Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line

The role of the mitogen-activated protein kinase (MAPK) signal transduction pathway in the proliferation of mammalian cells has been well established. However, there are relatively few reports concerning cell differentiation being mediated by MAPK. The effect of phorbol 12-myristate 13-acetate (PMA)...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cell growth & differentiation 2000-04, Vol.11 (4), p.191-200
Hauptverfasser: XIAOTANG HU, MOSCINSKI, L. C, VALKOV, N. I, FISHER, A. B, HILL, B. J, ZUCKERMAN, K. S
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 200
container_issue 4
container_start_page 191
container_title Cell growth & differentiation
container_volume 11
creator XIAOTANG HU
MOSCINSKI, L. C
VALKOV, N. I
FISHER, A. B
HILL, B. J
ZUCKERMAN, K. S
description The role of the mitogen-activated protein kinase (MAPK) signal transduction pathway in the proliferation of mammalian cells has been well established. However, there are relatively few reports concerning cell differentiation being mediated by MAPK. The effect of phorbol 12-myristate 13-acetate (PMA) on cell differentiation and signal transduction in a human myeloid leukemia cell line, TF-1a, was investigated. When TF-1a cells were treated with 10(-6), 10(-7), 10(-8), and 10(-9) M PMA for 24 h, they underwent 98, 93, 91, and 51% macrophage-like differentiation, respectively. PMA treatment rapidly (10 min) induced phosphorylation of MAPK kinase (MEK and p44/42 MAPK), which persisted for at least 24 h. p44/42 MAPK immunoprecipitates from lysates of PMA-treated cells had increased ability to phosphorylate the transcription factor Elk-1. This is important because phosphorylated Elk-1 can be considered an "end-product" of the MAPK pathway. In contrast, treatment of TF-1a cells with granulocyte/macrophage-colony stimulating factor induced only transient activation of MEK and p44/42 MAPK (10-20 min) and an increase (approximately 50%) in cell proliferation, without any change in cellular differentiation. These results suggest that macrophage-like differentiation may be dependent on prolonged activation of the MAPK pathway. Additional support for this conclusion was obtained from experiments showing that treatment of TF-1a cells with antisense oligonucleotides for MEK1 coding sequences prior to adding PMA inhibited macrophage-like differentiation. Furthermore, transient transfection with an inactive, dominant-negative MEK mutant also inhibited PMA-induced differentiation, whereas transient transfection with a plasmid coding for constitutively activated MEK led to macrophage-like differentiation in the absence of PMA.
format Article
fullrecord <record><control><sourceid>pubmed_pasca</sourceid><recordid>TN_cdi_pubmed_primary_10775036</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10775036</sourcerecordid><originalsourceid>FETCH-LOGICAL-p236t-6760e0a32144e07f7b26ea15a088a9f52b2fe94df77e6752eda899cf690da10e3</originalsourceid><addsrcrecordid>eNpF0L1OwzAUBWALgWgpvALywBrJf4mbESH-pEowwFzdJtftpY4dHAfUV-FpqUSB6Qzn0xnOEZsqbW0hrFbHbCqFMUVdKj1hZ8PwJoQ0UuhTNpHC2lLoasq-nlP0Mayx5dBk-oBMMfDoeN4g7yjHNYbi0OxNn2JGCnxLAQbkPeTNJ-w4DTzh-0hpT1xMvIMmxX4Dayw8bZG35BwmDJn-9oFvxg4C73boI7Xc47jFjhreoPfcU8BzduLAD3hxyBl7vbt9uXkoFk_3jzfXi6JXuspFZSuBArSSxqCwzq5UhSBLEPM51K5UK-WwNq2zFitbKmxhXteNq2rRghSoZ-zyZ7cfVx22yz5RB2m3_D1pD64OAIYGvEsQGhr-nTamllp_Ay-NdPA</addsrcrecordid><sourcetype>Index Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>XIAOTANG HU ; MOSCINSKI, L. C ; VALKOV, N. I ; FISHER, A. B ; HILL, B. J ; ZUCKERMAN, K. S</creator><creatorcontrib>XIAOTANG HU ; MOSCINSKI, L. C ; VALKOV, N. I ; FISHER, A. B ; HILL, B. J ; ZUCKERMAN, K. S</creatorcontrib><description>The role of the mitogen-activated protein kinase (MAPK) signal transduction pathway in the proliferation of mammalian cells has been well established. However, there are relatively few reports concerning cell differentiation being mediated by MAPK. The effect of phorbol 12-myristate 13-acetate (PMA) on cell differentiation and signal transduction in a human myeloid leukemia cell line, TF-1a, was investigated. When TF-1a cells were treated with 10(-6), 10(-7), 10(-8), and 10(-9) M PMA for 24 h, they underwent 98, 93, 91, and 51% macrophage-like differentiation, respectively. PMA treatment rapidly (10 min) induced phosphorylation of MAPK kinase (MEK and p44/42 MAPK), which persisted for at least 24 h. p44/42 MAPK immunoprecipitates from lysates of PMA-treated cells had increased ability to phosphorylate the transcription factor Elk-1. This is important because phosphorylated Elk-1 can be considered an "end-product" of the MAPK pathway. In contrast, treatment of TF-1a cells with granulocyte/macrophage-colony stimulating factor induced only transient activation of MEK and p44/42 MAPK (10-20 min) and an increase (approximately 50%) in cell proliferation, without any change in cellular differentiation. These results suggest that macrophage-like differentiation may be dependent on prolonged activation of the MAPK pathway. Additional support for this conclusion was obtained from experiments showing that treatment of TF-1a cells with antisense oligonucleotides for MEK1 coding sequences prior to adding PMA inhibited macrophage-like differentiation. Furthermore, transient transfection with an inactive, dominant-negative MEK mutant also inhibited PMA-induced differentiation, whereas transient transfection with a plasmid coding for constitutively activated MEK led to macrophage-like differentiation in the absence of PMA.</description><identifier>ISSN: 1044-9523</identifier><identifier>EISSN: 2377-0732</identifier><identifier>PMID: 10775036</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Biological and medical sciences ; Blotting, Western ; Cell Differentiation - drug effects ; Cell Differentiation - physiology ; Cell differentiation, maturation, development, hematopoiesis ; Cell Nucleus - metabolism ; Cell physiology ; DNA, Antisense - pharmacology ; DNA, Complementary - genetics ; DNA-Binding Proteins ; Dose-Response Relationship, Drug ; Enzyme Activation - drug effects ; ets-Domain Protein Elk-1 ; Fundamental and applied biological sciences. Psychology ; Gene Expression Regulation, Enzymologic ; Granulocyte-Macrophage Colony-Stimulating Factor - pharmacology ; Humans ; Immunohistochemistry ; Leukemia, Myeloid - pathology ; Leukemia, Myeloid - physiopathology ; Macrophages - cytology ; Macrophages - drug effects ; MAP Kinase Kinase 1 ; MAP Kinase Signaling System - drug effects ; MAP Kinase Signaling System - physiology ; Mitogen-Activated Protein Kinase 1 - metabolism ; Mitogen-Activated Protein Kinase Kinases - genetics ; Mitogen-Activated Protein Kinase Kinases - metabolism ; Mitogen-Activated Protein Kinases - genetics ; Mitogen-Activated Protein Kinases - metabolism ; Molecular and cellular biology ; Phosphorylation - drug effects ; Protein-Serine-Threonine Kinases - genetics ; Protein-Serine-Threonine Kinases - metabolism ; Proto-Oncogene Proteins - metabolism ; Tetradecanoylphorbol Acetate - pharmacology ; Time Factors ; Transcription Factors ; Transfection ; Tumor Cells, Cultured</subject><ispartof>Cell growth &amp; differentiation, 2000-04, Vol.11 (4), p.191-200</ispartof><rights>2000 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1344913$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10775036$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>XIAOTANG HU</creatorcontrib><creatorcontrib>MOSCINSKI, L. C</creatorcontrib><creatorcontrib>VALKOV, N. I</creatorcontrib><creatorcontrib>FISHER, A. B</creatorcontrib><creatorcontrib>HILL, B. J</creatorcontrib><creatorcontrib>ZUCKERMAN, K. S</creatorcontrib><title>Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line</title><title>Cell growth &amp; differentiation</title><addtitle>Cell Growth Differ</addtitle><description>The role of the mitogen-activated protein kinase (MAPK) signal transduction pathway in the proliferation of mammalian cells has been well established. However, there are relatively few reports concerning cell differentiation being mediated by MAPK. The effect of phorbol 12-myristate 13-acetate (PMA) on cell differentiation and signal transduction in a human myeloid leukemia cell line, TF-1a, was investigated. When TF-1a cells were treated with 10(-6), 10(-7), 10(-8), and 10(-9) M PMA for 24 h, they underwent 98, 93, 91, and 51% macrophage-like differentiation, respectively. PMA treatment rapidly (10 min) induced phosphorylation of MAPK kinase (MEK and p44/42 MAPK), which persisted for at least 24 h. p44/42 MAPK immunoprecipitates from lysates of PMA-treated cells had increased ability to phosphorylate the transcription factor Elk-1. This is important because phosphorylated Elk-1 can be considered an "end-product" of the MAPK pathway. In contrast, treatment of TF-1a cells with granulocyte/macrophage-colony stimulating factor induced only transient activation of MEK and p44/42 MAPK (10-20 min) and an increase (approximately 50%) in cell proliferation, without any change in cellular differentiation. These results suggest that macrophage-like differentiation may be dependent on prolonged activation of the MAPK pathway. Additional support for this conclusion was obtained from experiments showing that treatment of TF-1a cells with antisense oligonucleotides for MEK1 coding sequences prior to adding PMA inhibited macrophage-like differentiation. Furthermore, transient transfection with an inactive, dominant-negative MEK mutant also inhibited PMA-induced differentiation, whereas transient transfection with a plasmid coding for constitutively activated MEK led to macrophage-like differentiation in the absence of PMA.</description><subject>Biological and medical sciences</subject><subject>Blotting, Western</subject><subject>Cell Differentiation - drug effects</subject><subject>Cell Differentiation - physiology</subject><subject>Cell differentiation, maturation, development, hematopoiesis</subject><subject>Cell Nucleus - metabolism</subject><subject>Cell physiology</subject><subject>DNA, Antisense - pharmacology</subject><subject>DNA, Complementary - genetics</subject><subject>DNA-Binding Proteins</subject><subject>Dose-Response Relationship, Drug</subject><subject>Enzyme Activation - drug effects</subject><subject>ets-Domain Protein Elk-1</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gene Expression Regulation, Enzymologic</subject><subject>Granulocyte-Macrophage Colony-Stimulating Factor - pharmacology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Leukemia, Myeloid - pathology</subject><subject>Leukemia, Myeloid - physiopathology</subject><subject>Macrophages - cytology</subject><subject>Macrophages - drug effects</subject><subject>MAP Kinase Kinase 1</subject><subject>MAP Kinase Signaling System - drug effects</subject><subject>MAP Kinase Signaling System - physiology</subject><subject>Mitogen-Activated Protein Kinase 1 - metabolism</subject><subject>Mitogen-Activated Protein Kinase Kinases - genetics</subject><subject>Mitogen-Activated Protein Kinase Kinases - metabolism</subject><subject>Mitogen-Activated Protein Kinases - genetics</subject><subject>Mitogen-Activated Protein Kinases - metabolism</subject><subject>Molecular and cellular biology</subject><subject>Phosphorylation - drug effects</subject><subject>Protein-Serine-Threonine Kinases - genetics</subject><subject>Protein-Serine-Threonine Kinases - metabolism</subject><subject>Proto-Oncogene Proteins - metabolism</subject><subject>Tetradecanoylphorbol Acetate - pharmacology</subject><subject>Time Factors</subject><subject>Transcription Factors</subject><subject>Transfection</subject><subject>Tumor Cells, Cultured</subject><issn>1044-9523</issn><issn>2377-0732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0L1OwzAUBWALgWgpvALywBrJf4mbESH-pEowwFzdJtftpY4dHAfUV-FpqUSB6Qzn0xnOEZsqbW0hrFbHbCqFMUVdKj1hZ8PwJoQ0UuhTNpHC2lLoasq-nlP0Mayx5dBk-oBMMfDoeN4g7yjHNYbi0OxNn2JGCnxLAQbkPeTNJ-w4DTzh-0hpT1xMvIMmxX4Dayw8bZG35BwmDJn-9oFvxg4C73boI7Xc47jFjhreoPfcU8BzduLAD3hxyBl7vbt9uXkoFk_3jzfXi6JXuspFZSuBArSSxqCwzq5UhSBLEPM51K5UK-WwNq2zFitbKmxhXteNq2rRghSoZ-zyZ7cfVx22yz5RB2m3_D1pD64OAIYGvEsQGhr-nTamllp_Ay-NdPA</recordid><startdate>20000401</startdate><enddate>20000401</enddate><creator>XIAOTANG HU</creator><creator>MOSCINSKI, L. C</creator><creator>VALKOV, N. I</creator><creator>FISHER, A. B</creator><creator>HILL, B. J</creator><creator>ZUCKERMAN, K. S</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20000401</creationdate><title>Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line</title><author>XIAOTANG HU ; MOSCINSKI, L. C ; VALKOV, N. I ; FISHER, A. B ; HILL, B. J ; ZUCKERMAN, K. S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p236t-6760e0a32144e07f7b26ea15a088a9f52b2fe94df77e6752eda899cf690da10e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Blotting, Western</topic><topic>Cell Differentiation - drug effects</topic><topic>Cell Differentiation - physiology</topic><topic>Cell differentiation, maturation, development, hematopoiesis</topic><topic>Cell Nucleus - metabolism</topic><topic>Cell physiology</topic><topic>DNA, Antisense - pharmacology</topic><topic>DNA, Complementary - genetics</topic><topic>DNA-Binding Proteins</topic><topic>Dose-Response Relationship, Drug</topic><topic>Enzyme Activation - drug effects</topic><topic>ets-Domain Protein Elk-1</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene Expression Regulation, Enzymologic</topic><topic>Granulocyte-Macrophage Colony-Stimulating Factor - pharmacology</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Leukemia, Myeloid - pathology</topic><topic>Leukemia, Myeloid - physiopathology</topic><topic>Macrophages - cytology</topic><topic>Macrophages - drug effects</topic><topic>MAP Kinase Kinase 1</topic><topic>MAP Kinase Signaling System - drug effects</topic><topic>MAP Kinase Signaling System - physiology</topic><topic>Mitogen-Activated Protein Kinase 1 - metabolism</topic><topic>Mitogen-Activated Protein Kinase Kinases - genetics</topic><topic>Mitogen-Activated Protein Kinase Kinases - metabolism</topic><topic>Mitogen-Activated Protein Kinases - genetics</topic><topic>Mitogen-Activated Protein Kinases - metabolism</topic><topic>Molecular and cellular biology</topic><topic>Phosphorylation - drug effects</topic><topic>Protein-Serine-Threonine Kinases - genetics</topic><topic>Protein-Serine-Threonine Kinases - metabolism</topic><topic>Proto-Oncogene Proteins - metabolism</topic><topic>Tetradecanoylphorbol Acetate - pharmacology</topic><topic>Time Factors</topic><topic>Transcription Factors</topic><topic>Transfection</topic><topic>Tumor Cells, Cultured</topic><toplevel>online_resources</toplevel><creatorcontrib>XIAOTANG HU</creatorcontrib><creatorcontrib>MOSCINSKI, L. C</creatorcontrib><creatorcontrib>VALKOV, N. I</creatorcontrib><creatorcontrib>FISHER, A. B</creatorcontrib><creatorcontrib>HILL, B. J</creatorcontrib><creatorcontrib>ZUCKERMAN, K. S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Cell growth &amp; differentiation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>XIAOTANG HU</au><au>MOSCINSKI, L. C</au><au>VALKOV, N. I</au><au>FISHER, A. B</au><au>HILL, B. J</au><au>ZUCKERMAN, K. S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line</atitle><jtitle>Cell growth &amp; differentiation</jtitle><addtitle>Cell Growth Differ</addtitle><date>2000-04-01</date><risdate>2000</risdate><volume>11</volume><issue>4</issue><spage>191</spage><epage>200</epage><pages>191-200</pages><issn>1044-9523</issn><eissn>2377-0732</eissn><abstract>The role of the mitogen-activated protein kinase (MAPK) signal transduction pathway in the proliferation of mammalian cells has been well established. However, there are relatively few reports concerning cell differentiation being mediated by MAPK. The effect of phorbol 12-myristate 13-acetate (PMA) on cell differentiation and signal transduction in a human myeloid leukemia cell line, TF-1a, was investigated. When TF-1a cells were treated with 10(-6), 10(-7), 10(-8), and 10(-9) M PMA for 24 h, they underwent 98, 93, 91, and 51% macrophage-like differentiation, respectively. PMA treatment rapidly (10 min) induced phosphorylation of MAPK kinase (MEK and p44/42 MAPK), which persisted for at least 24 h. p44/42 MAPK immunoprecipitates from lysates of PMA-treated cells had increased ability to phosphorylate the transcription factor Elk-1. This is important because phosphorylated Elk-1 can be considered an "end-product" of the MAPK pathway. In contrast, treatment of TF-1a cells with granulocyte/macrophage-colony stimulating factor induced only transient activation of MEK and p44/42 MAPK (10-20 min) and an increase (approximately 50%) in cell proliferation, without any change in cellular differentiation. These results suggest that macrophage-like differentiation may be dependent on prolonged activation of the MAPK pathway. Additional support for this conclusion was obtained from experiments showing that treatment of TF-1a cells with antisense oligonucleotides for MEK1 coding sequences prior to adding PMA inhibited macrophage-like differentiation. Furthermore, transient transfection with an inactive, dominant-negative MEK mutant also inhibited PMA-induced differentiation, whereas transient transfection with a plasmid coding for constitutively activated MEK led to macrophage-like differentiation in the absence of PMA.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>10775036</pmid><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1044-9523
ispartof Cell growth & differentiation, 2000-04, Vol.11 (4), p.191-200
issn 1044-9523
2377-0732
language eng
recordid cdi_pubmed_primary_10775036
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Biological and medical sciences
Blotting, Western
Cell Differentiation - drug effects
Cell Differentiation - physiology
Cell differentiation, maturation, development, hematopoiesis
Cell Nucleus - metabolism
Cell physiology
DNA, Antisense - pharmacology
DNA, Complementary - genetics
DNA-Binding Proteins
Dose-Response Relationship, Drug
Enzyme Activation - drug effects
ets-Domain Protein Elk-1
Fundamental and applied biological sciences. Psychology
Gene Expression Regulation, Enzymologic
Granulocyte-Macrophage Colony-Stimulating Factor - pharmacology
Humans
Immunohistochemistry
Leukemia, Myeloid - pathology
Leukemia, Myeloid - physiopathology
Macrophages - cytology
Macrophages - drug effects
MAP Kinase Kinase 1
MAP Kinase Signaling System - drug effects
MAP Kinase Signaling System - physiology
Mitogen-Activated Protein Kinase 1 - metabolism
Mitogen-Activated Protein Kinase Kinases - genetics
Mitogen-Activated Protein Kinase Kinases - metabolism
Mitogen-Activated Protein Kinases - genetics
Mitogen-Activated Protein Kinases - metabolism
Molecular and cellular biology
Phosphorylation - drug effects
Protein-Serine-Threonine Kinases - genetics
Protein-Serine-Threonine Kinases - metabolism
Proto-Oncogene Proteins - metabolism
Tetradecanoylphorbol Acetate - pharmacology
Time Factors
Transcription Factors
Transfection
Tumor Cells, Cultured
title Prolonged activation of the mitogen-activated protein kinase pathway is required for macrophage-like differentiation of a human myeloid leukemic cell line
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T18%3A00%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_pasca&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prolonged%20activation%20of%20the%20mitogen-activated%20protein%20kinase%20pathway%20is%20required%20for%20macrophage-like%20differentiation%20of%20a%20human%20myeloid%20leukemic%20cell%20line&rft.jtitle=Cell%20growth%20&%20differentiation&rft.au=XIAOTANG%20HU&rft.date=2000-04-01&rft.volume=11&rft.issue=4&rft.spage=191&rft.epage=200&rft.pages=191-200&rft.issn=1044-9523&rft.eissn=2377-0732&rft_id=info:doi/&rft_dat=%3Cpubmed_pasca%3E10775036%3C/pubmed_pasca%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/10775036&rfr_iscdi=true