Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge
In adult female rats, robust hippocampal changes occur when estradiol rises on the morning of proestrus. Whether estradiol mediates these changes, however, remains unknown. To address this issue, we used sequential injections of estradiol to simulate two key components of the preovulatory surge: the...
Gespeichert in:
Veröffentlicht in: | The European journal of neuroscience 2007-11, Vol.26 (9), p.2595-2612 |
---|---|
Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 2612 |
---|---|
container_issue | 9 |
container_start_page | 2595 |
container_title | The European journal of neuroscience |
container_volume | 26 |
creator | Scharfman, Helen E. Hintz, Tana M. Gomez, Juan Stormes, Kerry A. Barouk, Sharon Malthankar-Phatak, Gauri H. McCloskey, Daniel P. Luine, Victoria N. MacLusky, Neil J. |
description | In adult female rats, robust hippocampal changes occur when estradiol rises on the morning of proestrus. Whether estradiol mediates these changes, however, remains unknown. To address this issue, we used sequential injections of estradiol to simulate two key components of the preovulatory surge: the rapid rise in estradiol on proestrous morning, and the slower rise during the preceding day, diestrus 2. Animals were examined mid‐morning of simulated proestrus, and compared to vehicle‐treated or intact rats. In both simulated and intact rats, CA1‐evoked responses were potentiated in hippocampal slices, and presynaptic mechanisms appeared to contribute. In CA3, multiple population spikes were evoked in response to mossy fiber stimuli, and expression of brain‐derived neurotrophic factor was increased. Simulation of proestrous morning also improved performance on object and place recognition tests, in comparison to vehicle treatment. Surprisingly, effects on CA1‐evoked responses showed a dependence on estradiol during simulated diestrus 2, as well as a dependence on proestrous morning. Increasing estradiol above the physiological range on proestrous morning paradoxically decreased evoked responses in CA1. However, CA3 pyramidal cell activity increased further, and became synchronized. Together, the results confirm that physiological estradiol levels are sufficient to profoundly affect hippocampal function. In addition: (i) changes on proestrous morning appear to depend on slow increases in estradiol during the preceding day; (ii) effects are extremely sensitive to the peak serum level on proestrous morning; and (iii) there are striking subfield differences within the hippocampus. |
doi_str_mv | 10.1111/j.1460-9568.2007.05848.x |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2225429</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>20641576</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6078-2c1040de1191cf7f59d173257bf61b1f82a694198d8e48de567c9a2a279ff9da3</originalsourceid><addsrcrecordid>eNqNkc2O0zAUhSMEYsrAKyCv2KXYafy3AAmq6cAwGhaAYGe5yXXrksTBdjrtPMI8Nc60KrDDm2vrnu_4Xp0sQwRPSTqvN1NSMpxLysS0wJhPMRWlmO4eZZNT43E2wZLOckHYj7PsWQgbjLFgJX2anREuOeYlnWT387XuVhCQ7dDa9r2rdNvrBpmhq6J1HXIGua32FqroWnsHNfI6BqRNBI8C_BqgizYBjbtFtQvJKREQote1dQ2KDgXbDo2OgOIaUO_Bbcen8_sHmVtBh8LgV_A8e2J0E-DFsZ5n3xYXX-cf8uvPlx_n767zimEu8qIiuMQ1ECJJZbihsiZ8VlC-NIwsiRGFZrIkUtQCSlEDZbySutAFl8bIWs_Os7cH335YtlBXaQGvG9V722q_V05b9W-ns2u1cltVFAUtC5kMXh0NvEv7h6haGypoGt2BG4IqMCsJ5SwJxUFYeReCB3P6hGA1Bqk2asxLjXmpMUj1EKTaJfTl30P-AY_JJcGbg-DWNrD_b2N1cXUz3hKfH3gbIuxOvPY_FeMzTtX3m0tFr8hi8WXxSb2f_QZIfcEJ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>20641576</pqid></control><display><type>article</type><title>Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Scharfman, Helen E. ; Hintz, Tana M. ; Gomez, Juan ; Stormes, Kerry A. ; Barouk, Sharon ; Malthankar-Phatak, Gauri H. ; McCloskey, Daniel P. ; Luine, Victoria N. ; MacLusky, Neil J.</creator><creatorcontrib>Scharfman, Helen E. ; Hintz, Tana M. ; Gomez, Juan ; Stormes, Kerry A. ; Barouk, Sharon ; Malthankar-Phatak, Gauri H. ; McCloskey, Daniel P. ; Luine, Victoria N. ; MacLusky, Neil J.</creatorcontrib><description>In adult female rats, robust hippocampal changes occur when estradiol rises on the morning of proestrus. Whether estradiol mediates these changes, however, remains unknown. To address this issue, we used sequential injections of estradiol to simulate two key components of the preovulatory surge: the rapid rise in estradiol on proestrous morning, and the slower rise during the preceding day, diestrus 2. Animals were examined mid‐morning of simulated proestrus, and compared to vehicle‐treated or intact rats. In both simulated and intact rats, CA1‐evoked responses were potentiated in hippocampal slices, and presynaptic mechanisms appeared to contribute. In CA3, multiple population spikes were evoked in response to mossy fiber stimuli, and expression of brain‐derived neurotrophic factor was increased. Simulation of proestrous morning also improved performance on object and place recognition tests, in comparison to vehicle treatment. Surprisingly, effects on CA1‐evoked responses showed a dependence on estradiol during simulated diestrus 2, as well as a dependence on proestrous morning. Increasing estradiol above the physiological range on proestrous morning paradoxically decreased evoked responses in CA1. However, CA3 pyramidal cell activity increased further, and became synchronized. Together, the results confirm that physiological estradiol levels are sufficient to profoundly affect hippocampal function. In addition: (i) changes on proestrous morning appear to depend on slow increases in estradiol during the preceding day; (ii) effects are extremely sensitive to the peak serum level on proestrous morning; and (iii) there are striking subfield differences within the hippocampus.</description><identifier>ISSN: 0953-816X</identifier><identifier>EISSN: 1460-9568</identifier><identifier>DOI: 10.1111/j.1460-9568.2007.05848.x</identifier><identifier>PMID: 17970745</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Action Potentials - drug effects ; Action Potentials - physiology ; Animals ; BDNF ; Brain-Derived Neurotrophic Factor - drug effects ; Brain-Derived Neurotrophic Factor - metabolism ; Diestrus - drug effects ; Diestrus - metabolism ; Dose-Response Relationship, Drug ; Estradiol - pharmacology ; estrous cycle ; Excitatory Postsynaptic Potentials - drug effects ; Excitatory Postsynaptic Potentials - physiology ; Female ; Hippocampus - drug effects ; Hippocampus - metabolism ; Learning - drug effects ; Learning - physiology ; mossy fibers ; Mossy Fibers, Hippocampal - drug effects ; Mossy Fibers, Hippocampal - metabolism ; Neural Pathways - drug effects ; Neural Pathways - physiology ; Neurons - drug effects ; Neurons - metabolism ; object placement ; object recognition ; Organ Culture Techniques ; Ovariectomy ; Ovulation - drug effects ; Ovulation - physiology ; potentiation ; proestrus ; Proestrus - drug effects ; Proestrus - metabolism ; Rats ; Rats, Sprague-Dawley ; Synaptic Transmission - drug effects ; Synaptic Transmission - physiology ; Time</subject><ispartof>The European journal of neuroscience, 2007-11, Vol.26 (9), p.2595-2612</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6078-2c1040de1191cf7f59d173257bf61b1f82a694198d8e48de567c9a2a279ff9da3</citedby><cites>FETCH-LOGICAL-c6078-2c1040de1191cf7f59d173257bf61b1f82a694198d8e48de567c9a2a279ff9da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1460-9568.2007.05848.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1460-9568.2007.05848.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17970745$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scharfman, Helen E.</creatorcontrib><creatorcontrib>Hintz, Tana M.</creatorcontrib><creatorcontrib>Gomez, Juan</creatorcontrib><creatorcontrib>Stormes, Kerry A.</creatorcontrib><creatorcontrib>Barouk, Sharon</creatorcontrib><creatorcontrib>Malthankar-Phatak, Gauri H.</creatorcontrib><creatorcontrib>McCloskey, Daniel P.</creatorcontrib><creatorcontrib>Luine, Victoria N.</creatorcontrib><creatorcontrib>MacLusky, Neil J.</creatorcontrib><title>Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge</title><title>The European journal of neuroscience</title><addtitle>Eur J Neurosci</addtitle><description>In adult female rats, robust hippocampal changes occur when estradiol rises on the morning of proestrus. Whether estradiol mediates these changes, however, remains unknown. To address this issue, we used sequential injections of estradiol to simulate two key components of the preovulatory surge: the rapid rise in estradiol on proestrous morning, and the slower rise during the preceding day, diestrus 2. Animals were examined mid‐morning of simulated proestrus, and compared to vehicle‐treated or intact rats. In both simulated and intact rats, CA1‐evoked responses were potentiated in hippocampal slices, and presynaptic mechanisms appeared to contribute. In CA3, multiple population spikes were evoked in response to mossy fiber stimuli, and expression of brain‐derived neurotrophic factor was increased. Simulation of proestrous morning also improved performance on object and place recognition tests, in comparison to vehicle treatment. Surprisingly, effects on CA1‐evoked responses showed a dependence on estradiol during simulated diestrus 2, as well as a dependence on proestrous morning. Increasing estradiol above the physiological range on proestrous morning paradoxically decreased evoked responses in CA1. However, CA3 pyramidal cell activity increased further, and became synchronized. Together, the results confirm that physiological estradiol levels are sufficient to profoundly affect hippocampal function. In addition: (i) changes on proestrous morning appear to depend on slow increases in estradiol during the preceding day; (ii) effects are extremely sensitive to the peak serum level on proestrous morning; and (iii) there are striking subfield differences within the hippocampus.</description><subject>Action Potentials - drug effects</subject><subject>Action Potentials - physiology</subject><subject>Animals</subject><subject>BDNF</subject><subject>Brain-Derived Neurotrophic Factor - drug effects</subject><subject>Brain-Derived Neurotrophic Factor - metabolism</subject><subject>Diestrus - drug effects</subject><subject>Diestrus - metabolism</subject><subject>Dose-Response Relationship, Drug</subject><subject>Estradiol - pharmacology</subject><subject>estrous cycle</subject><subject>Excitatory Postsynaptic Potentials - drug effects</subject><subject>Excitatory Postsynaptic Potentials - physiology</subject><subject>Female</subject><subject>Hippocampus - drug effects</subject><subject>Hippocampus - metabolism</subject><subject>Learning - drug effects</subject><subject>Learning - physiology</subject><subject>mossy fibers</subject><subject>Mossy Fibers, Hippocampal - drug effects</subject><subject>Mossy Fibers, Hippocampal - metabolism</subject><subject>Neural Pathways - drug effects</subject><subject>Neural Pathways - physiology</subject><subject>Neurons - drug effects</subject><subject>Neurons - metabolism</subject><subject>object placement</subject><subject>object recognition</subject><subject>Organ Culture Techniques</subject><subject>Ovariectomy</subject><subject>Ovulation - drug effects</subject><subject>Ovulation - physiology</subject><subject>potentiation</subject><subject>proestrus</subject><subject>Proestrus - drug effects</subject><subject>Proestrus - metabolism</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Synaptic Transmission - drug effects</subject><subject>Synaptic Transmission - physiology</subject><subject>Time</subject><issn>0953-816X</issn><issn>1460-9568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc2O0zAUhSMEYsrAKyCv2KXYafy3AAmq6cAwGhaAYGe5yXXrksTBdjrtPMI8Nc60KrDDm2vrnu_4Xp0sQwRPSTqvN1NSMpxLysS0wJhPMRWlmO4eZZNT43E2wZLOckHYj7PsWQgbjLFgJX2anREuOeYlnWT387XuVhCQ7dDa9r2rdNvrBpmhq6J1HXIGua32FqroWnsHNfI6BqRNBI8C_BqgizYBjbtFtQvJKREQote1dQ2KDgXbDo2OgOIaUO_Bbcen8_sHmVtBh8LgV_A8e2J0E-DFsZ5n3xYXX-cf8uvPlx_n767zimEu8qIiuMQ1ECJJZbihsiZ8VlC-NIwsiRGFZrIkUtQCSlEDZbySutAFl8bIWs_Os7cH335YtlBXaQGvG9V722q_V05b9W-ns2u1cltVFAUtC5kMXh0NvEv7h6haGypoGt2BG4IqMCsJ5SwJxUFYeReCB3P6hGA1Bqk2asxLjXmpMUj1EKTaJfTl30P-AY_JJcGbg-DWNrD_b2N1cXUz3hKfH3gbIuxOvPY_FeMzTtX3m0tFr8hi8WXxSb2f_QZIfcEJ</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Scharfman, Helen E.</creator><creator>Hintz, Tana M.</creator><creator>Gomez, Juan</creator><creator>Stormes, Kerry A.</creator><creator>Barouk, Sharon</creator><creator>Malthankar-Phatak, Gauri H.</creator><creator>McCloskey, Daniel P.</creator><creator>Luine, Victoria N.</creator><creator>MacLusky, Neil J.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</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>7TK</scope><scope>5PM</scope></search><sort><creationdate>200711</creationdate><title>Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge</title><author>Scharfman, Helen E. ; Hintz, Tana M. ; Gomez, Juan ; Stormes, Kerry A. ; Barouk, Sharon ; Malthankar-Phatak, Gauri H. ; McCloskey, Daniel P. ; Luine, Victoria N. ; MacLusky, Neil J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6078-2c1040de1191cf7f59d173257bf61b1f82a694198d8e48de567c9a2a279ff9da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Action Potentials - drug effects</topic><topic>Action Potentials - physiology</topic><topic>Animals</topic><topic>BDNF</topic><topic>Brain-Derived Neurotrophic Factor - drug effects</topic><topic>Brain-Derived Neurotrophic Factor - metabolism</topic><topic>Diestrus - drug effects</topic><topic>Diestrus - metabolism</topic><topic>Dose-Response Relationship, Drug</topic><topic>Estradiol - pharmacology</topic><topic>estrous cycle</topic><topic>Excitatory Postsynaptic Potentials - drug effects</topic><topic>Excitatory Postsynaptic Potentials - physiology</topic><topic>Female</topic><topic>Hippocampus - drug effects</topic><topic>Hippocampus - metabolism</topic><topic>Learning - drug effects</topic><topic>Learning - physiology</topic><topic>mossy fibers</topic><topic>Mossy Fibers, Hippocampal - drug effects</topic><topic>Mossy Fibers, Hippocampal - metabolism</topic><topic>Neural Pathways - drug effects</topic><topic>Neural Pathways - physiology</topic><topic>Neurons - drug effects</topic><topic>Neurons - metabolism</topic><topic>object placement</topic><topic>object recognition</topic><topic>Organ Culture Techniques</topic><topic>Ovariectomy</topic><topic>Ovulation - drug effects</topic><topic>Ovulation - physiology</topic><topic>potentiation</topic><topic>proestrus</topic><topic>Proestrus - drug effects</topic><topic>Proestrus - metabolism</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Synaptic Transmission - drug effects</topic><topic>Synaptic Transmission - physiology</topic><topic>Time</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scharfman, Helen E.</creatorcontrib><creatorcontrib>Hintz, Tana M.</creatorcontrib><creatorcontrib>Gomez, Juan</creatorcontrib><creatorcontrib>Stormes, Kerry A.</creatorcontrib><creatorcontrib>Barouk, Sharon</creatorcontrib><creatorcontrib>Malthankar-Phatak, Gauri H.</creatorcontrib><creatorcontrib>McCloskey, Daniel P.</creatorcontrib><creatorcontrib>Luine, Victoria N.</creatorcontrib><creatorcontrib>MacLusky, Neil J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The European journal of neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scharfman, Helen E.</au><au>Hintz, Tana M.</au><au>Gomez, Juan</au><au>Stormes, Kerry A.</au><au>Barouk, Sharon</au><au>Malthankar-Phatak, Gauri H.</au><au>McCloskey, Daniel P.</au><au>Luine, Victoria N.</au><au>MacLusky, Neil J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge</atitle><jtitle>The European journal of neuroscience</jtitle><addtitle>Eur J Neurosci</addtitle><date>2007-11</date><risdate>2007</risdate><volume>26</volume><issue>9</issue><spage>2595</spage><epage>2612</epage><pages>2595-2612</pages><issn>0953-816X</issn><eissn>1460-9568</eissn><abstract>In adult female rats, robust hippocampal changes occur when estradiol rises on the morning of proestrus. Whether estradiol mediates these changes, however, remains unknown. To address this issue, we used sequential injections of estradiol to simulate two key components of the preovulatory surge: the rapid rise in estradiol on proestrous morning, and the slower rise during the preceding day, diestrus 2. Animals were examined mid‐morning of simulated proestrus, and compared to vehicle‐treated or intact rats. In both simulated and intact rats, CA1‐evoked responses were potentiated in hippocampal slices, and presynaptic mechanisms appeared to contribute. In CA3, multiple population spikes were evoked in response to mossy fiber stimuli, and expression of brain‐derived neurotrophic factor was increased. Simulation of proestrous morning also improved performance on object and place recognition tests, in comparison to vehicle treatment. Surprisingly, effects on CA1‐evoked responses showed a dependence on estradiol during simulated diestrus 2, as well as a dependence on proestrous morning. Increasing estradiol above the physiological range on proestrous morning paradoxically decreased evoked responses in CA1. However, CA3 pyramidal cell activity increased further, and became synchronized. Together, the results confirm that physiological estradiol levels are sufficient to profoundly affect hippocampal function. In addition: (i) changes on proestrous morning appear to depend on slow increases in estradiol during the preceding day; (ii) effects are extremely sensitive to the peak serum level on proestrous morning; and (iii) there are striking subfield differences within the hippocampus.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17970745</pmid><doi>10.1111/j.1460-9568.2007.05848.x</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0953-816X |
ispartof | The European journal of neuroscience, 2007-11, Vol.26 (9), p.2595-2612 |
issn | 0953-816X 1460-9568 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2225429 |
source | MEDLINE; Access via Wiley Online Library |
subjects | Action Potentials - drug effects Action Potentials - physiology Animals BDNF Brain-Derived Neurotrophic Factor - drug effects Brain-Derived Neurotrophic Factor - metabolism Diestrus - drug effects Diestrus - metabolism Dose-Response Relationship, Drug Estradiol - pharmacology estrous cycle Excitatory Postsynaptic Potentials - drug effects Excitatory Postsynaptic Potentials - physiology Female Hippocampus - drug effects Hippocampus - metabolism Learning - drug effects Learning - physiology mossy fibers Mossy Fibers, Hippocampal - drug effects Mossy Fibers, Hippocampal - metabolism Neural Pathways - drug effects Neural Pathways - physiology Neurons - drug effects Neurons - metabolism object placement object recognition Organ Culture Techniques Ovariectomy Ovulation - drug effects Ovulation - physiology potentiation proestrus Proestrus - drug effects Proestrus - metabolism Rats Rats, Sprague-Dawley Synaptic Transmission - drug effects Synaptic Transmission - physiology Time |
title | Changes in hippocampal function of ovariectomized rats after sequential low doses of estradiol to simulate the preovulatory estrogen surge |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T11%3A52%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Changes%20in%20hippocampal%20function%20of%20ovariectomized%20rats%20after%20sequential%20low%20doses%20of%20estradiol%20to%20simulate%20the%20preovulatory%20estrogen%20surge&rft.jtitle=The%20European%20journal%20of%20neuroscience&rft.au=Scharfman,%20Helen%20E.&rft.date=2007-11&rft.volume=26&rft.issue=9&rft.spage=2595&rft.epage=2612&rft.pages=2595-2612&rft.issn=0953-816X&rft.eissn=1460-9568&rft_id=info:doi/10.1111/j.1460-9568.2007.05848.x&rft_dat=%3Cproquest_pubme%3E20641576%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=20641576&rft_id=info:pmid/17970745&rfr_iscdi=true |