Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells

Interferon gamma (IFN‐γ) plays an important role in the antiviral immune response during respiratory syncytial virus (RSV) infections. Monocytes and T cells are recruited to the site of RSV infection, but it is unclear whether cell‐cell interactions between monocytes and T cells regulate IFN‐γ produ...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of immunology 2018-04, Vol.48 (4), p.621-631
Hauptverfasser: Jans, Jop, Unger, Wendy W.J., Vissers, Marloes, Ahout, Inge M.L., Schreurs, Inge, Wickenhagen, Arthur, Groot, Ronald, Jonge, Marien I., Ferwerda, Gerben
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 631
container_issue 4
container_start_page 621
container_title European journal of immunology
container_volume 48
creator Jans, Jop
Unger, Wendy W.J.
Vissers, Marloes
Ahout, Inge M.L.
Schreurs, Inge
Wickenhagen, Arthur
Groot, Ronald
Jonge, Marien I.
Ferwerda, Gerben
description Interferon gamma (IFN‐γ) plays an important role in the antiviral immune response during respiratory syncytial virus (RSV) infections. Monocytes and T cells are recruited to the site of RSV infection, but it is unclear whether cell‐cell interactions between monocytes and T cells regulate IFN‐γ production. In this study, micro‐array data identified the upregulation of sialic acid‐binding immunoglobulin‐type lectin 1 (Siglec‐1) in human RSV‐infected infants. In vitro, RSV increased expression of Siglec‐1 on healthy newborn and adult monocytes. RSV‐induced Siglec‐1 on monocytes inhibited IFN‐γ production by adult CD4+ T cells. In contrast, IFN‐γ production by RSV in newborns was not affected by Siglec‐1. The ligand for Siglec‐1, CD43, is highly expressed on adult CD4+ T cells compared to newborns. Our data show that Siglec‐1 reduces IFN‐γ release by adult T cells possibly by binding to the highly expressed CD43. The Siglec‐1‐dependent inhibition of IFN‐γ in adults and the low expression of CD43 on newborn T cells provides a better understanding of the immune response against RSV in early life and adulthood. RSV induces expression of Siglec‐1 on newborn and adult monocytes. Siglec‐1 inhibits RSV‐induced IFN‐γ release by adult T cells whereas the production of IFN‐γ by newborns is not affected by Siglec‐1. The expression of CD43, the natural ligand for Siglec‐1, is lower on newborn CD4+ T cells compared to adults.
doi_str_mv 10.1002/eji.201747161
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5947594</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1979508245</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3732-12ea023b85b60ded346c4ab5c38599f9e5949ce8514c13d4c5779125a5d712ea3</originalsourceid><addsrcrecordid>eNp9kcGKFDEURYMoTju6dCsBN25qzEsllcpGkGHUkQHBGd2GVOp1T5qqpE2qZuidn-An-C1-il9imh4bdeEiPHj35PIul5CnwE6AMf4S1_6EM1BCQQP3yAIkh0qAgPtkwRiIiuuWHZFHOa8ZY7qR-iE54po3DZewIPHSrwZ0P79-A-rDte_8lOnHy89l4UM_O-zLesK0xBQDXdlxtHSTYlEmXxbdltp-HiZ69eO7w2HIhaYuhinZPNEp0oC3XUzhoD8mD5Z2yPjkbh6TT2_Ork7fVRcf3p6fvr6oXK1qXgFHy3jdtbJrWI99LRonbCdd3UqtlxqlFtphK0E4qHvhpFIauLSyV7u_9TF5tffdzN2IvcPdSYPZJD_atDXRevO3Evy1WcUbU4xVecXgxZ1Bil9mzJMZfd5FsAHjnA1opSVruZAFff4Puo5zCiWe4YyLtoVGQ6GqPeVSzDnh8nAMMLOr0pQqzaHKwj_7M8GB_t1dAfgeuPUDbv_vZs7enwtQvP4FFeGtMw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2024881691</pqid></control><display><type>article</type><title>Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells</title><source>MEDLINE</source><source>Wiley Online Library Free Content</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library All Journals</source><creator>Jans, Jop ; Unger, Wendy W.J. ; Vissers, Marloes ; Ahout, Inge M.L. ; Schreurs, Inge ; Wickenhagen, Arthur ; Groot, Ronald ; Jonge, Marien I. ; Ferwerda, Gerben</creator><creatorcontrib>Jans, Jop ; Unger, Wendy W.J. ; Vissers, Marloes ; Ahout, Inge M.L. ; Schreurs, Inge ; Wickenhagen, Arthur ; Groot, Ronald ; Jonge, Marien I. ; Ferwerda, Gerben</creatorcontrib><description>Interferon gamma (IFN‐γ) plays an important role in the antiviral immune response during respiratory syncytial virus (RSV) infections. Monocytes and T cells are recruited to the site of RSV infection, but it is unclear whether cell‐cell interactions between monocytes and T cells regulate IFN‐γ production. In this study, micro‐array data identified the upregulation of sialic acid‐binding immunoglobulin‐type lectin 1 (Siglec‐1) in human RSV‐infected infants. In vitro, RSV increased expression of Siglec‐1 on healthy newborn and adult monocytes. RSV‐induced Siglec‐1 on monocytes inhibited IFN‐γ production by adult CD4+ T cells. In contrast, IFN‐γ production by RSV in newborns was not affected by Siglec‐1. The ligand for Siglec‐1, CD43, is highly expressed on adult CD4+ T cells compared to newborns. Our data show that Siglec‐1 reduces IFN‐γ release by adult T cells possibly by binding to the highly expressed CD43. The Siglec‐1‐dependent inhibition of IFN‐γ in adults and the low expression of CD43 on newborn T cells provides a better understanding of the immune response against RSV in early life and adulthood. RSV induces expression of Siglec‐1 on newborn and adult monocytes. Siglec‐1 inhibits RSV‐induced IFN‐γ release by adult T cells whereas the production of IFN‐γ by newborns is not affected by Siglec‐1. The expression of CD43, the natural ligand for Siglec‐1, is lower on newborn CD4+ T cells compared to adults.</description><identifier>ISSN: 0014-2980</identifier><identifier>EISSN: 1521-4141</identifier><identifier>DOI: 10.1002/eji.201747161</identifier><identifier>PMID: 29266251</identifier><language>eng</language><publisher>Germany: Wiley Subscription Services, Inc</publisher><subject>Age Factors ; CD4 antigen ; CD4-Positive T-Lymphocytes - immunology ; CD43 ; CD43 antigen ; Cell interactions ; Clinical ; Humans ; Immune response ; Immunity to infection ; Infant, Newborn ; Infants ; Infections ; Interferon ; Interferon gamma ; Interferon-gamma - biosynthesis ; Interferon-gamma - immunology ; Leukosialin - metabolism ; Lymphocytes ; Lymphocytes T ; Monocytes ; Monocytes - immunology ; Neonates ; Newborns ; Respiratory syncytial virus ; Respiratory Syncytial Virus Infections - immunology ; Respiratory Syncytial Virus Infections - virology ; Respiratory Syncytial Virus, Human - immunology ; Sialic Acid Binding Ig-like Lectin 1 - immunology ; Siglec‐1 ; Up-Regulation - immunology</subject><ispartof>European journal of immunology, 2018-04, Vol.48 (4), p.621-631</ispartof><rights>2017 The Authors. published by WILEY‐VCH Verlag GmbH &amp; Co. KGaA, Weinheim.</rights><rights>2017 The Authors. European Journal of Immunology published by WILEY-VCH Verlag GmbH &amp; Co. KGaA, Weinheim.</rights><rights>2018 WILEY‐VCH Verlag GmbH &amp; Co. KGaA, Weinheim</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3732-12ea023b85b60ded346c4ab5c38599f9e5949ce8514c13d4c5779125a5d712ea3</citedby><cites>FETCH-LOGICAL-c3732-12ea023b85b60ded346c4ab5c38599f9e5949ce8514c13d4c5779125a5d712ea3</cites><orcidid>0000-0003-0305-0671</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Feji.201747161$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Feji.201747161$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1416,1432,27915,27916,45565,45566,46400,46824</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29266251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jans, Jop</creatorcontrib><creatorcontrib>Unger, Wendy W.J.</creatorcontrib><creatorcontrib>Vissers, Marloes</creatorcontrib><creatorcontrib>Ahout, Inge M.L.</creatorcontrib><creatorcontrib>Schreurs, Inge</creatorcontrib><creatorcontrib>Wickenhagen, Arthur</creatorcontrib><creatorcontrib>Groot, Ronald</creatorcontrib><creatorcontrib>Jonge, Marien I.</creatorcontrib><creatorcontrib>Ferwerda, Gerben</creatorcontrib><title>Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells</title><title>European journal of immunology</title><addtitle>Eur J Immunol</addtitle><description>Interferon gamma (IFN‐γ) plays an important role in the antiviral immune response during respiratory syncytial virus (RSV) infections. Monocytes and T cells are recruited to the site of RSV infection, but it is unclear whether cell‐cell interactions between monocytes and T cells regulate IFN‐γ production. In this study, micro‐array data identified the upregulation of sialic acid‐binding immunoglobulin‐type lectin 1 (Siglec‐1) in human RSV‐infected infants. In vitro, RSV increased expression of Siglec‐1 on healthy newborn and adult monocytes. RSV‐induced Siglec‐1 on monocytes inhibited IFN‐γ production by adult CD4+ T cells. In contrast, IFN‐γ production by RSV in newborns was not affected by Siglec‐1. The ligand for Siglec‐1, CD43, is highly expressed on adult CD4+ T cells compared to newborns. Our data show that Siglec‐1 reduces IFN‐γ release by adult T cells possibly by binding to the highly expressed CD43. The Siglec‐1‐dependent inhibition of IFN‐γ in adults and the low expression of CD43 on newborn T cells provides a better understanding of the immune response against RSV in early life and adulthood. RSV induces expression of Siglec‐1 on newborn and adult monocytes. Siglec‐1 inhibits RSV‐induced IFN‐γ release by adult T cells whereas the production of IFN‐γ by newborns is not affected by Siglec‐1. The expression of CD43, the natural ligand for Siglec‐1, is lower on newborn CD4+ T cells compared to adults.</description><subject>Age Factors</subject><subject>CD4 antigen</subject><subject>CD4-Positive T-Lymphocytes - immunology</subject><subject>CD43</subject><subject>CD43 antigen</subject><subject>Cell interactions</subject><subject>Clinical</subject><subject>Humans</subject><subject>Immune response</subject><subject>Immunity to infection</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infections</subject><subject>Interferon</subject><subject>Interferon gamma</subject><subject>Interferon-gamma - biosynthesis</subject><subject>Interferon-gamma - immunology</subject><subject>Leukosialin - metabolism</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Monocytes</subject><subject>Monocytes - immunology</subject><subject>Neonates</subject><subject>Newborns</subject><subject>Respiratory syncytial virus</subject><subject>Respiratory Syncytial Virus Infections - immunology</subject><subject>Respiratory Syncytial Virus Infections - virology</subject><subject>Respiratory Syncytial Virus, Human - immunology</subject><subject>Sialic Acid Binding Ig-like Lectin 1 - immunology</subject><subject>Siglec‐1</subject><subject>Up-Regulation - immunology</subject><issn>0014-2980</issn><issn>1521-4141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kcGKFDEURYMoTju6dCsBN25qzEsllcpGkGHUkQHBGd2GVOp1T5qqpE2qZuidn-An-C1-il9imh4bdeEiPHj35PIul5CnwE6AMf4S1_6EM1BCQQP3yAIkh0qAgPtkwRiIiuuWHZFHOa8ZY7qR-iE54po3DZewIPHSrwZ0P79-A-rDte_8lOnHy89l4UM_O-zLesK0xBQDXdlxtHSTYlEmXxbdltp-HiZ69eO7w2HIhaYuhinZPNEp0oC3XUzhoD8mD5Z2yPjkbh6TT2_Ork7fVRcf3p6fvr6oXK1qXgFHy3jdtbJrWI99LRonbCdd3UqtlxqlFtphK0E4qHvhpFIauLSyV7u_9TF5tffdzN2IvcPdSYPZJD_atDXRevO3Evy1WcUbU4xVecXgxZ1Bil9mzJMZfd5FsAHjnA1opSVruZAFff4Puo5zCiWe4YyLtoVGQ6GqPeVSzDnh8nAMMLOr0pQqzaHKwj_7M8GB_t1dAfgeuPUDbv_vZs7enwtQvP4FFeGtMw</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Jans, Jop</creator><creator>Unger, Wendy W.J.</creator><creator>Vissers, Marloes</creator><creator>Ahout, Inge M.L.</creator><creator>Schreurs, Inge</creator><creator>Wickenhagen, Arthur</creator><creator>Groot, Ronald</creator><creator>Jonge, Marien I.</creator><creator>Ferwerda, Gerben</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</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>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0305-0671</orcidid></search><sort><creationdate>201804</creationdate><title>Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells</title><author>Jans, Jop ; Unger, Wendy W.J. ; Vissers, Marloes ; Ahout, Inge M.L. ; Schreurs, Inge ; Wickenhagen, Arthur ; Groot, Ronald ; Jonge, Marien I. ; Ferwerda, Gerben</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3732-12ea023b85b60ded346c4ab5c38599f9e5949ce8514c13d4c5779125a5d712ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age Factors</topic><topic>CD4 antigen</topic><topic>CD4-Positive T-Lymphocytes - immunology</topic><topic>CD43</topic><topic>CD43 antigen</topic><topic>Cell interactions</topic><topic>Clinical</topic><topic>Humans</topic><topic>Immune response</topic><topic>Immunity to infection</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Infections</topic><topic>Interferon</topic><topic>Interferon gamma</topic><topic>Interferon-gamma - biosynthesis</topic><topic>Interferon-gamma - immunology</topic><topic>Leukosialin - metabolism</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>Monocytes</topic><topic>Monocytes - immunology</topic><topic>Neonates</topic><topic>Newborns</topic><topic>Respiratory syncytial virus</topic><topic>Respiratory Syncytial Virus Infections - immunology</topic><topic>Respiratory Syncytial Virus Infections - virology</topic><topic>Respiratory Syncytial Virus, Human - immunology</topic><topic>Sialic Acid Binding Ig-like Lectin 1 - immunology</topic><topic>Siglec‐1</topic><topic>Up-Regulation - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jans, Jop</creatorcontrib><creatorcontrib>Unger, Wendy W.J.</creatorcontrib><creatorcontrib>Vissers, Marloes</creatorcontrib><creatorcontrib>Ahout, Inge M.L.</creatorcontrib><creatorcontrib>Schreurs, Inge</creatorcontrib><creatorcontrib>Wickenhagen, Arthur</creatorcontrib><creatorcontrib>Groot, Ronald</creatorcontrib><creatorcontrib>Jonge, Marien I.</creatorcontrib><creatorcontrib>Ferwerda, Gerben</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jans, Jop</au><au>Unger, Wendy W.J.</au><au>Vissers, Marloes</au><au>Ahout, Inge M.L.</au><au>Schreurs, Inge</au><au>Wickenhagen, Arthur</au><au>Groot, Ronald</au><au>Jonge, Marien I.</au><au>Ferwerda, Gerben</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells</atitle><jtitle>European journal of immunology</jtitle><addtitle>Eur J Immunol</addtitle><date>2018-04</date><risdate>2018</risdate><volume>48</volume><issue>4</issue><spage>621</spage><epage>631</epage><pages>621-631</pages><issn>0014-2980</issn><eissn>1521-4141</eissn><abstract>Interferon gamma (IFN‐γ) plays an important role in the antiviral immune response during respiratory syncytial virus (RSV) infections. Monocytes and T cells are recruited to the site of RSV infection, but it is unclear whether cell‐cell interactions between monocytes and T cells regulate IFN‐γ production. In this study, micro‐array data identified the upregulation of sialic acid‐binding immunoglobulin‐type lectin 1 (Siglec‐1) in human RSV‐infected infants. In vitro, RSV increased expression of Siglec‐1 on healthy newborn and adult monocytes. RSV‐induced Siglec‐1 on monocytes inhibited IFN‐γ production by adult CD4+ T cells. In contrast, IFN‐γ production by RSV in newborns was not affected by Siglec‐1. The ligand for Siglec‐1, CD43, is highly expressed on adult CD4+ T cells compared to newborns. Our data show that Siglec‐1 reduces IFN‐γ release by adult T cells possibly by binding to the highly expressed CD43. The Siglec‐1‐dependent inhibition of IFN‐γ in adults and the low expression of CD43 on newborn T cells provides a better understanding of the immune response against RSV in early life and adulthood. RSV induces expression of Siglec‐1 on newborn and adult monocytes. Siglec‐1 inhibits RSV‐induced IFN‐γ release by adult T cells whereas the production of IFN‐γ by newborns is not affected by Siglec‐1. The expression of CD43, the natural ligand for Siglec‐1, is lower on newborn CD4+ T cells compared to adults.</abstract><cop>Germany</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29266251</pmid><doi>10.1002/eji.201747161</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0305-0671</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0014-2980
ispartof European journal of immunology, 2018-04, Vol.48 (4), p.621-631
issn 0014-2980
1521-4141
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5947594
source MEDLINE; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals; Wiley Online Library All Journals
subjects Age Factors
CD4 antigen
CD4-Positive T-Lymphocytes - immunology
CD43
CD43 antigen
Cell interactions
Clinical
Humans
Immune response
Immunity to infection
Infant, Newborn
Infants
Infections
Interferon
Interferon gamma
Interferon-gamma - biosynthesis
Interferon-gamma - immunology
Leukosialin - metabolism
Lymphocytes
Lymphocytes T
Monocytes
Monocytes - immunology
Neonates
Newborns
Respiratory syncytial virus
Respiratory Syncytial Virus Infections - immunology
Respiratory Syncytial Virus Infections - virology
Respiratory Syncytial Virus, Human - immunology
Sialic Acid Binding Ig-like Lectin 1 - immunology
Siglec‐1
Up-Regulation - immunology
title Siglec‐1 inhibits RSV‐induced interferon gamma production by adult T cells in contrast to newborn T cells
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T22%3A32%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=Siglec%E2%80%901%20inhibits%20RSV%E2%80%90induced%20interferon%20gamma%20production%20by%20adult%20T%C2%A0cells%20in%20contrast%20to%20newborn%20T%C2%A0cells&rft.jtitle=European%20journal%20of%20immunology&rft.au=Jans,%20Jop&rft.date=2018-04&rft.volume=48&rft.issue=4&rft.spage=621&rft.epage=631&rft.pages=621-631&rft.issn=0014-2980&rft.eissn=1521-4141&rft_id=info:doi/10.1002/eji.201747161&rft_dat=%3Cproquest_pubme%3E1979508245%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=2024881691&rft_id=info:pmid/29266251&rfr_iscdi=true