Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer
Introduction Our previous studies have revealed that nicotine-treated immature dendritic cells (imDCs) have anti-tumor effects in murine lymphoma models. The present study is to explore the preventive and therapeutic anti-tumor effects of nicotine-treated imDCs in murine lung and liver cancer. Mater...
Gespeichert in:
Veröffentlicht in: | Journal of clinical immunology 2011-02, Vol.31 (1), p.80-88 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 88 |
---|---|
container_issue | 1 |
container_start_page | 80 |
container_title | Journal of clinical immunology |
container_volume | 31 |
creator | Gao, Feng Guang Li, Hai Tao Li, Zhi Jing Gu, Jian Ren |
description | Introduction
Our previous studies have revealed that nicotine-treated immature dendritic cells (imDCs) have anti-tumor effects in murine lymphoma models. The present study is to explore the preventive and therapeutic anti-tumor effects of nicotine-treated imDCs in murine lung and liver cancer.
Materials and Methods
To address this objection, bone marrow-derived imDCs were firstly stimulated by nicotine in vitro and the expressions of CD80, CD86, CD40, CD11b, MHC class I and II were determined by flow cytometry. Then, DCs-dependent tumor-lysate-specific T cell proliferation, IL-12(p40+p70) secretion were determined by BrdU cell proliferation assay and enzyme-linked immunosorbent assay, respectively. The anti-tumor effects of such imDCs were further explored by intraperitoneal transfer against tumor challenge or implantation. By using kinase inhibitors, the mechanism of nicotine upregulating CD80 was finally explored by flow cytometry.
Results
The results showed that: firstly, nicotine could upregulate the expressions of CD80, CD86, CD40,CD11b, MHC class I and II molecules in imDCs. Secondly, nicotine could promote imDCs-dependent T cell priming and IL-12 secretion. Most importantly, systemic transfer of ex vivo nicotine-stimulated imDCs, which enhanced CD80 expression through PI3K activation, could reveal preventive and effectively therapeutic effects on tumor development.
Conclusions
Ex vivo nicotine stimulation can significantly improve imDCs efficacy for adaptive therapy of cancer. Nicotine-treated imDCs might be considered as a potential candidate for therapeutic tumor immunotherapy for lung and liver cancer. |
doi_str_mv | 10.1007/s10875-010-9459-5 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_902355069</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>859058546</sourcerecordid><originalsourceid>FETCH-LOGICAL-c500t-852074ab08b795d361c70f53f5a77d56cf235f7caa11ca30ef1520376ce971c23</originalsourceid><addsrcrecordid>eNqNkU1vFSEUhonR2Gv1B7gxxI0r9MDMGWB5M9aP5GoXrWvCZaDSzDAVZpr478vNrZqYGLtiwfO-cM5DyEsObzmAfFc4KIkMODDdomb4iGw4yoYJ1OIx2YCQnGneihPyrJRrAGg6gU_JiQCNsuVqQ9zX6OYlJk8vljito138QN_7NOS4REd7P46F9vM6DnTrvkd_6-k2LZFdrtOc6VkI3i2FxkS_zGvxdLemK2rTQHfx1mfa2-R8fk6eBDsW_-L-PCXfPpxd9p_Y7vzj5367Yw4BFqZQgGztHtReahyajjsJAZuAVsoBOxdEg0E6azl3tgEfeE00snNeS-5Ec0reHHtv8vxj9WUxUyyuTmCTr78zGmoBQqf_S6rDcpQUDyBRAypsu0q-_ou8ntec6sAVUhKk6mSF-BFyeS4l-2Bucpxs_mk4mINTc3RqqlNzcGqwZl7dF6_7yQ-_E78kVkAcgVKv0pXPf17-d-sdnMep2g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>858707867</pqid></control><display><type>article</type><title>Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Gao, Feng Guang ; Li, Hai Tao ; Li, Zhi Jing ; Gu, Jian Ren</creator><creatorcontrib>Gao, Feng Guang ; Li, Hai Tao ; Li, Zhi Jing ; Gu, Jian Ren</creatorcontrib><description>Introduction
Our previous studies have revealed that nicotine-treated immature dendritic cells (imDCs) have anti-tumor effects in murine lymphoma models. The present study is to explore the preventive and therapeutic anti-tumor effects of nicotine-treated imDCs in murine lung and liver cancer.
Materials and Methods
To address this objection, bone marrow-derived imDCs were firstly stimulated by nicotine in vitro and the expressions of CD80, CD86, CD40, CD11b, MHC class I and II were determined by flow cytometry. Then, DCs-dependent tumor-lysate-specific T cell proliferation, IL-12(p40+p70) secretion were determined by BrdU cell proliferation assay and enzyme-linked immunosorbent assay, respectively. The anti-tumor effects of such imDCs were further explored by intraperitoneal transfer against tumor challenge or implantation. By using kinase inhibitors, the mechanism of nicotine upregulating CD80 was finally explored by flow cytometry.
Results
The results showed that: firstly, nicotine could upregulate the expressions of CD80, CD86, CD40,CD11b, MHC class I and II molecules in imDCs. Secondly, nicotine could promote imDCs-dependent T cell priming and IL-12 secretion. Most importantly, systemic transfer of ex vivo nicotine-stimulated imDCs, which enhanced CD80 expression through PI3K activation, could reveal preventive and effectively therapeutic effects on tumor development.
Conclusions
Ex vivo nicotine stimulation can significantly improve imDCs efficacy for adaptive therapy of cancer. Nicotine-treated imDCs might be considered as a potential candidate for therapeutic tumor immunotherapy for lung and liver cancer.</description><identifier>ISSN: 0271-9142</identifier><identifier>EISSN: 1573-2592</identifier><identifier>DOI: 10.1007/s10875-010-9459-5</identifier><identifier>PMID: 20957418</identifier><identifier>CODEN: JCIMDO</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Animals ; Antigens, CD - genetics ; Antigens, CD - metabolism ; B7-1 Antigen - genetics ; B7-1 Antigen - metabolism ; Biomedical and Life Sciences ; Biomedicine ; Bone Marrow Cells - cytology ; Bone Marrow Cells - immunology ; Bone Marrow Cells - metabolism ; Dendritic Cells - drug effects ; Dendritic Cells - immunology ; Dendritic Cells - metabolism ; Female ; Flow Cytometry ; Immunology ; Immunotherapy - methods ; Infectious Diseases ; Internal Medicine ; Liver cancer ; Liver Neoplasms - immunology ; Liver Neoplasms - therapy ; Lung Neoplasms - immunology ; Lung Neoplasms - therapy ; Lymphocyte Activation ; Major Histocompatibility Complex - genetics ; Major Histocompatibility Complex - immunology ; Medical Microbiology ; Mice ; Mice, Inbred C57BL ; Nicotine - immunology ; Nicotine - pharmacology ; T-Lymphocytes - immunology ; Up-Regulation</subject><ispartof>Journal of clinical immunology, 2011-02, Vol.31 (1), p.80-88</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-852074ab08b795d361c70f53f5a77d56cf235f7caa11ca30ef1520376ce971c23</citedby><cites>FETCH-LOGICAL-c500t-852074ab08b795d361c70f53f5a77d56cf235f7caa11ca30ef1520376ce971c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10875-010-9459-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10875-010-9459-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20957418$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Feng Guang</creatorcontrib><creatorcontrib>Li, Hai Tao</creatorcontrib><creatorcontrib>Li, Zhi Jing</creatorcontrib><creatorcontrib>Gu, Jian Ren</creatorcontrib><title>Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer</title><title>Journal of clinical immunology</title><addtitle>J Clin Immunol</addtitle><addtitle>J Clin Immunol</addtitle><description>Introduction
Our previous studies have revealed that nicotine-treated immature dendritic cells (imDCs) have anti-tumor effects in murine lymphoma models. The present study is to explore the preventive and therapeutic anti-tumor effects of nicotine-treated imDCs in murine lung and liver cancer.
Materials and Methods
To address this objection, bone marrow-derived imDCs were firstly stimulated by nicotine in vitro and the expressions of CD80, CD86, CD40, CD11b, MHC class I and II were determined by flow cytometry. Then, DCs-dependent tumor-lysate-specific T cell proliferation, IL-12(p40+p70) secretion were determined by BrdU cell proliferation assay and enzyme-linked immunosorbent assay, respectively. The anti-tumor effects of such imDCs were further explored by intraperitoneal transfer against tumor challenge or implantation. By using kinase inhibitors, the mechanism of nicotine upregulating CD80 was finally explored by flow cytometry.
Results
The results showed that: firstly, nicotine could upregulate the expressions of CD80, CD86, CD40,CD11b, MHC class I and II molecules in imDCs. Secondly, nicotine could promote imDCs-dependent T cell priming and IL-12 secretion. Most importantly, systemic transfer of ex vivo nicotine-stimulated imDCs, which enhanced CD80 expression through PI3K activation, could reveal preventive and effectively therapeutic effects on tumor development.
Conclusions
Ex vivo nicotine stimulation can significantly improve imDCs efficacy for adaptive therapy of cancer. Nicotine-treated imDCs might be considered as a potential candidate for therapeutic tumor immunotherapy for lung and liver cancer.</description><subject>Animals</subject><subject>Antigens, CD - genetics</subject><subject>Antigens, CD - metabolism</subject><subject>B7-1 Antigen - genetics</subject><subject>B7-1 Antigen - metabolism</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Bone Marrow Cells - cytology</subject><subject>Bone Marrow Cells - immunology</subject><subject>Bone Marrow Cells - metabolism</subject><subject>Dendritic Cells - drug effects</subject><subject>Dendritic Cells - immunology</subject><subject>Dendritic Cells - metabolism</subject><subject>Female</subject><subject>Flow Cytometry</subject><subject>Immunology</subject><subject>Immunotherapy - methods</subject><subject>Infectious Diseases</subject><subject>Internal Medicine</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - immunology</subject><subject>Liver Neoplasms - therapy</subject><subject>Lung Neoplasms - immunology</subject><subject>Lung Neoplasms - therapy</subject><subject>Lymphocyte Activation</subject><subject>Major Histocompatibility Complex - genetics</subject><subject>Major Histocompatibility Complex - immunology</subject><subject>Medical Microbiology</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Nicotine - immunology</subject><subject>Nicotine - pharmacology</subject><subject>T-Lymphocytes - immunology</subject><subject>Up-Regulation</subject><issn>0271-9142</issn><issn>1573-2592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1vFSEUhonR2Gv1B7gxxI0r9MDMGWB5M9aP5GoXrWvCZaDSzDAVZpr478vNrZqYGLtiwfO-cM5DyEsObzmAfFc4KIkMODDdomb4iGw4yoYJ1OIx2YCQnGneihPyrJRrAGg6gU_JiQCNsuVqQ9zX6OYlJk8vljito138QN_7NOS4REd7P46F9vM6DnTrvkd_6-k2LZFdrtOc6VkI3i2FxkS_zGvxdLemK2rTQHfx1mfa2-R8fk6eBDsW_-L-PCXfPpxd9p_Y7vzj5367Yw4BFqZQgGztHtReahyajjsJAZuAVsoBOxdEg0E6azl3tgEfeE00snNeS-5Ec0reHHtv8vxj9WUxUyyuTmCTr78zGmoBQqf_S6rDcpQUDyBRAypsu0q-_ou8ntec6sAVUhKk6mSF-BFyeS4l-2Bucpxs_mk4mINTc3RqqlNzcGqwZl7dF6_7yQ-_E78kVkAcgVKv0pXPf17-d-sdnMep2g</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Gao, Feng Guang</creator><creator>Li, Hai Tao</creator><creator>Li, Zhi Jing</creator><creator>Gu, Jian Ren</creator><general>Springer US</general><general>Springer Nature B.V</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>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201102</creationdate><title>Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer</title><author>Gao, Feng Guang ; Li, Hai Tao ; Li, Zhi Jing ; Gu, Jian Ren</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-852074ab08b795d361c70f53f5a77d56cf235f7caa11ca30ef1520376ce971c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Animals</topic><topic>Antigens, CD - genetics</topic><topic>Antigens, CD - metabolism</topic><topic>B7-1 Antigen - genetics</topic><topic>B7-1 Antigen - metabolism</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Bone Marrow Cells - cytology</topic><topic>Bone Marrow Cells - immunology</topic><topic>Bone Marrow Cells - metabolism</topic><topic>Dendritic Cells - drug effects</topic><topic>Dendritic Cells - immunology</topic><topic>Dendritic Cells - metabolism</topic><topic>Female</topic><topic>Flow Cytometry</topic><topic>Immunology</topic><topic>Immunotherapy - methods</topic><topic>Infectious Diseases</topic><topic>Internal Medicine</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - immunology</topic><topic>Liver Neoplasms - therapy</topic><topic>Lung Neoplasms - immunology</topic><topic>Lung Neoplasms - therapy</topic><topic>Lymphocyte Activation</topic><topic>Major Histocompatibility Complex - genetics</topic><topic>Major Histocompatibility Complex - immunology</topic><topic>Medical Microbiology</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Nicotine - immunology</topic><topic>Nicotine - pharmacology</topic><topic>T-Lymphocytes - immunology</topic><topic>Up-Regulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Feng Guang</creatorcontrib><creatorcontrib>Li, Hai Tao</creatorcontrib><creatorcontrib>Li, Zhi Jing</creatorcontrib><creatorcontrib>Gu, Jian Ren</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech 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>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</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 Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Feng Guang</au><au>Li, Hai Tao</au><au>Li, Zhi Jing</au><au>Gu, Jian Ren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer</atitle><jtitle>Journal of clinical immunology</jtitle><stitle>J Clin Immunol</stitle><addtitle>J Clin Immunol</addtitle><date>2011-02</date><risdate>2011</risdate><volume>31</volume><issue>1</issue><spage>80</spage><epage>88</epage><pages>80-88</pages><issn>0271-9142</issn><eissn>1573-2592</eissn><coden>JCIMDO</coden><abstract>Introduction
Our previous studies have revealed that nicotine-treated immature dendritic cells (imDCs) have anti-tumor effects in murine lymphoma models. The present study is to explore the preventive and therapeutic anti-tumor effects of nicotine-treated imDCs in murine lung and liver cancer.
Materials and Methods
To address this objection, bone marrow-derived imDCs were firstly stimulated by nicotine in vitro and the expressions of CD80, CD86, CD40, CD11b, MHC class I and II were determined by flow cytometry. Then, DCs-dependent tumor-lysate-specific T cell proliferation, IL-12(p40+p70) secretion were determined by BrdU cell proliferation assay and enzyme-linked immunosorbent assay, respectively. The anti-tumor effects of such imDCs were further explored by intraperitoneal transfer against tumor challenge or implantation. By using kinase inhibitors, the mechanism of nicotine upregulating CD80 was finally explored by flow cytometry.
Results
The results showed that: firstly, nicotine could upregulate the expressions of CD80, CD86, CD40,CD11b, MHC class I and II molecules in imDCs. Secondly, nicotine could promote imDCs-dependent T cell priming and IL-12 secretion. Most importantly, systemic transfer of ex vivo nicotine-stimulated imDCs, which enhanced CD80 expression through PI3K activation, could reveal preventive and effectively therapeutic effects on tumor development.
Conclusions
Ex vivo nicotine stimulation can significantly improve imDCs efficacy for adaptive therapy of cancer. Nicotine-treated imDCs might be considered as a potential candidate for therapeutic tumor immunotherapy for lung and liver cancer.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20957418</pmid><doi>10.1007/s10875-010-9459-5</doi><tpages>9</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0271-9142 |
ispartof | Journal of clinical immunology, 2011-02, Vol.31 (1), p.80-88 |
issn | 0271-9142 1573-2592 |
language | eng |
recordid | cdi_proquest_miscellaneous_902355069 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Animals Antigens, CD - genetics Antigens, CD - metabolism B7-1 Antigen - genetics B7-1 Antigen - metabolism Biomedical and Life Sciences Biomedicine Bone Marrow Cells - cytology Bone Marrow Cells - immunology Bone Marrow Cells - metabolism Dendritic Cells - drug effects Dendritic Cells - immunology Dendritic Cells - metabolism Female Flow Cytometry Immunology Immunotherapy - methods Infectious Diseases Internal Medicine Liver cancer Liver Neoplasms - immunology Liver Neoplasms - therapy Lung Neoplasms - immunology Lung Neoplasms - therapy Lymphocyte Activation Major Histocompatibility Complex - genetics Major Histocompatibility Complex - immunology Medical Microbiology Mice Mice, Inbred C57BL Nicotine - immunology Nicotine - pharmacology T-Lymphocytes - immunology Up-Regulation |
title | Nicotine Stimulated Dendritic Cells Could Achieve Anti-Tumor Effects in Mouse Lung and Liver Cancer |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T20%3A23%3A23IST&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=Nicotine%20Stimulated%20Dendritic%20Cells%20Could%20Achieve%20Anti-Tumor%20Effects%20in%20Mouse%20Lung%20and%20Liver%20Cancer&rft.jtitle=Journal%20of%20clinical%20immunology&rft.au=Gao,%20Feng%20Guang&rft.date=2011-02&rft.volume=31&rft.issue=1&rft.spage=80&rft.epage=88&rft.pages=80-88&rft.issn=0271-9142&rft.eissn=1573-2592&rft.coden=JCIMDO&rft_id=info:doi/10.1007/s10875-010-9459-5&rft_dat=%3Cproquest_cross%3E859058546%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=858707867&rft_id=info:pmid/20957418&rfr_iscdi=true |