Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice
Background: Prenatal alcohol exposure can result in varying degrees of neurodevelopmental deficits, growth retardation, and facial dysmorphology. Variation in these adverse outcomes not only depends on the dose and pattern of alcohol exposure but also on less well understood interactions among envi...
Gespeichert in:
Veröffentlicht in: | Alcoholism, clinical and experimental research clinical and experimental research, 2011-07, Vol.35 (7), p.1293-1304 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1304 |
---|---|
container_issue | 7 |
container_start_page | 1293 |
container_title | Alcoholism, clinical and experimental research |
container_volume | 35 |
creator | Chen, Yuanyuan Ozturk, Nail Can Ni, Lijun Goodlett, Charles Zhou, Feng C. |
description | Background: Prenatal alcohol exposure can result in varying degrees of neurodevelopmental deficits, growth retardation, and facial dysmorphology. Variation in these adverse outcomes not only depends on the dose and pattern of alcohol exposure but also on less well understood interactions among environmental, genetic, and maternal factors. The current study tested the hypothesis that fetal genotype is an important determinant of ethanol teratogenesis by evaluating effects of ethanol exposure via embryo culture in 3 inbred strains of mice known to differ in the vulnerability of prenatal alcohol exposure in vivo.
Methods: Three strains of mice, C57BL/6N (B6), DBA/2 (D2), and 129S6/SvEvTac (129S6) were assessed in a whole embryo culture beginning on embryonic day 8.25, with or without alcohol administration at 88 mM for 6 hours followed by 42 hours culture in ethanol‐free media.
Results: Contrasting strain differences in susceptibility were observed for the brain, the face, and other organ systems using the Maele‐Fabry and Picard scoring system. The forebrain, midbrain, hindbrain, heart, optic vesicle, caudal neural tube, and hindlimbs of the B6 mice were severely delayed in growth, whereas compared to the respective controls, only the forebrain and optic vesicle were delayed in the D2 mice, and no effects were found in the 129S6 mice. A large number of cleaved (c)‐caspase 3 positive (+) cells were found in regions of the brain, optic vesicles, cranial nerve nuclei V, VII, VIII, and IX as well as the craniofacial primordial; only a few were found in corresponding regions of the B6 controls. In contrast, only a small number of c‐caspase 3 immunostaining cells were found in either the alcohol treated or the controls of the D2 embryos and in 129S6 embryos. The independent apoptotic markers TUNEL and Nile blue staining further confirmed the strain differences in apoptotic responses in both the neural tube and craniofacial primordia.
Conclusions: Under embryo culture conditions, in which alcohol exposure factors and fetal developmental staging were controlled, and maternal and intrauterine factors were eliminated, the degree of growth retardation and the extent and type of neurodevelopmental teratogenesis varied significantly across strains. Notably, the 129S6 strain was remarkably resistant to alcohol‐induced growth deficits, confirming a previous in vivo study, and the D2 strain was also significantly less affected than the B6 strain. These findings demonstra |
doi_str_mv | 10.1111/j.1530-0277.2011.01465.x |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4445648</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3371315971</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5545-4cfa9571cb40098571a10509a959ed78b72a33a0e86fd0878778a285e92ef55c3</originalsourceid><addsrcrecordid>eNpdkt2O0zAQhS0EYsvCK6BICImbBNuxY-cGqep2F6SyIP56aVx3wro4cbGT0r49Dlu6gG88njn6dMYzCGUEFySdl5uC8BLnmApRUExIgQmreLG_hyanwn00SVmeVxjLM_Qoxg3GmMmqeojOKGEkxWKCvn7sg7ZddmGbBgJ0BmI2PmEHzm9b6Hrtsi-D6yDolXW2P2S9z6bO-Bvvsvl-6-MQINtZnc3bVTj4bDa4fkwlyltr4DF60GgX4cnxPkefL-efZq_zxburN7PpIjecJ5fMNLrmgpgVw7iWKdIEc1ynZA1rIVeC6rLUGGTVrLEUUgipqeRQU2g4N-U5enXL3Q6rFtYmOQ_aqW2wrQ4H5bVV_1Y6e6O--Z1ijPGKyQR4cQQE_2OA2KvWRgPO6Q78EBWRjHIsBCVJ-uw_6cYPoUvtKcIZE4KTiibV078dnaz8-fwkeH4U6Gi0a4LujI13OlZSwgW-a-2ndXA41QlW4zKojRpnrsaZq3EZ1O9lUHs1nc0_jGEC5LcAG3vYnwA6fFeVKAVXy-srtVxci6V4f6l4-QuxYLZ9</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1544775162</pqid></control><display><type>article</type><title>Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Chen, Yuanyuan ; Ozturk, Nail Can ; Ni, Lijun ; Goodlett, Charles ; Zhou, Feng C.</creator><creatorcontrib>Chen, Yuanyuan ; Ozturk, Nail Can ; Ni, Lijun ; Goodlett, Charles ; Zhou, Feng C.</creatorcontrib><description>Background: Prenatal alcohol exposure can result in varying degrees of neurodevelopmental deficits, growth retardation, and facial dysmorphology. Variation in these adverse outcomes not only depends on the dose and pattern of alcohol exposure but also on less well understood interactions among environmental, genetic, and maternal factors. The current study tested the hypothesis that fetal genotype is an important determinant of ethanol teratogenesis by evaluating effects of ethanol exposure via embryo culture in 3 inbred strains of mice known to differ in the vulnerability of prenatal alcohol exposure in vivo.
Methods: Three strains of mice, C57BL/6N (B6), DBA/2 (D2), and 129S6/SvEvTac (129S6) were assessed in a whole embryo culture beginning on embryonic day 8.25, with or without alcohol administration at 88 mM for 6 hours followed by 42 hours culture in ethanol‐free media.
Results: Contrasting strain differences in susceptibility were observed for the brain, the face, and other organ systems using the Maele‐Fabry and Picard scoring system. The forebrain, midbrain, hindbrain, heart, optic vesicle, caudal neural tube, and hindlimbs of the B6 mice were severely delayed in growth, whereas compared to the respective controls, only the forebrain and optic vesicle were delayed in the D2 mice, and no effects were found in the 129S6 mice. A large number of cleaved (c)‐caspase 3 positive (+) cells were found in regions of the brain, optic vesicles, cranial nerve nuclei V, VII, VIII, and IX as well as the craniofacial primordial; only a few were found in corresponding regions of the B6 controls. In contrast, only a small number of c‐caspase 3 immunostaining cells were found in either the alcohol treated or the controls of the D2 embryos and in 129S6 embryos. The independent apoptotic markers TUNEL and Nile blue staining further confirmed the strain differences in apoptotic responses in both the neural tube and craniofacial primordia.
Conclusions: Under embryo culture conditions, in which alcohol exposure factors and fetal developmental staging were controlled, and maternal and intrauterine factors were eliminated, the degree of growth retardation and the extent and type of neurodevelopmental teratogenesis varied significantly across strains. Notably, the 129S6 strain was remarkably resistant to alcohol‐induced growth deficits, confirming a previous in vivo study, and the D2 strain was also significantly less affected than the B6 strain. These findings demonstrate that fetal genotype is an important factor that can contribute to the variation in fetal alcohol spectrum disorder.</description><identifier>ISSN: 0145-6008</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/j.1530-0277.2011.01465.x</identifier><identifier>PMID: 21410487</identifier><identifier>CODEN: ACRSDM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Alcoholism and acute alcohol poisoning ; Animals ; Apoptosis ; Biological and medical sciences ; Embryo Culture ; Embryonic Development - drug effects ; Embryonic Development - genetics ; Embryonic Development - physiology ; Embryos ; Ethanol ; Ethanol - toxicity ; Female ; Fetal Alcohol Syndrome ; Genetic Predisposition to Disease ; Genotype ; Medical sciences ; Mice ; Mice, 129 Strain ; Mice, Inbred C57BL ; Mice, Inbred DBA ; Mouse Inbred Strains ; Organ Culture Techniques ; Pregnancy ; Rodents ; Species Specificity ; Toxicology</subject><ispartof>Alcoholism, clinical and experimental research, 2011-07, Vol.35 (7), p.1293-1304</ispartof><rights>Copyright © 2011 by the Research Society on Alcoholism</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 by the Research Society on Alcoholism.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5545-4cfa9571cb40098571a10509a959ed78b72a33a0e86fd0878778a285e92ef55c3</citedby></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.1530-0277.2011.01465.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1530-0277.2011.01465.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24321570$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21410487$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yuanyuan</creatorcontrib><creatorcontrib>Ozturk, Nail Can</creatorcontrib><creatorcontrib>Ni, Lijun</creatorcontrib><creatorcontrib>Goodlett, Charles</creatorcontrib><creatorcontrib>Zhou, Feng C.</creatorcontrib><title>Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice</title><title>Alcoholism, clinical and experimental research</title><addtitle>Alcohol Clin Exp Res</addtitle><description>Background: Prenatal alcohol exposure can result in varying degrees of neurodevelopmental deficits, growth retardation, and facial dysmorphology. Variation in these adverse outcomes not only depends on the dose and pattern of alcohol exposure but also on less well understood interactions among environmental, genetic, and maternal factors. The current study tested the hypothesis that fetal genotype is an important determinant of ethanol teratogenesis by evaluating effects of ethanol exposure via embryo culture in 3 inbred strains of mice known to differ in the vulnerability of prenatal alcohol exposure in vivo.
Methods: Three strains of mice, C57BL/6N (B6), DBA/2 (D2), and 129S6/SvEvTac (129S6) were assessed in a whole embryo culture beginning on embryonic day 8.25, with or without alcohol administration at 88 mM for 6 hours followed by 42 hours culture in ethanol‐free media.
Results: Contrasting strain differences in susceptibility were observed for the brain, the face, and other organ systems using the Maele‐Fabry and Picard scoring system. The forebrain, midbrain, hindbrain, heart, optic vesicle, caudal neural tube, and hindlimbs of the B6 mice were severely delayed in growth, whereas compared to the respective controls, only the forebrain and optic vesicle were delayed in the D2 mice, and no effects were found in the 129S6 mice. A large number of cleaved (c)‐caspase 3 positive (+) cells were found in regions of the brain, optic vesicles, cranial nerve nuclei V, VII, VIII, and IX as well as the craniofacial primordial; only a few were found in corresponding regions of the B6 controls. In contrast, only a small number of c‐caspase 3 immunostaining cells were found in either the alcohol treated or the controls of the D2 embryos and in 129S6 embryos. The independent apoptotic markers TUNEL and Nile blue staining further confirmed the strain differences in apoptotic responses in both the neural tube and craniofacial primordia.
Conclusions: Under embryo culture conditions, in which alcohol exposure factors and fetal developmental staging were controlled, and maternal and intrauterine factors were eliminated, the degree of growth retardation and the extent and type of neurodevelopmental teratogenesis varied significantly across strains. Notably, the 129S6 strain was remarkably resistant to alcohol‐induced growth deficits, confirming a previous in vivo study, and the D2 strain was also significantly less affected than the B6 strain. These findings demonstrate that fetal genotype is an important factor that can contribute to the variation in fetal alcohol spectrum disorder.</description><subject>Alcoholism and acute alcohol poisoning</subject><subject>Animals</subject><subject>Apoptosis</subject><subject>Biological and medical sciences</subject><subject>Embryo Culture</subject><subject>Embryonic Development - drug effects</subject><subject>Embryonic Development - genetics</subject><subject>Embryonic Development - physiology</subject><subject>Embryos</subject><subject>Ethanol</subject><subject>Ethanol - toxicity</subject><subject>Female</subject><subject>Fetal Alcohol Syndrome</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, 129 Strain</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Inbred DBA</subject><subject>Mouse Inbred Strains</subject><subject>Organ Culture Techniques</subject><subject>Pregnancy</subject><subject>Rodents</subject><subject>Species Specificity</subject><subject>Toxicology</subject><issn>0145-6008</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkt2O0zAQhS0EYsvCK6BICImbBNuxY-cGqep2F6SyIP56aVx3wro4cbGT0r49Dlu6gG88njn6dMYzCGUEFySdl5uC8BLnmApRUExIgQmreLG_hyanwn00SVmeVxjLM_Qoxg3GmMmqeojOKGEkxWKCvn7sg7ZddmGbBgJ0BmI2PmEHzm9b6Hrtsi-D6yDolXW2P2S9z6bO-Bvvsvl-6-MQINtZnc3bVTj4bDa4fkwlyltr4DF60GgX4cnxPkefL-efZq_zxburN7PpIjecJ5fMNLrmgpgVw7iWKdIEc1ynZA1rIVeC6rLUGGTVrLEUUgipqeRQU2g4N-U5enXL3Q6rFtYmOQ_aqW2wrQ4H5bVV_1Y6e6O--Z1ijPGKyQR4cQQE_2OA2KvWRgPO6Q78EBWRjHIsBCVJ-uw_6cYPoUvtKcIZE4KTiibV078dnaz8-fwkeH4U6Gi0a4LujI13OlZSwgW-a-2ndXA41QlW4zKojRpnrsaZq3EZ1O9lUHs1nc0_jGEC5LcAG3vYnwA6fFeVKAVXy-srtVxci6V4f6l4-QuxYLZ9</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Chen, Yuanyuan</creator><creator>Ozturk, Nail Can</creator><creator>Ni, Lijun</creator><creator>Goodlett, Charles</creator><creator>Zhou, Feng C.</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7U7</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>201107</creationdate><title>Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice</title><author>Chen, Yuanyuan ; Ozturk, Nail Can ; Ni, Lijun ; Goodlett, Charles ; Zhou, Feng C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5545-4cfa9571cb40098571a10509a959ed78b72a33a0e86fd0878778a285e92ef55c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Alcoholism and acute alcohol poisoning</topic><topic>Animals</topic><topic>Apoptosis</topic><topic>Biological and medical sciences</topic><topic>Embryo Culture</topic><topic>Embryonic Development - drug effects</topic><topic>Embryonic Development - genetics</topic><topic>Embryonic Development - physiology</topic><topic>Embryos</topic><topic>Ethanol</topic><topic>Ethanol - toxicity</topic><topic>Female</topic><topic>Fetal Alcohol Syndrome</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Mice, 129 Strain</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Inbred DBA</topic><topic>Mouse Inbred Strains</topic><topic>Organ Culture Techniques</topic><topic>Pregnancy</topic><topic>Rodents</topic><topic>Species Specificity</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Yuanyuan</creatorcontrib><creatorcontrib>Ozturk, Nail Can</creatorcontrib><creatorcontrib>Ni, Lijun</creatorcontrib><creatorcontrib>Goodlett, Charles</creatorcontrib><creatorcontrib>Zhou, Feng C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Yuanyuan</au><au>Ozturk, Nail Can</au><au>Ni, Lijun</au><au>Goodlett, Charles</au><au>Zhou, Feng C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2011-07</date><risdate>2011</risdate><volume>35</volume><issue>7</issue><spage>1293</spage><epage>1304</epage><pages>1293-1304</pages><issn>0145-6008</issn><eissn>1530-0277</eissn><coden>ACRSDM</coden><abstract>Background: Prenatal alcohol exposure can result in varying degrees of neurodevelopmental deficits, growth retardation, and facial dysmorphology. Variation in these adverse outcomes not only depends on the dose and pattern of alcohol exposure but also on less well understood interactions among environmental, genetic, and maternal factors. The current study tested the hypothesis that fetal genotype is an important determinant of ethanol teratogenesis by evaluating effects of ethanol exposure via embryo culture in 3 inbred strains of mice known to differ in the vulnerability of prenatal alcohol exposure in vivo.
Methods: Three strains of mice, C57BL/6N (B6), DBA/2 (D2), and 129S6/SvEvTac (129S6) were assessed in a whole embryo culture beginning on embryonic day 8.25, with or without alcohol administration at 88 mM for 6 hours followed by 42 hours culture in ethanol‐free media.
Results: Contrasting strain differences in susceptibility were observed for the brain, the face, and other organ systems using the Maele‐Fabry and Picard scoring system. The forebrain, midbrain, hindbrain, heart, optic vesicle, caudal neural tube, and hindlimbs of the B6 mice were severely delayed in growth, whereas compared to the respective controls, only the forebrain and optic vesicle were delayed in the D2 mice, and no effects were found in the 129S6 mice. A large number of cleaved (c)‐caspase 3 positive (+) cells were found in regions of the brain, optic vesicles, cranial nerve nuclei V, VII, VIII, and IX as well as the craniofacial primordial; only a few were found in corresponding regions of the B6 controls. In contrast, only a small number of c‐caspase 3 immunostaining cells were found in either the alcohol treated or the controls of the D2 embryos and in 129S6 embryos. The independent apoptotic markers TUNEL and Nile blue staining further confirmed the strain differences in apoptotic responses in both the neural tube and craniofacial primordia.
Conclusions: Under embryo culture conditions, in which alcohol exposure factors and fetal developmental staging were controlled, and maternal and intrauterine factors were eliminated, the degree of growth retardation and the extent and type of neurodevelopmental teratogenesis varied significantly across strains. Notably, the 129S6 strain was remarkably resistant to alcohol‐induced growth deficits, confirming a previous in vivo study, and the D2 strain was also significantly less affected than the B6 strain. These findings demonstrate that fetal genotype is an important factor that can contribute to the variation in fetal alcohol spectrum disorder.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21410487</pmid><doi>10.1111/j.1530-0277.2011.01465.x</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0145-6008 |
ispartof | Alcoholism, clinical and experimental research, 2011-07, Vol.35 (7), p.1293-1304 |
issn | 0145-6008 1530-0277 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4445648 |
source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Journals@Ovid Complete |
subjects | Alcoholism and acute alcohol poisoning Animals Apoptosis Biological and medical sciences Embryo Culture Embryonic Development - drug effects Embryonic Development - genetics Embryonic Development - physiology Embryos Ethanol Ethanol - toxicity Female Fetal Alcohol Syndrome Genetic Predisposition to Disease Genotype Medical sciences Mice Mice, 129 Strain Mice, Inbred C57BL Mice, Inbred DBA Mouse Inbred Strains Organ Culture Techniques Pregnancy Rodents Species Specificity Toxicology |
title | Strain Differences in Developmental Vulnerability to Alcohol Exposure via Embryo Culture in Mice |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T05%3A46%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=Strain%20Differences%20in%20Developmental%20Vulnerability%20to%20Alcohol%20Exposure%20via%20Embryo%20Culture%20in%20Mice&rft.jtitle=Alcoholism,%20clinical%20and%20experimental%20research&rft.au=Chen,%20Yuanyuan&rft.date=2011-07&rft.volume=35&rft.issue=7&rft.spage=1293&rft.epage=1304&rft.pages=1293-1304&rft.issn=0145-6008&rft.eissn=1530-0277&rft.coden=ACRSDM&rft_id=info:doi/10.1111/j.1530-0277.2011.01465.x&rft_dat=%3Cproquest_pubme%3E3371315971%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=1544775162&rft_id=info:pmid/21410487&rfr_iscdi=true |