Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron
Adenovirus types 4 and 7 are currently used as live oral vaccines for prevention of acute respiratory disease caused by these adenovirus serotypes. To investigate the concept of producing live recombinant vaccines using these serotypes, adenovirus types 4 (Ad4) and 7 (Ad7) were constructed that prod...
Gespeichert in:
Veröffentlicht in: | Virology (New York, N.Y.) N.Y.), 1990-08, Vol.177 (2), p.452-461 |
---|---|
Hauptverfasser: | , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 461 |
---|---|
container_issue | 2 |
container_start_page | 452 |
container_title | Virology (New York, N.Y.) |
container_volume | 177 |
creator | Mason, Bruce B. Davis, Alan R. Brat, Bheem M. Chengalvala, Murty Lubeck, Michael D. Zandle, Gordon Kostek, Beverley Cholodofsky, Stan Dheer, Surendra Molnar-Kimber, Katherine Mizutani, Satoshi Hung, Paul P. |
description | Adenovirus types 4 and 7 are currently used as live oral vaccines for prevention of acute respiratory disease caused by these adenovirus serotypes. To investigate the concept of producing live recombinant vaccines using these serotypes, adenovirus types 4 (Ad4) and 7 (Ad7) were constructed that produce HBsAg upon infection of cell cultures. Ad4 recombinants were constructed that express HBsAg from a cassette inserted 135 by from the right-hand terminus of the viral genome. The cassette contained the Ad4 major late promoter followed by leader 1 of the tripartite leader, the first intervening sequence between leaders 1 and 2, leaders 2 and 3, the HBsAg gene, and tandem polyadenylation signals from the Ad4 E3B and hexon genes. Using this same cassette, a series of Ad4 recombinants expressing HBsAg were constructed with deletions in the intervening sequence between leaders 1 and 2 to evaluate the contribution of the downstream control elements more precisely. Inclusion of regions located between +82 and +148 as well as +148 and +232 resulted in increases in expression levels of HBsAg in A549-infected cells by 22-fold and 44-fold, respectively, over the levels attained by an adenovirus recombinant retaining only sequences from +1 to +82, showing the importance of these elements in the activation of the major late promoter during the course of a natural Ad4 viral infection. Parallel increases were also observed in steady-state levels of cytoplasmic HBsAg-specific mRNA. When similar Ad7 recombinant viruses were constructed, these viruses also expressed 20-fold more HBsAg due to the presence of the intron. All Ad4 and Ad7 recombinants produced HBsAg particles containing gp27 and p24 which were secreted in the medium. When dogs were immunized intratracheally with one of these Ad7 recombinants, they seroconverted to both Ad7 and HBsAg to a high level. |
doi_str_mv | 10.1016/0042-6822(90)90509-P |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79882293</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>004268229090509P</els_id><sourcerecordid>15813980</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-9bf033806fb30e817358e858e379dda217d558e4d7981d5298ac8802c6e523633</originalsourceid><addsrcrecordid>eNqFkctuFDEQRS0ECpPAH4DkDSgsGux2P-wskELEI1IksoC15bGrJ4667cblHpE_4LPxZEbJDhaWVa57b1l1CHnF2XvOePeBsaauOlnXp4q9U6xlqrp-Qlacqa5iouFPyepB8pwcI96yUvc9OyJHteh533Ur8ufcQYhbnxakW2OtD0C3YHNMSOH3nADRhw29gdlknz3STxSXNBgL1ITsNxDO6OU0x5RNKG9xoAk2y2hKwB2FESYIGakPNN8Ux-OsydzGRIsOSjOnGF6QZ4MZEV4e7hPy88vnHxffqqvvXy8vzq8q23CZK7UemBCSdcNaMJC8F60EWY7olXOm5r1rS9W4Xknu2lpJY6Vkte2grUUnxAl5u8-dU_y1AGY9ebQwjiZAXFAXX9mX-r-Qt5ILJVkRNnuhTRExwaDn5CeT7jRnekdK7zDoHQatmL4npa-L7fUhf1lP4B5MBzSl_-bQN2jNOKSyYI-P2arlsr3XfdzroGxt6yFptB4KDOdTAald9P_-yF8bN7Fr</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>15813980</pqid></control><display><type>article</type><title>Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Mason, Bruce B. ; Davis, Alan R. ; Brat, Bheem M. ; Chengalvala, Murty ; Lubeck, Michael D. ; Zandle, Gordon ; Kostek, Beverley ; Cholodofsky, Stan ; Dheer, Surendra ; Molnar-Kimber, Katherine ; Mizutani, Satoshi ; Hung, Paul P.</creator><creatorcontrib>Mason, Bruce B. ; Davis, Alan R. ; Brat, Bheem M. ; Chengalvala, Murty ; Lubeck, Michael D. ; Zandle, Gordon ; Kostek, Beverley ; Cholodofsky, Stan ; Dheer, Surendra ; Molnar-Kimber, Katherine ; Mizutani, Satoshi ; Hung, Paul P.</creatorcontrib><description>Adenovirus types 4 and 7 are currently used as live oral vaccines for prevention of acute respiratory disease caused by these adenovirus serotypes. To investigate the concept of producing live recombinant vaccines using these serotypes, adenovirus types 4 (Ad4) and 7 (Ad7) were constructed that produce HBsAg upon infection of cell cultures. Ad4 recombinants were constructed that express HBsAg from a cassette inserted 135 by from the right-hand terminus of the viral genome. The cassette contained the Ad4 major late promoter followed by leader 1 of the tripartite leader, the first intervening sequence between leaders 1 and 2, leaders 2 and 3, the HBsAg gene, and tandem polyadenylation signals from the Ad4 E3B and hexon genes. Using this same cassette, a series of Ad4 recombinants expressing HBsAg were constructed with deletions in the intervening sequence between leaders 1 and 2 to evaluate the contribution of the downstream control elements more precisely. Inclusion of regions located between +82 and +148 as well as +148 and +232 resulted in increases in expression levels of HBsAg in A549-infected cells by 22-fold and 44-fold, respectively, over the levels attained by an adenovirus recombinant retaining only sequences from +1 to +82, showing the importance of these elements in the activation of the major late promoter during the course of a natural Ad4 viral infection. Parallel increases were also observed in steady-state levels of cytoplasmic HBsAg-specific mRNA. When similar Ad7 recombinant viruses were constructed, these viruses also expressed 20-fold more HBsAg due to the presence of the intron. All Ad4 and Ad7 recombinants produced HBsAg particles containing gp27 and p24 which were secreted in the medium. When dogs were immunized intratracheally with one of these Ad7 recombinants, they seroconverted to both Ad7 and HBsAg to a high level.</description><identifier>ISSN: 0042-6822</identifier><identifier>EISSN: 1096-0341</identifier><identifier>DOI: 10.1016/0042-6822(90)90509-P</identifier><identifier>PMID: 2371766</identifier><identifier>CODEN: VIRLAX</identifier><language>eng</language><publisher>San Diego, CA: Elsevier Inc</publisher><subject>Adenoviruses, Human - genetics ; Base Sequence ; Biological and medical sciences ; Cell Line ; Cloning, Molecular ; Fundamental and applied biological sciences. Psychology ; Gene Expression ; Genes, Viral ; Hepatitis B Surface Antigens - genetics ; Humans ; Introns ; Microbiology ; Molecular Sequence Data ; Oligonucleotide Probes ; Recombination, Genetic ; Regulatory Sequences, Nucleic Acid ; Restriction Mapping ; RNA, Messenger - genetics ; Sequence Homology, Nucleic Acid ; Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies ; Viral Vaccines ; Virology</subject><ispartof>Virology (New York, N.Y.), 1990-08, Vol.177 (2), p.452-461</ispartof><rights>1990</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-9bf033806fb30e817358e858e379dda217d558e4d7981d5298ac8802c6e523633</citedby><cites>FETCH-LOGICAL-c418t-9bf033806fb30e817358e858e379dda217d558e4d7981d5298ac8802c6e523633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/004268229090509P$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19518566$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2371766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mason, Bruce B.</creatorcontrib><creatorcontrib>Davis, Alan R.</creatorcontrib><creatorcontrib>Brat, Bheem M.</creatorcontrib><creatorcontrib>Chengalvala, Murty</creatorcontrib><creatorcontrib>Lubeck, Michael D.</creatorcontrib><creatorcontrib>Zandle, Gordon</creatorcontrib><creatorcontrib>Kostek, Beverley</creatorcontrib><creatorcontrib>Cholodofsky, Stan</creatorcontrib><creatorcontrib>Dheer, Surendra</creatorcontrib><creatorcontrib>Molnar-Kimber, Katherine</creatorcontrib><creatorcontrib>Mizutani, Satoshi</creatorcontrib><creatorcontrib>Hung, Paul P.</creatorcontrib><title>Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron</title><title>Virology (New York, N.Y.)</title><addtitle>Virology</addtitle><description>Adenovirus types 4 and 7 are currently used as live oral vaccines for prevention of acute respiratory disease caused by these adenovirus serotypes. To investigate the concept of producing live recombinant vaccines using these serotypes, adenovirus types 4 (Ad4) and 7 (Ad7) were constructed that produce HBsAg upon infection of cell cultures. Ad4 recombinants were constructed that express HBsAg from a cassette inserted 135 by from the right-hand terminus of the viral genome. The cassette contained the Ad4 major late promoter followed by leader 1 of the tripartite leader, the first intervening sequence between leaders 1 and 2, leaders 2 and 3, the HBsAg gene, and tandem polyadenylation signals from the Ad4 E3B and hexon genes. Using this same cassette, a series of Ad4 recombinants expressing HBsAg were constructed with deletions in the intervening sequence between leaders 1 and 2 to evaluate the contribution of the downstream control elements more precisely. Inclusion of regions located between +82 and +148 as well as +148 and +232 resulted in increases in expression levels of HBsAg in A549-infected cells by 22-fold and 44-fold, respectively, over the levels attained by an adenovirus recombinant retaining only sequences from +1 to +82, showing the importance of these elements in the activation of the major late promoter during the course of a natural Ad4 viral infection. Parallel increases were also observed in steady-state levels of cytoplasmic HBsAg-specific mRNA. When similar Ad7 recombinant viruses were constructed, these viruses also expressed 20-fold more HBsAg due to the presence of the intron. All Ad4 and Ad7 recombinants produced HBsAg particles containing gp27 and p24 which were secreted in the medium. When dogs were immunized intratracheally with one of these Ad7 recombinants, they seroconverted to both Ad7 and HBsAg to a high level.</description><subject>Adenoviruses, Human - genetics</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Cell Line</subject><subject>Cloning, Molecular</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gene Expression</subject><subject>Genes, Viral</subject><subject>Hepatitis B Surface Antigens - genetics</subject><subject>Humans</subject><subject>Introns</subject><subject>Microbiology</subject><subject>Molecular Sequence Data</subject><subject>Oligonucleotide Probes</subject><subject>Recombination, Genetic</subject><subject>Regulatory Sequences, Nucleic Acid</subject><subject>Restriction Mapping</subject><subject>RNA, Messenger - genetics</subject><subject>Sequence Homology, Nucleic Acid</subject><subject>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies</subject><subject>Viral Vaccines</subject><subject>Virology</subject><issn>0042-6822</issn><issn>1096-0341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctuFDEQRS0ECpPAH4DkDSgsGux2P-wskELEI1IksoC15bGrJ4667cblHpE_4LPxZEbJDhaWVa57b1l1CHnF2XvOePeBsaauOlnXp4q9U6xlqrp-Qlacqa5iouFPyepB8pwcI96yUvc9OyJHteh533Ur8ufcQYhbnxakW2OtD0C3YHNMSOH3nADRhw29gdlknz3STxSXNBgL1ITsNxDO6OU0x5RNKG9xoAk2y2hKwB2FESYIGakPNN8Ux-OsydzGRIsOSjOnGF6QZ4MZEV4e7hPy88vnHxffqqvvXy8vzq8q23CZK7UemBCSdcNaMJC8F60EWY7olXOm5r1rS9W4Xknu2lpJY6Vkte2grUUnxAl5u8-dU_y1AGY9ebQwjiZAXFAXX9mX-r-Qt5ILJVkRNnuhTRExwaDn5CeT7jRnekdK7zDoHQatmL4npa-L7fUhf1lP4B5MBzSl_-bQN2jNOKSyYI-P2arlsr3XfdzroGxt6yFptB4KDOdTAald9P_-yF8bN7Fr</recordid><startdate>19900801</startdate><enddate>19900801</enddate><creator>Mason, Bruce B.</creator><creator>Davis, Alan R.</creator><creator>Brat, Bheem M.</creator><creator>Chengalvala, Murty</creator><creator>Lubeck, Michael D.</creator><creator>Zandle, Gordon</creator><creator>Kostek, Beverley</creator><creator>Cholodofsky, Stan</creator><creator>Dheer, Surendra</creator><creator>Molnar-Kimber, Katherine</creator><creator>Mizutani, Satoshi</creator><creator>Hung, Paul P.</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>7TM</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>19900801</creationdate><title>Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron</title><author>Mason, Bruce B. ; Davis, Alan R. ; Brat, Bheem M. ; Chengalvala, Murty ; Lubeck, Michael D. ; Zandle, Gordon ; Kostek, Beverley ; Cholodofsky, Stan ; Dheer, Surendra ; Molnar-Kimber, Katherine ; Mizutani, Satoshi ; Hung, Paul P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-9bf033806fb30e817358e858e379dda217d558e4d7981d5298ac8802c6e523633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adenoviruses, Human - genetics</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Cell Line</topic><topic>Cloning, Molecular</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene Expression</topic><topic>Genes, Viral</topic><topic>Hepatitis B Surface Antigens - genetics</topic><topic>Humans</topic><topic>Introns</topic><topic>Microbiology</topic><topic>Molecular Sequence Data</topic><topic>Oligonucleotide Probes</topic><topic>Recombination, Genetic</topic><topic>Regulatory Sequences, Nucleic Acid</topic><topic>Restriction Mapping</topic><topic>RNA, Messenger - genetics</topic><topic>Sequence Homology, Nucleic Acid</topic><topic>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies</topic><topic>Viral Vaccines</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mason, Bruce B.</creatorcontrib><creatorcontrib>Davis, Alan R.</creatorcontrib><creatorcontrib>Brat, Bheem M.</creatorcontrib><creatorcontrib>Chengalvala, Murty</creatorcontrib><creatorcontrib>Lubeck, Michael D.</creatorcontrib><creatorcontrib>Zandle, Gordon</creatorcontrib><creatorcontrib>Kostek, Beverley</creatorcontrib><creatorcontrib>Cholodofsky, Stan</creatorcontrib><creatorcontrib>Dheer, Surendra</creatorcontrib><creatorcontrib>Molnar-Kimber, Katherine</creatorcontrib><creatorcontrib>Mizutani, Satoshi</creatorcontrib><creatorcontrib>Hung, Paul P.</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>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Virology (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mason, Bruce B.</au><au>Davis, Alan R.</au><au>Brat, Bheem M.</au><au>Chengalvala, Murty</au><au>Lubeck, Michael D.</au><au>Zandle, Gordon</au><au>Kostek, Beverley</au><au>Cholodofsky, Stan</au><au>Dheer, Surendra</au><au>Molnar-Kimber, Katherine</au><au>Mizutani, Satoshi</au><au>Hung, Paul P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron</atitle><jtitle>Virology (New York, N.Y.)</jtitle><addtitle>Virology</addtitle><date>1990-08-01</date><risdate>1990</risdate><volume>177</volume><issue>2</issue><spage>452</spage><epage>461</epage><pages>452-461</pages><issn>0042-6822</issn><eissn>1096-0341</eissn><coden>VIRLAX</coden><abstract>Adenovirus types 4 and 7 are currently used as live oral vaccines for prevention of acute respiratory disease caused by these adenovirus serotypes. To investigate the concept of producing live recombinant vaccines using these serotypes, adenovirus types 4 (Ad4) and 7 (Ad7) were constructed that produce HBsAg upon infection of cell cultures. Ad4 recombinants were constructed that express HBsAg from a cassette inserted 135 by from the right-hand terminus of the viral genome. The cassette contained the Ad4 major late promoter followed by leader 1 of the tripartite leader, the first intervening sequence between leaders 1 and 2, leaders 2 and 3, the HBsAg gene, and tandem polyadenylation signals from the Ad4 E3B and hexon genes. Using this same cassette, a series of Ad4 recombinants expressing HBsAg were constructed with deletions in the intervening sequence between leaders 1 and 2 to evaluate the contribution of the downstream control elements more precisely. Inclusion of regions located between +82 and +148 as well as +148 and +232 resulted in increases in expression levels of HBsAg in A549-infected cells by 22-fold and 44-fold, respectively, over the levels attained by an adenovirus recombinant retaining only sequences from +1 to +82, showing the importance of these elements in the activation of the major late promoter during the course of a natural Ad4 viral infection. Parallel increases were also observed in steady-state levels of cytoplasmic HBsAg-specific mRNA. When similar Ad7 recombinant viruses were constructed, these viruses also expressed 20-fold more HBsAg due to the presence of the intron. All Ad4 and Ad7 recombinants produced HBsAg particles containing gp27 and p24 which were secreted in the medium. When dogs were immunized intratracheally with one of these Ad7 recombinants, they seroconverted to both Ad7 and HBsAg to a high level.</abstract><cop>San Diego, CA</cop><pub>Elsevier Inc</pub><pmid>2371766</pmid><doi>10.1016/0042-6822(90)90509-P</doi><tpages>10</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0042-6822 |
ispartof | Virology (New York, N.Y.), 1990-08, Vol.177 (2), p.452-461 |
issn | 0042-6822 1096-0341 |
language | eng |
recordid | cdi_proquest_miscellaneous_79882293 |
source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Adenoviruses, Human - genetics Base Sequence Biological and medical sciences Cell Line Cloning, Molecular Fundamental and applied biological sciences. Psychology Gene Expression Genes, Viral Hepatitis B Surface Antigens - genetics Humans Introns Microbiology Molecular Sequence Data Oligonucleotide Probes Recombination, Genetic Regulatory Sequences, Nucleic Acid Restriction Mapping RNA, Messenger - genetics Sequence Homology, Nucleic Acid Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies Viral Vaccines Virology |
title | Adenovirus vaccine vectors expressing hepatitis B surface antigen: Importance of regulatory elements in the adenovirus major late intron |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T01%3A46%3A28IST&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=Adenovirus%20vaccine%20vectors%20expressing%20hepatitis%20B%20surface%20antigen:%20Importance%20of%20regulatory%20elements%20in%20the%20adenovirus%20major%20late%20intron&rft.jtitle=Virology%20(New%20York,%20N.Y.)&rft.au=Mason,%20Bruce%20B.&rft.date=1990-08-01&rft.volume=177&rft.issue=2&rft.spage=452&rft.epage=461&rft.pages=452-461&rft.issn=0042-6822&rft.eissn=1096-0341&rft.coden=VIRLAX&rft_id=info:doi/10.1016/0042-6822(90)90509-P&rft_dat=%3Cproquest_cross%3E15813980%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=15813980&rft_id=info:pmid/2371766&rft_els_id=004268229090509P&rfr_iscdi=true |