasm - immunology
B7-1 Antigen - immunology
B7.1 (CD80)
Biological and medical sciences
Cell Line, Tumor
CTL
Cytotoxicity, Immunologic - immunology
Epitopes - immunology
HLA-A Antigens - immunology
HLA-A24
HLA-A24 Antigen
Humans
Immune Tolerance
Investigative techniques, diagnostic techniques (general aspects)
Lung cancer
Lung Neoplasms - immunology
Lung Neoplasms - pathology
Male
Medical sciences
Melanoma - immunology
Melanoma - pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Pneumology
Stomach Neoplasms - immunology
Stomach Neoplasms - pathology
T-Lymphocytes, Cytotoxic - cytology
T-Lymphocytes, Cytotoxic - immunology
Tolerance
Tumors of the respiratory system and mediastinum
title Establishment of shared antigen reactive cytotoxic T lymphocyte using co-stimulatory molecule introduced autologous cancer cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T01%3A56%3A47IST&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=Establishment%20of%20shared%20antigen%20reactive%20cytotoxic%20T%20lymphocyte%20using%20co-stimulatory%20molecule%20introduced%20autologous%20cancer%20cells&rft.jtitle=Experimental%20and%20molecular%20pathology&rft.au=Hirohashi,%20Yoshihiko&rft.date=2010-02-01&rft.volume=88&rft.issue=1&rft.spage=128&rft.epage=132&rft.pages=128-132&rft.issn=0014-4800&rft.eissn=1096-0945&rft.coden=EXMPA6&rft_id=info:doi/10.1016/j.yexmp.2009.09.021&rft_dat=%3Cproquest_cross%3E734266286%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=734266286&rft_id=info:pmid/19818766&rft_els_id=S0014480009001348&rfr_iscdi=true