Intestinal homeostasis and its breakdown in inflammatory bowel disease

Intestinal homeostasis depends on complex interactions between the microbiota, the intestinal epithelium and the host immune system. Diverse regulatory mechanisms cooperate to maintain intestinal homeostasis, and a breakdown in these pathways may precipitate the chronic inflammatory pathology found...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Nature (London) 2011-06, Vol.474 (7351), p.298-306
Hauptverfasser: Maloy, Kevin J., Powrie, Fiona
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 306
container_issue 7351
container_start_page 298
container_title Nature (London)
container_volume 474
creator Maloy, Kevin J.
Powrie, Fiona
description Intestinal homeostasis depends on complex interactions between the microbiota, the intestinal epithelium and the host immune system. Diverse regulatory mechanisms cooperate to maintain intestinal homeostasis, and a breakdown in these pathways may precipitate the chronic inflammatory pathology found in inflammatory bowel disease. It is now evident that immune effector modules that drive intestinal inflammation are conserved across innate and adaptive leukocytes and can be controlled by host regulatory cells. Recent evidence suggests that several factors may tip the balance between homeostasis and intestinal inflammation, presenting future challenges for the development of new therapies for inflammatory bowel disease.
doi_str_mv 10.1038/nature10208
format Article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_872433567</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A632498095</galeid><sourcerecordid>A632498095</sourcerecordid><originalsourceid>FETCH-LOGICAL-c620t-6829f888f8188ee4878e6a3c888ba8b58e812cdc177f11105b83c7a045c64d323</originalsourceid><addsrcrecordid>eNp10t1rFDEQAPAgij2rT77LUh-k6NZ87CZzj8dh60FR0IqPSzY7e6bubq5Jltr_3lyv2p6sJBCY_DJkhiHkJaMnjAp4P-g4emSUU3hEZqxQMi8kqMdkRimHnIKQB-RZCJeU0pKp4ik54EwqpQo5I6erIWKIdtBd9sP16ELUwYZMD01mY8hqj_pn466HzG532-m-19H5m6x219hljQ2oAz4nT1rdBXxxdx6Sb6cfLpYf8_PPZ6vl4jw3ktOYS-DzFgBaYACIBShAqYVJoVpDXQIC46YxTKmWMUbLGoRRmhalkUUjuDgkb3Z5N95djenjVW-Dwa7TA7oxVKB4IUQpVZJH_8hLN_pU5hYJyYW4Ra93aK07rFJ5LnpttimrhRS8mAOdl0nlE2qNA3rduQFbm8J7_mjCm429qh6ikwmUVoO9NZNZj_ceJBPxV1zrMYRq9fXLvn37f7u4-L78NKmNdyF4bKuNt732NxWj1XbEqgcjlvSru8aOdY_NX_tnphJ4twMhXQ1r9Pedn8r3GzuU1lM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>873623367</pqid></control><display><type>article</type><title>Intestinal homeostasis and its breakdown in inflammatory bowel disease</title><source>MEDLINE</source><source>Nature Journals Online</source><source>Alma/SFX Local Collection</source><creator>Maloy, Kevin J. ; Powrie, Fiona</creator><creatorcontrib>Maloy, Kevin J. ; Powrie, Fiona</creatorcontrib><description>Intestinal homeostasis depends on complex interactions between the microbiota, the intestinal epithelium and the host immune system. Diverse regulatory mechanisms cooperate to maintain intestinal homeostasis, and a breakdown in these pathways may precipitate the chronic inflammatory pathology found in inflammatory bowel disease. It is now evident that immune effector modules that drive intestinal inflammation are conserved across innate and adaptive leukocytes and can be controlled by host regulatory cells. Recent evidence suggests that several factors may tip the balance between homeostasis and intestinal inflammation, presenting future challenges for the development of new therapies for inflammatory bowel disease.</description><identifier>ISSN: 0028-0836</identifier><identifier>EISSN: 1476-4687</identifier><identifier>DOI: 10.1038/nature10208</identifier><identifier>PMID: 21677746</identifier><identifier>CODEN: NATUAS</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/420/2780 ; 692/699/1503/1581/257 ; Animals ; Autophagy ; Development and progression ; Epithelium - metabolism ; Epithelium - pathology ; Epithelium - physiopathology ; Health aspects ; Homeostasis ; Humanities and Social Sciences ; Humans ; Immune system ; Inflammation - immunology ; Inflammation - pathology ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Inflammatory Bowel Diseases - genetics ; Inflammatory Bowel Diseases - immunology ; Inflammatory Bowel Diseases - pathology ; Inflammatory Bowel Diseases - physiopathology ; Intestinal Mucosa - cytology ; Intestinal Mucosa - immunology ; Intestinal Mucosa - pathology ; Intestinal Mucosa - physiopathology ; Intestines - immunology ; Intestines - metabolism ; Intestines - microbiology ; Intestines - physiopathology ; Microbiota (Symbiotic organisms) ; Models, Biological ; multidisciplinary ; Pathology ; Receptors, Pattern Recognition - metabolism ; review-article ; Science ; Science (multidisciplinary) ; Small intestine ; Studies</subject><ispartof>Nature (London), 2011-06, Vol.474 (7351), p.298-306</ispartof><rights>Springer Nature Limited 2011</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jun 16, 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c620t-6829f888f8188ee4878e6a3c888ba8b58e812cdc177f11105b83c7a045c64d323</citedby><cites>FETCH-LOGICAL-c620t-6829f888f8188ee4878e6a3c888ba8b58e812cdc177f11105b83c7a045c64d323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21677746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maloy, Kevin J.</creatorcontrib><creatorcontrib>Powrie, Fiona</creatorcontrib><title>Intestinal homeostasis and its breakdown in inflammatory bowel disease</title><title>Nature (London)</title><addtitle>Nature</addtitle><addtitle>Nature</addtitle><description>Intestinal homeostasis depends on complex interactions between the microbiota, the intestinal epithelium and the host immune system. Diverse regulatory mechanisms cooperate to maintain intestinal homeostasis, and a breakdown in these pathways may precipitate the chronic inflammatory pathology found in inflammatory bowel disease. It is now evident that immune effector modules that drive intestinal inflammation are conserved across innate and adaptive leukocytes and can be controlled by host regulatory cells. Recent evidence suggests that several factors may tip the balance between homeostasis and intestinal inflammation, presenting future challenges for the development of new therapies for inflammatory bowel disease.</description><subject>692/420/2780</subject><subject>692/699/1503/1581/257</subject><subject>Animals</subject><subject>Autophagy</subject><subject>Development and progression</subject><subject>Epithelium - metabolism</subject><subject>Epithelium - pathology</subject><subject>Epithelium - physiopathology</subject><subject>Health aspects</subject><subject>Homeostasis</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Immune system</subject><subject>Inflammation - immunology</subject><subject>Inflammation - pathology</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory bowel diseases</subject><subject>Inflammatory Bowel Diseases - genetics</subject><subject>Inflammatory Bowel Diseases - immunology</subject><subject>Inflammatory Bowel Diseases - pathology</subject><subject>Inflammatory Bowel Diseases - physiopathology</subject><subject>Intestinal Mucosa - cytology</subject><subject>Intestinal Mucosa - immunology</subject><subject>Intestinal Mucosa - pathology</subject><subject>Intestinal Mucosa - physiopathology</subject><subject>Intestines - immunology</subject><subject>Intestines - metabolism</subject><subject>Intestines - microbiology</subject><subject>Intestines - physiopathology</subject><subject>Microbiota (Symbiotic organisms)</subject><subject>Models, Biological</subject><subject>multidisciplinary</subject><subject>Pathology</subject><subject>Receptors, Pattern Recognition - metabolism</subject><subject>review-article</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Small intestine</subject><subject>Studies</subject><issn>0028-0836</issn><issn>1476-4687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10t1rFDEQAPAgij2rT77LUh-k6NZ87CZzj8dh60FR0IqPSzY7e6bubq5Jltr_3lyv2p6sJBCY_DJkhiHkJaMnjAp4P-g4emSUU3hEZqxQMi8kqMdkRimHnIKQB-RZCJeU0pKp4ik54EwqpQo5I6erIWKIdtBd9sP16ELUwYZMD01mY8hqj_pn466HzG532-m-19H5m6x219hljQ2oAz4nT1rdBXxxdx6Sb6cfLpYf8_PPZ6vl4jw3ktOYS-DzFgBaYACIBShAqYVJoVpDXQIC46YxTKmWMUbLGoRRmhalkUUjuDgkb3Z5N95djenjVW-Dwa7TA7oxVKB4IUQpVZJH_8hLN_pU5hYJyYW4Ra93aK07rFJ5LnpttimrhRS8mAOdl0nlE2qNA3rduQFbm8J7_mjCm429qh6ikwmUVoO9NZNZj_ceJBPxV1zrMYRq9fXLvn37f7u4-L78NKmNdyF4bKuNt732NxWj1XbEqgcjlvSru8aOdY_NX_tnphJ4twMhXQ1r9Pedn8r3GzuU1lM</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Maloy, Kevin J.</creator><creator>Powrie, Fiona</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><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>ATWCN</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7ST</scope><scope>7T5</scope><scope>7TG</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BKSAR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PCBAR</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>R05</scope><scope>RC3</scope><scope>S0X</scope><scope>SOI</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Intestinal homeostasis and its breakdown in inflammatory bowel disease</title><author>Maloy, Kevin J. ; Powrie, Fiona</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c620t-6829f888f8188ee4878e6a3c888ba8b58e812cdc177f11105b83c7a045c64d323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>692/420/2780</topic><topic>692/699/1503/1581/257</topic><topic>Animals</topic><topic>Autophagy</topic><topic>Development and progression</topic><topic>Epithelium - metabolism</topic><topic>Epithelium - pathology</topic><topic>Epithelium - physiopathology</topic><topic>Health aspects</topic><topic>Homeostasis</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Immune system</topic><topic>Inflammation - immunology</topic><topic>Inflammation - pathology</topic><topic>Inflammatory bowel disease</topic><topic>Inflammatory bowel diseases</topic><topic>Inflammatory Bowel Diseases - genetics</topic><topic>Inflammatory Bowel Diseases - immunology</topic><topic>Inflammatory Bowel Diseases - pathology</topic><topic>Inflammatory Bowel Diseases - physiopathology</topic><topic>Intestinal Mucosa - cytology</topic><topic>Intestinal Mucosa - immunology</topic><topic>Intestinal Mucosa - pathology</topic><topic>Intestinal Mucosa - physiopathology</topic><topic>Intestines - immunology</topic><topic>Intestines - metabolism</topic><topic>Intestines - microbiology</topic><topic>Intestines - physiopathology</topic><topic>Microbiota (Symbiotic organisms)</topic><topic>Models, Biological</topic><topic>multidisciplinary</topic><topic>Pathology</topic><topic>Receptors, Pattern Recognition - metabolism</topic><topic>review-article</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Small intestine</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maloy, Kevin J.</creatorcontrib><creatorcontrib>Powrie, Fiona</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Middle School</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Environment Abstracts</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology 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>Research Library (Alumni Edition)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>Proquest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Earth, Atmospheric &amp; Aquatic Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Earth, Atmospheric &amp; Aquatic Science Database</collection><collection>Materials Science Collection</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 One Psychology</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>University of Michigan</collection><collection>Genetics Abstracts</collection><collection>SIRS Editorial</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Nature (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maloy, Kevin J.</au><au>Powrie, Fiona</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal homeostasis and its breakdown in inflammatory bowel disease</atitle><jtitle>Nature (London)</jtitle><stitle>Nature</stitle><addtitle>Nature</addtitle><date>2011-06</date><risdate>2011</risdate><volume>474</volume><issue>7351</issue><spage>298</spage><epage>306</epage><pages>298-306</pages><issn>0028-0836</issn><eissn>1476-4687</eissn><coden>NATUAS</coden><abstract>Intestinal homeostasis depends on complex interactions between the microbiota, the intestinal epithelium and the host immune system. Diverse regulatory mechanisms cooperate to maintain intestinal homeostasis, and a breakdown in these pathways may precipitate the chronic inflammatory pathology found in inflammatory bowel disease. It is now evident that immune effector modules that drive intestinal inflammation are conserved across innate and adaptive leukocytes and can be controlled by host regulatory cells. Recent evidence suggests that several factors may tip the balance between homeostasis and intestinal inflammation, presenting future challenges for the development of new therapies for inflammatory bowel disease.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21677746</pmid><doi>10.1038/nature10208</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0028-0836
ispartof Nature (London), 2011-06, Vol.474 (7351), p.298-306
issn 0028-0836
1476-4687
language eng
recordid cdi_proquest_miscellaneous_872433567
source MEDLINE; Nature Journals Online; Alma/SFX Local Collection
subjects 692/420/2780
692/699/1503/1581/257
Animals
Autophagy
Development and progression
Epithelium - metabolism
Epithelium - pathology
Epithelium - physiopathology
Health aspects
Homeostasis
Humanities and Social Sciences
Humans
Immune system
Inflammation - immunology
Inflammation - pathology
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - genetics
Inflammatory Bowel Diseases - immunology
Inflammatory Bowel Diseases - pathology
Inflammatory Bowel Diseases - physiopathology
Intestinal Mucosa - cytology
Intestinal Mucosa - immunology
Intestinal Mucosa - pathology
Intestinal Mucosa - physiopathology
Intestines - immunology
Intestines - metabolism
Intestines - microbiology
Intestines - physiopathology
Microbiota (Symbiotic organisms)
Models, Biological
multidisciplinary
Pathology
Receptors, Pattern Recognition - metabolism
review-article
Science
Science (multidisciplinary)
Small intestine
Studies
title Intestinal homeostasis and its breakdown in inflammatory bowel disease
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T18%3A20%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intestinal%20homeostasis%20and%20its%20breakdown%20in%20inflammatory%20bowel%20disease&rft.jtitle=Nature%20(London)&rft.au=Maloy,%20Kevin%20J.&rft.date=2011-06&rft.volume=474&rft.issue=7351&rft.spage=298&rft.epage=306&rft.pages=298-306&rft.issn=0028-0836&rft.eissn=1476-4687&rft.coden=NATUAS&rft_id=info:doi/10.1038/nature10208&rft_dat=%3Cgale_proqu%3EA632498095%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=873623367&rft_id=info:pmid/21677746&rft_galeid=A632498095&rfr_iscdi=true