Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation

The Hsp90/Hsp70-based chaperone machinery regulates the activity and degradation of many signaling proteins. Cycling with Hsp90 stabilizes client proteins, whereas Hsp70 interacts with chaperone-dependent E3 ubiquitin ligases to promote protein degradation. To probe these actions, small molecule inh...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Journal of biological chemistry 2010-05, Vol.285 (21), p.15714-15723
Hauptverfasser: Wang, Adrienne M., Morishima, Yoshihiro, Clapp, Kelly M., Peng, Hwei-Ming, Pratt, William B., Gestwicki, Jason E., Osawa, Yoichi, Lieberman, Andrew P.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 15723
container_issue 21
container_start_page 15714
container_title The Journal of biological chemistry
container_volume 285
creator Wang, Adrienne M.
Morishima, Yoshihiro
Clapp, Kelly M.
Peng, Hwei-Ming
Pratt, William B.
Gestwicki, Jason E.
Osawa, Yoichi
Lieberman, Andrew P.
description The Hsp90/Hsp70-based chaperone machinery regulates the activity and degradation of many signaling proteins. Cycling with Hsp90 stabilizes client proteins, whereas Hsp70 interacts with chaperone-dependent E3 ubiquitin ligases to promote protein degradation. To probe these actions, small molecule inhibitors of Hsp70 would be extremely useful; however, few have been identified. Here we test the effects of methylene blue, a recently described inhibitor of Hsp70 ATPase activity, in three well established systems of increasing complexity. First, we demonstrate that methylene blue inhibits the ability of the purified Hsp90/Hsp70-based chaperone machinery to enable ligand binding by the glucocorticoid receptor and show that this effect is due to specific inhibition of Hsp70. Next, we establish that ubiquitination of neuronal nitric-oxide synthase by the native ubiquitinating system of reticulocyte lysate is dependent upon both Hsp70 and the E3 ubiquitin ligase CHIP and is blocked by methylene blue. Finally, we demonstrate that methylene blue impairs degradation of the polyglutamine expanded androgen receptor, an Hsp90 client mutated in spinal and bulbar muscular atrophy. In contrast, degradation of an amino-terminal fragment of the receptor, which lacks the ligand binding domain and, therefore, is not a client of the Hsp90/Hsp70-based chaperone machinery, is enhanced through homeostatic induction of autophagy that occurs when Hsp70-dependent proteasomal degradation is inhibited by methylene blue. Our data demonstrate the utility of methylene blue in defining Hsp70-dependent functions and reveal divergent effects on polyglutamine protein degradation depending on whether the substrate is an Hsp90 client.
doi_str_mv 10.1074/jbc.M109.098806
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2871437</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0021925820493810</els_id><sourcerecordid>744705598</sourcerecordid><originalsourceid>FETCH-LOGICAL-c610t-45d20e4aa5f94377551d91a13bf6f2498523251697bc2889c23f8d9d739fc8053</originalsourceid><addsrcrecordid>eNp1kUtvEzEUhUcIRENhzQ68YzWpnxl7g1QKpZUaUalEYmd5_Ji4cuzUnqmU38Cfxm3aCBbcjSX7O-dc-TTNewTnCHb05LbX8yWCYg4F53DxopkhyElLGPr1splBiFErMONHzZtSbmEdKtDr5ghDQjkUZNb8voxr3_vRpwiSAxdl20HQ78DSjutdsNGCL2Gy4NQ5q8cCbvwQVfBxANc5jdZHcD5F_ahW0YBV7--mahbV4WqZzBTUaAu4TmE3hGlUG19tn_Vf7ZCVeeTfNq-cCsW-ezqPm9X5t59nF-3Vj--XZ6dXrV4gOLaUGQwtVYo5QUnXMYaMQAqR3i0cpoIzTDBDC9H1GnMuNCaOG2E6IpzmkJHj5vPedzv1G2u0jWNWQW6z36i8k0l5-e9L9Gs5pHuJeYdqYjX49GSQ091kyyg3vmgbgoo2TUV2lHaQMcErebIndU6lZOsOKQjKhwZlbVA-NCj3DVbFh7-XO_DPlVXg4x5wKkk1ZF_k6gZDRCDiFNWphNgTtn7ivbdZFu1t1Nb4XFuUJvn_xv8BKHG2UQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>744705598</pqid></control><display><type>article</type><title>Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation</title><source>MEDLINE</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>EZB Electronic Journals Library</source><creator>Wang, Adrienne M. ; Morishima, Yoshihiro ; Clapp, Kelly M. ; Peng, Hwei-Ming ; Pratt, William B. ; Gestwicki, Jason E. ; Osawa, Yoichi ; Lieberman, Andrew P.</creator><creatorcontrib>Wang, Adrienne M. ; Morishima, Yoshihiro ; Clapp, Kelly M. ; Peng, Hwei-Ming ; Pratt, William B. ; Gestwicki, Jason E. ; Osawa, Yoichi ; Lieberman, Andrew P.</creatorcontrib><description>The Hsp90/Hsp70-based chaperone machinery regulates the activity and degradation of many signaling proteins. Cycling with Hsp90 stabilizes client proteins, whereas Hsp70 interacts with chaperone-dependent E3 ubiquitin ligases to promote protein degradation. To probe these actions, small molecule inhibitors of Hsp70 would be extremely useful; however, few have been identified. Here we test the effects of methylene blue, a recently described inhibitor of Hsp70 ATPase activity, in three well established systems of increasing complexity. First, we demonstrate that methylene blue inhibits the ability of the purified Hsp90/Hsp70-based chaperone machinery to enable ligand binding by the glucocorticoid receptor and show that this effect is due to specific inhibition of Hsp70. Next, we establish that ubiquitination of neuronal nitric-oxide synthase by the native ubiquitinating system of reticulocyte lysate is dependent upon both Hsp70 and the E3 ubiquitin ligase CHIP and is blocked by methylene blue. Finally, we demonstrate that methylene blue impairs degradation of the polyglutamine expanded androgen receptor, an Hsp90 client mutated in spinal and bulbar muscular atrophy. In contrast, degradation of an amino-terminal fragment of the receptor, which lacks the ligand binding domain and, therefore, is not a client of the Hsp90/Hsp70-based chaperone machinery, is enhanced through homeostatic induction of autophagy that occurs when Hsp70-dependent proteasomal degradation is inhibited by methylene blue. Our data demonstrate the utility of methylene blue in defining Hsp70-dependent functions and reveal divergent effects on polyglutamine protein degradation depending on whether the substrate is an Hsp90 client.</description><identifier>ISSN: 0021-9258</identifier><identifier>EISSN: 1083-351X</identifier><identifier>DOI: 10.1074/jbc.M109.098806</identifier><identifier>PMID: 20348093</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Autophagy ; Chaperone Machinery ; Enzyme Inhibitors - pharmacology ; Heat Shock Protein ; HeLa Cells ; HSP70 Heat-Shock Proteins - antagonists &amp; inhibitors ; HSP70 Heat-Shock Proteins - metabolism ; HSP90 Heat-Shock Proteins - antagonists &amp; inhibitors ; HSP90 Heat-Shock Proteins - metabolism ; Humans ; Methylene Blue - pharmacology ; Mice ; Molecular Bases of Disease ; Nitric Oxide Synthase - metabolism ; Nitric Oxide Synthase Type I - metabolism ; Peptides - metabolism ; Polyglutamine Disease ; Proteasome Endopeptidase Complex - metabolism ; Protein Synthesis and Degradation ; Protein Turnover ; Rats ; Signal Transduction - drug effects ; Steroid Hormone Receptor ; Ubiquitin-Protein Ligases - metabolism ; Ubiquitination ; Ubiquitination - drug effects</subject><ispartof>The Journal of biological chemistry, 2010-05, Vol.285 (21), p.15714-15723</ispartof><rights>2010 © 2010 ASBMB. Currently published by Elsevier Inc; originally published by American Society for Biochemistry and Molecular Biology.</rights><rights>2010 by The American Society for Biochemistry and Molecular Biology, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-45d20e4aa5f94377551d91a13bf6f2498523251697bc2889c23f8d9d739fc8053</citedby><cites>FETCH-LOGICAL-c610t-45d20e4aa5f94377551d91a13bf6f2498523251697bc2889c23f8d9d739fc8053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2871437/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2871437/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20348093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Adrienne M.</creatorcontrib><creatorcontrib>Morishima, Yoshihiro</creatorcontrib><creatorcontrib>Clapp, Kelly M.</creatorcontrib><creatorcontrib>Peng, Hwei-Ming</creatorcontrib><creatorcontrib>Pratt, William B.</creatorcontrib><creatorcontrib>Gestwicki, Jason E.</creatorcontrib><creatorcontrib>Osawa, Yoichi</creatorcontrib><creatorcontrib>Lieberman, Andrew P.</creatorcontrib><title>Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation</title><title>The Journal of biological chemistry</title><addtitle>J Biol Chem</addtitle><description>The Hsp90/Hsp70-based chaperone machinery regulates the activity and degradation of many signaling proteins. Cycling with Hsp90 stabilizes client proteins, whereas Hsp70 interacts with chaperone-dependent E3 ubiquitin ligases to promote protein degradation. To probe these actions, small molecule inhibitors of Hsp70 would be extremely useful; however, few have been identified. Here we test the effects of methylene blue, a recently described inhibitor of Hsp70 ATPase activity, in three well established systems of increasing complexity. First, we demonstrate that methylene blue inhibits the ability of the purified Hsp90/Hsp70-based chaperone machinery to enable ligand binding by the glucocorticoid receptor and show that this effect is due to specific inhibition of Hsp70. Next, we establish that ubiquitination of neuronal nitric-oxide synthase by the native ubiquitinating system of reticulocyte lysate is dependent upon both Hsp70 and the E3 ubiquitin ligase CHIP and is blocked by methylene blue. Finally, we demonstrate that methylene blue impairs degradation of the polyglutamine expanded androgen receptor, an Hsp90 client mutated in spinal and bulbar muscular atrophy. In contrast, degradation of an amino-terminal fragment of the receptor, which lacks the ligand binding domain and, therefore, is not a client of the Hsp90/Hsp70-based chaperone machinery, is enhanced through homeostatic induction of autophagy that occurs when Hsp70-dependent proteasomal degradation is inhibited by methylene blue. Our data demonstrate the utility of methylene blue in defining Hsp70-dependent functions and reveal divergent effects on polyglutamine protein degradation depending on whether the substrate is an Hsp90 client.</description><subject>Animals</subject><subject>Autophagy</subject><subject>Chaperone Machinery</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Heat Shock Protein</subject><subject>HeLa Cells</subject><subject>HSP70 Heat-Shock Proteins - antagonists &amp; inhibitors</subject><subject>HSP70 Heat-Shock Proteins - metabolism</subject><subject>HSP90 Heat-Shock Proteins - antagonists &amp; inhibitors</subject><subject>HSP90 Heat-Shock Proteins - metabolism</subject><subject>Humans</subject><subject>Methylene Blue - pharmacology</subject><subject>Mice</subject><subject>Molecular Bases of Disease</subject><subject>Nitric Oxide Synthase - metabolism</subject><subject>Nitric Oxide Synthase Type I - metabolism</subject><subject>Peptides - metabolism</subject><subject>Polyglutamine Disease</subject><subject>Proteasome Endopeptidase Complex - metabolism</subject><subject>Protein Synthesis and Degradation</subject><subject>Protein Turnover</subject><subject>Rats</subject><subject>Signal Transduction - drug effects</subject><subject>Steroid Hormone Receptor</subject><subject>Ubiquitin-Protein Ligases - metabolism</subject><subject>Ubiquitination</subject><subject>Ubiquitination - drug effects</subject><issn>0021-9258</issn><issn>1083-351X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtvEzEUhUcIRENhzQ68YzWpnxl7g1QKpZUaUalEYmd5_Ji4cuzUnqmU38Cfxm3aCBbcjSX7O-dc-TTNewTnCHb05LbX8yWCYg4F53DxopkhyElLGPr1splBiFErMONHzZtSbmEdKtDr5ghDQjkUZNb8voxr3_vRpwiSAxdl20HQ78DSjutdsNGCL2Gy4NQ5q8cCbvwQVfBxANc5jdZHcD5F_ahW0YBV7--mahbV4WqZzBTUaAu4TmE3hGlUG19tn_Vf7ZCVeeTfNq-cCsW-ezqPm9X5t59nF-3Vj--XZ6dXrV4gOLaUGQwtVYo5QUnXMYaMQAqR3i0cpoIzTDBDC9H1GnMuNCaOG2E6IpzmkJHj5vPedzv1G2u0jWNWQW6z36i8k0l5-e9L9Gs5pHuJeYdqYjX49GSQ091kyyg3vmgbgoo2TUV2lHaQMcErebIndU6lZOsOKQjKhwZlbVA-NCj3DVbFh7-XO_DPlVXg4x5wKkk1ZF_k6gZDRCDiFNWphNgTtn7ivbdZFu1t1Nb4XFuUJvn_xv8BKHG2UQ</recordid><startdate>20100521</startdate><enddate>20100521</enddate><creator>Wang, Adrienne M.</creator><creator>Morishima, Yoshihiro</creator><creator>Clapp, Kelly M.</creator><creator>Peng, Hwei-Ming</creator><creator>Pratt, William B.</creator><creator>Gestwicki, Jason E.</creator><creator>Osawa, Yoichi</creator><creator>Lieberman, Andrew P.</creator><general>Elsevier Inc</general><general>American Society for Biochemistry and Molecular Biology</general><scope>6I.</scope><scope>AAFTH</scope><scope>FBQ</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>20100521</creationdate><title>Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation</title><author>Wang, Adrienne M. ; Morishima, Yoshihiro ; Clapp, Kelly M. ; Peng, Hwei-Ming ; Pratt, William B. ; Gestwicki, Jason E. ; Osawa, Yoichi ; Lieberman, Andrew P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-45d20e4aa5f94377551d91a13bf6f2498523251697bc2889c23f8d9d739fc8053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Animals</topic><topic>Autophagy</topic><topic>Chaperone Machinery</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>Heat Shock Protein</topic><topic>HeLa Cells</topic><topic>HSP70 Heat-Shock Proteins - antagonists &amp; inhibitors</topic><topic>HSP70 Heat-Shock Proteins - metabolism</topic><topic>HSP90 Heat-Shock Proteins - antagonists &amp; inhibitors</topic><topic>HSP90 Heat-Shock Proteins - metabolism</topic><topic>Humans</topic><topic>Methylene Blue - pharmacology</topic><topic>Mice</topic><topic>Molecular Bases of Disease</topic><topic>Nitric Oxide Synthase - metabolism</topic><topic>Nitric Oxide Synthase Type I - metabolism</topic><topic>Peptides - metabolism</topic><topic>Polyglutamine Disease</topic><topic>Proteasome Endopeptidase Complex - metabolism</topic><topic>Protein Synthesis and Degradation</topic><topic>Protein Turnover</topic><topic>Rats</topic><topic>Signal Transduction - drug effects</topic><topic>Steroid Hormone Receptor</topic><topic>Ubiquitin-Protein Ligases - metabolism</topic><topic>Ubiquitination</topic><topic>Ubiquitination - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Adrienne M.</creatorcontrib><creatorcontrib>Morishima, Yoshihiro</creatorcontrib><creatorcontrib>Clapp, Kelly M.</creatorcontrib><creatorcontrib>Peng, Hwei-Ming</creatorcontrib><creatorcontrib>Pratt, William B.</creatorcontrib><creatorcontrib>Gestwicki, Jason E.</creatorcontrib><creatorcontrib>Osawa, Yoichi</creatorcontrib><creatorcontrib>Lieberman, Andrew P.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>AGRIS</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 Journal of biological chemistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Adrienne M.</au><au>Morishima, Yoshihiro</au><au>Clapp, Kelly M.</au><au>Peng, Hwei-Ming</au><au>Pratt, William B.</au><au>Gestwicki, Jason E.</au><au>Osawa, Yoichi</au><au>Lieberman, Andrew P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation</atitle><jtitle>The Journal of biological chemistry</jtitle><addtitle>J Biol Chem</addtitle><date>2010-05-21</date><risdate>2010</risdate><volume>285</volume><issue>21</issue><spage>15714</spage><epage>15723</epage><pages>15714-15723</pages><issn>0021-9258</issn><eissn>1083-351X</eissn><abstract>The Hsp90/Hsp70-based chaperone machinery regulates the activity and degradation of many signaling proteins. Cycling with Hsp90 stabilizes client proteins, whereas Hsp70 interacts with chaperone-dependent E3 ubiquitin ligases to promote protein degradation. To probe these actions, small molecule inhibitors of Hsp70 would be extremely useful; however, few have been identified. Here we test the effects of methylene blue, a recently described inhibitor of Hsp70 ATPase activity, in three well established systems of increasing complexity. First, we demonstrate that methylene blue inhibits the ability of the purified Hsp90/Hsp70-based chaperone machinery to enable ligand binding by the glucocorticoid receptor and show that this effect is due to specific inhibition of Hsp70. Next, we establish that ubiquitination of neuronal nitric-oxide synthase by the native ubiquitinating system of reticulocyte lysate is dependent upon both Hsp70 and the E3 ubiquitin ligase CHIP and is blocked by methylene blue. Finally, we demonstrate that methylene blue impairs degradation of the polyglutamine expanded androgen receptor, an Hsp90 client mutated in spinal and bulbar muscular atrophy. In contrast, degradation of an amino-terminal fragment of the receptor, which lacks the ligand binding domain and, therefore, is not a client of the Hsp90/Hsp70-based chaperone machinery, is enhanced through homeostatic induction of autophagy that occurs when Hsp70-dependent proteasomal degradation is inhibited by methylene blue. Our data demonstrate the utility of methylene blue in defining Hsp70-dependent functions and reveal divergent effects on polyglutamine protein degradation depending on whether the substrate is an Hsp90 client.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20348093</pmid><doi>10.1074/jbc.M109.098806</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0021-9258
ispartof The Journal of biological chemistry, 2010-05, Vol.285 (21), p.15714-15723
issn 0021-9258
1083-351X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2871437
source MEDLINE; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Animals
Autophagy
Chaperone Machinery
Enzyme Inhibitors - pharmacology
Heat Shock Protein
HeLa Cells
HSP70 Heat-Shock Proteins - antagonists & inhibitors
HSP70 Heat-Shock Proteins - metabolism
HSP90 Heat-Shock Proteins - antagonists & inhibitors
HSP90 Heat-Shock Proteins - metabolism
Humans
Methylene Blue - pharmacology
Mice
Molecular Bases of Disease
Nitric Oxide Synthase - metabolism
Nitric Oxide Synthase Type I - metabolism
Peptides - metabolism
Polyglutamine Disease
Proteasome Endopeptidase Complex - metabolism
Protein Synthesis and Degradation
Protein Turnover
Rats
Signal Transduction - drug effects
Steroid Hormone Receptor
Ubiquitin-Protein Ligases - metabolism
Ubiquitination
Ubiquitination - drug effects
title Inhibition of Hsp70 by Methylene Blue Affects Signaling Protein Function and Ubiquitination and Modulates Polyglutamine Protein Degradation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T15%3A31%3A32IST&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=Inhibition%20of%20Hsp70%20by%20Methylene%20Blue%20Affects%20Signaling%20Protein%20Function%20and%20Ubiquitination%20and%20Modulates%20Polyglutamine%20Protein%20Degradation&rft.jtitle=The%20Journal%20of%20biological%20chemistry&rft.au=Wang,%20Adrienne%20M.&rft.date=2010-05-21&rft.volume=285&rft.issue=21&rft.spage=15714&rft.epage=15723&rft.pages=15714-15723&rft.issn=0021-9258&rft.eissn=1083-351X&rft_id=info:doi/10.1074/jbc.M109.098806&rft_dat=%3Cproquest_pubme%3E744705598%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=744705598&rft_id=info:pmid/20348093&rft_els_id=S0021925820493810&rfr_iscdi=true