Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells

A recombinant human plasminogen activator hybrid variant K2tu‐PA, expressed in Chinese hamster ovary cells, is partially glycosylated at Asn12 (A chain, kringle‐2 domain) and completely glycosylated at Asn247 (B chain, protease domain). After release of the N‐linked carbohydrate chains by peptide‐N4...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of biochemistry 1993-03, Vol.212 (3), p.639-656
Hauptverfasser: BERGWERFF, Aldert A., OOSTRUM, Jan, ASSELBERGS, Fred A. M., BÜRGI, Rolf, HOKKE, Cornelis H., KAMERLING, Johannis P., VLIEGENTHART, Johannes F. G.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 656
container_issue 3
container_start_page 639
container_title European journal of biochemistry
container_volume 212
creator BERGWERFF, Aldert A.
OOSTRUM, Jan
ASSELBERGS, Fred A. M.
BÜRGI, Rolf
HOKKE, Cornelis H.
KAMERLING, Johannis P.
VLIEGENTHART, Johannes F. G.
description A recombinant human plasminogen activator hybrid variant K2tu‐PA, expressed in Chinese hamster ovary cells, is partially glycosylated at Asn12 (A chain, kringle‐2 domain) and completely glycosylated at Asn247 (B chain, protease domain). After release of the N‐linked carbohydrate chains by peptide‐N4‐(N‐acetyl‐β‐glucosaminyl)asparagine amidase F, the oligosaccharides were separated from the protein by gel permeation chromatography, then fractionated by FPLC on Mono Q, followed by HPLC on Lichrosorb‐NH2, and analysed by 500‐MHz 1H‐NMR spectroscopy. The following types of carbohydrates occur: monosialylated diantennary (8%), disialylated diantennary (45%), disialylated tri‐ and trí‐antennary (1%), trisialylated tri‐ and trí‐antennary (28%), and tetrasialylated tetra‐antennary (18%) structures, all having fucose in α(1‐6)‐linkage at the Asn‐bound N‐acetylglucosamine. Sialic acid occurred exclusively in α(2‐3)‐linkage to galactose, and consisted of N‐acetylneuraminic acid (94%), N‐glycolylneuraminic acid (3%), and N‐acetyl‐9‐O‐acetylneuram‐inic acid (3%). In addition, glycopeptide fragments corresponding with the A or B chain of K2tu‐PA were analysed. The oligosaccharides attached to Asn12 are less processed than those attached to Asn247. Comparison of the glycosylation pattern of K2tu‐PA with that of tissue‐type plasminogen activator from different biological sources showed significant differences. Profiling studies on different K2tu‐PA production batches demonstrated that the structures of N‐linked oligosaccharides were identical, but that relative amounts vary with the applied isolation procedure of the chimeric glycoprotein.
doi_str_mv 10.1111/j.1432-1033.1993.tb17702.x
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_75653012</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>75653012</sourcerecordid><originalsourceid>FETCH-LOGICAL-p3439-eab7416203ff2729c622cdef4cdebb4555c1cea7f5cb5a2550c22248249d26c53</originalsourceid><addsrcrecordid>eNo9kctu1DAUhi0EKtPCIyBZCLFL8D31CpVRWxAVVALWluOcEA-5YTtlZscj9Bl5EhJNNF7Ykv9Pv47Oh9BrSnI6n3e7nArOMko4z6nWPE8lLQrC8v0TtDlFT9GGECoypqV6js5j3BFClFbFGTq7FIpJQTfo8T74zoYDjilMLk0B8FDjL__-Pra-_wUVdjaUQ3Oogk2AXWN9HxfC4mbqbD__-A6Cd3hsbex8P_yEHluX_INNQ8CfWZrmrvsrDPsxQIxzo-_xtvE9RMCN7WKCgIeHZQQHbRtfoGe1bSO8XN8L9OPm-vv2Y3b39fbT9uouG7ngOgNbFoIqRnhds4JppxhzFdRivspSSCkddWCLWrpSWiYlcYwxccmErphykl-gt8feMQy_J4jJdD4uE9gehimaQirJCWUz-GoFp7KDyozHhZl1hXP-Zs1tdLatg-2djydMKFVQqWfs_RH741s4nGJKzKLU7MzizSzezKLUrErN3txcf_imuOb_AUbzmgU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>75653012</pqid></control><display><type>article</type><title>Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>BERGWERFF, Aldert A. ; OOSTRUM, Jan ; ASSELBERGS, Fred A. M. ; BÜRGI, Rolf ; HOKKE, Cornelis H. ; KAMERLING, Johannis P. ; VLIEGENTHART, Johannes F. G.</creator><creatorcontrib>BERGWERFF, Aldert A. ; OOSTRUM, Jan ; ASSELBERGS, Fred A. M. ; BÜRGI, Rolf ; HOKKE, Cornelis H. ; KAMERLING, Johannis P. ; VLIEGENTHART, Johannes F. G.</creatorcontrib><description>A recombinant human plasminogen activator hybrid variant K2tu‐PA, expressed in Chinese hamster ovary cells, is partially glycosylated at Asn12 (A chain, kringle‐2 domain) and completely glycosylated at Asn247 (B chain, protease domain). After release of the N‐linked carbohydrate chains by peptide‐N4‐(N‐acetyl‐β‐glucosaminyl)asparagine amidase F, the oligosaccharides were separated from the protein by gel permeation chromatography, then fractionated by FPLC on Mono Q, followed by HPLC on Lichrosorb‐NH2, and analysed by 500‐MHz 1H‐NMR spectroscopy. The following types of carbohydrates occur: monosialylated diantennary (8%), disialylated diantennary (45%), disialylated tri‐ and trí‐antennary (1%), trisialylated tri‐ and trí‐antennary (28%), and tetrasialylated tetra‐antennary (18%) structures, all having fucose in α(1‐6)‐linkage at the Asn‐bound N‐acetylglucosamine. Sialic acid occurred exclusively in α(2‐3)‐linkage to galactose, and consisted of N‐acetylneuraminic acid (94%), N‐glycolylneuraminic acid (3%), and N‐acetyl‐9‐O‐acetylneuram‐inic acid (3%). In addition, glycopeptide fragments corresponding with the A or B chain of K2tu‐PA were analysed. The oligosaccharides attached to Asn12 are less processed than those attached to Asn247. Comparison of the glycosylation pattern of K2tu‐PA with that of tissue‐type plasminogen activator from different biological sources showed significant differences. Profiling studies on different K2tu‐PA production batches demonstrated that the structures of N‐linked oligosaccharides were identical, but that relative amounts vary with the applied isolation procedure of the chimeric glycoprotein.</description><identifier>ISSN: 0014-2956</identifier><identifier>EISSN: 1432-1033</identifier><identifier>DOI: 10.1111/j.1432-1033.1993.tb17702.x</identifier><identifier>PMID: 8462541</identifier><identifier>CODEN: EJBCAI</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Amino Acid Sequence ; Analytical, structural and metabolic biochemistry ; Animals ; Asparagine ; Biological and medical sciences ; Carbohydrate Conformation ; Carbohydrate Sequence ; Chimera ; CHO Cells ; Cricetinae ; Enzymes and enzyme inhibitors ; Fundamental and applied biological sciences. Psychology ; Genetic Variation ; Glycopeptides - isolation &amp; purification ; Glycosylation ; Humans ; Hydrolases ; Molecular Sequence Data ; Oligosaccharides - chemistry ; Oligosaccharides - isolation &amp; purification ; Peptide Mapping ; Protein Structure, Secondary ; Recombinant Proteins - biosynthesis ; Recombinant Proteins - chemistry ; Recombinant Proteins - isolation &amp; purification ; Tissue Plasminogen Activator - biosynthesis ; Tissue Plasminogen Activator - chemistry ; Tissue Plasminogen Activator - genetics ; Transfection ; Urokinase-Type Plasminogen Activator - biosynthesis ; Urokinase-Type Plasminogen Activator - chemistry ; Urokinase-Type Plasminogen Activator - genetics</subject><ispartof>European journal of biochemistry, 1993-03, Vol.212 (3), p.639-656</ispartof><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=4667159$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8462541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BERGWERFF, Aldert A.</creatorcontrib><creatorcontrib>OOSTRUM, Jan</creatorcontrib><creatorcontrib>ASSELBERGS, Fred A. M.</creatorcontrib><creatorcontrib>BÜRGI, Rolf</creatorcontrib><creatorcontrib>HOKKE, Cornelis H.</creatorcontrib><creatorcontrib>KAMERLING, Johannis P.</creatorcontrib><creatorcontrib>VLIEGENTHART, Johannes F. G.</creatorcontrib><title>Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells</title><title>European journal of biochemistry</title><addtitle>Eur J Biochem</addtitle><description>A recombinant human plasminogen activator hybrid variant K2tu‐PA, expressed in Chinese hamster ovary cells, is partially glycosylated at Asn12 (A chain, kringle‐2 domain) and completely glycosylated at Asn247 (B chain, protease domain). After release of the N‐linked carbohydrate chains by peptide‐N4‐(N‐acetyl‐β‐glucosaminyl)asparagine amidase F, the oligosaccharides were separated from the protein by gel permeation chromatography, then fractionated by FPLC on Mono Q, followed by HPLC on Lichrosorb‐NH2, and analysed by 500‐MHz 1H‐NMR spectroscopy. The following types of carbohydrates occur: monosialylated diantennary (8%), disialylated diantennary (45%), disialylated tri‐ and trí‐antennary (1%), trisialylated tri‐ and trí‐antennary (28%), and tetrasialylated tetra‐antennary (18%) structures, all having fucose in α(1‐6)‐linkage at the Asn‐bound N‐acetylglucosamine. Sialic acid occurred exclusively in α(2‐3)‐linkage to galactose, and consisted of N‐acetylneuraminic acid (94%), N‐glycolylneuraminic acid (3%), and N‐acetyl‐9‐O‐acetylneuram‐inic acid (3%). In addition, glycopeptide fragments corresponding with the A or B chain of K2tu‐PA were analysed. The oligosaccharides attached to Asn12 are less processed than those attached to Asn247. Comparison of the glycosylation pattern of K2tu‐PA with that of tissue‐type plasminogen activator from different biological sources showed significant differences. Profiling studies on different K2tu‐PA production batches demonstrated that the structures of N‐linked oligosaccharides were identical, but that relative amounts vary with the applied isolation procedure of the chimeric glycoprotein.</description><subject>Amino Acid Sequence</subject><subject>Analytical, structural and metabolic biochemistry</subject><subject>Animals</subject><subject>Asparagine</subject><subject>Biological and medical sciences</subject><subject>Carbohydrate Conformation</subject><subject>Carbohydrate Sequence</subject><subject>Chimera</subject><subject>CHO Cells</subject><subject>Cricetinae</subject><subject>Enzymes and enzyme inhibitors</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetic Variation</subject><subject>Glycopeptides - isolation &amp; purification</subject><subject>Glycosylation</subject><subject>Humans</subject><subject>Hydrolases</subject><subject>Molecular Sequence Data</subject><subject>Oligosaccharides - chemistry</subject><subject>Oligosaccharides - isolation &amp; purification</subject><subject>Peptide Mapping</subject><subject>Protein Structure, Secondary</subject><subject>Recombinant Proteins - biosynthesis</subject><subject>Recombinant Proteins - chemistry</subject><subject>Recombinant Proteins - isolation &amp; purification</subject><subject>Tissue Plasminogen Activator - biosynthesis</subject><subject>Tissue Plasminogen Activator - chemistry</subject><subject>Tissue Plasminogen Activator - genetics</subject><subject>Transfection</subject><subject>Urokinase-Type Plasminogen Activator - biosynthesis</subject><subject>Urokinase-Type Plasminogen Activator - chemistry</subject><subject>Urokinase-Type Plasminogen Activator - genetics</subject><issn>0014-2956</issn><issn>1432-1033</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kctu1DAUhi0EKtPCIyBZCLFL8D31CpVRWxAVVALWluOcEA-5YTtlZscj9Bl5EhJNNF7Ykv9Pv47Oh9BrSnI6n3e7nArOMko4z6nWPE8lLQrC8v0TtDlFT9GGECoypqV6js5j3BFClFbFGTq7FIpJQTfo8T74zoYDjilMLk0B8FDjL__-Pra-_wUVdjaUQ3Oogk2AXWN9HxfC4mbqbD__-A6Cd3hsbex8P_yEHluX_INNQ8CfWZrmrvsrDPsxQIxzo-_xtvE9RMCN7WKCgIeHZQQHbRtfoGe1bSO8XN8L9OPm-vv2Y3b39fbT9uouG7ngOgNbFoIqRnhds4JppxhzFdRivspSSCkddWCLWrpSWiYlcYwxccmErphykl-gt8feMQy_J4jJdD4uE9gehimaQirJCWUz-GoFp7KDyozHhZl1hXP-Zs1tdLatg-2djydMKFVQqWfs_RH741s4nGJKzKLU7MzizSzezKLUrErN3txcf_imuOb_AUbzmgU</recordid><startdate>19930315</startdate><enddate>19930315</enddate><creator>BERGWERFF, Aldert A.</creator><creator>OOSTRUM, Jan</creator><creator>ASSELBERGS, Fred A. M.</creator><creator>BÜRGI, Rolf</creator><creator>HOKKE, Cornelis H.</creator><creator>KAMERLING, Johannis P.</creator><creator>VLIEGENTHART, Johannes F. G.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19930315</creationdate><title>Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells</title><author>BERGWERFF, Aldert A. ; OOSTRUM, Jan ; ASSELBERGS, Fred A. M. ; BÜRGI, Rolf ; HOKKE, Cornelis H. ; KAMERLING, Johannis P. ; VLIEGENTHART, Johannes F. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3439-eab7416203ff2729c622cdef4cdebb4555c1cea7f5cb5a2550c22248249d26c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Amino Acid Sequence</topic><topic>Analytical, structural and metabolic biochemistry</topic><topic>Animals</topic><topic>Asparagine</topic><topic>Biological and medical sciences</topic><topic>Carbohydrate Conformation</topic><topic>Carbohydrate Sequence</topic><topic>Chimera</topic><topic>CHO Cells</topic><topic>Cricetinae</topic><topic>Enzymes and enzyme inhibitors</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genetic Variation</topic><topic>Glycopeptides - isolation &amp; purification</topic><topic>Glycosylation</topic><topic>Humans</topic><topic>Hydrolases</topic><topic>Molecular Sequence Data</topic><topic>Oligosaccharides - chemistry</topic><topic>Oligosaccharides - isolation &amp; purification</topic><topic>Peptide Mapping</topic><topic>Protein Structure, Secondary</topic><topic>Recombinant Proteins - biosynthesis</topic><topic>Recombinant Proteins - chemistry</topic><topic>Recombinant Proteins - isolation &amp; purification</topic><topic>Tissue Plasminogen Activator - biosynthesis</topic><topic>Tissue Plasminogen Activator - chemistry</topic><topic>Tissue Plasminogen Activator - genetics</topic><topic>Transfection</topic><topic>Urokinase-Type Plasminogen Activator - biosynthesis</topic><topic>Urokinase-Type Plasminogen Activator - chemistry</topic><topic>Urokinase-Type Plasminogen Activator - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BERGWERFF, Aldert A.</creatorcontrib><creatorcontrib>OOSTRUM, Jan</creatorcontrib><creatorcontrib>ASSELBERGS, Fred A. M.</creatorcontrib><creatorcontrib>BÜRGI, Rolf</creatorcontrib><creatorcontrib>HOKKE, Cornelis H.</creatorcontrib><creatorcontrib>KAMERLING, Johannis P.</creatorcontrib><creatorcontrib>VLIEGENTHART, Johannes F. G.</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>MEDLINE - Academic</collection><jtitle>European journal of biochemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BERGWERFF, Aldert A.</au><au>OOSTRUM, Jan</au><au>ASSELBERGS, Fred A. M.</au><au>BÜRGI, Rolf</au><au>HOKKE, Cornelis H.</au><au>KAMERLING, Johannis P.</au><au>VLIEGENTHART, Johannes F. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells</atitle><jtitle>European journal of biochemistry</jtitle><addtitle>Eur J Biochem</addtitle><date>1993-03-15</date><risdate>1993</risdate><volume>212</volume><issue>3</issue><spage>639</spage><epage>656</epage><pages>639-656</pages><issn>0014-2956</issn><eissn>1432-1033</eissn><coden>EJBCAI</coden><abstract>A recombinant human plasminogen activator hybrid variant K2tu‐PA, expressed in Chinese hamster ovary cells, is partially glycosylated at Asn12 (A chain, kringle‐2 domain) and completely glycosylated at Asn247 (B chain, protease domain). After release of the N‐linked carbohydrate chains by peptide‐N4‐(N‐acetyl‐β‐glucosaminyl)asparagine amidase F, the oligosaccharides were separated from the protein by gel permeation chromatography, then fractionated by FPLC on Mono Q, followed by HPLC on Lichrosorb‐NH2, and analysed by 500‐MHz 1H‐NMR spectroscopy. The following types of carbohydrates occur: monosialylated diantennary (8%), disialylated diantennary (45%), disialylated tri‐ and trí‐antennary (1%), trisialylated tri‐ and trí‐antennary (28%), and tetrasialylated tetra‐antennary (18%) structures, all having fucose in α(1‐6)‐linkage at the Asn‐bound N‐acetylglucosamine. Sialic acid occurred exclusively in α(2‐3)‐linkage to galactose, and consisted of N‐acetylneuraminic acid (94%), N‐glycolylneuraminic acid (3%), and N‐acetyl‐9‐O‐acetylneuram‐inic acid (3%). In addition, glycopeptide fragments corresponding with the A or B chain of K2tu‐PA were analysed. The oligosaccharides attached to Asn12 are less processed than those attached to Asn247. Comparison of the glycosylation pattern of K2tu‐PA with that of tissue‐type plasminogen activator from different biological sources showed significant differences. Profiling studies on different K2tu‐PA production batches demonstrated that the structures of N‐linked oligosaccharides were identical, but that relative amounts vary with the applied isolation procedure of the chimeric glycoprotein.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>8462541</pmid><doi>10.1111/j.1432-1033.1993.tb17702.x</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0014-2956
ispartof European journal of biochemistry, 1993-03, Vol.212 (3), p.639-656
issn 0014-2956
1432-1033
language eng
recordid cdi_proquest_miscellaneous_75653012
source MEDLINE; Alma/SFX Local Collection
subjects Amino Acid Sequence
Analytical, structural and metabolic biochemistry
Animals
Asparagine
Biological and medical sciences
Carbohydrate Conformation
Carbohydrate Sequence
Chimera
CHO Cells
Cricetinae
Enzymes and enzyme inhibitors
Fundamental and applied biological sciences. Psychology
Genetic Variation
Glycopeptides - isolation & purification
Glycosylation
Humans
Hydrolases
Molecular Sequence Data
Oligosaccharides - chemistry
Oligosaccharides - isolation & purification
Peptide Mapping
Protein Structure, Secondary
Recombinant Proteins - biosynthesis
Recombinant Proteins - chemistry
Recombinant Proteins - isolation & purification
Tissue Plasminogen Activator - biosynthesis
Tissue Plasminogen Activator - chemistry
Tissue Plasminogen Activator - genetics
Transfection
Urokinase-Type Plasminogen Activator - biosynthesis
Urokinase-Type Plasminogen Activator - chemistry
Urokinase-Type Plasminogen Activator - genetics
title Primary structure of N‐linked carbohydrate chains of a human chimeric plasminogen activator K2tu‐PA expressed in Chinese hamster ovary cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T07%3A03%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Primary%20structure%20of%20N%E2%80%90linked%20carbohydrate%20chains%20of%20a%20human%20chimeric%20plasminogen%20activator%20K2tu%E2%80%90PA%20expressed%20in%20Chinese%20hamster%20ovary%20cells&rft.jtitle=European%20journal%20of%20biochemistry&rft.au=BERGWERFF,%20Aldert%20A.&rft.date=1993-03-15&rft.volume=212&rft.issue=3&rft.spage=639&rft.epage=656&rft.pages=639-656&rft.issn=0014-2956&rft.eissn=1432-1033&rft.coden=EJBCAI&rft_id=info:doi/10.1111/j.1432-1033.1993.tb17702.x&rft_dat=%3Cproquest_pubme%3E75653012%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=75653012&rft_id=info:pmid/8462541&rfr_iscdi=true