Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation

Recent studies highlight the role of Treg in preventing unnecessary responses to allergens and maintaining functional immune tolerance in the lung. We investigated the role of Treg during the sensitization phase in a murine model of experimental allergic airway inflammation by selectively depleting...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of immunology 2010-08, Vol.40 (8), p.2259-2266
Hauptverfasser: Baru, Abdul Mannan, Hartl, Andrea, Lahl, Katharina, Krishnaswamy, Jayendra Kumar, Fehrenbach, Heinz, Yildirim, Ali Ö, Garn, Holger, Renz, Harald, Behrens, Georg M.N, Sparwasser, Tim
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2266
container_issue 8
container_start_page 2259
container_title European journal of immunology
container_volume 40
creator Baru, Abdul Mannan
Hartl, Andrea
Lahl, Katharina
Krishnaswamy, Jayendra Kumar
Fehrenbach, Heinz
Yildirim, Ali Ö
Garn, Holger
Renz, Harald
Behrens, Georg M.N
Sparwasser, Tim
description Recent studies highlight the role of Treg in preventing unnecessary responses to allergens and maintaining functional immune tolerance in the lung. We investigated the role of Treg during the sensitization phase in a murine model of experimental allergic airway inflammation by selectively depleting the Treg population in vivo. DEpletion of REGulatory T cells (DEREG) mice were depleted of Treg by diphtheria toxin injection. Allergic airway inflammation was induced using OVA as a model allergen. Pathology was assessed by scoring for differential cellular infiltration in bronchoalveolar lavage, IgE and IgG1 levels in serum, cytokine secretion analysis of lymphocytes from lung draining lymph nodes and lung histology. Use of DEREG mice allowed us for the first time to track and specifically deplete both CD25⁺ and CD25⁻ Foxp3⁺ Treg, and to analyze their significance in limiting pathology in allergic airway inflammation. We observed that depletion of Treg during the priming phase of an active immune response led to a dramatic exacerbation of allergic airway inflammation in mice, suggesting an essential role played by Treg in regulating immune responses against allergens as early as the sensitization phase via maintenance of functional tolerance.
doi_str_mv 10.1002/eji.200939972
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_755170100</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>755170100</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4972-5d7bc30b7db06800ace537fdfb4bd1b9d287f51f53f5cd94677e5b1fe6eaff673</originalsourceid><addsrcrecordid>eNp9kc1O3TAQRi3Uqlxol2xbSyxYhY7jOE6WFYKWCqkLYG058Tj1lfNTOwEuO16rj9MnqeFSVHXR1WzOHM03HyEHDI4ZQP4R1-44B6h5Xct8h6yYyFlWsIK9IisAVmR5XcEu2YtxDQkrRf2G7OYgikLmckXmS_TYzu4GqcHJ4-zGgY6Wno13E__18JNeBeyoWYIbOhpxiG529_qJmr7riFR3XdA3esZI8W7C4HocZu2p9h5D51qqXbjVG-oG63XfP62-Ja-t9hHfPc99cn12enXyJbv49vn85NNF1hYpTCaMbFoOjTQNlBWAblFwaY1tisawpjZ5Ja1gVnArWlMXpZQoGmaxRG1tKfk-Odp6pzD-WDDOqnexRe_1gOMSlRSCSUhvTOThP-R6XMKQjlNMlmXFRF09-rIt1YYxxoBWTSmvDhvFQD22oVIb6qWNxL9_ti5Nj-aF_vP-BMgtcOs8bv5vU6dfz_9Wf9huWj0q3QUX1fVlDowDq2TJmeS_AQ7Kom8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1766815987</pqid></control><display><type>article</type><title>Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Online Library Free Content</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Baru, Abdul Mannan ; Hartl, Andrea ; Lahl, Katharina ; Krishnaswamy, Jayendra Kumar ; Fehrenbach, Heinz ; Yildirim, Ali Ö ; Garn, Holger ; Renz, Harald ; Behrens, Georg M.N ; Sparwasser, Tim</creator><creatorcontrib>Baru, Abdul Mannan ; Hartl, Andrea ; Lahl, Katharina ; Krishnaswamy, Jayendra Kumar ; Fehrenbach, Heinz ; Yildirim, Ali Ö ; Garn, Holger ; Renz, Harald ; Behrens, Georg M.N ; Sparwasser, Tim</creatorcontrib><description>Recent studies highlight the role of Treg in preventing unnecessary responses to allergens and maintaining functional immune tolerance in the lung. We investigated the role of Treg during the sensitization phase in a murine model of experimental allergic airway inflammation by selectively depleting the Treg population in vivo. DEpletion of REGulatory T cells (DEREG) mice were depleted of Treg by diphtheria toxin injection. Allergic airway inflammation was induced using OVA as a model allergen. Pathology was assessed by scoring for differential cellular infiltration in bronchoalveolar lavage, IgE and IgG1 levels in serum, cytokine secretion analysis of lymphocytes from lung draining lymph nodes and lung histology. Use of DEREG mice allowed us for the first time to track and specifically deplete both CD25⁺ and CD25⁻ Foxp3⁺ Treg, and to analyze their significance in limiting pathology in allergic airway inflammation. We observed that depletion of Treg during the priming phase of an active immune response led to a dramatic exacerbation of allergic airway inflammation in mice, suggesting an essential role played by Treg in regulating immune responses against allergens as early as the sensitization phase via maintenance of functional tolerance.</description><identifier>ISSN: 0014-2980</identifier><identifier>EISSN: 1521-4141</identifier><identifier>DOI: 10.1002/eji.200939972</identifier><identifier>PMID: 20544727</identifier><identifier>CODEN: EJIMAF</identifier><language>eng</language><publisher>Weinheim: Wiley-VCH Verlag</publisher><subject>Allergens - administration &amp; dosage ; Allergens - immunology ; Allergic airway inflammation ; Allergies ; Animals ; Bronchoalveolar Lavage Fluid - cytology ; Bronchoalveolar Lavage Fluid - immunology ; Cells, Cultured ; Cytokines - secretion ; Depletion of regulatory T cells (DEREG) ; Disease Models, Animal ; Forkhead Transcription Factors - biosynthesis ; Foxp3 ; Hypersensitivity - blood ; Hypersensitivity - immunology ; Hypersensitivity - pathology ; Immunization ; Immunoglobulin E - blood ; Immunoglobulin G - blood ; Inflammation ; Inflammation - immunology ; Inflammation - metabolism ; Inflammation - pathology ; Lung - pathology ; Lymphocyte Depletion ; Mice ; Mice, Inbred C57BL ; Ovalbumin - administration &amp; dosage ; Ovalbumin - immunology ; Rodents ; T-Lymphocyte Subsets - immunology ; T-Lymphocyte Subsets - metabolism ; T-Lymphocyte Subsets - pathology ; T-Lymphocytes, Regulatory - immunology ; T-Lymphocytes, Regulatory - metabolism ; T-Lymphocytes, Regulatory - pathology ; Treg</subject><ispartof>European journal of immunology, 2010-08, Vol.40 (8), p.2259-2266</ispartof><rights>Copyright © 2010 WILEY‐VCH Verlag GmbH &amp; Co. KGaA, Weinheim</rights><rights>Copyright © 2010 WILEY-VCH Verlag GmbH &amp; Co. KGaA, Weinheim</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4972-5d7bc30b7db06800ace537fdfb4bd1b9d287f51f53f5cd94677e5b1fe6eaff673</citedby><cites>FETCH-LOGICAL-c4972-5d7bc30b7db06800ace537fdfb4bd1b9d287f51f53f5cd94677e5b1fe6eaff673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Feji.200939972$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Feji.200939972$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20544727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baru, Abdul Mannan</creatorcontrib><creatorcontrib>Hartl, Andrea</creatorcontrib><creatorcontrib>Lahl, Katharina</creatorcontrib><creatorcontrib>Krishnaswamy, Jayendra Kumar</creatorcontrib><creatorcontrib>Fehrenbach, Heinz</creatorcontrib><creatorcontrib>Yildirim, Ali Ö</creatorcontrib><creatorcontrib>Garn, Holger</creatorcontrib><creatorcontrib>Renz, Harald</creatorcontrib><creatorcontrib>Behrens, Georg M.N</creatorcontrib><creatorcontrib>Sparwasser, Tim</creatorcontrib><title>Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation</title><title>European journal of immunology</title><addtitle>Eur J Immunol</addtitle><description>Recent studies highlight the role of Treg in preventing unnecessary responses to allergens and maintaining functional immune tolerance in the lung. We investigated the role of Treg during the sensitization phase in a murine model of experimental allergic airway inflammation by selectively depleting the Treg population in vivo. DEpletion of REGulatory T cells (DEREG) mice were depleted of Treg by diphtheria toxin injection. Allergic airway inflammation was induced using OVA as a model allergen. Pathology was assessed by scoring for differential cellular infiltration in bronchoalveolar lavage, IgE and IgG1 levels in serum, cytokine secretion analysis of lymphocytes from lung draining lymph nodes and lung histology. Use of DEREG mice allowed us for the first time to track and specifically deplete both CD25⁺ and CD25⁻ Foxp3⁺ Treg, and to analyze their significance in limiting pathology in allergic airway inflammation. We observed that depletion of Treg during the priming phase of an active immune response led to a dramatic exacerbation of allergic airway inflammation in mice, suggesting an essential role played by Treg in regulating immune responses against allergens as early as the sensitization phase via maintenance of functional tolerance.</description><subject>Allergens - administration &amp; dosage</subject><subject>Allergens - immunology</subject><subject>Allergic airway inflammation</subject><subject>Allergies</subject><subject>Animals</subject><subject>Bronchoalveolar Lavage Fluid - cytology</subject><subject>Bronchoalveolar Lavage Fluid - immunology</subject><subject>Cells, Cultured</subject><subject>Cytokines - secretion</subject><subject>Depletion of regulatory T cells (DEREG)</subject><subject>Disease Models, Animal</subject><subject>Forkhead Transcription Factors - biosynthesis</subject><subject>Foxp3</subject><subject>Hypersensitivity - blood</subject><subject>Hypersensitivity - immunology</subject><subject>Hypersensitivity - pathology</subject><subject>Immunization</subject><subject>Immunoglobulin E - blood</subject><subject>Immunoglobulin G - blood</subject><subject>Inflammation</subject><subject>Inflammation - immunology</subject><subject>Inflammation - metabolism</subject><subject>Inflammation - pathology</subject><subject>Lung - pathology</subject><subject>Lymphocyte Depletion</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Ovalbumin - administration &amp; dosage</subject><subject>Ovalbumin - immunology</subject><subject>Rodents</subject><subject>T-Lymphocyte Subsets - immunology</subject><subject>T-Lymphocyte Subsets - metabolism</subject><subject>T-Lymphocyte Subsets - pathology</subject><subject>T-Lymphocytes, Regulatory - immunology</subject><subject>T-Lymphocytes, Regulatory - metabolism</subject><subject>T-Lymphocytes, Regulatory - pathology</subject><subject>Treg</subject><issn>0014-2980</issn><issn>1521-4141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1O3TAQRi3Uqlxol2xbSyxYhY7jOE6WFYKWCqkLYG058Tj1lfNTOwEuO16rj9MnqeFSVHXR1WzOHM03HyEHDI4ZQP4R1-44B6h5Xct8h6yYyFlWsIK9IisAVmR5XcEu2YtxDQkrRf2G7OYgikLmckXmS_TYzu4GqcHJ4-zGgY6Wno13E__18JNeBeyoWYIbOhpxiG529_qJmr7riFR3XdA3esZI8W7C4HocZu2p9h5D51qqXbjVG-oG63XfP62-Ja-t9hHfPc99cn12enXyJbv49vn85NNF1hYpTCaMbFoOjTQNlBWAblFwaY1tisawpjZ5Ja1gVnArWlMXpZQoGmaxRG1tKfk-Odp6pzD-WDDOqnexRe_1gOMSlRSCSUhvTOThP-R6XMKQjlNMlmXFRF09-rIt1YYxxoBWTSmvDhvFQD22oVIb6qWNxL9_ti5Nj-aF_vP-BMgtcOs8bv5vU6dfz_9Wf9huWj0q3QUX1fVlDowDq2TJmeS_AQ7Kom8</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Baru, Abdul Mannan</creator><creator>Hartl, Andrea</creator><creator>Lahl, Katharina</creator><creator>Krishnaswamy, Jayendra Kumar</creator><creator>Fehrenbach, Heinz</creator><creator>Yildirim, Ali Ö</creator><creator>Garn, Holger</creator><creator>Renz, Harald</creator><creator>Behrens, Georg M.N</creator><creator>Sparwasser, Tim</creator><general>Wiley-VCH Verlag</general><general>WILEY‐VCH Verlag</general><general>Wiley Subscription Services, Inc</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>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation</title><author>Baru, Abdul Mannan ; Hartl, Andrea ; Lahl, Katharina ; Krishnaswamy, Jayendra Kumar ; Fehrenbach, Heinz ; Yildirim, Ali Ö ; Garn, Holger ; Renz, Harald ; Behrens, Georg M.N ; Sparwasser, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4972-5d7bc30b7db06800ace537fdfb4bd1b9d287f51f53f5cd94677e5b1fe6eaff673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Allergens - administration &amp; dosage</topic><topic>Allergens - immunology</topic><topic>Allergic airway inflammation</topic><topic>Allergies</topic><topic>Animals</topic><topic>Bronchoalveolar Lavage Fluid - cytology</topic><topic>Bronchoalveolar Lavage Fluid - immunology</topic><topic>Cells, Cultured</topic><topic>Cytokines - secretion</topic><topic>Depletion of regulatory T cells (DEREG)</topic><topic>Disease Models, Animal</topic><topic>Forkhead Transcription Factors - biosynthesis</topic><topic>Foxp3</topic><topic>Hypersensitivity - blood</topic><topic>Hypersensitivity - immunology</topic><topic>Hypersensitivity - pathology</topic><topic>Immunization</topic><topic>Immunoglobulin E - blood</topic><topic>Immunoglobulin G - blood</topic><topic>Inflammation</topic><topic>Inflammation - immunology</topic><topic>Inflammation - metabolism</topic><topic>Inflammation - pathology</topic><topic>Lung - pathology</topic><topic>Lymphocyte Depletion</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Ovalbumin - administration &amp; dosage</topic><topic>Ovalbumin - immunology</topic><topic>Rodents</topic><topic>T-Lymphocyte Subsets - immunology</topic><topic>T-Lymphocyte Subsets - metabolism</topic><topic>T-Lymphocyte Subsets - pathology</topic><topic>T-Lymphocytes, Regulatory - immunology</topic><topic>T-Lymphocytes, Regulatory - metabolism</topic><topic>T-Lymphocytes, Regulatory - pathology</topic><topic>Treg</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baru, Abdul Mannan</creatorcontrib><creatorcontrib>Hartl, Andrea</creatorcontrib><creatorcontrib>Lahl, Katharina</creatorcontrib><creatorcontrib>Krishnaswamy, Jayendra Kumar</creatorcontrib><creatorcontrib>Fehrenbach, Heinz</creatorcontrib><creatorcontrib>Yildirim, Ali Ö</creatorcontrib><creatorcontrib>Garn, Holger</creatorcontrib><creatorcontrib>Renz, Harald</creatorcontrib><creatorcontrib>Behrens, Georg M.N</creatorcontrib><creatorcontrib>Sparwasser, Tim</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>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baru, Abdul Mannan</au><au>Hartl, Andrea</au><au>Lahl, Katharina</au><au>Krishnaswamy, Jayendra Kumar</au><au>Fehrenbach, Heinz</au><au>Yildirim, Ali Ö</au><au>Garn, Holger</au><au>Renz, Harald</au><au>Behrens, Georg M.N</au><au>Sparwasser, Tim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation</atitle><jtitle>European journal of immunology</jtitle><addtitle>Eur J Immunol</addtitle><date>2010-08</date><risdate>2010</risdate><volume>40</volume><issue>8</issue><spage>2259</spage><epage>2266</epage><pages>2259-2266</pages><issn>0014-2980</issn><eissn>1521-4141</eissn><coden>EJIMAF</coden><abstract>Recent studies highlight the role of Treg in preventing unnecessary responses to allergens and maintaining functional immune tolerance in the lung. We investigated the role of Treg during the sensitization phase in a murine model of experimental allergic airway inflammation by selectively depleting the Treg population in vivo. DEpletion of REGulatory T cells (DEREG) mice were depleted of Treg by diphtheria toxin injection. Allergic airway inflammation was induced using OVA as a model allergen. Pathology was assessed by scoring for differential cellular infiltration in bronchoalveolar lavage, IgE and IgG1 levels in serum, cytokine secretion analysis of lymphocytes from lung draining lymph nodes and lung histology. Use of DEREG mice allowed us for the first time to track and specifically deplete both CD25⁺ and CD25⁻ Foxp3⁺ Treg, and to analyze their significance in limiting pathology in allergic airway inflammation. We observed that depletion of Treg during the priming phase of an active immune response led to a dramatic exacerbation of allergic airway inflammation in mice, suggesting an essential role played by Treg in regulating immune responses against allergens as early as the sensitization phase via maintenance of functional tolerance.</abstract><cop>Weinheim</cop><pub>Wiley-VCH Verlag</pub><pmid>20544727</pmid><doi>10.1002/eji.200939972</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0014-2980
ispartof European journal of immunology, 2010-08, Vol.40 (8), p.2259-2266
issn 0014-2980
1521-4141
language eng
recordid cdi_proquest_miscellaneous_755170100
source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Allergens - administration & dosage
Allergens - immunology
Allergic airway inflammation
Allergies
Animals
Bronchoalveolar Lavage Fluid - cytology
Bronchoalveolar Lavage Fluid - immunology
Cells, Cultured
Cytokines - secretion
Depletion of regulatory T cells (DEREG)
Disease Models, Animal
Forkhead Transcription Factors - biosynthesis
Foxp3
Hypersensitivity - blood
Hypersensitivity - immunology
Hypersensitivity - pathology
Immunization
Immunoglobulin E - blood
Immunoglobulin G - blood
Inflammation
Inflammation - immunology
Inflammation - metabolism
Inflammation - pathology
Lung - pathology
Lymphocyte Depletion
Mice
Mice, Inbred C57BL
Ovalbumin - administration & dosage
Ovalbumin - immunology
Rodents
T-Lymphocyte Subsets - immunology
T-Lymphocyte Subsets - metabolism
T-Lymphocyte Subsets - pathology
T-Lymphocytes, Regulatory - immunology
T-Lymphocytes, Regulatory - metabolism
T-Lymphocytes, Regulatory - pathology
Treg
title Selective depletion of Foxp3⁺ Treg during sensitization phase aggravates experimental allergic airway inflammation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T19%3A44%3A35IST&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=Selective%20depletion%20of%20Foxp3%E2%81%BA%20Treg%20during%20sensitization%20phase%20aggravates%20experimental%20allergic%20airway%20inflammation&rft.jtitle=European%20journal%20of%20immunology&rft.au=Baru,%20Abdul%20Mannan&rft.date=2010-08&rft.volume=40&rft.issue=8&rft.spage=2259&rft.epage=2266&rft.pages=2259-2266&rft.issn=0014-2980&rft.eissn=1521-4141&rft.coden=EJIMAF&rft_id=info:doi/10.1002/eji.200939972&rft_dat=%3Cproquest_cross%3E755170100%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=1766815987&rft_id=info:pmid/20544727&rfr_iscdi=true