Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling
G protein-coupled receptors (GPCRs) can initiate intracellular signaling cascades by coupling to an array of heterotrimeric G proteins and arrestin adaptor proteins. Understanding the contribution of each of these coupling options to GPCR signaling has been hampered by a paucity of tools to selectiv...
Gespeichert in:
Veröffentlicht in: | The Journal of biological chemistry 2016-12, Vol.291 (53), p.27147-27159 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 27159 |
---|---|
container_issue | 53 |
container_start_page | 27147 |
container_title | The Journal of biological chemistry |
container_volume | 291 |
creator | Alvarez-Curto, Elisa Inoue, Asuka Jenkins, Laura Raihan, Sheikh Zahir Prihandoko, Rudi Tobin, Andrew B. Milligan, Graeme |
description | G protein-coupled receptors (GPCRs) can initiate intracellular signaling cascades by coupling to an array of heterotrimeric G proteins and arrestin adaptor proteins. Understanding the contribution of each of these coupling options to GPCR signaling has been hampered by a paucity of tools to selectively perturb receptor function. Here we employ CRISPR/Cas9 genome editing to eliminate selected G proteins (Gαq and Gα11) or arrestin2 and arrestin3 from HEK293 cells together with the elimination of receptor phosphorylation sites to define the relative contribution of G proteins, arrestins, and receptor phosphorylation to the signaling outcomes of the free fatty acid receptor 4 (FFA4). A lack of FFA4-mediated elevation of intracellular Ca2+ in Gαq/Gα11-null cells and agonist-mediated receptor internalization in arrestin2/3-null cells confirmed previously reported canonical signaling features of this receptor, thereby validating the genome-edited HEK293 cells. FFA4-mediated ERK1/2 activation was totally dependent on Gq/11 but intriguingly was substantially enhanced for FFA4 receptors lacking sites of regulated phosphorylation. This was not due to a simple lack of desensitization of Gq/11 signaling because the Gq/11-dependent calcium response was desensitized by both receptor phosphorylation and arrestin-dependent mechanisms, whereas a substantially enhanced ERK1/2 response was only observed for receptors lacking phosphorylation sites and not in arrestin2/3-null cells. In conclusion, we validate CRISPR/Cas9 engineered HEK293 cells lacking Gq/11 or arrestin2/3 as systems for GPCR signaling research and employ these cells to reveal a previously unappreciated interplay of signaling pathways where receptor phosphorylation can impact on ERK1/2 signaling through a mechanism that is likely independent of arrestins. |
doi_str_mv | 10.1074/jbc.M116.754887 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5207144</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0021925820343878</els_id><sourcerecordid>1841135849</sourcerecordid><originalsourceid>FETCH-LOGICAL-c489t-89d52b943cf04157b4a9b2f178b687364dc09b4bdb82b4933cb6d6efb65773cc3</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi0EosvCmRvykUu2tuPEzgWpbEupVASCReJm2c5k11XWDrZTqe_Cw-JlSwVCzMUazT_fjOdH6CUlK0oEP70xdvWB0nYlGi6leIQWlMi6qhv67TFaEMJo1bFGnqBnKd2QEryjT9EJE7JhkrEF-rHRcQsZenwxur3zOrvgcRjwJf4UQwbnE9a-x2cxQsqH7BwG5yHhzQ5cxF8msG5wFq-Dz9GZ-dCfcA74bcg7fOUz-OTy3S_I-Rz_5Vc2zNNYFvgMFqYcCtNtvR6d3z5HTwY9Jnhx_y7R13cXm_X76vrj5dX67LqyXHa5kl3fMNPx2g6E00YYrjvDBiqkaaWoW95b0hlueiOZ4V1dW9P2LQymbYSora2X6M2RO81mD72F8hU9qim6vY53Kmin_q54t1PbcKsaRgTlvABe3wNi-D6XQ6m9SxbGUXsIc1JUckrrRpbhS3R6lNoYUoowPIyhRB08VcVTdfBUHT0tHa_-3O5B_9vEIuiOAig3unUQVbIOvIXeRbBZ9cH9F_4T2Ei0sg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1841135849</pqid></control><display><type>article</type><title>Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Alvarez-Curto, Elisa ; Inoue, Asuka ; Jenkins, Laura ; Raihan, Sheikh Zahir ; Prihandoko, Rudi ; Tobin, Andrew B. ; Milligan, Graeme</creator><creatorcontrib>Alvarez-Curto, Elisa ; Inoue, Asuka ; Jenkins, Laura ; Raihan, Sheikh Zahir ; Prihandoko, Rudi ; Tobin, Andrew B. ; Milligan, Graeme</creatorcontrib><description>G protein-coupled receptors (GPCRs) can initiate intracellular signaling cascades by coupling to an array of heterotrimeric G proteins and arrestin adaptor proteins. Understanding the contribution of each of these coupling options to GPCR signaling has been hampered by a paucity of tools to selectively perturb receptor function. Here we employ CRISPR/Cas9 genome editing to eliminate selected G proteins (Gαq and Gα11) or arrestin2 and arrestin3 from HEK293 cells together with the elimination of receptor phosphorylation sites to define the relative contribution of G proteins, arrestins, and receptor phosphorylation to the signaling outcomes of the free fatty acid receptor 4 (FFA4). A lack of FFA4-mediated elevation of intracellular Ca2+ in Gαq/Gα11-null cells and agonist-mediated receptor internalization in arrestin2/3-null cells confirmed previously reported canonical signaling features of this receptor, thereby validating the genome-edited HEK293 cells. FFA4-mediated ERK1/2 activation was totally dependent on Gq/11 but intriguingly was substantially enhanced for FFA4 receptors lacking sites of regulated phosphorylation. This was not due to a simple lack of desensitization of Gq/11 signaling because the Gq/11-dependent calcium response was desensitized by both receptor phosphorylation and arrestin-dependent mechanisms, whereas a substantially enhanced ERK1/2 response was only observed for receptors lacking phosphorylation sites and not in arrestin2/3-null cells. In conclusion, we validate CRISPR/Cas9 engineered HEK293 cells lacking Gq/11 or arrestin2/3 as systems for GPCR signaling research and employ these cells to reveal a previously unappreciated interplay of signaling pathways where receptor phosphorylation can impact on ERK1/2 signaling through a mechanism that is likely independent of arrestins.</description><identifier>ISSN: 0021-9258</identifier><identifier>EISSN: 1083-351X</identifier><identifier>DOI: 10.1074/jbc.M116.754887</identifier><identifier>PMID: 27852822</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>arrestin ; Arrestins - antagonists & inhibitors ; Arrestins - genetics ; Arrestins - metabolism ; Calcium - metabolism ; calcium intracellular release ; CRISPR-Cas Systems - genetics ; CRISPR/Cas ; extracellular-signal-regulated kinase (ERK) ; fatty acid ; G protein ; G protein-coupled receptor (GPCR) ; GTP-Binding Protein alpha Subunits, Gq-G11 - antagonists & inhibitors ; GTP-Binding Protein alpha Subunits, Gq-G11 - genetics ; GTP-Binding Protein alpha Subunits, Gq-G11 - metabolism ; HEK293 Cells ; Humans ; Mitogen-Activated Protein Kinase 1 - metabolism ; Mitogen-Activated Protein Kinase 3 - metabolism ; Phosphorylation ; Receptors, G-Protein-Coupled - metabolism ; Signal Transduction</subject><ispartof>The Journal of biological chemistry, 2016-12, Vol.291 (53), p.27147-27159</ispartof><rights>2016 © 2016 ASBMB. Currently published by Elsevier Inc; originally published by American Society for Biochemistry and Molecular Biology.</rights><rights>2016 by The American Society for Biochemistry and Molecular Biology, Inc.</rights><rights>2016 by The American Society for Biochemistry and Molecular Biology, Inc. 2016 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-c489t-89d52b943cf04157b4a9b2f178b687364dc09b4bdb82b4933cb6d6efb65773cc3</citedby><cites>FETCH-LOGICAL-c489t-89d52b943cf04157b4a9b2f178b687364dc09b4bdb82b4933cb6d6efb65773cc3</cites><orcidid>0000-0002-6946-3519</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5207144/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5207144/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27852822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alvarez-Curto, Elisa</creatorcontrib><creatorcontrib>Inoue, Asuka</creatorcontrib><creatorcontrib>Jenkins, Laura</creatorcontrib><creatorcontrib>Raihan, Sheikh Zahir</creatorcontrib><creatorcontrib>Prihandoko, Rudi</creatorcontrib><creatorcontrib>Tobin, Andrew B.</creatorcontrib><creatorcontrib>Milligan, Graeme</creatorcontrib><title>Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling</title><title>The Journal of biological chemistry</title><addtitle>J Biol Chem</addtitle><description>G protein-coupled receptors (GPCRs) can initiate intracellular signaling cascades by coupling to an array of heterotrimeric G proteins and arrestin adaptor proteins. Understanding the contribution of each of these coupling options to GPCR signaling has been hampered by a paucity of tools to selectively perturb receptor function. Here we employ CRISPR/Cas9 genome editing to eliminate selected G proteins (Gαq and Gα11) or arrestin2 and arrestin3 from HEK293 cells together with the elimination of receptor phosphorylation sites to define the relative contribution of G proteins, arrestins, and receptor phosphorylation to the signaling outcomes of the free fatty acid receptor 4 (FFA4). A lack of FFA4-mediated elevation of intracellular Ca2+ in Gαq/Gα11-null cells and agonist-mediated receptor internalization in arrestin2/3-null cells confirmed previously reported canonical signaling features of this receptor, thereby validating the genome-edited HEK293 cells. FFA4-mediated ERK1/2 activation was totally dependent on Gq/11 but intriguingly was substantially enhanced for FFA4 receptors lacking sites of regulated phosphorylation. This was not due to a simple lack of desensitization of Gq/11 signaling because the Gq/11-dependent calcium response was desensitized by both receptor phosphorylation and arrestin-dependent mechanisms, whereas a substantially enhanced ERK1/2 response was only observed for receptors lacking phosphorylation sites and not in arrestin2/3-null cells. In conclusion, we validate CRISPR/Cas9 engineered HEK293 cells lacking Gq/11 or arrestin2/3 as systems for GPCR signaling research and employ these cells to reveal a previously unappreciated interplay of signaling pathways where receptor phosphorylation can impact on ERK1/2 signaling through a mechanism that is likely independent of arrestins.</description><subject>arrestin</subject><subject>Arrestins - antagonists & inhibitors</subject><subject>Arrestins - genetics</subject><subject>Arrestins - metabolism</subject><subject>Calcium - metabolism</subject><subject>calcium intracellular release</subject><subject>CRISPR-Cas Systems - genetics</subject><subject>CRISPR/Cas</subject><subject>extracellular-signal-regulated kinase (ERK)</subject><subject>fatty acid</subject><subject>G protein</subject><subject>G protein-coupled receptor (GPCR)</subject><subject>GTP-Binding Protein alpha Subunits, Gq-G11 - antagonists & inhibitors</subject><subject>GTP-Binding Protein alpha Subunits, Gq-G11 - genetics</subject><subject>GTP-Binding Protein alpha Subunits, Gq-G11 - metabolism</subject><subject>HEK293 Cells</subject><subject>Humans</subject><subject>Mitogen-Activated Protein Kinase 1 - metabolism</subject><subject>Mitogen-Activated Protein Kinase 3 - metabolism</subject><subject>Phosphorylation</subject><subject>Receptors, G-Protein-Coupled - metabolism</subject><subject>Signal Transduction</subject><issn>0021-9258</issn><issn>1083-351X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EosvCmRvykUu2tuPEzgWpbEupVASCReJm2c5k11XWDrZTqe_Cw-JlSwVCzMUazT_fjOdH6CUlK0oEP70xdvWB0nYlGi6leIQWlMi6qhv67TFaEMJo1bFGnqBnKd2QEryjT9EJE7JhkrEF-rHRcQsZenwxur3zOrvgcRjwJf4UQwbnE9a-x2cxQsqH7BwG5yHhzQ5cxF8msG5wFq-Dz9GZ-dCfcA74bcg7fOUz-OTy3S_I-Rz_5Vc2zNNYFvgMFqYcCtNtvR6d3z5HTwY9Jnhx_y7R13cXm_X76vrj5dX67LqyXHa5kl3fMNPx2g6E00YYrjvDBiqkaaWoW95b0hlueiOZ4V1dW9P2LQymbYSora2X6M2RO81mD72F8hU9qim6vY53Kmin_q54t1PbcKsaRgTlvABe3wNi-D6XQ6m9SxbGUXsIc1JUckrrRpbhS3R6lNoYUoowPIyhRB08VcVTdfBUHT0tHa_-3O5B_9vEIuiOAig3unUQVbIOvIXeRbBZ9cH9F_4T2Ei0sg</recordid><startdate>20161230</startdate><enddate>20161230</enddate><creator>Alvarez-Curto, Elisa</creator><creator>Inoue, Asuka</creator><creator>Jenkins, Laura</creator><creator>Raihan, Sheikh Zahir</creator><creator>Prihandoko, Rudi</creator><creator>Tobin, Andrew B.</creator><creator>Milligan, Graeme</creator><general>Elsevier Inc</general><general>American Society for Biochemistry and Molecular Biology</general><scope>6I.</scope><scope>AAFTH</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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6946-3519</orcidid></search><sort><creationdate>20161230</creationdate><title>Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling</title><author>Alvarez-Curto, Elisa ; Inoue, Asuka ; Jenkins, Laura ; Raihan, Sheikh Zahir ; Prihandoko, Rudi ; Tobin, Andrew B. ; Milligan, Graeme</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-89d52b943cf04157b4a9b2f178b687364dc09b4bdb82b4933cb6d6efb65773cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>arrestin</topic><topic>Arrestins - antagonists & inhibitors</topic><topic>Arrestins - genetics</topic><topic>Arrestins - metabolism</topic><topic>Calcium - metabolism</topic><topic>calcium intracellular release</topic><topic>CRISPR-Cas Systems - genetics</topic><topic>CRISPR/Cas</topic><topic>extracellular-signal-regulated kinase (ERK)</topic><topic>fatty acid</topic><topic>G protein</topic><topic>G protein-coupled receptor (GPCR)</topic><topic>GTP-Binding Protein alpha Subunits, Gq-G11 - antagonists & inhibitors</topic><topic>GTP-Binding Protein alpha Subunits, Gq-G11 - genetics</topic><topic>GTP-Binding Protein alpha Subunits, Gq-G11 - metabolism</topic><topic>HEK293 Cells</topic><topic>Humans</topic><topic>Mitogen-Activated Protein Kinase 1 - metabolism</topic><topic>Mitogen-Activated Protein Kinase 3 - metabolism</topic><topic>Phosphorylation</topic><topic>Receptors, G-Protein-Coupled - metabolism</topic><topic>Signal Transduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alvarez-Curto, Elisa</creatorcontrib><creatorcontrib>Inoue, Asuka</creatorcontrib><creatorcontrib>Jenkins, Laura</creatorcontrib><creatorcontrib>Raihan, Sheikh Zahir</creatorcontrib><creatorcontrib>Prihandoko, Rudi</creatorcontrib><creatorcontrib>Tobin, Andrew B.</creatorcontrib><creatorcontrib>Milligan, Graeme</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</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>Alvarez-Curto, Elisa</au><au>Inoue, Asuka</au><au>Jenkins, Laura</au><au>Raihan, Sheikh Zahir</au><au>Prihandoko, Rudi</au><au>Tobin, Andrew B.</au><au>Milligan, Graeme</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling</atitle><jtitle>The Journal of biological chemistry</jtitle><addtitle>J Biol Chem</addtitle><date>2016-12-30</date><risdate>2016</risdate><volume>291</volume><issue>53</issue><spage>27147</spage><epage>27159</epage><pages>27147-27159</pages><issn>0021-9258</issn><eissn>1083-351X</eissn><abstract>G protein-coupled receptors (GPCRs) can initiate intracellular signaling cascades by coupling to an array of heterotrimeric G proteins and arrestin adaptor proteins. Understanding the contribution of each of these coupling options to GPCR signaling has been hampered by a paucity of tools to selectively perturb receptor function. Here we employ CRISPR/Cas9 genome editing to eliminate selected G proteins (Gαq and Gα11) or arrestin2 and arrestin3 from HEK293 cells together with the elimination of receptor phosphorylation sites to define the relative contribution of G proteins, arrestins, and receptor phosphorylation to the signaling outcomes of the free fatty acid receptor 4 (FFA4). A lack of FFA4-mediated elevation of intracellular Ca2+ in Gαq/Gα11-null cells and agonist-mediated receptor internalization in arrestin2/3-null cells confirmed previously reported canonical signaling features of this receptor, thereby validating the genome-edited HEK293 cells. FFA4-mediated ERK1/2 activation was totally dependent on Gq/11 but intriguingly was substantially enhanced for FFA4 receptors lacking sites of regulated phosphorylation. This was not due to a simple lack of desensitization of Gq/11 signaling because the Gq/11-dependent calcium response was desensitized by both receptor phosphorylation and arrestin-dependent mechanisms, whereas a substantially enhanced ERK1/2 response was only observed for receptors lacking phosphorylation sites and not in arrestin2/3-null cells. In conclusion, we validate CRISPR/Cas9 engineered HEK293 cells lacking Gq/11 or arrestin2/3 as systems for GPCR signaling research and employ these cells to reveal a previously unappreciated interplay of signaling pathways where receptor phosphorylation can impact on ERK1/2 signaling through a mechanism that is likely independent of arrestins.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27852822</pmid><doi>10.1074/jbc.M116.754887</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-6946-3519</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0021-9258 |
ispartof | The Journal of biological chemistry, 2016-12, Vol.291 (53), p.27147-27159 |
issn | 0021-9258 1083-351X |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5207144 |
source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
subjects | arrestin Arrestins - antagonists & inhibitors Arrestins - genetics Arrestins - metabolism Calcium - metabolism calcium intracellular release CRISPR-Cas Systems - genetics CRISPR/Cas extracellular-signal-regulated kinase (ERK) fatty acid G protein G protein-coupled receptor (GPCR) GTP-Binding Protein alpha Subunits, Gq-G11 - antagonists & inhibitors GTP-Binding Protein alpha Subunits, Gq-G11 - genetics GTP-Binding Protein alpha Subunits, Gq-G11 - metabolism HEK293 Cells Humans Mitogen-Activated Protein Kinase 1 - metabolism Mitogen-Activated Protein Kinase 3 - metabolism Phosphorylation Receptors, G-Protein-Coupled - metabolism Signal Transduction |
title | Targeted Elimination of G Proteins and Arrestins Defines Their Specific Contributions to Both Intensity and Duration of G Protein-coupled Receptor Signaling |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T02%3A04%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=Targeted%20Elimination%20of%20G%20Proteins%20and%20Arrestins%20Defines%20Their%20Specific%20Contributions%20to%20Both%20Intensity%20and%20Duration%20of%20G%20Protein-coupled%20Receptor%20Signaling&rft.jtitle=The%20Journal%20of%20biological%20chemistry&rft.au=Alvarez-Curto,%20Elisa&rft.date=2016-12-30&rft.volume=291&rft.issue=53&rft.spage=27147&rft.epage=27159&rft.pages=27147-27159&rft.issn=0021-9258&rft.eissn=1083-351X&rft_id=info:doi/10.1074/jbc.M116.754887&rft_dat=%3Cproquest_pubme%3E1841135849%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=1841135849&rft_id=info:pmid/27852822&rft_els_id=S0021925820343878&rfr_iscdi=true |