Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition

Environmental releases and fate of steroid sex hormones from livestock and wastewater treatment plants are of increasing regulatory concern. Despite the detection of these hormones in manures, biosolids, and the environment, little attention has been paid to characterization of fecal bacteria capabl...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Environmental science & technology 2011-08, Vol.45 (16), p.6879-6886
Hauptverfasser: Yang, Yun-Ya, Pereyra, Luciana P, Young, Robert B, Reardon, Kenneth F, Borch, Thomas
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 6886
container_issue 16
container_start_page 6879
container_title Environmental science & technology
container_volume 45
creator Yang, Yun-Ya
Pereyra, Luciana P
Young, Robert B
Reardon, Kenneth F
Borch, Thomas
description Environmental releases and fate of steroid sex hormones from livestock and wastewater treatment plants are of increasing regulatory concern. Despite the detection of these hormones in manures, biosolids, and the environment, little attention has been paid to characterization of fecal bacteria capable of hormone degradation. The enrichments of (swine) manure-borne bacteria capable of aerobic testosterone degradation were prepared and the testosterone mineralization pathway was elucidated. Six DNA sequences of bacteria from the Proteobacteria phylum distributed among the genera Acinetobacter, Brevundimonas, Comamonas, Sphingomonas, Stenotrophomonas, and Rhodobacter were identified in a testosterone-degrading enriched culture with testosterone as the sole carbon source. Three degradation products of testosterone were identified as androstenedione, androstadienedione, and dehydrotestosterone using commercially available reference standards, liquid chromatography-UV diode array detection, and liquid chromatography-time-of-flight mass spectrometry (LC-TOF/MS). Three additional degradation products of testosterone were tentatively identified as 9α-hydroxytestosterone, 9α-hydroxyandrostadienedione or 3-hydroxy-9,10-secoandrosta-1,3,5(10)-triene-9,17-dione, and 9α-hydroxydehydrotestosterone or 9α-hydroxyandrostenedione using LC-TOF/MS. When 14C-testosterone was introduced to the enriched culture, 49–68% of the added 14C-testosterone was mineralized to 14CO2 within 8 days of incubation. The mineralization of 14C-testosterone followed pseudo-first-order reaction kinetics in the enriched culture with half-lives (t 1/2) of 10–143 h. This work suggests that Proteobacteria play an important environmental role in degradation of steroid sex hormones and that androgens have the potential to be mineralized during aerobic manure treatment or after land application to agricultural fields by manure-borne bacteria.
doi_str_mv 10.1021/es2013648
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_883312868</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2439319881</sourcerecordid><originalsourceid>FETCH-LOGICAL-a437t-4dd59823242c5f83198f66357d5d7798615fb0f9a79950aac9720d7f6e23a31b3</originalsourceid><addsrcrecordid>eNpl0VtrFDEUAOAgit1WH_wDEgQpPozmMpNJfJOxXqCLghV8G87m0k2ZSbbJDGX7E_zVZtm1C_qUnOTLyTkchF5Q8pYSRt_ZzAjlopaP0II2jFSNbOhjtCDltFJc_DpBpznfEEIYJ_IpOmG0rUugFuj3lc1TzJNNMdhq6YNNMPh7H65xNw_TnCy-CMnrtTXYpTjiH3fF4CWEcvUed2tIoMtrfw-TjwFHhz_a6wRmH36HaX0H24whGLz0OsWVhwF3cRzn4KftbreJ2e_wM_TEwZDt88N6hn5-urjqvlSX3z5_7T5cVlDzdqpqYxolGWc1042TnCrphOBNaxrTtkoK2rgVcQpapRoCoFXLiGmdsIwDpyt-hs73eTcp3s6l_X70WdthgGDjnHspOadMClnkq3_kTZxTKMUVJEoJrOUFvdmj0lzOybp-k_wIadtT0u_G0z-Mp9iXh4TzarTmQf6dRwGvDwCyhsElCNrno6trqoiojw50Phb1_4d_AD6NpCw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>886232273</pqid></control><display><type>article</type><title>Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition</title><source>MEDLINE</source><source>American Chemical Society Journals</source><creator>Yang, Yun-Ya ; Pereyra, Luciana P ; Young, Robert B ; Reardon, Kenneth F ; Borch, Thomas</creator><creatorcontrib>Yang, Yun-Ya ; Pereyra, Luciana P ; Young, Robert B ; Reardon, Kenneth F ; Borch, Thomas</creatorcontrib><description>Environmental releases and fate of steroid sex hormones from livestock and wastewater treatment plants are of increasing regulatory concern. Despite the detection of these hormones in manures, biosolids, and the environment, little attention has been paid to characterization of fecal bacteria capable of hormone degradation. The enrichments of (swine) manure-borne bacteria capable of aerobic testosterone degradation were prepared and the testosterone mineralization pathway was elucidated. Six DNA sequences of bacteria from the Proteobacteria phylum distributed among the genera Acinetobacter, Brevundimonas, Comamonas, Sphingomonas, Stenotrophomonas, and Rhodobacter were identified in a testosterone-degrading enriched culture with testosterone as the sole carbon source. Three degradation products of testosterone were identified as androstenedione, androstadienedione, and dehydrotestosterone using commercially available reference standards, liquid chromatography-UV diode array detection, and liquid chromatography-time-of-flight mass spectrometry (LC-TOF/MS). Three additional degradation products of testosterone were tentatively identified as 9α-hydroxytestosterone, 9α-hydroxyandrostadienedione or 3-hydroxy-9,10-secoandrosta-1,3,5(10)-triene-9,17-dione, and 9α-hydroxydehydrotestosterone or 9α-hydroxyandrostenedione using LC-TOF/MS. When 14C-testosterone was introduced to the enriched culture, 49–68% of the added 14C-testosterone was mineralized to 14CO2 within 8 days of incubation. The mineralization of 14C-testosterone followed pseudo-first-order reaction kinetics in the enriched culture with half-lives (t 1/2) of 10–143 h. This work suggests that Proteobacteria play an important environmental role in degradation of steroid sex hormones and that androgens have the potential to be mineralized during aerobic manure treatment or after land application to agricultural fields by manure-borne bacteria.</description><identifier>ISSN: 0013-936X</identifier><identifier>EISSN: 1520-5851</identifier><identifier>DOI: 10.1021/es2013648</identifier><identifier>PMID: 21740029</identifier><identifier>CODEN: ESTHAG</identifier><language>eng</language><publisher>Washington, DC: American Chemical Society</publisher><subject>Agriculture, rearing and food industries wastes ; Agronomy. Soil science and plant productions ; Animals ; Applied sciences ; Bacteria ; Bacteria - metabolism ; Biodegradation ; Biodegradation, Environmental ; Biological and medical sciences ; Biological treatment of sewage sludges and wastes ; Biota ; Biotechnology ; Biotransformation ; Carbon Radioisotopes ; Chromatography ; Chromatography, Liquid ; Environment and pollution ; Environmental Processes ; Exact sciences and technology ; Fundamental and applied biological sciences. Psychology ; General agronomy. Plant production ; Hogs ; Hormones ; Industrial applications and implications. Economical aspects ; Manure - microbiology ; Manures ; Mass Spectrometry ; Mineralization ; Minerals - metabolism ; Other nutrients. Amendments. Solid and liquid wastes. Sludges and slurries ; Pollution ; Sequence Analysis, DNA ; Soil-plant relationships. Soil fertility. Fertilization. Amendments ; Steroids ; Swine ; Testosterone ; Testosterone - chemistry ; Testosterone - metabolism ; Wastes ; Water treatment plants</subject><ispartof>Environmental science &amp; technology, 2011-08, Vol.45 (16), p.6879-6886</ispartof><rights>Copyright © 2011 American Chemical Society</rights><rights>2015 INIST-CNRS</rights><rights>Copyright American Chemical Society Aug 15, 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a437t-4dd59823242c5f83198f66357d5d7798615fb0f9a79950aac9720d7f6e23a31b3</citedby><cites>FETCH-LOGICAL-a437t-4dd59823242c5f83198f66357d5d7798615fb0f9a79950aac9720d7f6e23a31b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://pubs.acs.org/doi/pdf/10.1021/es2013648$$EPDF$$P50$$Gacs$$H</linktopdf><linktohtml>$$Uhttps://pubs.acs.org/doi/10.1021/es2013648$$EHTML$$P50$$Gacs$$H</linktohtml><link.rule.ids>314,780,784,2765,27076,27924,27925,56738,56788</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24419064$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21740029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Yun-Ya</creatorcontrib><creatorcontrib>Pereyra, Luciana P</creatorcontrib><creatorcontrib>Young, Robert B</creatorcontrib><creatorcontrib>Reardon, Kenneth F</creatorcontrib><creatorcontrib>Borch, Thomas</creatorcontrib><title>Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition</title><title>Environmental science &amp; technology</title><addtitle>Environ. Sci. Technol</addtitle><description>Environmental releases and fate of steroid sex hormones from livestock and wastewater treatment plants are of increasing regulatory concern. Despite the detection of these hormones in manures, biosolids, and the environment, little attention has been paid to characterization of fecal bacteria capable of hormone degradation. The enrichments of (swine) manure-borne bacteria capable of aerobic testosterone degradation were prepared and the testosterone mineralization pathway was elucidated. Six DNA sequences of bacteria from the Proteobacteria phylum distributed among the genera Acinetobacter, Brevundimonas, Comamonas, Sphingomonas, Stenotrophomonas, and Rhodobacter were identified in a testosterone-degrading enriched culture with testosterone as the sole carbon source. Three degradation products of testosterone were identified as androstenedione, androstadienedione, and dehydrotestosterone using commercially available reference standards, liquid chromatography-UV diode array detection, and liquid chromatography-time-of-flight mass spectrometry (LC-TOF/MS). Three additional degradation products of testosterone were tentatively identified as 9α-hydroxytestosterone, 9α-hydroxyandrostadienedione or 3-hydroxy-9,10-secoandrosta-1,3,5(10)-triene-9,17-dione, and 9α-hydroxydehydrotestosterone or 9α-hydroxyandrostenedione using LC-TOF/MS. When 14C-testosterone was introduced to the enriched culture, 49–68% of the added 14C-testosterone was mineralized to 14CO2 within 8 days of incubation. The mineralization of 14C-testosterone followed pseudo-first-order reaction kinetics in the enriched culture with half-lives (t 1/2) of 10–143 h. This work suggests that Proteobacteria play an important environmental role in degradation of steroid sex hormones and that androgens have the potential to be mineralized during aerobic manure treatment or after land application to agricultural fields by manure-borne bacteria.</description><subject>Agriculture, rearing and food industries wastes</subject><subject>Agronomy. Soil science and plant productions</subject><subject>Animals</subject><subject>Applied sciences</subject><subject>Bacteria</subject><subject>Bacteria - metabolism</subject><subject>Biodegradation</subject><subject>Biodegradation, Environmental</subject><subject>Biological and medical sciences</subject><subject>Biological treatment of sewage sludges and wastes</subject><subject>Biota</subject><subject>Biotechnology</subject><subject>Biotransformation</subject><subject>Carbon Radioisotopes</subject><subject>Chromatography</subject><subject>Chromatography, Liquid</subject><subject>Environment and pollution</subject><subject>Environmental Processes</subject><subject>Exact sciences and technology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>General agronomy. Plant production</subject><subject>Hogs</subject><subject>Hormones</subject><subject>Industrial applications and implications. Economical aspects</subject><subject>Manure - microbiology</subject><subject>Manures</subject><subject>Mass Spectrometry</subject><subject>Mineralization</subject><subject>Minerals - metabolism</subject><subject>Other nutrients. Amendments. Solid and liquid wastes. Sludges and slurries</subject><subject>Pollution</subject><subject>Sequence Analysis, DNA</subject><subject>Soil-plant relationships. Soil fertility. Fertilization. Amendments</subject><subject>Steroids</subject><subject>Swine</subject><subject>Testosterone</subject><subject>Testosterone - chemistry</subject><subject>Testosterone - metabolism</subject><subject>Wastes</subject><subject>Water treatment plants</subject><issn>0013-936X</issn><issn>1520-5851</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpl0VtrFDEUAOAgit1WH_wDEgQpPozmMpNJfJOxXqCLghV8G87m0k2ZSbbJDGX7E_zVZtm1C_qUnOTLyTkchF5Q8pYSRt_ZzAjlopaP0II2jFSNbOhjtCDltFJc_DpBpznfEEIYJ_IpOmG0rUugFuj3lc1TzJNNMdhq6YNNMPh7H65xNw_TnCy-CMnrtTXYpTjiH3fF4CWEcvUed2tIoMtrfw-TjwFHhz_a6wRmH36HaX0H24whGLz0OsWVhwF3cRzn4KftbreJ2e_wM_TEwZDt88N6hn5-urjqvlSX3z5_7T5cVlDzdqpqYxolGWc1042TnCrphOBNaxrTtkoK2rgVcQpapRoCoFXLiGmdsIwDpyt-hs73eTcp3s6l_X70WdthgGDjnHspOadMClnkq3_kTZxTKMUVJEoJrOUFvdmj0lzOybp-k_wIadtT0u_G0z-Mp9iXh4TzarTmQf6dRwGvDwCyhsElCNrno6trqoiojw50Phb1_4d_AD6NpCw</recordid><startdate>20110815</startdate><enddate>20110815</enddate><creator>Yang, Yun-Ya</creator><creator>Pereyra, Luciana P</creator><creator>Young, Robert B</creator><creator>Reardon, Kenneth F</creator><creator>Borch, Thomas</creator><general>American Chemical Society</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>7QO</scope><scope>7ST</scope><scope>7T7</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>SOI</scope><scope>7X8</scope></search><sort><creationdate>20110815</creationdate><title>Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition</title><author>Yang, Yun-Ya ; Pereyra, Luciana P ; Young, Robert B ; Reardon, Kenneth F ; Borch, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a437t-4dd59823242c5f83198f66357d5d7798615fb0f9a79950aac9720d7f6e23a31b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Agriculture, rearing and food industries wastes</topic><topic>Agronomy. Soil science and plant productions</topic><topic>Animals</topic><topic>Applied sciences</topic><topic>Bacteria</topic><topic>Bacteria - metabolism</topic><topic>Biodegradation</topic><topic>Biodegradation, Environmental</topic><topic>Biological and medical sciences</topic><topic>Biological treatment of sewage sludges and wastes</topic><topic>Biota</topic><topic>Biotechnology</topic><topic>Biotransformation</topic><topic>Carbon Radioisotopes</topic><topic>Chromatography</topic><topic>Chromatography, Liquid</topic><topic>Environment and pollution</topic><topic>Environmental Processes</topic><topic>Exact sciences and technology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>General agronomy. Plant production</topic><topic>Hogs</topic><topic>Hormones</topic><topic>Industrial applications and implications. Economical aspects</topic><topic>Manure - microbiology</topic><topic>Manures</topic><topic>Mass Spectrometry</topic><topic>Mineralization</topic><topic>Minerals - metabolism</topic><topic>Other nutrients. Amendments. Solid and liquid wastes. Sludges and slurries</topic><topic>Pollution</topic><topic>Sequence Analysis, DNA</topic><topic>Soil-plant relationships. Soil fertility. Fertilization. Amendments</topic><topic>Steroids</topic><topic>Swine</topic><topic>Testosterone</topic><topic>Testosterone - chemistry</topic><topic>Testosterone - metabolism</topic><topic>Wastes</topic><topic>Water treatment plants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Yun-Ya</creatorcontrib><creatorcontrib>Pereyra, Luciana P</creatorcontrib><creatorcontrib>Young, Robert B</creatorcontrib><creatorcontrib>Reardon, Kenneth F</creatorcontrib><creatorcontrib>Borch, Thomas</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>Biotechnology Research Abstracts</collection><collection>Environment Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Environmental science &amp; technology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Yun-Ya</au><au>Pereyra, Luciana P</au><au>Young, Robert B</au><au>Reardon, Kenneth F</au><au>Borch, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition</atitle><jtitle>Environmental science &amp; technology</jtitle><addtitle>Environ. Sci. Technol</addtitle><date>2011-08-15</date><risdate>2011</risdate><volume>45</volume><issue>16</issue><spage>6879</spage><epage>6886</epage><pages>6879-6886</pages><issn>0013-936X</issn><eissn>1520-5851</eissn><coden>ESTHAG</coden><abstract>Environmental releases and fate of steroid sex hormones from livestock and wastewater treatment plants are of increasing regulatory concern. Despite the detection of these hormones in manures, biosolids, and the environment, little attention has been paid to characterization of fecal bacteria capable of hormone degradation. The enrichments of (swine) manure-borne bacteria capable of aerobic testosterone degradation were prepared and the testosterone mineralization pathway was elucidated. Six DNA sequences of bacteria from the Proteobacteria phylum distributed among the genera Acinetobacter, Brevundimonas, Comamonas, Sphingomonas, Stenotrophomonas, and Rhodobacter were identified in a testosterone-degrading enriched culture with testosterone as the sole carbon source. Three degradation products of testosterone were identified as androstenedione, androstadienedione, and dehydrotestosterone using commercially available reference standards, liquid chromatography-UV diode array detection, and liquid chromatography-time-of-flight mass spectrometry (LC-TOF/MS). Three additional degradation products of testosterone were tentatively identified as 9α-hydroxytestosterone, 9α-hydroxyandrostadienedione or 3-hydroxy-9,10-secoandrosta-1,3,5(10)-triene-9,17-dione, and 9α-hydroxydehydrotestosterone or 9α-hydroxyandrostenedione using LC-TOF/MS. When 14C-testosterone was introduced to the enriched culture, 49–68% of the added 14C-testosterone was mineralized to 14CO2 within 8 days of incubation. The mineralization of 14C-testosterone followed pseudo-first-order reaction kinetics in the enriched culture with half-lives (t 1/2) of 10–143 h. This work suggests that Proteobacteria play an important environmental role in degradation of steroid sex hormones and that androgens have the potential to be mineralized during aerobic manure treatment or after land application to agricultural fields by manure-borne bacteria.</abstract><cop>Washington, DC</cop><pub>American Chemical Society</pub><pmid>21740029</pmid><doi>10.1021/es2013648</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0013-936X
ispartof Environmental science & technology, 2011-08, Vol.45 (16), p.6879-6886
issn 0013-936X
1520-5851
language eng
recordid cdi_proquest_miscellaneous_883312868
source MEDLINE; American Chemical Society Journals
subjects Agriculture, rearing and food industries wastes
Agronomy. Soil science and plant productions
Animals
Applied sciences
Bacteria
Bacteria - metabolism
Biodegradation
Biodegradation, Environmental
Biological and medical sciences
Biological treatment of sewage sludges and wastes
Biota
Biotechnology
Biotransformation
Carbon Radioisotopes
Chromatography
Chromatography, Liquid
Environment and pollution
Environmental Processes
Exact sciences and technology
Fundamental and applied biological sciences. Psychology
General agronomy. Plant production
Hogs
Hormones
Industrial applications and implications. Economical aspects
Manure - microbiology
Manures
Mass Spectrometry
Mineralization
Minerals - metabolism
Other nutrients. Amendments. Solid and liquid wastes. Sludges and slurries
Pollution
Sequence Analysis, DNA
Soil-plant relationships. Soil fertility. Fertilization. Amendments
Steroids
Swine
Testosterone
Testosterone - chemistry
Testosterone - metabolism
Wastes
Water treatment plants
title Testosterone-Mineralizing Culture Enriched from Swine Manure: Characterization of Degradation Pathways and Microbial Community Composition
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T17%3A24%3A02IST&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=Testosterone-Mineralizing%20Culture%20Enriched%20from%20Swine%20Manure:%20Characterization%20of%20Degradation%20Pathways%20and%20Microbial%20Community%20Composition&rft.jtitle=Environmental%20science%20&%20technology&rft.au=Yang,%20Yun-Ya&rft.date=2011-08-15&rft.volume=45&rft.issue=16&rft.spage=6879&rft.epage=6886&rft.pages=6879-6886&rft.issn=0013-936X&rft.eissn=1520-5851&rft.coden=ESTHAG&rft_id=info:doi/10.1021/es2013648&rft_dat=%3Cproquest_cross%3E2439319881%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=886232273&rft_id=info:pmid/21740029&rfr_iscdi=true