id
int64 29.1k
3.5M
| image
unknown | bboxes
sequence | tokens
sequence | ner_tags
sequence |
---|---|---|---|---|
1,919,392 | null | [
[
76,
47,
84,
34
],
[
172,
47,
155,
34
],
[
76,
118,
130,
20
],
[
76,
143,
62,
23
],
[
144,
143,
113,
23
],
[
263,
143,
19,
23
],
[
288,
143,
103,
23
],
[
397,
143,
103,
23
],
[
505,
143,
101,
23
],
[
612,
143,
36,
23
],
[
654,
143,
86,
23
],
[
76,
168,
45,
23
],
[
127,
168,
53,
23
],
[
185,
168,
113,
23
],
[
304,
168,
19,
23
],
[
329,
168,
146,
23
],
[
481,
168,
40,
23
],
[
527,
168,
91,
23
],
[
76,
193,
55,
21
],
[
136,
193,
75,
22
],
[
215,
193,
35,
21
],
[
255,
193,
23,
21
],
[
283,
193,
33,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
243,
41,
12
],
[
119,
243,
51,
12
],
[
173,
243,
59,
12
],
[
234,
243,
10,
12
],
[
247,
243,
52,
12
],
[
301,
243,
33,
12
],
[
336,
243,
32,
12
],
[
370,
243,
33,
12
],
[
406,
243,
10,
12
],
[
419,
243,
45,
12
],
[
466,
243,
19,
12
],
[
487,
243,
48,
12
],
[
537,
243,
39,
12
],
[
578,
243,
13,
12
],
[
593,
243,
23,
12
],
[
619,
243,
16,
12
],
[
637,
243,
19,
12
],
[
658,
243,
57,
12
],
[
718,
243,
10,
12
],
[
76,
256,
72,
11
],
[
150,
256,
43,
11
],
[
195,
256,
40,
11
],
[
238,
256,
13,
11
],
[
254,
256,
38,
11
],
[
295,
256,
30,
11
],
[
327,
256,
19,
11
],
[
348,
256,
59,
11
],
[
409,
256,
25,
11
],
[
436,
256,
34,
11
],
[
472,
256,
26,
11
],
[
501,
256,
30,
11
],
[
533,
256,
27,
11
],
[
563,
256,
46,
11
],
[
612,
256,
19,
11
],
[
633,
256,
63,
11
],
[
698,
256,
21,
11
],
[
76,
276,
31,
12
],
[
110,
276,
30,
12
],
[
142,
276,
36,
12
],
[
180,
276,
4,
12
],
[
186,
276,
124,
12
],
[
313,
276,
13,
12
],
[
327,
276,
14,
12
],
[
344,
276,
4,
12
],
[
350,
276,
84,
12
],
[
76,
292,
7,
12
],
[
85,
292,
73,
12
],
[
160,
292,
33,
12
],
[
76,
351,
45,
12
],
[
124,
351,
12,
12
],
[
138,
351,
20,
12
],
[
161,
351,
23,
12
],
[
76,
371,
21,
12
],
[
100,
371,
35,
12
],
[
138,
371,
25,
12
],
[
166,
371,
20,
12
],
[
198,
371,
128,
12
],
[
76,
390,
20,
12
],
[
98,
390,
28,
12
],
[
129,
390,
7,
12
],
[
139,
390,
38,
12
],
[
179,
390,
25,
12
],
[
207,
390,
215,
12
],
[
430,
351,
43,
12
],
[
475,
351,
12,
12
],
[
490,
351,
49,
12
],
[
542,
351,
23,
12
],
[
430,
364,
46,
12
],
[
478,
364,
12,
12
],
[
492,
364,
20,
12
],
[
514,
364,
23,
12
],
[
76,
410,
9,
12
],
[
87,
410,
23,
12
],
[
113,
410,
29,
12
],
[
144,
410,
16,
12
],
[
163,
410,
16,
12
],
[
182,
410,
36,
12
],
[
221,
410,
35,
12
],
[
258,
410,
35,
12
],
[
295,
410,
18,
12
],
[
76,
423,
20,
12
],
[
98,
423,
7,
12
],
[
108,
423,
11,
12
],
[
121,
423,
26,
12
],
[
150,
423,
32,
12
],
[
184,
423,
28,
12
],
[
215,
423,
49,
12
],
[
267,
423,
27,
12
],
[
296,
423,
15,
12
],
[
314,
423,
27,
12
],
[
343,
423,
10,
12
],
[
355,
423,
15,
12
],
[
373,
423,
39,
12
],
[
415,
423,
48,
12
],
[
465,
423,
51,
12
],
[
519,
423,
34,
12
],
[
555,
423,
202,
12
],
[
76,
437,
27,
12
],
[
106,
437,
35,
12
],
[
143,
437,
56,
12
],
[
201,
437,
18,
12
],
[
222,
437,
55,
12
],
[
279,
437,
16,
12
],
[
298,
437,
60,
12
],
[
361,
437,
8,
12
],
[
372,
437,
16,
12
],
[
390,
437,
39,
12
],
[
432,
437,
40,
12
],
[
475,
437,
15,
12
],
[
493,
437,
34,
12
],
[
529,
437,
24,
12
],
[
556,
437,
7,
12
],
[
565,
437,
39,
12
],
[
607,
437,
25,
12
],
[
155,
497,
62,
15
],
[
155,
518,
80,
14
],
[
239,
518,
30,
14
],
[
273,
518,
17,
14
],
[
294,
518,
60,
14
],
[
359,
518,
48,
14
],
[
411,
518,
6,
14
],
[
421,
518,
54,
14
],
[
480,
518,
20,
14
],
[
504,
518,
40,
14
],
[
547,
518,
18,
14
],
[
570,
518,
58,
14
],
[
632,
518,
59,
14
],
[
155,
534,
28,
14
],
[
187,
534,
6,
14
],
[
198,
534,
54,
14
],
[
257,
534,
27,
14
],
[
288,
534,
21,
14
],
[
314,
534,
17,
14
],
[
335,
534,
76,
14
],
[
416,
534,
48,
14
],
[
468,
534,
24,
14
],
[
496,
534,
20,
14
],
[
521,
534,
41,
14
],
[
566,
534,
54,
14
],
[
625,
534,
66,
14
],
[
155,
550,
31,
14
],
[
191,
550,
23,
14
],
[
220,
550,
27,
14
],
[
253,
550,
6,
14
],
[
264,
550,
30,
14
],
[
300,
550,
11,
14
],
[
316,
550,
60,
14
],
[
382,
550,
48,
14
],
[
436,
550,
36,
14
],
[
477,
550,
66,
14
],
[
549,
550,
20,
14
],
[
575,
550,
18,
14
],
[
599,
550,
36,
14
],
[
640,
550,
29,
14
],
[
674,
550,
17,
14
],
[
155,
567,
48,
14
],
[
207,
567,
54,
14
],
[
266,
567,
54,
14
],
[
324,
567,
63,
14
],
[
392,
567,
20,
14
],
[
416,
567,
18,
14
],
[
439,
567,
57,
14
],
[
500,
567,
54,
14
],
[
559,
567,
26,
14
],
[
590,
567,
42,
14
],
[
636,
567,
28,
14
],
[
669,
567,
22,
14
],
[
155,
583,
47,
14
],
[
204,
583,
54,
14
],
[
261,
583,
56,
14
],
[
319,
583,
54,
14
],
[
376,
583,
20,
14
],
[
398,
583,
111,
14
],
[
511,
583,
21,
14
],
[
535,
583,
22,
14
],
[
559,
583,
39,
14
],
[
601,
583,
19,
14
],
[
623,
583,
68,
14
],
[
155,
599,
37,
14
],
[
195,
599,
12,
14
],
[
210,
599,
34,
14
],
[
247,
599,
18,
14
],
[
269,
599,
50,
14
],
[
322,
599,
61,
14
],
[
387,
599,
11,
14
],
[
401,
599,
18,
14
],
[
423,
599,
37,
14
],
[
463,
599,
51,
14
],
[
155,
623,
49,
14
],
[
212,
623,
27,
14
],
[
246,
623,
53,
14
],
[
306,
623,
39,
14
],
[
352,
623,
39,
14
],
[
399,
623,
38,
14
],
[
445,
623,
19,
14
],
[
471,
623,
49,
14
],
[
528,
623,
52,
14
],
[
587,
623,
17,
14
],
[
611,
623,
18,
14
],
[
637,
623,
54,
14
],
[
155,
639,
66,
14
],
[
224,
639,
54,
14
],
[
281,
639,
53,
14
],
[
337,
639,
6,
14
],
[
346,
639,
7,
14
],
[
357,
639,
28,
14
],
[
388,
639,
11,
14
],
[
403,
639,
49,
14
],
[
453,
639,
20,
14
],
[
476,
639,
108,
14
],
[
587,
639,
53,
14
],
[
643,
639,
6,
14
],
[
652,
639,
7,
14
],
[
662,
639,
28,
14
],
[
155,
655,
11,
14
],
[
170,
655,
47,
14
],
[
220,
655,
68,
14
],
[
291,
655,
37,
14
],
[
331,
655,
53,
14
],
[
387,
655,
6,
14
],
[
397,
655,
7,
14
],
[
407,
655,
28,
14
],
[
439,
655,
47,
14
],
[
155,
679,
74,
14
],
[
232,
679,
22,
14
],
[
256,
679,
20,
14
],
[
279,
679,
22,
14
],
[
304,
679,
24,
14
],
[
330,
679,
27,
14
],
[
360,
679,
60,
14
],
[
422,
679,
32,
14
],
[
457,
679,
48,
14
],
[
507,
679,
18,
14
],
[
528,
679,
54,
14
],
[
585,
679,
27,
14
],
[
614,
679,
47,
14
],
[
664,
679,
27,
14
],
[
155,
695,
18,
14
],
[
176,
695,
22,
14
],
[
202,
695,
53,
14
],
[
258,
695,
23,
14
],
[
284,
695,
35,
14
],
[
323,
695,
18,
14
],
[
344,
695,
20,
14
],
[
367,
695,
22,
14
],
[
393,
695,
18,
14
],
[
414,
695,
54,
14
],
[
471,
695,
63,
14
],
[
538,
695,
17,
14
],
[
558,
695,
18,
14
],
[
579,
695,
54,
14
],
[
637,
695,
33,
14
],
[
673,
695,
18,
14
],
[
155,
711,
19,
14
],
[
177,
711,
65,
14
],
[
244,
711,
12,
14
],
[
259,
711,
14,
14
],
[
275,
711,
29,
14
],
[
308,
711,
12,
14
],
[
323,
711,
18,
14
],
[
344,
711,
50,
14
],
[
396,
711,
47,
14
],
[
446,
711,
11,
14
],
[
460,
711,
18,
14
],
[
481,
711,
63,
14
],
[
547,
711,
17,
14
],
[
566,
711,
18,
14
],
[
587,
711,
29,
14
],
[
619,
711,
20,
14
],
[
642,
711,
49,
14
],
[
155,
728,
11,
14
],
[
170,
728,
24,
14
],
[
197,
728,
34,
14
],
[
235,
728,
14,
14
],
[
252,
728,
7,
14
],
[
263,
728,
24,
14
],
[
290,
728,
28,
14
],
[
322,
728,
41,
14
],
[
367,
728,
51,
14
],
[
422,
728,
35,
14
],
[
460,
728,
24,
14
],
[
488,
728,
29,
14
],
[
520,
728,
57,
14
],
[
580,
728,
34,
14
],
[
617,
728,
60,
14
],
[
681,
728,
10,
14
],
[
155,
744,
54,
14
],
[
213,
744,
55,
14
],
[
271,
744,
52,
14
],
[
327,
744,
19,
14
],
[
350,
744,
32,
14
],
[
386,
744,
10,
14
],
[
400,
744,
24,
14
],
[
429,
744,
27,
14
],
[
460,
744,
60,
14
],
[
524,
744,
10,
14
],
[
538,
744,
18,
14
],
[
560,
744,
54,
14
],
[
618,
744,
27,
14
],
[
649,
744,
42,
14
],
[
155,
760,
20,
14
],
[
178,
760,
57,
14
],
[
238,
760,
7,
14
],
[
248,
760,
31,
14
],
[
76,
829,
84,
15
],
[
76,
845,
19,
14
],
[
102,
845,
28,
14
],
[
136,
845,
13,
14
],
[
155,
845,
32,
14
],
[
193,
845,
20,
14
],
[
220,
845,
7,
14
],
[
233,
845,
41,
14
],
[
280,
845,
23,
14
],
[
310,
845,
61,
14
],
[
377,
845,
35,
14
],
[
76,
862,
42,
14
],
[
123,
862,
51,
14
],
[
178,
862,
27,
14
],
[
209,
862,
32,
14
],
[
246,
862,
80,
14
],
[
330,
862,
39,
14
],
[
374,
862,
12,
14
],
[
391,
862,
21,
14
],
[
76,
878,
17,
14
],
[
100,
878,
63,
14
],
[
169,
878,
12,
14
],
[
188,
878,
59,
14
],
[
253,
878,
67,
14
],
[
326,
878,
49,
14
],
[
382,
878,
30,
14
],
[
76,
894,
23,
14
],
[
103,
894,
52,
14
],
[
158,
894,
14,
14
],
[
176,
894,
79,
14
],
[
259,
894,
12,
14
],
[
275,
894,
40,
14
],
[
319,
894,
72,
14
],
[
394,
894,
17,
14
],
[
76,
910,
13,
14
],
[
97,
910,
7,
14
],
[
113,
910,
61,
14
],
[
182,
910,
28,
14
],
[
219,
910,
44,
14
],
[
271,
910,
34,
14
],
[
313,
910,
10,
14
],
[
331,
910,
59,
14
],
[
399,
910,
12,
14
],
[
76,
927,
174,
16
],
[
253,
927,
36,
14
],
[
292,
927,
19,
14
],
[
314,
927,
47,
14
],
[
364,
927,
19,
14
],
[
385,
927,
26,
14
],
[
76,
943,
45,
14
],
[
127,
943,
18,
14
],
[
152,
943,
56,
14
],
[
214,
943,
32,
14
],
[
252,
943,
61,
14
],
[
319,
943,
61,
14
],
[
387,
943,
25,
14
],
[
76,
960,
35,
14
],
[
121,
960,
12,
14
],
[
144,
960,
19,
14
],
[
173,
960,
59,
14
],
[
243,
960,
70,
14
],
[
324,
960,
55,
14
],
[
389,
960,
22,
14
],
[
76,
976,
55,
14
],
[
137,
976,
10,
14
],
[
153,
976,
64,
14
],
[
222,
976,
12,
14
],
[
240,
976,
42,
14
],
[
287,
976,
36,
14
],
[
329,
976,
56,
14
],
[
390,
976,
21,
14
],
[
76,
992,
27,
14
],
[
107,
992,
13,
14
],
[
123,
992,
46,
14
],
[
171,
992,
9,
14
],
[
184,
992,
19,
14
],
[
206,
992,
61,
14
],
[
270,
992,
81,
14
],
[
355,
992,
43,
14
],
[
402,
992,
10,
14
],
[
76,
1008,
21,
14
],
[
102,
1008,
27,
14
],
[
133,
1008,
43,
14
],
[
181,
1008,
55,
14
],
[
240,
1008,
19,
14
],
[
264,
1008,
148,
14
],
[
434,
829,
31,
14
],
[
469,
829,
47,
14
],
[
518,
829,
42,
14
],
[
564,
829,
53,
14
],
[
620,
829,
28,
14
],
[
652,
829,
9,
14
],
[
664,
829,
10,
14
],
[
677,
829,
41,
14
],
[
721,
829,
24,
14
],
[
748,
829,
9,
14
],
[
760,
829,
10,
14
],
[
434,
845,
20,
14
],
[
461,
845,
65,
14
],
[
533,
845,
39,
14
],
[
579,
845,
12,
14
],
[
598,
845,
25,
14
],
[
629,
845,
7,
14
],
[
642,
845,
37,
14
],
[
685,
845,
65,
14
],
[
756,
845,
13,
14
],
[
434,
862,
33,
14
],
[
472,
862,
82,
14
],
[
559,
862,
32,
14
],
[
595,
862,
34,
14
],
[
634,
862,
12,
14
],
[
651,
862,
60,
14
],
[
715,
862,
55,
14
],
[
434,
878,
16,
14
],
[
455,
878,
21,
14
],
[
479,
878,
28,
14
],
[
511,
878,
50,
14
],
[
565,
878,
68,
14
],
[
638,
878,
53,
14
],
[
695,
878,
17,
14
],
[
716,
878,
28,
14
],
[
748,
878,
22,
14
],
[
434,
894,
45,
14
],
[
483,
894,
23,
14
],
[
509,
894,
13,
14
],
[
524,
894,
19,
14
],
[
546,
894,
43,
14
],
[
592,
894,
12,
14
],
[
607,
894,
80,
14
],
[
690,
894,
39,
14
],
[
731,
894,
38,
14
],
[
434,
910,
30,
14
],
[
473,
910,
35,
14
],
[
517,
910,
63,
14
],
[
589,
910,
13,
14
],
[
611,
910,
61,
14
],
[
682,
910,
19,
14
],
[
710,
910,
59,
14
],
[
434,
927,
58,
14
],
[
496,
927,
65,
14
],
[
564,
927,
21,
14
],
[
589,
927,
28,
14
],
[
620,
927,
25,
14
],
[
649,
927,
28,
14
],
[
681,
927,
46,
14
],
[
730,
927,
16,
14
],
[
750,
927,
19,
14
],
[
434,
943,
60,
14
],
[
497,
943,
66,
14
],
[
566,
943,
23,
14
],
[
592,
943,
23,
14
],
[
618,
943,
40,
14
],
[
434,
975,
50,
15
],
[
434,
992,
13,
14
],
[
451,
992,
32,
14
],
[
487,
992,
8,
14
],
[
499,
992,
17,
14
],
[
520,
992,
43,
14
],
[
567,
992,
19,
14
],
[
590,
992,
59,
14
],
[
653,
992,
58,
14
],
[
715,
992,
55,
14
],
[
434,
1008,
23,
14
],
[
462,
1008,
60,
14
],
[
526,
1008,
19,
14
],
[
550,
1008,
66,
14
],
[
621,
1008,
23,
14
],
[
648,
1008,
23,
14
],
[
675,
1008,
37,
14
],
[
717,
1008,
53,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"BMC",
"Genetics",
"Correspondence",
"Minor",
"differences",
"in",
"haplotype",
"frequency",
"estimates",
"can",
"produce",
"very",
"large",
"differences",
"in",
"heterogeneity",
"test",
"statistics",
"David",
"Curtis*1",
"and",
"Ke",
"Xu2",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Academic",
"Department",
"of",
"Psychiatry,",
"Queen",
"Mary's",
"School",
"of",
"Medicine",
"and",
"Dentistry,",
"London",
"E1",
"1BB,",
"UK",
"and",
"2Laboratory",
"of",
"Neurogenetics,",
"National",
"Institute",
"on",
"Alcohol",
"Abuse",
"and",
"Alcoholism,",
"5625",
"Fishers",
"Lane,",
"Room",
"3S32,",
"Bethesda,",
"MD",
"20892-9412,",
"USA",
"Email:",
"David",
"Curtis*",
"-",
"david.curtis@qmul.ac.uk;",
"Ke",
"Xu",
"-",
"ke@mail.nih.gov",
"*",
"Corresponding",
"author",
"Published:",
"27",
"June",
"2007",
"BMC",
"Genetics",
"2007,",
"8:38",
"doi:10.1186/1471-2156-8-38",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2156/8/38",
"Received:",
"12",
"November",
"2006",
"Accepted:",
"27",
"June",
"2007",
"©",
"2007",
"Curtis",
"and",
"Xu;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"Tests",
"for",
"association",
"between",
"a",
"haplotype",
"and",
"disease",
"are",
"commonly",
"performed",
"using",
"a",
"likelihood",
"ratio",
"test",
"for",
"heterogeneity",
"between",
"case",
"and",
"control",
"haplotype",
"frequencies.",
"Using",
"data",
"from",
"a",
"study",
"of",
"association",
"between",
"heroin",
"dependence",
"and",
"the",
"DRD2",
"gene,",
"we",
"obtained",
"estimated",
"haplotype",
"frequencies",
"and",
"the",
"associated",
"likelihood",
"ratio",
"statistic",
"using",
"two",
"different",
"computer",
"programs,",
"MLOCUS",
"and",
"GENECOUNTING.",
"We",
"also",
"carried",
"out",
"permutation",
"testing",
"to",
"assess",
"the",
"empirical",
"significance",
"of",
"the",
"results",
"obtained.",
"Results:",
"Both",
"programs",
"yielded",
"similar,",
"though",
"not",
"identical,",
"estimates",
"for",
"the",
"haplotype",
"frequencies.",
"MLOCUS",
"produced",
"a",
"p",
"value",
"of",
"1.8*10-15",
"and",
"GENECOUNTING",
"produced",
"a",
"p",
"value",
"of",
"5.4*10-4.",
"Permutation",
"testing",
"produced",
"a",
"p",
"value",
"2.8*10-4.",
"Conclusion:",
"The",
"fact",
"that",
"very",
"large",
"differences",
"occur",
"between",
"the",
"likelihood",
"ratio",
"statistics",
"from",
"the",
"two",
"programs",
"may",
"reflect",
"the",
"fact",
"that",
"the",
"haplotype",
"frequencies",
"for",
"the",
"combined",
"group",
"are",
"not",
"constrained",
"to",
"be",
"equal",
"to",
"the",
"weighted",
"averages",
"of",
"the",
"frequencies",
"for",
"the",
"cases",
"and",
"controls,",
"as",
"they",
"would",
"be",
"if",
"they",
"were",
"directly",
"observed",
"rather",
"than",
"being",
"estimated.",
"Minor",
"differences",
"in",
"haplotype",
"frequency",
"estimates",
"can",
"result",
"in",
"very",
"large",
"differences",
"in",
"the",
"likelihood",
"ratio",
"statistic",
"and",
"associated",
"p",
"value.",
"Background",
"We",
"wish",
"to",
"point",
"out",
"a",
"serious",
"and",
"previously",
"unde-",
"scribed",
"problem",
"with",
"using",
"heterogeneity",
"testing",
"to",
"test",
"for",
"differences",
"in",
"haplotype",
"frequencies",
"between",
"cases",
"and",
"controls.",
"As",
"implemented",
"in",
"several",
"applications",
"[1-",
"3]",
"a",
"likelihood",
"ratio",
"statistic",
"(LRS)",
"is",
"calculated",
"as",
"2(LCASE+LCONTROL-LCOMBINED),",
"where",
"the",
"relevant",
"log",
"like-",
"lihoods",
"are",
"produced",
"using",
"maximum",
"likelihood",
"esti-",
"mates",
"of",
"the",
"haplotype",
"frequencies.",
"Although",
"this",
"approach",
"is",
"reasonable",
"in",
"theory,",
"severe",
"problems",
"can",
"arise",
"in",
"practice",
"if",
"the",
"likelihood",
"maximisation",
"process",
"is",
"less",
"than",
"perfect.",
"Although",
"the",
"estimation-maximisation",
"(EM)",
"method",
"usually",
"performs",
"well,",
"it",
"is",
"known",
"that",
"it",
"is",
"not",
"guaranteed",
"always",
"to",
"find",
"a",
"global",
"maximum.",
"In",
"many",
"circumstances",
"small",
"errors",
"in",
"numerical",
"estimates",
"do",
"not",
"have",
"practical",
"signficance.",
"However",
"we",
"have",
"dis-",
"covered",
"that",
"in",
"the",
"context",
"of",
"heterogeneity",
"testing",
"appar-",
"ently",
"trivial",
"differences",
"in",
"estimating",
"the",
"haplotype",
"frequency",
"parameters",
"can",
"have",
"very",
"large",
"impacts",
"on",
"the",
"associated",
"likelihoods",
"and",
"LRS",
"values.",
"Results",
"In",
"Table",
"1",
"we",
"present",
"the",
"haplotype",
"frequency",
"estimates",
"and",
"associated",
"log",
"likelihoods",
"and",
"LRS",
"values",
"obtained",
"Page",
"1",
"of",
"3",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,070,272 | null | [
[
652,
36,
63,
16
],
[
720,
36,
41,
16
],
[
202,
75,
72,
28
],
[
281,
75,
94,
28
],
[
381,
75,
26,
28
],
[
414,
75,
34,
28
],
[
454,
75,
119,
28
],
[
579,
75,
78,
28
],
[
663,
75,
54,
28
],
[
202,
106,
72,
28
],
[
281,
106,
116,
28
],
[
403,
106,
108,
28
],
[
517,
106,
39,
28
],
[
562,
106,
128,
28
],
[
696,
106,
66,
28
],
[
202,
136,
131,
28
],
[
340,
136,
19,
28
],
[
365,
136,
73,
28
],
[
444,
136,
57,
28
],
[
202,
180,
48,
19
],
[
254,
178,
42,
20
],
[
300,
180,
52,
19
],
[
355,
178,
40,
20
],
[
399,
180,
48,
19
],
[
450,
178,
49,
20
],
[
503,
180,
46,
19
],
[
553,
178,
73,
20
],
[
629,
180,
69,
19
],
[
702,
178,
64,
20
],
[
202,
201,
64,
19
],
[
270,
199,
51,
20
],
[
325,
201,
54,
19
],
[
382,
199,
47,
20
],
[
56,
247,
8,
10
],
[
69,
245,
40,
12
],
[
111,
245,
18,
12
],
[
56,
258,
62,
12
],
[
121,
258,
30,
12
],
[
153,
258,
13,
12
],
[
56,
270,
38,
12
],
[
97,
270,
24,
12
],
[
123,
270,
19,
12
],
[
144,
270,
9,
12
],
[
155,
270,
19,
12
],
[
56,
283,
23,
12
],
[
81,
283,
17,
12
],
[
100,
283,
26,
12
],
[
128,
283,
16,
12
],
[
147,
283,
13,
12
],
[
56,
295,
27,
12
],
[
85,
295,
24,
12
],
[
112,
295,
8,
12
],
[
122,
295,
61,
12
],
[
56,
308,
23,
12
],
[
56,
325,
4,
8
],
[
61,
326,
24,
12
],
[
87,
326,
40,
12
],
[
130,
326,
28,
12
],
[
56,
338,
10,
12
],
[
69,
338,
32,
12
],
[
103,
338,
47,
12
],
[
152,
338,
9,
12
],
[
56,
351,
39,
12
],
[
98,
351,
46,
12
],
[
146,
351,
27,
12
],
[
56,
362,
4,
8
],
[
61,
363,
34,
12
],
[
97,
363,
25,
12
],
[
124,
363,
40,
12
],
[
166,
363,
10,
12
],
[
56,
376,
46,
12
],
[
105,
376,
46,
12
],
[
153,
376,
27,
12
],
[
56,
401,
73,
12
],
[
132,
401,
9,
12
],
[
56,
413,
33,
12
],
[
92,
413,
28,
12
],
[
121,
413,
24,
12
],
[
56,
426,
40,
12
],
[
99,
426,
28,
12
],
[
129,
426,
10,
12
],
[
141,
426,
32,
12
],
[
56,
438,
47,
12
],
[
105,
438,
9,
12
],
[
116,
438,
39,
12
],
[
157,
438,
26,
12
],
[
56,
451,
46,
12
],
[
105,
451,
29,
12
],
[
56,
463,
121,
12
],
[
56,
492,
39,
12
],
[
97,
492,
11,
12
],
[
110,
492,
42,
12
],
[
154,
492,
21,
12
],
[
56,
504,
38,
12
],
[
97,
504,
25,
12
],
[
124,
504,
17,
12
],
[
56,
517,
11,
12
],
[
69,
517,
42,
12
],
[
113,
517,
21,
12
],
[
57,
998,
17,
12
],
[
79,
998,
24,
12
],
[
109,
998,
7,
12
],
[
121,
998,
23,
12
],
[
150,
998,
36,
12
],
[
57,
1010,
25,
12
],
[
85,
1010,
23,
12
],
[
111,
1010,
14,
12
],
[
128,
1010,
20,
12
],
[
151,
1010,
35,
12
],
[
57,
1023,
36,
12
],
[
99,
1023,
35,
12
],
[
140,
1023,
15,
12
],
[
160,
1023,
26,
12
],
[
57,
1035,
122,
12
],
[
56,
1072,
16,
12
],
[
75,
1072,
28,
12
],
[
104,
1072,
13,
12
],
[
119,
1072,
76,
12
],
[
197,
1072,
120,
12
],
[
202,
244,
61,
14
],
[
202,
260,
64,
14
],
[
273,
260,
18,
14
],
[
293,
260,
25,
14
],
[
320,
260,
76,
14
],
[
399,
260,
31,
14
],
[
432,
260,
22,
14
],
[
202,
275,
16,
14
],
[
221,
275,
62,
14
],
[
285,
275,
36,
14
],
[
324,
275,
25,
14
],
[
352,
275,
35,
14
],
[
389,
275,
82,
14
],
[
202,
290,
33,
14
],
[
238,
290,
38,
14
],
[
279,
290,
48,
14
],
[
330,
290,
48,
14
],
[
380,
290,
9,
14
],
[
392,
290,
38,
14
],
[
432,
290,
29,
14
],
[
202,
305,
27,
14
],
[
232,
305,
26,
14
],
[
261,
305,
7,
14
],
[
271,
305,
26,
14
],
[
299,
305,
22,
14
],
[
323,
305,
27,
14
],
[
353,
305,
84,
14
],
[
439,
305,
25,
14
],
[
202,
321,
6,
14
],
[
211,
321,
37,
14
],
[
250,
321,
18,
14
],
[
271,
321,
67,
14
],
[
340,
321,
52,
14
],
[
394,
321,
25,
14
],
[
422,
321,
36,
14
],
[
202,
336,
45,
14
],
[
250,
336,
38,
14
],
[
291,
336,
47,
14
],
[
340,
336,
26,
14
],
[
369,
336,
55,
14
],
[
427,
336,
46,
14
],
[
202,
351,
18,
14
],
[
223,
351,
49,
14
],
[
274,
351,
57,
14
],
[
334,
351,
53,
14
],
[
389,
351,
11,
14
],
[
403,
351,
6,
14
],
[
412,
351,
25,
14
],
[
202,
366,
50,
14
],
[
259,
366,
11,
14
],
[
272,
366,
35,
14
],
[
310,
366,
32,
14
],
[
344,
366,
16,
14
],
[
363,
366,
27,
14
],
[
392,
366,
10,
14
],
[
405,
366,
29,
14
],
[
436,
366,
10,
14
],
[
448,
366,
25,
14
],
[
202,
382,
36,
14
],
[
241,
382,
12,
14
],
[
255,
382,
44,
14
],
[
302,
382,
89,
14
],
[
394,
382,
25,
14
],
[
202,
397,
47,
14
],
[
256,
397,
25,
14
],
[
283,
397,
67,
14
],
[
353,
397,
20,
14
],
[
375,
397,
49,
14
],
[
426,
397,
9,
14
],
[
438,
397,
18,
14
],
[
202,
412,
22,
14
],
[
227,
412,
25,
14
],
[
255,
412,
12,
14
],
[
269,
412,
38,
14
],
[
309,
412,
35,
14
],
[
347,
412,
18,
14
],
[
367,
412,
11,
14
],
[
381,
412,
61,
14
],
[
444,
412,
18,
14
],
[
202,
428,
39,
14
],
[
244,
428,
57,
14
],
[
303,
428,
63,
14
],
[
369,
428,
44,
14
],
[
415,
428,
17,
14
],
[
435,
428,
33,
14
],
[
202,
443,
18,
14
],
[
223,
443,
41,
14
],
[
266,
443,
36,
14
],
[
305,
443,
59,
14
],
[
366,
443,
25,
14
],
[
394,
443,
23,
14
],
[
419,
443,
10,
14
],
[
432,
443,
40,
14
],
[
202,
458,
16,
14
],
[
221,
458,
25,
14
],
[
248,
458,
33,
14
],
[
283,
458,
12,
14
],
[
298,
458,
53,
14
],
[
353,
458,
17,
14
],
[
373,
458,
41,
14
],
[
202,
473,
40,
14
],
[
248,
473,
25,
14
],
[
275,
473,
61,
14
],
[
339,
473,
61,
14
],
[
403,
473,
47,
14
],
[
452,
473,
9,
14
],
[
202,
489,
16,
14
],
[
221,
489,
25,
14
],
[
249,
489,
18,
14
],
[
269,
489,
35,
14
],
[
306,
489,
25,
14
],
[
333,
489,
36,
14
],
[
372,
489,
39,
14
],
[
413,
489,
16,
14
],
[
431,
489,
36,
14
],
[
202,
504,
10,
14
],
[
215,
504,
47,
14
],
[
264,
504,
18,
14
],
[
285,
504,
34,
14
],
[
321,
504,
6,
14
],
[
329,
504,
18,
14
],
[
350,
504,
7,
14
],
[
359,
504,
22,
14
],
[
384,
504,
37,
14
],
[
423,
504,
42,
14
],
[
202,
519,
27,
14
],
[
232,
519,
22,
14
],
[
256,
519,
9,
14
],
[
267,
519,
33,
14
],
[
303,
519,
26,
14
],
[
332,
519,
50,
14
],
[
384,
519,
38,
14
],
[
425,
519,
7,
14
],
[
434,
519,
22,
14
],
[
202,
535,
50,
14
],
[
255,
535,
40,
14
],
[
298,
535,
10,
14
],
[
311,
535,
47,
14
],
[
361,
535,
25,
14
],
[
388,
535,
36,
14
],
[
426,
535,
50,
14
],
[
202,
550,
16,
14
],
[
221,
550,
51,
14
],
[
275,
550,
27,
14
],
[
304,
550,
10,
14
],
[
317,
550,
67,
14
],
[
386,
550,
50,
14
],
[
439,
550,
18,
14
],
[
202,
565,
29,
14
],
[
234,
565,
30,
14
],
[
266,
565,
36,
14
],
[
305,
565,
29,
14
],
[
336,
565,
15,
14
],
[
354,
565,
22,
14
],
[
378,
565,
46,
14
],
[
427,
565,
9,
14
],
[
438,
565,
26,
14
],
[
202,
580,
12,
14
],
[
217,
580,
33,
14
],
[
253,
580,
7,
14
],
[
263,
580,
25,
14
],
[
290,
580,
7,
14
],
[
300,
580,
41,
14
],
[
344,
580,
41,
14
],
[
387,
580,
48,
14
],
[
438,
580,
10,
14
],
[
202,
596,
50,
14
],
[
255,
596,
36,
14
],
[
294,
596,
9,
14
],
[
305,
596,
38,
14
],
[
345,
596,
7,
14
],
[
355,
596,
25,
14
],
[
382,
596,
7,
14
],
[
392,
596,
46,
14
],
[
440,
596,
16,
14
],
[
202,
611,
64,
14
],
[
269,
611,
10,
14
],
[
281,
611,
16,
14
],
[
299,
611,
50,
14
],
[
351,
611,
38,
14
],
[
392,
611,
64,
14
],
[
202,
626,
18,
14
],
[
223,
626,
30,
14
],
[
256,
626,
50,
14
],
[
308,
626,
21,
14
],
[
332,
626,
6,
14
],
[
340,
626,
71,
14
],
[
414,
626,
47,
14
],
[
202,
641,
56,
14
],
[
261,
641,
30,
14
],
[
294,
641,
52,
14
],
[
349,
641,
20,
14
],
[
202,
657,
59,
14
],
[
267,
657,
18,
14
],
[
288,
657,
26,
14
],
[
316,
657,
32,
14
],
[
351,
657,
38,
14
],
[
392,
657,
19,
14
],
[
414,
657,
22,
14
],
[
439,
657,
25,
14
],
[
202,
672,
36,
14
],
[
241,
672,
35,
14
],
[
278,
672,
10,
14
],
[
290,
672,
36,
14
],
[
329,
672,
16,
14
],
[
347,
672,
58,
14
],
[
408,
672,
29,
14
],
[
202,
687,
35,
14
],
[
240,
687,
52,
14
],
[
295,
687,
27,
14
],
[
325,
687,
12,
14
],
[
339,
687,
33,
14
],
[
375,
687,
39,
14
],
[
417,
687,
9,
14
],
[
428,
687,
26,
14
],
[
202,
703,
12,
14
],
[
217,
703,
89,
14
],
[
309,
703,
7,
14
],
[
318,
703,
25,
14
],
[
346,
703,
34,
14
],
[
383,
703,
10,
14
],
[
395,
703,
16,
14
],
[
414,
703,
44,
14
],
[
202,
718,
44,
14
],
[
249,
718,
10,
14
],
[
261,
718,
59,
14
],
[
323,
718,
25,
14
],
[
350,
718,
36,
14
],
[
389,
718,
18,
14
],
[
409,
718,
44,
14
],
[
456,
718,
14,
14
],
[
202,
733,
6,
14
],
[
211,
733,
55,
14
],
[
269,
733,
41,
14
],
[
313,
733,
6,
14
],
[
321,
733,
47,
14
],
[
371,
733,
57,
14
],
[
430,
733,
44,
14
],
[
202,
748,
19,
14
],
[
224,
748,
56,
14
],
[
283,
748,
55,
14
],
[
340,
748,
28,
14
],
[
370,
748,
34,
14
],
[
407,
748,
16,
14
],
[
425,
748,
45,
14
],
[
202,
764,
28,
14
],
[
233,
764,
10,
14
],
[
245,
764,
25,
14
],
[
272,
764,
36,
14
],
[
310,
764,
9,
14
],
[
322,
764,
35,
14
],
[
359,
764,
38,
14
],
[
399,
764,
26,
14
],
[
202,
808,
87,
14
],
[
202,
824,
49,
13
],
[
260,
824,
30,
13
],
[
297,
824,
80,
13
],
[
385,
824,
9,
13
],
[
402,
824,
7,
13
],
[
417,
824,
60,
13
],
[
202,
839,
18,
13
],
[
224,
839,
65,
13
],
[
293,
839,
20,
13
],
[
317,
839,
35,
13
],
[
356,
839,
70,
13
],
[
429,
839,
48,
13
],
[
202,
855,
70,
13
],
[
278,
855,
47,
13
],
[
331,
855,
9,
13
],
[
345,
855,
36,
13
],
[
387,
855,
45,
13
],
[
438,
855,
39,
13
],
[
202,
870,
50,
13
],
[
260,
870,
26,
13
],
[
292,
870,
41,
13
],
[
340,
870,
30,
13
],
[
378,
870,
20,
13
],
[
405,
870,
24,
13
],
[
435,
870,
42,
13
],
[
202,
885,
36,
13
],
[
241,
885,
25,
13
],
[
269,
885,
12,
13
],
[
283,
885,
43,
13
],
[
329,
885,
20,
13
],
[
352,
885,
32,
13
],
[
386,
885,
43,
13
],
[
431,
885,
46,
13
],
[
202,
901,
48,
13
],
[
253,
901,
58,
13
],
[
313,
901,
17,
13
],
[
333,
901,
36,
13
],
[
372,
901,
50,
13
],
[
424,
901,
20,
13
],
[
447,
901,
30,
13
],
[
202,
916,
11,
13
],
[
215,
916,
65,
13
],
[
282,
916,
114,
13
],
[
397,
916,
22,
13
],
[
421,
916,
23,
13
],
[
446,
916,
31,
13
],
[
202,
931,
9,
13
],
[
214,
931,
12,
13
],
[
229,
931,
35,
13
],
[
266,
931,
29,
13
],
[
298,
931,
40,
13
],
[
341,
931,
20,
13
],
[
364,
931,
47,
13
],
[
413,
931,
62,
13
],
[
215,
946,
26,
13
],
[
246,
946,
41,
13
],
[
292,
946,
9,
13
],
[
306,
946,
6,
13
],
[
317,
946,
39,
13
],
[
361,
946,
49,
13
],
[
415,
946,
11,
13
],
[
431,
946,
18,
13
],
[
454,
946,
23,
13
],
[
202,
962,
51,
13
],
[
258,
962,
42,
13
],
[
304,
962,
29,
13
],
[
337,
962,
39,
13
],
[
381,
962,
96,
13
],
[
202,
977,
39,
13
],
[
247,
977,
22,
13
],
[
275,
977,
65,
13
],
[
346,
977,
62,
13
],
[
414,
977,
38,
13
],
[
457,
977,
20,
13
],
[
202,
992,
52,
13
],
[
260,
992,
79,
13
],
[
344,
992,
11,
13
],
[
360,
992,
69,
13
],
[
434,
992,
43,
13
],
[
202,
1008,
26,
13
],
[
233,
1008,
47,
13
],
[
285,
1008,
29,
13
],
[
318,
1008,
80,
13
],
[
403,
1008,
20,
13
],
[
427,
1008,
50,
13
],
[
202,
1023,
42,
13
],
[
249,
1023,
11,
13
],
[
264,
1023,
64,
13
],
[
332,
1022,
34,
14
],
[
370,
1022,
5,
9
],
[
380,
1023,
24,
13
],
[
408,
1023,
41,
13
],
[
453,
1023,
24,
13
],
[
202,
1038,
26,
13
],
[
234,
1038,
6,
13
],
[
246,
1038,
79,
13
],
[
331,
1038,
39,
13
],
[
376,
1038,
11,
13
],
[
392,
1038,
44,
13
],
[
442,
1038,
23,
13
],
[
471,
1038,
6,
13
],
[
493,
245,
68,
13
],
[
568,
245,
22,
13
],
[
597,
245,
59,
13
],
[
662,
245,
35,
13
],
[
704,
245,
11,
13
],
[
721,
245,
13,
13
],
[
741,
245,
27,
13
],
[
493,
260,
28,
13
],
[
529,
260,
12,
13
],
[
548,
260,
55,
13
],
[
610,
260,
35,
13
],
[
653,
260,
18,
13
],
[
678,
260,
46,
13
],
[
731,
260,
11,
13
],
[
750,
260,
18,
13
],
[
493,
275,
59,
13
],
[
555,
275,
22,
13
],
[
579,
275,
12,
13
],
[
594,
275,
18,
13
],
[
614,
275,
39,
13
],
[
656,
275,
14,
13
],
[
673,
275,
51,
13
],
[
727,
275,
20,
13
],
[
750,
275,
18,
13
],
[
493,
290,
102,
13
],
[
601,
290,
12,
13
],
[
619,
290,
29,
13
],
[
653,
290,
32,
13
],
[
691,
290,
44,
13
],
[
741,
290,
14,
13
],
[
762,
290,
7,
13
],
[
493,
306,
20,
13
],
[
516,
306,
121,
13
],
[
641,
304,
70,
14
],
[
714,
306,
54,
13
],
[
493,
321,
43,
13
],
[
540,
321,
12,
13
],
[
555,
321,
16,
13
],
[
575,
321,
32,
13
],
[
610,
321,
16,
13
],
[
630,
321,
18,
13
],
[
652,
321,
62,
13
],
[
718,
321,
11,
13
],
[
733,
321,
35,
13
],
[
493,
336,
33,
13
],
[
530,
336,
51,
13
],
[
585,
336,
43,
13
],
[
631,
336,
14,
13
],
[
650,
336,
15,
13
],
[
669,
336,
66,
13
],
[
738,
336,
30,
13
],
[
493,
351,
45,
13
],
[
541,
351,
33,
13
],
[
577,
350,
73,
14
],
[
653,
350,
5,
9
],
[
661,
351,
26,
13
],
[
690,
351,
22,
13
],
[
715,
351,
53,
13
],
[
493,
367,
23,
13
],
[
521,
367,
32,
13
],
[
558,
367,
12,
13
],
[
574,
367,
41,
13
],
[
619,
367,
56,
13
],
[
679,
367,
26,
13
],
[
710,
367,
18,
13
],
[
732,
367,
36,
13
],
[
493,
382,
31,
13
],
[
533,
382,
59,
13
],
[
599,
382,
77,
13
],
[
685,
381,
47,
14
],
[
739,
382,
15,
13
],
[
762,
382,
6,
13
],
[
493,
397,
65,
13
],
[
562,
397,
20,
13
],
[
586,
397,
101,
13
],
[
691,
397,
65,
13
],
[
760,
397,
8,
13
],
[
493,
413,
41,
13
],
[
536,
413,
11,
13
],
[
549,
413,
67,
13
],
[
618,
413,
46,
13
],
[
666,
413,
29,
13
],
[
698,
413,
26,
13
],
[
726,
413,
42,
13
],
[
493,
428,
14,
13
],
[
509,
428,
12,
13
],
[
523,
428,
8,
13
],
[
533,
428,
23,
13
],
[
558,
428,
20,
13
],
[
581,
428,
29,
13
],
[
612,
428,
26,
13
],
[
640,
428,
12,
13
],
[
654,
428,
37,
13
],
[
693,
428,
45,
13
],
[
741,
428,
27,
13
],
[
493,
443,
146,
13
],
[
642,
443,
9,
13
],
[
653,
443,
70,
13
],
[
725,
443,
43,
13
],
[
493,
458,
7,
13
],
[
502,
458,
55,
13
],
[
560,
458,
34,
13
],
[
596,
458,
50,
13
],
[
649,
458,
20,
13
],
[
671,
457,
31,
14
],
[
704,
458,
64,
13
],
[
493,
474,
26,
13
],
[
525,
474,
41,
13
],
[
571,
474,
79,
13
],
[
655,
474,
22,
13
],
[
682,
474,
34,
13
],
[
722,
474,
46,
13
],
[
493,
489,
26,
13
],
[
523,
489,
24,
13
],
[
550,
489,
35,
13
],
[
589,
489,
12,
13
],
[
605,
489,
20,
13
],
[
629,
489,
30,
13
],
[
662,
489,
33,
13
],
[
699,
489,
27,
13
],
[
729,
489,
39,
13
],
[
493,
504,
20,
13
],
[
518,
504,
31,
13
],
[
553,
504,
18,
13
],
[
576,
504,
25,
13
],
[
606,
504,
19,
13
],
[
629,
504,
30,
13
],
[
664,
504,
30,
13
],
[
698,
504,
46,
13
],
[
748,
504,
20,
13
],
[
493,
520,
25,
13
],
[
523,
520,
18,
13
],
[
545,
520,
45,
13
],
[
595,
520,
26,
13
],
[
625,
520,
18,
13
],
[
646,
520,
34,
13
],
[
685,
520,
12,
13
],
[
700,
520,
68,
13
],
[
493,
535,
26,
13
],
[
522,
535,
12,
13
],
[
537,
535,
28,
13
],
[
568,
535,
12,
13
],
[
582,
535,
13,
13
],
[
599,
535,
53,
13
],
[
654,
535,
24,
13
],
[
681,
534,
58,
14
],
[
742,
535,
26,
13
],
[
493,
550,
22,
13
],
[
518,
550,
79,
13
],
[
601,
550,
18,
13
],
[
623,
550,
57,
13
],
[
683,
550,
12,
13
],
[
699,
550,
70,
13
],
[
493,
565,
31,
13
],
[
528,
565,
7,
13
],
[
539,
565,
77,
13
],
[
620,
565,
47,
13
],
[
671,
565,
6,
13
],
[
682,
565,
49,
13
],
[
735,
565,
12,
13
],
[
750,
565,
18,
13
],
[
493,
581,
33,
13
],
[
531,
581,
37,
13
],
[
573,
581,
34,
13
],
[
613,
581,
9,
13
],
[
627,
581,
77,
13
],
[
709,
581,
11,
13
],
[
725,
581,
18,
13
],
[
748,
581,
20,
13
],
[
493,
596,
22,
13
],
[
520,
596,
11,
13
],
[
537,
596,
46,
13
],
[
587,
596,
26,
13
],
[
618,
596,
9,
13
],
[
632,
595,
31,
14
],
[
668,
596,
26,
13
],
[
699,
596,
41,
13
],
[
744,
596,
24,
13
],
[
493,
611,
44,
13
],
[
540,
611,
40,
13
],
[
582,
611,
35,
13
],
[
620,
611,
14,
13
],
[
637,
611,
18,
13
],
[
657,
611,
45,
13
],
[
705,
611,
38,
13
],
[
746,
611,
22,
13
],
[
493,
626,
49,
13
],
[
548,
626,
46,
13
],
[
599,
626,
26,
13
],
[
630,
626,
41,
13
],
[
677,
626,
18,
13
],
[
700,
626,
68,
13
],
[
493,
642,
53,
13
],
[
551,
642,
53,
13
],
[
608,
642,
39,
13
],
[
651,
642,
34,
13
],
[
689,
642,
12,
13
],
[
704,
642,
7,
13
],
[
715,
642,
53,
13
],
[
493,
657,
30,
13
],
[
525,
657,
75,
13
],
[
602,
657,
20,
13
],
[
624,
657,
11,
13
],
[
637,
657,
65,
13
],
[
704,
657,
31,
13
],
[
738,
657,
30,
13
],
[
493,
672,
12,
13
],
[
507,
672,
80,
13
],
[
590,
672,
12,
13
],
[
604,
672,
33,
13
],
[
640,
672,
32,
13
],
[
506,
688,
11,
13
],
[
523,
688,
18,
13
],
[
547,
688,
57,
13
],
[
610,
688,
26,
13
],
[
642,
688,
31,
13
],
[
679,
688,
12,
13
],
[
696,
688,
37,
13
],
[
739,
688,
29,
13
],
[
493,
703,
17,
13
],
[
515,
703,
12,
13
],
[
531,
703,
18,
13
],
[
553,
703,
57,
13
],
[
614,
703,
39,
13
],
[
657,
703,
39,
13
],
[
701,
703,
34,
13
],
[
739,
703,
12,
13
],
[
755,
703,
13,
13
],
[
493,
718,
40,
13
],
[
539,
718,
22,
13
],
[
566,
718,
62,
13
],
[
634,
718,
12,
13
],
[
651,
718,
12,
13
],
[
668,
718,
20,
13
],
[
694,
718,
33,
13
],
[
733,
718,
12,
13
],
[
750,
718,
18,
13
],
[
493,
733,
39,
13
],
[
535,
733,
48,
13
],
[
586,
733,
11,
13
],
[
599,
733,
54,
13
],
[
656,
733,
46,
13
],
[
704,
733,
51,
13
],
[
757,
733,
11,
13
],
[
493,
749,
30,
13
],
[
526,
749,
9,
13
],
[
539,
749,
19,
13
],
[
561,
749,
71,
13
],
[
636,
749,
9,
13
],
[
648,
749,
9,
13
],
[
660,
749,
19,
13
],
[
682,
749,
39,
13
],
[
725,
749,
32,
13
],
[
760,
749,
8,
13
],
[
493,
764,
106,
13
],
[
603,
764,
58,
13
],
[
664,
764,
25,
13
],
[
693,
764,
12,
13
],
[
708,
764,
29,
13
],
[
741,
764,
27,
13
],
[
493,
779,
20,
13
],
[
523,
779,
32,
13
],
[
564,
779,
100,
13
],
[
673,
779,
46,
13
],
[
729,
779,
39,
13
],
[
493,
795,
58,
13
],
[
556,
795,
17,
13
],
[
578,
795,
44,
13
],
[
627,
795,
14,
13
],
[
647,
795,
71,
13
],
[
723,
795,
45,
13
],
[
493,
810,
15,
13
],
[
514,
810,
41,
13
],
[
560,
810,
29,
13
],
[
595,
810,
32,
13
],
[
632,
810,
55,
13
],
[
693,
810,
17,
13
],
[
716,
810,
52,
13
],
[
493,
825,
18,
13
],
[
516,
825,
30,
13
],
[
552,
825,
12,
13
],
[
569,
825,
27,
13
],
[
601,
825,
80,
13
],
[
686,
825,
14,
13
],
[
705,
825,
18,
13
],
[
728,
825,
40,
13
],
[
493,
840,
23,
13
],
[
520,
840,
12,
13
],
[
535,
840,
39,
13
],
[
577,
840,
20,
13
],
[
601,
840,
39,
13
],
[
643,
840,
58,
13
],
[
704,
840,
20,
13
],
[
728,
840,
40,
13
],
[
493,
856,
18,
13
],
[
515,
856,
44,
13
],
[
562,
856,
49,
13
],
[
615,
856,
12,
13
],
[
630,
856,
26,
13
],
[
660,
856,
14,
13
],
[
678,
856,
90,
13
],
[
493,
871,
54,
13
],
[
553,
871,
57,
13
],
[
616,
871,
11,
13
],
[
633,
871,
18,
13
],
[
657,
871,
66,
13
],
[
729,
871,
39,
13
],
[
493,
886,
44,
13
],
[
540,
886,
29,
13
],
[
572,
886,
39,
13
],
[
614,
886,
9,
13
],
[
627,
886,
47,
13
],
[
677,
886,
11,
13
],
[
691,
886,
37,
13
],
[
731,
886,
37,
13
],
[
493,
901,
12,
13
],
[
510,
901,
29,
13
],
[
544,
901,
57,
13
],
[
606,
901,
17,
13
],
[
629,
901,
49,
13
],
[
683,
901,
22,
13
],
[
710,
901,
41,
13
],
[
756,
901,
12,
13
],
[
493,
917,
27,
13
],
[
523,
917,
12,
13
],
[
537,
917,
39,
13
],
[
579,
917,
32,
13
],
[
614,
917,
24,
13
],
[
641,
917,
18,
13
],
[
662,
917,
44,
13
],
[
709,
917,
12,
13
],
[
724,
917,
44,
13
],
[
493,
932,
24,
13
],
[
521,
932,
45,
13
],
[
570,
932,
22,
13
],
[
595,
932,
18,
13
],
[
617,
932,
118,
13
],
[
739,
932,
29,
13
],
[
493,
947,
24,
13
],
[
521,
947,
20,
13
],
[
544,
947,
50,
13
],
[
597,
947,
37,
13
],
[
638,
947,
18,
13
],
[
659,
947,
24,
13
],
[
686,
947,
68,
13
],
[
756,
947,
12,
13
],
[
493,
963,
68,
13
],
[
564,
963,
12,
13
],
[
578,
963,
67,
13
],
[
648,
963,
9,
13
],
[
660,
963,
27,
13
],
[
493,
992,
57,
14
],
[
493,
1007,
51,
14
],
[
547,
1007,
46,
14
],
[
595,
1007,
20,
14
],
[
618,
1007,
65,
14
],
[
685,
1007,
37,
14
],
[
493,
1024,
47,
13
],
[
547,
1024,
28,
13
],
[
583,
1024,
58,
13
],
[
648,
1024,
21,
13
],
[
676,
1024,
43,
13
],
[
726,
1024,
12,
13
],
[
745,
1024,
23,
13
],
[
493,
1038,
43,
14
],
[
540,
1038,
5,
9
],
[
549,
1039,
22,
13
],
[
575,
1039,
27,
13
],
[
605,
1039,
42,
13
],
[
651,
1039,
22,
13
],
[
677,
1039,
22,
13
],
[
703,
1039,
65,
13
],
[
752,
1072,
16,
12
]
] | [
"Extended",
"report",
"HSC70",
"blockade",
"by",
"the",
"therapeutic",
"peptide",
"P140",
"affects",
"autophagic",
"processes",
"and",
"endogenous",
"MHCII",
"presentation",
"in",
"murine",
"lupus",
"Nicolas",
"Page,1",
"Frédéric",
"Gros,1",
"Nicolas",
"Schall,1",
"Marion",
"Décossas,1",
"Dominique",
"Bagnard,2",
"Jean-Paul",
"Briand,1",
"Sylviane",
"Muller1",
"▶",
"Additional",
"data",
"(supplementary",
"figures)",
"are",
"published",
"online",
"only.",
"To",
"view",
"these",
"files",
"please",
"visit",
"the",
"journal",
"online",
"at",
"(http://ard.bmj.",
"com).",
"1",
"CNRS",
"UPR9021,",
"Institut",
"de",
"Biologie",
"Moléculaire",
"et",
"Cellulaire,",
"Strasbourg,",
"France",
"2",
"INSERM",
"U682,",
"Université",
"de",
"Strasbourg,",
"Strasbourg,",
"France",
"Correspondence",
"to",
"Sylviane",
"Muller,",
"CNRS",
"UPR9021,",
"Institut",
"de",
"Biologie",
"Moléculaire",
"et",
"Cellulaire,",
"67000",
"Strasbourg,",
"France;",
"s.muller@ibmc-cnrs.unistra.fr",
"Accepted",
"11",
"November",
"2010",
"Published",
"Online",
"First",
"20",
"December",
"2010",
"This",
"paper",
"is",
"freely",
"available",
"online",
"under",
"the",
"BMJ",
"Journals",
"unlocked",
"scheme,",
"see",
"http://",
"ard.bmj.com/info/unlocked.dtl",
"Ann",
"Rheum",
"Dis",
"2011;70:837–843.",
"doi:10.1136/ard.2010.139832",
"ABSTRACT",
"Background",
"The",
"P140",
"phosphopeptide",
"issued",
"from",
"the",
"spliceosomal",
"U1-70K",
"small",
"nuclear",
"ribonucleoprotein",
"protein",
"displays",
"protective",
"properties",
"in",
"MRL/lpr",
"lupus-",
"prone",
"mice.",
"It",
"binds",
"both",
"major",
"histocompatibility",
"class",
"II",
"(MHCII)",
"and",
"HSC70/Hsp73",
"molecules.",
"P140",
"peptide",
"increases",
"MRL/lpr",
"peripheral",
"blood",
"lymphocyte",
"apoptosis",
"and",
"decreases",
"autoepitope",
"recognition",
"by",
"T",
"cells.",
"Objective",
"To",
"explore",
"further",
"the",
"mode",
"of",
"action",
"of",
"P140",
"peptide",
"on",
"HSC70+",
"antigen-presenting",
"cells.",
"Methods",
"P140",
"biodistribution",
"was",
"monitored",
"in",
"real",
"time",
"using",
"an",
"imaging",
"system",
"and",
"by",
"fluorescence",
"and",
"electron",
"microscopy.",
"Fluorescence",
"activated",
"cell",
"sorting",
"and",
"Western",
"blotting",
"experiments",
"were",
"used",
"to",
"evaluate",
"the",
"P140",
"effects",
"on",
"autophagic",
"flux",
"markers.",
"Results",
"P140",
"fluorescence",
"accumulated",
"especially",
"in",
"the",
"lungs",
"and",
"spleen.",
"P140",
"peptide",
"reduced",
"the",
"number",
"of",
"peripheral",
"and",
"splenic",
"T",
"and",
"B",
"cells",
"without",
"affecting",
"these",
"cells",
"in",
"normal",
"mice.",
"Remaining",
"MRL/lpr",
"B",
"cells",
"responded",
"normally",
"to",
"mitogens.",
"P140",
"peptide",
"decreased",
"the",
"expression",
"levels",
"of",
"HSC70/Hsp73",
"chaperone",
"and",
"stable",
"MHCII",
"dimers,",
"which",
"are",
"both",
"increased",
"in",
"MRL/",
"lpr",
"splenic",
"B",
"cells.",
"It",
"impaired",
"refolding",
"properties",
"of",
"chaperone",
"HSC70.",
"In",
"MRL/lpr",
"B",
"cells,",
"it",
"increased",
"the",
"accumulation",
"of",
"the",
"autophagy",
"markers",
"p62/SQSTM1",
"and",
"LC3-II,",
"consistent",
"with",
"a",
"downregulated",
"lysosomal",
"degradation",
"during",
"autophagic",
"flux.",
"Conclusion",
"The",
"study",
"results",
"suggest",
"that",
"after",
"P140",
"peptide",
"binding",
"to",
"HSC70,",
"the",
"endogenous",
"(auto)",
"antigen",
"processing",
"might",
"be",
"greatly",
"affected",
"in",
"MRL/",
"lpr",
"antigen-presenting",
"B",
"cells,",
"leading",
"to",
"the",
"observed",
"decrease",
"of",
"autoreactive",
"T-cell",
"priming",
"and",
"signalling",
"via",
"a",
"mechanism",
"involving",
"a",
"lysosomal",
"degradation",
"pathway.",
"This",
"unexpected",
"mechanism",
"might",
"explain",
"the",
"beneficial",
"effect",
"of",
"P140",
"peptide",
"in",
"treated",
"MRL/lpr",
"mice.",
"INTRODUCTION",
"Systemic",
"lupus",
"erythematosus",
"is",
"a",
"multifacto-",
"rial",
"(multigenic)",
"and",
"highly",
"polymorphic",
"systemic",
"autoimmune",
"disorder.",
"It",
"affects",
"multiple",
"organs,",
"including",
"skin,",
"muscle,",
"joints",
"and",
"vital",
"internal",
"organs",
"such",
"as",
"kidneys",
"and",
"heart.",
"Current",
"pharma-",
"cological",
"treatments",
"are",
"largely",
"palliative",
"and",
"result",
"in",
"non-specific",
"immunosuppression.",
"The",
"goal",
"today",
"is",
"to",
"design",
"more",
"specific",
"and",
"effective",
"treatments.",
"P140",
"peptide",
"is",
"a",
"21-mer",
"fragment",
"of",
"the",
"spli-",
"ceosomal",
"U1-70K",
"small",
"nuclear",
"ribonucleoprotein",
"protein",
"that",
"significantly",
"ameliorates",
"clinical",
"and",
"biological",
"manifestations",
"in",
"autoimmune",
"patients",
"with",
"systemic",
"lupus",
"erythematosus",
"and",
"enhances",
"survival",
"in",
"lupus-prone",
"mice.1",
"2",
"This",
"peptide",
"con-",
"tains",
"a",
"phosphoserine",
"residue",
"at",
"position",
"140,",
"a",
"modification",
"that",
"specifically",
"occurs",
"at",
"an",
"early",
"stage",
"of",
"apoptosis,",
"before",
"the",
"cleavage",
"of",
"the",
"C-terminal",
"part",
"of",
"the",
"protein",
"by",
"caspase-3",
"and",
"the",
"dephosphorylation",
"of",
"other",
"serine",
"residues",
"by",
"a",
"PP1",
"phosphatase-mediated",
"mechanism.3",
"Originally",
"thought",
"to",
"act",
"solely",
"via",
"the",
"modulation",
"of",
"intrac-",
"ellular",
"signalling",
"induced",
"by",
"αβ",
"autoreactive",
"T-cell",
"receptor",
"(TCR)",
"engagement,2",
"4",
"P140",
"was",
"unexpect-",
"edly",
"found",
"to",
"interact",
"selectively",
"with",
"the",
"consti-",
"tutive",
"heat-shock",
"HSC70/Hsp73",
"protein.5",
"By",
"a",
"granzyme-B",
"and",
"caspase-dependent",
"mechanism,",
"it",
"induces",
"in",
"Fas-deficient",
"MRL/lpr",
"lupus",
"mice",
"apopto-",
"sis",
"of",
"B",
"cells",
"and",
"CD4,",
"CD8",
"or",
"double",
"negative",
"(DN)",
"αβTCR+/CD4/CD8/B220+",
"T",
"lymphocytes",
"through",
"a",
"regulatory",
"circuit",
"involving",
"γδT",
"cells.5",
"Intravenous",
"P140",
"peptide",
"administration",
"into",
"young",
"MRL/lpr",
"mice",
"thus",
"causes",
"T-",
"and",
"B-cell",
"egress",
"from",
"periph-",
"eral",
"blood",
"but",
"does",
"not",
"affect",
"T-cell",
"priming,",
"and",
"does",
"not",
"interfere",
"with",
"the",
"ability",
"of",
"P140-treated",
"mice",
"to",
"resist",
"to",
"an",
"infectious",
"viral",
"challenge.6",
"P140",
"also",
"downregulates",
"the",
"expression",
"of",
"programmed",
"death",
"1",
"(PD-1/CD279)",
"receptor,",
"a",
"molecule",
"of",
"the",
"CD28",
"family,",
"which",
"is",
"overexpressed",
"at",
"the",
"sur-",
"face",
"of",
"MRL/lpr",
"CD4",
"T",
"cells.5",
"P140",
"peptide",
"thus",
"displays",
"various",
"effects",
"on",
"the",
"immune",
"system",
"that",
"probably",
"interfere",
"with",
"several,",
"yet",
"unidentified,",
"molecular",
"pathways",
"leading",
"finally",
"to",
"a",
"decreased",
"T-cell",
"autoreactivity",
"and",
"to",
"significantly",
"lower",
"levels",
"of",
"autoantibodies",
"to",
"native",
"DNA.",
"In",
"the",
"postulated",
"P140",
"mode",
"of",
"action,",
"bind-",
"ing",
"to",
"the",
"chaperone",
"HSC70",
"protein",
"seems",
"to",
"be",
"central.",
"The",
"implication",
"of",
"or",
"any",
"defect",
"of",
"the",
"HSC70",
"pathway",
"in",
"regulating",
"immune",
"functions",
"in",
"lupus",
"is",
"not",
"documented.",
"It",
"is",
"not",
"known",
"either",
"if",
"HSC70-chaperoned",
"molecules,",
"such",
"as",
"other",
"Hsps",
"and",
"major",
"histocompatibility",
"complex",
"(MHC)",
"molecules,",
"are",
"affected",
"by",
"P140–HSC70",
"binding.",
"To",
"address",
"these",
"major",
"questions,",
"we",
"evaluated",
"the",
"effect",
"of",
"P140",
"administration",
"on",
"the",
"expres-",
"sion",
"of",
"HSC70",
"and",
"MHCII",
"molecules,",
"and",
"studied",
"the",
"possible",
"influence",
"of",
"P140",
"on",
"autophagosomal",
"pathways",
"implicated",
"in",
"the",
"endogenous",
"MHCII",
"loading.",
"Since",
"HSC70",
"is",
"involved",
"in",
"certain",
"phases",
"of",
"these",
"pathways,",
"we",
"expected",
"that",
"binding",
"of",
"P140",
"to",
"HSC70",
"might",
"alter",
"the",
"delivery",
"of",
"intracel-",
"lular",
"material",
"into",
"the",
"endosomal/lysosomal",
"path-",
"way",
"and",
"therefore",
"thwart",
"the",
"final",
"presentation",
"of",
"self-antigens",
"to",
"autoreactive",
"T",
"cells.",
"METHODS",
"Synthetic",
"peptides",
"and",
"biochemical",
"assays",
"Peptides",
"were",
"assembled",
"and",
"purified",
"as",
"des-",
"cribed.1",
"5",
"The",
"P140",
"peptide",
"was",
"also",
"synthesised",
"837"
] | [
11,
11,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4
] |
2,936,895 | null | [
[
78,
47,
27,
12
],
[
109,
47,
9,
12
],
[
121,
47,
11,
12
],
[
135,
47,
21,
12
],
[
159,
47,
68,
12
],
[
230,
47,
33,
12
],
[
266,
47,
25,
12
],
[
294,
47,
26,
12
],
[
78,
61,
228,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
175,
34
],
[
264,
169,
27,
34
],
[
300,
169,
183,
34
],
[
494,
169,
138,
34
],
[
642,
169,
27,
34
],
[
679,
169,
44,
34
],
[
78,
205,
70,
34
],
[
159,
205,
99,
34
],
[
268,
205,
69,
34
],
[
347,
205,
71,
34
],
[
428,
205,
61,
34
],
[
499,
205,
131,
34
],
[
78,
241,
183,
34
],
[
271,
241,
125,
34
],
[
406,
241,
27,
34
],
[
443,
241,
44,
34
],
[
497,
241,
215,
34
],
[
78,
288,
47,
16
],
[
130,
285,
53,
19
],
[
187,
288,
21,
16
],
[
212,
285,
23,
19
],
[
239,
288,
24,
16
],
[
267,
285,
24,
19
],
[
296,
288,
33,
16
],
[
334,
285,
36,
19
],
[
374,
288,
31,
16
],
[
409,
285,
41,
19
],
[
455,
288,
25,
16
],
[
484,
285,
49,
19
],
[
537,
288,
32,
16
],
[
574,
285,
55,
19
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
26,
14
],
[
197,
367,
11,
14
],
[
213,
367,
19,
14
],
[
235,
367,
60,
14
],
[
299,
367,
55,
14
],
[
358,
367,
91,
14
],
[
454,
367,
17,
14
],
[
475,
367,
65,
14
],
[
545,
367,
47,
14
],
[
596,
367,
12,
14
],
[
613,
367,
24,
14
],
[
640,
367,
19,
14
],
[
664,
367,
12,
14
],
[
680,
367,
41,
14
],
[
87,
384,
40,
14
],
[
131,
384,
21,
14
],
[
157,
384,
40,
14
],
[
201,
384,
18,
14
],
[
224,
384,
27,
14
],
[
255,
384,
56,
14
],
[
315,
384,
38,
14
],
[
357,
384,
22,
14
],
[
383,
384,
19,
14
],
[
406,
384,
91,
14
],
[
502,
384,
20,
14
],
[
526,
384,
48,
14
],
[
578,
384,
131,
14
],
[
87,
400,
52,
14
],
[
143,
400,
31,
14
],
[
178,
400,
21,
14
],
[
204,
400,
24,
14
],
[
232,
400,
19,
14
],
[
255,
400,
12,
14
],
[
271,
400,
78,
14
],
[
353,
400,
26,
14
],
[
383,
400,
34,
14
],
[
422,
400,
15,
14
],
[
441,
400,
15,
14
],
[
460,
400,
12,
14
],
[
476,
400,
27,
14
],
[
507,
400,
19,
14
],
[
530,
400,
42,
14
],
[
575,
400,
31,
14
],
[
611,
400,
11,
14
],
[
625,
400,
30,
14
],
[
659,
400,
13,
14
],
[
676,
400,
42,
14
],
[
722,
400,
17,
14
],
[
87,
417,
27,
14
],
[
118,
417,
24,
14
],
[
147,
417,
81,
14
],
[
232,
417,
54,
14
],
[
290,
417,
19,
14
],
[
313,
417,
27,
14
],
[
345,
417,
11,
14
],
[
360,
417,
32,
14
],
[
396,
417,
19,
14
],
[
419,
417,
78,
14
],
[
501,
417,
21,
14
],
[
526,
417,
11,
14
],
[
542,
417,
94,
14
],
[
640,
417,
24,
14
],
[
668,
417,
8,
14
],
[
87,
434,
67,
14
],
[
159,
434,
32,
14
],
[
195,
434,
59,
14
],
[
258,
434,
44,
14
],
[
306,
434,
71,
14
],
[
381,
434,
17,
14
],
[
403,
434,
68,
14
],
[
475,
434,
47,
14
],
[
525,
434,
42,
14
],
[
571,
434,
52,
14
],
[
628,
434,
24,
14
],
[
656,
434,
17,
14
],
[
677,
434,
62,
14
],
[
87,
450,
12,
14
],
[
103,
450,
7,
14
],
[
114,
450,
78,
14
],
[
196,
450,
21,
14
],
[
222,
450,
30,
14
],
[
256,
450,
11,
14
],
[
271,
450,
14,
14
],
[
289,
450,
50,
14
],
[
344,
450,
27,
14
],
[
375,
450,
12,
14
],
[
391,
450,
47,
14
],
[
442,
450,
73,
14
],
[
519,
450,
8,
14
],
[
531,
450,
62,
14
],
[
598,
450,
25,
14
],
[
627,
450,
26,
14
],
[
87,
471,
46,
14
],
[
137,
471,
18,
14
],
[
160,
471,
30,
14
],
[
194,
471,
22,
14
],
[
221,
471,
19,
14
],
[
244,
471,
45,
14
],
[
293,
471,
94,
14
],
[
391,
471,
34,
14
],
[
430,
471,
49,
14
],
[
482,
471,
32,
14
],
[
518,
471,
19,
14
],
[
541,
471,
44,
14
],
[
589,
471,
27,
14
],
[
620,
471,
19,
14
],
[
644,
471,
50,
14
],
[
87,
488,
70,
14
],
[
162,
488,
32,
14
],
[
197,
488,
25,
14
],
[
227,
488,
8,
14
],
[
238,
488,
8,
14
],
[
251,
488,
40,
14
],
[
295,
488,
12,
14
],
[
311,
488,
19,
14
],
[
334,
488,
39,
14
],
[
377,
488,
45,
14
],
[
427,
488,
11,
14
],
[
442,
488,
45,
14
],
[
491,
488,
70,
14
],
[
564,
488,
11,
14
],
[
580,
488,
19,
14
],
[
603,
488,
39,
14
],
[
646,
488,
91,
14
],
[
87,
504,
12,
14
],
[
103,
504,
19,
14
],
[
126,
504,
46,
14
],
[
176,
504,
43,
14
],
[
223,
504,
29,
14
],
[
256,
504,
19,
14
],
[
279,
504,
12,
14
],
[
295,
504,
64,
14
],
[
363,
504,
49,
14
],
[
417,
504,
52,
14
],
[
473,
504,
19,
14
],
[
496,
504,
45,
14
],
[
546,
504,
87,
14
],
[
637,
504,
75,
14
],
[
87,
521,
33,
14
],
[
125,
521,
34,
14
],
[
163,
521,
54,
14
],
[
222,
521,
27,
14
],
[
253,
521,
19,
14
],
[
275,
521,
45,
14
],
[
325,
521,
91,
14
],
[
421,
521,
25,
14
],
[
450,
521,
26,
14
],
[
480,
521,
55,
14
],
[
539,
521,
70,
14
],
[
614,
521,
51,
14
],
[
669,
521,
11,
14
],
[
684,
521,
19,
14
],
[
87,
537,
39,
14
],
[
130,
537,
45,
14
],
[
180,
537,
46,
14
],
[
230,
537,
11,
14
],
[
245,
537,
54,
14
],
[
303,
537,
44,
14
],
[
351,
537,
71,
14
],
[
426,
537,
19,
14
],
[
449,
537,
39,
14
],
[
492,
537,
24,
14
],
[
520,
537,
39,
14
],
[
563,
537,
27,
14
],
[
594,
537,
47,
14
],
[
645,
537,
11,
14
],
[
660,
537,
19,
14
],
[
683,
537,
45,
14
],
[
87,
554,
45,
14
],
[
87,
575,
75,
14
],
[
167,
575,
18,
14
],
[
189,
575,
44,
14
],
[
237,
575,
22,
14
],
[
264,
575,
19,
14
],
[
286,
575,
51,
14
],
[
341,
575,
24,
14
],
[
369,
575,
11,
14
],
[
385,
575,
19,
14
],
[
408,
575,
91,
14
],
[
503,
575,
17,
14
],
[
525,
575,
19,
14
],
[
548,
575,
62,
14
],
[
614,
575,
12,
14
],
[
630,
575,
19,
14
],
[
653,
575,
78,
14
],
[
87,
591,
43,
14
],
[
134,
591,
75,
14
],
[
213,
591,
12,
14
],
[
229,
591,
20,
14
],
[
253,
591,
41,
14
],
[
298,
591,
36,
14
],
[
339,
591,
25,
14
],
[
368,
591,
7,
14
],
[
380,
591,
19,
14
],
[
403,
591,
62,
14
],
[
469,
591,
24,
14
],
[
497,
591,
12,
14
],
[
513,
591,
27,
14
],
[
544,
591,
19,
14
],
[
567,
591,
87,
14
],
[
658,
591,
77,
14
],
[
78,
637,
77,
15
],
[
78,
655,
54,
14
],
[
137,
655,
21,
14
],
[
163,
655,
78,
14
],
[
245,
655,
25,
14
],
[
275,
655,
31,
14
],
[
310,
655,
28,
14
],
[
342,
655,
26,
14
],
[
373,
655,
31,
14
],
[
78,
671,
12,
14
],
[
94,
671,
39,
14
],
[
138,
671,
44,
14
],
[
187,
671,
54,
14
],
[
245,
671,
25,
14
],
[
275,
671,
18,
14
],
[
297,
671,
59,
14
],
[
361,
671,
12,
14
],
[
377,
671,
26,
14
],
[
78,
688,
31,
14
],
[
114,
688,
14,
14
],
[
132,
688,
20,
14
],
[
157,
688,
41,
14
],
[
203,
688,
49,
14
],
[
256,
688,
27,
14
],
[
287,
688,
12,
14
],
[
304,
688,
74,
14
],
[
382,
688,
22,
14
],
[
78,
704,
21,
14
],
[
103,
704,
57,
14
],
[
165,
704,
29,
14
],
[
198,
704,
33,
14
],
[
236,
704,
20,
14
],
[
261,
704,
34,
14
],
[
299,
704,
40,
14
],
[
343,
704,
15,
14
],
[
363,
704,
6,
14
],
[
374,
704,
29,
14
],
[
78,
721,
39,
14
],
[
122,
721,
22,
14
],
[
148,
721,
58,
14
],
[
211,
721,
68,
14
],
[
283,
721,
48,
14
],
[
336,
721,
13,
14
],
[
353,
721,
51,
14
],
[
78,
737,
81,
14
],
[
164,
737,
26,
14
],
[
195,
737,
27,
14
],
[
227,
737,
15,
14
],
[
248,
737,
66,
14
],
[
319,
737,
26,
14
],
[
350,
737,
19,
14
],
[
374,
737,
30,
14
],
[
78,
754,
40,
14
],
[
122,
754,
22,
14
],
[
149,
754,
41,
14
],
[
194,
754,
15,
14
],
[
214,
754,
20,
14
],
[
238,
754,
43,
14
],
[
286,
754,
61,
14
],
[
351,
754,
52,
14
],
[
78,
771,
60,
14
],
[
143,
771,
25,
14
],
[
173,
771,
77,
14
],
[
254,
771,
28,
14
],
[
286,
771,
35,
14
],
[
325,
771,
47,
14
],
[
376,
771,
27,
14
],
[
78,
787,
61,
14
],
[
145,
787,
59,
14
],
[
210,
787,
39,
14
],
[
254,
787,
43,
14
],
[
303,
787,
81,
14
],
[
390,
787,
13,
14
],
[
78,
804,
70,
14
],
[
152,
804,
60,
14
],
[
217,
804,
52,
14
],
[
273,
804,
25,
14
],
[
303,
804,
23,
14
],
[
330,
804,
27,
14
],
[
361,
804,
43,
14
],
[
78,
820,
45,
14
],
[
128,
820,
21,
14
],
[
153,
820,
48,
14
],
[
206,
820,
83,
14
],
[
293,
820,
46,
14
],
[
344,
820,
12,
14
],
[
360,
820,
44,
14
],
[
78,
837,
24,
14
],
[
107,
837,
80,
14
],
[
191,
837,
29,
14
],
[
225,
837,
6,
14
],
[
236,
837,
57,
14
],
[
298,
837,
44,
14
],
[
347,
837,
40,
14
],
[
391,
837,
12,
14
],
[
78,
854,
147,
14
],
[
233,
854,
61,
14
],
[
302,
854,
41,
14
],
[
351,
854,
21,
14
],
[
379,
854,
24,
14
],
[
78,
888,
5,
11
],
[
86,
888,
70,
11
],
[
159,
888,
178,
11
],
[
340,
888,
23,
11
],
[
78,
900,
85,
11
],
[
78,
911,
54,
13
],
[
136,
913,
9,
11
],
[
147,
913,
38,
11
],
[
189,
913,
16,
11
],
[
208,
913,
15,
11
],
[
226,
913,
33,
11
],
[
262,
913,
41,
11
],
[
306,
913,
9,
11
],
[
318,
913,
49,
11
],
[
78,
925,
59,
11
],
[
140,
925,
12,
11
],
[
155,
925,
25,
11
],
[
183,
925,
49,
11
],
[
236,
925,
38,
11
],
[
78,
936,
38,
13
],
[
119,
937,
9,
11
],
[
130,
937,
38,
11
],
[
172,
937,
16,
11
],
[
191,
937,
16,
11
],
[
210,
937,
33,
11
],
[
246,
937,
41,
11
],
[
290,
937,
9,
11
],
[
301,
937,
37,
11
],
[
341,
937,
53,
11
],
[
78,
950,
12,
11
],
[
93,
950,
25,
11
],
[
122,
950,
37,
11
],
[
162,
950,
38,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
16,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
638,
43,
14
],
[
470,
638,
12,
14
],
[
486,
638,
30,
14
],
[
521,
638,
10,
14
],
[
535,
638,
56,
14
],
[
595,
638,
21,
14
],
[
621,
638,
19,
14
],
[
644,
638,
49,
14
],
[
697,
638,
51,
14
],
[
423,
655,
21,
14
],
[
447,
655,
48,
14
],
[
499,
655,
77,
14
],
[
580,
655,
25,
14
],
[
609,
655,
23,
14
],
[
636,
655,
48,
14
],
[
689,
655,
59,
14
],
[
423,
671,
100,
14
],
[
527,
671,
58,
14
],
[
589,
671,
37,
14
],
[
434,
688,
31,
14
],
[
469,
688,
22,
14
],
[
496,
688,
30,
14
],
[
531,
688,
25,
14
],
[
560,
688,
20,
14
],
[
585,
688,
29,
14
],
[
619,
688,
20,
14
],
[
644,
688,
26,
14
],
[
675,
688,
40,
14
],
[
719,
688,
29,
14
],
[
423,
704,
60,
14
],
[
486,
704,
75,
14
],
[
565,
704,
16,
14
],
[
585,
704,
47,
14
],
[
635,
704,
37,
14
],
[
676,
704,
72,
14
],
[
423,
721,
11,
14
],
[
437,
721,
18,
14
],
[
459,
721,
43,
14
],
[
505,
721,
23,
14
],
[
531,
721,
18,
14
],
[
552,
721,
38,
14
],
[
594,
721,
66,
14
],
[
663,
721,
21,
14
],
[
687,
721,
61,
14
],
[
423,
737,
22,
14
],
[
448,
737,
11,
14
],
[
463,
737,
35,
14
],
[
501,
737,
26,
14
],
[
531,
737,
27,
14
],
[
561,
737,
19,
14
],
[
583,
737,
22,
14
],
[
608,
737,
37,
14
],
[
648,
737,
25,
14
],
[
676,
737,
72,
14
],
[
423,
754,
14,
14
],
[
440,
754,
33,
14
],
[
476,
754,
26,
14
],
[
505,
754,
12,
14
],
[
519,
754,
11,
14
],
[
534,
754,
37,
14
],
[
573,
754,
71,
14
],
[
647,
754,
21,
14
],
[
671,
754,
77,
14
],
[
423,
771,
18,
14
],
[
444,
771,
44,
14
],
[
491,
771,
17,
14
],
[
511,
771,
25,
14
],
[
539,
771,
11,
14
],
[
553,
771,
50,
14
],
[
605,
771,
27,
14
],
[
635,
771,
33,
14
],
[
671,
771,
25,
14
],
[
700,
771,
27,
14
],
[
730,
771,
18,
14
],
[
423,
787,
43,
14
],
[
469,
787,
58,
14
],
[
530,
787,
80,
14
],
[
612,
787,
13,
14
],
[
629,
787,
35,
14
],
[
667,
787,
11,
14
],
[
682,
787,
32,
14
],
[
717,
787,
31,
14
],
[
423,
804,
18,
14
],
[
444,
804,
38,
14
],
[
486,
804,
21,
14
],
[
510,
804,
11,
14
],
[
525,
804,
26,
14
],
[
553,
804,
37,
14
],
[
594,
804,
57,
14
],
[
655,
804,
30,
14
],
[
687,
804,
12,
14
],
[
702,
804,
23,
14
],
[
728,
804,
20,
14
],
[
423,
820,
12,
14
],
[
438,
820,
18,
14
],
[
459,
820,
61,
14
],
[
523,
820,
19,
14
],
[
545,
820,
30,
14
],
[
578,
820,
18,
14
],
[
600,
820,
34,
14
],
[
637,
820,
21,
14
],
[
661,
820,
44,
14
],
[
709,
820,
39,
14
],
[
423,
837,
17,
14
],
[
444,
837,
21,
14
],
[
469,
837,
33,
14
],
[
506,
837,
18,
14
],
[
528,
837,
94,
14
],
[
626,
837,
38,
14
],
[
668,
837,
12,
14
],
[
683,
837,
18,
14
],
[
705,
837,
43,
14
],
[
423,
854,
43,
14
],
[
470,
854,
39,
14
],
[
513,
854,
19,
14
],
[
536,
854,
42,
14
],
[
582,
854,
31,
14
],
[
616,
854,
12,
14
],
[
632,
854,
29,
14
],
[
664,
854,
16,
14
],
[
684,
854,
21,
14
],
[
709,
854,
39,
14
],
[
423,
870,
41,
14
],
[
466,
870,
37,
14
],
[
506,
870,
11,
14
],
[
521,
870,
54,
14
],
[
577,
870,
18,
14
],
[
434,
887,
24,
14
],
[
463,
887,
32,
14
],
[
500,
887,
96,
14
],
[
602,
887,
12,
14
],
[
619,
887,
46,
14
],
[
670,
887,
29,
14
],
[
703,
887,
45,
14
],
[
423,
904,
61,
14
],
[
489,
904,
30,
14
],
[
524,
904,
12,
14
],
[
541,
904,
29,
14
],
[
575,
904,
92,
14
],
[
671,
904,
77,
14
],
[
423,
920,
36,
14
],
[
465,
920,
30,
14
],
[
500,
920,
22,
14
],
[
527,
920,
13,
14
],
[
545,
920,
45,
14
],
[
596,
920,
21,
14
],
[
622,
920,
27,
14
],
[
654,
920,
46,
14
],
[
705,
920,
10,
14
],
[
720,
920,
28,
14
],
[
423,
937,
41,
14
],
[
469,
937,
14,
14
],
[
488,
937,
41,
14
],
[
535,
937,
30,
14
],
[
570,
937,
20,
14
],
[
594,
937,
58,
14
],
[
657,
937,
22,
14
],
[
685,
937,
19,
14
],
[
709,
937,
39,
14
],
[
423,
953,
28,
14
],
[
455,
953,
60,
14
],
[
519,
953,
29,
14
],
[
552,
953,
72,
14
],
[
628,
953,
25,
14
],
[
657,
953,
25,
14
],
[
686,
953,
62,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
22,
10
],
[
301,
987,
8,
10
],
[
311,
987,
8,
10
],
[
322,
987,
30,
10
],
[
355,
987,
29,
10
],
[
385,
987,
27,
10
],
[
415,
987,
14,
10
],
[
431,
987,
15,
10
],
[
448,
987,
6,
10
],
[
456,
987,
10,
10
],
[
468,
987,
21,
10
],
[
492,
987,
25,
10
],
[
519,
987,
23,
10
],
[
544,
987,
41,
10
],
[
587,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
22,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Wang",
"et",
"al.",
"BMC",
"Developmental",
"Biology",
"2010,",
"10:91",
"http://www.biomedcentral.com/1471-213X/10/91",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Commitment",
"of",
"chondrogenic",
"precursors",
"of",
"the",
"avian",
"scapula",
"takes",
"place",
"after",
"epithelial-",
"mesenchymal",
"transition",
"of",
"the",
"dermomyotome",
"Baigang",
"Wang1,2*,",
"Qin",
"Pu3,",
"Raja",
"De2,",
"Ketan",
"Patel4,",
"Bodo",
"Christ2,",
"Jörg",
"Wilting1,",
"Ruijin",
"Huang2,3*",
"Abstract",
"Background:",
"Cells",
"of",
"the",
"epithelially",
"organised",
"dermomyotome",
"are",
"traditionally",
"believed",
"to",
"give",
"rise",
"to",
"skeletal",
"muscle",
"and",
"dermis.",
"We",
"have",
"previously",
"shown",
"that",
"the",
"dermomyotome",
"can",
"undergo",
"epithelial-mesenchymal",
"transition",
"(EMT)",
"and",
"give",
"rise",
"to",
"chondrogenic",
"cells,",
"which",
"go",
"on",
"to",
"form",
"the",
"scapula",
"blade",
"in",
"birds.",
"At",
"present",
"we",
"have",
"little",
"understanding",
"regarding",
"the",
"issue",
"of",
"when",
"the",
"chondrogenic",
"fate",
"of",
"dermomyotomal",
"cells",
"is",
"determined.",
"Using",
"quail-chick",
"grafting",
"experiments,",
"we",
"investigated",
"whether",
"scapula",
"precursor",
"cells",
"are",
"committed",
"to",
"a",
"chondrogenic",
"fate",
"while",
"in",
"an",
"epithelial",
"state",
"or",
"whether",
"commitment",
"is",
"established",
"after",
"EMT.",
"Results:",
"We",
"show",
"that",
"the",
"hypaxial",
"dermomyotome,",
"which",
"normally",
"forms",
"the",
"scapula,",
"does",
"not",
"generate",
"cartilaginous",
"tissue",
"after",
"it",
"is",
"grafted",
"to",
"the",
"epaxial",
"domain.",
"In",
"contrast",
"engraftment",
"of",
"the",
"epaxial",
"dermomyotome",
"to",
"the",
"hypaxial",
"domain",
"gives",
"rise",
"to",
"scapula-like",
"cartilage.",
"However,",
"the",
"hypaxial",
"sub-ectodermal",
"mesenchyme",
"(SEM),",
"which",
"originates",
"from",
"the",
"hypaxial",
"dermomyotome",
"after",
"EMT,",
"generates",
"cartilaginous",
"elements",
"in",
"the",
"epaxial",
"domain,",
"whereas",
"in",
"reciprocal",
"grafting",
"experiments,",
"the",
"epaxial",
"SEM",
"cannot",
"form",
"cartilage",
"in",
"the",
"hypaxial",
"domain.",
"Conclusions:",
"We",
"suggest",
"that",
"the",
"epithelial",
"cells",
"of",
"the",
"dermomyotome",
"are",
"not",
"committed",
"to",
"the",
"chondrogenic",
"lineage.",
"Commitment",
"to",
"this",
"lineage",
"occurs",
"after",
"it",
"has",
"undergone",
"EMT",
"to",
"form",
"the",
"sub-ectodermal",
"mesenchyme.",
"Background",
"Epithelial",
"and",
"mesenchymal",
"cells",
"differ",
"from",
"each",
"other",
"in",
"several",
"aspects.",
"Epithelial",
"cells",
"are",
"connected",
"to",
"each",
"other",
"by",
"cell",
"surface",
"contacts",
"such",
"as",
"desmosomes",
"and",
"gap",
"junctions,",
"form",
"dense",
"cell",
"layers",
"resting",
"on",
"a",
"basal",
"lamina",
"and",
"exhibiting",
"apical-basal",
"polarity.",
"In",
"contrast,",
"mesenchymal",
"cells",
"have",
"no",
"association",
"with",
"the",
"basal",
"lamina",
"and",
"usually",
"do",
"not",
"possess",
"elaborated",
"adhesion",
"complexes",
"with",
"neighbouring",
"cells,",
"which",
"increase",
"their",
"migratory",
"potential.",
"Under",
"certain",
"physiological",
"or",
"pathological",
"conditions",
"epithelial",
"cells",
"lose",
"their",
"charac-",
"teristics",
"and",
"undergo",
"morphological",
"changes",
"to",
"convert",
"into",
"mesenchymal",
"cells,",
"a",
"biological",
"process",
"known",
"as",
"epithelial-mesenchymal",
"transition",
"(EMT)",
"[1].",
"The",
"*",
"Correspondence:",
"baigang.wang@medizin.uni-goettingen.de;",
"ruijin.",
"huang@uni-bonn.de",
"1Department",
"of",
"Anatomy",
"and",
"Cell",
"Biology,",
"University",
"of",
"Goettingen,",
"Kreuzbergring",
"36,",
"37075",
"Goettingen,",
"Germany",
"2Institute",
"of",
"Anatomy",
"and",
"Cell",
"Biology,",
"University",
"of",
"Freiburg,",
"Albertstrasse",
"17,",
"79104",
"Freiburg,",
"Germany",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"process",
"of",
"EMT",
"is",
"reversible",
"and",
"the",
"opposite",
"mechan-",
"ism",
"converts",
"mesenchymal",
"cells",
"into",
"epithelia",
"(mesench-",
"ymal-to-epithelial",
"transition,",
"MET).",
"EMT",
"and",
"MET",
"play",
"key",
"roles",
"not",
"only",
"during",
"early",
"embryonic",
"development,",
"for",
"example",
"during",
"implantation",
"of",
"the",
"embryo",
"into",
"the",
"uterus,",
"gastrulation",
"and",
"de-lamina-",
"tion",
"of",
"neural",
"crest",
"cells,",
"but",
"also",
"during",
"later",
"developmen-",
"tal",
"stages",
"such",
"as",
"in",
"somite",
"development",
"and",
"organogenesis",
"[2].",
"Somites",
"are",
"balls",
"of",
"epithelial",
"cells,",
"which",
"arise",
"from",
"the",
"paraxial",
"mesoderm",
"(mesenchyme)",
"by",
"means",
"of",
"MET.",
"Later,",
"the",
"ventral",
"half",
"of",
"each",
"somite",
"undergoes",
"EMT",
"to",
"give",
"rise",
"to",
"the",
"sclerotome",
"[3],",
"while",
"the",
"dorsal",
"half",
"remains",
"epithe-",
"lial",
"and",
"forms",
"the",
"dermomyotome,",
"source",
"of",
"the",
"skeletal",
"muscle,",
"dermis",
"[4],",
"scapula",
"blade",
"in",
"birds",
"[5]",
"and",
"medial",
"scapula",
"border",
"in",
"mammals",
"[6].",
"The",
"avian",
"dermomyotome",
"in",
"specific",
"axial",
"regions",
"undergoes",
"EMT",
"to",
"form",
"sub-ectodermal",
"mesenchyme",
"which",
"gives",
"rise",
"to",
"scapula",
"[7].",
"This",
"process",
"is",
"con-",
"trolled",
"by",
"signals",
"from",
"the",
"ectoderm",
"and",
"the",
"lateral",
"plate",
"mesoderm",
"[7,8].",
"Furthermore",
"only",
"cells",
"originating",
"©",
"2010",
"Wang",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,399,394 | null | [
[
70,
61,
59,
12
],
[
131,
61,
41,
12
],
[
174,
61,
40,
12
],
[
216,
61,
39,
12
],
[
70,
75,
25,
11
],
[
97,
75,
36,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
84,
25
],
[
160,
187,
64,
25
],
[
70,
220,
95,
25
],
[
170,
220,
35,
25
],
[
209,
220,
105,
25
],
[
319,
220,
46,
25
],
[
369,
220,
22,
25
],
[
396,
220,
27,
25
],
[
427,
220,
96,
25
],
[
527,
220,
136,
25
],
[
668,
220,
22,
25
],
[
70,
248,
34,
25
],
[
109,
248,
85,
25
],
[
199,
248,
143,
25
],
[
346,
248,
110,
25
],
[
120,
318,
72,
17
],
[
191,
318,
26,
17
],
[
220,
318,
31,
17
],
[
254,
317,
53,
18
],
[
311,
318,
56,
17
],
[
370,
318,
66,
17
],
[
439,
317,
85,
18
],
[
527,
318,
27,
17
],
[
557,
318,
58,
17
],
[
618,
318,
47,
17
],
[
667,
317,
46,
18
],
[
120,
348,
4,
9
],
[
126,
349,
31,
13
],
[
160,
349,
9,
13
],
[
172,
349,
42,
13
],
[
216,
349,
50,
13
],
[
269,
349,
9,
13
],
[
280,
349,
51,
13
],
[
334,
349,
41,
13
],
[
377,
349,
9,
13
],
[
389,
349,
44,
13
],
[
436,
349,
27,
13
],
[
465,
349,
31,
13
],
[
499,
349,
18,
13
],
[
519,
349,
30,
13
],
[
551,
349,
50,
13
],
[
603,
349,
11,
13
],
[
617,
349,
49,
13
],
[
668,
349,
28,
13
],
[
120,
363,
4,
9
],
[
126,
364,
39,
13
],
[
168,
364,
59,
13
],
[
229,
364,
38,
13
],
[
270,
364,
62,
13
],
[
334,
364,
50,
13
],
[
387,
364,
41,
13
],
[
430,
364,
9,
13
],
[
442,
364,
44,
13
],
[
489,
364,
30,
13
],
[
521,
364,
50,
13
],
[
573,
364,
11,
13
],
[
587,
364,
48,
13
],
[
638,
364,
28,
13
],
[
120,
389,
82,
13
],
[
205,
389,
34,
13
],
[
241,
389,
12,
13
],
[
256,
389,
50,
13
],
[
308,
389,
11,
13
],
[
321,
389,
69,
13
],
[
392,
389,
22,
13
],
[
416,
389,
34,
13
],
[
453,
389,
85,
13
],
[
120,
415,
44,
13
],
[
166,
415,
12,
13
],
[
181,
415,
33,
13
],
[
216,
415,
27,
13
],
[
246,
415,
46,
13
],
[
294,
415,
6,
13
],
[
303,
415,
22,
13
],
[
328,
415,
24,
13
],
[
120,
440,
49,
13
],
[
172,
440,
40,
13
],
[
213,
440,
11,
13
],
[
226,
440,
50,
13
],
[
279,
440,
19,
13
],
[
301,
440,
11,
13
],
[
315,
440,
45,
13
],
[
120,
466,
52,
13
],
[
174,
466,
9,
13
],
[
186,
466,
24,
13
],
[
213,
465,
69,
13
],
[
284,
465,
22,
13
],
[
308,
466,
31,
13
],
[
342,
466,
10,
13
],
[
354,
466,
12,
13
],
[
372,
466,
22,
13
],
[
401,
466,
8,
13
],
[
416,
466,
13,
13
],
[
435,
466,
26,
13
],
[
467,
466,
30,
13
],
[
503,
466,
31,
13
],
[
541,
466,
55,
13
],
[
603,
466,
30,
13
],
[
639,
466,
16,
13
],
[
662,
466,
41,
13
],
[
710,
466,
53,
13
],
[
120,
480,
58,
13
],
[
180,
480,
40,
13
],
[
222,
480,
31,
13
],
[
255,
480,
39,
13
],
[
296,
480,
61,
13
],
[
360,
480,
20,
13
],
[
382,
480,
63,
13
],
[
447,
480,
19,
13
],
[
469,
480,
66,
13
],
[
537,
480,
11,
13
],
[
550,
480,
18,
13
],
[
571,
480,
46,
13
],
[
619,
480,
45,
13
],
[
666,
480,
16,
13
],
[
685,
480,
39,
13
],
[
726,
480,
26,
13
],
[
755,
480,
8,
13
],
[
120,
495,
43,
13
],
[
165,
495,
27,
13
],
[
120,
521,
61,
13
],
[
185,
521,
41,
13
],
[
230,
521,
69,
13
],
[
304,
521,
15,
13
],
[
323,
521,
44,
13
],
[
371,
521,
11,
13
],
[
386,
521,
40,
13
],
[
430,
521,
39,
13
],
[
473,
521,
40,
13
],
[
516,
521,
20,
13
],
[
541,
521,
10,
13
],
[
555,
521,
23,
13
],
[
582,
521,
18,
13
],
[
604,
521,
27,
13
],
[
635,
521,
36,
13
],
[
675,
521,
23,
13
],
[
703,
521,
22,
13
],
[
729,
521,
34,
13
],
[
120,
535,
12,
13
],
[
136,
535,
51,
13
],
[
190,
535,
77,
13
],
[
271,
535,
8,
13
],
[
283,
535,
6,
13
],
[
293,
535,
34,
13
],
[
330,
535,
40,
13
],
[
373,
535,
15,
13
],
[
392,
535,
53,
13
],
[
449,
535,
16,
13
],
[
469,
535,
38,
13
],
[
510,
535,
11,
13
],
[
524,
535,
16,
13
],
[
544,
535,
39,
13
],
[
586,
535,
52,
13
],
[
641,
535,
65,
13
],
[
711,
535,
52,
13
],
[
120,
550,
20,
13
],
[
144,
550,
28,
13
],
[
176,
550,
24,
13
],
[
203,
550,
11,
13
],
[
218,
550,
29,
13
],
[
251,
550,
16,
13
],
[
271,
550,
65,
13
],
[
340,
550,
19,
13
],
[
363,
550,
71,
13
],
[
438,
550,
10,
13
],
[
453,
550,
16,
13
],
[
473,
550,
39,
13
],
[
516,
550,
47,
13
],
[
567,
550,
19,
13
],
[
590,
550,
10,
13
],
[
605,
550,
6,
13
],
[
615,
550,
30,
13
],
[
649,
550,
67,
13
],
[
719,
550,
44,
13
],
[
120,
565,
62,
13
],
[
186,
565,
12,
13
],
[
202,
565,
75,
13
],
[
280,
565,
23,
13
],
[
307,
565,
16,
13
],
[
326,
565,
51,
13
],
[
382,
565,
53,
13
],
[
438,
565,
82,
13
],
[
523,
565,
20,
13
],
[
547,
565,
28,
13
],
[
578,
565,
37,
13
],
[
619,
565,
6,
13
],
[
629,
565,
54,
13
],
[
687,
565,
36,
13
],
[
726,
565,
27,
13
],
[
757,
565,
6,
13
],
[
120,
579,
77,
13
],
[
199,
579,
64,
13
],
[
264,
579,
45,
13
],
[
311,
579,
42,
13
],
[
354,
579,
20,
13
],
[
376,
579,
35,
13
],
[
413,
579,
44,
13
],
[
459,
579,
18,
13
],
[
479,
579,
44,
13
],
[
525,
579,
25,
13
],
[
551,
579,
24,
13
],
[
577,
579,
65,
13
],
[
644,
579,
42,
13
],
[
688,
579,
75,
13
],
[
120,
594,
19,
13
],
[
143,
594,
36,
13
],
[
183,
594,
18,
13
],
[
205,
594,
11,
13
],
[
220,
594,
39,
13
],
[
263,
594,
60,
13
],
[
326,
594,
44,
13
],
[
375,
594,
19,
13
],
[
399,
594,
59,
13
],
[
462,
594,
64,
13
],
[
530,
594,
20,
13
],
[
554,
594,
39,
13
],
[
597,
594,
19,
13
],
[
620,
594,
53,
13
],
[
677,
594,
27,
13
],
[
709,
594,
54,
13
],
[
120,
608,
46,
13
],
[
170,
608,
37,
13
],
[
211,
608,
55,
13
],
[
270,
608,
10,
13
],
[
285,
608,
16,
13
],
[
306,
608,
31,
13
],
[
341,
608,
45,
13
],
[
390,
608,
44,
13
],
[
438,
608,
26,
13
],
[
469,
608,
27,
13
],
[
500,
608,
23,
13
],
[
527,
608,
23,
13
],
[
555,
608,
11,
13
],
[
570,
608,
16,
13
],
[
590,
608,
39,
13
],
[
633,
608,
47,
13
],
[
684,
608,
44,
13
],
[
732,
608,
11,
13
],
[
747,
608,
16,
13
],
[
120,
623,
52,
13
],
[
176,
623,
50,
13
],
[
231,
623,
24,
13
],
[
259,
623,
41,
13
],
[
304,
623,
11,
13
],
[
319,
623,
44,
13
],
[
367,
623,
11,
13
],
[
382,
623,
16,
13
],
[
402,
623,
47,
13
],
[
454,
623,
19,
13
],
[
477,
623,
10,
13
],
[
492,
623,
16,
13
],
[
513,
623,
21,
13
],
[
538,
623,
44,
13
],
[
585,
623,
65,
13
],
[
655,
623,
32,
13
],
[
691,
623,
24,
13
],
[
719,
623,
44,
13
],
[
120,
637,
44,
13
],
[
167,
637,
61,
13
],
[
231,
637,
27,
13
],
[
261,
637,
33,
13
],
[
297,
637,
15,
13
],
[
315,
637,
44,
13
],
[
363,
637,
47,
13
],
[
412,
637,
36,
13
],
[
452,
637,
20,
13
],
[
475,
637,
16,
13
],
[
495,
637,
47,
13
],
[
545,
637,
20,
13
],
[
567,
637,
11,
13
],
[
581,
637,
19,
13
],
[
603,
637,
44,
13
],
[
649,
637,
62,
13
],
[
714,
637,
30,
13
],
[
747,
637,
16,
13
],
[
120,
652,
38,
13
],
[
160,
652,
44,
13
],
[
206,
652,
10,
13
],
[
219,
652,
74,
13
],
[
296,
652,
28,
13
],
[
326,
652,
41,
13
],
[
369,
652,
25,
13
],
[
397,
652,
19,
13
],
[
419,
652,
11,
13
],
[
432,
652,
16,
13
],
[
450,
652,
52,
13
],
[
504,
652,
53,
13
],
[
70,
730,
13,
17
],
[
86,
730,
92,
17
],
[
70,
763,
53,
14
],
[
128,
763,
28,
14
],
[
161,
763,
14,
14
],
[
180,
763,
58,
14
],
[
242,
763,
22,
14
],
[
268,
763,
12,
14
],
[
285,
763,
46,
14
],
[
336,
763,
28,
14
],
[
368,
763,
36,
14
],
[
70,
779,
15,
14
],
[
89,
779,
21,
14
],
[
114,
779,
23,
14
],
[
141,
779,
24,
14
],
[
169,
779,
15,
14
],
[
187,
779,
12,
14
],
[
203,
779,
13,
14
],
[
219,
779,
34,
14
],
[
258,
779,
47,
14
],
[
308,
779,
49,
14
],
[
361,
779,
43,
14
],
[
70,
794,
26,
14
],
[
101,
794,
43,
14
],
[
149,
794,
6,
14
],
[
160,
794,
43,
14
],
[
209,
794,
17,
14
],
[
231,
794,
73,
14
],
[
308,
794,
43,
14
],
[
356,
794,
48,
14
],
[
70,
810,
73,
14
],
[
145,
810,
57,
14
],
[
205,
810,
69,
14
],
[
277,
810,
17,
14
],
[
296,
810,
6,
14
],
[
305,
810,
36,
14
],
[
344,
810,
12,
14
],
[
358,
810,
46,
14
],
[
70,
826,
44,
14
],
[
120,
826,
21,
14
],
[
147,
826,
64,
14
],
[
216,
826,
43,
14
],
[
265,
826,
66,
14
],
[
337,
826,
21,
14
],
[
364,
826,
40,
14
],
[
70,
842,
45,
14
],
[
119,
842,
52,
14
],
[
174,
842,
12,
14
],
[
188,
842,
32,
14
],
[
223,
842,
43,
14
],
[
269,
842,
11,
14
],
[
283,
842,
13,
14
],
[
299,
842,
61,
14
],
[
363,
842,
41,
14
],
[
70,
857,
72,
14
],
[
149,
857,
17,
14
],
[
172,
857,
37,
14
],
[
216,
857,
11,
14
],
[
234,
857,
31,
14
],
[
271,
857,
53,
14
],
[
331,
857,
21,
14
],
[
359,
857,
45,
14
],
[
70,
873,
41,
14
],
[
114,
873,
48,
14
],
[
164,
873,
21,
14
],
[
91,
890,
22,
14
],
[
115,
890,
19,
14
],
[
136,
890,
12,
14
],
[
150,
890,
55,
14
],
[
208,
890,
35,
14
],
[
245,
890,
41,
14
],
[
288,
890,
21,
14
],
[
312,
890,
68,
14
],
[
382,
890,
22,
14
],
[
70,
906,
27,
14
],
[
99,
906,
11,
14
],
[
112,
906,
14,
14
],
[
128,
906,
30,
14
],
[
160,
906,
12,
14
],
[
174,
906,
18,
14
],
[
195,
906,
57,
14
],
[
254,
906,
46,
14
],
[
303,
906,
9,
14
],
[
314,
906,
24,
14
],
[
341,
906,
63,
14
],
[
70,
922,
14,
14
],
[
86,
922,
24,
14
],
[
113,
922,
18,
14
],
[
133,
922,
36,
14
],
[
172,
922,
13,
14
],
[
187,
922,
31,
14
],
[
220,
922,
12,
14
],
[
234,
922,
49,
14
],
[
286,
922,
18,
14
],
[
306,
922,
52,
15
],
[
361,
922,
12,
14
],
[
375,
922,
29,
14
],
[
70,
938,
41,
14
],
[
115,
938,
21,
14
],
[
140,
938,
43,
14
],
[
187,
938,
21,
14
],
[
212,
938,
12,
14
],
[
228,
938,
47,
14
],
[
279,
938,
18,
14
],
[
301,
938,
51,
14
],
[
356,
938,
12,
14
],
[
371,
938,
33,
14
],
[
70,
954,
41,
14
],
[
115,
954,
39,
14
],
[
157,
954,
72,
14
],
[
234,
954,
21,
14
],
[
259,
954,
67,
14
],
[
330,
954,
24,
14
],
[
358,
954,
29,
14
],
[
391,
954,
13,
14
],
[
70,
969,
32,
14
],
[
104,
969,
15,
14
],
[
121,
969,
57,
14
],
[
181,
969,
69,
14
],
[
252,
969,
16,
14
],
[
270,
969,
16,
14
],
[
288,
969,
11,
14
],
[
301,
969,
20,
15
],
[
321,
969,
55,
14
],
[
378,
969,
11,
14
],
[
391,
969,
13,
14
],
[
70,
985,
41,
14
],
[
116,
985,
75,
14
],
[
197,
985,
114,
14
],
[
316,
985,
63,
14
],
[
385,
985,
20,
14
],
[
70,
1001,
50,
14
],
[
124,
1001,
9,
14
],
[
135,
1001,
51,
14
],
[
190,
1001,
7,
14
],
[
200,
1001,
69,
14
],
[
273,
1001,
50,
14
],
[
327,
1001,
13,
14
],
[
343,
1001,
61,
14
],
[
70,
1017,
21,
14
],
[
94,
1017,
55,
14
],
[
152,
1017,
40,
14
],
[
195,
1017,
22,
14
],
[
220,
1017,
24,
14
],
[
246,
1017,
17,
14
],
[
266,
1017,
25,
14
],
[
293,
1017,
10,
14
],
[
306,
1017,
34,
14
],
[
343,
1017,
28,
14
],
[
374,
1017,
21,
14
],
[
449,
732,
61,
14
],
[
516,
732,
43,
14
],
[
566,
732,
69,
14
],
[
642,
732,
20,
14
],
[
668,
732,
13,
14
],
[
688,
732,
74,
14
],
[
428,
748,
11,
14
],
[
447,
748,
48,
14
],
[
504,
748,
77,
14
],
[
588,
748,
11,
14
],
[
607,
748,
18,
14
],
[
633,
748,
30,
14
],
[
671,
748,
12,
14
],
[
691,
748,
23,
14
],
[
722,
748,
21,
14
],
[
751,
748,
11,
14
],
[
428,
764,
80,
14
],
[
517,
764,
77,
14
],
[
601,
764,
12,
14
],
[
621,
764,
42,
14
],
[
671,
764,
43,
14
],
[
722,
764,
40,
14
],
[
428,
780,
24,
14
],
[
458,
780,
12,
14
],
[
475,
780,
31,
14
],
[
511,
780,
12,
14
],
[
528,
780,
44,
14
],
[
577,
780,
93,
14
],
[
676,
780,
34,
14
],
[
715,
780,
14,
14
],
[
735,
780,
27,
14
],
[
428,
795,
35,
14
],
[
472,
795,
43,
14
],
[
524,
795,
77,
14
],
[
609,
795,
21,
14
],
[
639,
795,
24,
14
],
[
672,
795,
20,
14
],
[
701,
795,
26,
14
],
[
735,
795,
27,
14
],
[
428,
811,
60,
14
],
[
493,
811,
14,
14
],
[
511,
811,
18,
14
],
[
533,
811,
55,
14
],
[
592,
811,
38,
14
],
[
634,
811,
64,
14
],
[
703,
811,
38,
14
],
[
745,
811,
17,
14
],
[
428,
827,
62,
14
],
[
495,
827,
43,
14
],
[
543,
827,
48,
14
],
[
595,
827,
18,
14
],
[
618,
827,
34,
14
],
[
657,
827,
55,
14
],
[
717,
827,
45,
14
],
[
428,
843,
55,
14
],
[
486,
843,
64,
14
],
[
553,
843,
74,
14
],
[
630,
843,
59,
14
],
[
691,
843,
71,
14
],
[
428,
859,
18,
14
],
[
450,
859,
45,
14
],
[
499,
859,
75,
14
],
[
577,
859,
75,
14
],
[
656,
859,
38,
14
],
[
697,
859,
18,
14
],
[
719,
859,
43,
14
],
[
428,
874,
26,
14
],
[
458,
874,
75,
14
],
[
537,
874,
41,
14
],
[
582,
874,
18,
14
],
[
604,
874,
42,
14
],
[
649,
874,
43,
14
],
[
695,
874,
18,
14
],
[
717,
874,
45,
14
],
[
428,
890,
57,
14
],
[
490,
890,
75,
14
],
[
569,
890,
44,
14
],
[
617,
890,
18,
14
],
[
639,
890,
45,
14
],
[
689,
890,
73,
14
],
[
428,
906,
58,
14
],
[
491,
906,
27,
14
],
[
523,
906,
17,
14
],
[
545,
906,
66,
14
],
[
616,
906,
18,
14
],
[
638,
906,
74,
14
],
[
717,
906,
45,
14
],
[
428,
922,
27,
14
],
[
461,
922,
17,
14
],
[
484,
922,
49,
14
],
[
538,
922,
58,
14
],
[
601,
922,
43,
14
],
[
650,
922,
38,
14
],
[
693,
922,
18,
14
],
[
717,
922,
45,
14
],
[
428,
938,
58,
14
],
[
488,
938,
27,
14
],
[
517,
938,
17,
14
],
[
537,
938,
53,
14
],
[
592,
938,
18,
14
],
[
612,
938,
74,
14
],
[
688,
938,
75,
14
],
[
428,
953,
17,
14
],
[
448,
953,
45,
14
],
[
496,
953,
45,
14
],
[
544,
953,
42,
14
],
[
589,
953,
28,
14
],
[
620,
953,
18,
14
],
[
641,
953,
73,
14
],
[
718,
953,
45,
14
],
[
428,
969,
12,
14
],
[
447,
969,
42,
14
],
[
497,
969,
18,
14
],
[
522,
969,
61,
14
],
[
591,
969,
21,
14
],
[
620,
969,
18,
14
],
[
645,
969,
40,
14
],
[
693,
969,
69,
14
],
[
428,
985,
57,
14
],
[
488,
985,
38,
14
],
[
529,
985,
21,
14
],
[
553,
985,
35,
14
],
[
590,
985,
52,
14
],
[
645,
985,
21,
14
],
[
449,
1001,
22,
14
],
[
479,
1001,
34,
14
],
[
520,
1001,
55,
14
],
[
583,
1001,
45,
14
],
[
635,
1001,
55,
14
],
[
698,
1001,
64,
14
],
[
428,
1017,
73,
14
],
[
505,
1017,
59,
14
],
[
567,
1017,
67,
14
],
[
637,
1017,
9,
14
],
[
649,
1017,
60,
14
],
[
713,
1017,
18,
14
],
[
734,
1017,
28,
14
]
] | [
"International",
"Scholarly",
"Research",
"Network",
"ISRN",
"Nursing",
"Volume",
"2012,",
"Article",
"ID",
"676905,",
"6",
"pages",
"doi:10.5402/2012/676905",
"Research",
"Article",
"Mapping",
"the",
"Diagnosis",
"Axis",
"of",
"an",
"Interface",
"Terminology",
"to",
"the",
"NANDA",
"International",
"Taxonomy",
"Maria-Eul",
"a`lia",
"Juve´",
"Udina,1",
"Maribel",
"Gonzalez",
"Samartino,2",
"and",
"Cristina",
"Matud",
"Calvo2",
"1",
"School",
"of",
"Nursing,",
"University",
"of",
"Barcelona,",
"Campus",
"of",
"Bellvitge,",
"Feixa",
"Llarga",
"s/n,",
"08907",
"Hospitalet",
"de",
"Llobregat,",
"Spain",
"2",
"Nursing",
"Information",
"Systems",
"Department,",
"University",
"Hospital",
"of",
"Bellvitge,",
"08907",
"Hospitalet",
"de",
"Llobregat,",
"Spain",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Maria-Eula`lia",
"Juve´",
"Udina,",
"ejuve@gencat.cat",
"Received",
"11",
"March",
"2012;",
"Accepted",
"8",
"May",
"2012",
"Academic",
"Editors:",
"B.",
"Mandleco",
"and",
"A.",
"Williams",
"Copyright",
"©",
"2012",
"Maria-Eula`lia",
"Juve´",
"Udina",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Background.",
"Nursing",
"terminologies",
"are",
"designed",
"to",
"support",
"nursing",
"practice",
"but,",
"as",
"with",
"any",
"other",
"clinical",
"tool,",
"they",
"should",
"be",
"evaluated.",
"Cross-mapping",
"is",
"a",
"formal",
"method",
"for",
"examining",
"the",
"validity",
"of",
"the",
"existing",
"controlled",
"vocabularies.",
"Objectives.",
"The",
"study",
"aims",
"to",
"assess",
"the",
"inclusiveness",
"and",
"expressiveness",
"of",
"the",
"nursing",
"diagnosis",
"axis",
"of",
"a",
"newly",
"implemented",
"interface",
"terminology",
"by",
"cross-mapping",
"with",
"the",
"NANDA-I",
"taxonomy.",
"Design/Methods.",
"The",
"study",
"applied",
"a",
"descriptive",
"design,",
"using",
"a",
"cross-sectional,",
"bidirectional",
"mapping",
"strategy.",
"The",
"sample",
"included",
"728",
"concepts",
"from",
"both",
"vocabularies.",
"Concept",
"cross-mapping",
"was",
"carried",
"out",
"to",
"identify",
"one-to-one,",
"negative,",
"and",
"hierarchical",
"connections.",
"The",
"analysis",
"was",
"conducted",
"using",
"descriptive",
"statistics.",
"Results.",
"Agreement",
"of",
"the",
"raters’",
"mapping",
"achieved",
"97%.",
"More",
"than",
"60%",
"of",
"the",
"nursing",
"diagnosis",
"concepts",
"in",
"the",
"NANDA-I",
"taxonomy",
"were",
"mapped",
"to",
"concepts",
"in",
"the",
"diagnosis",
"axis",
"of",
"the",
"new",
"interface",
"terminology;",
"71.1%",
"were",
"reversely",
"mapped.",
"Conclusions.",
"Main",
"results",
"for",
"outcome",
"measures",
"suggest",
"that",
"the",
"diagnosis",
"axis",
"of",
"this",
"interface",
"terminology",
"meets",
"the",
"validity",
"criterion",
"of",
"cross-mapping",
"when",
"mapped",
"from",
"and",
"to",
"the",
"NANDA-I",
"taxonomy.",
"1.",
"Introduction",
"Language",
"plays",
"an",
"important",
"role",
"in",
"defining",
"what",
"nurses",
"do",
"and",
"why",
"they",
"do",
"it.",
"In",
"recent",
"decades,",
"language",
"systems",
"have",
"become",
"a",
"priority",
"for",
"international",
"nursing",
"agendas.",
"Standardized",
"controlled",
"vocabularies",
"are",
"a",
"means",
"to",
"develop,",
"express,",
"and",
"understand",
"nursing",
"phenomena",
"and",
"actions",
"through",
"concepts;",
"to",
"quote",
"Matney",
"et",
"al.",
"“structured",
"nursing",
"terminologies",
"are",
"needed",
"to",
"drive,",
"document",
"and",
"evaluate",
"nursing",
"practice”",
"[1].",
"The",
"use",
"of",
"electronic",
"health",
"records",
"and",
"information",
"sys-",
"tems",
"at",
"all",
"levels",
"of",
"the",
"healthcare",
"agencies",
"is",
"now",
"widespread",
"all",
"over",
"the",
"world.",
"In",
"order",
"to",
"optimize",
"the",
"efficiency",
"of",
"these",
"records",
"and",
"systems",
"and",
"to",
"facilitate",
"the",
"exchange",
"of",
"infor-",
"mation",
"among",
"professionals",
"and",
"institutions,",
"they",
"must",
"be",
"based",
"on",
"controlled",
"vocabularies",
"[2,",
"3];",
"as",
"Mu¨",
"ller-Staub",
"et",
"al.",
"explain",
"“standardized",
"computer-compatible",
"professional",
"ter-",
"minology",
"is",
"becoming",
"a",
"requirement,",
"especially",
"by",
"institutions",
"and",
"healthcare",
"systems",
"that",
"bear",
"the",
"costs",
"of",
"health",
"care”",
"[4].",
"Controlled",
"nursing",
"vocabularies",
"can",
"be",
"implemented",
"as",
"interface",
"terminologies",
"at",
"the",
"point",
"of",
"care",
"and",
"as",
"administrative",
"terminologies",
"to",
"retrieve",
"nursing",
"clinical",
"data",
"in",
"order",
"to",
"support",
"decision-making",
"[4–6].",
"To",
"date,",
"twelve",
"nursing",
"terminologies",
"and",
"data",
"sets",
"have",
"been",
"recognized",
"by",
"the",
"American",
"Nurses",
"Association",
"(ANA)",
"for",
"supporting",
"nursing",
"practice:",
"the",
"North",
"American",
"Nursing",
"Diagnosis",
"Association",
"International",
"Taxonomy",
"(NANDA-I),",
"the",
"Nursing",
"Interventions",
"Classification",
"(NIC),",
"the",
"Clinical",
"Care",
"Classification",
"(CCC),",
"the",
"Omaha",
"System,",
"the",
"Nursing",
"Outcomes",
"Classification",
"(NOC),",
"the",
"Nursing",
"Management",
"Minimum",
"Data",
"Set",
"(NMMDS),",
"the",
"Perioperative",
"Nursing",
"Data",
"Set",
"(PNDS),",
"SNOMED",
"Clinical",
"Terms,",
"the",
"Nursing",
"Minimum",
"Data",
"Set",
"(NMDS),",
"the",
"International",
"Classification",
"for",
"Nursing",
"Practice",
"(ICNP)",
"from",
"the",
"International",
"Council",
"of",
"Nurses,",
"the",
"ABCcodes,",
"and",
"the",
"Logical",
"Observation",
"Identifiers",
"Names",
"and",
"Codes",
"(LOINC)",
"[7].",
"The",
"North",
"American",
"Nursing",
"Diagnosis",
"Association",
"International",
"Taxonomy",
"(NANDA-I)",
"is",
"considered",
"the",
"most"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
3,470,072 | null | [
[
609,
65,
58,
16
],
[
670,
65,
48,
16
],
[
94,
106,
55,
31
],
[
156,
106,
162,
31
],
[
326,
106,
29,
31
],
[
364,
106,
104,
31
],
[
476,
106,
145,
31
],
[
629,
106,
76,
31
],
[
98,
142,
28,
31
],
[
134,
142,
172,
31
],
[
314,
142,
157,
31
],
[
479,
142,
57,
31
],
[
543,
142,
158,
31
],
[
98,
55,
26,
12
],
[
98,
69,
16,
12
],
[
116,
69,
16,
12
],
[
135,
69,
15,
12
],
[
152,
69,
10,
12
],
[
165,
69,
25,
12
],
[
192,
69,
25,
12
],
[
98,
198,
30,
12
],
[
130,
197,
34,
12
],
[
166,
198,
36,
12
],
[
204,
197,
58,
12
],
[
98,
211,
43,
12
],
[
144,
211,
44,
12
],
[
98,
768,
62,
12
],
[
163,
768,
10,
12
],
[
175,
768,
52,
12
],
[
230,
768,
35,
12
],
[
267,
768,
10,
12
],
[
98,
781,
48,
12
],
[
149,
781,
32,
12
],
[
183,
781,
49,
12
],
[
235,
781,
10,
12
],
[
247,
781,
39,
12
],
[
98,
795,
49,
12
],
[
149,
795,
35,
12
],
[
187,
795,
23,
12
],
[
98,
808,
63,
12
],
[
164,
808,
48,
12
],
[
215,
808,
36,
12
],
[
98,
821,
48,
12
],
[
149,
821,
44,
12
],
[
195,
821,
32,
12
],
[
230,
821,
49,
12
],
[
281,
821,
10,
12
],
[
98,
835,
39,
12
],
[
139,
835,
49,
12
],
[
191,
835,
35,
12
],
[
228,
835,
23,
12
],
[
98,
848,
62,
12
],
[
163,
848,
10,
12
],
[
175,
848,
63,
12
],
[
241,
848,
35,
12
],
[
278,
848,
10,
12
],
[
98,
861,
48,
12
],
[
149,
861,
32,
12
],
[
183,
861,
49,
12
],
[
235,
861,
10,
12
],
[
247,
861,
39,
12
],
[
98,
875,
49,
12
],
[
149,
875,
35,
12
],
[
187,
875,
23,
12
],
[
98,
904,
92,
12
],
[
98,
917,
30,
12
],
[
130,
917,
27,
12
],
[
160,
917,
21,
12
],
[
98,
930,
59,
12
],
[
159,
930,
10,
12
],
[
171,
930,
52,
12
],
[
98,
944,
34,
12
],
[
135,
944,
10,
12
],
[
147,
944,
48,
12
],
[
98,
957,
32,
12
],
[
133,
957,
49,
12
],
[
184,
957,
10,
12
],
[
197,
957,
39,
12
],
[
238,
957,
49,
12
],
[
98,
970,
26,
12
],
[
126,
970,
41,
12
],
[
98,
984,
35,
12
],
[
136,
984,
23,
12
],
[
98,
997,
42,
12
],
[
142,
997,
19,
12
],
[
164,
997,
18,
12
],
[
185,
997,
44,
12
],
[
98,
1011,
34,
12
],
[
134,
1010,
118,
12
],
[
98,
1024,
50,
12
],
[
150,
1024,
13,
12
],
[
165,
1024,
35,
12
],
[
203,
1024,
24,
12
],
[
98,
1037,
44,
12
],
[
144,
1037,
13,
12
],
[
160,
1037,
55,
12
],
[
217,
1037,
24,
12
],
[
98,
1050,
50,
12
],
[
150,
1050,
13,
12
],
[
166,
1050,
52,
12
],
[
220,
1050,
24,
12
],
[
98,
1090,
19,
12
],
[
335,
201,
57,
14
],
[
336,
218,
86,
16
],
[
426,
218,
73,
16
],
[
503,
218,
13,
16
],
[
519,
218,
68,
16
],
[
591,
218,
42,
16
],
[
637,
218,
62,
16
],
[
702,
218,
23,
16
],
[
336,
237,
74,
16
],
[
413,
237,
35,
16
],
[
451,
237,
68,
16
],
[
522,
237,
19,
16
],
[
545,
237,
40,
16
],
[
588,
237,
36,
16
],
[
627,
237,
19,
16
],
[
650,
237,
7,
16
],
[
661,
237,
47,
16
],
[
711,
237,
13,
16
],
[
336,
255,
59,
16
],
[
398,
255,
44,
16
],
[
444,
255,
13,
16
],
[
460,
255,
88,
16
],
[
550,
255,
63,
16
],
[
616,
255,
45,
16
],
[
664,
255,
61,
16
],
[
336,
273,
31,
16
],
[
372,
273,
42,
16
],
[
418,
273,
11,
16
],
[
434,
273,
25,
16
],
[
464,
273,
13,
16
],
[
481,
273,
15,
16
],
[
501,
273,
7,
16
],
[
513,
273,
36,
16
],
[
554,
273,
51,
16
],
[
610,
273,
12,
16
],
[
627,
273,
32,
16
],
[
664,
273,
28,
16
],
[
696,
273,
28,
16
],
[
336,
292,
59,
16
],
[
398,
292,
13,
16
],
[
414,
292,
68,
16
],
[
485,
292,
68,
16
],
[
556,
292,
34,
16
],
[
594,
292,
9,
16
],
[
606,
292,
11,
16
],
[
620,
292,
40,
16
],
[
662,
292,
62,
16
],
[
336,
310,
12,
16
],
[
353,
310,
23,
16
],
[
381,
310,
59,
16
],
[
444,
310,
49,
16
],
[
498,
310,
28,
16
],
[
530,
310,
34,
16
],
[
568,
310,
24,
16
],
[
597,
310,
55,
16
],
[
656,
310,
12,
16
],
[
673,
310,
51,
16
],
[
336,
328,
19,
16
],
[
359,
328,
67,
16
],
[
429,
328,
13,
16
],
[
446,
328,
31,
16
],
[
481,
328,
12,
16
],
[
497,
328,
68,
16
],
[
569,
328,
62,
16
],
[
634,
328,
22,
16
],
[
660,
328,
64,
16
],
[
336,
347,
51,
16
],
[
392,
347,
34,
16
],
[
430,
347,
65,
16
],
[
500,
347,
13,
16
],
[
518,
347,
65,
16
],
[
588,
347,
80,
16
],
[
672,
347,
53,
16
],
[
336,
365,
47,
16
],
[
386,
365,
40,
16
],
[
429,
365,
65,
16
],
[
497,
365,
13,
16
],
[
514,
365,
50,
16
],
[
568,
365,
58,
16
],
[
336,
383,
62,
16
],
[
401,
383,
34,
16
],
[
436,
383,
50,
16
],
[
490,
383,
18,
16
],
[
510,
383,
29,
16
],
[
543,
383,
82,
16
],
[
627,
383,
13,
16
],
[
643,
383,
31,
16
],
[
676,
383,
49,
16
],
[
336,
402,
25,
16
],
[
366,
402,
59,
16
],
[
429,
402,
31,
16
],
[
465,
402,
93,
16
],
[
563,
402,
121,
16
],
[
689,
402,
37,
16
],
[
336,
420,
41,
16
],
[
381,
420,
13,
16
],
[
399,
420,
16,
16
],
[
420,
420,
33,
16
],
[
457,
420,
13,
16
],
[
475,
420,
43,
16
],
[
523,
420,
63,
16
],
[
590,
420,
41,
16
],
[
636,
420,
16,
16
],
[
656,
420,
33,
16
],
[
694,
420,
30,
16
],
[
336,
438,
32,
16
],
[
373,
438,
13,
16
],
[
390,
438,
36,
16
],
[
431,
438,
74,
16
],
[
510,
438,
35,
16
],
[
549,
438,
51,
16
],
[
605,
438,
25,
16
],
[
635,
438,
66,
16
],
[
706,
438,
19,
16
],
[
336,
457,
82,
16
],
[
422,
457,
23,
16
],
[
449,
457,
56,
16
],
[
510,
457,
13,
16
],
[
527,
457,
54,
16
],
[
585,
457,
31,
16
],
[
620,
457,
23,
16
],
[
647,
457,
27,
16
],
[
678,
457,
48,
16
],
[
336,
475,
52,
16
],
[
393,
475,
23,
16
],
[
421,
475,
52,
16
],
[
478,
475,
55,
16
],
[
538,
475,
65,
16
],
[
608,
475,
13,
16
],
[
625,
475,
20,
16
],
[
650,
475,
56,
16
],
[
711,
475,
14,
16
],
[
336,
493,
49,
16
],
[
389,
493,
44,
16
],
[
437,
493,
55,
16
],
[
496,
493,
23,
16
],
[
522,
493,
31,
16
],
[
557,
493,
49,
16
],
[
610,
493,
51,
16
],
[
664,
493,
13,
16
],
[
681,
493,
43,
16
],
[
336,
512,
66,
16
],
[
406,
512,
23,
16
],
[
433,
512,
62,
16
],
[
499,
512,
47,
16
],
[
550,
512,
50,
16
],
[
604,
512,
19,
16
],
[
628,
512,
70,
16
],
[
702,
512,
23,
16
],
[
336,
530,
57,
16
],
[
396,
530,
10,
16
],
[
409,
530,
73,
16
],
[
485,
530,
45,
16
],
[
534,
530,
8,
16
],
[
545,
530,
62,
16
],
[
336,
548,
47,
16
],
[
386,
548,
34,
16
],
[
423,
548,
82,
16
],
[
508,
548,
13,
16
],
[
524,
548,
49,
16
],
[
576,
548,
44,
16
],
[
622,
548,
23,
16
],
[
648,
548,
47,
16
],
[
698,
548,
28,
16
],
[
336,
567,
28,
16
],
[
367,
567,
24,
16
],
[
395,
567,
60,
16
],
[
458,
567,
60,
16
],
[
521,
567,
16,
16
],
[
540,
567,
82,
16
],
[
625,
567,
13,
16
],
[
642,
567,
31,
16
],
[
676,
567,
49,
16
],
[
336,
585,
24,
16
],
[
364,
585,
60,
16
],
[
336,
603,
78,
16
],
[
417,
603,
36,
16
],
[
455,
603,
11,
16
],
[
469,
603,
16,
16
],
[
487,
603,
68,
16
],
[
558,
603,
51,
16
],
[
611,
603,
31,
16
],
[
645,
603,
55,
16
],
[
702,
603,
22,
16
],
[
336,
622,
19,
16
],
[
359,
622,
80,
16
],
[
442,
622,
13,
16
],
[
458,
622,
68,
16
],
[
530,
622,
62,
16
],
[
595,
622,
23,
16
],
[
622,
622,
64,
16
],
[
689,
622,
12,
16
],
[
705,
622,
19,
16
],
[
336,
640,
33,
16
],
[
372,
640,
63,
16
],
[
336,
675,
34,
12
],
[
373,
675,
18,
12
],
[
394,
675,
18,
12
],
[
414,
675,
30,
12
],
[
447,
675,
15,
12
],
[
465,
675,
27,
12
],
[
495,
675,
11,
12
],
[
509,
675,
46,
12
],
[
557,
675,
11,
12
],
[
570,
675,
40,
12
],
[
613,
675,
18,
12
],
[
634,
675,
20,
12
],
[
656,
675,
56,
12
],
[
715,
675,
10,
12
],
[
336,
688,
36,
12
],
[
375,
688,
49,
12
],
[
428,
688,
26,
12
],
[
456,
688,
9,
12
],
[
469,
688,
59,
12
],
[
531,
688,
54,
12
],
[
587,
688,
20,
12
],
[
610,
688,
57,
12
],
[
670,
688,
20,
12
],
[
693,
688,
6,
12
],
[
702,
688,
22,
12
],
[
336,
702,
19,
12
],
[
358,
702,
101,
12
],
[
336,
735,
66,
14
],
[
406,
735,
9,
14
],
[
420,
734,
66,
14
],
[
490,
734,
21,
14
],
[
515,
734,
64,
14
],
[
583,
735,
9,
14
],
[
597,
734,
68,
14
],
[
669,
735,
9,
14
],
[
682,
734,
43,
14
],
[
336,
751,
58,
14
],
[
396,
751,
29,
14
],
[
428,
751,
9,
14
],
[
440,
751,
70,
14
],
[
513,
751,
33,
14
],
[
548,
751,
48,
14
],
[
334,
815,
81,
14
],
[
330,
848,
58,
14
],
[
390,
848,
69,
14
],
[
462,
848,
41,
14
],
[
505,
848,
42,
14
],
[
549,
848,
29,
14
],
[
580,
848,
27,
14
],
[
609,
848,
52,
14
],
[
664,
848,
29,
14
],
[
695,
848,
12,
14
],
[
709,
848,
19,
14
],
[
330,
864,
70,
14
],
[
402,
864,
66,
14
],
[
471,
864,
63,
14
],
[
536,
864,
20,
14
],
[
559,
864,
69,
14
],
[
630,
864,
38,
14
],
[
671,
864,
57,
14
],
[
330,
881,
28,
14
],
[
360,
881,
12,
14
],
[
374,
881,
69,
14
],
[
445,
881,
47,
14
],
[
494,
881,
51,
14
],
[
547,
881,
11,
14
],
[
560,
881,
33,
14
],
[
596,
881,
44,
14
],
[
642,
881,
29,
14
],
[
673,
881,
15,
14
],
[
689,
881,
39,
14
],
[
330,
898,
39,
14
],
[
371,
898,
26,
14
],
[
401,
898,
57,
14
],
[
460,
898,
10,
14
],
[
474,
898,
71,
14
],
[
547,
898,
12,
14
],
[
561,
898,
23,
14
],
[
587,
898,
12,
14
],
[
602,
898,
110,
14
],
[
350,
914,
35,
14
],
[
389,
914,
72,
14
],
[
465,
914,
30,
14
],
[
499,
914,
48,
14
],
[
551,
914,
41,
14
],
[
596,
914,
67,
14
],
[
667,
914,
20,
14
],
[
691,
914,
38,
14
],
[
330,
931,
15,
14
],
[
350,
931,
60,
14
],
[
414,
931,
38,
14
],
[
457,
931,
40,
14
],
[
501,
931,
43,
14
],
[
550,
931,
58,
14
],
[
612,
931,
24,
14
],
[
640,
931,
36,
14
],
[
682,
931,
47,
14
],
[
330,
948,
12,
14
],
[
347,
948,
20,
14
],
[
373,
948,
35,
14
],
[
413,
948,
50,
14
],
[
468,
948,
25,
14
],
[
498,
948,
40,
14
],
[
543,
948,
63,
14
],
[
610,
948,
29,
14
],
[
644,
948,
54,
14
],
[
703,
948,
25,
14
],
[
330,
964,
41,
14
],
[
376,
964,
42,
14
],
[
422,
964,
28,
14
],
[
455,
964,
12,
14
],
[
471,
964,
52,
14
],
[
528,
964,
37,
14
],
[
570,
964,
48,
14
],
[
622,
964,
42,
14
],
[
669,
964,
59,
14
],
[
330,
981,
24,
14
],
[
359,
981,
64,
14
],
[
428,
981,
24,
14
],
[
456,
981,
21,
14
],
[
481,
981,
51,
14
],
[
536,
981,
25,
14
],
[
566,
981,
42,
14
],
[
612,
981,
28,
14
],
[
645,
981,
42,
14
],
[
692,
981,
12,
14
],
[
709,
981,
20,
14
],
[
330,
998,
68,
14
],
[
402,
998,
71,
14
],
[
477,
998,
32,
14
],
[
512,
998,
27,
14
],
[
543,
998,
28,
14
],
[
575,
998,
12,
14
],
[
591,
998,
14,
14
],
[
609,
998,
42,
14
],
[
655,
998,
46,
14
],
[
704,
998,
24,
14
],
[
330,
1014,
35,
14
],
[
369,
1014,
28,
14
],
[
400,
1014,
42,
14
],
[
445,
1014,
12,
14
],
[
461,
1014,
20,
14
],
[
484,
1014,
68,
14
],
[
555,
1014,
11,
14
],
[
570,
1014,
22,
14
],
[
595,
1014,
28,
14
],
[
626,
1014,
67,
14
],
[
696,
1014,
32,
14
],
[
330,
1031,
28,
14
],
[
361,
1031,
28,
14
],
[
393,
1031,
12,
14
],
[
408,
1031,
14,
14
],
[
426,
1031,
42,
14
],
[
471,
1031,
51,
15
],
[
350,
1048,
29,
14
],
[
384,
1048,
55,
14
],
[
444,
1048,
12,
14
],
[
461,
1048,
20,
14
],
[
486,
1048,
36,
14
],
[
527,
1048,
12,
14
],
[
544,
1048,
25,
14
],
[
574,
1048,
26,
14
],
[
605,
1048,
16,
14
],
[
627,
1048,
53,
14
],
[
684,
1048,
44,
14
],
[
538,
1090,
20,
12
],
[
560,
1090,
6,
12
],
[
569,
1090,
22,
12
],
[
594,
1090,
16,
12
],
[
612,
1090,
25,
12
],
[
640,
1090,
28,
12
],
[
670,
1090,
16,
12
],
[
689,
1090,
13,
12
],
[
704,
1090,
15,
12
],
[
722,
1090,
7,
12
]
] | [
"Original",
"Article",
"The",
"Prevalence",
"of",
"Human",
"Papilloma",
"Virus",
"in",
"Esophageal",
"Squamous",
"Cell",
"Carcinoma",
"IJMS",
"Vol",
"37,",
"No",
"2,",
"June",
"2012",
"Sadat",
"Noori1,",
"Ahmad",
"Monabati1,2,",
"Abbasali",
"Ghaderi3",
"1Department",
"of",
"Pathology,",
"School",
"of",
"Medicine,",
"Shiraz",
"University",
"of",
"Medical",
"Sciences,",
"Shiraz,",
"Iran.",
"2Hematology",
"Research",
"Center,",
"Nemazee",
"Hospital,",
"Shiraz",
"University",
"of",
"Medical",
"Sciences,",
"Shiraz,",
"Iran.",
"3Department",
"of",
"Immunology,",
"School",
"of",
"Medicine,",
"Shiraz",
"University",
"of",
"Medical",
"Sciences,",
"Shiraz,",
"Iran.",
"Correspondence:",
"Sadat",
"Noori",
"MD,",
"Department",
"of",
"Pathology,",
"School",
"of",
"Medicine,",
"Shiraz",
"University",
"of",
"Medical",
"Sciences,",
"Zand",
"Avenue,",
"Shiraz,",
"Iran.",
"Tel/Fax:",
"+98",
"711",
"2349521",
"Email:",
"noorisadat@yahoo.com",
"Received:",
"13",
"August",
"2011",
"Revised:",
"29",
"September",
"2011",
"Accepted:",
"13",
"November",
"2011",
"126",
"Abstract",
"Background:",
"Carcinomas",
"of",
"esophagus,",
"mostly",
"squamous",
"cell",
"carcinomas,",
"occur",
"throughout",
"the",
"world.",
"There",
"are",
"a",
"number",
"of",
"suspected",
"genetic",
"or",
"environmental",
"etiologies.",
"Human",
"papilloma",
"virus",
"(HPV)",
"is",
"said",
"to",
"be",
"a",
"major",
"etiology",
"in",
"areas",
"with",
"high",
"incidence",
"of",
"esophageal",
"carcinoma,",
"while",
"it",
"is",
"hardly",
"detectable",
"in",
"low",
"incidence",
"regions.",
"This",
"study",
"was",
"designed",
"to",
"evaluate",
"the",
"prevalence",
"of",
"HPV",
"in",
"esophageal",
"squamous",
"cell",
"carcinoma",
"(ESCC)",
"cases",
"diagnosed",
"in",
"Pathology",
"Department,",
"Medical",
"School,",
"Shiraz",
"University",
"of",
"Medical",
"Sciences.",
"Methods:",
"DNA",
"material",
"for",
"PCR",
"amplification",
"of",
"HPV",
"genome",
"was",
"extracted",
"from",
"formalin-fixed",
"paraffin-embedded",
"tissue",
"blocks",
"of",
"92",
"cases",
"of",
"ESCC,",
"diagnosed",
"during",
"20",
"years",
"from",
"1982",
"to",
"2002.",
"Polymerase",
"chain",
"reaction",
"was",
"performed",
"for",
"amplification",
"and",
"detection",
"of",
"common",
"HPV",
"and",
"type",
"specific",
"HPV-16",
"and",
"HPV-18",
"genomic",
"sequences",
"in",
"the",
"presence",
"of",
"positive",
"control",
"(HPV-18",
"and",
"HPV",
"positive",
"biopsies",
"of",
"uterine",
"exocervix)",
"and",
"additional",
"internal",
"controls",
"i.e.",
"beta-globin",
"and",
"cytotoxic",
"T",
"lymphocyte",
"antigen",
"4",
"(CTLA4).",
"Result:",
"Good",
"amplification",
"of",
"positive",
"control",
"and",
"internal",
"con-",
"trols",
"was",
"observed.",
"However,",
"no",
"amplification",
"of",
"HPV",
"genome",
"was",
"observed.",
"Conclusion:",
"There",
"is",
"no",
"association",
"between",
"HPV",
"infection",
"and",
"the",
"development",
"of",
"esophageal",
"squamous",
"cell",
"carcinoma",
"in",
"the",
"cases",
"evaluated.",
"Please",
"cite",
"this",
"article",
"as:",
"Noori",
"S,",
"Monabati",
"A,",
"Ghaderi",
"AA.",
"The",
"Prevalence",
"of",
"Human",
"Papilloma",
"Virus",
"in",
"Esophageal",
"Squamous",
"Cell",
"Carcinoma.",
"Iran",
"J",
"Med",
"Sci.",
"2012;37(2):126-133.",
"Keywords",
"●",
"Squamous",
"cell",
"carcinoma",
"●",
"esophagus",
"●",
"human",
"papilloma",
"virus",
"●",
"polymerase",
"chain",
"reaction",
"Introduction",
"Malignant",
"esophageal",
"tumors",
"usually",
"arise",
"from",
"epithelial",
"layer",
"of",
"the",
"esophagus.",
"Worldwide,",
"squamous",
"cell",
"carcinomas",
"(SCC)",
"constitute",
"90%",
"of",
"esophageal",
"cancers",
"although",
"in",
"some",
"regions",
"such",
"as",
"United",
"States",
"their",
"incidence",
"is",
"comparable",
"to",
"that",
"of",
"adenocarcinomas.",
"While",
"esophageal",
"SCC",
"(ESCC)",
"occurs",
"throughout",
"the",
"world,",
"its",
"incidence",
"varies",
"widely",
"among",
"countries",
"and",
"within",
"regions",
"of",
"the",
"same",
"country.",
"The",
"region",
"extending",
"from",
"northern",
"Iran",
"across",
"central",
"Asia",
"to",
"northern",
"China",
"exhibits",
"annual",
"incidence",
"rate",
"exceeding",
"100",
"per",
"100,000",
"with",
"deaths",
"from",
"cancer",
"of",
"the",
"esophagus",
"constituting",
"more",
"than",
"20%",
"of",
"all",
"cancer",
"deaths.",
"The",
"death",
"from",
"cancer",
"of",
"the",
"esophagus",
"in",
"this",
"area",
"constitutes",
"more",
"than",
"20%",
"of",
"all",
"cancer",
"deaths.1",
"Fars",
"province",
"in",
"the",
"south",
"of",
"Iran",
"with",
"an",
"average",
"annual",
"Iran",
"J",
"Med",
"Sci",
"June",
"2012;",
"Vol",
"37",
"No",
"2"
] | [
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
0,
0,
0,
0,
0,
0,
0,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
4,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,410,321 | null | [
[
70,
61,
59,
12
],
[
131,
61,
41,
12
],
[
174,
61,
40,
12
],
[
216,
61,
39,
12
],
[
70,
75,
25,
11
],
[
97,
75,
42,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
84,
25
],
[
160,
187,
64,
25
],
[
70,
220,
41,
25
],
[
116,
220,
61,
25
],
[
181,
220,
22,
25
],
[
208,
220,
62,
25
],
[
275,
220,
98,
25
],
[
377,
220,
132,
25
],
[
513,
220,
100,
25
],
[
618,
220,
28,
25
],
[
651,
220,
90,
25
],
[
70,
248,
120,
25
],
[
195,
248,
25,
25
],
[
225,
248,
61,
25
],
[
290,
248,
83,
25
],
[
120,
318,
49,
17
],
[
172,
317,
67,
18
],
[
243,
318,
44,
17
],
[
289,
317,
72,
18
],
[
365,
318,
42,
17
],
[
410,
317,
111,
18
],
[
525,
318,
27,
17
],
[
555,
318,
53,
17
],
[
611,
317,
67,
18
],
[
120,
348,
4,
9
],
[
126,
349,
33,
13
],
[
162,
349,
39,
13
],
[
204,
349,
42,
13
],
[
248,
349,
35,
13
],
[
286,
349,
32,
13
],
[
320,
349,
9,
13
],
[
331,
349,
48,
13
],
[
382,
349,
36,
13
],
[
421,
349,
50,
13
],
[
473,
349,
9,
13
],
[
485,
349,
39,
13
],
[
526,
349,
40,
13
],
[
569,
349,
64,
13
],
[
635,
349,
40,
13
],
[
677,
349,
21,
13
],
[
120,
363,
4,
9
],
[
126,
364,
59,
13
],
[
188,
364,
9,
13
],
[
200,
364,
70,
13
],
[
272,
364,
66,
13
],
[
340,
364,
33,
13
],
[
376,
364,
45,
13
],
[
423,
364,
33,
13
],
[
459,
364,
35,
13
],
[
496,
364,
50,
13
],
[
549,
364,
9,
13
],
[
560,
364,
39,
13
],
[
602,
364,
42,
13
],
[
126,
378,
64,
13
],
[
192,
378,
39,
13
],
[
234,
378,
21,
13
],
[
120,
392,
4,
9
],
[
126,
393,
59,
13
],
[
188,
393,
9,
13
],
[
200,
393,
66,
13
],
[
268,
393,
32,
13
],
[
302,
393,
9,
13
],
[
313,
393,
48,
13
],
[
364,
393,
36,
13
],
[
402,
393,
50,
13
],
[
455,
393,
9,
13
],
[
467,
393,
39,
13
],
[
508,
393,
42,
13
],
[
552,
393,
64,
13
],
[
618,
393,
40,
13
],
[
660,
393,
21,
13
],
[
120,
419,
82,
13
],
[
205,
419,
34,
13
],
[
241,
419,
12,
13
],
[
256,
419,
49,
13
],
[
308,
419,
11,
13
],
[
321,
419,
31,
13
],
[
354,
419,
48,
13
],
[
404,
419,
6,
13
],
[
413,
419,
106,
13
],
[
120,
444,
44,
13
],
[
166,
444,
12,
13
],
[
181,
444,
26,
13
],
[
209,
444,
27,
13
],
[
239,
444,
46,
13
],
[
287,
444,
6,
13
],
[
296,
444,
23,
13
],
[
321,
444,
24,
13
],
[
120,
469,
49,
13
],
[
172,
469,
39,
13
],
[
213,
469,
15,
13
],
[
230,
469,
26,
13
],
[
259,
469,
15,
13
],
[
276,
469,
18,
13
],
[
297,
469,
39,
13
],
[
337,
469,
19,
13
],
[
359,
469,
12,
13
],
[
373,
469,
27,
13
],
[
120,
495,
52,
13
],
[
174,
495,
9,
13
],
[
186,
495,
24,
13
],
[
213,
495,
35,
13
],
[
251,
495,
40,
13
],
[
293,
495,
10,
13
],
[
305,
495,
12,
13
],
[
322,
495,
22,
13
],
[
350,
495,
8,
13
],
[
363,
495,
13,
13
],
[
381,
495,
25,
13
],
[
412,
495,
30,
13
],
[
447,
495,
31,
13
],
[
483,
495,
55,
13
],
[
544,
495,
30,
13
],
[
579,
495,
16,
13
],
[
601,
495,
41,
13
],
[
647,
495,
53,
13
],
[
705,
495,
58,
13
],
[
120,
509,
40,
13
],
[
163,
509,
31,
13
],
[
197,
509,
39,
13
],
[
239,
509,
61,
13
],
[
303,
509,
20,
13
],
[
326,
509,
63,
13
],
[
393,
509,
19,
13
],
[
415,
509,
66,
13
],
[
485,
509,
11,
13
],
[
499,
509,
18,
13
],
[
520,
509,
46,
13
],
[
569,
509,
45,
13
],
[
617,
509,
16,
13
],
[
637,
509,
39,
13
],
[
680,
509,
26,
13
],
[
709,
509,
8,
13
],
[
720,
509,
43,
13
],
[
120,
524,
28,
13
],
[
120,
550,
64,
13
],
[
186,
550,
20,
13
],
[
208,
550,
20,
13
],
[
230,
550,
11,
13
],
[
243,
550,
19,
13
],
[
263,
550,
28,
13
],
[
293,
550,
19,
13
],
[
314,
550,
11,
13
],
[
326,
550,
53,
13
],
[
381,
550,
16,
13
],
[
399,
550,
27,
13
],
[
429,
550,
11,
13
],
[
441,
550,
26,
13
],
[
469,
550,
43,
13
],
[
514,
550,
27,
13
],
[
543,
550,
10,
13
],
[
555,
550,
59,
13
],
[
616,
550,
32,
13
],
[
650,
550,
14,
13
],
[
666,
550,
39,
13
],
[
707,
550,
56,
13
],
[
120,
565,
42,
13
],
[
166,
565,
23,
13
],
[
194,
565,
6,
13
],
[
205,
565,
19,
13
],
[
229,
565,
12,
13
],
[
247,
565,
44,
13
],
[
295,
565,
38,
13
],
[
338,
565,
19,
13
],
[
361,
565,
50,
13
],
[
416,
565,
11,
13
],
[
432,
565,
19,
13
],
[
455,
565,
10,
13
],
[
470,
565,
23,
13
],
[
498,
565,
66,
13
],
[
569,
565,
30,
13
],
[
603,
565,
12,
13
],
[
621,
565,
38,
13
],
[
664,
565,
40,
13
],
[
708,
565,
10,
13
],
[
724,
565,
39,
13
],
[
120,
579,
56,
13
],
[
178,
579,
42,
13
],
[
222,
579,
24,
13
],
[
248,
579,
69,
13
],
[
319,
579,
23,
13
],
[
344,
579,
72,
13
],
[
418,
579,
35,
13
],
[
456,
579,
66,
13
],
[
524,
579,
56,
13
],
[
582,
579,
19,
13
],
[
603,
579,
43,
13
],
[
648,
579,
40,
13
],
[
690,
579,
37,
13
],
[
729,
579,
34,
13
],
[
120,
594,
15,
13
],
[
139,
594,
37,
13
],
[
180,
594,
43,
13
],
[
227,
594,
12,
13
],
[
243,
594,
11,
13
],
[
258,
594,
26,
13
],
[
288,
594,
24,
13
],
[
316,
594,
55,
13
],
[
374,
594,
23,
13
],
[
401,
594,
38,
13
],
[
443,
594,
64,
13
],
[
511,
594,
30,
13
],
[
545,
594,
47,
13
],
[
596,
594,
19,
13
],
[
620,
594,
39,
13
],
[
662,
594,
12,
13
],
[
679,
594,
20,
13
],
[
702,
594,
10,
13
],
[
717,
594,
46,
13
],
[
120,
608,
58,
13
],
[
181,
608,
22,
13
],
[
206,
608,
24,
13
],
[
233,
608,
22,
13
],
[
258,
608,
11,
13
],
[
272,
608,
32,
13
],
[
307,
608,
22,
13
],
[
332,
608,
23,
13
],
[
358,
608,
34,
13
],
[
395,
608,
29,
13
],
[
428,
608,
33,
13
],
[
464,
608,
15,
13
],
[
482,
608,
6,
13
],
[
491,
608,
19,
13
],
[
514,
608,
12,
13
],
[
529,
608,
44,
13
],
[
576,
608,
20,
13
],
[
599,
608,
40,
13
],
[
642,
608,
11,
13
],
[
656,
608,
41,
13
],
[
700,
608,
19,
13
],
[
722,
608,
41,
13
],
[
120,
623,
23,
13
],
[
147,
623,
12,
13
],
[
162,
623,
19,
13
],
[
185,
623,
12,
13
],
[
201,
623,
29,
13
],
[
233,
623,
15,
13
],
[
252,
623,
40,
13
],
[
295,
623,
19,
13
],
[
318,
623,
23,
13
],
[
344,
623,
12,
13
],
[
360,
623,
29,
13
],
[
392,
623,
15,
13
],
[
411,
623,
37,
13
],
[
452,
623,
48,
13
],
[
503,
623,
78,
13
],
[
585,
623,
18,
13
],
[
605,
623,
19,
13
],
[
628,
623,
23,
13
],
[
654,
623,
15,
13
],
[
673,
623,
22,
13
],
[
698,
623,
39,
13
],
[
740,
623,
12,
13
],
[
755,
623,
8,
12
],
[
120,
637,
29,
13
],
[
151,
637,
37,
13
],
[
190,
637,
26,
13
],
[
218,
637,
6,
13
],
[
227,
637,
44,
13
],
[
273,
637,
39,
13
],
[
314,
637,
38,
13
],
[
354,
637,
16,
13
],
[
373,
637,
36,
13
],
[
411,
637,
59,
13
],
[
473,
637,
31,
13
],
[
507,
637,
14,
13
],
[
523,
637,
72,
13
],
[
597,
637,
33,
13
],
[
632,
637,
10,
13
],
[
644,
637,
8,
13
],
[
654,
637,
55,
13
],
[
711,
637,
52,
13
],
[
120,
652,
16,
13
],
[
138,
652,
43,
13
],
[
183,
652,
20,
13
],
[
205,
652,
59,
13
],
[
266,
652,
41,
13
],
[
310,
652,
10,
13
],
[
322,
652,
43,
13
],
[
367,
652,
32,
13
],
[
401,
652,
18,
13
],
[
421,
652,
12,
13
],
[
435,
652,
47,
13
],
[
484,
652,
10,
13
],
[
496,
652,
23,
13
],
[
521,
652,
35,
13
],
[
558,
652,
32,
13
],
[
592,
652,
15,
13
],
[
609,
652,
66,
13
],
[
677,
652,
53,
13
],
[
732,
652,
31,
13
],
[
120,
666,
19,
13
],
[
141,
666,
52,
13
],
[
196,
666,
55,
13
],
[
253,
666,
11,
13
],
[
266,
666,
24,
13
],
[
292,
666,
6,
13
],
[
301,
666,
19,
13
],
[
323,
666,
12,
13
],
[
338,
666,
44,
13
],
[
384,
666,
57,
13
],
[
443,
666,
22,
13
],
[
468,
666,
28,
13
],
[
498,
666,
41,
13
],
[
542,
666,
20,
13
],
[
565,
666,
39,
13
],
[
606,
666,
18,
13
],
[
627,
666,
12,
13
],
[
641,
666,
50,
13
],
[
694,
666,
55,
13
],
[
751,
666,
12,
13
],
[
120,
681,
26,
13
],
[
149,
681,
27,
13
],
[
178,
681,
11,
13
],
[
192,
681,
59,
13
],
[
254,
681,
32,
13
],
[
288,
681,
12,
13
],
[
304,
681,
43,
13
],
[
349,
681,
42,
13
],
[
395,
681,
45,
13
],
[
443,
681,
39,
13
],
[
485,
681,
38,
13
],
[
525,
681,
16,
13
],
[
545,
681,
36,
13
],
[
584,
681,
59,
13
],
[
646,
681,
32,
13
],
[
681,
681,
23,
13
],
[
707,
681,
12,
13
],
[
722,
681,
41,
13
],
[
120,
695,
50,
13
],
[
173,
695,
11,
13
],
[
186,
695,
27,
13
],
[
215,
695,
35,
13
],
[
70,
763,
13,
17
],
[
86,
763,
92,
17
],
[
70,
795,
49,
14
],
[
129,
795,
35,
14
],
[
173,
795,
55,
14
],
[
236,
795,
21,
14
],
[
267,
795,
35,
14
],
[
311,
795,
66,
14
],
[
387,
795,
17,
14
],
[
70,
810,
45,
14
],
[
121,
810,
12,
14
],
[
138,
810,
48,
15
],
[
191,
810,
30,
14
],
[
226,
810,
12,
14
],
[
243,
810,
62,
14
],
[
310,
810,
94,
14
],
[
70,
826,
63,
14
],
[
138,
826,
54,
14
],
[
198,
826,
62,
14
],
[
265,
826,
30,
14
],
[
301,
826,
21,
14
],
[
328,
826,
40,
14
],
[
374,
826,
30,
14
],
[
70,
842,
21,
14
],
[
95,
842,
26,
14
],
[
124,
842,
27,
14
],
[
155,
842,
22,
14
],
[
180,
842,
12,
14
],
[
196,
842,
13,
14
],
[
213,
842,
18,
14
],
[
234,
842,
29,
14
],
[
267,
842,
36,
14
],
[
307,
842,
12,
14
],
[
322,
842,
28,
14
],
[
354,
842,
50,
14
],
[
70,
858,
46,
14
],
[
119,
858,
44,
14
],
[
166,
858,
21,
14
],
[
190,
858,
43,
14
],
[
236,
858,
21,
14
],
[
91,
876,
25,
14
],
[
119,
876,
57,
14
],
[
178,
876,
26,
14
],
[
206,
876,
37,
14
],
[
246,
876,
22,
14
],
[
271,
876,
25,
14
],
[
299,
876,
12,
14
],
[
313,
876,
51,
14
],
[
367,
876,
23,
14
],
[
392,
876,
12,
14
],
[
70,
891,
35,
14
],
[
109,
891,
66,
14
],
[
180,
891,
17,
14
],
[
201,
891,
45,
14
],
[
250,
891,
14,
14
],
[
268,
891,
41,
14
],
[
314,
891,
90,
14
],
[
70,
907,
21,
14
],
[
98,
907,
22,
14
],
[
128,
907,
28,
14
],
[
163,
907,
57,
14
],
[
228,
907,
54,
14
],
[
289,
907,
90,
14
],
[
387,
907,
17,
14
],
[
70,
923,
72,
14
],
[
145,
923,
42,
14
],
[
191,
923,
80,
14
],
[
275,
923,
42,
14
],
[
320,
923,
61,
14
],
[
385,
923,
19,
14
],
[
70,
939,
42,
14
],
[
115,
939,
67,
14
],
[
184,
939,
42,
14
],
[
228,
939,
55,
14
],
[
286,
939,
42,
14
],
[
331,
939,
73,
14
],
[
70,
955,
42,
14
],
[
115,
955,
68,
14
],
[
186,
955,
42,
14
],
[
230,
955,
51,
14
],
[
284,
955,
65,
14
],
[
352,
955,
21,
14
],
[
376,
955,
28,
14
],
[
70,
970,
25,
14
],
[
97,
970,
39,
14
],
[
138,
970,
21,
14
],
[
161,
970,
38,
14
],
[
201,
970,
21,
14
],
[
224,
970,
23,
14
],
[
249,
970,
48,
14
],
[
299,
970,
16,
14
],
[
317,
970,
38,
14
],
[
357,
970,
30,
14
],
[
390,
970,
14,
14
],
[
70,
986,
31,
15
],
[
104,
986,
12,
14
],
[
118,
986,
52,
14
],
[
173,
986,
28,
14
],
[
204,
986,
12,
14
],
[
218,
986,
29,
14
],
[
250,
986,
90,
14
],
[
343,
986,
21,
14
],
[
367,
986,
37,
14
],
[
70,
1002,
18,
14
],
[
91,
1002,
22,
14
],
[
115,
1002,
12,
14
],
[
130,
1002,
50,
14
],
[
183,
1002,
72,
14
],
[
257,
1002,
12,
14
],
[
272,
1002,
35,
14
],
[
310,
1002,
70,
14
],
[
382,
1002,
22,
14
],
[
70,
1018,
73,
14
],
[
146,
1018,
38,
14
],
[
186,
1018,
60,
14
],
[
249,
1018,
33,
14
],
[
284,
1018,
34,
14
],
[
321,
1018,
15,
14
],
[
339,
1018,
65,
14
],
[
428,
765,
14,
14
],
[
448,
765,
67,
14
],
[
521,
765,
31,
14
],
[
557,
765,
28,
14
],
[
591,
765,
44,
14
],
[
642,
765,
35,
14
],
[
683,
765,
44,
14
],
[
733,
765,
29,
14
],
[
428,
781,
12,
14
],
[
445,
781,
66,
14
],
[
516,
781,
21,
14
],
[
542,
781,
25,
14
],
[
572,
781,
18,
14
],
[
595,
781,
55,
14
],
[
655,
781,
38,
14
],
[
698,
781,
64,
14
],
[
428,
797,
38,
14
],
[
473,
797,
19,
14
],
[
498,
797,
42,
14
],
[
546,
797,
14,
14
],
[
565,
797,
35,
14
],
[
607,
797,
30,
14
],
[
643,
797,
12,
14
],
[
661,
797,
48,
14
],
[
715,
797,
48,
14
],
[
428,
812,
62,
14
],
[
494,
812,
27,
14
],
[
525,
812,
21,
14
],
[
551,
812,
13,
14
],
[
568,
812,
30,
14
],
[
602,
812,
42,
14
],
[
648,
812,
8,
14
],
[
661,
812,
19,
14
],
[
684,
812,
27,
14
],
[
715,
812,
47,
14
],
[
428,
828,
22,
14
],
[
455,
828,
46,
14
],
[
505,
828,
18,
14
],
[
528,
828,
62,
14
],
[
594,
828,
51,
14
],
[
650,
828,
25,
14
],
[
680,
828,
18,
14
],
[
702,
828,
31,
14
],
[
737,
828,
25,
14
],
[
428,
844,
46,
14
],
[
480,
844,
25,
14
],
[
510,
844,
12,
14
],
[
527,
844,
48,
14
],
[
580,
844,
50,
14
],
[
635,
844,
30,
14
],
[
670,
844,
39,
14
],
[
714,
844,
48,
14
],
[
428,
860,
22,
14
],
[
454,
860,
9,
14
],
[
466,
860,
19,
14
],
[
488,
860,
18,
14
],
[
510,
860,
46,
14
],
[
559,
860,
12,
14
],
[
574,
860,
37,
14
],
[
615,
860,
29,
14
],
[
648,
860,
90,
14
],
[
742,
860,
21,
14
],
[
428,
875,
22,
14
],
[
455,
875,
28,
14
],
[
489,
875,
51,
14
],
[
545,
875,
50,
14
],
[
599,
875,
70,
14
],
[
675,
875,
34,
14
],
[
714,
875,
17,
14
],
[
736,
875,
26,
14
],
[
428,
891,
14,
14
],
[
447,
891,
43,
14
],
[
496,
891,
17,
14
],
[
518,
891,
49,
14
],
[
573,
891,
58,
14
],
[
636,
891,
46,
14
],
[
687,
891,
75,
14
],
[
428,
907,
47,
14
],
[
480,
907,
64,
14
],
[
547,
907,
35,
14
],
[
587,
907,
80,
14
],
[
670,
907,
21,
14
],
[
696,
907,
67,
14
],
[
428,
923,
21,
14
],
[
455,
923,
33,
14
],
[
494,
923,
17,
14
],
[
517,
923,
21,
14
],
[
544,
923,
51,
14
],
[
601,
923,
49,
14
],
[
656,
923,
12,
14
],
[
674,
923,
48,
14
],
[
727,
923,
35,
14
],
[
428,
939,
54,
14
],
[
485,
939,
17,
14
],
[
505,
939,
61,
14
],
[
569,
939,
21,
14
],
[
593,
939,
17,
14
],
[
613,
939,
48,
14
],
[
664,
939,
21,
14
],
[
449,
955,
69,
14
],
[
522,
955,
14,
14
],
[
540,
955,
43,
14
],
[
587,
955,
12,
14
],
[
603,
955,
50,
14
],
[
657,
955,
51,
14
],
[
712,
955,
19,
14
],
[
735,
955,
27,
14
],
[
428,
970,
37,
14
],
[
470,
970,
12,
14
],
[
486,
970,
30,
14
],
[
520,
970,
14,
14
],
[
538,
970,
45,
14
],
[
587,
970,
12,
14
],
[
603,
970,
62,
14
],
[
670,
970,
51,
14
],
[
725,
970,
12,
14
],
[
741,
970,
21,
14
],
[
428,
986,
26,
14
],
[
459,
986,
21,
14
],
[
485,
986,
30,
14
],
[
521,
986,
48,
14
],
[
574,
986,
9,
14
],
[
589,
986,
20,
14
],
[
614,
986,
42,
14
],
[
661,
986,
12,
14
],
[
678,
986,
65,
14
],
[
749,
986,
14,
14
],
[
428,
1002,
45,
14
],
[
480,
1002,
55,
14
],
[
542,
1002,
21,
14
],
[
570,
1002,
22,
14
],
[
600,
1002,
39,
14
],
[
645,
1002,
30,
14
],
[
682,
1002,
14,
14
],
[
703,
1002,
59,
14
],
[
428,
1018,
51,
14
],
[
482,
1018,
12,
14
],
[
496,
1018,
64,
14
],
[
562,
1018,
48,
14
],
[
612,
1018,
20,
14
],
[
635,
1018,
68,
14
],
[
705,
1018,
37,
14
],
[
744,
1018,
18,
14
]
] | [
"International",
"Scholarly",
"Research",
"Network",
"ISRN",
"Dentistry",
"Volume",
"2012,",
"Article",
"ID",
"695151,",
"5",
"pages",
"doi:10.5402/2012/695151",
"Research",
"Article",
"The",
"Effect",
"of",
"Three",
"Different",
"Disinfection",
"Materials",
"on",
"Alginate",
"Impression",
"by",
"Spray",
"Method",
"Hamid",
"Badrian,1",
"Ehsan",
"Ghasemi,2",
"Navid",
"Khalighinejad,1",
"and",
"Nafiseh",
"Hosseini3",
"1",
"Dental",
"Implant",
"Research",
"Center,",
"School",
"of",
"Dentistry,",
"Isfahan",
"University",
"of",
"Medical",
"sciences,",
"81746-73461",
"Isfahan,",
"Iran",
"2",
"Department",
"of",
"Prosthodontic,",
"Torabinezhad",
"Center",
"Research,",
"Dental",
"School,",
"University",
"of",
"Medical",
"Sciences,",
"81746-73461",
"Isfahan,",
"Iran",
"3",
"Department",
"of",
"Microbiology,",
"School",
"of",
"Medicine,",
"Isfahan",
"University",
"of",
"Medical",
"Sciences,",
"81746-73461",
"Isfahan,",
"Iran",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Ehsan",
"Ghasemi,",
"e",
"ghasemi@yahoo.com",
"Received",
"11",
"April",
"2012;",
"Accepted",
"6",
"June",
"2012",
"Academic",
"Editors:",
"M.",
"Behr,",
"M.",
"Del",
"Fabbro,",
"and",
"D.",
"Wray",
"Copyright",
"©",
"2012",
"Hamid",
"Badrian",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Introduction.",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"investigate",
"the",
"effect",
"of",
"three",
"different",
"types",
"of",
"disinfectant",
"agents",
"on",
"alginate",
"impression",
"material",
"after",
"5",
"and",
"10",
"minutes.",
"Method",
"and",
"Materials.",
"In",
"this",
"in",
"vitro",
"experimental",
"study,",
"66",
"circular",
"samples",
"of",
"alginate",
"impression",
"material",
"were",
"contaminated",
"with",
"Staphylococcus",
"aureus,",
"Pseudomonas",
"aeruginosa,",
"and",
"Candida",
"albicans",
"fungus.",
"Except",
"for",
"control",
"samples,",
"all",
"of",
"them",
"were",
"disinfected",
"with",
"sodium",
"hypochlorite",
"0.525,",
"Deconex,",
"and",
"Epimax",
"by",
"way",
"of",
"spraying.",
"Afterwards,",
"they",
"were",
"kept",
"in",
"plastic",
"bags",
"with",
"humid",
"rolled",
"cotton",
"for",
"5",
"and",
"10",
"minutes.",
"The",
"number",
"of",
"colonies",
"was",
"counted",
"after",
"24",
"and",
"48",
"hours",
"for",
"bacteria",
"and",
"after",
"72",
"hours",
"for",
"fungus.",
"Statistical",
"Mann-Whitney",
"test",
"was",
"used",
"for",
"data",
"analysis",
"(α",
"=",
"0.05).",
"Results.",
"After",
"5",
"minutes,",
"Epimax",
"showed",
"the",
"highest",
"disinfection",
"action",
"on",
"Staphylococcus",
"aureus",
"as",
"it",
"completely",
"eradicated",
"the",
"bacteria.",
"The",
"disinfection",
"capacity",
"of",
"different",
"agents",
"can",
"be",
"increased",
"as",
"time",
"elapses",
"except",
"for",
"Pseudomonas",
"aeruginosa",
"which",
"was",
"eradicated",
"completely",
"in",
"both",
"5",
"and",
"10",
"minutes.",
"Conclusion.",
"This",
"study",
"revealed",
"that",
"alginate",
"can",
"be",
"effectively",
"disinfected",
"by",
"three",
"types",
"of",
"disinfecting",
"agents",
"by",
"spraying",
"method,",
"although",
"Epimax",
"showed",
"the",
"highest",
"disinfection",
"action",
"after",
"10",
"minutes",
"compared",
"to",
"other",
"agents.",
"1.",
"Introduction",
"Dentists,",
"dental",
"materials,",
"and",
"dental",
"laboratories",
"are",
"exposed",
"to",
"different",
"types",
"of",
"pathogenic",
"microorganisms.",
"Impression",
"materials,",
"impression",
"trays,",
"and",
"poured",
"stone",
"cast",
"have",
"been",
"said",
"to",
"be",
"the",
"main",
"source",
"of",
"cross",
"infection",
"between",
"patients",
"and",
"dentists",
"[1].",
"New",
"researches",
"have",
"shown",
"that",
"67%",
"of",
"materials",
"sent",
"to",
"dental",
"laboratories",
"are",
"infected",
"by",
"various",
"microorganisms",
"[2].",
"The",
"most",
"frequently",
"identified",
"microorganisms",
"are",
"Streptococcus",
"species,",
"Staphylococcus",
"species,",
"Escherichia",
"coli",
"species,",
"Actinomyces",
"species,",
"Antitratus",
"species,",
"Pseudomonas",
"species,",
"Enterobacter",
"species,",
"Klebsiella",
"pneumonia,",
"and",
"Can-",
"dida",
"species",
"[3].",
"Taking",
"this",
"into",
"account,",
"we",
"should",
"make",
"an",
"effort",
"to",
"eliminate",
"most",
"of",
"these",
"microorganisms",
"and",
"reduce",
"the",
"rate",
"of",
"infection",
"transmission",
"in",
"dental",
"laboratories.",
"The",
"International",
"Dental",
"Federation",
"(IDF)",
"insists",
"on",
"disinfecting",
"all",
"impressions",
"taken",
"from",
"patients",
"before",
"sending",
"them",
"to",
"laboratories",
"[4].",
"Also",
"the",
"American",
"Dental",
"Association",
"(ADA)",
"has",
"advised",
"all",
"dental",
"stuffs",
"to",
"disinfect",
"patients’",
"impression",
"trays",
"[5].",
"In",
"some",
"studies,",
"it",
"has",
"been",
"declared",
"that",
"washing",
"the",
"impression",
"materials",
"with",
"tap",
"water",
"only",
"removes",
"40%",
"of",
"bacteria;",
"however,",
"some",
"studies",
"reported",
"that",
"it",
"has",
"the",
"capacity",
"to",
"reduce",
"90%,",
"microorganisms",
"[6].",
"The",
"most",
"common",
"chemical",
"disinfectants",
"which",
"are",
"used",
"by",
"dentists",
"are",
"alcohols,",
"aldehydes,",
"chlorine",
"combination,",
"phenols,",
"biguanides,",
"iodide",
"combinations,",
"and",
"ammonium",
"[7].",
"There",
"are",
"two",
"common",
"methods",
"to",
"disinfect",
"dental",
"materials:",
"(1)",
"immersion",
"and",
"(2)",
"spraying",
"[6].",
"Disinfection",
"by",
"soaking",
"in",
"chemical",
"materials",
"has",
"been",
"shown",
"to",
"cover",
"all",
"surfaces",
"of",
"impression",
"materials",
"in",
"one",
"time",
"[8],",
"while",
"spraying",
"is",
"not",
"capable",
"of",
"disinfecting",
"all",
"surfaces",
"effectively",
"and",
"also",
"cannot",
"cover",
"all",
"undercuts.",
"Contrary",
"to",
"immersing,",
"spraying",
"can",
"significantly",
"reduce",
"the"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,603,022 | null | [
[
76,
47,
291,
34
],
[
379,
47,
137,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
76,
143,
108,
23
],
[
189,
143,
35,
23
],
[
230,
143,
68,
23
],
[
303,
143,
20,
23
],
[
330,
143,
25,
23
],
[
360,
143,
128,
23
],
[
495,
143,
91,
23
],
[
592,
143,
23,
23
],
[
620,
143,
92,
23
],
[
76,
168,
158,
23
],
[
240,
168,
87,
23
],
[
332,
168,
52,
23
],
[
388,
168,
12,
23
],
[
406,
168,
136,
23
],
[
547,
168,
79,
23
],
[
631,
168,
108,
23
],
[
744,
168,
20,
23
],
[
76,
193,
12,
23
],
[
94,
193,
106,
23
],
[
206,
193,
71,
23
],
[
283,
193,
123,
23
],
[
412,
193,
107,
23
],
[
525,
193,
43,
23
],
[
76,
218,
54,
21
],
[
135,
218,
7,
21
],
[
147,
218,
89,
22
],
[
241,
218,
61,
21
],
[
307,
218,
12,
21
],
[
325,
218,
67,
22
],
[
397,
218,
52,
21
],
[
454,
218,
96,
22
],
[
555,
218,
51,
21
],
[
610,
218,
75,
22
],
[
76,
243,
62,
21
],
[
143,
243,
19,
21
],
[
167,
243,
107,
22
],
[
280,
243,
56,
21
],
[
340,
243,
21,
21
],
[
367,
243,
66,
22
],
[
438,
243,
27,
21
],
[
470,
243,
63,
22
],
[
538,
243,
35,
21
],
[
577,
243,
48,
21
],
[
630,
243,
72,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
293,
41,
12
],
[
119,
293,
37,
12
],
[
159,
293,
38,
12
],
[
199,
293,
42,
12
],
[
243,
293,
25,
12
],
[
270,
293,
50,
12
],
[
322,
293,
10,
12
],
[
335,
293,
49,
12
],
[
386,
293,
49,
12
],
[
437,
293,
19,
12
],
[
458,
293,
45,
12
],
[
505,
293,
10,
12
],
[
517,
293,
33,
12
],
[
552,
293,
19,
12
],
[
573,
293,
37,
12
],
[
613,
293,
49,
12
],
[
663,
293,
53,
12
],
[
718,
293,
49,
12
],
[
76,
306,
26,
11
],
[
105,
306,
26,
11
],
[
134,
306,
19,
11
],
[
155,
306,
41,
12
],
[
198,
306,
10,
11
],
[
211,
306,
18,
11
],
[
231,
306,
40,
11
],
[
274,
306,
19,
11
],
[
295,
306,
48,
11
],
[
345,
306,
50,
11
],
[
397,
306,
10,
11
],
[
410,
306,
49,
11
],
[
461,
306,
49,
11
],
[
513,
306,
19,
11
],
[
534,
306,
42,
12
],
[
579,
306,
68,
11
],
[
649,
306,
45,
11
],
[
695,
306,
35,
11
],
[
733,
306,
33,
11
],
[
76,
319,
43,
12
],
[
121,
319,
40,
12
],
[
164,
319,
19,
12
],
[
185,
319,
59,
12
],
[
246,
319,
10,
12
],
[
259,
319,
48,
12
],
[
309,
319,
50,
12
],
[
361,
319,
10,
12
],
[
374,
319,
38,
12
],
[
414,
319,
41,
12
],
[
458,
319,
40,
12
],
[
500,
319,
39,
12
],
[
542,
319,
10,
12
],
[
554,
319,
39,
12
],
[
595,
319,
43,
12
],
[
640,
319,
49,
12
],
[
692,
319,
53,
12
],
[
76,
332,
49,
12
],
[
127,
332,
26,
12
],
[
156,
332,
26,
12
],
[
185,
332,
16,
12
],
[
203,
332,
19,
12
],
[
224,
332,
60,
12
],
[
286,
332,
41,
12
],
[
330,
332,
36,
12
],
[
369,
332,
50,
12
],
[
421,
332,
10,
12
],
[
434,
332,
59,
12
],
[
495,
332,
59,
12
],
[
555,
332,
16,
12
],
[
76,
352,
31,
12
],
[
110,
352,
29,
12
],
[
141,
352,
4,
12
],
[
148,
352,
40,
12
],
[
190,
352,
4,
12
],
[
197,
352,
105,
12
],
[
304,
352,
33,
12
],
[
340,
352,
7,
12
],
[
349,
352,
29,
12
],
[
380,
352,
4,
12
],
[
386,
352,
152,
12
],
[
541,
352,
28,
12
],
[
571,
352,
44,
12
],
[
618,
352,
4,
12
],
[
625,
352,
123,
12
],
[
76,
366,
27,
12
],
[
106,
366,
33,
12
],
[
141,
366,
4,
12
],
[
148,
366,
109,
12
],
[
259,
366,
33,
12
],
[
295,
366,
10,
12
],
[
308,
366,
50,
12
],
[
360,
366,
4,
12
],
[
367,
366,
98,
12
],
[
467,
366,
30,
12
],
[
499,
366,
12,
12
],
[
513,
366,
28,
12
],
[
544,
366,
4,
12
],
[
550,
366,
143,
12
],
[
76,
379,
15,
11
],
[
93,
379,
29,
11
],
[
125,
379,
4,
11
],
[
131,
379,
105,
11
],
[
239,
379,
26,
11
],
[
267,
379,
34,
11
],
[
304,
379,
4,
11
],
[
310,
379,
131,
11
],
[
76,
395,
7,
12
],
[
85,
395,
73,
12
],
[
160,
395,
33,
12
],
[
76,
454,
45,
12
],
[
124,
454,
12,
12
],
[
138,
454,
49,
12
],
[
190,
454,
23,
12
],
[
76,
474,
66,
11
],
[
145,
474,
31,
11
],
[
178,
474,
25,
11
],
[
206,
473,
20,
12
],
[
238,
474,
128,
11
],
[
76,
493,
20,
11
],
[
98,
493,
28,
11
],
[
129,
493,
7,
11
],
[
139,
493,
38,
11
],
[
179,
493,
25,
11
],
[
207,
493,
248,
11
],
[
430,
454,
43,
12
],
[
475,
454,
6,
12
],
[
484,
454,
19,
12
],
[
505,
454,
23,
12
],
[
430,
467,
46,
11
],
[
478,
467,
12,
11
],
[
492,
467,
49,
11
],
[
544,
467,
23,
11
],
[
76,
513,
9,
12
],
[
87,
513,
23,
12
],
[
113,
513,
32,
12
],
[
147,
513,
10,
12
],
[
159,
513,
10,
12
],
[
172,
513,
36,
12
],
[
211,
513,
35,
12
],
[
248,
513,
35,
12
],
[
285,
513,
18,
12
],
[
76,
526,
20,
12
],
[
98,
526,
7,
12
],
[
108,
526,
11,
12
],
[
121,
526,
26,
12
],
[
150,
526,
32,
12
],
[
184,
526,
28,
12
],
[
215,
526,
49,
12
],
[
267,
526,
27,
12
],
[
296,
526,
15,
12
],
[
314,
526,
27,
12
],
[
343,
526,
10,
12
],
[
355,
526,
15,
12
],
[
373,
526,
39,
12
],
[
415,
526,
48,
12
],
[
465,
526,
51,
12
],
[
519,
526,
34,
12
],
[
555,
526,
202,
12
],
[
76,
539,
27,
12
],
[
106,
539,
35,
12
],
[
143,
539,
56,
12
],
[
201,
539,
18,
12
],
[
222,
539,
55,
12
],
[
279,
539,
16,
12
],
[
298,
539,
60,
12
],
[
361,
539,
8,
12
],
[
372,
539,
16,
12
],
[
390,
539,
39,
12
],
[
432,
539,
40,
12
],
[
475,
539,
15,
12
],
[
493,
539,
34,
12
],
[
529,
539,
24,
12
],
[
556,
539,
7,
12
],
[
565,
539,
39,
12
],
[
607,
539,
25,
12
],
[
96,
600,
61,
15
],
[
96,
620,
80,
14
],
[
180,
621,
22,
14
],
[
207,
621,
37,
14
],
[
248,
621,
11,
14
],
[
264,
621,
65,
14
],
[
333,
621,
57,
14
],
[
395,
621,
27,
14
],
[
427,
621,
19,
14
],
[
450,
621,
14,
14
],
[
468,
621,
41,
14
],
[
514,
621,
60,
14
],
[
578,
621,
13,
14
],
[
596,
621,
39,
14
],
[
639,
621,
11,
14
],
[
655,
621,
18,
14
],
[
677,
621,
55,
14
],
[
737,
621,
13,
14
],
[
96,
637,
33,
14
],
[
131,
637,
24,
14
],
[
158,
637,
41,
14
],
[
201,
637,
27,
14
],
[
230,
637,
39,
14
],
[
272,
637,
22,
14
],
[
296,
637,
41,
14
],
[
340,
637,
11,
14
],
[
353,
637,
43,
14
],
[
399,
637,
55,
14
],
[
457,
637,
32,
14
],
[
492,
637,
32,
14
],
[
526,
637,
6,
14
],
[
535,
637,
61,
14
],
[
598,
637,
17,
14
],
[
618,
637,
60,
14
],
[
681,
637,
25,
14
],
[
708,
637,
41,
14
],
[
96,
653,
24,
14
],
[
123,
653,
30,
14
],
[
156,
653,
26,
14
],
[
185,
653,
23,
14
],
[
212,
653,
12,
14
],
[
228,
653,
43,
14
],
[
275,
653,
18,
14
],
[
296,
653,
51,
14
],
[
351,
653,
36,
14
],
[
390,
653,
10,
14
],
[
404,
653,
6,
14
],
[
414,
653,
54,
14
],
[
471,
653,
38,
14
],
[
512,
653,
65,
14
],
[
580,
653,
57,
14
],
[
641,
653,
22,
14
],
[
667,
653,
11,
14
],
[
682,
653,
6,
14
],
[
692,
653,
58,
14
],
[
96,
670,
30,
14
],
[
130,
670,
20,
14
],
[
153,
670,
57,
14
],
[
214,
670,
68,
14
],
[
285,
670,
12,
14
],
[
301,
670,
45,
14
],
[
350,
670,
84,
14
],
[
438,
670,
46,
14
],
[
487,
670,
24,
14
],
[
515,
670,
22,
14
],
[
541,
670,
21,
14
],
[
566,
670,
58,
14
],
[
627,
670,
10,
14
],
[
641,
670,
30,
14
],
[
675,
670,
43,
14
],
[
722,
670,
28,
14
],
[
96,
686,
36,
14
],
[
135,
686,
10,
14
],
[
148,
686,
45,
14
],
[
96,
709,
59,
14
],
[
158,
709,
15,
14
],
[
177,
709,
40,
14
],
[
220,
709,
70,
14
],
[
294,
709,
20,
14
],
[
318,
709,
36,
14
],
[
357,
709,
10,
14
],
[
371,
709,
50,
14
],
[
424,
709,
46,
14
],
[
473,
709,
10,
14
],
[
487,
709,
18,
14
],
[
509,
709,
22,
14
],
[
534,
709,
29,
14
],
[
566,
709,
23,
14
],
[
593,
709,
6,
14
],
[
603,
709,
33,
14
],
[
639,
709,
75,
14
],
[
717,
709,
11,
14
],
[
732,
709,
18,
14
],
[
96,
725,
21,
14
],
[
120,
725,
11,
14
],
[
135,
725,
18,
14
],
[
156,
725,
67,
14
],
[
227,
725,
39,
14
],
[
270,
725,
32,
14
],
[
305,
725,
15,
14
],
[
323,
725,
18,
14
],
[
345,
725,
23,
14
],
[
371,
725,
56,
14
],
[
431,
725,
51,
14
],
[
485,
725,
46,
14
],
[
534,
725,
55,
14
],
[
592,
725,
34,
14
],
[
629,
725,
54,
14
],
[
686,
725,
63,
14
],
[
96,
742,
44,
14
],
[
144,
742,
13,
14
],
[
162,
742,
32,
14
],
[
198,
742,
8,
14
],
[
211,
742,
48,
14
],
[
263,
742,
15,
14
],
[
282,
742,
30,
14
],
[
316,
742,
37,
14
],
[
357,
742,
60,
14
],
[
422,
742,
80,
14
],
[
506,
742,
10,
14
],
[
521,
742,
46,
14
],
[
571,
742,
27,
14
],
[
602,
742,
56,
14
],
[
662,
742,
32,
14
],
[
699,
742,
51,
14
],
[
96,
758,
55,
14
],
[
154,
758,
24,
14
],
[
182,
758,
20,
14
],
[
206,
758,
61,
14
],
[
270,
758,
38,
14
],
[
312,
758,
65,
14
],
[
381,
758,
45,
14
],
[
430,
758,
11,
14
],
[
445,
758,
45,
14
],
[
494,
758,
20,
14
],
[
518,
758,
44,
14
],
[
566,
758,
58,
14
],
[
627,
758,
45,
14
],
[
675,
758,
29,
14
],
[
708,
758,
26,
14
],
[
737,
758,
12,
14
],
[
96,
774,
43,
14
],
[
142,
774,
43,
14
],
[
188,
774,
10,
14
],
[
202,
774,
56,
14
],
[
261,
774,
20,
14
],
[
284,
774,
43,
14
],
[
330,
774,
35,
14
],
[
368,
774,
62,
14
],
[
433,
774,
22,
14
],
[
459,
774,
39,
14
],
[
96,
798,
49,
14
],
[
148,
798,
51,
14
],
[
201,
798,
40,
14
],
[
244,
798,
42,
14
],
[
288,
798,
70,
14
],
[
361,
798,
20,
14
],
[
383,
798,
14,
14
],
[
400,
798,
44,
14
],
[
446,
798,
36,
14
],
[
485,
798,
75,
14
],
[
563,
798,
7,
14
],
[
572,
798,
8,
14
],
[
583,
798,
17,
14
],
[
603,
798,
40,
14
],
[
645,
798,
11,
14
],
[
659,
798,
22,
14
],
[
683,
798,
67,
14
],
[
96,
814,
44,
14
],
[
143,
814,
7,
14
],
[
153,
814,
8,
14
],
[
164,
814,
17,
14
],
[
184,
814,
40,
14
],
[
226,
814,
11,
14
],
[
241,
814,
22,
14
],
[
266,
814,
68,
14
],
[
337,
814,
58,
14
],
[
398,
814,
18,
14
],
[
419,
814,
78,
14
],
[
500,
814,
34,
14
],
[
536,
814,
29,
14
],
[
568,
814,
15,
14
],
[
585,
814,
60,
14
],
[
648,
814,
48,
14
],
[
699,
814,
38,
14
],
[
739,
814,
10,
14
],
[
96,
830,
30,
14
],
[
132,
830,
36,
14
],
[
174,
830,
17,
14
],
[
196,
830,
51,
14
],
[
253,
830,
55,
14
],
[
314,
830,
39,
14
],
[
358,
830,
25,
14
],
[
389,
830,
13,
14
],
[
408,
830,
58,
14
],
[
471,
830,
45,
14
],
[
522,
830,
33,
14
],
[
560,
830,
49,
14
],
[
615,
830,
20,
14
],
[
641,
830,
109,
14
],
[
96,
847,
55,
14
],
[
157,
847,
22,
14
],
[
185,
847,
39,
14
],
[
230,
847,
13,
14
],
[
249,
847,
55,
14
],
[
310,
847,
30,
14
],
[
346,
847,
44,
14
],
[
396,
847,
46,
14
],
[
449,
847,
67,
14
],
[
522,
847,
33,
14
],
[
561,
847,
49,
14
],
[
616,
847,
20,
14
],
[
642,
847,
107,
14
],
[
96,
863,
55,
14
],
[
154,
863,
22,
14
],
[
179,
863,
39,
14
],
[
221,
863,
12,
14
],
[
237,
863,
43,
14
],
[
283,
863,
40,
14
],
[
327,
863,
17,
14
],
[
347,
863,
23,
14
],
[
373,
863,
56,
14
],
[
433,
863,
20,
14
],
[
456,
863,
30,
14
],
[
490,
863,
70,
14
],
[
563,
863,
29,
14
],
[
595,
863,
59,
14
],
[
658,
863,
17,
14
],
[
678,
863,
36,
14
],
[
717,
863,
11,
14
],
[
732,
863,
18,
14
],
[
96,
879,
30,
14
],
[
131,
879,
52,
14
],
[
188,
879,
51,
14
],
[
244,
879,
20,
14
],
[
269,
879,
33,
14
],
[
307,
879,
55,
14
],
[
367,
879,
21,
14
],
[
393,
879,
53,
14
],
[
452,
879,
17,
14
],
[
474,
879,
23,
14
],
[
503,
879,
56,
14
],
[
564,
879,
55,
14
],
[
624,
879,
26,
14
],
[
656,
879,
33,
14
],
[
693,
879,
8,
14
],
[
707,
879,
43,
14
],
[
96,
896,
63,
14
],
[
162,
896,
24,
14
],
[
189,
896,
8,
14
],
[
201,
896,
27,
14
],
[
231,
896,
7,
14
],
[
241,
896,
8,
14
],
[
253,
896,
27,
14
],
[
283,
896,
22,
14
],
[
308,
896,
32,
14
],
[
344,
896,
8,
14
],
[
356,
896,
54,
14
],
[
414,
896,
30,
14
],
[
447,
896,
63,
14
],
[
514,
896,
24,
14
],
[
541,
896,
8,
14
],
[
552,
896,
31,
14
],
[
587,
896,
7,
14
],
[
597,
896,
8,
14
],
[
609,
896,
31,
14
],
[
96,
919,
74,
14
],
[
178,
919,
106,
14
],
[
291,
919,
55,
14
],
[
354,
919,
18,
14
],
[
379,
919,
53,
14
],
[
440,
919,
12,
14
],
[
460,
919,
14,
14
],
[
481,
919,
30,
14
],
[
519,
919,
65,
14
],
[
592,
919,
55,
14
],
[
654,
919,
22,
14
],
[
684,
919,
34,
14
],
[
725,
919,
24,
14
],
[
96,
935,
104,
14
],
[
202,
935,
58,
14
],
[
263,
935,
24,
14
],
[
290,
935,
64,
14
],
[
357,
935,
21,
14
],
[
381,
935,
57,
14
],
[
441,
935,
13,
14
],
[
457,
935,
18,
14
],
[
478,
935,
44,
14
],
[
525,
935,
24,
14
],
[
551,
935,
42,
14
],
[
596,
935,
13,
14
],
[
612,
935,
77,
14
],
[
692,
935,
11,
14
],
[
707,
935,
18,
14
],
[
728,
935,
22,
14
],
[
96,
951,
39,
14
],
[
140,
951,
24,
14
],
[
169,
951,
41,
14
],
[
216,
951,
51,
14
],
[
273,
951,
75,
14
],
[
354,
951,
18,
14
],
[
377,
951,
49,
14
],
[
432,
951,
11,
14
],
[
449,
951,
18,
14
],
[
472,
951,
23,
14
],
[
501,
951,
12,
14
],
[
519,
951,
39,
14
],
[
563,
951,
22,
14
],
[
591,
951,
36,
14
],
[
632,
951,
10,
14
],
[
648,
951,
33,
14
],
[
686,
951,
11,
14
],
[
703,
951,
47,
14
],
[
96,
968,
70,
14
],
[
170,
968,
48,
14
],
[
221,
968,
48,
14
],
[
273,
968,
35,
14
],
[
312,
968,
24,
14
],
[
341,
968,
60,
14
],
[
405,
968,
10,
14
],
[
419,
968,
30,
14
],
[
454,
968,
39,
14
],
[
497,
968,
24,
14
],
[
525,
968,
30,
14
],
[
559,
968,
53,
14
],
[
616,
968,
18,
14
],
[
639,
968,
19,
14
],
[
662,
968,
11,
14
],
[
677,
968,
72,
14
],
[
96,
984,
43,
14
],
[
142,
984,
56,
14
],
[
201,
984,
12,
14
],
[
217,
984,
45,
14
],
[
265,
984,
54,
14
],
[
323,
984,
57,
14
],
[
383,
984,
38,
14
],
[
425,
984,
10,
14
],
[
438,
984,
85,
14
],
[
527,
984,
30,
14
],
[
698,
1052,
30,
13
],
[
731,
1052,
7,
13
],
[
741,
1052,
11,
13
],
[
755,
1052,
14,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"Implementation",
"Science",
"Research",
"article",
"Explaining",
"the",
"effects",
"of",
"an",
"intervention",
"designed",
"to",
"promote",
"evidence-based",
"diabetes",
"care:",
"a",
"theory-based",
"process",
"evaluation",
"of",
"a",
"pragmatic",
"cluster",
"randomised",
"controlled",
"trial",
"Jillian",
"J",
"Francis*1,",
"Martin",
"P",
"Eccles2,",
"Marie",
"Johnston3,",
"Paula",
"Whitty2,",
"Jeremy",
"M",
"Grimshaw4,",
"Eileen",
"FS",
"Kaner5,",
"Liz",
"Smith6",
"and",
"Anne",
"Walker1",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Health",
"Services",
"Research",
"Unit,",
"University",
"of",
"Aberdeen,",
"Aberdeen,",
"UK,",
"2Institute",
"of",
"Health",
"and",
"Society,",
"Newcastle",
"University,",
"Newcastle",
"upon",
"Tyne,",
"UK,",
"3College",
"of",
"Life",
"Sciences",
"and",
"Medicine,",
"University",
"of",
"Aberdeen,",
"Aberdeen,",
"UK,",
"4Clinical",
"Epidemiology",
"Program,",
"Ottawa",
"Health",
"Research",
"Institute",
"and",
"Department",
"of",
"Medicine,",
"University",
"of",
"Ottawa,",
"Ontario,",
"Canada,",
"5Faculty",
"of",
"Medical",
"Sciences,",
"Newcastle",
"University,",
"Newcastle",
"upon",
"Tyne,",
"UK",
"and",
"6Manchester",
"Business",
"School,",
"University",
"of",
"Manchester,",
"Manchester,",
"UK",
"Email:",
"Jillian",
"J",
"Francis*",
"-",
"j.francis@abdn.ac.uk;",
"Martin",
"P",
"Eccles",
"-",
"Martin.Eccles@newcastle.ac.uk;",
"Marie",
"Johnston",
"-",
"m.johnston@abdn.ac.uk;",
"Paula",
"Whitty",
"-",
"p.m.whitty@ncl.ac.uk;",
"Jeremy",
"M",
"Grimshaw",
"-",
"jgrimshaw@ohri.ca;",
"Eileen",
"FS",
"Kaner",
"-",
"E.F.S.Kaner@newcastle.ac.uk;",
"Liz",
"Smith",
"-",
"liz.smith@mbs.ac.uk;",
"Anne",
"Walker",
"-",
"anne_walker@yahoo.co.uk",
"*",
"Corresponding",
"author",
"Published:",
"19",
"November",
"2008",
"Implementation",
"Science",
"2008,",
"3:50",
"doi:10.1186/1748-5908-3-50",
"This",
"article",
"is",
"available",
"from:",
"http://www.implementationscience.com/content/3/1/50",
"Received:",
"1",
"May",
"2006",
"Accepted:",
"19",
"November",
"2008",
"©",
"2008",
"Francis",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"The",
"results",
"of",
"randomised",
"controlled",
"trials",
"can",
"be",
"usefully",
"illuminated",
"by",
"studies",
"of",
"the",
"processes",
"by",
"which",
"they",
"achieve",
"their",
"effects.",
"The",
"Theory",
"of",
"Planned",
"Behaviour",
"(TPB)",
"offers",
"a",
"framework",
"for",
"conducting",
"such",
"studies.",
"This",
"study",
"used",
"TPB",
"to",
"explore",
"the",
"observed",
"effects",
"in",
"a",
"pragmatic",
"cluster",
"randomised",
"controlled",
"trial",
"of",
"a",
"structured",
"recall",
"and",
"prompting",
"intervention",
"to",
"increase",
"evidence-based",
"diabetes",
"care",
"that",
"was",
"conducted",
"in",
"three",
"Primary",
"Care",
"Trusts",
"in",
"England.",
"Methods:",
"All",
"general",
"practitioners",
"and",
"nurses",
"in",
"practices",
"involved",
"in",
"the",
"trial",
"were",
"sent",
"a",
"postal",
"questionnaire",
"at",
"the",
"end",
"of",
"the",
"intervention",
"period,",
"based",
"on",
"the",
"TPB",
"(predictor",
"variables:",
"attitude;",
"subjective",
"norm;",
"perceived",
"behavioural",
"control,",
"or",
"PBC).",
"It",
"focussed",
"on",
"three",
"clinical",
"behaviours",
"recommended",
"in",
"diabetes",
"care:",
"measuring",
"blood",
"pressure;",
"inspecting",
"feet;",
"and",
"prescribing",
"statins.",
"Multivariate",
"analyses",
"of",
"variance",
"and",
"multiple",
"regression",
"analyses",
"were",
"used",
"to",
"explore",
"changes",
"in",
"cognitions",
"and",
"thereby",
"better",
"understand",
"trial",
"effects.",
"Results:",
"Fifty-nine",
"general",
"medical",
"practitioners",
"and",
"53",
"practice",
"nurses",
"(intervention:",
"n",
"=",
"55,",
"41.98%",
"of",
"trial",
"participants;",
"control:",
"n",
"=",
"57,",
"38.26%",
"of",
"trial",
"participants)",
"completed",
"the",
"questionnaire.",
"There",
"were",
"no",
"differences",
"between",
"groups",
"in",
"mean",
"scores",
"for",
"attitudes,",
"subjective",
"norms,",
"PBC",
"or",
"intentions.",
"Control",
"group",
"clinicians",
"had",
"'normatively-driven'",
"intentions",
"(i.e.,",
"related",
"to",
"subjective",
"norm",
"scores),",
"whereas",
"intervention",
"group",
"clinicians",
"had",
"'attitudinally-driven'",
"intentions",
"(i.e.,",
"related",
"to",
"attitude",
"scores)",
"for",
"foot",
"inspection",
"and",
"statin",
"prescription.",
"After",
"controlling",
"for",
"effects",
"of",
"the",
"three",
"predictor",
"variables,",
"this",
"group",
"difference",
"was",
"significant",
"for",
"foot",
"inspection",
"behaviour",
"(trial",
"group",
"×",
"attitude",
"interaction,",
"beta",
"=",
"0.72,",
"p",
"<",
"0.05;",
"trial",
"group",
"×",
"subjective",
"norm",
"interaction,",
"beta",
"=",
"-0.65,",
"p",
"<",
"0.05).",
"Conclusion:",
"Attitudinally-driven",
"intentions",
"are",
"proposed",
"to",
"be",
"more",
"consistently",
"translated",
"into",
"action",
"than",
"normatively-driven",
"intentions.",
"This",
"proposition",
"was",
"supported",
"by",
"the",
"findings,",
"thus",
"offering",
"an",
"interpretation",
"of",
"the",
"trial",
"effects.",
"This",
"analytic",
"approach",
"demonstrates",
"the",
"potential",
"of",
"the",
"TPB",
"to",
"explain",
"trial",
"effects",
"in",
"terms",
"of",
"different",
"relationships",
"between",
"variables",
"rather",
"than",
"differences",
"in",
"mean",
"scores.",
"This",
"study",
"illustrates",
"the",
"use",
"of",
"theory-based",
"process",
"evaluation",
"to",
"uncover",
"processes",
"underlying",
"change",
"in",
"implementation",
"trials.",
"Page",
"1",
"of",
"11",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,222,057 | null | [
[
78,
47,
40,
12
],
[
121,
47,
9,
12
],
[
133,
47,
11,
12
],
[
147,
47,
31,
12
],
[
182,
47,
21,
12
],
[
206,
47,
25,
12
],
[
234,
47,
32,
12
],
[
78,
61,
174,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
165,
34
],
[
254,
169,
94,
34
],
[
358,
169,
121,
34
],
[
489,
169,
96,
34
],
[
595,
169,
19,
34
],
[
624,
169,
74,
34
],
[
78,
205,
51,
34
],
[
139,
205,
44,
34
],
[
193,
205,
75,
34
],
[
278,
205,
27,
34
],
[
315,
205,
148,
34
],
[
473,
205,
51,
34
],
[
533,
205,
155,
34
],
[
698,
205,
47,
34
],
[
78,
241,
139,
34
],
[
227,
241,
35,
34
],
[
272,
241,
105,
34
],
[
387,
241,
27,
34
],
[
424,
241,
155,
34
],
[
590,
241,
129,
34
],
[
78,
277,
51,
34
],
[
139,
277,
141,
34
],
[
290,
277,
25,
34
],
[
325,
277,
143,
34
],
[
478,
277,
131,
34
],
[
78,
324,
46,
16
],
[
129,
324,
10,
16
],
[
143,
321,
62,
19
],
[
209,
324,
17,
16
],
[
230,
321,
41,
19
],
[
276,
324,
47,
16
],
[
328,
321,
31,
19
],
[
363,
324,
39,
16
],
[
406,
321,
51,
19
],
[
462,
324,
35,
16
],
[
502,
321,
39,
19
],
[
545,
324,
53,
16
],
[
603,
321,
39,
19
],
[
78,
343,
37,
16
],
[
120,
340,
62,
19
],
[
87,
397,
54,
15
],
[
87,
423,
78,
14
],
[
170,
423,
32,
14
],
[
205,
423,
17,
14
],
[
227,
423,
15,
14
],
[
246,
423,
55,
14
],
[
305,
423,
25,
14
],
[
334,
423,
15,
14
],
[
353,
423,
19,
14
],
[
376,
423,
32,
14
],
[
413,
423,
11,
14
],
[
428,
423,
70,
14
],
[
503,
423,
51,
14
],
[
558,
423,
40,
14
],
[
602,
423,
8,
14
],
[
615,
423,
30,
14
],
[
649,
423,
11,
14
],
[
664,
423,
60,
14
],
[
87,
439,
55,
14
],
[
147,
439,
23,
14
],
[
174,
439,
22,
14
],
[
200,
439,
15,
14
],
[
219,
439,
25,
14
],
[
248,
439,
15,
14
],
[
267,
439,
19,
14
],
[
290,
439,
31,
14
],
[
325,
439,
11,
14
],
[
341,
439,
65,
14
],
[
411,
439,
19,
14
],
[
434,
439,
58,
14
],
[
496,
439,
33,
14
],
[
533,
439,
31,
14
],
[
568,
439,
11,
14
],
[
583,
439,
46,
14
],
[
634,
439,
12,
14
],
[
650,
439,
63,
14
],
[
87,
456,
27,
14
],
[
118,
456,
64,
14
],
[
87,
476,
56,
14
],
[
148,
476,
11,
14
],
[
163,
476,
20,
14
],
[
187,
476,
72,
14
],
[
263,
476,
38,
14
],
[
304,
476,
23,
14
],
[
332,
476,
14,
14
],
[
349,
476,
45,
14
],
[
398,
476,
25,
14
],
[
427,
476,
58,
14
],
[
490,
476,
69,
14
],
[
563,
476,
83,
14
],
[
650,
476,
31,
14
],
[
87,
493,
64,
14
],
[
155,
493,
14,
14
],
[
173,
493,
40,
14
],
[
217,
493,
25,
14
],
[
246,
493,
7,
14
],
[
257,
493,
37,
14
],
[
299,
493,
29,
14
],
[
332,
493,
39,
14
],
[
375,
493,
11,
14
],
[
390,
493,
62,
14
],
[
457,
493,
30,
14
],
[
491,
493,
26,
14
],
[
521,
493,
28,
14
],
[
553,
493,
67,
14
],
[
624,
493,
12,
14
],
[
640,
493,
39,
14
],
[
683,
493,
51,
14
],
[
87,
510,
7,
14
],
[
98,
510,
44,
14
],
[
146,
510,
65,
14
],
[
215,
510,
44,
14
],
[
264,
510,
11,
14
],
[
279,
510,
9,
14
],
[
293,
510,
16,
14
],
[
313,
510,
16,
14
],
[
333,
510,
12,
14
],
[
349,
510,
14,
14
],
[
367,
509,
64,
15
],
[
435,
510,
11,
14
],
[
451,
510,
26,
14
],
[
481,
510,
12,
14
],
[
497,
510,
7,
14
],
[
507,
510,
47,
14
],
[
559,
510,
33,
14
],
[
595,
510,
45,
14
],
[
645,
510,
28,
14
],
[
676,
510,
35,
14
],
[
87,
526,
36,
14
],
[
128,
526,
42,
14
],
[
174,
526,
25,
14
],
[
203,
526,
47,
14
],
[
254,
526,
25,
14
],
[
283,
526,
10,
14
],
[
297,
526,
7,
14
],
[
308,
526,
21,
14
],
[
334,
526,
14,
14
],
[
352,
526,
31,
14
],
[
388,
526,
14,
14
],
[
406,
526,
19,
14
],
[
429,
526,
22,
14
],
[
455,
526,
11,
14
],
[
471,
526,
19,
14
],
[
493,
526,
44,
14
],
[
542,
526,
42,
14
],
[
588,
526,
21,
14
],
[
614,
526,
15,
14
],
[
633,
526,
55,
14
],
[
693,
526,
25,
14
],
[
722,
526,
10,
14
],
[
87,
543,
9,
14
],
[
101,
543,
9,
14
],
[
114,
543,
7,
14
],
[
126,
543,
22,
14
],
[
151,
543,
9,
14
],
[
87,
564,
46,
14
],
[
137,
564,
30,
14
],
[
171,
564,
70,
14
],
[
246,
564,
40,
14
],
[
290,
564,
51,
14
],
[
345,
564,
40,
14
],
[
389,
564,
8,
14
],
[
402,
564,
31,
14
],
[
436,
564,
31,
14
],
[
471,
564,
28,
14
],
[
503,
564,
23,
14
],
[
530,
564,
9,
14
],
[
543,
564,
23,
14
],
[
570,
564,
34,
14
],
[
608,
564,
35,
14
],
[
647,
564,
12,
14
],
[
663,
564,
23,
14
],
[
690,
564,
38,
14
],
[
87,
580,
21,
14
],
[
113,
580,
53,
14
],
[
170,
580,
11,
14
],
[
185,
580,
19,
14
],
[
208,
580,
30,
14
],
[
242,
580,
32,
14
],
[
278,
580,
11,
14
],
[
293,
580,
19,
14
],
[
316,
580,
45,
14
],
[
365,
580,
36,
14
],
[
405,
580,
23,
14
],
[
432,
580,
31,
14
],
[
467,
580,
11,
14
],
[
482,
580,
44,
14
],
[
531,
580,
40,
14
],
[
575,
580,
25,
14
],
[
604,
580,
25,
14
],
[
634,
580,
28,
14
],
[
666,
580,
29,
14
],
[
699,
580,
9,
14
],
[
712,
580,
23,
14
],
[
87,
597,
36,
14
],
[
128,
597,
29,
14
],
[
161,
597,
9,
14
],
[
174,
597,
23,
14
],
[
201,
597,
36,
14
],
[
242,
597,
29,
14
],
[
275,
597,
9,
14
],
[
288,
597,
23,
14
],
[
315,
597,
37,
14
],
[
356,
597,
21,
14
],
[
381,
597,
29,
14
],
[
415,
597,
9,
14
],
[
428,
597,
30,
14
],
[
461,
597,
34,
14
],
[
500,
597,
11,
14
],
[
515,
597,
45,
14
],
[
563,
597,
40,
14
],
[
607,
597,
25,
14
],
[
636,
597,
9,
14
],
[
650,
597,
16,
14
],
[
670,
597,
16,
14
],
[
690,
597,
21,
14
],
[
87,
614,
14,
14
],
[
105,
613,
64,
15
],
[
173,
614,
28,
14
],
[
205,
614,
68,
14
],
[
277,
614,
11,
14
],
[
292,
614,
45,
14
],
[
341,
614,
25,
14
],
[
370,
614,
7,
14
],
[
381,
614,
46,
14
],
[
431,
614,
26,
14
],
[
460,
614,
15,
14
],
[
480,
614,
30,
14
],
[
514,
614,
55,
14
],
[
574,
614,
7,
14
],
[
585,
614,
25,
14
],
[
614,
614,
26,
14
],
[
644,
614,
11,
14
],
[
660,
614,
31,
14
],
[
695,
614,
29,
14
],
[
87,
630,
55,
14
],
[
146,
630,
22,
14
],
[
172,
630,
63,
14
],
[
239,
630,
25,
14
],
[
268,
630,
44,
14
],
[
317,
630,
45,
14
],
[
365,
630,
11,
14
],
[
380,
630,
7,
14
],
[
391,
630,
30,
14
],
[
425,
630,
29,
14
],
[
458,
630,
27,
14
],
[
489,
630,
11,
14
],
[
504,
630,
40,
14
],
[
548,
630,
31,
14
],
[
583,
630,
48,
14
],
[
635,
630,
22,
14
],
[
661,
630,
62,
14
],
[
87,
647,
29,
14
],
[
120,
647,
68,
14
],
[
192,
647,
49,
14
],
[
246,
647,
30,
14
],
[
280,
647,
33,
14
],
[
317,
647,
57,
14
],
[
378,
647,
12,
14
],
[
394,
647,
62,
14
],
[
461,
647,
33,
14
],
[
498,
647,
31,
14
],
[
534,
647,
22,
14
],
[
560,
647,
7,
14
],
[
570,
647,
40,
14
],
[
614,
647,
40,
14
],
[
659,
647,
11,
14
],
[
674,
647,
40,
14
],
[
87,
663,
31,
14
],
[
123,
663,
48,
14
],
[
175,
663,
25,
14
],
[
204,
663,
21,
14
],
[
230,
663,
91,
14
],
[
325,
663,
47,
14
],
[
376,
663,
48,
14
],
[
428,
663,
32,
14
],
[
464,
663,
11,
14
],
[
479,
663,
50,
14
],
[
534,
663,
12,
14
],
[
550,
663,
55,
14
],
[
609,
663,
25,
14
],
[
638,
663,
62,
14
],
[
704,
663,
9,
14
],
[
87,
680,
28,
14
],
[
119,
680,
25,
14
],
[
148,
680,
15,
14
],
[
168,
680,
50,
14
],
[
222,
680,
11,
14
],
[
238,
680,
7,
14
],
[
249,
680,
48,
14
],
[
300,
680,
77,
14
],
[
382,
680,
31,
14
],
[
417,
680,
11,
14
],
[
433,
680,
19,
14
],
[
456,
680,
57,
14
],
[
87,
701,
75,
14
],
[
167,
701,
11,
14
],
[
182,
701,
45,
14
],
[
230,
701,
25,
14
],
[
259,
701,
31,
14
],
[
294,
701,
64,
14
],
[
362,
701,
14,
14
],
[
380,
701,
71,
14
],
[
455,
701,
23,
14
],
[
482,
701,
31,
14
],
[
517,
701,
17,
14
],
[
538,
701,
23,
14
],
[
566,
701,
25,
14
],
[
595,
701,
44,
14
],
[
644,
701,
53,
14
],
[
701,
701,
19,
14
],
[
87,
717,
53,
14
],
[
145,
717,
11,
14
],
[
160,
717,
29,
14
],
[
193,
717,
57,
14
],
[
87,
738,
26,
14
],
[
118,
738,
73,
14
],
[
195,
738,
93,
14
],
[
292,
738,
76,
14
],
[
78,
784,
80,
15
],
[
78,
801,
54,
14
],
[
136,
801,
41,
14
],
[
182,
801,
10,
14
],
[
196,
801,
43,
14
],
[
243,
801,
32,
14
],
[
279,
801,
66,
14
],
[
349,
801,
14,
14
],
[
367,
801,
37,
14
],
[
78,
818,
37,
14
],
[
120,
818,
41,
14
],
[
165,
818,
16,
14
],
[
187,
818,
22,
14
],
[
214,
818,
31,
14
],
[
250,
818,
20,
14
],
[
275,
818,
72,
14
],
[
352,
818,
12,
14
],
[
368,
818,
35,
14
],
[
78,
834,
30,
14
],
[
112,
834,
44,
14
],
[
160,
834,
18,
14
],
[
183,
834,
41,
14
],
[
228,
834,
11,
14
],
[
244,
834,
18,
14
],
[
266,
834,
36,
14
],
[
307,
834,
49,
14
],
[
360,
834,
21,
14
],
[
385,
834,
18,
14
],
[
78,
851,
69,
14
],
[
154,
851,
12,
14
],
[
173,
851,
36,
14
],
[
216,
851,
20,
14
],
[
243,
851,
75,
14
],
[
325,
851,
12,
14
],
[
344,
851,
37,
14
],
[
387,
851,
17,
14
],
[
78,
868,
44,
14
],
[
127,
868,
18,
14
],
[
149,
868,
41,
14
],
[
195,
868,
12,
14
],
[
211,
868,
18,
14
],
[
233,
868,
91,
14
],
[
329,
868,
49,
14
],
[
382,
868,
21,
14
],
[
78,
884,
19,
14
],
[
102,
884,
66,
14
],
[
172,
884,
12,
14
],
[
189,
884,
59,
14
],
[
253,
884,
28,
14
],
[
286,
884,
73,
14
],
[
364,
884,
40,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
111,
11
],
[
78,
936,
8,
13
],
[
89,
937,
51,
11
],
[
143,
937,
9,
11
],
[
155,
937,
40,
11
],
[
198,
937,
41,
11
],
[
242,
937,
33,
11
],
[
277,
937,
28,
11
],
[
308,
937,
47,
11
],
[
358,
937,
35,
11
],
[
78,
950,
26,
11
],
[
107,
950,
19,
11
],
[
130,
950,
47,
11
],
[
180,
950,
37,
11
],
[
220,
950,
38,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
785,
19,
14
],
[
446,
785,
46,
14
],
[
497,
785,
12,
14
],
[
513,
785,
56,
14
],
[
574,
785,
22,
14
],
[
600,
785,
33,
14
],
[
638,
785,
61,
14
],
[
704,
784,
12,
14
],
[
721,
784,
27,
14
],
[
423,
801,
42,
14
],
[
469,
801,
10,
14
],
[
482,
801,
9,
14
],
[
496,
801,
51,
14
],
[
551,
801,
14,
14
],
[
569,
801,
18,
14
],
[
591,
801,
157,
14
],
[
423,
818,
53,
14
],
[
480,
818,
35,
14
],
[
519,
818,
34,
14
],
[
558,
818,
31,
14
],
[
594,
818,
55,
14
],
[
654,
818,
32,
14
],
[
690,
818,
12,
14
],
[
706,
818,
41,
14
],
[
423,
834,
63,
14
],
[
490,
834,
15,
14
],
[
510,
834,
33,
14
],
[
547,
834,
76,
14
],
[
628,
834,
45,
14
],
[
677,
834,
12,
14
],
[
693,
834,
55,
14
],
[
423,
851,
13,
14
],
[
442,
851,
106,
14
],
[
554,
851,
24,
14
],
[
585,
851,
49,
14
],
[
640,
851,
20,
14
],
[
667,
851,
63,
14
],
[
736,
851,
12,
14
],
[
423,
868,
59,
14
],
[
487,
868,
30,
14
],
[
524,
868,
7,
14
],
[
536,
868,
82,
14
],
[
624,
868,
13,
14
],
[
643,
868,
15,
14
],
[
664,
868,
84,
14
],
[
423,
884,
44,
14
],
[
472,
884,
19,
14
],
[
495,
884,
13,
14
],
[
512,
884,
48,
14
],
[
565,
884,
12,
14
],
[
582,
884,
14,
14
],
[
600,
884,
37,
14
],
[
642,
884,
15,
14
],
[
661,
884,
33,
14
],
[
699,
884,
49,
14
],
[
423,
901,
25,
14
],
[
453,
901,
65,
14
],
[
524,
901,
56,
14
],
[
585,
901,
45,
14
],
[
637,
901,
10,
14
],
[
652,
901,
33,
14
],
[
690,
901,
40,
14
],
[
735,
901,
13,
14
],
[
423,
917,
20,
14
],
[
449,
917,
70,
14
],
[
525,
917,
45,
14
],
[
576,
917,
10,
14
],
[
592,
917,
52,
14
],
[
651,
917,
49,
14
],
[
706,
917,
42,
14
],
[
423,
934,
18,
14
],
[
446,
934,
114,
14
],
[
565,
934,
58,
14
],
[
629,
934,
47,
14
],
[
682,
934,
54,
14
],
[
741,
934,
7,
14
],
[
423,
950,
40,
14
],
[
468,
950,
12,
14
],
[
485,
950,
86,
14
],
[
575,
950,
45,
14
],
[
625,
950,
62,
14
],
[
691,
950,
57,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
33,
10
],
[
310,
987,
8,
10
],
[
320,
987,
10,
10
],
[
332,
987,
30,
10
],
[
364,
987,
29,
10
],
[
394,
987,
27,
10
],
[
423,
987,
14,
10
],
[
439,
987,
15,
10
],
[
456,
987,
6,
10
],
[
464,
987,
10,
10
],
[
475,
987,
20,
10
],
[
497,
987,
24,
10
],
[
523,
987,
23,
10
],
[
547,
987,
41,
10
],
[
590,
987,
23,
10
],
[
614,
987,
13,
10
],
[
629,
987,
22,
10
],
[
652,
987,
8,
10
],
[
662,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Dempfle",
"et",
"al.",
"Critical",
"Care",
"2011,",
"15:R23",
"http://ccforum.com/content/15/1/R23",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"Open",
"Access",
"Endogenous",
"plasma",
"activated",
"protein",
"C",
"levels",
"and",
"the",
"effect",
"of",
"enoxaparin",
"and",
"drotrecogin",
"alfa",
"(activated)",
"on",
"markers",
"of",
"coagulation",
"activation",
"and",
"fibrinolysis",
"in",
"pulmonary",
"embolism",
"Carl-Erik",
"H",
"Dempfle1*,",
"Elif",
"Elmas1,",
"Andreas",
"Link2,",
"Nenad",
"Suvajac1,",
"Volker",
"Liebe1,",
"Jonathan",
"Janes3,",
"Martin",
"Borggrefe1",
"Abstract",
"Introduction:",
"There",
"are",
"no",
"published",
"data",
"on",
"the",
"status",
"of",
"endogenous",
"activated",
"protein",
"C",
"(APC)",
"in",
"pulmonary",
"embolism",
"(PE),",
"and",
"no",
"data",
"on",
"the",
"effect",
"of",
"drotrecogin",
"alfa",
"(activated)",
"(DAA)",
"given",
"in",
"addition",
"to",
"therapeutic",
"dose",
"enoxaparin.",
"Methods:",
"In",
"this",
"double-blind",
"clinical",
"trial,",
"47",
"patients",
"with",
"computed",
"tomography",
"(CT)-confirmed",
"acute",
"submassive",
"PE",
"treated",
"with",
"1",
"mg/kg",
"body",
"weight",
"of",
"enoxaparin",
"twice",
"daily",
"were",
"randomized",
"to",
"groups",
"receiving",
"a",
"12-hour",
"intravenous",
"infusion",
"of",
"6,",
"12,",
"18,",
"or",
"24",
"μg/kg/hour",
"of",
"DAA",
"or",
"a",
"placebo.",
"Blood",
"samples",
"were",
"drawn",
"before",
"starting",
"DAA",
"infusion,",
"after",
"4,",
"8",
"and",
"12",
"hours",
"(at",
"the",
"end",
"of",
"the",
"infusion",
"period),",
"and",
"on",
"treatment",
"days",
"2,",
"3,",
"4,",
"5",
"and",
"6.",
"Results:",
"Initial",
"endogenous",
"plasma",
"activated",
"protein",
"C",
"(APC)",
"levels",
"were",
"0.36",
"±",
"0.48",
"ng/ml",
"(<0.10",
"to",
"1.72",
"ng/ml)",
"and",
"remained",
"in",
"the",
"same",
"range",
"in",
"the",
"placebo",
"group.",
"APC",
"levels",
"in",
"patients",
"treated",
"with",
"DAA",
"were",
"13.67",
"±",
"3.57",
"ng/ml,",
"32.71",
"±",
"8.76",
"ng/ml,",
"36.13",
"±",
"7.60",
"ng/ml,",
"and",
"51.79",
"±",
"15.84",
"ng/ml",
"in",
"patients",
"treated",
"with",
"6,",
"12,",
"18,",
"and",
"24",
"μg/kg/hour",
"DAA,",
"respectively.",
"In",
"patients",
"with",
"a",
"D-dimer",
"level",
">4",
"mg/L",
"indicating",
"a",
"high",
"level",
"of",
"acute",
"fibrin",
"formation",
"and",
"dissolution,",
"DAA",
"infusion",
"resulted",
"in",
"a",
"more",
"rapid",
"drop",
"in",
"soluble",
"fibrin,",
"D-dimer,",
"and",
"fibrinogen/",
"fibrin",
"degradation",
"products",
"(FDP)",
"levels,",
"compared",
"to",
"enoxaparin",
"alone.",
"There",
"was",
"a",
"parallel",
"decline",
"of",
"soluble",
"fibrin,",
"D-dimer,",
"FDP,",
"and",
"plasmin-plasmin",
"inhibitor",
"complex",
"(PPIC)",
"in",
"response",
"to",
"treatment",
"with",
"enoxaparin",
"±",
"DAA,",
"with",
"no",
"evidence",
"of",
"a",
"systemic",
"profibrinolytic",
"effect",
"of",
"the",
"treatment.",
"Conclusions:",
"In",
"patients",
"with",
"acute",
"submassive",
"PE",
"endogenous",
"APC",
"levels",
"are",
"low.",
"DAA",
"infusion",
"enhances",
"the",
"inhibition",
"of",
"fibrin",
"formation.",
"Trial",
"registration:",
"ClinicalTrials.gov:",
"NCT00191724",
"Introduction",
"Activated",
"protein",
"C",
"inhibits",
"blood",
"coagulation",
"by",
"inacti-",
"vating",
"factors",
"Va",
"and",
"VIIIa",
"[1].",
"Inactivation",
"of",
"factor",
"VIIIa",
"reduces",
"the",
"activity",
"of",
"the",
"tenase",
"complex",
"and",
"the",
"production",
"of",
"factor",
"Xa.",
"Inactivation",
"of",
"factor",
"Va",
"reduces",
"the",
"activity",
"of",
"the",
"prothrombinase",
"complex",
"and",
"the",
"production",
"of",
"thrombin.",
"Both",
"mechanisms",
"reduce",
"*",
"Correspondence:",
"carl-erik.dempfle@umm.de",
"1I.",
"Department",
"of",
"Medicine,",
"University",
"Medical",
"Center",
"Mannheim,",
"Theodor",
"Kutzer",
"Ufer,",
"Mannheim,",
"D-68167,",
"Germany",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"the",
"amount",
"of",
"thrombin",
"and",
"fibrin",
"generated.",
"In",
"vivo,",
"protein",
"C",
"is",
"activated",
"by",
"the",
"thrombin-thrombomodulin",
"complex,",
"which",
"forms",
"when",
"thrombin",
"binds",
"to",
"throm-",
"bomodulin",
"on",
"intact",
"endothelium.",
"Binding",
"of",
"thrombin",
"to",
"thrombomodulin",
"also",
"changes",
"the",
"specificity",
"of",
"thrombin",
"from",
"a",
"procoagulant",
"to",
"an",
"anticoagulant",
"enzyme",
"[2].",
"In",
"addition",
"to",
"its",
"effects",
"on",
"blood",
"coagula-",
"tion",
"activation,",
"activated",
"protein",
"C",
"when",
"bound",
"to",
"the",
"endothelial",
"protein",
"C",
"receptor",
"(EPCR),",
"activa-",
"tes",
"protease-activated",
"receptors",
"(PARs),",
"inducing",
"a",
"variety",
"of",
"cytoprotective",
"cellular",
"responses,",
"including",
"©",
"2011",
"Dempfle",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,276,338 | null | [
[
63,
43,
116,
18
],
[
63,
85,
104,
25
],
[
172,
85,
19,
25
],
[
197,
85,
59,
25
],
[
262,
85,
83,
25
],
[
352,
85,
56,
25
],
[
414,
85,
65,
25
],
[
485,
85,
45,
25
],
[
536,
85,
38,
25
],
[
581,
85,
46,
25
],
[
633,
85,
24,
25
],
[
63,
114,
142,
25
],
[
211,
114,
14,
25
],
[
231,
114,
79,
25
],
[
63,
160,
36,
14
],
[
102,
160,
62,
14
],
[
166,
160,
12,
14
],
[
181,
160,
68,
14
],
[
252,
160,
55,
14
],
[
309,
160,
35,
14
],
[
346,
160,
48,
14
],
[
398,
160,
25,
14
],
[
427,
160,
58,
14
],
[
488,
160,
52,
14
],
[
62,
184,
41,
10
],
[
105,
184,
21,
10
],
[
128,
184,
52,
10
],
[
183,
184,
9,
10
],
[
194,
184,
33,
10
],
[
229,
184,
43,
10
],
[
273,
184,
30,
10
],
[
306,
184,
43,
10
],
[
351,
184,
38,
10
],
[
391,
184,
33,
10
],
[
426,
184,
18,
10
],
[
608,
32,
47,
12
],
[
657,
32,
51,
12
],
[
600,
44,
41,
10
],
[
643,
44,
10,
10
],
[
655,
44,
32,
10
],
[
689,
44,
19,
10
],
[
589,
54,
15,
10
],
[
606,
54,
102,
10
],
[
63,
223,
30,
10
],
[
95,
223,
14,
10
],
[
63,
236,
35,
10
],
[
99,
236,
32,
10
],
[
134,
236,
33,
10
],
[
169,
236,
38,
10
],
[
63,
250,
18,
10
],
[
63,
267,
45,
10
],
[
110,
267,
14,
10
],
[
62,
280,
23,
10
],
[
87,
280,
32,
10
],
[
121,
280,
35,
10
],
[
158,
280,
43,
10
],
[
204,
280,
9,
10
],
[
63,
293,
29,
10
],
[
94,
293,
19,
10
],
[
63,
306,
37,
10
],
[
102,
306,
50,
10
],
[
154,
306,
35,
10
],
[
63,
320,
44,
10
],
[
108,
320,
9,
10
],
[
120,
320,
29,
10
],
[
151,
320,
18,
10
],
[
63,
337,
83,
10
],
[
63,
350,
23,
10
],
[
88,
350,
40,
10
],
[
129,
350,
3,
10
],
[
134,
350,
41,
10
],
[
177,
350,
21,
10
],
[
63,
363,
52,
10
],
[
117,
363,
9,
10
],
[
128,
363,
33,
10
],
[
163,
363,
43,
10
],
[
62,
376,
30,
10
],
[
94,
376,
44,
10
],
[
140,
376,
38,
10
],
[
180,
376,
14,
10
],
[
197,
376,
18,
10
],
[
63,
389,
25,
10
],
[
90,
389,
13,
10
],
[
105,
389,
27,
10
],
[
134,
389,
33,
10
],
[
169,
389,
20,
10
],
[
63,
403,
29,
10
],
[
94,
403,
68,
10
],
[
63,
416,
89,
10
],
[
244,
223,
11,
14
],
[
260,
223,
55,
14
],
[
319,
223,
26,
14
],
[
349,
223,
56,
14
],
[
409,
223,
65,
14
],
[
478,
223,
35,
14
],
[
517,
223,
36,
14
],
[
557,
223,
22,
14
],
[
583,
223,
46,
14
],
[
633,
223,
64,
14
],
[
702,
223,
32,
14
],
[
738,
223,
26,
14
],
[
244,
240,
20,
14
],
[
267,
240,
74,
14
],
[
344,
240,
11,
14
],
[
358,
240,
33,
14
],
[
395,
240,
38,
14
],
[
436,
240,
12,
14
],
[
452,
240,
35,
14
],
[
490,
240,
69,
14
],
[
563,
240,
28,
14
],
[
594,
240,
55,
14
],
[
652,
240,
30,
14
],
[
686,
240,
24,
14
],
[
714,
240,
50,
14
],
[
244,
256,
12,
14
],
[
260,
256,
50,
14
],
[
315,
256,
33,
14
],
[
352,
256,
41,
14
],
[
397,
256,
25,
14
],
[
426,
256,
11,
14
],
[
441,
256,
56,
14
],
[
501,
256,
26,
14
],
[
532,
256,
33,
14
],
[
568,
256,
37,
14
],
[
608,
256,
22,
14
],
[
634,
256,
59,
14
],
[
697,
256,
12,
14
],
[
713,
256,
25,
14
],
[
742,
256,
22,
14
],
[
244,
273,
50,
14
],
[
297,
273,
51,
14
],
[
349,
273,
16,
14
],
[
368,
273,
50,
14
],
[
420,
273,
9,
14
],
[
431,
273,
28,
14
],
[
461,
273,
33,
14
],
[
497,
273,
22,
14
],
[
520,
273,
9,
14
],
[
532,
273,
33,
14
],
[
567,
273,
25,
14
],
[
594,
273,
24,
14
],
[
620,
273,
7,
14
],
[
629,
273,
33,
14
],
[
665,
273,
22,
14
],
[
689,
273,
11,
14
],
[
702,
273,
62,
14
],
[
244,
290,
22,
14
],
[
269,
290,
82,
14
],
[
353,
290,
46,
14
],
[
402,
290,
20,
14
],
[
424,
290,
59,
14
],
[
486,
290,
12,
14
],
[
501,
290,
7,
14
],
[
511,
290,
25,
14
],
[
539,
290,
22,
14
],
[
564,
290,
50,
14
],
[
617,
290,
44,
14
],
[
663,
290,
16,
14
],
[
683,
290,
25,
14
],
[
711,
290,
7,
14
],
[
721,
290,
43,
14
],
[
244,
306,
22,
14
],
[
269,
306,
20,
14
],
[
292,
306,
106,
14
],
[
402,
306,
12,
14
],
[
418,
306,
72,
14
],
[
493,
306,
36,
14
],
[
533,
306,
81,
14
],
[
617,
306,
72,
14
],
[
692,
306,
42,
14
],
[
738,
306,
26,
14
],
[
244,
323,
41,
14
],
[
289,
323,
26,
14
],
[
318,
323,
19,
14
],
[
340,
323,
20,
14
],
[
363,
323,
14,
14
],
[
380,
323,
38,
14
],
[
422,
323,
40,
14
],
[
465,
323,
22,
14
],
[
491,
323,
50,
14
],
[
544,
323,
14,
14
],
[
561,
323,
19,
14
],
[
583,
323,
26,
14
],
[
613,
323,
75,
14
],
[
690,
323,
22,
14
],
[
716,
323,
48,
14
],
[
244,
340,
12,
14
],
[
260,
340,
22,
14
],
[
285,
340,
39,
14
],
[
328,
340,
36,
14
],
[
367,
340,
10,
14
],
[
380,
340,
12,
14
],
[
396,
340,
45,
14
],
[
445,
340,
20,
14
],
[
468,
340,
30,
14
],
[
502,
340,
60,
14
],
[
565,
340,
25,
14
],
[
594,
340,
11,
14
],
[
608,
340,
20,
14
],
[
631,
340,
52,
14
],
[
686,
340,
15,
14
],
[
705,
340,
19,
14
],
[
728,
340,
36,
14
],
[
244,
356,
32,
14
],
[
281,
356,
12,
14
],
[
298,
356,
26,
14
],
[
329,
356,
41,
14
],
[
375,
356,
26,
14
],
[
406,
356,
22,
14
],
[
432,
356,
20,
14
],
[
457,
356,
22,
14
],
[
484,
356,
12,
14
],
[
501,
356,
50,
14
],
[
556,
356,
69,
14
],
[
628,
356,
14,
14
],
[
647,
356,
19,
14
],
[
671,
356,
68,
14
],
[
744,
356,
20,
14
],
[
244,
373,
45,
14
],
[
292,
373,
35,
14
],
[
330,
373,
10,
14
],
[
343,
373,
19,
14
],
[
365,
373,
23,
14
],
[
390,
373,
12,
14
],
[
405,
373,
34,
14
],
[
442,
373,
25,
14
],
[
469,
373,
26,
14
],
[
498,
373,
65,
14
],
[
565,
373,
42,
14
],
[
610,
373,
26,
14
],
[
639,
373,
11,
14
],
[
652,
373,
30,
14
],
[
684,
373,
79,
14
],
[
244,
389,
27,
14
],
[
275,
389,
19,
14
],
[
299,
389,
83,
14
],
[
385,
389,
12,
14
],
[
402,
389,
51,
14
],
[
456,
389,
44,
14
],
[
504,
389,
21,
14
],
[
529,
389,
30,
14
],
[
563,
389,
82,
14
],
[
649,
389,
11,
14
],
[
664,
389,
26,
14
],
[
694,
389,
28,
14
],
[
726,
389,
8,
14
],
[
738,
389,
26,
14
],
[
244,
406,
28,
14
],
[
276,
406,
63,
14
],
[
342,
406,
69,
14
],
[
414,
406,
24,
14
],
[
442,
406,
26,
14
],
[
471,
406,
34,
14
],
[
509,
406,
20,
14
],
[
532,
406,
44,
14
],
[
579,
406,
61,
14
],
[
643,
406,
12,
14
],
[
659,
406,
43,
14
],
[
706,
406,
12,
14
],
[
722,
406,
42,
14
],
[
244,
422,
24,
14
],
[
272,
422,
49,
14
],
[
324,
422,
15,
14
],
[
342,
422,
20,
14
],
[
365,
422,
51,
14
],
[
419,
422,
30,
14
],
[
452,
422,
24,
14
],
[
480,
422,
52,
14
],
[
535,
422,
22,
14
],
[
560,
422,
62,
14
],
[
626,
422,
12,
14
],
[
641,
422,
20,
14
],
[
664,
422,
44,
14
],
[
711,
422,
52,
14
],
[
244,
439,
24,
14
],
[
272,
439,
33,
14
],
[
309,
439,
42,
14
],
[
355,
439,
43,
14
],
[
401,
439,
19,
14
],
[
424,
439,
44,
14
],
[
472,
439,
12,
14
],
[
487,
439,
50,
14
],
[
541,
439,
19,
14
],
[
564,
439,
37,
14
],
[
605,
439,
22,
14
],
[
630,
439,
36,
14
],
[
669,
439,
12,
14
],
[
685,
439,
44,
14
],
[
733,
439,
12,
14
],
[
749,
439,
15,
14
],
[
244,
456,
76,
14
],
[
323,
456,
12,
14
],
[
337,
456,
30,
14
],
[
369,
456,
58,
14
],
[
428,
456,
12,
14
],
[
442,
456,
41,
14
],
[
485,
456,
62,
14
],
[
549,
456,
22,
14
],
[
572,
456,
50,
14
],
[
624,
456,
72,
14
],
[
697,
456,
66,
14
],
[
244,
472,
63,
14
],
[
311,
472,
19,
14
],
[
333,
472,
45,
14
],
[
381,
472,
41,
14
],
[
425,
472,
26,
14
],
[
454,
472,
22,
14
],
[
479,
472,
28,
14
],
[
510,
472,
40,
14
],
[
553,
472,
12,
14
],
[
569,
472,
15,
14
],
[
587,
472,
35,
14
],
[
625,
472,
85,
14
],
[
244,
497,
49,
10
],
[
295,
497,
51,
10
],
[
348,
497,
22,
10
],
[
372,
497,
28,
10
],
[
402,
497,
41,
10
],
[
444,
497,
8,
10
],
[
454,
497,
56,
10
],
[
511,
497,
58,
10
],
[
570,
497,
67,
10
],
[
640,
497,
22,
10
],
[
664,
497,
37,
10
],
[
703,
497,
20,
10
],
[
63,
546,
90,
14
],
[
62,
563,
53,
14
],
[
119,
563,
20,
14
],
[
143,
563,
48,
14
],
[
195,
563,
11,
14
],
[
210,
563,
24,
14
],
[
238,
563,
45,
14
],
[
287,
563,
16,
14
],
[
307,
563,
20,
14
],
[
331,
563,
46,
14
],
[
381,
563,
25,
14
],
[
63,
579,
44,
14
],
[
108,
579,
18,
14
],
[
128,
579,
24,
14
],
[
154,
579,
24,
14
],
[
179,
579,
25,
14
],
[
206,
579,
35,
14
],
[
243,
579,
56,
14
],
[
300,
579,
53,
14
],
[
355,
579,
9,
14
],
[
365,
579,
6,
14
],
[
373,
579,
33,
14
],
[
63,
595,
75,
14
],
[
140,
595,
24,
14
],
[
168,
595,
59,
14
],
[
230,
595,
43,
14
],
[
276,
595,
36,
14
],
[
316,
595,
48,
14
],
[
367,
595,
24,
14
],
[
394,
595,
11,
14
],
[
63,
611,
14,
14
],
[
80,
611,
24,
14
],
[
106,
611,
13,
14
],
[
122,
611,
45,
14
],
[
169,
611,
11,
14
],
[
183,
611,
6,
14
],
[
192,
611,
44,
14
],
[
239,
611,
29,
14
],
[
271,
611,
27,
14
],
[
301,
611,
16,
14
],
[
320,
611,
26,
14
],
[
348,
611,
57,
14
],
[
63,
626,
11,
14
],
[
77,
626,
17,
14
],
[
97,
626,
35,
14
],
[
135,
626,
11,
14
],
[
149,
626,
24,
14
],
[
176,
626,
45,
14
],
[
224,
626,
11,
14
],
[
238,
626,
36,
14
],
[
277,
626,
11,
14
],
[
291,
626,
13,
14
],
[
307,
626,
62,
14
],
[
372,
626,
11,
14
],
[
386,
626,
20,
14
],
[
63,
642,
31,
14
],
[
98,
642,
53,
14
],
[
156,
642,
26,
14
],
[
186,
642,
57,
14
],
[
248,
642,
24,
14
],
[
276,
642,
11,
14
],
[
292,
642,
44,
14
],
[
341,
642,
64,
14
],
[
63,
658,
37,
14
],
[
105,
658,
25,
14
],
[
135,
658,
27,
14
],
[
167,
658,
32,
14
],
[
204,
658,
37,
14
],
[
246,
658,
42,
14
],
[
292,
658,
32,
14
],
[
330,
658,
14,
14
],
[
349,
658,
31,
14
],
[
385,
658,
20,
14
],
[
63,
674,
37,
14
],
[
103,
674,
29,
14
],
[
136,
674,
37,
14
],
[
177,
674,
10,
14
],
[
191,
674,
16,
14
],
[
211,
674,
34,
14
],
[
249,
674,
12,
14
],
[
265,
674,
75,
14
],
[
345,
674,
45,
14
],
[
394,
674,
11,
14
],
[
63,
690,
64,
14
],
[
130,
690,
24,
14
],
[
157,
690,
17,
14
],
[
178,
690,
44,
14
],
[
225,
690,
11,
14
],
[
240,
690,
48,
14
],
[
291,
690,
52,
14
],
[
346,
690,
30,
14
],
[
379,
690,
27,
14
],
[
63,
706,
23,
14
],
[
88,
706,
42,
14
],
[
131,
706,
24,
14
],
[
157,
706,
64,
14
],
[
223,
706,
50,
14
],
[
275,
706,
63,
14
],
[
340,
706,
29,
14
],
[
370,
706,
35,
14
],
[
63,
722,
15,
14
],
[
80,
722,
20,
14
],
[
103,
722,
37,
14
],
[
142,
722,
34,
14
],
[
179,
722,
76,
14
],
[
258,
722,
20,
14
],
[
280,
722,
35,
14
],
[
317,
722,
9,
14
],
[
329,
722,
6,
14
],
[
337,
722,
41,
14
],
[
381,
722,
25,
14
],
[
63,
738,
32,
14
],
[
98,
738,
18,
14
],
[
118,
738,
11,
14
],
[
132,
738,
38,
14
],
[
173,
738,
13,
14
],
[
188,
738,
17,
14
],
[
208,
738,
53,
14
],
[
264,
738,
21,
14
],
[
288,
738,
19,
14
],
[
309,
738,
41,
14
],
[
353,
738,
24,
14
],
[
380,
738,
25,
14
],
[
63,
754,
43,
14
],
[
78,
770,
48,
14
],
[
129,
770,
9,
14
],
[
140,
770,
27,
14
],
[
170,
770,
38,
14
],
[
210,
770,
9,
14
],
[
221,
770,
32,
14
],
[
255,
770,
17,
14
],
[
274,
770,
27,
14
],
[
303,
770,
55,
14
],
[
360,
770,
45,
14
],
[
63,
786,
37,
14
],
[
102,
786,
24,
14
],
[
127,
786,
51,
14
],
[
180,
786,
25,
14
],
[
207,
786,
13,
14
],
[
222,
786,
48,
14
],
[
272,
786,
20,
14
],
[
294,
786,
13,
14
],
[
309,
786,
24,
14
],
[
335,
786,
57,
14
],
[
394,
786,
11,
14
],
[
63,
801,
40,
14
],
[
105,
801,
40,
14
],
[
147,
801,
54,
14
],
[
202,
801,
8,
14
],
[
212,
801,
9,
14
],
[
223,
801,
17,
14
],
[
242,
801,
27,
14
],
[
270,
801,
48,
14
],
[
321,
801,
29,
14
],
[
351,
801,
11,
14
],
[
365,
801,
40,
14
],
[
63,
817,
45,
14
],
[
110,
817,
11,
14
],
[
123,
817,
54,
14
],
[
179,
817,
50,
14
],
[
230,
817,
46,
14
],
[
278,
817,
16,
14
],
[
295,
817,
44,
14
],
[
341,
817,
42,
14
],
[
385,
817,
20,
14
],
[
63,
833,
61,
14
],
[
126,
833,
29,
14
],
[
157,
833,
45,
14
],
[
204,
833,
20,
14
],
[
227,
833,
37,
14
],
[
266,
833,
34,
14
],
[
78,
849,
36,
14
],
[
116,
849,
53,
14
],
[
171,
849,
20,
14
],
[
193,
849,
29,
14
],
[
224,
849,
52,
14
],
[
278,
849,
40,
14
],
[
320,
849,
24,
14
],
[
345,
849,
60,
14
],
[
63,
865,
12,
14
],
[
80,
865,
80,
14
],
[
166,
865,
68,
14
],
[
239,
865,
48,
14
],
[
292,
865,
20,
14
],
[
318,
865,
87,
14
],
[
63,
881,
56,
14
],
[
123,
881,
16,
14
],
[
145,
881,
10,
14
],
[
160,
881,
17,
14
],
[
181,
881,
46,
14
],
[
232,
881,
17,
14
],
[
254,
881,
24,
14
],
[
282,
881,
45,
14
],
[
332,
881,
11,
14
],
[
348,
881,
58,
14
],
[
63,
897,
11,
14
],
[
78,
897,
30,
14
],
[
112,
897,
27,
14
],
[
143,
897,
27,
14
],
[
174,
897,
9,
14
],
[
187,
897,
38,
14
],
[
230,
897,
39,
14
],
[
273,
897,
61,
14
],
[
338,
897,
19,
14
],
[
362,
897,
44,
14
],
[
63,
913,
62,
14
],
[
128,
913,
37,
14
],
[
169,
913,
51,
14
],
[
224,
913,
71,
14
],
[
298,
913,
29,
14
],
[
331,
913,
49,
14
],
[
384,
913,
21,
14
],
[
62,
953,
64,
11
],
[
128,
953,
22,
11
],
[
152,
953,
32,
11
],
[
186,
953,
18,
11
],
[
206,
953,
32,
11
],
[
240,
953,
21,
11
],
[
262,
953,
20,
11
],
[
284,
953,
24,
11
],
[
310,
953,
28,
11
],
[
340,
953,
31,
11
],
[
372,
953,
33,
11
],
[
63,
966,
20,
11
],
[
85,
966,
22,
11
],
[
109,
966,
36,
11
],
[
147,
966,
7,
11
],
[
157,
966,
24,
11
],
[
183,
966,
23,
11
],
[
208,
966,
36,
11
],
[
246,
966,
7,
11
],
[
255,
966,
24,
11
],
[
282,
966,
24,
11
],
[
307,
966,
36,
11
],
[
346,
966,
7,
11
],
[
356,
966,
24,
11
],
[
382,
966,
24,
11
],
[
63,
979,
36,
11
],
[
100,
979,
8,
11
],
[
110,
979,
24,
11
],
[
421,
547,
53,
14
],
[
477,
547,
73,
14
],
[
553,
547,
52,
14
],
[
608,
547,
20,
14
],
[
631,
547,
42,
14
],
[
675,
547,
16,
14
],
[
694,
547,
20,
14
],
[
717,
547,
47,
14
],
[
421,
563,
25,
14
],
[
448,
563,
27,
14
],
[
477,
563,
43,
14
],
[
522,
563,
10,
14
],
[
534,
563,
47,
14
],
[
583,
563,
28,
14
],
[
613,
563,
79,
14
],
[
694,
563,
40,
14
],
[
736,
563,
10,
14
],
[
748,
563,
16,
14
],
[
421,
579,
34,
14
],
[
456,
579,
63,
14
],
[
520,
579,
57,
14
],
[
579,
579,
43,
14
],
[
624,
579,
10,
14
],
[
636,
579,
49,
14
],
[
686,
579,
37,
14
],
[
725,
579,
20,
14
],
[
747,
579,
17,
14
],
[
421,
595,
68,
14
],
[
490,
595,
11,
14
],
[
503,
595,
26,
14
],
[
531,
595,
61,
14
],
[
594,
595,
11,
14
],
[
607,
595,
36,
14
],
[
644,
595,
13,
14
],
[
659,
595,
54,
14
],
[
714,
595,
50,
14
],
[
421,
611,
18,
14
],
[
444,
611,
64,
14
],
[
513,
611,
43,
14
],
[
560,
611,
27,
14
],
[
591,
611,
56,
14
],
[
653,
611,
37,
14
],
[
694,
611,
17,
14
],
[
716,
611,
47,
14
],
[
421,
626,
24,
14
],
[
447,
626,
33,
14
],
[
482,
626,
10,
14
],
[
495,
626,
16,
14
],
[
513,
626,
29,
14
],
[
544,
626,
27,
14
],
[
574,
626,
10,
14
],
[
587,
626,
16,
14
],
[
605,
626,
34,
14
],
[
641,
626,
27,
14
],
[
670,
626,
48,
14
],
[
720,
626,
43,
14
],
[
421,
642,
33,
14
],
[
458,
642,
68,
14
],
[
530,
642,
18,
14
],
[
552,
642,
13,
14
],
[
569,
642,
55,
14
],
[
628,
642,
21,
14
],
[
653,
642,
37,
14
],
[
694,
642,
70,
14
],
[
421,
658,
24,
14
],
[
447,
658,
58,
14
],
[
508,
658,
10,
14
],
[
521,
658,
16,
14
],
[
539,
658,
29,
14
],
[
570,
658,
25,
14
],
[
597,
658,
10,
14
],
[
610,
658,
16,
14
],
[
628,
658,
34,
14
],
[
437,
674,
48,
14
],
[
486,
674,
10,
14
],
[
498,
674,
27,
14
],
[
526,
674,
39,
14
],
[
566,
674,
9,
14
],
[
576,
674,
36,
14
],
[
614,
674,
13,
14
],
[
628,
674,
6,
14
],
[
636,
674,
47,
14
],
[
684,
674,
57,
14
],
[
742,
674,
21,
14
],
[
421,
690,
43,
14
],
[
465,
690,
17,
14
],
[
484,
690,
46,
14
],
[
531,
690,
11,
14
],
[
544,
690,
17,
14
],
[
563,
690,
27,
14
],
[
591,
690,
39,
14
],
[
631,
690,
42,
14
],
[
675,
690,
16,
14
],
[
692,
690,
71,
14
],
[
421,
706,
29,
14
],
[
452,
706,
19,
14
],
[
474,
706,
13,
14
],
[
490,
706,
46,
14
],
[
539,
706,
25,
14
],
[
567,
706,
11,
14
],
[
580,
706,
6,
14
],
[
590,
706,
65,
14
],
[
657,
706,
24,
14
],
[
684,
706,
27,
14
],
[
714,
706,
20,
14
],
[
737,
706,
11,
14
],
[
750,
706,
13,
14
],
[
421,
722,
39,
14
],
[
465,
722,
11,
14
],
[
480,
722,
6,
14
],
[
490,
722,
40,
14
],
[
535,
722,
27,
14
],
[
566,
722,
38,
14
],
[
609,
722,
29,
14
],
[
642,
722,
48,
14
],
[
694,
722,
19,
14
],
[
717,
722,
13,
14
],
[
734,
722,
30,
14
],
[
421,
738,
28,
14
],
[
453,
738,
53,
14
],
[
510,
738,
24,
14
],
[
538,
738,
61,
14
],
[
603,
738,
37,
14
],
[
644,
738,
28,
14
],
[
676,
738,
29,
14
],
[
708,
738,
55,
14
],
[
421,
754,
24,
14
],
[
447,
754,
19,
14
],
[
468,
754,
24,
14
],
[
495,
754,
16,
14
],
[
513,
754,
40,
14
],
[
555,
754,
27,
14
],
[
584,
754,
43,
14
],
[
629,
754,
12,
14
],
[
644,
754,
38,
14
],
[
684,
754,
20,
14
],
[
706,
754,
11,
14
],
[
720,
754,
17,
14
],
[
739,
754,
25,
14
],
[
421,
770,
29,
14
],
[
453,
770,
48,
14
],
[
503,
770,
18,
14
],
[
524,
770,
36,
14
],
[
563,
770,
64,
14
],
[
629,
770,
11,
14
],
[
643,
770,
17,
14
],
[
663,
770,
39,
14
],
[
705,
770,
59,
14
],
[
421,
786,
47,
14
],
[
470,
786,
55,
14
],
[
527,
786,
46,
14
],
[
576,
786,
36,
14
],
[
615,
786,
40,
14
],
[
657,
786,
11,
14
],
[
671,
786,
24,
14
],
[
697,
786,
36,
14
],
[
736,
786,
10,
14
],
[
748,
786,
16,
14
],
[
421,
801,
29,
14
],
[
452,
801,
30,
14
],
[
483,
801,
34,
14
],
[
519,
801,
48,
14
],
[
570,
801,
9,
14
],
[
581,
801,
27,
14
],
[
610,
801,
39,
14
],
[
651,
801,
17,
14
],
[
671,
801,
48,
14
],
[
721,
801,
29,
14
],
[
752,
801,
11,
14
],
[
421,
817,
23,
14
],
[
447,
817,
9,
14
],
[
459,
817,
24,
14
],
[
486,
817,
49,
14
],
[
537,
817,
9,
14
],
[
548,
817,
13,
14
],
[
564,
817,
39,
14
],
[
606,
817,
67,
14
],
[
676,
817,
30,
14
],
[
709,
817,
32,
14
],
[
744,
817,
20,
14
],
[
421,
833,
51,
14
],
[
475,
833,
36,
14
],
[
514,
833,
13,
14
],
[
529,
833,
27,
14
],
[
559,
833,
22,
14
],
[
584,
833,
26,
14
],
[
613,
833,
22,
14
],
[
639,
833,
26,
14
],
[
668,
833,
34,
14
],
[
705,
833,
16,
14
],
[
725,
833,
39,
14
],
[
421,
849,
36,
14
],
[
459,
849,
59,
14
],
[
521,
849,
21,
14
],
[
545,
849,
55,
14
],
[
603,
849,
11,
14
],
[
617,
849,
48,
14
],
[
668,
849,
9,
14
],
[
679,
849,
34,
14
],
[
716,
849,
33,
14
],
[
752,
849,
11,
14
],
[
421,
865,
17,
14
],
[
441,
865,
37,
14
],
[
481,
865,
11,
14
],
[
496,
865,
37,
14
],
[
536,
865,
29,
14
],
[
569,
865,
59,
14
],
[
631,
865,
44,
14
],
[
678,
865,
52,
14
],
[
734,
865,
30,
14
],
[
421,
881,
56,
14
],
[
482,
881,
20,
14
],
[
506,
881,
60,
14
],
[
570,
881,
42,
14
],
[
617,
881,
11,
14
],
[
632,
881,
26,
14
],
[
663,
881,
72,
14
],
[
739,
881,
24,
14
],
[
421,
897,
51,
14
],
[
477,
897,
17,
14
],
[
499,
897,
37,
14
],
[
540,
897,
39,
14
],
[
583,
897,
11,
14
],
[
599,
897,
45,
14
],
[
649,
897,
9,
14
],
[
663,
897,
11,
14
],
[
678,
897,
27,
14
],
[
710,
897,
54,
14
],
[
421,
913,
50,
14
],
[
474,
913,
42,
14
],
[
520,
913,
20,
14
],
[
543,
913,
41,
14
],
[
587,
913,
29,
14
],
[
619,
913,
80,
14
],
[
703,
913,
10,
14
],
[
716,
913,
16,
14
],
[
735,
913,
29,
14
],
[
421,
929,
46,
14
],
[
470,
929,
20,
14
],
[
492,
929,
51,
14
],
[
544,
929,
34,
14
],
[
580,
929,
21,
14
],
[
604,
929,
38,
14
],
[
644,
929,
78,
14
],
[
724,
929,
11,
14
],
[
737,
929,
26,
14
],
[
421,
945,
48,
14
],
[
473,
945,
30,
14
],
[
507,
945,
27,
14
],
[
538,
945,
75,
14
],
[
617,
945,
11,
14
],
[
632,
945,
53,
14
],
[
690,
945,
49,
14
],
[
743,
945,
21,
14
],
[
421,
961,
41,
14
],
[
466,
961,
11,
14
],
[
482,
961,
17,
14
],
[
504,
961,
37,
14
],
[
546,
961,
9,
14
],
[
559,
961,
43,
14
],
[
607,
961,
56,
14
],
[
668,
961,
14,
14
],
[
687,
961,
17,
14
],
[
708,
961,
18,
14
],
[
731,
961,
11,
14
],
[
747,
961,
17,
14
],
[
421,
976,
26,
14
],
[
450,
976,
30,
14
],
[
482,
976,
17,
14
],
[
503,
976,
75,
14
],
[
581,
976,
37,
14
],
[
621,
976,
36,
14
],
[
660,
976,
11,
14
],
[
675,
976,
54,
14
],
[
732,
976,
32,
14
],
[
63,
1033,
101,
11
],
[
599,
1033,
34,
10
],
[
635,
1033,
21,
10
],
[
658,
1033,
3,
10
],
[
662,
1033,
33,
10
],
[
697,
1033,
6,
10
],
[
705,
1033,
3,
10
],
[
709,
1033,
28,
10
],
[
739,
1033,
11,
10
],
[
753,
1033,
3,
10
],
[
758,
1033,
6,
10
]
] | [
"PSYCHIATRY",
"Hepatitis",
"A",
"virus",
"among",
"drug",
"users",
"and",
"the",
"role",
"of",
"vaccination:",
"a",
"review",
"Fabio",
"Lugoboni",
"*,",
"Benedetta",
"Pajusco,",
"Anna",
"Albiero",
"and",
"Gianluca",
"Quaglio",
"Addiction",
"Unit,",
"Department",
"of",
"Internal",
"Medicine,",
"Verona",
"University",
"Hospital,",
"Verona,",
"Italy",
"REVIEW",
"ARTICLE",
"published:",
"12",
"January",
"2012",
"doi:",
"10.3389/fpsyt.2011.00079",
"Edited",
"by:",
"Lorenzo",
"Leggio,",
"Gemelli",
"Hospital,",
"Italy",
"Reviewed",
"by:",
"Anna",
"Ferrulli,",
"Catholic",
"University",
"of",
"Rome,",
"Italy",
"Giovanni",
"Addolorato,",
"Catholic",
"University",
"of",
"Rome,",
"Italy",
"*Correspondence:",
"Fabio",
"Lugoboni",
",",
"Addiction",
"Unit,",
"Department",
"of",
"Internal",
"Medicine,",
"Verona",
"University",
"Hospital,",
"P.le",
"L.A.",
"Scuro",
"10,",
"37134",
"Verona,",
"Italy.",
"e-mail:",
"fabio.lugoboni@",
"ospedaleuniverona.it",
"In",
"countries",
"with",
"advanced",
"economies",
"better",
"health",
"and",
"hygiene",
"conditions,",
"along",
"with",
"the",
"introduction,",
"in",
"some",
"cases,",
"of",
"global",
"vaccination,",
"have",
"relegated",
"most",
"viral",
"hepatitis",
"to",
"marginal",
"social",
"groups",
"and,",
"in",
"particular,",
"drug",
"users",
"(DUs).",
"The",
"availability",
"of",
"safe",
"and",
"effective",
"vaccines",
"for",
"hepatitis",
"A",
"virus",
"(HAV)",
"and",
"B",
"(HBV)",
"may",
"play",
"a",
"major",
"role",
"in",
"combating",
"this",
"phenomenon.",
"Despite",
"the",
"availability",
"of",
"a",
"safe",
"and",
"effective",
"vaccine",
"for",
"over",
"a",
"decade",
"and",
"the",
"recommendations",
"of",
"international",
"health",
"organizations,",
"vaccinations",
"against",
"HAV",
"among",
"DUs",
"are",
"not",
"as",
"widely",
"known",
"and",
"available",
"as",
"are",
"HBV",
"vaccinations.",
"The",
"purpose",
"of",
"this",
"review",
"article",
"is",
"to",
"present",
"the",
"most",
"significant",
"data",
"in",
"the",
"literature",
"on",
"the",
"preva-",
"lence",
"of",
"HAV",
"among",
"DUs",
"and",
"the",
"role",
"of",
"targeted",
"vaccination.",
"To",
"our",
"knowledge,",
"the",
"present",
"article",
"is",
"the",
"first",
"to",
"solely",
"deal",
"with",
"vaccination",
"against",
"HAV",
"in",
"DUs.",
"Immunization",
"after",
"the",
"administration",
"of",
"anti-HAV",
"vaccine",
"has",
"been",
"demonstrated",
"in",
"DUs",
"even",
"if",
"they",
"have",
"responded",
"significantly",
"less",
"than",
"either",
"the",
"general",
"population",
"or",
"carriers",
"of",
"chronic",
"liver",
"disease.",
"All",
"the",
"vaccines",
"were",
"well",
"tolerated",
"and",
"adherence",
"to",
"the",
"vaccine",
"schedule",
"was",
"good.",
"Further",
"studies",
"are",
"needed",
"to",
"optimize",
"the",
"timing",
"and",
"doses",
"of",
"vaccine",
"to",
"be",
"administered",
"to",
"DUs,",
"especially",
"to",
"assess",
"adherence",
"and",
"antibody",
"persistence.",
"Vaccination",
"campaigns",
"are",
"feasible",
"among",
"DUs",
"and",
"have",
"proven",
"to",
"be",
"highly",
"cost–effective.",
"Keywords:",
"adherence,",
"drug",
"users,",
"hepatitis",
"A",
"vaccination,",
"intravenous,",
"immunization,",
"HAV,",
"vaccine,",
"DUs",
"INTRODUCTION",
"Addiction",
"and",
"diffusion",
"of",
"viral",
"hepatitis",
"are",
"two",
"different",
"phe-",
"nomena",
"but",
"have",
"long",
"been",
"closely",
"correlated.",
"Addiction",
"is",
"a",
"global",
"phenomenon,",
"with",
"geographic",
"location",
"having",
"relatively",
"little",
"to",
"do",
"with",
"its",
"progress",
"in",
"a",
"country,",
"while",
"there",
"are",
"large",
"differences",
"in",
"the",
"spread",
"of",
"viral",
"hepatitis",
"as",
"related",
"to",
"its",
"progression",
"in",
"dif-",
"ferent",
"countries.",
"Such",
"differences",
"tend",
"to",
"decrease",
"significantly",
"among",
"drug",
"users",
"(DUs;",
"United",
"Nations",
"Office",
"on",
"Drug,",
"and",
"Crime,",
"2006;",
"Aceijas",
"et",
"al.,",
"2004).",
"In",
"drug-addicted",
"patients,",
"in",
"conjunction",
"with",
"the",
"decrease",
"of",
"HIV-rate",
"mortality,",
"death",
"from",
"liver",
"diseases",
"have",
"significantly",
"increased",
"(EMCDDA,",
"2003;",
"Schae-",
"fer",
"and",
"Mauss,",
"2008).",
"Counteracting",
"this",
"spread",
"is",
"a",
"priority",
"task,",
"which",
"has",
"to",
"involve",
"all",
"the",
"structures",
"that",
"can",
"interact",
"with",
"drug",
"abusers.",
"Hepatitis",
"C",
"virus",
"(HCV)",
"is",
"surely",
"the",
"most",
"important",
"hepatitis",
"among",
"DUs",
"regarding",
"both",
"its",
"diffusion",
"and",
"its",
"high",
"percentage",
"of",
"chronic",
"disease.",
"Currently,",
"it",
"is",
"the",
"most",
"common",
"cause",
"of",
"chronic",
"hepatitis",
"in",
"developed",
"countries",
"(Centers",
"for",
"Diseases",
"Control",
"and",
"Prevention,",
"2002;",
"Schaefer",
"and",
"Mauss,",
"2008).",
"Health",
"education",
"and",
"harm",
"reduction",
"policies",
"(i.e.,",
"methadone",
"or",
"buprenorphine",
"maintenance",
"therapies",
"and",
"needle-exchange",
"programs)",
"are",
"at",
"the",
"moment",
"the",
"only",
"measure",
"of",
"prevention",
"of",
"HCV,",
"since",
"there",
"is",
"neither",
"specific",
"vaccination",
"nor",
"effective",
"prophylaxis",
"against",
"exposure.",
"Interventions",
"using",
"strategies",
"that",
"Abbreviations:",
"CLD,",
"chronic",
"liver",
"disease;",
"DUs,",
"drug",
"users;",
"GPOP,",
"general",
"popula-",
"tion;",
"HAV,",
"hepatitis",
"A",
"virus;",
"HBV,",
"hepatitis",
"B",
"virus;",
"HCV,",
"hepatitis",
"C",
"virus;",
"HDV,",
"hepatitis",
"D",
"virus.",
"combined",
"substance-use",
"treatment",
"and",
"support",
"for",
"safe",
"injection",
"were",
"most",
"effective",
"at",
"reducing",
"HCV",
"seroconversion",
"(Hagan",
"et",
"al.,",
"2011).",
"Vaccination",
"campaigns",
"targeted",
"at",
"high-risk",
"groups",
"and",
"the",
"introduction",
"of",
"mass",
"vaccination",
"in",
"almost",
"all",
"developed",
"countries",
"has",
"significantly",
"reduced",
"HBV",
"prevalence",
"among",
"the",
"youngest",
"DUs",
"(Baral",
"et",
"al.,",
"2007;",
"Brim",
"et",
"al.,",
"2007).",
"HBV",
"infection",
"through",
"sexual",
"transmission",
"has",
"an",
"important",
"role",
"among",
"non-injective",
"DUs",
"(Gyarmath",
"et",
"al.,",
"2002;",
"Rich",
"et",
"al.,",
"2006).",
"Hepatitis",
"D",
"virus",
"(HDV)",
"is",
"caused",
"by",
"a",
"defective",
"RNA-virus",
"that",
"requires",
"the",
"presence",
"of",
"the",
"HBV",
"Surface",
"Antigen",
"for",
"transmission.",
"HDV",
"can",
"be",
"acquired",
"both",
"as",
"a",
"co-infection",
"with",
"HBV",
"and",
"as",
"an",
"overlap",
"in",
"a",
"chronic",
"HBV",
"carrier.",
"HDV",
"infection",
"can",
"be",
"effec-",
"tively",
"prevented",
"with",
"vaccination",
"against",
"HBV,",
"while",
"protection",
"does",
"not",
"exist",
"for",
"chronic",
"HBV",
"carriers.",
"In",
"Europe",
"and",
"in",
"the",
"USA",
"HDV",
"infection",
"has",
"almost",
"disappeared",
"in",
"the",
"general",
"population",
"(GPOP),",
"remaining",
"confined",
"almost",
"entirely",
"to",
"DUs",
"(Gaeta",
"et",
"al.,",
"2000;",
"Farci,",
"2003).",
"Hepatitis",
"A",
"virus",
"(HAV),",
"the",
"causative",
"agent",
"of",
"type",
"A",
"viral",
"hepatitis,",
"is",
"an",
"ancient",
"picornavirus",
"virus,",
"which",
"was",
"identified",
"almost",
"40",
"years",
"ago.",
"Each",
"year",
"HAV",
"affects",
"1.5",
"million",
"people",
"worldwide.",
"The",
"geography",
"of",
"infection",
"is",
"tightly",
"linked",
"to",
"the",
"quality",
"of",
"sewage",
"water",
"depuration",
"systems.",
"Improved",
"living",
"conditions",
"and",
"subsequent",
"changes",
"in",
"HAV",
"epidemiology",
"have",
"decreased",
"the",
"disease",
"burden",
"of",
"hepatitis",
"A",
"in",
"most",
"developed",
"countries",
"(Martin",
"and",
"Lemon,",
"2006;",
"Koslap-petraco",
"et",
"al.,",
"2008;",
"Jacobsen",
"and",
"Wiersma,",
"2010).",
"The",
"clinical",
"manifestations",
"of",
"HAV",
"infection",
"range",
"from",
"asymptomatic",
"to",
"fulminant",
"hepatitis.",
"The",
"severity",
"of",
"the",
"disease",
"is",
"strongly",
"dependent",
"on",
"the",
"age",
"of",
"the",
"host,",
"being",
"the",
"asymptomatic",
"disease",
"typical",
"of",
"childhood",
"while,",
"www.frontiersin.org",
"January",
"2012",
"|",
"Volume",
"2",
"|",
"Article",
"79",
"|",
"1"
] | [
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
0,
0,
0,
0,
0,
0,
0,
0,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
11,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,173,298 | null | [
[
56,
35,
77,
45
],
[
81,
59,
58,
20
],
[
69,
113,
146,
30
],
[
223,
113,
47,
30
],
[
278,
113,
152,
30
],
[
438,
113,
61,
30
],
[
506,
113,
41,
30
],
[
555,
113,
33,
30
],
[
69,
147,
41,
30
],
[
117,
147,
120,
30
],
[
245,
147,
30,
30
],
[
283,
147,
113,
30
],
[
403,
147,
70,
30
],
[
69,
209,
30,
16
],
[
102,
209,
15,
16
],
[
120,
209,
58,
16
],
[
181,
209,
24,
16
],
[
209,
209,
37,
16
],
[
249,
209,
12,
16
],
[
265,
209,
36,
16
],
[
69,
239,
46,
14
],
[
118,
239,
11,
14
],
[
133,
239,
55,
14
],
[
190,
239,
54,
14
],
[
248,
239,
42,
14
],
[
292,
239,
37,
14
],
[
333,
239,
45,
14
],
[
380,
239,
58,
14
],
[
441,
239,
50,
14
],
[
494,
239,
20,
14
],
[
518,
239,
35,
14
],
[
69,
300,
39,
58
],
[
111,
319,
62,
14
],
[
177,
319,
11,
14
],
[
192,
319,
18,
14
],
[
213,
319,
50,
14
],
[
266,
319,
40,
14
],
[
310,
319,
27,
14
],
[
341,
319,
18,
14
],
[
362,
319,
15,
14
],
[
381,
319,
22,
14
],
[
111,
303,
20,
14
],
[
138,
303,
24,
14
],
[
167,
303,
12,
14
],
[
185,
303,
80,
14
],
[
270,
303,
69,
14
],
[
345,
303,
42,
14
],
[
393,
303,
9,
14
],
[
111,
335,
18,
14
],
[
134,
335,
40,
14
],
[
179,
335,
11,
14
],
[
195,
335,
24,
14
],
[
224,
335,
37,
14
],
[
265,
335,
11,
14
],
[
282,
335,
18,
14
],
[
304,
335,
69,
14
],
[
377,
335,
26,
14
],
[
69,
351,
24,
14
],
[
96,
351,
9,
14
],
[
108,
351,
38,
14
],
[
149,
351,
32,
14
],
[
184,
351,
25,
14
],
[
211,
351,
20,
14
],
[
234,
351,
42,
14
],
[
278,
351,
9,
14
],
[
290,
351,
55,
14
],
[
348,
351,
55,
14
],
[
69,
367,
11,
14
],
[
83,
367,
18,
14
],
[
104,
367,
25,
14
],
[
132,
367,
11,
14
],
[
147,
367,
53,
14
],
[
203,
367,
49,
14
],
[
254,
367,
33,
14
],
[
290,
367,
65,
14
],
[
359,
367,
44,
14
],
[
69,
383,
59,
14
],
[
134,
383,
26,
14
],
[
166,
383,
64,
14
],
[
236,
383,
77,
14
],
[
320,
383,
17,
14
],
[
344,
383,
31,
14
],
[
380,
383,
22,
14
],
[
69,
399,
61,
14
],
[
135,
399,
18,
14
],
[
157,
399,
23,
14
],
[
185,
399,
87,
14
],
[
276,
399,
52,
14
],
[
333,
399,
70,
14
],
[
69,
415,
11,
14
],
[
84,
415,
21,
14
],
[
109,
415,
56,
14
],
[
169,
415,
21,
14
],
[
193,
415,
14,
14
],
[
212,
415,
39,
14
],
[
255,
415,
11,
14
],
[
270,
415,
14,
14
],
[
288,
415,
32,
14
],
[
324,
415,
27,
14
],
[
355,
415,
27,
14
],
[
385,
415,
18,
14
],
[
69,
430,
15,
14
],
[
91,
430,
61,
14
],
[
158,
430,
22,
14
],
[
187,
430,
18,
14
],
[
211,
430,
40,
14
],
[
258,
430,
11,
14
],
[
276,
430,
66,
14
],
[
348,
430,
55,
14
],
[
69,
446,
38,
14
],
[
109,
446,
28,
14
],
[
139,
446,
63,
14
],
[
204,
446,
11,
14
],
[
218,
446,
76,
14
],
[
296,
446,
54,
14
],
[
352,
446,
51,
14
],
[
69,
462,
27,
14
],
[
99,
462,
18,
14
],
[
121,
462,
15,
14
],
[
140,
462,
22,
14
],
[
166,
462,
46,
14
],
[
216,
462,
48,
14
],
[
267,
462,
31,
14
],
[
303,
462,
18,
14
],
[
325,
462,
50,
14
],
[
378,
462,
25,
14
],
[
69,
478,
33,
14
],
[
106,
478,
50,
14
],
[
161,
478,
22,
14
],
[
187,
478,
46,
14
],
[
238,
478,
14,
14
],
[
257,
478,
26,
14
],
[
287,
478,
51,
14
],
[
343,
478,
12,
14
],
[
360,
478,
43,
14
],
[
427,
303,
34,
14
],
[
465,
303,
19,
14
],
[
488,
303,
19,
14
],
[
510,
303,
14,
14
],
[
528,
303,
59,
14
],
[
591,
303,
22,
14
],
[
616,
303,
40,
14
],
[
660,
303,
60,
14
],
[
725,
303,
18,
14
],
[
746,
303,
15,
14
],
[
427,
319,
51,
14
],
[
484,
319,
40,
14
],
[
530,
319,
54,
14
],
[
590,
319,
53,
14
],
[
649,
319,
19,
14
],
[
674,
319,
19,
14
],
[
699,
319,
15,
14
],
[
720,
319,
42,
14
],
[
427,
335,
40,
14
],
[
473,
335,
18,
14
],
[
495,
335,
51,
14
],
[
551,
335,
29,
14
],
[
585,
335,
67,
14
],
[
657,
335,
11,
14
],
[
673,
335,
62,
14
],
[
740,
335,
22,
14
],
[
427,
351,
18,
14
],
[
451,
351,
11,
14
],
[
469,
351,
7,
14
],
[
482,
351,
41,
14
],
[
529,
351,
47,
14
],
[
582,
351,
11,
14
],
[
599,
351,
21,
14
],
[
626,
351,
47,
14
],
[
679,
351,
55,
14
],
[
740,
351,
22,
14
],
[
427,
367,
47,
14
],
[
478,
367,
11,
14
],
[
493,
367,
55,
14
],
[
552,
367,
112,
14
],
[
668,
367,
21,
14
],
[
693,
367,
33,
14
],
[
729,
367,
33,
14
],
[
427,
383,
59,
14
],
[
490,
383,
23,
14
],
[
517,
383,
51,
14
],
[
572,
383,
18,
14
],
[
595,
383,
62,
14
],
[
661,
383,
22,
14
],
[
687,
383,
47,
14
],
[
738,
383,
11,
14
],
[
754,
383,
7,
14
],
[
427,
399,
110,
14
],
[
545,
399,
34,
14
],
[
586,
399,
53,
14
],
[
647,
399,
74,
14
],
[
728,
399,
33,
14
],
[
427,
415,
100,
14
],
[
530,
415,
49,
14
],
[
581,
415,
27,
14
],
[
611,
415,
4,
14
],
[
618,
415,
33,
14
],
[
654,
415,
35,
14
],
[
691,
415,
23,
14
],
[
717,
415,
44,
14
],
[
427,
430,
69,
14
],
[
505,
430,
22,
14
],
[
534,
430,
62,
14
],
[
604,
430,
9,
14
],
[
621,
430,
57,
14
],
[
686,
430,
53,
14
],
[
747,
430,
14,
14
],
[
427,
446,
85,
14
],
[
515,
446,
49,
14
],
[
567,
446,
54,
14
],
[
624,
446,
34,
14
],
[
660,
446,
28,
14
],
[
690,
446,
23,
14
],
[
717,
446,
34,
14
],
[
754,
446,
7,
14
],
[
427,
462,
59,
14
],
[
494,
462,
77,
14
],
[
580,
462,
66,
14
],
[
655,
462,
49,
14
],
[
711,
462,
50,
14
],
[
427,
478,
30,
14
],
[
460,
478,
22,
14
],
[
485,
478,
68,
14
],
[
556,
478,
93,
14
],
[
69,
546,
100,
19
],
[
69,
569,
28,
15
],
[
102,
569,
49,
15
],
[
156,
569,
23,
15
],
[
184,
569,
18,
15
],
[
206,
569,
22,
15
],
[
233,
569,
42,
15
],
[
279,
569,
49,
15
],
[
333,
569,
45,
15
],
[
383,
569,
20,
15
],
[
69,
585,
31,
15
],
[
103,
585,
13,
15
],
[
120,
585,
48,
15
],
[
170,
585,
12,
15
],
[
185,
585,
18,
15
],
[
206,
585,
31,
15
],
[
240,
585,
12,
15
],
[
255,
585,
52,
15
],
[
310,
585,
14,
15
],
[
327,
585,
75,
15
],
[
69,
601,
66,
15
],
[
142,
601,
53,
15
],
[
203,
601,
70,
15
],
[
280,
601,
21,
15
],
[
309,
601,
49,
15
],
[
365,
601,
37,
15
],
[
69,
617,
38,
15
],
[
111,
617,
9,
15
],
[
123,
617,
38,
15
],
[
165,
617,
19,
15
],
[
188,
617,
14,
15
],
[
206,
617,
18,
15
],
[
227,
617,
22,
15
],
[
253,
617,
67,
15
],
[
324,
617,
18,
15
],
[
345,
617,
57,
15
],
[
69,
633,
24,
15
],
[
97,
633,
45,
15
],
[
146,
633,
47,
15
],
[
196,
633,
22,
15
],
[
222,
633,
49,
15
],
[
275,
633,
18,
15
],
[
296,
633,
47,
15
],
[
347,
633,
12,
15
],
[
362,
633,
41,
15
],
[
69,
649,
66,
15
],
[
139,
649,
12,
15
],
[
154,
649,
18,
15
],
[
176,
649,
39,
15
],
[
219,
649,
21,
15
],
[
244,
649,
42,
15
],
[
290,
649,
51,
15
],
[
345,
649,
21,
15
],
[
370,
649,
32,
15
],
[
69,
665,
37,
15
],
[
114,
665,
10,
15
],
[
130,
665,
18,
15
],
[
156,
665,
27,
15
],
[
189,
665,
76,
15
],
[
273,
665,
23,
15
],
[
303,
665,
38,
15
],
[
348,
665,
54,
15
],
[
69,
681,
30,
15
],
[
103,
681,
39,
15
],
[
146,
681,
45,
15
],
[
195,
681,
63,
15
],
[
262,
681,
39,
15
],
[
304,
681,
11,
15
],
[
319,
681,
17,
15
],
[
340,
681,
34,
15
],
[
378,
681,
24,
15
],
[
69,
697,
33,
15
],
[
107,
697,
12,
15
],
[
124,
697,
18,
15
],
[
147,
697,
65,
15
],
[
217,
697,
14,
15
],
[
236,
697,
31,
15
],
[
272,
697,
51,
15
],
[
328,
697,
28,
15
],
[
361,
697,
18,
15
],
[
384,
697,
18,
15
],
[
69,
713,
16,
15
],
[
89,
713,
18,
15
],
[
111,
713,
34,
15
],
[
148,
713,
60,
15
],
[
211,
713,
12,
15
],
[
226,
713,
6,
15
],
[
236,
713,
41,
15
],
[
281,
713,
44,
15
],
[
329,
713,
12,
15
],
[
344,
713,
11,
15
],
[
359,
713,
44,
15
],
[
69,
729,
23,
15
],
[
97,
729,
44,
15
],
[
145,
729,
11,
15
],
[
161,
729,
17,
15
],
[
183,
729,
41,
15
],
[
229,
729,
30,
15
],
[
264,
729,
11,
15
],
[
279,
729,
17,
15
],
[
301,
729,
33,
15
],
[
340,
729,
47,
15
],
[
392,
729,
11,
15
],
[
69,
745,
17,
15
],
[
92,
745,
33,
15
],
[
131,
745,
32,
15
],
[
168,
745,
21,
15
],
[
195,
745,
62,
15
],
[
263,
745,
38,
15
],
[
306,
745,
35,
15
],
[
347,
745,
55,
15
],
[
69,
761,
16,
15
],
[
87,
761,
37,
15
],
[
127,
761,
40,
15
],
[
169,
761,
43,
15
],
[
215,
761,
21,
15
],
[
239,
761,
16,
15
],
[
258,
761,
91,
15
],
[
352,
761,
51,
15
],
[
69,
777,
11,
15
],
[
83,
777,
6,
15
],
[
92,
777,
31,
15
],
[
127,
777,
12,
15
],
[
142,
777,
56,
15
],
[
201,
777,
23,
15
],
[
227,
777,
12,
15
],
[
242,
777,
50,
15
],
[
296,
777,
50,
15
],
[
349,
777,
12,
15
],
[
364,
777,
39,
15
],
[
69,
793,
20,
15
],
[
94,
793,
44,
15
],
[
141,
793,
17,
15
],
[
163,
793,
27,
15
],
[
194,
793,
15,
15
],
[
213,
793,
63,
15
],
[
281,
793,
18,
15
],
[
303,
793,
27,
15
],
[
334,
793,
52,
15
],
[
391,
793,
12,
15
],
[
69,
809,
44,
15
],
[
116,
809,
18,
15
],
[
137,
809,
61,
15
],
[
201,
809,
12,
15
],
[
215,
809,
47,
15
],
[
266,
809,
52,
15
],
[
321,
809,
45,
15
],
[
369,
809,
33,
15
],
[
69,
825,
82,
15
],
[
154,
825,
44,
15
],
[
201,
825,
62,
15
],
[
69,
859,
37,
12
],
[
112,
859,
74,
12
],
[
191,
859,
10,
12
],
[
207,
859,
28,
12
],
[
240,
859,
9,
12
],
[
255,
859,
31,
12
],
[
292,
859,
41,
12
],
[
338,
859,
10,
12
],
[
354,
859,
48,
12
],
[
69,
873,
45,
12
],
[
116,
873,
35,
12
],
[
154,
873,
36,
12
],
[
193,
873,
33,
12
],
[
229,
873,
39,
12
],
[
270,
873,
53,
12
],
[
326,
873,
25,
12
],
[
353,
873,
49,
12
],
[
69,
888,
21,
12
],
[
94,
888,
36,
12
],
[
135,
888,
22,
12
],
[
161,
888,
20,
12
],
[
186,
888,
44,
12
],
[
235,
888,
18,
12
],
[
256,
888,
34,
12
],
[
295,
888,
22,
12
],
[
321,
888,
26,
12
],
[
352,
888,
50,
12
],
[
69,
903,
20,
12
],
[
92,
903,
26,
12
],
[
121,
903,
50,
12
],
[
174,
903,
35,
12
],
[
212,
903,
95,
12
],
[
69,
920,
68,
12
],
[
143,
920,
21,
12
],
[
170,
920,
10,
12
],
[
186,
920,
17,
12
],
[
209,
920,
29,
12
],
[
244,
920,
33,
12
],
[
283,
920,
119,
12
],
[
69,
933,
25,
12
],
[
97,
933,
42,
12
],
[
142,
933,
11,
12
],
[
157,
933,
29,
12
],
[
189,
933,
58,
12
],
[
251,
933,
29,
12
],
[
283,
933,
58,
12
],
[
345,
933,
35,
12
],
[
383,
933,
19,
12
],
[
69,
946,
46,
12
],
[
118,
946,
57,
12
],
[
179,
946,
38,
12
],
[
221,
946,
27,
12
],
[
252,
946,
84,
12
],
[
339,
946,
39,
12
],
[
382,
946,
20,
12
],
[
69,
960,
7,
12
],
[
79,
960,
28,
12
],
[
110,
960,
39,
12
],
[
151,
960,
39,
12
],
[
69,
975,
18,
12
],
[
93,
975,
31,
12
],
[
129,
975,
58,
12
],
[
192,
975,
48,
12
],
[
245,
975,
56,
12
],
[
306,
975,
49,
12
],
[
360,
975,
42,
12
],
[
69,
987,
49,
12
],
[
120,
987,
17,
12
],
[
140,
987,
43,
12
],
[
69,
1025,
9,
12
],
[
80,
1026,
18,
12
],
[
101,
1026,
48,
12
],
[
151,
1026,
45,
12
],
[
198,
1026,
24,
12
],
[
225,
1026,
124,
12
],
[
351,
1026,
25,
12
],
[
69,
1037,
18,
12
],
[
89,
1037,
32,
12
],
[
123,
1037,
9,
12
],
[
135,
1037,
18,
12
],
[
155,
1037,
36,
12
],
[
193,
1037,
34,
12
],
[
230,
1037,
20,
12
],
[
252,
1037,
37,
12
],
[
291,
1037,
9,
12
],
[
302,
1037,
22,
12
],
[
326,
1037,
14,
12
],
[
343,
1037,
23,
12
],
[
368,
1037,
39,
12
],
[
69,
1049,
224,
12
],
[
440,
570,
58,
15
],
[
501,
570,
27,
15
],
[
531,
570,
6,
15
],
[
540,
570,
34,
15
],
[
577,
570,
11,
15
],
[
592,
570,
89,
15
],
[
684,
570,
77,
15
],
[
427,
585,
45,
15
],
[
478,
585,
25,
15
],
[
508,
585,
26,
15
],
[
539,
585,
36,
15
],
[
580,
585,
21,
15
],
[
606,
585,
47,
15
],
[
658,
585,
41,
15
],
[
704,
585,
34,
15
],
[
743,
585,
18,
15
],
[
427,
601,
43,
15
],
[
474,
601,
60,
15
],
[
539,
601,
17,
15
],
[
560,
601,
18,
15
],
[
582,
601,
53,
15
],
[
640,
601,
68,
15
],
[
713,
601,
12,
15
],
[
729,
601,
32,
15
],
[
427,
617,
33,
15
],
[
463,
617,
12,
15
],
[
478,
617,
20,
15
],
[
501,
617,
55,
15
],
[
560,
617,
34,
15
],
[
598,
617,
17,
15
],
[
618,
617,
59,
15
],
[
680,
617,
12,
15
],
[
695,
617,
66,
15
],
[
427,
633,
48,
15
],
[
480,
633,
22,
15
],
[
506,
633,
44,
15
],
[
554,
633,
18,
15
],
[
576,
633,
60,
15
],
[
641,
633,
58,
15
],
[
703,
633,
42,
15
],
[
749,
633,
12,
15
],
[
427,
649,
20,
15
],
[
453,
649,
55,
15
],
[
514,
649,
27,
15
],
[
546,
649,
58,
15
],
[
609,
649,
53,
15
],
[
667,
649,
23,
15
],
[
696,
649,
21,
15
],
[
723,
649,
38,
15
],
[
427,
665,
61,
15
],
[
493,
665,
21,
15
],
[
519,
665,
36,
15
],
[
559,
665,
16,
15
],
[
580,
665,
74,
15
],
[
659,
665,
10,
15
],
[
674,
665,
17,
15
],
[
696,
665,
37,
15
],
[
738,
665,
23,
15
],
[
427,
681,
29,
15
],
[
460,
681,
30,
15
],
[
494,
681,
37,
15
],
[
535,
681,
12,
15
],
[
550,
681,
18,
15
],
[
572,
681,
53,
15
],
[
629,
681,
25,
15
],
[
658,
681,
34,
15
],
[
696,
681,
24,
15
],
[
724,
681,
37,
15
],
[
427,
697,
17,
15
],
[
447,
697,
56,
15
],
[
505,
697,
23,
15
],
[
531,
697,
20,
15
],
[
554,
697,
52,
15
],
[
609,
697,
33,
15
],
[
644,
697,
27,
15
],
[
675,
697,
62,
15
],
[
740,
697,
21,
15
],
[
427,
713,
25,
15
],
[
458,
713,
26,
15
],
[
490,
713,
73,
15
],
[
568,
713,
62,
15
],
[
636,
713,
11,
15
],
[
652,
713,
32,
15
],
[
690,
713,
49,
15
],
[
745,
713,
16,
15
],
[
427,
729,
59,
15
],
[
490,
729,
20,
15
],
[
513,
729,
20,
15
],
[
537,
729,
60,
15
],
[
600,
729,
49,
15
],
[
653,
729,
56,
15
],
[
713,
729,
24,
15
],
[
741,
729,
20,
15
],
[
427,
745,
52,
15
],
[
483,
745,
40,
15
],
[
528,
745,
12,
15
],
[
544,
745,
18,
15
],
[
566,
745,
25,
15
],
[
596,
745,
12,
15
],
[
612,
745,
51,
15
],
[
667,
745,
52,
15
],
[
724,
745,
15,
15
],
[
743,
745,
18,
15
],
[
427,
761,
19,
15
],
[
449,
761,
47,
15
],
[
499,
761,
12,
15
],
[
514,
761,
49,
15
],
[
567,
761,
45,
15
],
[
615,
761,
37,
15
],
[
655,
761,
10,
15
],
[
669,
761,
17,
15
],
[
689,
761,
37,
15
],
[
440,
777,
65,
15
],
[
510,
777,
44,
15
],
[
558,
777,
12,
15
],
[
574,
777,
32,
15
],
[
610,
777,
40,
15
],
[
655,
777,
25,
15
],
[
684,
777,
21,
15
],
[
710,
777,
12,
15
],
[
726,
777,
34,
15
],
[
427,
793,
38,
15
],
[
468,
793,
19,
15
],
[
491,
793,
46,
15
],
[
541,
793,
23,
15
],
[
567,
793,
27,
15
],
[
598,
793,
20,
15
],
[
622,
793,
114,
15
],
[
739,
793,
21,
15
],
[
427,
809,
80,
15
],
[
513,
809,
33,
15
],
[
552,
809,
12,
15
],
[
570,
809,
58,
15
],
[
634,
809,
25,
15
],
[
665,
809,
25,
15
],
[
696,
809,
64,
15
],
[
427,
825,
42,
15
],
[
476,
825,
22,
16
],
[
522,
825,
34,
15
],
[
562,
825,
16,
15
],
[
585,
825,
33,
15
],
[
625,
825,
31,
15
],
[
662,
825,
26,
15
],
[
695,
825,
28,
15
],
[
730,
825,
31,
15
],
[
427,
841,
28,
15
],
[
458,
841,
11,
15
],
[
472,
841,
38,
15
],
[
512,
841,
58,
15
],
[
573,
841,
44,
15
],
[
620,
841,
39,
15
],
[
662,
841,
21,
15
],
[
685,
841,
76,
15
],
[
427,
857,
34,
15
],
[
465,
857,
34,
15
],
[
502,
857,
11,
15
],
[
516,
857,
18,
15
],
[
538,
857,
34,
15
],
[
575,
857,
54,
15
],
[
633,
857,
11,
15
],
[
647,
857,
18,
15
],
[
669,
857,
38,
15
],
[
711,
857,
20,
15
],
[
734,
857,
26,
15
],
[
427,
873,
45,
15
],
[
477,
873,
37,
15
],
[
519,
873,
23,
15
],
[
559,
873,
27,
15
],
[
590,
873,
12,
15
],
[
607,
873,
30,
15
],
[
641,
873,
12,
15
],
[
657,
873,
34,
15
],
[
696,
873,
65,
15
],
[
427,
889,
54,
15
],
[
489,
889,
68,
15
],
[
564,
889,
41,
15
],
[
612,
889,
21,
15
],
[
641,
889,
67,
15
],
[
716,
889,
45,
15
],
[
427,
905,
21,
15
],
[
452,
905,
15,
15
],
[
470,
905,
12,
15
],
[
485,
905,
34,
15
],
[
522,
905,
12,
15
],
[
537,
905,
29,
15
],
[
569,
905,
41,
15
],
[
614,
905,
32,
15
],
[
649,
905,
12,
15
],
[
664,
905,
35,
15
],
[
702,
905,
17,
15
],
[
722,
905,
39,
15
],
[
427,
921,
52,
15
],
[
483,
921,
12,
15
],
[
498,
921,
18,
15
],
[
520,
921,
20,
15
],
[
543,
921,
30,
15
],
[
577,
921,
55,
15
],
[
635,
921,
26,
15
],
[
665,
921,
8,
15
],
[
677,
921,
27,
15
],
[
708,
921,
21,
15
],
[
732,
921,
28,
15
],
[
427,
937,
18,
15
],
[
448,
937,
18,
15
],
[
469,
937,
9,
15
],
[
480,
937,
43,
15
],
[
526,
937,
56,
15
],
[
585,
937,
10,
15
],
[
599,
937,
16,
15
],
[
618,
937,
36,
15
],
[
657,
937,
25,
15
],
[
685,
937,
75,
15
],
[
427,
953,
47,
15
],
[
478,
953,
9,
15
],
[
490,
953,
45,
15
],
[
539,
953,
12,
15
],
[
554,
953,
48,
15
],
[
606,
953,
53,
15
],
[
662,
953,
11,
15
],
[
677,
953,
18,
15
],
[
698,
953,
63,
15
],
[
427,
969,
20,
15
],
[
451,
969,
20,
15
],
[
475,
969,
12,
15
],
[
490,
969,
18,
15
],
[
513,
969,
56,
15
],
[
572,
969,
43,
15
],
[
619,
969,
80,
15
],
[
703,
969,
58,
15
],
[
427,
985,
11,
15
],
[
443,
985,
56,
15
],
[
503,
985,
17,
15
],
[
525,
985,
43,
15
],
[
572,
985,
10,
15
],
[
586,
985,
9,
15
],
[
600,
985,
35,
15
],
[
640,
985,
20,
15
],
[
664,
985,
19,
15
],
[
687,
985,
20,
15
],
[
712,
985,
17,
15
],
[
733,
985,
27,
15
],
[
742,
1049,
17,
12
]
] | [
"JCB",
"Article",
"Dislocation",
"and",
"degradation",
"from",
"the",
"ER",
"are",
"regulated",
"by",
"cytosolic",
"stress",
"Judy",
"K.",
"VanSlyke",
"and",
"Linda",
"S.",
"Musil",
"Division",
"of",
"Molecular",
"Medicine,",
"Oregon",
"Health",
"Sciences",
"University,",
"Portland,",
"OR",
"97201",
"A",
"dislocation",
"of",
"the",
"substrate",
"protein",
"from",
"the",
"ER",
"into",
"key",
"step",
"in",
"ER-associated",
"degradation",
"(ERAD)",
"is",
"the",
"cytosol",
"to",
"gain",
"access",
"to",
"the",
"proteasome.",
"Very",
"little",
"is",
"known",
"about",
"how",
"this",
"process",
"is",
"regulated,",
"especially",
"in",
"the",
"case",
"of",
"polytopic",
"proteins.",
"Using",
"pulse-chase",
"analysis",
"combined",
"with",
"subcellular",
"fractionation,",
"we",
"show",
"that",
"connexins,",
"the",
"four",
"transmembrane",
"structural",
"components",
"of",
"gap",
"junctions,",
"can",
"be",
"chased",
"in",
"an",
"intact",
"form",
"from",
"the",
"ER",
"membrane",
"into",
"the",
"cytosol",
"of",
"proteasome",
"inhibitor–",
"treated",
"cells.",
"Dislocation",
"of",
"endogenously",
"expressed",
"connexin",
"from",
"the",
"ER",
"was",
"reduced",
"50–80%",
"when",
"the",
"cytosolic",
"heat",
"shock",
"response",
"was",
"induced",
"by",
"mild",
"oxidative",
"or",
"thermal",
"stress,",
"but",
"not",
"by",
"treatments",
"that",
"instead",
"upregulate",
"the",
"ER",
"unfolded",
"protein",
"response.",
"Cytosolic",
"but",
"not",
"ER",
"stresses",
"slowed",
"the",
"normally",
"rapid",
"degradation",
"of",
"connexins,",
"and",
"led",
"to",
"a",
"striking",
"increase",
"in",
"gap",
"junction",
"formation",
"and",
"function",
"in",
"otherwise",
"assembly-inefficient",
"cell",
"types.",
"These",
"treatments",
"also",
"inhibited",
"the",
"dislocation",
"and",
"turnover",
"of",
"a",
"connexin-unrelated",
"ERAD",
"substrate,",
"unassembled",
"major",
"histocompatibility",
"complex",
"class",
"I",
"heavy",
"chain.",
"Our",
"findings",
"demonstrate",
"that",
"dislocation",
"is",
"negatively",
"regulated",
"by",
"physiologically",
"relevant,",
"nonlethal",
"stress.",
"They",
"also",
"reveal",
"a",
"previously",
"unrecognized",
"relationship",
"between",
"cytosolic",
"stress",
"and",
"intercellular",
"communication.",
"Introduction",
"After",
"insertion",
"into",
"the",
"ER,",
"nascent",
"secretory",
"proteins",
"can",
"either",
"be",
"exported",
"to",
"the",
"Golgi",
"or",
"destroyed",
"by",
"ER-associated",
"degradation",
"(ERAD)*",
"(McCracken",
"and",
"Brodsky,",
"1996).",
"ERAD",
"is",
"carried",
"out",
"by",
"the",
"26S",
"proteasome,",
"the",
"multicata-",
"lytic",
"protease",
"complex",
"that",
"mediates",
"the",
"majority",
"of",
"protein",
"degradation",
"in",
"the",
"cytosol",
"and",
"nucleus",
"(Plemper",
"and",
"Wolf,",
"1999).",
"It",
"has",
"been",
"demonstrated",
"that",
"ERAD",
"substrates",
"(with",
"certain",
"possible",
"exceptions;",
"Walter",
"et",
"al.,",
"2001)",
"gain",
"access",
"to",
"the",
"proteasome",
"by",
"being",
"extracted",
"from",
"the",
"ER",
"via",
"the",
"Sec61",
"translocon",
"in",
"a",
"process",
"referred",
"to",
"as",
"disloca-",
"tion",
"(Wiertz",
"et",
"al.,",
"1996b;",
"Pilon",
"et",
"al.,",
"1997;",
"Plemper",
"et",
"al.,",
"1997;",
"Zhou",
"and",
"Schekman,",
"1999).",
"Major",
"substrates",
"for",
"ERAD",
"include",
"proteins",
"that",
"are",
"conformationally",
"abnormal",
"as",
"a",
"result",
"of",
"mutation,",
"lack",
"of",
"assembly",
"partners,",
"or",
"imper-",
"fect",
"folding.",
"To",
"date,",
"no",
"mechanism",
"has",
"been",
"described",
"to",
"regulate",
"the",
"dislocation",
"of",
"multiple",
"unrelated",
"proteins",
"under",
"physiologically",
"relevant",
"conditions.",
"Address",
"correspondence",
"to",
"Linda",
"S.",
"Musil,",
"Division",
"of",
"Molecular",
"Medicine",
"NRC3,",
"Oregon",
"Health",
"Sciences",
"University,",
"3181",
"Southwest",
"Sam",
"Jackson",
"Park",
"Rd.,",
"Portland,",
"OR",
"97201.",
"Tel.:",
"(503)",
"494-1300.",
"Fax:",
"(503)",
"494-7368.",
"E-mail:",
"Musill@OHSU.edu",
"*Abbreviations",
"used",
"in",
"this",
"paper:",
"ALLN,",
"acetyl-leu-leu-norleucinal;",
"BFA,",
"brefeldin",
"A;",
"Cx32,",
"connexin32;",
"Cx43,",
"connexin43;",
"ERAD,",
"ER-",
"associated",
"degradation;",
"MHC1,",
"major",
"histocompatibility",
"complex",
"class",
"I;",
"NAC,",
"N-acetyl",
"cysteine.",
"Key",
"words:",
"endoplasmic",
"reticulum;",
"proteasome;",
"heat-shock",
"response;",
"connexins;",
"gap",
"junctions",
"",
"The",
"Rockefeller",
"University",
"Press,",
"0021-9525/2002/04/381/14",
"$5.00",
"The",
"Journal",
"of",
"Cell",
"Biology,",
"Volume",
"157,",
"Number",
"3,",
"April",
"29,",
"2002",
"381–394",
"http://www.jcb.org/cgi/doi/10.1083/jcb.200111045",
"Connexins",
"form",
"a",
"family",
"of",
"nonglycosylated,",
"tetra-spanning",
"proteins",
"with",
"both",
"amino",
"and",
"carboxyl",
"termini",
"facing",
"the",
"cytosol.",
"Connexins",
"are",
"the",
"structural",
"components",
"in",
"verte-",
"brates",
"of",
"gap",
"junctions,",
"which",
"are",
"collections",
"of",
"intercellular",
"channels",
"that",
"mediate",
"the",
"regulatable",
"cell-to-cell",
"transfer",
"of",
"low",
"molecular",
"mass",
"substances",
"including",
"ions",
"and",
"second",
"messengers",
"(for",
"review",
"see",
"Goodenough",
"et",
"al.,",
"1996).",
"Cell",
"types",
"differ",
"greatly",
"in",
"the",
"efficiency",
"with",
"which",
"they",
"assem-",
"ble",
"connexins",
"into",
"gap",
"junctions",
"under",
"basal",
"conditions,",
"and",
"have",
"been",
"operationally",
"categorized",
"as",
"either",
"assembly",
"in-",
"competent",
"(no",
"gap",
"junctions),",
"assembly",
"inefficient",
"(few",
"gap",
"junctions",
"relative",
"to",
"the",
"level",
"of",
"connexin",
"expressed",
"on",
"the",
"cell",
"surface),",
"or",
"assembly",
"efficient",
"(Musil",
"et",
"al.,",
"2000).",
"Pulse-chase",
"analysis",
"in",
"tissue",
"culture",
"cells",
"and",
"in",
"whole",
"organs",
"has",
"revealed",
"that",
"both",
"gap",
"junction–assembled",
"and",
"–unassociated",
"forms",
"of",
"connexins",
"turn",
"over",
"remarkably",
"quickly",
"(t1/2",
"1.5–5",
"h),",
"much",
"faster",
"than",
"most",
"other",
"types",
"of",
"plasma",
"membrane",
"proteins",
"(Fallon",
"and",
"Goodenough,",
"1981;",
"Musil",
"et",
"al.,",
"1990;",
"Beardslee",
"et",
"al.,",
"1998).",
"We",
"have",
"recently",
"shown",
"that",
"40%",
"or",
"more",
"of",
"newly",
"synthesized",
"wild-type",
"connexin43",
"(Cx43)",
"and",
"connexin32",
"(Cx32),",
"and",
"up",
"to",
"100%",
"of",
"some",
"mutant",
"forms",
"of",
"Cx32,",
"are",
"rapidly",
"degraded",
"in",
"the",
"cell",
"types",
"examined",
"even",
"if",
"their",
"exit",
"from",
"the",
"ER",
"is",
"blocked",
"(VanSlyke",
"et",
"al.,",
"2000).",
"This",
"ER-associated",
"turnover",
"is",
"sensitive",
"to",
"chemical",
"inhibitors",
"of",
"the",
"proteasome",
"but",
"not",
"of",
"the",
"lysosome,",
"thereby",
"characterizing",
"connexins",
"as",
"substrates",
"for",
"ERAD.",
"It",
"is",
"likely,",
"but",
"has",
"not",
"yet",
"been",
"381"
] | [
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4
] |
3,377,120 | null | [
[
78,
47,
25,
12
],
[
106,
47,
18,
12
],
[
128,
47,
21,
12
],
[
152,
47,
33,
12
],
[
188,
47,
9,
12
],
[
200,
47,
26,
12
],
[
230,
47,
7,
12
],
[
240,
47,
33,
12
],
[
276,
47,
41,
12
],
[
321,
47,
25,
12
],
[
349,
47,
14,
12
],
[
78,
61,
252,
12
],
[
83,
128,
10,
18
],
[
95,
128,
13,
18
],
[
109,
128,
5,
18
],
[
116,
128,
10,
18
],
[
128,
128,
13,
18
],
[
143,
128,
11,
18
],
[
155,
128,
5,
18
],
[
162,
128,
12,
18
],
[
176,
128,
10,
18
],
[
568,
53,
50,
15
],
[
621,
53,
15,
15
],
[
568,
71,
40,
15
],
[
611,
71,
11,
15
],
[
625,
71,
52,
15
],
[
680,
71,
63,
15
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
123,
34
],
[
212,
169,
28,
34
],
[
249,
169,
93,
34
],
[
353,
169,
26,
34
],
[
389,
169,
74,
34
],
[
473,
169,
19,
34
],
[
502,
169,
93,
34
],
[
605,
169,
117,
34
],
[
78,
216,
43,
16
],
[
125,
216,
8,
16
],
[
137,
213,
40,
19
],
[
182,
216,
22,
16
],
[
208,
216,
22,
16
],
[
235,
216,
12,
16
],
[
250,
213,
38,
19
],
[
78,
268,
21,
14
],
[
104,
268,
18,
14
],
[
127,
268,
63,
14
],
[
195,
268,
53,
14
],
[
252,
268,
22,
14
],
[
279,
268,
47,
14
],
[
331,
268,
32,
14
],
[
368,
268,
12,
14
],
[
384,
268,
19,
14
],
[
78,
285,
25,
14
],
[
107,
285,
69,
14
],
[
181,
285,
12,
14
],
[
197,
285,
40,
14
],
[
242,
285,
36,
14
],
[
282,
285,
22,
14
],
[
308,
285,
59,
14
],
[
372,
285,
32,
14
],
[
78,
302,
15,
14
],
[
97,
302,
21,
14
],
[
123,
302,
26,
14
],
[
154,
302,
46,
14
],
[
205,
302,
30,
14
],
[
240,
302,
26,
14
],
[
270,
302,
20,
14
],
[
295,
302,
31,
14
],
[
331,
302,
9,
14
],
[
344,
302,
10,
14
],
[
358,
302,
46,
14
],
[
78,
318,
22,
14
],
[
104,
318,
24,
14
],
[
133,
318,
50,
14
],
[
187,
318,
24,
14
],
[
216,
318,
19,
14
],
[
239,
318,
57,
14
],
[
301,
318,
86,
14
],
[
392,
318,
12,
14
],
[
78,
335,
102,
14
],
[
185,
335,
14,
14
],
[
205,
335,
32,
14
],
[
242,
335,
6,
14
],
[
254,
335,
41,
14
],
[
300,
335,
36,
14
],
[
341,
335,
12,
14
],
[
359,
335,
45,
14
],
[
78,
351,
46,
14
],
[
129,
351,
22,
14
],
[
156,
351,
48,
14
],
[
208,
351,
31,
14
],
[
244,
351,
57,
14
],
[
305,
351,
12,
14
],
[
322,
351,
19,
14
],
[
346,
351,
41,
14
],
[
392,
351,
12,
14
],
[
78,
368,
58,
14
],
[
141,
368,
18,
14
],
[
163,
368,
40,
14
],
[
207,
368,
57,
14
],
[
268,
368,
42,
14
],
[
314,
368,
61,
14
],
[
379,
368,
24,
14
],
[
78,
385,
20,
14
],
[
103,
385,
26,
14
],
[
133,
385,
27,
14
],
[
165,
385,
42,
14
],
[
212,
385,
17,
14
],
[
233,
385,
55,
14
],
[
292,
385,
48,
14
],
[
345,
385,
12,
14
],
[
361,
385,
7,
14
],
[
372,
385,
32,
14
],
[
78,
401,
20,
14
],
[
103,
401,
12,
14
],
[
120,
401,
56,
14
],
[
181,
401,
57,
14
],
[
243,
401,
44,
14
],
[
292,
401,
84,
14
],
[
381,
401,
22,
14
],
[
78,
418,
42,
14
],
[
125,
418,
49,
14
],
[
179,
418,
32,
14
],
[
215,
418,
75,
14
],
[
295,
418,
15,
14
],
[
315,
418,
27,
14
],
[
347,
418,
57,
14
],
[
78,
435,
35,
14
],
[
118,
435,
20,
14
],
[
143,
435,
28,
14
],
[
176,
435,
52,
14
],
[
232,
435,
17,
14
],
[
255,
435,
34,
14
],
[
294,
435,
22,
14
],
[
320,
435,
43,
14
],
[
368,
435,
36,
14
],
[
78,
451,
27,
14
],
[
110,
451,
18,
14
],
[
132,
451,
29,
14
],
[
165,
451,
51,
14
],
[
220,
451,
33,
14
],
[
258,
451,
11,
14
],
[
274,
451,
99,
14
],
[
376,
451,
27,
14
],
[
78,
468,
27,
14
],
[
89,
484,
40,
14
],
[
134,
484,
10,
14
],
[
148,
484,
33,
14
],
[
185,
484,
10,
14
],
[
199,
484,
43,
14
],
[
246,
484,
53,
14
],
[
304,
484,
49,
14
],
[
356,
484,
9,
14
],
[
369,
484,
7,
14
],
[
380,
484,
23,
14
],
[
78,
501,
29,
14
],
[
111,
501,
36,
14
],
[
151,
501,
81,
14
],
[
237,
501,
41,
14
],
[
282,
501,
23,
14
],
[
310,
501,
54,
14
],
[
368,
501,
36,
14
],
[
78,
517,
60,
14
],
[
143,
517,
32,
14
],
[
179,
517,
72,
14
],
[
256,
517,
22,
14
],
[
282,
517,
41,
14
],
[
327,
517,
49,
14
],
[
380,
517,
23,
14
],
[
78,
534,
51,
14
],
[
134,
534,
20,
14
],
[
158,
534,
82,
14
],
[
245,
534,
12,
14
],
[
261,
534,
33,
14
],
[
299,
534,
21,
14
],
[
324,
534,
41,
14
],
[
369,
534,
34,
14
],
[
78,
551,
27,
14
],
[
109,
551,
23,
14
],
[
136,
551,
40,
14
],
[
181,
551,
55,
14
],
[
240,
551,
47,
14
],
[
292,
551,
12,
14
],
[
307,
551,
14,
14
],
[
325,
551,
29,
14
],
[
358,
551,
45,
14
],
[
78,
567,
12,
14
],
[
94,
567,
18,
14
],
[
117,
567,
52,
14
],
[
174,
567,
11,
14
],
[
189,
567,
18,
14
],
[
211,
567,
26,
14
],
[
241,
567,
12,
14
],
[
257,
567,
27,
14
],
[
288,
567,
61,
14
],
[
354,
567,
50,
14
],
[
78,
584,
29,
14
],
[
111,
584,
51,
14
],
[
167,
584,
29,
14
],
[
200,
584,
12,
14
],
[
216,
584,
43,
14
],
[
264,
584,
42,
14
],
[
310,
584,
19,
14
],
[
334,
584,
18,
14
],
[
356,
584,
20,
14
],
[
380,
584,
24,
14
],
[
78,
600,
24,
14
],
[
110,
600,
16,
14
],
[
135,
600,
105,
14
],
[
248,
600,
62,
14
],
[
318,
600,
23,
14
],
[
350,
600,
54,
14
],
[
78,
617,
56,
14
],
[
138,
617,
60,
14
],
[
203,
617,
56,
14
],
[
264,
617,
61,
14
],
[
329,
617,
21,
14
],
[
355,
617,
49,
14
],
[
78,
634,
43,
14
],
[
127,
634,
70,
14
],
[
203,
634,
12,
14
],
[
222,
634,
35,
14
],
[
263,
634,
23,
14
],
[
291,
634,
45,
14
],
[
342,
634,
61,
14
],
[
78,
650,
76,
14
],
[
159,
650,
65,
14
],
[
228,
650,
42,
14
],
[
274,
650,
19,
14
],
[
298,
650,
18,
14
],
[
320,
650,
20,
14
],
[
344,
650,
40,
14
],
[
389,
650,
15,
14
],
[
78,
667,
84,
14
],
[
167,
667,
106,
14
],
[
278,
667,
61,
14
],
[
343,
667,
22,
14
],
[
369,
667,
34,
14
],
[
78,
683,
29,
14
],
[
111,
683,
49,
14
],
[
164,
683,
83,
14
],
[
251,
683,
104,
14
],
[
359,
683,
44,
14
],
[
78,
700,
31,
14
],
[
113,
700,
21,
14
],
[
139,
700,
67,
14
],
[
210,
700,
38,
14
],
[
252,
700,
44,
14
],
[
89,
717,
24,
14
],
[
118,
717,
24,
14
],
[
147,
717,
40,
14
],
[
192,
717,
41,
14
],
[
237,
717,
10,
14
],
[
251,
717,
12,
14
],
[
268,
717,
35,
14
],
[
308,
717,
7,
14
],
[
319,
717,
35,
14
],
[
358,
717,
17,
14
],
[
380,
717,
24,
14
],
[
78,
733,
56,
14
],
[
139,
733,
50,
14
],
[
193,
733,
24,
14
],
[
221,
733,
21,
14
],
[
247,
733,
46,
14
],
[
298,
733,
19,
14
],
[
321,
733,
66,
14
],
[
392,
733,
12,
14
],
[
78,
750,
38,
14
],
[
120,
750,
17,
14
],
[
142,
750,
19,
14
],
[
165,
750,
24,
14
],
[
193,
750,
30,
14
],
[
227,
750,
12,
14
],
[
244,
750,
19,
14
],
[
267,
750,
29,
14
],
[
300,
750,
20,
14
],
[
325,
750,
18,
14
],
[
348,
750,
56,
14
],
[
78,
766,
12,
14
],
[
94,
766,
54,
14
],
[
153,
766,
14,
14
],
[
171,
766,
33,
14
],
[
208,
766,
16,
14
],
[
229,
766,
76,
14
],
[
309,
766,
23,
14
],
[
335,
766,
46,
14
],
[
385,
766,
18,
14
],
[
78,
783,
25,
14
],
[
108,
783,
12,
14
],
[
124,
783,
20,
14
],
[
149,
783,
60,
14
],
[
212,
783,
25,
14
],
[
242,
783,
20,
14
],
[
267,
783,
40,
14
],
[
311,
783,
23,
14
],
[
338,
783,
40,
14
],
[
383,
783,
21,
14
],
[
78,
800,
14,
14
],
[
96,
800,
14,
14
],
[
115,
800,
58,
14
],
[
177,
800,
50,
14
],
[
232,
800,
17,
14
],
[
253,
800,
61,
14
],
[
318,
800,
19,
14
],
[
341,
800,
46,
14
],
[
392,
800,
12,
14
],
[
78,
816,
31,
14
],
[
113,
816,
56,
14
],
[
174,
816,
12,
14
],
[
190,
816,
18,
14
],
[
212,
816,
42,
14
],
[
258,
816,
11,
14
],
[
274,
816,
33,
14
],
[
311,
816,
21,
14
],
[
337,
816,
41,
14
],
[
382,
816,
22,
14
],
[
78,
833,
38,
14
],
[
121,
833,
11,
14
],
[
137,
833,
21,
14
],
[
162,
833,
22,
14
],
[
189,
833,
14,
14
],
[
207,
833,
36,
14
],
[
248,
833,
24,
14
],
[
276,
833,
70,
14
],
[
351,
833,
52,
14
],
[
78,
849,
28,
14
],
[
111,
849,
59,
14
],
[
174,
849,
12,
14
],
[
189,
849,
78,
14
],
[
272,
849,
66,
14
],
[
342,
849,
61,
14
],
[
78,
866,
104,
14
],
[
186,
866,
81,
14
],
[
272,
866,
21,
14
],
[
297,
866,
47,
14
],
[
348,
866,
25,
14
],
[
377,
866,
26,
14
],
[
78,
883,
57,
14
],
[
139,
883,
62,
14
],
[
205,
883,
27,
14
],
[
236,
883,
26,
14
],
[
266,
883,
21,
14
],
[
291,
883,
51,
14
],
[
346,
883,
14,
14
],
[
364,
883,
40,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
97,
11
],
[
78,
936,
48,
13
],
[
130,
937,
9,
11
],
[
141,
937,
63,
11
],
[
208,
937,
51,
11
],
[
261,
937,
9,
11
],
[
273,
937,
47,
11
],
[
323,
937,
6,
11
],
[
333,
937,
58,
11
],
[
78,
950,
34,
11
],
[
115,
950,
12,
11
],
[
130,
950,
36,
11
],
[
169,
950,
36,
11
],
[
208,
950,
6,
11
],
[
217,
950,
26,
11
],
[
246,
950,
22,
11
],
[
271,
950,
43,
11
],
[
317,
950,
36,
11
],
[
356,
950,
13,
11
],
[
372,
950,
18,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
268,
19,
14
],
[
447,
268,
53,
14
],
[
505,
268,
36,
14
],
[
546,
268,
12,
14
],
[
563,
268,
41,
14
],
[
609,
268,
17,
14
],
[
631,
268,
10,
14
],
[
646,
268,
60,
14
],
[
711,
268,
12,
14
],
[
729,
268,
19,
14
],
[
423,
285,
30,
14
],
[
456,
285,
12,
14
],
[
472,
285,
21,
14
],
[
497,
285,
31,
14
],
[
532,
285,
37,
14
],
[
434,
302,
63,
14
],
[
502,
302,
50,
14
],
[
557,
302,
12,
14
],
[
574,
302,
86,
14
],
[
664,
302,
19,
14
],
[
688,
302,
44,
14
],
[
736,
302,
12,
14
],
[
423,
318,
34,
14
],
[
462,
318,
22,
14
],
[
488,
318,
43,
14
],
[
536,
318,
55,
14
],
[
595,
318,
10,
14
],
[
610,
318,
51,
14
],
[
666,
318,
62,
14
],
[
733,
318,
15,
14
],
[
423,
335,
19,
14
],
[
446,
335,
64,
14
],
[
514,
335,
12,
14
],
[
530,
335,
62,
14
],
[
597,
335,
38,
14
],
[
639,
335,
36,
14
],
[
680,
335,
32,
14
],
[
716,
335,
32,
14
],
[
423,
351,
40,
14
],
[
468,
351,
90,
14
],
[
564,
351,
22,
14
],
[
592,
351,
38,
14
],
[
635,
351,
51,
14
],
[
691,
351,
57,
14
],
[
423,
368,
27,
14
],
[
454,
368,
63,
14
],
[
521,
368,
10,
14
],
[
535,
368,
43,
14
],
[
583,
368,
36,
14
],
[
624,
368,
71,
14
],
[
700,
368,
12,
14
],
[
716,
368,
32,
14
],
[
423,
385,
50,
14
],
[
477,
385,
29,
14
],
[
511,
385,
12,
14
],
[
527,
385,
35,
14
],
[
567,
385,
9,
14
],
[
580,
385,
45,
14
],
[
630,
385,
44,
14
],
[
678,
385,
15,
14
],
[
698,
385,
19,
14
],
[
721,
385,
27,
14
],
[
423,
401,
21,
14
],
[
450,
401,
12,
14
],
[
468,
401,
35,
14
],
[
509,
401,
23,
14
],
[
538,
401,
45,
14
],
[
588,
401,
61,
14
],
[
655,
401,
24,
14
],
[
685,
401,
45,
14
],
[
736,
401,
12,
14
],
[
423,
418,
40,
14
],
[
467,
418,
25,
14
],
[
497,
418,
40,
14
],
[
541,
418,
23,
14
],
[
569,
418,
30,
14
],
[
603,
418,
9,
14
],
[
617,
418,
6,
14
],
[
628,
418,
28,
14
],
[
660,
418,
17,
14
],
[
681,
418,
7,
14
],
[
692,
418,
55,
14
],
[
423,
434,
42,
14
],
[
469,
434,
12,
14
],
[
485,
434,
21,
14
],
[
511,
434,
36,
14
],
[
551,
434,
41,
14
],
[
597,
434,
29,
14
],
[
630,
434,
22,
14
],
[
656,
434,
31,
14
],
[
692,
434,
19,
14
],
[
715,
434,
33,
14
],
[
423,
451,
58,
14
],
[
485,
451,
12,
14
],
[
501,
451,
29,
14
],
[
534,
451,
35,
14
],
[
573,
451,
67,
14
],
[
645,
451,
16,
14
],
[
665,
451,
45,
14
],
[
714,
451,
23,
14
],
[
741,
451,
7,
14
],
[
423,
467,
25,
14
],
[
452,
467,
30,
14
],
[
487,
467,
37,
14
],
[
529,
467,
43,
14
],
[
577,
467,
12,
14
],
[
594,
467,
21,
14
],
[
620,
467,
26,
14
],
[
652,
467,
22,
14
],
[
679,
467,
70,
14
],
[
423,
484,
38,
14
],
[
434,
501,
23,
14
],
[
461,
501,
29,
14
],
[
494,
501,
69,
14
],
[
567,
501,
11,
14
],
[
583,
501,
21,
14
],
[
608,
501,
53,
14
],
[
666,
501,
28,
14
],
[
698,
501,
50,
14
],
[
423,
517,
18,
14
],
[
445,
517,
48,
14
],
[
497,
517,
21,
14
],
[
523,
517,
44,
14
],
[
570,
517,
11,
14
],
[
586,
517,
45,
14
],
[
635,
517,
48,
14
],
[
687,
517,
16,
14
],
[
707,
517,
25,
14
],
[
736,
517,
12,
14
],
[
423,
534,
58,
14
],
[
485,
534,
21,
14
],
[
511,
534,
49,
14
],
[
563,
534,
11,
14
],
[
579,
534,
43,
14
],
[
625,
534,
35,
14
],
[
665,
534,
21,
14
],
[
690,
534,
58,
14
],
[
423,
550,
36,
14
],
[
463,
550,
15,
14
],
[
483,
550,
7,
14
],
[
493,
550,
67,
14
],
[
565,
550,
60,
14
],
[
629,
550,
31,
14
],
[
664,
550,
84,
14
],
[
423,
567,
23,
14
],
[
450,
567,
19,
14
],
[
473,
567,
44,
14
],
[
521,
567,
48,
14
],
[
573,
567,
57,
14
],
[
635,
567,
45,
15
],
[
684,
567,
21,
14
],
[
709,
567,
39,
14
],
[
423,
584,
24,
14
],
[
451,
584,
46,
15
],
[
502,
584,
55,
14
],
[
562,
584,
12,
14
],
[
578,
584,
19,
14
],
[
602,
584,
40,
14
],
[
647,
584,
59,
14
],
[
710,
584,
37,
14
],
[
423,
600,
69,
14
],
[
496,
600,
11,
14
],
[
512,
600,
27,
14
],
[
544,
600,
12,
14
],
[
560,
600,
27,
14
],
[
592,
600,
19,
14
],
[
616,
600,
60,
14
],
[
680,
600,
68,
14
],
[
423,
617,
25,
14
],
[
452,
617,
12,
14
],
[
467,
617,
18,
14
],
[
490,
617,
57,
14
],
[
551,
617,
34,
14
],
[
589,
617,
24,
14
],
[
618,
617,
43,
14
],
[
665,
617,
40,
14
],
[
709,
617,
39,
14
],
[
423,
634,
24,
14
],
[
452,
634,
45,
14
],
[
503,
634,
60,
14
],
[
568,
634,
74,
14
],
[
647,
634,
48,
14
],
[
700,
634,
36,
14
],
[
741,
634,
7,
14
],
[
423,
650,
51,
14
],
[
478,
650,
56,
14
],
[
538,
650,
36,
14
],
[
578,
650,
41,
14
],
[
623,
650,
32,
14
],
[
659,
650,
54,
14
],
[
717,
650,
31,
14
],
[
423,
667,
34,
14
],
[
461,
667,
7,
14
],
[
471,
667,
76,
14
],
[
552,
667,
49,
14
],
[
605,
667,
40,
14
],
[
649,
667,
60,
14
],
[
714,
667,
12,
14
],
[
730,
667,
19,
14
],
[
423,
684,
92,
14
],
[
519,
684,
11,
14
],
[
535,
684,
33,
14
],
[
572,
684,
21,
14
],
[
597,
684,
41,
14
],
[
642,
684,
55,
14
],
[
702,
684,
46,
14
],
[
423,
700,
21,
14
],
[
448,
700,
31,
14
],
[
483,
700,
42,
14
],
[
530,
700,
46,
14
],
[
580,
700,
12,
14
],
[
596,
700,
39,
14
],
[
639,
700,
31,
14
],
[
675,
700,
38,
14
],
[
717,
700,
31,
14
],
[
423,
717,
28,
14
],
[
455,
717,
12,
14
],
[
471,
717,
62,
14
],
[
538,
717,
43,
14
],
[
585,
717,
28,
14
],
[
618,
717,
6,
14
],
[
628,
717,
79,
14
],
[
711,
717,
12,
14
],
[
727,
717,
21,
14
],
[
423,
733,
39,
14
],
[
468,
733,
39,
14
],
[
513,
733,
50,
14
],
[
569,
733,
47,
14
],
[
623,
733,
34,
14
],
[
663,
733,
85,
14
],
[
423,
750,
40,
14
],
[
468,
750,
44,
14
],
[
517,
750,
56,
14
],
[
577,
750,
12,
14
],
[
594,
750,
19,
14
],
[
617,
750,
60,
14
],
[
682,
750,
50,
14
],
[
736,
750,
12,
14
],
[
423,
766,
20,
14
],
[
447,
766,
51,
14
],
[
504,
766,
75,
14
],
[
584,
766,
60,
14
],
[
650,
766,
12,
14
],
[
667,
766,
49,
14
],
[
721,
766,
27,
14
],
[
423,
783,
34,
14
],
[
461,
783,
60,
14
],
[
526,
783,
52,
14
],
[
582,
783,
42,
14
],
[
629,
783,
42,
14
],
[
675,
783,
22,
14
],
[
702,
783,
46,
14
],
[
423,
800,
29,
14
],
[
456,
800,
48,
14
],
[
508,
800,
19,
14
],
[
531,
800,
60,
14
],
[
595,
800,
49,
14
],
[
649,
800,
12,
14
],
[
665,
800,
60,
14
],
[
729,
800,
19,
14
],
[
423,
816,
32,
14
],
[
460,
816,
12,
14
],
[
476,
816,
62,
14
],
[
543,
816,
85,
14
],
[
633,
816,
15,
14
],
[
653,
816,
69,
14
],
[
726,
816,
22,
14
],
[
423,
833,
62,
14
],
[
490,
833,
52,
14
],
[
547,
833,
12,
14
],
[
563,
833,
63,
14
],
[
632,
833,
26,
14
],
[
663,
833,
30,
14
],
[
697,
833,
51,
14
],
[
423,
850,
21,
14
],
[
448,
850,
50,
14
],
[
502,
850,
12,
14
],
[
519,
850,
14,
14
],
[
536,
850,
47,
14
],
[
588,
850,
12,
14
],
[
604,
850,
18,
14
],
[
626,
850,
71,
14
],
[
701,
850,
47,
14
],
[
423,
866,
54,
14
],
[
481,
866,
43,
14
],
[
528,
866,
15,
14
],
[
547,
866,
30,
14
],
[
581,
866,
48,
14
],
[
634,
866,
61,
14
],
[
698,
866,
12,
14
],
[
714,
866,
34,
14
],
[
423,
883,
63,
14
],
[
491,
883,
54,
14
],
[
550,
883,
43,
14
],
[
598,
883,
54,
14
],
[
657,
883,
43,
14
],
[
705,
883,
12,
14
],
[
722,
883,
26,
14
],
[
423,
899,
55,
14
],
[
482,
899,
32,
14
],
[
519,
899,
47,
14
],
[
570,
899,
46,
14
],
[
621,
899,
21,
14
],
[
647,
899,
56,
14
],
[
707,
899,
41,
14
],
[
423,
916,
12,
14
],
[
439,
916,
40,
14
],
[
484,
916,
42,
14
],
[
530,
916,
12,
14
],
[
547,
916,
42,
14
],
[
594,
916,
22,
14
],
[
620,
916,
66,
14
],
[
691,
916,
12,
14
],
[
707,
916,
24,
14
],
[
736,
916,
12,
14
],
[
423,
933,
44,
14
],
[
471,
933,
48,
14
],
[
524,
933,
15,
14
],
[
543,
933,
19,
14
],
[
566,
933,
71,
14
],
[
641,
933,
12,
14
],
[
657,
933,
19,
14
],
[
680,
933,
52,
14
],
[
736,
933,
12,
14
],
[
423,
949,
37,
14
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
20,
10
],
[
301,
987,
15,
10
],
[
318,
987,
18,
10
],
[
339,
987,
30,
10
],
[
372,
987,
29,
10
],
[
404,
987,
27,
10
],
[
433,
987,
14,
10
],
[
450,
987,
15,
10
],
[
468,
987,
6,
10
],
[
476,
987,
10,
10
],
[
489,
987,
21,
10
],
[
513,
987,
25,
10
],
[
541,
987,
23,
10
],
[
566,
987,
41,
10
],
[
610,
987,
23,
10
],
[
635,
987,
13,
10
],
[
651,
987,
22,
10
],
[
675,
987,
8,
10
],
[
685,
987,
13,
10
],
[
701,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
50,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Hariri",
"and",
"Shin",
"Biology",
"of",
"Mood",
"&",
"Anxiety",
"Disorders",
"2011,",
"1:1",
"http://www.biolmoodanxietydisord.com/content/1/1/1",
"E",
"D",
"I",
"T",
"O",
"R",
"I",
"A",
"L",
"Biology",
"of",
"Mood",
"&",
"Anxiety",
"Disorders",
"Open",
"Access",
"Welcome",
"to",
"Biology",
"of",
"Mood",
"&",
"Anxiety",
"Disorders",
"Ahmad",
"R",
"Hariri1*",
"and",
"Lisa",
"M",
"Shin2,3",
"We",
"are",
"witnessing",
"dramatic",
"and",
"exciting",
"shifts",
"in",
"the",
"very",
"foundations",
"of",
"mental",
"health",
"and",
"psychiatry",
"[1-3].",
"At",
"this",
"time",
"perhaps",
"more",
"than",
"any",
"other",
"it",
"is",
"impera-",
"tive",
"that",
"research",
"into",
"the",
"biological",
"underpinnings",
"of",
"psychopathology",
"be",
"given",
"a",
"proper",
"outlet",
"to",
"inform,",
"educate",
"and",
"advance",
"these",
"processes",
"in",
"the",
"service",
"of",
"improving",
"the",
"human",
"condition.",
"Indeed,",
"specialized",
"out-",
"lets",
"have",
"been",
"created",
"for",
"biological",
"research",
"in",
"a",
"num-",
"ber",
"of",
"disorders",
"including",
"autism,",
"schizophrenia",
"and",
"bipolar",
"disorder",
"[4-6].",
"Surprisingly,",
"no",
"such",
"dedicated",
"outlet",
"has",
"been",
"available",
"for",
"mood",
"and",
"anxiety",
"disor-",
"ders,",
"the",
"most",
"common",
"forms",
"of",
"psychopathology,",
"until",
"now.",
"Biology",
"of",
"Mood",
"&",
"Anxiety",
"Disorders",
"(BMAD)",
"is",
"a",
"new",
"open",
"access",
"peer-reviewed",
"journal",
"that",
"publishes",
"highly",
"innovative",
"basic,",
"translational",
"and",
"clinical",
"research",
"that",
"advances",
"our",
"understanding",
"of",
"mood",
"and",
"anxiety",
"disor-",
"ders.",
"The",
"journal",
"welcomes",
"research",
"in",
"all",
"areas",
"relevant",
"to",
"the",
"disorders",
"at",
"the",
"level",
"of",
"their",
"underlying",
"mechan-",
"isms.",
"Research",
"areas",
"of",
"interest",
"include",
"but",
"are",
"not",
"lim-",
"ited",
"to:",
"pathophysiology,",
"predictive",
"risk",
"markers,",
"treatment",
"predictors,",
"individual",
"differences",
"and",
"develop-",
"mental",
"trajectories",
"of",
"mood",
"and",
"anxiety",
"disorders.",
"Experimental",
"approaches",
"include",
"but",
"are",
"not",
"limited",
"to:",
"neuroimaging,",
"psychophysiology,",
"behavioral",
"and",
"mole-",
"cular",
"genetics,",
"pharmacology,",
"gene-environment",
"interac-",
"tions,",
"and",
"non-human",
"animal",
"models.",
"Our",
"idea",
"behind",
"BMAD",
"is",
"to",
"create",
"a",
"venue",
"for",
"cut-",
"ting-edge",
"research",
"that",
"will",
"become",
"the",
"destination",
"of",
"choice",
"for",
"the",
"best",
"work",
"in",
"the",
"field.",
"We",
"are",
"dedicated",
"to",
"providing",
"an",
"outlet",
"for",
"contributions",
"that",
"advance",
"the",
"field",
"in",
"any",
"significant",
"way.",
"We",
"believe",
"that",
"BMAD",
"will",
"be",
"an",
"important",
"platform",
"for",
"presenting",
"the",
"findings",
"of",
"those",
"interested",
"in",
"the",
"biology",
"of",
"mood",
"and",
"anxiety",
"dis-",
"orders",
"at",
"any",
"and",
"all",
"levels.",
"The",
"enthusiastic",
"response",
"from",
"colleagues",
"in",
"neuroscience,",
"psychology,",
"psychiatry,",
"psychophysiology,",
"pharmacology",
"and",
"genetics",
"who",
"have",
"graciously",
"committed",
"their",
"time",
"and",
"expertise",
"by",
"joining",
"*",
"Correspondence:",
"ahmad.hariri@duke.edu",
"1Laboratory",
"of",
"NeuroGenetics,",
"Department",
"of",
"Psychology",
"&",
"Neuroscience,",
"Institute",
"for",
"Genome",
"Sciences",
"&",
"Policy,",
"Duke",
"University,",
"Durham,",
"NC",
"USA",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"the",
"Editorial",
"Board",
"of",
"BMAD",
"[7]",
"is",
"testament",
"to",
"the",
"value",
"of",
"this",
"novel",
"venue.",
"Continued",
"progress",
"in",
"understanding",
"the",
"biology",
"of",
"mood",
"and",
"anxiety",
"disorders",
"is",
"critically",
"dependent",
"on",
"the",
"integration",
"of",
"knowledge",
"gained",
"across",
"many",
"disci-",
"plines,",
"methodologies",
"and",
"model",
"systems;",
"currently",
"such",
"knowledge",
"is",
"divided",
"across",
"publications",
"in",
"many",
"journals,",
"none",
"of",
"which",
"is",
"focused",
"entirely",
"on",
"the",
"biol-",
"ogy",
"of",
"mood",
"and",
"anxiety",
"disorders.",
"The",
"Editors",
"of",
"BMAD",
"thus",
"believe",
"that",
"there",
"is",
"a",
"need",
"for",
"a",
"dedicated",
"journal",
"in",
"this",
"highly",
"diverse",
"field,",
"and",
"given",
"the",
"rising",
"popularity",
"of",
"open",
"access",
"publication,",
"we",
"thought",
"that",
"a",
"new",
"open",
"access",
"journal",
"in",
"our",
"field",
"was",
"particularly",
"timely.",
"The",
"three",
"publications",
"in",
"this",
"inaugural",
"issue",
"highlight",
"the",
"diversity",
"and",
"breadth",
"of",
"relevant",
"research",
"we",
"seek",
"to",
"encourage",
"and",
"promote",
"at",
"BMAD.",
"Fisher",
"and",
"colleagues",
"report",
"on",
"a",
"multimodal",
"PET/fMRI",
"study",
"demonstrating",
"that",
"the",
"balance",
"between",
"excitatory",
"5-HT2A",
"and",
"inhibi-",
"tory",
"5-HT1A",
"receptors",
"in",
"the",
"medial",
"prefrontal",
"cortex",
"determines,",
"at",
"least",
"in",
"part,",
"the",
"functional",
"responsive-",
"ness",
"of",
"the",
"amygdala.",
"These",
"data",
"provide",
"unique",
"insight",
"into",
"specific",
"molecular",
"mechanisms",
"through",
"which",
"a",
"common",
"treatment",
"target,",
"namely",
"5-HT",
"signaling,",
"mod-",
"ulates",
"a",
"corticolimbic",
"circuitry",
"heavily",
"implicated",
"in",
"the",
"pathophysiology",
"of",
"mood",
"and",
"anxiety",
"disorders.",
"Murphy",
"and",
"Frodl",
"present",
"findings",
"of",
"altered",
"white",
"matter",
"path-",
"ways",
"in",
"depression",
"derived",
"from",
"a",
"meta-analysis",
"of",
"dif-",
"fusion",
"tensor",
"imaging",
"studies.",
"Their",
"meta-analysis",
"reveals",
"specific",
"decreases",
"in",
"the",
"functional",
"integrity",
"of",
"the",
"superior",
"longitudinal",
"fasciculus",
"in",
"patients",
"with",
"major",
"depressive",
"disorder.",
"Finally,",
"Waters",
"and",
"McCor-",
"mick",
"describe",
"the",
"challenges",
"involved",
"in",
"examining",
"the",
"effect",
"of",
"exogenous",
"corticosterone",
"on",
"anxiety-like",
"and",
"depressive",
"behavior",
"in",
"adolescent",
"rats.",
"Such",
"diversity",
"will",
"continue",
"to",
"be",
"featured",
"in",
"the",
"forthcoming",
"months,",
"including",
"reviews",
"on",
"facial",
"emotion",
"processing",
"in",
"major",
"depressive",
"disorder,",
"evoked",
"potential",
"studies",
"in",
"post",
"traumatic",
"stress",
"disorder",
"(PTSD),",
"and",
"validation",
"criteria",
"in",
"animal",
"models",
"of",
"anxiety",
"and",
"depression,",
"as",
"well",
"as",
"original",
"research",
"on",
"the",
"involvement",
"of",
"the",
"habenula",
"in",
"PTSD.",
"©",
"2011",
"Hariri",
"and",
"Shin;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
16,
8,
8,
8,
8,
8,
8,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,213,263 | null | [
[
29,
381,
10,
0
],
[
29,
393,
12,
0
],
[
29,
399,
6,
0
],
[
29,
409,
11,
0
],
[
29,
415,
6,
0
],
[
29,
427,
12,
0
],
[
29,
437,
10,
0
],
[
29,
456,
20,
0
],
[
29,
469,
6,
0
],
[
29,
479,
10,
0
],
[
29,
486,
8,
0
],
[
29,
498,
12,
0
],
[
29,
508,
10,
0
],
[
29,
527,
20,
0
],
[
29,
534,
6,
0
],
[
29,
542,
9,
0
],
[
29,
552,
10,
0
],
[
29,
564,
12,
0
],
[
29,
575,
11,
0
],
[
29,
588,
14,
0
],
[
29,
602,
7,
0
],
[
29,
614,
12,
0
],
[
29,
626,
6,
0
],
[
29,
636,
10,
0
],
[
29,
648,
12,
0
],
[
29,
657,
9,
0
],
[
29,
669,
12,
0
],
[
29,
680,
12,
0
],
[
29,
688,
8,
0
],
[
29,
705,
10,
0
],
[
29,
716,
12,
0
],
[
29,
731,
16,
0
],
[
75,
619,
77,
11
],
[
75,
632,
29,
11
],
[
105,
632,
6,
11
],
[
114,
632,
18,
11
],
[
75,
644,
63,
11
],
[
75,
669,
56,
11
],
[
132,
669,
21,
11
],
[
155,
669,
14,
11
],
[
171,
669,
37,
11
],
[
75,
682,
53,
11
],
[
129,
682,
8,
11
],
[
140,
682,
14,
11
],
[
157,
682,
38,
11
],
[
75,
694,
53,
11
],
[
129,
694,
8,
11
],
[
140,
694,
26,
11
],
[
169,
694,
34,
11
],
[
75,
707,
8,
11
],
[
85,
707,
23,
11
],
[
110,
707,
32,
11
],
[
145,
707,
56,
11
],
[
75,
719,
27,
11
],
[
104,
719,
8,
11
],
[
115,
719,
21,
11
],
[
138,
719,
55,
11
],
[
75,
732,
31,
11
],
[
75,
1040,
15,
10
],
[
93,
1040,
5,
10
],
[
100,
1040,
13,
10
],
[
115,
1040,
41,
10
],
[
158,
1040,
38,
10
],
[
197,
1040,
20,
10
],
[
226,
1040,
21,
10
],
[
75,
1052,
14,
10
],
[
90,
1052,
16,
10
],
[
109,
1052,
13,
10
],
[
123,
1052,
12,
10
],
[
139,
1052,
18,
10
],
[
159,
1052,
7,
10
],
[
168,
1052,
19,
10
],
[
191,
1052,
43,
10
],
[
243,
1052,
165,
10
],
[
679,
48,
12,
17
],
[
693,
48,
14,
17
],
[
708,
48,
12,
17
],
[
721,
48,
6,
17
],
[
728,
48,
13,
17
],
[
742,
48,
10,
17
],
[
754,
48,
10,
17
],
[
233,
113,
94,
28
],
[
335,
113,
96,
28
],
[
440,
113,
102,
28
],
[
551,
113,
53,
28
],
[
613,
113,
97,
28
],
[
719,
113,
21,
28
],
[
233,
146,
57,
28
],
[
299,
146,
127,
28
],
[
435,
146,
23,
28
],
[
466,
146,
90,
28
],
[
233,
199,
51,
17
],
[
289,
199,
15,
17
],
[
308,
199,
49,
18
],
[
360,
199,
61,
17
],
[
426,
199,
87,
18
],
[
518,
199,
36,
17
],
[
560,
199,
42,
18
],
[
607,
199,
25,
17
],
[
637,
199,
34,
18
],
[
233,
218,
81,
17
],
[
317,
218,
52,
18
],
[
374,
218,
82,
17
],
[
458,
218,
46,
18
],
[
509,
218,
33,
17
],
[
547,
218,
55,
18
],
[
606,
218,
76,
17
],
[
688,
218,
45,
18
],
[
233,
237,
40,
17
],
[
278,
236,
86,
18
],
[
368,
237,
42,
17
],
[
415,
237,
15,
17
],
[
432,
236,
75,
18
],
[
512,
237,
26,
17
],
[
543,
237,
42,
17
],
[
591,
237,
17,
17
],
[
611,
236,
34,
18
],
[
233,
276,
54,
12
],
[
289,
276,
9,
12
],
[
301,
276,
41,
12
],
[
344,
276,
54,
12
],
[
401,
276,
9,
12
],
[
412,
276,
42,
12
],
[
456,
276,
54,
12
],
[
513,
276,
9,
12
],
[
524,
276,
42,
12
],
[
569,
276,
32,
12
],
[
603,
276,
16,
12
],
[
621,
276,
39,
12
],
[
662,
276,
54,
12
],
[
719,
276,
9,
12
],
[
236,
290,
44,
12
],
[
283,
290,
16,
12
],
[
301,
289,
54,
12
],
[
358,
290,
9,
12
],
[
369,
290,
59,
12
],
[
430,
290,
25,
12
],
[
457,
290,
35,
12
],
[
494,
290,
33,
12
],
[
529,
290,
51,
12
],
[
582,
290,
43,
12
],
[
628,
290,
15,
12
],
[
645,
290,
26,
12
],
[
233,
303,
13,
12
],
[
248,
303,
19,
12
],
[
270,
303,
36,
12
],
[
308,
303,
13,
12
],
[
323,
303,
30,
12
],
[
355,
303,
16,
12
],
[
374,
303,
55,
12
],
[
431,
303,
16,
12
],
[
450,
303,
27,
12
],
[
478,
303,
12,
12
],
[
493,
303,
26,
12
],
[
233,
336,
52,
14
],
[
289,
336,
8,
14
],
[
301,
336,
28,
14
],
[
332,
336,
34,
14
],
[
370,
336,
52,
14
],
[
426,
336,
60,
14
],
[
490,
336,
43,
14
],
[
537,
336,
41,
14
],
[
582,
336,
63,
14
],
[
649,
336,
78,
14
],
[
233,
353,
43,
14
],
[
280,
353,
46,
14
],
[
330,
353,
59,
14
],
[
392,
353,
14,
14
],
[
409,
353,
59,
14
],
[
472,
353,
9,
14
],
[
485,
353,
95,
14
],
[
583,
353,
36,
14
],
[
622,
353,
53,
14
],
[
679,
353,
52,
14
],
[
233,
370,
37,
14
],
[
274,
370,
26,
14
],
[
304,
370,
25,
14
],
[
332,
370,
68,
14
],
[
404,
370,
16,
14
],
[
424,
370,
72,
14
],
[
500,
370,
50,
14
],
[
553,
370,
53,
14
],
[
610,
370,
54,
14
],
[
668,
370,
21,
14
],
[
693,
370,
24,
14
],
[
728,
370,
7,
14
],
[
739,
370,
20,
14
],
[
233,
386,
55,
14
],
[
292,
386,
13,
14
],
[
308,
386,
48,
14
],
[
360,
386,
49,
14
],
[
413,
386,
19,
14
],
[
436,
386,
35,
14
],
[
474,
386,
25,
14
],
[
503,
386,
66,
14
],
[
572,
386,
11,
14
],
[
587,
386,
47,
14
],
[
638,
386,
24,
14
],
[
666,
386,
28,
14
],
[
697,
386,
50,
14
],
[
233,
403,
76,
14
],
[
312,
403,
28,
14
],
[
344,
403,
38,
14
],
[
385,
403,
52,
14
],
[
441,
403,
13,
14
],
[
458,
403,
41,
14
],
[
503,
403,
19,
14
],
[
526,
403,
25,
14
],
[
554,
403,
28,
14
],
[
586,
403,
32,
14
],
[
622,
403,
28,
14
],
[
653,
403,
15,
14
],
[
672,
403,
75,
14
],
[
750,
403,
11,
14
],
[
233,
420,
7,
14
],
[
244,
420,
20,
14
],
[
268,
420,
48,
14
],
[
320,
420,
18,
14
],
[
341,
420,
7,
14
],
[
352,
420,
25,
14
],
[
380,
420,
29,
14
],
[
413,
420,
52,
14
],
[
469,
420,
11,
14
],
[
484,
420,
7,
14
],
[
495,
420,
41,
14
],
[
540,
420,
24,
14
],
[
568,
420,
42,
14
],
[
614,
420,
46,
14
],
[
663,
420,
11,
14
],
[
678,
420,
51,
14
],
[
734,
420,
11,
14
],
[
233,
436,
47,
14
],
[
283,
436,
26,
14
],
[
313,
436,
57,
14
],
[
374,
436,
43,
14
],
[
420,
436,
21,
14
],
[
445,
436,
61,
14
],
[
510,
436,
7,
14
],
[
520,
436,
20,
14
],
[
544,
436,
59,
14
],
[
607,
436,
16,
14
],
[
627,
436,
51,
14
],
[
681,
436,
75,
14
],
[
233,
453,
11,
14
],
[
248,
453,
29,
14
],
[
280,
453,
13,
14
],
[
296,
453,
7,
14
],
[
307,
453,
20,
14
],
[
331,
453,
52,
14
],
[
387,
453,
21,
14
],
[
412,
453,
31,
14
],
[
446,
453,
41,
14
],
[
491,
453,
21,
14
],
[
516,
453,
7,
14
],
[
527,
453,
69,
14
],
[
600,
453,
11,
14
],
[
615,
453,
12,
14
],
[
631,
453,
28,
14
],
[
663,
453,
21,
14
],
[
688,
453,
47,
14
],
[
738,
453,
11,
14
],
[
233,
470,
51,
14
],
[
288,
470,
36,
14
],
[
327,
470,
24,
14
],
[
355,
470,
75,
14
],
[
433,
470,
51,
14
],
[
487,
470,
45,
14
],
[
536,
470,
30,
14
],
[
570,
470,
32,
14
],
[
605,
470,
37,
14
],
[
645,
470,
27,
14
],
[
676,
470,
42,
14
],
[
722,
470,
7,
14
],
[
733,
470,
21,
14
],
[
233,
486,
48,
14
],
[
285,
486,
12,
14
],
[
316,
486,
38,
14
],
[
359,
486,
33,
14
],
[
395,
486,
40,
14
],
[
438,
486,
7,
14
],
[
449,
486,
66,
14
],
[
519,
486,
66,
14
],
[
589,
486,
13,
14
],
[
605,
486,
8,
14
],
[
617,
486,
13,
14
],
[
633,
486,
16,
14
],
[
653,
486,
43,
14
],
[
699,
486,
49,
14
],
[
233,
503,
22,
14
],
[
259,
503,
53,
14
],
[
315,
503,
46,
14
],
[
365,
503,
56,
14
],
[
425,
503,
26,
14
],
[
454,
503,
20,
14
],
[
478,
503,
34,
14
],
[
515,
503,
56,
14
],
[
575,
503,
58,
14
],
[
637,
503,
26,
14
],
[
666,
503,
42,
14
],
[
712,
503,
15,
14
],
[
730,
503,
16,
14
],
[
233,
520,
73,
14
],
[
309,
520,
75,
14
],
[
387,
520,
25,
14
],
[
416,
520,
50,
14
],
[
470,
520,
42,
14
],
[
516,
520,
13,
14
],
[
532,
520,
38,
14
],
[
574,
520,
7,
14
],
[
585,
520,
20,
14
],
[
609,
520,
52,
14
],
[
664,
520,
8,
14
],
[
676,
520,
68,
14
],
[
233,
536,
62,
14
],
[
298,
536,
13,
14
],
[
315,
536,
58,
14
],
[
376,
536,
12,
14
],
[
407,
536,
43,
14
],
[
454,
536,
32,
14
],
[
490,
536,
47,
14
],
[
540,
536,
35,
14
],
[
579,
536,
22,
14
],
[
605,
536,
44,
14
],
[
652,
536,
70,
14
],
[
725,
536,
13,
14
],
[
233,
553,
53,
14
],
[
289,
553,
54,
14
],
[
346,
553,
48,
14
],
[
397,
553,
11,
14
],
[
412,
553,
25,
14
],
[
440,
553,
69,
14
],
[
512,
553,
26,
14
],
[
541,
553,
39,
14
],
[
583,
553,
28,
14
],
[
614,
553,
24,
14
],
[
649,
553,
7,
14
],
[
660,
553,
20,
14
],
[
683,
553,
55,
14
],
[
742,
553,
21,
14
],
[
233,
570,
73,
14
],
[
309,
570,
13,
14
],
[
326,
570,
61,
14
],
[
390,
570,
52,
14
],
[
233,
614,
24,
14
],
[
264,
614,
38,
14
],
[
308,
614,
39,
14
],
[
355,
614,
76,
14
],
[
438,
614,
52,
14
],
[
233,
630,
29,
14
],
[
265,
630,
17,
14
],
[
286,
630,
21,
14
],
[
311,
630,
40,
14
],
[
355,
630,
41,
14
],
[
400,
630,
26,
14
],
[
430,
630,
46,
14
],
[
480,
630,
11,
14
],
[
233,
646,
27,
14
],
[
263,
646,
40,
14
],
[
306,
646,
49,
14
],
[
359,
646,
63,
14
],
[
426,
646,
20,
14
],
[
450,
646,
13,
14
],
[
466,
646,
24,
14
],
[
233,
663,
34,
14
],
[
275,
663,
7,
14
],
[
290,
663,
40,
14
],
[
338,
663,
41,
14
],
[
388,
663,
17,
14
],
[
412,
663,
44,
14
],
[
465,
663,
26,
14
],
[
233,
679,
31,
14
],
[
271,
679,
11,
14
],
[
290,
679,
18,
14
],
[
315,
679,
39,
14
],
[
361,
679,
31,
14
],
[
400,
679,
15,
14
],
[
422,
679,
15,
14
],
[
444,
679,
12,
14
],
[
463,
679,
27,
14
],
[
233,
695,
54,
14
],
[
291,
695,
31,
14
],
[
326,
695,
49,
14
],
[
380,
695,
8,
14
],
[
392,
695,
33,
14
],
[
429,
695,
11,
14
],
[
444,
695,
31,
14
],
[
479,
695,
11,
14
],
[
233,
711,
18,
14
],
[
254,
711,
40,
14
],
[
298,
711,
60,
14
],
[
361,
711,
20,
14
],
[
385,
711,
24,
14
],
[
412,
711,
29,
14
],
[
445,
711,
46,
14
],
[
233,
728,
12,
14
],
[
249,
728,
77,
14
],
[
329,
728,
39,
14
],
[
372,
728,
19,
14
],
[
394,
728,
25,
14
],
[
423,
728,
31,
14
],
[
458,
728,
33,
14
],
[
233,
744,
23,
14
],
[
259,
744,
38,
14
],
[
301,
744,
33,
14
],
[
253,
760,
41,
14
],
[
297,
760,
11,
14
],
[
311,
760,
17,
14
],
[
332,
760,
28,
14
],
[
363,
760,
29,
14
],
[
395,
760,
11,
14
],
[
410,
760,
31,
14
],
[
444,
760,
47,
14
],
[
233,
776,
16,
14
],
[
252,
776,
31,
14
],
[
287,
776,
29,
14
],
[
318,
776,
29,
14
],
[
350,
776,
12,
14
],
[
365,
776,
42,
14
],
[
411,
776,
11,
14
],
[
425,
776,
40,
14
],
[
469,
776,
21,
14
],
[
233,
793,
8,
14
],
[
244,
793,
46,
14
],
[
293,
793,
12,
14
],
[
307,
793,
47,
14
],
[
356,
793,
17,
14
],
[
377,
793,
26,
14
],
[
405,
793,
24,
14
],
[
431,
793,
16,
14
],
[
450,
793,
40,
14
],
[
233,
809,
25,
14
],
[
265,
809,
64,
14
],
[
336,
809,
12,
14
],
[
355,
809,
57,
14
],
[
419,
809,
40,
14
],
[
467,
809,
23,
14
],
[
233,
825,
43,
14
],
[
281,
825,
39,
14
],
[
325,
825,
12,
14
],
[
343,
825,
30,
14
],
[
378,
825,
50,
14
],
[
433,
825,
22,
14
],
[
460,
825,
30,
14
],
[
233,
841,
51,
14
],
[
288,
841,
80,
14
],
[
373,
841,
12,
14
],
[
389,
841,
56,
14
],
[
448,
841,
42,
14
],
[
233,
858,
39,
14
],
[
278,
858,
58,
14
],
[
343,
858,
71,
14
],
[
421,
858,
51,
14
],
[
479,
858,
12,
14
],
[
233,
874,
32,
14
],
[
271,
874,
51,
14
],
[
328,
874,
37,
14
],
[
371,
874,
12,
14
],
[
401,
874,
25,
14
],
[
431,
874,
12,
14
],
[
449,
874,
41,
14
],
[
233,
890,
45,
14
],
[
284,
890,
60,
14
],
[
351,
890,
20,
14
],
[
377,
890,
8,
14
],
[
392,
890,
54,
14
],
[
452,
890,
26,
14
],
[
484,
890,
6,
14
],
[
233,
906,
42,
14
],
[
279,
906,
41,
14
],
[
323,
906,
20,
14
],
[
347,
906,
48,
14
],
[
399,
906,
40,
14
],
[
443,
906,
47,
14
],
[
233,
923,
45,
14
],
[
281,
923,
45,
14
],
[
329,
923,
51,
14
],
[
384,
923,
17,
14
],
[
404,
923,
38,
14
],
[
445,
923,
45,
14
],
[
233,
939,
47,
14
],
[
285,
939,
8,
14
],
[
298,
939,
29,
14
],
[
332,
939,
18,
14
],
[
355,
939,
48,
14
],
[
408,
939,
20,
14
],
[
433,
939,
29,
14
],
[
467,
939,
23,
14
],
[
233,
955,
33,
14
],
[
271,
955,
45,
14
],
[
321,
955,
11,
14
],
[
337,
955,
30,
14
],
[
372,
955,
25,
14
],
[
402,
955,
17,
14
],
[
424,
955,
12,
14
],
[
441,
955,
26,
14
],
[
472,
955,
18,
14
],
[
233,
971,
54,
14
],
[
292,
971,
68,
14
],
[
365,
971,
6,
14
],
[
376,
971,
40,
14
],
[
421,
971,
47,
14
],
[
474,
971,
17,
14
],
[
233,
988,
37,
14
],
[
275,
988,
29,
14
],
[
309,
988,
8,
14
],
[
322,
988,
40,
14
],
[
367,
988,
11,
14
],
[
383,
988,
27,
14
],
[
415,
988,
50,
14
],
[
470,
988,
20,
14
],
[
233,
1004,
24,
14
],
[
262,
1004,
35,
14
],
[
302,
1004,
23,
14
],
[
331,
1004,
43,
14
],
[
379,
1004,
54,
14
],
[
438,
1004,
28,
14
],
[
472,
1004,
18,
14
],
[
509,
614,
27,
14
],
[
540,
614,
48,
14
],
[
591,
614,
21,
14
],
[
616,
614,
12,
14
],
[
632,
614,
40,
14
],
[
676,
614,
42,
14
],
[
722,
614,
11,
14
],
[
737,
614,
30,
14
],
[
509,
630,
25,
14
],
[
538,
630,
45,
14
],
[
587,
630,
12,
14
],
[
603,
630,
43,
14
],
[
649,
630,
50,
14
],
[
702,
630,
8,
14
],
[
714,
630,
19,
14
],
[
737,
630,
30,
14
],
[
509,
646,
19,
14
],
[
536,
646,
52,
14
],
[
597,
646,
54,
14
],
[
659,
646,
11,
14
],
[
679,
646,
30,
14
],
[
717,
646,
50,
14
],
[
509,
663,
27,
14
],
[
542,
663,
28,
14
],
[
576,
663,
38,
14
],
[
621,
663,
12,
14
],
[
639,
663,
42,
14
],
[
687,
663,
12,
14
],
[
705,
663,
30,
14
],
[
741,
663,
25,
14
],
[
509,
679,
26,
14
],
[
540,
679,
25,
14
],
[
570,
679,
52,
14
],
[
627,
679,
62,
14
],
[
693,
679,
48,
14
],
[
746,
679,
20,
14
],
[
509,
695,
43,
14
],
[
556,
695,
50,
14
],
[
611,
695,
8,
14
],
[
624,
695,
73,
14
],
[
701,
695,
14,
14
],
[
720,
695,
21,
14
],
[
746,
695,
21,
14
],
[
509,
711,
48,
14
],
[
562,
711,
12,
14
],
[
577,
711,
28,
14
],
[
617,
711,
10,
14
],
[
631,
711,
24,
14
],
[
659,
711,
11,
14
],
[
674,
711,
56,
14
],
[
734,
711,
32,
14
],
[
509,
728,
22,
14
],
[
535,
728,
43,
14
],
[
581,
728,
53,
14
],
[
637,
728,
18,
14
],
[
658,
728,
25,
14
],
[
687,
728,
18,
14
],
[
708,
728,
18,
14
],
[
729,
728,
38,
14
],
[
509,
744,
17,
14
],
[
530,
744,
12,
14
],
[
546,
744,
33,
14
],
[
583,
744,
87,
14
],
[
674,
744,
10,
14
],
[
688,
744,
19,
14
],
[
711,
744,
55,
14
],
[
509,
760,
77,
14
],
[
594,
760,
28,
14
],
[
638,
760,
28,
14
],
[
673,
760,
25,
14
],
[
706,
760,
26,
14
],
[
740,
760,
27,
14
],
[
509,
776,
54,
14
],
[
570,
776,
27,
14
],
[
605,
776,
18,
14
],
[
630,
776,
25,
14
],
[
662,
776,
12,
14
],
[
681,
776,
62,
14
],
[
750,
776,
17,
14
],
[
509,
793,
34,
14
],
[
547,
793,
43,
14
],
[
595,
793,
20,
14
],
[
620,
793,
74,
14
],
[
699,
793,
20,
14
],
[
723,
793,
44,
14
],
[
509,
809,
22,
14
],
[
534,
809,
64,
14
],
[
601,
809,
12,
14
],
[
616,
809,
77,
14
],
[
696,
809,
70,
14
],
[
509,
825,
28,
14
],
[
541,
825,
18,
14
],
[
564,
825,
25,
14
],
[
594,
825,
8,
14
],
[
607,
825,
40,
14
],
[
651,
825,
50,
14
],
[
706,
825,
20,
14
],
[
730,
825,
36,
14
],
[
509,
841,
22,
14
],
[
535,
841,
16,
14
],
[
555,
841,
31,
14
],
[
590,
841,
60,
14
],
[
655,
841,
47,
14
],
[
706,
841,
45,
14
],
[
755,
841,
11,
14
],
[
509,
858,
34,
14
],
[
548,
858,
37,
14
],
[
589,
858,
69,
14
],
[
662,
858,
27,
14
],
[
701,
858,
30,
14
],
[
735,
858,
32,
14
],
[
509,
874,
14,
14
],
[
532,
874,
54,
14
],
[
594,
874,
14,
14
],
[
617,
874,
49,
14
],
[
675,
874,
40,
14
],
[
724,
874,
42,
14
],
[
509,
890,
52,
14
],
[
570,
890,
77,
14
],
[
655,
890,
49,
14
],
[
713,
890,
54,
14
],
[
509,
906,
48,
14
],
[
562,
906,
49,
14
],
[
616,
906,
10,
14
],
[
630,
906,
19,
14
],
[
654,
906,
64,
14
],
[
723,
906,
12,
14
],
[
740,
906,
26,
14
],
[
509,
923,
30,
14
],
[
546,
923,
19,
14
],
[
573,
923,
65,
14
],
[
645,
923,
22,
14
],
[
675,
923,
43,
14
],
[
725,
923,
10,
14
],
[
743,
923,
24,
14
],
[
509,
939,
55,
14
],
[
571,
939,
8,
14
],
[
585,
939,
21,
14
],
[
613,
939,
60,
14
],
[
679,
939,
8,
14
],
[
693,
939,
54,
14
],
[
753,
939,
14,
14
],
[
509,
955,
25,
14
],
[
540,
955,
54,
14
],
[
599,
955,
25,
14
],
[
630,
955,
18,
14
],
[
654,
955,
36,
14
],
[
696,
955,
12,
14
],
[
713,
955,
53,
14
],
[
509,
971,
47,
14
],
[
562,
971,
35,
14
],
[
603,
971,
14,
14
],
[
622,
971,
51,
14
],
[
678,
971,
12,
14
],
[
695,
971,
20,
14
],
[
721,
971,
46,
14
],
[
509,
988,
45,
14
],
[
558,
988,
14,
14
],
[
575,
988,
10,
14
],
[
589,
988,
74,
14
],
[
666,
988,
62,
14
],
[
731,
988,
36,
14
],
[
509,
1004,
27,
14
],
[
540,
1004,
10,
14
],
[
554,
1004,
19,
14
],
[
578,
1004,
52,
14
],
[
633,
1004,
18,
14
],
[
655,
1004,
27,
14
],
[
686,
1004,
32,
14
],
[
722,
1004,
11,
14
],
[
737,
1004,
29,
14
],
[
745,
1040,
22,
10
]
] | [
"e",
"n",
"i",
"c",
"i",
"d",
"e",
"M",
"l",
"a",
"t",
"n",
"e",
"m",
"i",
"r",
"e",
"p",
"x",
"E",
"f",
"o",
"l",
"a",
"n",
"r",
"u",
"o",
"J",
"e",
"h",
"T",
"CORRESPONDENCE",
"Andrea",
"L.",
"Cox:",
"acox@jhmi.edu",
"Abbreviations",
"used:",
"E1,",
"envelope",
"glycoprotein",
"1;",
"E2,",
"envelope",
"glycoprotein",
"2;",
"HCV,",
"hepatitis",
"C",
"virus;",
"HVR1,",
"hypervariable",
"region",
"1;",
"SFC,",
"spot-forming",
"colony.",
"JEM",
"©",
"The",
"Rockefeller",
"University",
"Press",
"$8.00",
"Vol.",
"201,",
"No.",
"11,",
"June",
"6,",
"2005",
"1741–1752",
"www.jem.org/cgi/doi/10.1084/jem.20050121",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Cellular",
"immune",
"selection",
"with",
"hepatitis",
"C",
"virus",
"persistence",
"in",
"humans",
"Andrea",
"L.",
"Cox,1,2",
"Timothy",
"Mosbruger,1",
"Qing",
"Mao,1",
"Zhi",
"Liu,1",
"Xiao-Hong",
"Wang,1",
"Hung-Chih",
"Yang,1",
"John",
"Sidney,6",
"Alessandro",
"Sette,6",
"Drew",
"Pardoll,1,2,3,4",
"David",
"L.",
"Thomas,1,5",
"and",
"Stuart",
"C.",
"Ray1",
"1Department",
"of",
"Medicine,",
"2Department",
"of",
"Oncology,",
"3Department",
"of",
"Molecular",
"Biology",
"and",
"Genetics,",
"4Department",
"of",
"Pathology,",
"and",
"5Department",
"of",
"Epidemiology,",
"Johns",
"Hopkins",
"Medical",
"Institutions,",
"Baltimore,",
"MD",
"21231",
"6La",
"Jolla",
"Institute",
"for",
"Allergy",
"and",
"Immunology,",
"San",
"Diego,",
"CA",
"92121",
"Hepatitis",
"C",
"virus",
"(HCV)",
"infection",
"frequently",
"persists",
"despite",
"substantial",
"virus-specific",
"cellular",
"immune",
"responses.",
"To",
"determine",
"if",
"immunologically",
"driven",
"sequence",
"variation",
"occurs",
"with",
"HCV",
"persistence,",
"we",
"coordinately",
"analyzed",
"sequence",
"evolution",
"and",
"CD8",
"T",
"cell",
"responses",
"to",
"epitopes",
"covering",
"the",
"entire",
"HCV",
"polyprotein",
"in",
"subjects",
"who",
"were",
"followed",
"prospectively",
"from",
"before",
"infection",
"to",
"beyond",
"the",
"first",
"year.",
"There",
"were",
"no",
"substitutions",
"in",
"T",
"cell",
"epitopes",
"for",
"a",
"year",
"after",
"infection",
"in",
"a",
"subject",
"who",
"cleared",
"viremia.",
"In",
"contrast,",
"in",
"subjects",
"with",
"persistent",
"viremia",
"and",
"detectable",
"T",
"cell",
"responses,",
"we",
"observed",
"substitutions",
"in",
"69%",
"of",
"T",
"cell",
"epitopes,",
"and",
"every",
"subject",
"had",
"a",
"substitution",
"in",
"at",
"least",
"one",
"epitope.",
"In",
"addition,",
"amino",
"acid",
"substitutions",
"occurred",
"13-fold",
"more",
"often",
"within",
"than",
"outside",
"T",
"cell",
"epitopes",
"(P",
"0.001,",
"range",
"5–38).",
"T",
"lymphocyte",
"recognition",
"of",
"8",
"of",
"10",
"mutant",
"peptides",
"was",
"markedly",
"reduced",
"compared",
"with",
"the",
"initial",
"sequence,",
"indicating",
"viral",
"escape.",
"Of",
"16",
"nonenvelope",
"substitutions",
"that",
"occurred",
"outside",
"of",
"known",
"T",
"cell",
"epitopes,",
"8",
"represented",
"conversion",
"to",
"consensus",
"(P",
"0.015).",
"These",
"findings",
"reveal",
"two",
"distinct",
"mechanisms",
"of",
"sequence",
"evolution",
"involved",
"in",
"HCV",
"persistence:",
"viral",
"escape",
"from",
"CD8",
"T",
"cell",
"responses",
"and",
"optimization",
"of",
"replicative",
"capacity.",
"The",
"World",
"Health",
"Organization",
"estimates",
"there",
"are",
"170",
"million",
"persons",
"with",
"hepatitis",
"C",
"virus",
"(HCV)",
"infection",
"worldwide,",
"and",
"an",
"esti-",
"mated",
"4",
"million",
"persons",
"are",
"infected",
"with",
"HCV",
"in",
"the",
"United",
"States",
"(1,",
"2).",
"In",
"most",
"countries,",
"HCV",
"infection",
"is",
"found",
"in",
"1–2%",
"of",
"the",
"general",
"population",
"and",
"may",
"cause",
"cirrhosis",
"or",
"hepatocellular",
"cancer,",
"but",
"only",
"when",
"infec-",
"tion",
"persists",
"(3–7).",
"Patients",
"in",
"the",
"acute",
"phase",
"of",
"HCV",
"infection",
"are",
"much",
"more",
"likely",
"to",
"respond",
"to",
"therapy",
"that",
"is",
"designed",
"to",
"eradicate",
"the",
"virus",
"than",
"are",
"patients",
"after",
"progression",
"to",
"chronicity",
"(8–10).",
"The",
"features",
"unique",
"to",
"acute",
"infection",
"that",
"allow",
"increased",
"responsiveness",
"to",
"interferon",
"therapy",
"remain",
"unknown.",
"Spontaneous",
"clearance",
"of",
"HCV",
"infection",
"occurs",
"in",
"20%",
"of",
"acutely",
"infected",
"individuals",
"and",
"is",
"associated",
"with",
"a",
"broadly",
"specific",
"and",
"vigorous",
"cellular",
"immune",
"response",
"(11–14).",
"Although",
"the",
"cellular",
"immune",
"response",
"is",
"often",
"less",
"vigorous",
"and",
"more",
"nar-",
"rowly",
"directed",
"in",
"those",
"who",
"fail",
"to",
"clear",
"the",
"infection,",
"nonetheless,",
"a",
"cellular",
"immune",
"re-",
"sponse",
"often",
"is",
"present",
"in",
"early",
"infection",
"and",
"may",
"persist",
"into",
"chronic",
"infection.",
"Why",
"the",
"early",
"response",
"fails",
"to",
"control",
"viremia",
"in",
"those",
"who",
"progress",
"to",
"chronic",
"infection",
"is",
"not",
"clear,",
"but",
"responses",
"generated",
"in",
"acute",
"infection",
"have",
"been",
"shown",
"to",
"decline",
"in",
"some",
"sub-",
"jects",
"who",
"remained",
"persistently",
"infected,",
"and",
"chronic",
"infection",
"is",
"characterized",
"by",
"low",
"fre-",
"quencies",
"of",
"CD8",
"T",
"cells",
"in",
"peripheral",
"blood",
"(13,",
"15–20).",
"Although",
"the",
"liver",
"has",
"the",
"poten-",
"tial",
"to",
"delete",
"antigen-specific",
"T",
"cell",
"responses,",
"HCV-specific",
"CD8",
"CTL",
"lines",
"have",
"been",
"generated",
"from",
"the",
"liver",
"of",
"chronically",
"in-",
"fected",
"humans",
"and",
"chimpanzees;",
"this",
"suggests",
"that",
"elimination",
"of",
"HCV-specific",
"lymphocytes",
"from",
"the",
"liver",
"is",
"neither",
"universal",
"nor",
"neces-",
"sary",
"for",
"HCV",
"persistence",
"(21–24).",
"Survival",
"of",
"HCV,",
"despite",
"virus-specific",
"CD8",
"CTL,",
"might",
"be",
"explained",
"by",
"impaired",
"cellular",
"effector",
"functions",
"(proliferation,",
"cytokine",
"secretion,",
"cytolytic",
"activity),",
"T",
"cell",
"exhaustion,",
"or",
"den-",
"dritic",
"cell",
"dysfunction",
"(16,",
"25–27).",
"A",
"final",
"possibility",
"is",
"that",
"persistence",
"is",
"facilitated",
"by",
"viral",
"evolution",
"over",
"the",
"course",
"of",
"infection,",
"enabling",
"escape",
"by",
"mutation",
"of",
"key",
"epitopes",
"targeted",
"by",
"T",
"lymphocytes.",
"Mutational",
"escape",
"from",
"T",
"cell",
"responses",
"has",
"been",
"noted",
"in",
"HIV,",
"1741"
] | [
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4
] |
3,097,763 | null | [
[
78,
50,
44,
12
],
[
124,
50,
28,
12
],
[
155,
50,
9,
12
],
[
165,
50,
140,
12
],
[
78,
63,
18,
12
],
[
98,
63,
90,
12
],
[
635,
134,
121,
100
],
[
499,
235,
65,
14
],
[
566,
235,
47,
14
],
[
616,
235,
20,
14
],
[
640,
235,
68,
14
],
[
711,
235,
41,
14
],
[
652,
250,
47,
12
],
[
701,
250,
51,
12
],
[
78,
349,
150,
28
],
[
235,
349,
41,
28
],
[
282,
349,
38,
28
],
[
326,
349,
24,
28
],
[
356,
349,
45,
28
],
[
408,
349,
62,
28
],
[
476,
349,
149,
28
],
[
631,
349,
55,
28
],
[
692,
349,
31,
28
],
[
78,
381,
107,
28
],
[
192,
381,
24,
28
],
[
222,
381,
45,
28
],
[
273,
381,
62,
28
],
[
342,
381,
149,
28
],
[
497,
381,
33,
28
],
[
536,
381,
53,
28
],
[
78,
428,
8,
20
],
[
91,
425,
76,
24
],
[
170,
433,
51,
14
],
[
224,
433,
79,
14
],
[
306,
428,
15,
20
],
[
325,
425,
100,
24
],
[
428,
433,
51,
14
],
[
482,
433,
61,
14
],
[
546,
433,
52,
14
],
[
602,
433,
44,
14
],
[
648,
433,
28,
14
],
[
78,
451,
22,
20
],
[
105,
447,
57,
24
],
[
165,
455,
43,
15
],
[
210,
455,
42,
15
],
[
255,
455,
68,
15
],
[
326,
451,
11,
20
],
[
342,
451,
22,
20
],
[
363,
447,
7,
13
],
[
369,
451,
5,
20
],
[
378,
455,
35,
15
],
[
415,
455,
34,
15
],
[
452,
451,
22,
20
],
[
479,
451,
57,
20
],
[
535,
447,
7,
13
],
[
541,
451,
5,
20
],
[
551,
455,
29,
15
],
[
583,
455,
32,
15
],
[
617,
455,
41,
15
],
[
78,
488,
6,
12
],
[
87,
488,
38,
12
],
[
127,
488,
9,
12
],
[
138,
488,
37,
12
],
[
178,
488,
51,
12
],
[
231,
488,
31,
12
],
[
264,
488,
9,
12
],
[
276,
488,
37,
12
],
[
315,
488,
41,
12
],
[
359,
488,
26,
12
],
[
387,
488,
50,
12
],
[
439,
488,
40,
12
],
[
481,
488,
42,
12
],
[
78,
501,
6,
11
],
[
87,
501,
25,
11
],
[
113,
501,
53,
11
],
[
169,
501,
33,
11
],
[
204,
501,
40,
11
],
[
246,
501,
52,
11
],
[
300,
501,
40,
11
],
[
342,
501,
42,
11
],
[
78,
530,
42,
11
],
[
122,
530,
6,
11
],
[
131,
530,
33,
11
],
[
166,
530,
26,
11
],
[
194,
530,
40,
11
],
[
235,
530,
11,
11
],
[
249,
530,
47,
11
],
[
299,
530,
23,
11
],
[
78,
595,
61,
12
],
[
104,
625,
48,
14
],
[
156,
625,
39,
14
],
[
200,
625,
26,
14
],
[
231,
625,
12,
14
],
[
248,
625,
23,
14
],
[
275,
625,
35,
14
],
[
315,
625,
46,
14
],
[
365,
625,
22,
14
],
[
392,
625,
40,
14
],
[
436,
625,
15,
14
],
[
455,
625,
43,
14
],
[
503,
625,
17,
14
],
[
525,
625,
56,
14
],
[
586,
625,
30,
14
],
[
621,
625,
12,
14
],
[
637,
625,
37,
14
],
[
680,
625,
11,
14
],
[
695,
625,
35,
14
],
[
735,
625,
17,
14
],
[
78,
640,
31,
14
],
[
112,
640,
10,
14
],
[
125,
640,
44,
14
],
[
172,
640,
29,
14
],
[
204,
640,
20,
14
],
[
227,
640,
23,
14
],
[
253,
640,
14,
14
],
[
270,
640,
26,
14
],
[
299,
640,
11,
14
],
[
313,
640,
27,
14
],
[
344,
640,
45,
14
],
[
392,
640,
56,
14
],
[
451,
640,
46,
14
],
[
500,
640,
41,
14
],
[
545,
640,
82,
14
],
[
630,
640,
14,
14
],
[
647,
640,
56,
14
],
[
706,
640,
46,
14
],
[
78,
656,
32,
15
],
[
115,
656,
10,
15
],
[
129,
656,
51,
15
],
[
184,
656,
51,
15
],
[
238,
656,
14,
15
],
[
257,
656,
17,
15
],
[
279,
656,
41,
15
],
[
324,
656,
27,
15
],
[
355,
656,
43,
15
],
[
402,
656,
11,
15
],
[
417,
656,
57,
15
],
[
478,
656,
48,
15
],
[
530,
656,
17,
15
],
[
551,
656,
27,
15
],
[
582,
656,
45,
15
],
[
631,
656,
30,
15
],
[
666,
656,
72,
15
],
[
742,
656,
10,
15
],
[
78,
672,
93,
14
],
[
174,
672,
35,
14
],
[
212,
672,
105,
14
],
[
320,
672,
23,
14
],
[
346,
672,
31,
14
],
[
380,
672,
74,
14
],
[
458,
672,
57,
14
],
[
519,
672,
18,
14
],
[
539,
672,
43,
14
],
[
585,
672,
17,
14
],
[
605,
672,
22,
14
],
[
630,
672,
45,
14
],
[
678,
672,
77,
14
],
[
78,
688,
36,
15
],
[
119,
688,
17,
15
],
[
141,
688,
56,
15
],
[
201,
688,
50,
15
],
[
256,
688,
46,
15
],
[
306,
688,
20,
15
],
[
331,
688,
14,
15
],
[
349,
688,
52,
15
],
[
406,
688,
31,
15
],
[
442,
688,
7,
15
],
[
453,
688,
31,
15
],
[
489,
688,
12,
15
],
[
506,
688,
48,
15
],
[
559,
688,
21,
15
],
[
584,
688,
17,
15
],
[
606,
688,
37,
15
],
[
648,
688,
12,
15
],
[
665,
688,
42,
15
],
[
712,
688,
22,
15
],
[
739,
688,
14,
15
],
[
78,
705,
59,
14
],
[
141,
705,
14,
14
],
[
160,
705,
17,
14
],
[
181,
705,
80,
14
],
[
265,
705,
27,
14
],
[
296,
705,
55,
14
],
[
355,
705,
17,
14
],
[
375,
705,
7,
14
],
[
386,
705,
54,
14
],
[
443,
705,
66,
14
],
[
513,
705,
12,
14
],
[
529,
705,
50,
14
],
[
582,
705,
18,
14
],
[
604,
705,
36,
14
],
[
643,
705,
11,
14
],
[
659,
705,
34,
14
],
[
696,
705,
56,
14
],
[
78,
720,
45,
14
],
[
127,
720,
11,
14
],
[
141,
720,
48,
14
],
[
192,
720,
41,
14
],
[
236,
720,
26,
14
],
[
265,
720,
62,
14
],
[
330,
720,
11,
14
],
[
344,
720,
56,
14
],
[
403,
720,
50,
14
],
[
104,
736,
33,
15
],
[
141,
736,
18,
15
],
[
162,
736,
31,
15
],
[
197,
736,
44,
15
],
[
245,
736,
14,
15
],
[
263,
736,
41,
15
],
[
307,
736,
51,
15
],
[
362,
736,
17,
15
],
[
383,
736,
31,
15
],
[
417,
736,
52,
15
],
[
472,
736,
29,
15
],
[
505,
736,
25,
15
],
[
533,
736,
11,
15
],
[
548,
736,
14,
15
],
[
566,
736,
45,
15
],
[
615,
736,
11,
15
],
[
630,
736,
7,
15
],
[
640,
736,
55,
15
],
[
699,
736,
53,
15
],
[
78,
752,
22,
14
],
[
104,
752,
72,
14
],
[
180,
752,
12,
14
],
[
196,
752,
27,
14
],
[
227,
752,
44,
14
],
[
275,
752,
36,
14
],
[
315,
752,
41,
14
],
[
359,
752,
68,
14
],
[
430,
752,
63,
14
],
[
497,
752,
28,
14
],
[
529,
752,
31,
14
],
[
564,
752,
31,
14
],
[
599,
752,
53,
14
],
[
655,
752,
30,
14
],
[
689,
752,
63,
14
],
[
78,
768,
25,
14
],
[
111,
768,
26,
14
],
[
145,
768,
61,
14
],
[
214,
768,
12,
14
],
[
234,
768,
45,
14
],
[
286,
768,
46,
14
],
[
340,
768,
12,
14
],
[
359,
768,
30,
14
],
[
397,
768,
25,
14
],
[
430,
768,
48,
14
],
[
486,
768,
46,
14
],
[
540,
768,
44,
14
],
[
592,
768,
50,
14
],
[
650,
768,
70,
14
],
[
727,
768,
25,
14
],
[
78,
784,
74,
15
],
[
155,
784,
17,
15
],
[
176,
784,
73,
15
],
[
253,
784,
74,
15
],
[
330,
784,
12,
15
],
[
346,
784,
58,
15
],
[
407,
784,
11,
15
],
[
422,
784,
47,
15
],
[
472,
784,
58,
15
],
[
534,
784,
14,
15
],
[
552,
784,
26,
15
],
[
581,
784,
28,
15
],
[
612,
784,
12,
15
],
[
628,
784,
71,
15
],
[
702,
784,
21,
15
],
[
726,
784,
26,
15
],
[
78,
800,
36,
14
],
[
119,
800,
11,
14
],
[
136,
800,
32,
14
],
[
172,
800,
46,
14
],
[
223,
800,
50,
14
],
[
278,
800,
70,
14
],
[
353,
800,
41,
14
],
[
400,
800,
42,
14
],
[
447,
800,
7,
14
],
[
459,
800,
28,
14
],
[
492,
800,
40,
14
],
[
538,
800,
12,
14
],
[
555,
800,
17,
14
],
[
577,
800,
83,
14
],
[
665,
800,
61,
14
],
[
731,
800,
20,
14
],
[
78,
816,
30,
15
],
[
113,
816,
55,
15
],
[
172,
816,
17,
15
],
[
193,
816,
70,
15
],
[
267,
816,
11,
15
],
[
283,
816,
27,
15
],
[
314,
816,
72,
15
],
[
391,
816,
21,
15
],
[
416,
816,
56,
15
],
[
476,
816,
50,
15
],
[
530,
816,
31,
15
],
[
565,
816,
51,
15
],
[
620,
816,
11,
15
],
[
636,
816,
46,
15
],
[
687,
816,
66,
15
],
[
78,
832,
38,
14
],
[
120,
832,
24,
14
],
[
146,
832,
21,
14
],
[
170,
832,
50,
14
],
[
223,
832,
34,
14
],
[
259,
832,
49,
14
],
[
311,
832,
28,
14
],
[
342,
832,
25,
14
],
[
370,
832,
30,
14
],
[
403,
832,
21,
14
],
[
427,
832,
18,
14
],
[
448,
832,
43,
14
],
[
494,
832,
58,
14
],
[
554,
832,
11,
14
],
[
569,
832,
47,
14
],
[
618,
832,
14,
14
],
[
636,
832,
17,
14
],
[
656,
832,
72,
14
],
[
732,
832,
21,
14
],
[
78,
848,
62,
14
],
[
143,
848,
12,
14
],
[
159,
848,
46,
14
],
[
208,
848,
21,
14
],
[
231,
848,
30,
14
],
[
132,
864,
12,
15
],
[
148,
864,
21,
15
],
[
174,
864,
31,
15
],
[
209,
864,
17,
15
],
[
231,
864,
31,
15
],
[
267,
864,
21,
15
],
[
293,
864,
27,
15
],
[
324,
864,
50,
15
],
[
378,
864,
51,
15
],
[
433,
864,
40,
15
],
[
478,
864,
11,
15
],
[
494,
864,
33,
15
],
[
531,
864,
47,
15
],
[
583,
864,
43,
15
],
[
630,
864,
22,
15
],
[
657,
864,
27,
15
],
[
688,
864,
64,
15
],
[
78,
880,
41,
14
],
[
124,
880,
19,
14
],
[
147,
880,
11,
14
],
[
163,
880,
18,
14
],
[
185,
880,
37,
14
],
[
226,
880,
20,
14
],
[
251,
880,
41,
14
],
[
296,
880,
21,
14
],
[
321,
880,
61,
14
],
[
387,
880,
31,
14
],
[
423,
880,
20,
14
],
[
448,
880,
47,
14
],
[
499,
880,
24,
14
],
[
527,
880,
12,
14
],
[
544,
880,
47,
14
],
[
595,
880,
48,
14
],
[
648,
880,
14,
14
],
[
666,
880,
65,
14
],
[
735,
880,
17,
14
],
[
78,
896,
45,
14
],
[
126,
896,
50,
14
],
[
180,
896,
70,
14
],
[
253,
896,
11,
14
],
[
268,
896,
46,
14
],
[
318,
896,
26,
14
],
[
348,
896,
61,
14
],
[
413,
896,
51,
14
],
[
467,
896,
11,
14
],
[
482,
896,
37,
14
],
[
522,
896,
23,
14
],
[
549,
896,
44,
14
],
[
597,
896,
11,
14
],
[
612,
896,
7,
14
],
[
622,
896,
27,
14
],
[
652,
896,
100,
14
],
[
78,
912,
74,
14
],
[
158,
912,
25,
14
],
[
188,
912,
38,
14
],
[
232,
912,
45,
14
],
[
281,
912,
25,
14
],
[
311,
912,
21,
14
],
[
337,
912,
25,
14
],
[
366,
912,
46,
14
],
[
418,
912,
20,
14
],
[
443,
912,
14,
14
],
[
462,
912,
65,
14
],
[
531,
912,
20,
14
],
[
557,
912,
53,
14
],
[
615,
912,
26,
14
],
[
646,
912,
80,
14
],
[
732,
912,
21,
14
],
[
78,
928,
60,
14
],
[
141,
928,
11,
14
],
[
156,
928,
17,
14
],
[
176,
928,
41,
14
],
[
220,
928,
12,
14
],
[
235,
928,
22,
14
],
[
260,
928,
50,
14
],
[
313,
928,
11,
14
],
[
327,
928,
28,
14
],
[
358,
928,
65,
14
],
[
426,
928,
47,
14
],
[
475,
928,
21,
14
],
[
499,
928,
68,
14
],
[
570,
928,
45,
14
],
[
618,
928,
18,
14
],
[
640,
928,
32,
14
],
[
675,
928,
51,
14
],
[
78,
960,
49,
12
],
[
130,
960,
42,
12
],
[
175,
960,
45,
12
],
[
222,
960,
37,
12
],
[
261,
960,
32,
12
],
[
295,
960,
18,
12
],
[
315,
960,
28,
12
],
[
346,
960,
63,
12
],
[
411,
960,
41,
12
],
[
81,
1028,
6,
11
],
[
95,
1028,
67,
11
],
[
170,
1028,
32,
11
],
[
210,
1028,
33,
11
],
[
252,
1028,
37,
11
],
[
297,
1028,
39,
11
],
[
344,
1028,
10,
11
],
[
362,
1028,
37,
11
],
[
78,
1041,
51,
12
],
[
133,
1041,
31,
12
],
[
168,
1041,
10,
12
],
[
182,
1041,
37,
12
],
[
222,
1041,
42,
12
],
[
269,
1041,
28,
12
],
[
301,
1041,
50,
12
],
[
355,
1041,
44,
12
],
[
78,
1053,
23,
12
],
[
104,
1053,
37,
12
],
[
143,
1053,
15,
12
],
[
160,
1053,
19,
12
],
[
182,
1053,
14,
12
],
[
198,
1053,
44,
12
],
[
245,
1053,
26,
12
],
[
273,
1053,
37,
12
],
[
312,
1053,
44,
12
],
[
78,
1066,
18,
11
],
[
99,
1066,
7,
11
],
[
108,
1066,
12,
11
],
[
122,
1066,
6,
11
],
[
130,
1066,
23,
11
],
[
155,
1066,
26,
11
],
[
183,
1066,
20,
11
],
[
206,
1066,
18,
11
],
[
226,
1066,
6,
11
],
[
235,
1066,
23,
11
],
[
259,
1066,
26,
11
],
[
78,
1079,
34,
12
],
[
114,
1079,
112,
12
],
[
229,
1079,
26,
12
],
[
257,
1079,
38,
12
]
] | [
"Available",
"online",
"at",
"http://www.biij.org/2010/2/e12",
"doi:",
"10.2349/biij.6.2.e12",
"biij",
"Biomedical",
"Imaging",
"and",
"Intervention",
"Journal",
"REVIEW",
"ARTICLE",
"Development",
"and",
"use",
"of",
"iron",
"oxide",
"nanoparticles",
"(Part",
"1):",
"Synthesis",
"of",
"iron",
"oxide",
"nanoparticles",
"for",
"MRI",
"J",
"Lodhia*,1,",
"BAppSci",
"(MedRadSci),",
"G",
"Mandarano1,",
"BAppSci",
"(MedRad),",
"GradCert",
"(Higher",
"Ed.),",
"NJ",
"Ferris2,",
"MBBS,",
"MMed,",
"FRANZCR,",
"P",
"Eu",
"2",
",",
"BSci.,",
"MSci,",
"SF",
"Cowell",
"1",
",",
"PhD,",
"MEd,",
"ANMT",
"1",
"Division",
"of",
"Medical",
"Radiations,",
"School",
"of",
"Medical",
"Sciences,",
"RMIT",
"University,",
"Victoria,",
"Australia",
"2",
"Peter",
"MacCallum",
"Cancer",
"Institute,",
"Melbourne,",
"Victoria,",
"Australia",
"Received",
"5",
"August",
"2009;",
"accepted",
"24",
"November",
"2009",
"ABSTRACT",
"Contrast",
"agents,",
"such",
"as",
"iron",
"oxide,",
"enhance",
"MR",
"images",
"by",
"altering",
"the",
"relaxation",
"times",
"of",
"tissues",
"in",
"which",
"the",
"agent",
"is",
"present.",
"They",
"can",
"also",
"be",
"used",
"to",
"label",
"targeted",
"molecular",
"imaging",
"probes.",
"Unfortunately,",
"no",
"molecular",
"imaging",
"probe",
"is",
"currently",
"available",
"on",
"the",
"clinical",
"MRI",
"market.",
"A",
"promising",
"platform",
"for",
"MRI",
"contrast",
"agent",
"development",
"is",
"nanotechnology,",
"where",
"superparamagnetic",
"iron",
"oxide",
"nanoparticles",
"(SPIONS)",
"are",
"tailored",
"for",
"MR",
"contrast",
"enhancement,",
"and/or",
"for",
"molecular",
"imaging.",
"SPIONs",
"can",
"be",
"produced",
"using",
"a",
"range",
"of",
"methods",
"and",
"the",
"choice",
"of",
"method",
"will",
"be",
"influenced",
"by",
"the",
"characteristics",
"most",
"important",
"for",
"a",
"particular",
"application.",
"In",
"addition,",
"the",
"ability",
"to",
"attach",
"molecular",
"markers",
"to",
"SPIONS",
"heralds",
"their",
"application",
"in",
"molecular",
"imaging.",
"There",
"are",
"many",
"reviews",
"on",
"SPION",
"synthesis",
"for",
"MRI;",
"however,",
"these",
"tend",
"to",
"be",
"targeted",
"to",
"a",
"chemistry",
"audience.",
"The",
"development",
"of",
"MRI",
"contrast",
"agents",
"attracts",
"experienced",
"researchers",
"from",
"many",
"fields",
"including",
"some",
"researchers",
"with",
"little",
"knowledge",
"of",
"medical",
"imaging",
"or",
"MRI.",
"This",
"situation",
"presents",
"medical",
"radiation",
"practitioners",
"with",
"opportunities",
"for",
"involvement,",
"collaboration",
"or",
"leadership",
"in",
"research",
"depending",
"on",
"their",
"level",
"of",
"commitment",
"and",
"their",
"ability",
"to",
"learn.",
"Medical",
"radiation",
"practitioners",
"already",
"possess",
"a",
"large",
"portion",
"of",
"the",
"understanding,",
"knowledge",
"and",
"skills",
"necessary",
"for",
"involvement",
"in",
"MRI",
"development",
"and",
"molecular",
"imaging.",
"Their",
"expertise",
"in",
"imaging",
"technology,",
"patient",
"care",
"and",
"radiation",
"safety",
"provides",
"them",
"with",
"skills",
"that",
"are",
"directly",
"applicable",
"to",
"research",
"on",
"the",
"development",
"and",
"application",
"of",
"SPIONs",
"and",
"MRI.",
"In",
"this",
"paper",
"we",
"argue",
"that",
"MRI",
"SPIONs,",
"currently",
"limited",
"to",
"major",
"research",
"centres,",
"will",
"have",
"widespread",
"clinical",
"use",
"in",
"the",
"future.",
"We",
"believe",
"that",
"knowledge",
"about",
"this",
"growing",
"area",
"of",
"research",
"provides",
"an",
"opportunity",
"for",
"medical",
"radiation",
"practitioners",
"to",
"enhance",
"their",
"specialised",
"expertise",
"to",
"ensure",
"best",
"practice",
"in",
"a",
"truly",
"multi-disciplinary",
"environment.",
"This",
"review",
"outlines",
"how",
"and",
"why",
"SPIONs",
"can",
"be",
"synthesised",
"and",
"examines",
"their",
"characteristics",
"and",
"limitations",
"in",
"the",
"context",
"of",
"MR",
"imaging.",
"©",
"2010",
"Biomedical",
"Imaging",
"and",
"Intervention",
"Journal.",
"All",
"rights",
"reserved.",
"Keywords:",
"Magnetic",
"resonance",
"imaging",
"(MRI),",
"iron",
"oxide,",
"nanoparticles,",
"synthesis",
"*",
"Corresponding",
"author.",
"Present",
"address:",
"Division",
"of",
"Medical",
"Radiations,",
"School",
"of",
"Medical",
"Sciences,",
"RMIT",
"University,",
"Bundoora",
"West",
"campus,",
"PO",
"Box",
"71,",
"Bundoora",
"3083,",
"Victoria",
"Australia.",
"Tel:",
"+",
"61",
"3",
"9925",
"6660;",
"Fax:",
"+61",
"3",
"9925",
"7466;",
"E-mail:",
"jyoti.lodhia@rmit.edu.au",
"(Jyoti",
"Lodhia)."
] | [
0,
0,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13
] |
3,332,220 | null | [
[
562,
32,
10,
12
],
[
574,
32,
9,
12
],
[
581,
32,
1,
12
],
[
611,
44,
42,
10
],
[
655,
44,
11,
10
],
[
668,
44,
19,
10
],
[
688,
44,
20,
10
],
[
582,
55,
15,
10
],
[
599,
55,
110,
10
],
[
63,
84,
44,
25
],
[
110,
84,
130,
25
],
[
244,
84,
139,
25
],
[
388,
84,
22,
25
],
[
415,
84,
82,
25
],
[
501,
84,
122,
25
],
[
628,
84,
44,
25
],
[
63,
114,
92,
25
],
[
160,
114,
103,
25
],
[
267,
114,
170,
25
],
[
442,
114,
222,
25
],
[
669,
114,
44,
25
],
[
63,
143,
128,
25
],
[
195,
143,
103,
25
],
[
303,
143,
108,
25
],
[
63,
189,
36,
14
],
[
102,
189,
9,
14
],
[
113,
189,
72,
15
],
[
63,
214,
4,
6
],
[
70,
214,
34,
10
],
[
106,
214,
9,
10
],
[
116,
214,
45,
10
],
[
163,
214,
16,
10
],
[
181,
214,
29,
10
],
[
211,
214,
20,
10
],
[
233,
214,
42,
10
],
[
277,
214,
51,
10
],
[
330,
214,
9,
10
],
[
340,
214,
32,
10
],
[
374,
214,
42,
10
],
[
418,
214,
42,
10
],
[
462,
214,
34,
10
],
[
497,
214,
34,
10
],
[
532,
214,
32,
10
],
[
566,
214,
60,
10
],
[
628,
214,
20,
10
],
[
63,
227,
4,
6
],
[
70,
227,
34,
10
],
[
106,
227,
9,
10
],
[
116,
227,
40,
10
],
[
158,
227,
16,
10
],
[
175,
227,
44,
10
],
[
221,
227,
45,
10
],
[
268,
227,
51,
10
],
[
321,
227,
9,
10
],
[
331,
227,
45,
10
],
[
379,
227,
42,
10
],
[
423,
227,
34,
10
],
[
458,
227,
34,
10
],
[
493,
227,
32,
10
],
[
527,
227,
60,
10
],
[
588,
227,
20,
10
],
[
63,
240,
4,
6
],
[
70,
240,
73,
10
],
[
145,
240,
18,
10
],
[
165,
240,
60,
10
],
[
227,
240,
19,
10
],
[
63,
253,
4,
6
],
[
70,
253,
46,
10
],
[
118,
253,
32,
10
],
[
152,
253,
18,
10
],
[
172,
253,
60,
10
],
[
234,
253,
19,
10
],
[
63,
266,
78,
10
],
[
142,
266,
84,
10
],
[
63,
309,
9,
14
],
[
74,
309,
70,
14
],
[
146,
309,
15,
14
],
[
63,
341,
63,
14
],
[
131,
341,
11,
14
],
[
149,
341,
23,
14
],
[
177,
341,
25,
14
],
[
207,
341,
18,
14
],
[
230,
341,
56,
14
],
[
63,
357,
20,
14
],
[
86,
357,
21,
14
],
[
111,
357,
54,
14
],
[
169,
357,
11,
14
],
[
185,
357,
101,
14
],
[
63,
373,
65,
14
],
[
63,
389,
12,
14
],
[
81,
389,
26,
14
],
[
112,
389,
12,
14
],
[
130,
389,
14,
14
],
[
150,
389,
35,
14
],
[
191,
389,
15,
14
],
[
212,
389,
20,
14
],
[
238,
389,
48,
14
],
[
63,
405,
37,
14
],
[
103,
405,
12,
14
],
[
118,
405,
12,
14
],
[
134,
405,
39,
14
],
[
176,
405,
32,
14
],
[
211,
405,
29,
14
],
[
243,
405,
19,
14
],
[
266,
405,
20,
14
],
[
63,
421,
135,
14
],
[
63,
453,
9,
14
],
[
74,
453,
25,
14
],
[
102,
453,
37,
14
],
[
142,
453,
11,
14
],
[
156,
453,
62,
14
],
[
221,
453,
23,
14
],
[
247,
453,
25,
14
],
[
275,
453,
11,
14
],
[
63,
469,
49,
14
],
[
112,
469,
11,
14
],
[
125,
469,
17,
14
],
[
144,
469,
62,
14
],
[
207,
469,
40,
14
],
[
248,
469,
38,
14
],
[
63,
485,
17,
14
],
[
86,
485,
6,
14
],
[
98,
485,
38,
14
],
[
142,
485,
51,
14
],
[
199,
485,
48,
14
],
[
253,
485,
34,
14
],
[
63,
501,
30,
14
],
[
95,
501,
11,
14
],
[
109,
501,
17,
14
],
[
129,
501,
37,
14
],
[
169,
501,
11,
14
],
[
183,
501,
17,
14
],
[
203,
501,
57,
14
],
[
263,
501,
23,
14
],
[
63,
517,
25,
14
],
[
90,
517,
46,
14
],
[
138,
517,
45,
14
],
[
185,
517,
51,
14
],
[
238,
517,
13,
14
],
[
253,
517,
33,
14
],
[
63,
533,
66,
14
],
[
129,
533,
42,
14
],
[
172,
533,
34,
14
],
[
208,
533,
45,
14
],
[
254,
533,
32,
14
],
[
63,
549,
69,
14
],
[
135,
549,
20,
14
],
[
160,
549,
58,
14
],
[
221,
549,
11,
14
],
[
237,
549,
17,
14
],
[
258,
549,
29,
14
],
[
63,
565,
35,
14
],
[
100,
565,
34,
14
],
[
136,
565,
20,
14
],
[
159,
565,
28,
14
],
[
190,
565,
34,
14
],
[
227,
565,
11,
14
],
[
240,
565,
6,
14
],
[
249,
565,
37,
14
],
[
63,
581,
23,
14
],
[
90,
581,
51,
14
],
[
146,
581,
24,
14
],
[
175,
581,
45,
14
],
[
224,
581,
62,
14
],
[
63,
597,
35,
14
],
[
103,
597,
32,
14
],
[
139,
597,
25,
14
],
[
169,
597,
20,
14
],
[
195,
597,
44,
14
],
[
243,
597,
43,
14
],
[
63,
613,
34,
14
],
[
98,
613,
29,
14
],
[
129,
613,
83,
14
],
[
215,
613,
41,
14
],
[
258,
613,
28,
14
],
[
63,
629,
9,
14
],
[
75,
629,
6,
14
],
[
86,
629,
48,
14
],
[
138,
629,
53,
14
],
[
195,
629,
39,
14
],
[
238,
629,
48,
14
],
[
63,
645,
32,
14
],
[
101,
645,
42,
14
],
[
149,
645,
51,
14
],
[
207,
645,
62,
14
],
[
275,
645,
11,
14
],
[
63,
661,
54,
14
],
[
121,
661,
60,
14
],
[
185,
661,
33,
14
],
[
222,
661,
11,
14
],
[
238,
661,
17,
14
],
[
259,
661,
27,
14
],
[
63,
677,
39,
14
],
[
113,
677,
22,
14
],
[
146,
677,
67,
14
],
[
224,
677,
62,
14
],
[
63,
692,
39,
14
],
[
107,
693,
21,
14
],
[
134,
693,
52,
14
],
[
191,
693,
59,
14
],
[
256,
693,
30,
14
],
[
63,
709,
37,
14
],
[
100,
709,
11,
14
],
[
113,
709,
43,
14
],
[
157,
709,
30,
14
],
[
188,
709,
11,
14
],
[
201,
709,
32,
14
],
[
234,
709,
18,
14
],
[
254,
709,
32,
14
],
[
63,
725,
25,
14
],
[
91,
725,
105,
14
],
[
200,
725,
20,
14
],
[
224,
725,
26,
14
],
[
253,
725,
34,
14
],
[
63,
740,
24,
14
],
[
92,
740,
51,
14
],
[
148,
740,
72,
14
],
[
226,
740,
11,
14
],
[
243,
740,
43,
14
],
[
63,
756,
55,
14
],
[
124,
756,
63,
14
],
[
192,
756,
12,
14
],
[
210,
756,
31,
14
],
[
247,
756,
9,
14
],
[
262,
756,
25,
14
],
[
63,
772,
38,
14
],
[
103,
772,
11,
14
],
[
117,
772,
13,
14
],
[
133,
772,
20,
14
],
[
156,
772,
11,
14
],
[
170,
772,
17,
14
],
[
190,
772,
32,
14
],
[
225,
772,
61,
14
],
[
63,
788,
11,
14
],
[
77,
788,
100,
14
],
[
180,
788,
20,
14
],
[
204,
788,
17,
14
],
[
224,
788,
48,
14
],
[
275,
788,
11,
14
],
[
63,
804,
61,
14
],
[
127,
804,
28,
14
],
[
158,
804,
20,
14
],
[
182,
804,
60,
14
],
[
245,
804,
41,
14
],
[
63,
820,
35,
14
],
[
100,
820,
10,
14
],
[
112,
820,
16,
14
],
[
129,
820,
34,
14
],
[
163,
820,
9,
14
],
[
174,
820,
43,
14
],
[
219,
820,
29,
14
],
[
250,
820,
36,
14
],
[
63,
836,
26,
14
],
[
92,
836,
27,
14
],
[
122,
836,
77,
14
],
[
202,
836,
9,
14
],
[
214,
836,
17,
14
],
[
234,
836,
38,
14
],
[
275,
836,
11,
14
],
[
63,
852,
63,
14
],
[
127,
852,
34,
14
],
[
162,
852,
11,
14
],
[
175,
852,
39,
14
],
[
216,
852,
70,
14
],
[
63,
868,
31,
14
],
[
98,
868,
43,
14
],
[
145,
868,
11,
14
],
[
160,
868,
51,
14
],
[
215,
868,
25,
14
],
[
245,
868,
42,
14
],
[
63,
884,
34,
14
],
[
100,
884,
21,
14
],
[
125,
884,
59,
14
],
[
187,
884,
57,
14
],
[
248,
884,
11,
14
],
[
264,
884,
22,
14
],
[
63,
900,
22,
14
],
[
88,
900,
43,
14
],
[
134,
900,
22,
14
],
[
159,
900,
61,
14
],
[
224,
900,
23,
14
],
[
250,
900,
22,
14
],
[
275,
900,
11,
14
],
[
63,
916,
18,
14
],
[
85,
916,
51,
14
],
[
139,
916,
12,
14
],
[
155,
916,
33,
14
],
[
192,
916,
59,
14
],
[
255,
916,
31,
14
],
[
63,
932,
28,
14
],
[
93,
932,
30,
14
],
[
126,
932,
78,
14
],
[
206,
932,
23,
14
],
[
232,
932,
11,
14
],
[
247,
932,
28,
14
],
[
277,
932,
9,
14
],
[
63,
948,
21,
14
],
[
86,
948,
43,
14
],
[
132,
948,
43,
14
],
[
178,
948,
28,
14
],
[
208,
948,
39,
14
],
[
250,
948,
36,
14
],
[
63,
964,
46,
14
],
[
112,
964,
25,
14
],
[
140,
964,
11,
14
],
[
154,
964,
69,
14
],
[
227,
964,
14,
14
],
[
245,
964,
41,
14
],
[
63,
980,
23,
14
],
[
90,
980,
41,
14
],
[
135,
980,
25,
14
],
[
165,
980,
21,
14
],
[
190,
980,
45,
14
],
[
240,
980,
46,
14
],
[
63,
1033,
98,
11
],
[
301,
309,
22,
14
],
[
326,
309,
11,
14
],
[
340,
309,
65,
14
],
[
408,
309,
23,
14
],
[
433,
309,
43,
14
],
[
479,
309,
46,
14
],
[
301,
325,
25,
14
],
[
329,
325,
43,
14
],
[
375,
325,
11,
14
],
[
390,
325,
45,
14
],
[
437,
325,
36,
14
],
[
476,
325,
49,
14
],
[
301,
341,
10,
14
],
[
314,
341,
16,
14
],
[
332,
341,
34,
14
],
[
367,
341,
12,
14
],
[
381,
341,
20,
14
],
[
404,
341,
33,
14
],
[
438,
341,
27,
14
],
[
467,
341,
35,
14
],
[
505,
341,
20,
14
],
[
301,
357,
82,
14
],
[
385,
357,
39,
14
],
[
426,
357,
6,
14
],
[
435,
357,
29,
14
],
[
466,
357,
59,
14
],
[
301,
373,
31,
14
],
[
338,
373,
17,
14
],
[
360,
373,
41,
14
],
[
406,
373,
11,
14
],
[
423,
373,
102,
14
],
[
301,
389,
28,
14
],
[
336,
389,
20,
14
],
[
362,
389,
25,
14
],
[
393,
389,
6,
14
],
[
405,
389,
35,
14
],
[
445,
389,
31,
14
],
[
482,
389,
43,
14
],
[
301,
405,
42,
14
],
[
345,
405,
21,
14
],
[
367,
405,
16,
14
],
[
385,
405,
36,
14
],
[
421,
405,
11,
14
],
[
434,
405,
17,
14
],
[
452,
405,
74,
14
],
[
301,
421,
27,
14
],
[
330,
421,
62,
14
],
[
395,
421,
24,
14
],
[
421,
421,
59,
14
],
[
483,
421,
28,
14
],
[
514,
421,
11,
14
],
[
301,
437,
26,
14
],
[
331,
437,
11,
14
],
[
346,
437,
17,
14
],
[
367,
437,
39,
14
],
[
410,
437,
6,
14
],
[
421,
437,
25,
14
],
[
450,
437,
75,
14
],
[
301,
453,
35,
14
],
[
342,
453,
51,
14
],
[
399,
453,
63,
14
],
[
468,
453,
57,
14
],
[
301,
469,
56,
14
],
[
359,
469,
25,
14
],
[
387,
469,
23,
14
],
[
411,
469,
26,
14
],
[
440,
469,
17,
14
],
[
458,
469,
50,
14
],
[
510,
469,
14,
14
],
[
301,
485,
17,
14
],
[
320,
485,
37,
14
],
[
360,
485,
11,
14
],
[
373,
485,
17,
14
],
[
392,
485,
90,
14
],
[
484,
485,
41,
14
],
[
301,
500,
36,
14
],
[
342,
500,
39,
14
],
[
385,
500,
47,
14
],
[
437,
500,
26,
14
],
[
468,
500,
25,
14
],
[
498,
500,
27,
14
],
[
301,
517,
46,
14
],
[
352,
517,
21,
14
],
[
377,
517,
41,
14
],
[
422,
517,
28,
14
],
[
453,
517,
11,
14
],
[
468,
517,
42,
14
],
[
514,
517,
11,
14
],
[
301,
533,
6,
14
],
[
310,
533,
52,
14
],
[
365,
533,
76,
14
],
[
444,
533,
46,
14
],
[
493,
533,
32,
14
],
[
301,
549,
20,
14
],
[
324,
549,
21,
14
],
[
348,
549,
19,
14
],
[
370,
549,
11,
14
],
[
384,
549,
17,
14
],
[
404,
549,
42,
14
],
[
449,
549,
36,
14
],
[
488,
549,
12,
14
],
[
503,
549,
22,
14
],
[
301,
565,
57,
14
],
[
360,
565,
35,
14
],
[
397,
565,
20,
14
],
[
419,
565,
41,
14
],
[
461,
565,
29,
14
],
[
491,
565,
34,
14
],
[
301,
580,
34,
14
],
[
341,
580,
27,
14
],
[
374,
580,
36,
14
],
[
416,
580,
20,
14
],
[
443,
580,
82,
14
],
[
301,
596,
48,
14
],
[
358,
596,
48,
14
],
[
414,
596,
67,
14
],
[
489,
596,
36,
14
],
[
301,
612,
69,
14
],
[
374,
612,
49,
14
],
[
426,
612,
25,
14
],
[
454,
612,
11,
14
],
[
469,
612,
17,
14
],
[
489,
612,
21,
14
],
[
513,
612,
11,
14
],
[
301,
628,
52,
14
],
[
356,
628,
7,
14
],
[
366,
628,
35,
14
],
[
403,
628,
16,
14
],
[
421,
628,
57,
14
],
[
481,
628,
44,
14
],
[
301,
644,
17,
14
],
[
320,
644,
11,
14
],
[
334,
644,
17,
14
],
[
353,
644,
43,
14
],
[
398,
644,
51,
14
],
[
451,
644,
39,
14
],
[
492,
644,
33,
14
],
[
301,
660,
32,
14
],
[
335,
660,
9,
14
],
[
345,
660,
36,
14
],
[
383,
660,
11,
14
],
[
395,
660,
22,
14
],
[
418,
660,
51,
14
],
[
470,
660,
21,
14
],
[
493,
660,
32,
14
],
[
301,
676,
11,
14
],
[
315,
676,
22,
14
],
[
339,
676,
39,
14
],
[
381,
676,
23,
14
],
[
406,
676,
10,
14
],
[
418,
676,
16,
14
],
[
436,
676,
29,
14
],
[
467,
676,
28,
14
],
[
497,
676,
10,
14
],
[
510,
676,
16,
14
],
[
301,
692,
34,
14
],
[
340,
692,
27,
14
],
[
373,
692,
21,
14
],
[
400,
692,
27,
14
],
[
432,
692,
44,
14
],
[
481,
692,
44,
14
],
[
301,
708,
97,
14
],
[
401,
708,
49,
14
],
[
451,
708,
11,
14
],
[
465,
708,
60,
14
],
[
301,
724,
37,
14
],
[
343,
724,
32,
14
],
[
381,
724,
38,
14
],
[
424,
724,
66,
14
],
[
494,
724,
31,
14
],
[
301,
740,
23,
14
],
[
326,
740,
20,
14
],
[
349,
740,
67,
14
],
[
418,
740,
33,
14
],
[
453,
740,
43,
14
],
[
498,
740,
27,
14
],
[
301,
756,
49,
14
],
[
351,
756,
39,
14
],
[
392,
756,
32,
14
],
[
426,
756,
28,
14
],
[
455,
756,
48,
14
],
[
505,
756,
20,
14
],
[
301,
772,
26,
14
],
[
329,
772,
24,
14
],
[
354,
772,
22,
14
],
[
377,
772,
41,
14
],
[
419,
772,
31,
14
],
[
451,
772,
10,
14
],
[
463,
772,
15,
14
],
[
479,
772,
33,
14
],
[
513,
772,
12,
14
],
[
301,
788,
48,
14
],
[
352,
788,
27,
14
],
[
382,
788,
35,
14
],
[
420,
788,
20,
14
],
[
443,
788,
82,
14
],
[
301,
804,
16,
14
],
[
319,
804,
54,
14
],
[
374,
804,
63,
14
],
[
438,
804,
75,
14
],
[
514,
804,
11,
14
],
[
301,
820,
13,
14
],
[
316,
820,
36,
14
],
[
353,
820,
77,
14
],
[
432,
820,
28,
14
],
[
461,
820,
16,
14
],
[
478,
820,
46,
14
],
[
301,
836,
64,
14
],
[
369,
836,
11,
14
],
[
384,
836,
42,
14
],
[
430,
836,
24,
14
],
[
458,
836,
67,
14
],
[
301,
852,
35,
14
],
[
340,
852,
41,
14
],
[
386,
852,
25,
14
],
[
414,
852,
11,
14
],
[
429,
852,
69,
14
],
[
502,
852,
23,
14
],
[
301,
868,
20,
14
],
[
329,
868,
61,
14
],
[
397,
868,
56,
14
],
[
459,
868,
66,
14
],
[
301,
884,
9,
14
],
[
314,
884,
48,
14
],
[
365,
884,
55,
14
],
[
423,
884,
11,
14
],
[
437,
884,
47,
14
],
[
488,
884,
37,
14
],
[
301,
900,
50,
14
],
[
356,
900,
30,
14
],
[
390,
900,
97,
14
],
[
490,
900,
35,
14
],
[
301,
916,
33,
14
],
[
337,
916,
10,
14
],
[
349,
916,
16,
14
],
[
367,
916,
30,
14
],
[
400,
916,
11,
14
],
[
414,
916,
17,
14
],
[
434,
916,
28,
14
],
[
465,
916,
16,
14
],
[
483,
916,
17,
14
],
[
503,
916,
22,
14
],
[
301,
932,
33,
14
],
[
336,
932,
32,
14
],
[
370,
932,
54,
14
],
[
427,
932,
16,
14
],
[
445,
932,
47,
14
],
[
495,
932,
30,
14
],
[
301,
948,
47,
14
],
[
352,
948,
17,
14
],
[
373,
948,
28,
14
],
[
406,
948,
33,
14
],
[
442,
948,
10,
14
],
[
457,
948,
16,
14
],
[
476,
948,
34,
14
],
[
513,
948,
12,
14
],
[
301,
964,
40,
14
],
[
343,
964,
54,
14
],
[
400,
964,
29,
14
],
[
430,
964,
17,
14
],
[
449,
964,
75,
14
],
[
301,
980,
24,
14
],
[
327,
980,
17,
14
],
[
346,
980,
78,
14
],
[
425,
980,
27,
14
],
[
454,
980,
11,
14
],
[
467,
980,
17,
14
],
[
485,
980,
40,
14
],
[
540,
309,
38,
14
],
[
582,
309,
45,
14
],
[
630,
309,
17,
14
],
[
651,
309,
69,
14
],
[
723,
309,
11,
14
],
[
738,
309,
26,
14
],
[
540,
325,
21,
14
],
[
565,
325,
95,
14
],
[
663,
325,
57,
14
],
[
722,
325,
41,
14
],
[
540,
341,
52,
14
],
[
597,
341,
20,
14
],
[
623,
341,
59,
14
],
[
686,
341,
43,
14
],
[
734,
341,
10,
14
],
[
748,
341,
16,
14
],
[
540,
357,
34,
14
],
[
576,
357,
17,
14
],
[
596,
357,
64,
14
],
[
663,
357,
28,
14
],
[
694,
357,
18,
14
],
[
715,
357,
21,
14
],
[
738,
357,
25,
14
],
[
540,
373,
61,
14
],
[
604,
373,
25,
14
],
[
632,
373,
42,
14
],
[
678,
373,
62,
14
],
[
743,
373,
21,
14
],
[
540,
389,
33,
14
],
[
577,
389,
24,
14
],
[
605,
389,
11,
14
],
[
619,
389,
8,
14
],
[
631,
389,
18,
14
],
[
653,
389,
58,
14
],
[
714,
389,
20,
14
],
[
738,
389,
26,
14
],
[
540,
405,
21,
14
],
[
563,
405,
95,
14
],
[
659,
405,
43,
14
],
[
703,
405,
10,
14
],
[
714,
405,
16,
14
],
[
731,
405,
33,
14
],
[
540,
421,
61,
14
],
[
606,
421,
11,
14
],
[
621,
421,
17,
14
],
[
643,
421,
45,
14
],
[
692,
421,
56,
14
],
[
752,
421,
11,
14
],
[
540,
437,
55,
14
],
[
598,
437,
39,
14
],
[
640,
437,
11,
14
],
[
654,
437,
45,
14
],
[
702,
437,
34,
14
],
[
739,
437,
25,
14
],
[
540,
453,
11,
14
],
[
554,
453,
22,
14
],
[
579,
453,
12,
14
],
[
594,
453,
28,
14
],
[
625,
453,
30,
14
],
[
658,
453,
21,
14
],
[
682,
453,
17,
14
],
[
702,
453,
31,
14
],
[
736,
453,
27,
14
],
[
540,
469,
21,
14
],
[
564,
469,
39,
14
],
[
605,
469,
23,
14
],
[
631,
469,
13,
14
],
[
647,
469,
50,
14
],
[
700,
469,
34,
14
],
[
737,
469,
11,
14
],
[
751,
469,
13,
14
],
[
540,
485,
35,
14
],
[
577,
485,
41,
14
],
[
620,
485,
12,
14
],
[
634,
485,
25,
14
],
[
661,
485,
11,
14
],
[
673,
485,
47,
14
],
[
722,
485,
11,
14
],
[
735,
485,
28,
14
],
[
540,
501,
38,
14
],
[
579,
501,
67,
14
],
[
647,
501,
13,
14
],
[
661,
501,
39,
14
],
[
701,
501,
26,
14
],
[
728,
501,
6,
14
],
[
736,
501,
28,
14
],
[
540,
517,
25,
14
],
[
569,
517,
56,
14
],
[
628,
517,
51,
14
],
[
683,
517,
49,
14
],
[
735,
517,
10,
14
],
[
748,
517,
16,
14
],
[
540,
533,
33,
14
],
[
574,
533,
51,
14
],
[
627,
533,
17,
14
],
[
645,
533,
63,
14
],
[
709,
533,
54,
14
],
[
540,
549,
75,
14
],
[
620,
549,
21,
14
],
[
646,
549,
40,
14
],
[
690,
549,
47,
14
],
[
742,
549,
22,
14
],
[
540,
565,
55,
14
],
[
600,
565,
43,
14
],
[
648,
565,
23,
14
],
[
675,
565,
38,
14
],
[
717,
565,
35,
14
],
[
758,
565,
6,
14
],
[
540,
581,
47,
14
],
[
591,
581,
34,
14
],
[
628,
581,
16,
14
],
[
647,
581,
43,
14
],
[
694,
581,
55,
14
],
[
753,
581,
11,
14
],
[
540,
597,
29,
14
],
[
571,
597,
35,
14
],
[
609,
597,
24,
14
],
[
636,
597,
11,
14
],
[
649,
597,
17,
14
],
[
669,
597,
31,
14
],
[
540,
636,
8,
14
],
[
567,
636,
8,
14
],
[
540,
653,
27,
11
],
[
569,
653,
12,
11
],
[
583,
653,
15,
11
],
[
600,
653,
12,
11
],
[
614,
653,
16,
11
],
[
632,
653,
22,
11
],
[
655,
653,
10,
11
],
[
667,
653,
9,
11
],
[
678,
653,
30,
11
],
[
710,
653,
42,
11
],
[
755,
653,
9,
11
],
[
554,
666,
29,
11
],
[
584,
666,
34,
11
],
[
619,
666,
42,
11
],
[
662,
666,
10,
11
],
[
673,
666,
22,
11
],
[
697,
666,
22,
11
],
[
720,
666,
44,
11
],
[
554,
679,
22,
11
],
[
578,
679,
18,
11
],
[
598,
679,
18,
11
],
[
616,
679,
37,
11
],
[
540,
692,
34,
11
],
[
576,
692,
6,
11
],
[
584,
692,
7,
11
],
[
593,
692,
30,
11
],
[
625,
692,
47,
11
],
[
674,
692,
49,
11
],
[
725,
692,
16,
11
],
[
743,
692,
21,
11
],
[
554,
705,
34,
11
],
[
589,
705,
70,
11
],
[
661,
705,
36,
11
],
[
698,
705,
17,
11
],
[
716,
705,
19,
11
],
[
737,
705,
27,
11
],
[
554,
719,
13,
11
],
[
568,
719,
37,
11
],
[
540,
732,
43,
11
],
[
585,
732,
9,
11
],
[
596,
732,
30,
11
],
[
628,
732,
50,
11
],
[
680,
732,
9,
11
],
[
691,
732,
37,
11
],
[
730,
732,
9,
11
],
[
741,
732,
5,
11
],
[
749,
732,
15,
11
],
[
554,
745,
20,
11
],
[
576,
745,
33,
11
],
[
611,
745,
42,
11
],
[
656,
745,
16,
11
],
[
674,
745,
50,
11
],
[
726,
745,
37,
11
],
[
554,
758,
6,
11
],
[
562,
758,
18,
11
],
[
581,
758,
37,
11
],
[
540,
771,
27,
11
],
[
568,
771,
9,
11
],
[
578,
771,
30,
11
],
[
609,
771,
43,
11
],
[
653,
771,
13,
11
],
[
668,
771,
29,
11
],
[
699,
771,
9,
11
],
[
709,
771,
17,
11
],
[
728,
771,
36,
11
],
[
554,
785,
24,
11
],
[
580,
785,
28,
11
],
[
610,
785,
18,
11
],
[
629,
785,
37,
11
],
[
540,
798,
24,
11
],
[
566,
798,
10,
11
],
[
578,
798,
10,
11
],
[
591,
798,
26,
11
],
[
620,
798,
12,
11
],
[
634,
798,
15,
11
],
[
652,
798,
10,
11
],
[
664,
798,
12,
11
],
[
679,
798,
50,
11
],
[
731,
798,
14,
11
],
[
747,
798,
16,
11
],
[
554,
811,
39,
11
],
[
595,
811,
8,
11
],
[
605,
811,
7,
11
],
[
614,
811,
30,
11
],
[
645,
811,
37,
11
],
[
684,
811,
52,
11
],
[
738,
811,
25,
11
],
[
554,
824,
35,
11
],
[
592,
824,
16,
11
],
[
611,
824,
26,
11
],
[
639,
824,
30,
11
],
[
672,
824,
31,
11
],
[
705,
824,
58,
11
],
[
554,
837,
41,
11
],
[
597,
837,
17,
11
],
[
617,
837,
9,
11
],
[
627,
837,
55,
11
],
[
685,
837,
9,
11
],
[
695,
837,
25,
11
],
[
723,
837,
41,
11
],
[
554,
851,
6,
11
],
[
562,
851,
30,
11
],
[
593,
851,
14,
11
],
[
609,
851,
18,
11
],
[
628,
851,
28,
11
],
[
540,
864,
111,
11
],
[
653,
864,
111,
11
],
[
554,
877,
51,
11
],
[
606,
877,
44,
11
],
[
650,
877,
9,
11
],
[
660,
877,
27,
11
],
[
688,
877,
22,
11
],
[
711,
877,
19,
11
],
[
731,
877,
22,
11
],
[
755,
877,
9,
11
],
[
554,
890,
48,
11
],
[
604,
890,
31,
11
],
[
636,
890,
28,
11
],
[
666,
890,
18,
11
],
[
685,
890,
37,
11
],
[
540,
903,
24,
11
],
[
565,
903,
10,
11
],
[
576,
903,
11,
11
],
[
588,
903,
35,
11
],
[
623,
903,
10,
11
],
[
634,
903,
17,
11
],
[
652,
903,
12,
11
],
[
665,
903,
39,
11
],
[
704,
903,
10,
11
],
[
715,
903,
13,
11
],
[
728,
903,
15,
11
],
[
744,
903,
8,
11
],
[
753,
903,
11,
11
],
[
554,
917,
29,
11
],
[
584,
917,
13,
11
],
[
599,
917,
16,
11
],
[
616,
917,
20,
11
],
[
637,
917,
9,
11
],
[
647,
917,
11,
11
],
[
659,
917,
30,
11
],
[
690,
917,
41,
11
],
[
732,
917,
31,
11
],
[
554,
930,
13,
11
],
[
568,
930,
26,
11
],
[
594,
930,
67,
11
],
[
662,
930,
9,
11
],
[
672,
930,
50,
11
],
[
722,
930,
42,
11
],
[
554,
943,
14,
11
],
[
569,
943,
9,
11
],
[
580,
943,
20,
11
],
[
603,
943,
51,
11
],
[
656,
943,
12,
11
],
[
670,
943,
51,
11
],
[
723,
943,
41,
11
],
[
554,
956,
9,
11
],
[
564,
956,
60,
11
],
[
626,
956,
16,
11
],
[
644,
956,
18,
11
],
[
663,
956,
37,
11
],
[
540,
969,
33,
11
],
[
575,
969,
12,
11
],
[
588,
969,
11,
11
],
[
601,
969,
16,
11
],
[
619,
969,
10,
11
],
[
632,
969,
40,
11
],
[
674,
969,
12,
11
],
[
688,
969,
22,
11
],
[
712,
969,
13,
11
],
[
727,
969,
24,
11
],
[
753,
969,
11,
11
],
[
554,
983,
24,
11
],
[
578,
983,
8,
11
],
[
588,
983,
35,
11
],
[
623,
983,
9,
11
],
[
632,
983,
28,
11
],
[
661,
983,
9,
11
],
[
671,
983,
12,
11
],
[
684,
983,
32,
11
],
[
716,
983,
11,
11
],
[
728,
983,
36,
11
],
[
605,
1034,
19,
10
],
[
626,
1034,
20,
10
],
[
651,
1034,
3,
10
],
[
657,
1034,
32,
10
],
[
690,
1034,
6,
10
],
[
700,
1034,
3,
10
],
[
707,
1034,
27,
10
],
[
736,
1034,
11,
10
],
[
751,
1034,
3,
10
],
[
758,
1034,
6,
10
]
] | [
"Glarne",
"Cyra",
"tnemo",
"published:",
"23",
"April",
"2012",
"doi:",
"10.3389/fneur.2012.00056",
"The",
"“brain–skin",
"connection”",
"in",
"protein",
"misfolding",
"and",
"amyloid",
"deposits:",
"embryological,",
"pathophysiological,",
"and",
"therapeutic",
"common",
"grounds?",
"Philip",
"P.",
"Foster1,2,3,4*",
"1",
"Division",
"of",
"Pulmonary",
"and",
"Critical",
"Care",
"Medicine,",
"Department",
"of",
"Internal",
"Medicine,",
"University",
"ofTexas",
"Medical",
"Branch,",
"Galveston,TX,",
"USA",
"2",
"Division",
"of",
"Cognitive",
"and",
"Behavioral",
"Neurology,",
"Department",
"of",
"Neurology,",
"University",
"ofTexas",
"Medical",
"Branch,",
"Galveston,TX,",
"USA",
"3",
"Encephalogistics,",
"Inc.,",
"Galveston,TX,",
"USA",
"4",
"Brain-Mind",
"Project,",
"Inc.,",
"Galveston,TX,",
"USA",
"*Correspondence:",
"ppfoster@utmb.edu",
"A",
"commentary",
"on",
"Association",
"of",
"skin",
"with",
"the",
"pathogen-",
"esis",
"and",
"treatment",
"of",
"neurodegenerative",
"amyloidosis",
"by",
"Clos,",
"A.",
"L.,",
"Kayed,",
"R.,",
"and",
"Lasagna-",
"Reeves,",
"C.",
"A.",
"(2012).",
"Front.",
"Neur.",
"3:5.",
"doi:",
"10.3389/fneur.2012.00005",
"A",
"brief",
"history",
"of",
"amyloidosis",
"goes",
"back",
"to",
"autopsies",
"of",
"the",
"seventeenth",
"century",
"report-",
"ing",
"a",
"waxing",
"substance",
"(Cordier,",
"2008).",
"Later,",
"in",
"the",
"middle",
"of",
"the",
"nineteenth",
"cen-",
"tury,",
"Rudolph",
"Virchow",
"described",
"an",
"“amy-",
"loid”(starch,",
"amulon,",
"Greek,",
"amylum,",
"Latin)",
"degeneration",
"and",
"infiltration",
"of",
"the",
"lungs",
"within",
"alveoli",
"and",
"small",
"vessels",
"in",
"a",
"patient",
"who",
"presented",
"with",
"systemic",
"amyloidosis",
"(heart,",
"lungs,",
"liver,",
"and",
"kidneys;",
"Cordier,",
"2008).",
"What",
"amyloid-related",
"diseases",
"share",
"is",
"a",
"common",
"molecular",
"ternary",
"structure",
"which",
"involves",
"abnormal",
"aggregation",
"of",
"numerous",
"widespread",
"copies",
"of",
"the",
"same",
"protein",
"into",
"well-ordered",
"filamentous",
"β-sheet",
"rich",
"structures",
"(Friedman,",
"2011)",
"known",
"as",
"amyloid",
"fibrils",
"of",
"10–12",
"nm",
"diam-",
"eters",
"(Plante-Bordeneuve",
"and",
"Said,",
"2011).",
"This",
"abnormal",
"accumulation",
"of",
"amyloid",
"oligomers,",
"protofibrils,",
"or",
"fibrils",
"is",
"con-",
"sidered",
"to",
"be",
"one",
"of",
"the",
"major",
"contributor",
"to",
"neurodegeneration",
"and",
"the",
"hallmark",
"of",
"Alzheimer’s",
"(AD)",
"and",
"Parkinson’s",
"diseases",
"(Arora",
"et",
"al.,",
"2004).",
"A",
"primary",
"cause",
"under-",
"lying",
"these",
"accumulations",
"is",
"the",
"folding",
"of",
"polypeptide",
"chains",
"to",
"specific",
"three-dimen-",
"sional",
"proteins",
"in",
"abnormal",
"ways",
"(Selkoe,",
"2003).",
"The",
"progressive",
"misfolding",
"of",
"spe-",
"cific",
"proteins",
"into",
"aggregation",
"may",
"lead",
"to",
"cell",
"alteration",
"or",
"death.",
"Aggregated",
"forms",
"share",
"many",
"characteristics.",
"One",
"of",
"them",
"is",
"that",
"amyloid",
"deposits",
"show",
"specific",
"optical",
"behavior",
"such",
"as",
"birefringence",
"on",
"binding",
"dyes",
"(Congo",
"red).",
"The",
"systemic",
"distribu-",
"www.frontiersin.org",
"tion",
"of",
"amyloidoses",
"may",
"produce",
"extracel-",
"lular",
"deposits",
"in",
"multiple",
"organs",
"(Joachim",
"et",
"al.,",
"1989).",
"In",
"this",
"paper,",
"Clos,",
"Kayed,",
"and",
"Lasagna-Reeves",
"present",
"a",
"novel",
"perspective",
"about",
"the",
"relation",
"of",
"dermis–epidermis–",
"brain",
"and",
"offer",
"a",
"review",
"about",
"amyloid",
"deposits",
"that",
"are",
"central",
"to",
"the",
"strong“brain–",
"skin”",
"connection.",
"This",
"connection",
"starts",
"as",
"early",
"as",
"the",
"sharing",
"a",
"joint",
"embryological",
"origin.",
"Common",
"multipotent",
"embryonic",
"progenitor",
"stem",
"cells",
"from",
"the",
"ectoderm",
"on",
"the",
"surface",
"of",
"the",
"post-gastrulation",
"embryo",
"receive",
"specific",
"signaling",
"from",
"their",
"envi-",
"ronment",
"that",
"instruct",
"them",
"to",
"commit",
"to",
"a",
"particular",
"differentiation",
"program",
"which",
"will",
"give",
"rise",
"to",
"the",
"nervous",
"system",
"or",
"skin",
"epithelium",
"(Quan",
"and",
"Hassan,",
"2005;",
"Fuchs,",
"2007).",
"Clos,",
"Kayed,",
"and",
"Lasagna-Reeves",
"highlight",
"common",
"“brain–skin”",
"patho-",
"physiological",
"disorders",
"such",
"as",
"the",
"role",
"of",
"presenilin",
"1",
"(PS-1)",
"for",
"proteolytic",
"process-",
"ing",
"of",
"the",
"amyloid",
"precursor",
"protein",
"(APP)",
"which",
"is",
"altered",
"in",
"AD;",
"alteration",
"also",
"found",
"in",
"skin",
"cancers",
"(Xia",
"et",
"al.,",
"2001;",
"Kang",
"et",
"al.,",
"2002).",
"They",
"also",
"draw",
"parallels",
"between",
"neurodegenerative",
"disorders",
"of",
"Parkinson’s",
"disease",
"(Lewy",
"bodies,",
"α-synuclein,",
"mela-",
"nin)",
"and",
"amyotrophic",
"lateral",
"sclerosis",
"(ALS",
"inclusion",
"bodies)",
"which",
"share",
"common",
"fea-",
"tures",
"with",
"skin",
"diseases",
"(Hays",
"et",
"al.,",
"2006).",
"In",
"addition,",
"Clos,",
"Kayed,",
"and",
"Lasagna-Reeves",
"are",
"describing",
"transdermal",
"route-of-entry",
"as",
"an",
"elected",
"administration",
"route",
"for",
"potential",
"medications",
"to",
"patients",
"with",
"neurodegen-",
"erative",
"diseases",
"such",
"as",
"Rivastigmine",
"(AD",
"and",
"Parkinson),",
"Rotigotine",
"(Parkinson).",
"A",
"favorable",
"coefficient",
"of",
"partition",
"(physi-",
"ologically",
"based",
"pharmacokinetics,",
"PBPK;",
"Thrall",
"et",
"al.,",
"2002)",
"to",
"the",
"brain",
"via",
"the",
"skin",
"vector",
"seems",
"promising",
"for",
"potential",
"drugs",
"targeting",
"the",
"brain",
"(Zhao",
"et",
"al.,",
"2011).",
"In",
"PDAPP",
"transgenic",
"mice,",
"the",
"immunization",
"with",
"the",
"42-amino-acid",
"form",
"of",
"the",
"peptide",
"(Aβ42)",
"prevents",
"the",
"development",
"of",
"cere-",
"bral",
"β-amyloid-plaque",
"formation,",
"neuritic",
"dystrophy",
"and",
"astrogliosis",
"(Schenk",
"et",
"al.,",
"1999);",
"the",
"transdermal",
"route",
"has",
"also",
"been",
"successfully",
"used",
"without",
"detrimental",
"side",
"effects",
"such",
"as",
"T",
"cell",
"infiltration",
"and",
"cere-",
"bral",
"microhemorrhage",
"(Nikolic",
"et",
"al.,",
"2007).",
"Occurrence",
"of",
"the",
"systemic",
"deposition",
"of",
"β-amyloid",
"protein",
"in",
"multiple",
"tissues",
"such",
"as",
"skin",
"or",
"brain",
"infers",
"that",
"the",
"initial",
"amy-",
"loid",
"protein",
"may",
"be",
"produced",
"locally",
"in",
"all",
"organs",
"affected",
"or",
"may,",
"as",
"observed",
"in",
"other",
"human",
"amyloidoses,",
"be",
"derived",
"from",
"a",
"com-",
"mon",
"circulating",
"precursor",
"(Joachim",
"et",
"al.,",
"1989).",
"Therefore",
"the",
"transdermal",
"β-amyloid",
"immunization",
"also",
"directly",
"targeting",
"skin",
"β-amyloid",
"deposits",
"may",
"further",
"reduce",
"a",
"potential",
"source",
"for",
"amyloid",
"precursors",
"to",
"other",
"organs",
"such",
"as",
"the",
"brain.",
"Rfe",
"Rscne",
"Arora,",
"A.,",
"Ha,",
"C.,",
"and",
"Park,",
"C.",
"B.",
"(2004).",
"Inhibition",
"of",
"insulin",
"amyloid",
"formation",
"by",
"small",
"stress",
"molecules.",
"FEBS",
"Lett.",
"564,",
"121–125.",
"Cordier,",
"J.",
"F.",
"(2008).",
"Pulmonary",
"amyloidosis",
"and",
"non-",
"amyloid",
"immunoglobulin",
"deposits.",
"Rev.",
"Mal.",
"Respir.",
"25,",
"743–765.",
"Friedman,",
"R.",
"(2011).",
"Aggregation",
"of",
"amyloids",
"in",
"a",
"cel-",
"lular",
"context:",
"modelling",
"and",
"experiment.",
"Biochem.",
"J.",
"438,",
"415–426.",
"Fuchs,",
"E.",
"(2007).",
"Scratching",
"the",
"surface",
"of",
"skin",
"develop-",
"ment.",
"Nature",
"445,",
"834–842.",
"Hays,",
"A.",
"P.,",
"Naini,",
"A.,",
"He,",
"C.",
"Z.,",
"Mitsumoto,",
"H.,",
"and",
"Rowland,",
"L.",
"P.",
"(2006).",
"Sporadic",
"amyotrophic",
"lateral",
"sclerosis",
"and",
"breast",
"cancer:",
"hyaline",
"conglomerate",
"inclusions",
"lead",
"to",
"identification",
"of",
"SOD1",
"mutation.",
"J.",
"Neurol.",
"Sci.",
"242,",
"67–69.",
"Joachim,C.L.,Mori,H.,and",
"Selkoe,D.J.(1989).Amyloid",
"beta-protein",
"deposition",
"in",
"tissues",
"other",
"than",
"brain",
"in",
"Alzheimer’s",
"disease.",
"Nature",
"341,",
"226–230.",
"Kang,",
"D.",
"E.,",
"Soriano,",
"S.,",
"Xia,",
"X.,",
"Eberhart,",
"C.",
"G.,",
"De,",
"S.",
"B.,",
"Zheng,",
"H.,",
"and",
"Koo,",
"E.",
"H.",
"(2002).",
"Presenilin",
"couples",
"the",
"paired",
"phosphorylation",
"of",
"beta-catenin",
"independ-",
"ent",
"of",
"axin:",
"implications",
"for",
"beta-catenin",
"activation",
"in",
"tumorigenesis.",
"Cell",
"110,",
"751–762.",
"Nikolic,",
"W.",
"V.,",
"Bai,",
"Y.,",
"Obregon,",
"D.,",
"Hou,",
"H.,",
"Mori,",
"T.,",
"Zeng,",
"J.,",
"Ehrhart,",
"J.,",
"Shytle,",
"R.",
"D.,",
"Giunta,",
"B.,",
"Morgan,",
"April",
"2012",
"|",
"Volume",
"3",
"|",
"Article",
"56",
"|",
"1"
] | [
11,
11,
11,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
11,
11,
11,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
16,
16,
16,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,526,510 | null | [
[
81,
77,
5,
12
],
[
88,
77,
31,
12
],
[
122,
77,
19,
12
],
[
142,
77,
13,
12
],
[
157,
77,
25,
12
],
[
184,
77,
14,
12
],
[
200,
77,
25,
12
],
[
81,
90,
21,
12
],
[
104,
90,
45,
12
],
[
81,
104,
22,
12
],
[
105,
104,
116,
12
],
[
597,
78,
42,
12
],
[
654,
78,
16,
12
],
[
672,
78,
31,
12
],
[
705,
78,
38,
12
],
[
661,
90,
9,
12
],
[
672,
90,
34,
12
],
[
708,
90,
36,
12
],
[
97,
154,
13,
26
],
[
120,
154,
45,
26
],
[
174,
154,
18,
26
],
[
200,
154,
11,
26
],
[
221,
154,
62,
26
],
[
292,
154,
37,
26
],
[
338,
154,
42,
26
],
[
389,
154,
63,
26
],
[
462,
154,
33,
26
],
[
505,
154,
75,
26
],
[
589,
154,
43,
26
],
[
641,
154,
89,
26
],
[
97,
234,
21,
13
],
[
120,
234,
35,
13
],
[
158,
234,
22,
13
],
[
182,
234,
7,
13
],
[
192,
234,
46,
13
],
[
240,
234,
24,
13
],
[
267,
234,
21,
13
],
[
290,
234,
52,
13
],
[
345,
234,
26,
13
],
[
374,
234,
40,
13
],
[
417,
234,
22,
13
],
[
441,
234,
20,
13
],
[
465,
234,
54,
13
],
[
97,
250,
36,
13
],
[
137,
250,
13,
13
],
[
153,
250,
7,
13
],
[
164,
250,
29,
13
],
[
196,
250,
10,
13
],
[
210,
250,
71,
13
],
[
284,
250,
28,
13
],
[
316,
250,
10,
13
],
[
330,
250,
17,
13
],
[
350,
250,
28,
13
],
[
382,
250,
38,
13
],
[
423,
250,
20,
13
],
[
447,
250,
48,
13
],
[
498,
250,
20,
13
],
[
97,
266,
23,
13
],
[
124,
266,
22,
13
],
[
149,
266,
70,
13
],
[
224,
266,
55,
13
],
[
283,
266,
21,
13
],
[
308,
266,
58,
13
],
[
371,
266,
20,
13
],
[
395,
266,
41,
13
],
[
440,
266,
22,
13
],
[
466,
266,
53,
13
],
[
97,
282,
35,
13
],
[
136,
282,
19,
13
],
[
159,
282,
35,
13
],
[
198,
282,
74,
13
],
[
275,
282,
17,
13
],
[
297,
282,
50,
13
],
[
350,
282,
10,
13
],
[
365,
282,
7,
13
],
[
376,
282,
45,
13
],
[
425,
282,
42,
13
],
[
471,
282,
48,
13
],
[
97,
298,
46,
13
],
[
147,
298,
19,
13
],
[
169,
298,
57,
13
],
[
230,
298,
50,
13
],
[
283,
298,
36,
13
],
[
323,
298,
20,
13
],
[
347,
298,
27,
13
],
[
377,
298,
20,
13
],
[
401,
298,
10,
13
],
[
415,
298,
14,
13
],
[
433,
298,
61,
13
],
[
497,
298,
22,
13
],
[
97,
314,
32,
13
],
[
132,
314,
48,
13
],
[
182,
314,
17,
13
],
[
201,
314,
22,
13
],
[
226,
314,
20,
13
],
[
249,
314,
58,
13
],
[
309,
314,
64,
13
],
[
376,
314,
10,
13
],
[
388,
314,
15,
13
],
[
405,
314,
20,
13
],
[
428,
314,
20,
13
],
[
450,
314,
25,
13
],
[
478,
314,
20,
13
],
[
500,
314,
18,
13
],
[
97,
330,
22,
13
],
[
121,
330,
48,
13
],
[
171,
330,
43,
13
],
[
217,
330,
13,
13
],
[
232,
330,
74,
13
],
[
309,
330,
10,
13
],
[
321,
330,
15,
13
],
[
339,
330,
55,
13
],
[
397,
330,
33,
13
],
[
432,
330,
50,
13
],
[
485,
330,
34,
13
],
[
97,
346,
16,
13
],
[
116,
346,
20,
13
],
[
140,
346,
41,
13
],
[
183,
346,
10,
13
],
[
197,
346,
75,
13
],
[
275,
346,
23,
13
],
[
301,
346,
25,
13
],
[
329,
346,
47,
13
],
[
380,
346,
20,
13
],
[
403,
346,
17,
13
],
[
423,
346,
70,
13
],
[
496,
346,
22,
13
],
[
97,
363,
20,
13
],
[
120,
363,
60,
13
],
[
183,
363,
49,
13
],
[
235,
363,
21,
13
],
[
260,
363,
17,
13
],
[
280,
363,
35,
13
],
[
318,
363,
76,
13
],
[
397,
363,
20,
13
],
[
421,
363,
72,
13
],
[
496,
363,
22,
13
],
[
97,
379,
26,
13
],
[
127,
379,
10,
13
],
[
141,
379,
17,
13
],
[
162,
379,
86,
13
],
[
252,
379,
10,
13
],
[
267,
379,
24,
13
],
[
295,
379,
20,
13
],
[
319,
379,
23,
13
],
[
346,
379,
20,
13
],
[
371,
379,
47,
13
],
[
422,
379,
10,
13
],
[
436,
379,
58,
13
],
[
499,
379,
20,
13
],
[
97,
395,
50,
13
],
[
97,
442,
16,
11
],
[
115,
442,
26,
11
],
[
142,
442,
3,
11
],
[
147,
441,
34,
11
],
[
182,
441,
20,
11
],
[
204,
441,
43,
11
],
[
249,
441,
32,
11
],
[
282,
441,
23,
11
],
[
307,
441,
33,
11
],
[
341,
441,
16,
11
],
[
359,
441,
51,
11
],
[
411,
441,
34,
11
],
[
447,
441,
48,
11
],
[
496,
441,
17,
11
],
[
97,
454,
25,
11
],
[
542,
235,
55,
14
],
[
601,
235,
22,
14
],
[
628,
235,
52,
14
],
[
684,
235,
27,
14
],
[
542,
249,
18,
14
],
[
564,
249,
25,
14
],
[
594,
249,
20,
14
],
[
619,
249,
48,
14
],
[
671,
249,
30,
14
],
[
542,
263,
34,
14
],
[
580,
263,
21,
14
],
[
606,
263,
17,
14
],
[
627,
263,
37,
14
],
[
669,
263,
16,
14
],
[
542,
289,
48,
11
],
[
591,
289,
7,
11
],
[
599,
289,
38,
11
],
[
638,
289,
15,
11
],
[
655,
289,
43,
12
],
[
698,
289,
10,
11
],
[
710,
289,
33,
11
],
[
542,
302,
33,
11
],
[
576,
302,
15,
11
],
[
592,
302,
31,
11
],
[
625,
302,
37,
11
],
[
663,
302,
7,
11
],
[
672,
302,
23,
11
],
[
696,
302,
29,
11
],
[
727,
302,
8,
11
],
[
542,
314,
37,
11
],
[
580,
314,
28,
11
],
[
610,
314,
23,
11
],
[
542,
340,
39,
11
],
[
582,
340,
3,
11
],
[
587,
340,
11,
11
],
[
600,
340,
19,
11
],
[
622,
340,
21,
11
],
[
542,
352,
39,
11
],
[
582,
351,
3,
11
],
[
587,
351,
11,
11
],
[
600,
351,
46,
11
],
[
649,
351,
21,
11
],
[
542,
378,
35,
13
],
[
582,
378,
12,
13
],
[
598,
378,
69,
13
],
[
542,
392,
44,
11
],
[
588,
392,
23,
11
],
[
613,
392,
18,
11
],
[
542,
404,
44,
11
],
[
588,
404,
8,
11
],
[
597,
404,
41,
11
],
[
639,
404,
10,
11
],
[
651,
404,
28,
11
],
[
680,
404,
33,
11
],
[
715,
404,
15,
11
],
[
542,
417,
31,
11
],
[
574,
417,
37,
11
],
[
612,
417,
8,
11
],
[
621,
417,
25,
11
],
[
648,
417,
10,
11
],
[
659,
417,
31,
11
],
[
691,
417,
38,
11
],
[
542,
429,
26,
11
],
[
569,
429,
33,
11
],
[
604,
429,
23,
11
],
[
542,
442,
12,
11
],
[
555,
442,
3,
11
],
[
559,
442,
67,
11
],
[
628,
442,
14,
11
],
[
643,
442,
3,
11
],
[
647,
442,
65,
11
],
[
542,
454,
24,
11
],
[
567,
454,
3,
11
],
[
571,
454,
81,
11
],
[
187,
515,
105,
16
],
[
95,
550,
21,
16
],
[
119,
550,
37,
16
],
[
158,
550,
11,
16
],
[
172,
550,
20,
16
],
[
195,
550,
32,
16
],
[
230,
550,
20,
16
],
[
252,
550,
45,
16
],
[
300,
550,
25,
16
],
[
329,
550,
41,
16
],
[
373,
550,
24,
16
],
[
83,
566,
43,
16
],
[
128,
566,
50,
16
],
[
180,
566,
26,
16
],
[
208,
566,
38,
16
],
[
249,
566,
36,
16
],
[
287,
566,
21,
16
],
[
310,
566,
51,
16
],
[
364,
566,
33,
16
],
[
83,
583,
20,
16
],
[
107,
583,
59,
16
],
[
169,
583,
17,
16
],
[
191,
583,
20,
16
],
[
215,
583,
40,
16
],
[
259,
583,
11,
16
],
[
273,
583,
25,
16
],
[
303,
583,
26,
16
],
[
333,
583,
40,
16
],
[
377,
583,
20,
16
],
[
83,
600,
18,
16
],
[
105,
600,
50,
16
],
[
159,
600,
11,
16
],
[
174,
600,
6,
16
],
[
184,
600,
31,
16
],
[
219,
600,
11,
16
],
[
234,
600,
79,
16
],
[
317,
600,
41,
16
],
[
362,
600,
35,
16
],
[
83,
616,
20,
16
],
[
105,
616,
28,
16
],
[
135,
616,
32,
16
],
[
170,
616,
17,
16
],
[
189,
616,
28,
16
],
[
220,
616,
20,
16
],
[
243,
616,
58,
16
],
[
303,
616,
56,
16
],
[
362,
616,
23,
16
],
[
388,
616,
9,
16
],
[
83,
633,
6,
16
],
[
91,
633,
68,
16
],
[
162,
633,
43,
16
],
[
208,
633,
69,
16
],
[
280,
633,
14,
16
],
[
296,
633,
57,
16
],
[
355,
633,
17,
16
],
[
375,
633,
22,
16
],
[
83,
650,
34,
16
],
[
119,
650,
43,
16
],
[
164,
650,
24,
16
],
[
190,
650,
13,
16
],
[
205,
650,
52,
16
],
[
260,
650,
27,
16
],
[
289,
650,
23,
16
],
[
314,
650,
11,
16
],
[
327,
650,
31,
16
],
[
360,
650,
36,
16
],
[
83,
666,
9,
16
],
[
94,
666,
6,
16
],
[
103,
666,
65,
16
],
[
171,
666,
52,
16
],
[
225,
666,
69,
16
],
[
296,
666,
14,
16
],
[
313,
666,
36,
16
],
[
351,
666,
45,
16
],
[
83,
683,
21,
16
],
[
106,
683,
61,
16
],
[
170,
683,
47,
16
],
[
219,
683,
26,
16
],
[
248,
683,
6,
16
],
[
256,
683,
58,
16
],
[
317,
683,
23,
16
],
[
343,
683,
11,
16
],
[
356,
683,
41,
16
],
[
83,
700,
38,
16
],
[
125,
700,
69,
16
],
[
198,
700,
22,
16
],
[
224,
700,
46,
16
],
[
275,
700,
88,
16
],
[
367,
700,
30,
16
],
[
83,
716,
28,
16
],
[
114,
716,
14,
16
],
[
130,
716,
23,
16
],
[
155,
716,
9,
16
],
[
166,
716,
6,
16
],
[
174,
716,
70,
16
],
[
246,
716,
31,
16
],
[
280,
716,
40,
16
],
[
322,
716,
75,
16
],
[
83,
733,
26,
16
],
[
111,
733,
29,
16
],
[
143,
733,
15,
16
],
[
160,
733,
17,
16
],
[
179,
733,
27,
16
],
[
208,
733,
82,
16
],
[
292,
733,
50,
16
],
[
345,
733,
15,
16
],
[
361,
733,
36,
16
],
[
83,
750,
12,
16
],
[
99,
750,
42,
16
],
[
146,
750,
37,
16
],
[
188,
750,
65,
16
],
[
257,
750,
47,
16
],
[
309,
750,
33,
16
],
[
346,
750,
35,
16
],
[
385,
750,
11,
16
],
[
83,
766,
38,
16
],
[
125,
766,
65,
16
],
[
195,
766,
40,
16
],
[
239,
766,
19,
16
],
[
263,
766,
78,
16
],
[
345,
766,
31,
16
],
[
381,
766,
16,
16
],
[
83,
783,
23,
16
],
[
110,
783,
34,
16
],
[
148,
783,
51,
16
],
[
204,
783,
18,
16
],
[
226,
783,
38,
16
],
[
268,
783,
65,
16
],
[
337,
783,
30,
16
],
[
371,
783,
26,
16
],
[
83,
800,
72,
16
],
[
157,
800,
34,
16
],
[
193,
800,
15,
16
],
[
211,
800,
17,
16
],
[
230,
800,
52,
16
],
[
285,
800,
10,
16
],
[
298,
800,
34,
16
],
[
334,
800,
33,
16
],
[
370,
800,
27,
16
],
[
83,
816,
32,
16
],
[
119,
816,
17,
16
],
[
140,
816,
26,
16
],
[
170,
816,
12,
16
],
[
186,
816,
20,
16
],
[
210,
816,
36,
16
],
[
250,
816,
17,
16
],
[
271,
816,
56,
16
],
[
331,
816,
44,
16
],
[
379,
816,
17,
16
],
[
83,
833,
45,
16
],
[
130,
833,
41,
16
],
[
174,
833,
55,
16
],
[
231,
833,
20,
16
],
[
253,
833,
55,
16
],
[
310,
833,
10,
16
],
[
323,
833,
6,
16
],
[
332,
833,
37,
16
],
[
372,
833,
25,
16
],
[
83,
850,
21,
16
],
[
107,
850,
57,
16
],
[
169,
850,
49,
16
],
[
221,
850,
41,
16
],
[
266,
850,
9,
16
],
[
279,
850,
52,
16
],
[
336,
850,
24,
16
],
[
364,
850,
32,
16
],
[
83,
866,
20,
16
],
[
106,
866,
55,
16
],
[
164,
866,
17,
16
],
[
185,
866,
38,
16
],
[
226,
866,
43,
16
],
[
272,
866,
33,
16
],
[
308,
866,
35,
16
],
[
346,
866,
51,
16
],
[
83,
883,
20,
16
],
[
105,
883,
57,
16
],
[
164,
883,
25,
16
],
[
192,
883,
40,
16
],
[
190,
932,
39,
16
],
[
232,
932,
58,
16
],
[
95,
966,
10,
16
],
[
107,
966,
50,
16
],
[
159,
966,
24,
16
],
[
185,
966,
25,
16
],
[
213,
966,
48,
16
],
[
263,
966,
20,
16
],
[
285,
966,
55,
16
],
[
342,
966,
20,
16
],
[
365,
966,
32,
16
],
[
83,
983,
13,
16
],
[
98,
983,
11,
16
],
[
112,
983,
17,
16
],
[
132,
983,
57,
16
],
[
191,
983,
61,
16
],
[
255,
983,
11,
16
],
[
268,
983,
18,
16
],
[
288,
983,
59,
16
],
[
350,
983,
17,
16
],
[
369,
983,
27,
16
],
[
83,
1000,
39,
16
],
[
125,
1000,
22,
16
],
[
151,
1000,
13,
16
],
[
167,
1000,
30,
16
],
[
200,
1000,
17,
16
],
[
221,
1000,
32,
16
],
[
256,
1000,
40,
16
],
[
299,
1000,
11,
16
],
[
313,
1000,
58,
16
],
[
375,
1000,
22,
16
],
[
402,
1044,
21,
13
],
[
428,
516,
36,
16
],
[
467,
516,
20,
16
],
[
490,
516,
24,
16
],
[
517,
516,
11,
16
],
[
532,
516,
17,
16
],
[
553,
516,
30,
16
],
[
586,
516,
21,
16
],
[
611,
516,
20,
16
],
[
634,
516,
20,
16
],
[
657,
516,
20,
16
],
[
680,
516,
22,
16
],
[
705,
516,
13,
16
],
[
722,
516,
20,
16
],
[
428,
533,
51,
16
],
[
483,
533,
20,
16
],
[
507,
533,
36,
16
],
[
547,
533,
47,
16
],
[
599,
533,
52,
16
],
[
655,
533,
13,
16
],
[
672,
533,
20,
16
],
[
696,
533,
31,
16
],
[
731,
533,
11,
16
],
[
428,
550,
35,
16
],
[
465,
550,
20,
16
],
[
487,
550,
6,
16
],
[
496,
550,
25,
16
],
[
523,
550,
30,
16
],
[
555,
550,
28,
16
],
[
585,
550,
24,
16
],
[
611,
550,
15,
16
],
[
628,
550,
15,
16
],
[
645,
550,
14,
16
],
[
661,
550,
13,
16
],
[
676,
550,
28,
16
],
[
706,
550,
35,
16
],
[
428,
566,
56,
16
],
[
486,
566,
35,
16
],
[
523,
566,
8,
16
],
[
533,
566,
11,
16
],
[
547,
566,
35,
16
],
[
585,
566,
11,
16
],
[
600,
566,
44,
16
],
[
646,
566,
32,
16
],
[
680,
566,
13,
16
],
[
696,
566,
32,
16
],
[
730,
566,
11,
16
],
[
428,
583,
55,
16
],
[
487,
583,
26,
16
],
[
516,
583,
53,
16
],
[
573,
583,
20,
16
],
[
597,
583,
89,
16
],
[
689,
583,
53,
16
],
[
428,
600,
14,
16
],
[
444,
600,
16,
16
],
[
462,
600,
21,
16
],
[
485,
600,
22,
16
],
[
510,
600,
54,
16
],
[
566,
600,
34,
16
],
[
602,
600,
60,
16
],
[
665,
600,
16,
16
],
[
683,
600,
23,
16
],
[
708,
600,
34,
16
],
[
428,
616,
6,
16
],
[
436,
616,
22,
16
],
[
461,
616,
27,
16
],
[
490,
616,
13,
16
],
[
506,
616,
36,
16
],
[
545,
616,
35,
16
],
[
582,
616,
74,
16
],
[
659,
616,
37,
16
],
[
699,
616,
43,
16
],
[
428,
633,
13,
16
],
[
445,
633,
17,
16
],
[
466,
633,
24,
16
],
[
494,
633,
11,
16
],
[
509,
633,
16,
16
],
[
529,
633,
20,
16
],
[
552,
633,
40,
16
],
[
596,
633,
35,
16
],
[
635,
633,
20,
16
],
[
659,
633,
59,
16
],
[
721,
633,
11,
16
],
[
736,
633,
6,
16
],
[
428,
650,
30,
16
],
[
460,
650,
10,
16
],
[
473,
650,
45,
16
],
[
520,
650,
52,
16
],
[
575,
650,
11,
16
],
[
589,
650,
16,
16
],
[
607,
650,
29,
16
],
[
639,
650,
21,
16
],
[
662,
650,
49,
16
],
[
714,
650,
28,
16
],
[
428,
666,
13,
16
],
[
444,
666,
11,
16
],
[
460,
666,
29,
16
],
[
492,
666,
29,
16
],
[
525,
666,
13,
16
],
[
542,
666,
20,
16
],
[
565,
666,
28,
16
],
[
597,
666,
30,
16
],
[
631,
666,
11,
16
],
[
646,
666,
35,
16
],
[
685,
666,
36,
16
],
[
725,
666,
17,
16
],
[
428,
683,
26,
16
],
[
457,
683,
56,
16
],
[
517,
683,
20,
16
],
[
541,
683,
40,
16
],
[
585,
683,
16,
16
],
[
605,
683,
21,
16
],
[
630,
683,
20,
16
],
[
654,
683,
43,
16
],
[
701,
683,
41,
16
],
[
428,
700,
22,
16
],
[
452,
700,
57,
16
],
[
512,
700,
53,
16
],
[
568,
700,
20,
16
],
[
590,
700,
59,
16
],
[
652,
700,
25,
16
],
[
680,
700,
62,
16
],
[
428,
716,
41,
16
],
[
473,
716,
14,
16
],
[
491,
716,
44,
16
],
[
539,
716,
20,
16
],
[
563,
716,
47,
16
],
[
614,
716,
19,
16
],
[
637,
716,
17,
16
],
[
659,
716,
24,
16
],
[
687,
716,
11,
16
],
[
702,
716,
16,
16
],
[
722,
716,
20,
16
],
[
428,
733,
50,
16
],
[
481,
733,
26,
16
],
[
511,
733,
48,
16
],
[
563,
733,
31,
16
],
[
598,
733,
58,
16
],
[
660,
733,
53,
16
],
[
717,
733,
25,
16
],
[
428,
750,
27,
16
],
[
458,
750,
32,
16
],
[
492,
750,
29,
16
],
[
525,
750,
13,
16
],
[
541,
750,
16,
16
],
[
560,
750,
30,
16
],
[
593,
750,
11,
16
],
[
607,
750,
30,
16
],
[
640,
750,
54,
16
],
[
696,
750,
16,
16
],
[
715,
750,
26,
16
],
[
428,
766,
37,
16
],
[
467,
766,
11,
16
],
[
481,
766,
33,
16
],
[
517,
766,
24,
16
],
[
543,
766,
19,
16
],
[
565,
766,
27,
16
],
[
594,
766,
17,
16
],
[
614,
766,
28,
16
],
[
644,
766,
53,
16
],
[
700,
766,
20,
16
],
[
722,
766,
20,
16
],
[
428,
783,
6,
16
],
[
436,
783,
49,
16
],
[
488,
783,
35,
16
],
[
525,
783,
25,
16
],
[
553,
783,
32,
16
],
[
588,
783,
40,
16
],
[
631,
783,
11,
16
],
[
644,
783,
37,
16
],
[
684,
783,
58,
16
],
[
428,
800,
55,
16
],
[
487,
800,
12,
16
],
[
503,
800,
23,
16
],
[
530,
800,
31,
16
],
[
565,
800,
17,
16
],
[
586,
800,
37,
16
],
[
627,
800,
43,
16
],
[
674,
800,
68,
16
],
[
428,
816,
14,
16
],
[
444,
816,
48,
16
],
[
494,
816,
25,
16
],
[
520,
816,
37,
16
],
[
559,
816,
12,
16
],
[
573,
816,
27,
16
],
[
601,
816,
23,
16
],
[
626,
816,
15,
16
],
[
643,
816,
31,
16
],
[
676,
816,
66,
16
],
[
428,
833,
25,
16
],
[
455,
833,
20,
16
],
[
478,
833,
37,
16
],
[
518,
833,
29,
16
],
[
550,
833,
25,
16
],
[
578,
833,
18,
16
],
[
598,
833,
29,
16
],
[
629,
833,
15,
16
],
[
646,
833,
35,
16
],
[
684,
833,
20,
16
],
[
706,
833,
15,
16
],
[
724,
833,
18,
16
],
[
428,
850,
22,
16
],
[
452,
850,
64,
16
],
[
519,
850,
11,
16
],
[
533,
850,
20,
16
],
[
556,
850,
22,
16
],
[
580,
850,
89,
16
],
[
672,
850,
20,
16
],
[
695,
850,
47,
16
],
[
428,
866,
30,
16
],
[
462,
866,
17,
16
],
[
482,
866,
50,
16
],
[
535,
866,
40,
16
],
[
578,
866,
54,
16
],
[
636,
866,
62,
16
],
[
701,
866,
41,
16
],
[
428,
883,
11,
16
],
[
443,
883,
75,
16
],
[
522,
883,
20,
16
],
[
545,
883,
16,
16
],
[
566,
883,
47,
16
],
[
616,
883,
20,
16
],
[
641,
883,
55,
16
],
[
700,
883,
42,
16
],
[
428,
900,
36,
16
],
[
466,
900,
20,
16
],
[
489,
900,
34,
16
],
[
526,
900,
39,
16
],
[
568,
900,
26,
16
],
[
597,
900,
20,
16
],
[
619,
900,
16,
16
],
[
637,
900,
26,
16
],
[
666,
900,
20,
16
],
[
688,
900,
21,
16
],
[
712,
900,
30,
16
],
[
428,
916,
24,
16
],
[
456,
916,
20,
16
],
[
480,
916,
47,
16
],
[
532,
916,
71,
16
],
[
607,
916,
73,
16
],
[
684,
916,
13,
16
],
[
702,
916,
40,
16
],
[
428,
933,
49,
16
],
[
481,
933,
59,
16
],
[
544,
933,
62,
16
],
[
609,
933,
62,
16
],
[
675,
933,
11,
16
],
[
691,
933,
16,
16
],
[
711,
933,
31,
16
],
[
428,
950,
20,
16
],
[
450,
950,
14,
16
],
[
467,
950,
16,
16
],
[
485,
950,
24,
16
],
[
511,
950,
17,
16
],
[
531,
950,
20,
16
],
[
553,
950,
30,
16
],
[
585,
950,
11,
16
],
[
599,
950,
18,
16
],
[
619,
950,
57,
16
],
[
679,
950,
33,
16
],
[
714,
950,
11,
16
],
[
727,
950,
15,
16
],
[
428,
966,
48,
16
],
[
480,
966,
46,
16
],
[
530,
966,
14,
16
],
[
547,
966,
15,
16
],
[
565,
966,
25,
16
],
[
594,
966,
28,
16
],
[
626,
966,
14,
16
],
[
643,
966,
16,
16
],
[
663,
966,
21,
16
],
[
688,
966,
20,
16
],
[
711,
966,
31,
16
],
[
428,
983,
28,
16
],
[
458,
983,
24,
16
],
[
484,
983,
20,
16
],
[
506,
983,
22,
16
],
[
530,
983,
20,
16
],
[
552,
983,
18,
16
],
[
572,
983,
42,
16
],
[
615,
983,
20,
16
],
[
638,
983,
20,
16
],
[
660,
983,
82,
16
],
[
428,
1000,
49,
16
],
[
481,
1000,
45,
16
],
[
531,
1000,
100,
16
],
[
635,
1000,
50,
16
],
[
690,
1000,
52,
16
]
] | [
"J",
"Korean",
"Med",
"Sci",
"2008;",
"23:",
"533-6",
"ISSN",
"1011-8934",
"DOI:",
"10.3346/jkms.2008.23.3.533",
"Copyright",
"The",
"Korean",
"Academy",
"of",
"Medical",
"Sciences",
"A",
"Case",
"of",
"a",
"Patient",
"with",
"Both",
"Chorea",
"and",
"Restless",
"Legs",
"Syndrome",
"The",
"patient",
"was",
"a",
"44-yr-old",
"man",
"with",
"end-stage",
"renal",
"disease",
"who",
"had",
"developed",
"chorea",
"as",
"a",
"result",
"of",
"hypoglycemic",
"injury",
"to",
"the",
"basal",
"ganglia",
"and",
"thalamus",
"and",
"who",
"was",
"subsequently",
"diagnosed",
"with",
"depression",
"and",
"restless",
"legs",
"syndrome",
"(RLS).",
"For",
"proper",
"management,",
"the",
"presence",
"of",
"a",
"complex",
"medical",
"condition",
"including",
"two",
"contrasting",
"diseases,",
"chorea",
"and",
"RLS,",
"had",
"to",
"be",
"considered.",
"Tra-",
"madol",
"improved",
"the",
"pain",
"and",
"dysesthetic",
"restlessness",
"in",
"his",
"feet",
"and",
"legs,",
"and",
"this",
"was",
"gradually",
"followed",
"by",
"improvements",
"in",
"his",
"depressed",
"mood,",
"insomnia,",
"lethar-",
"gy,",
"and",
"feelings",
"of",
"hopelessness.",
"This",
"case",
"suggests",
"that",
"the",
"dopaminergic",
"sys-",
"tem",
"participates",
"intricately",
"with",
"the",
"opioid,",
"serotoninergic,",
"and",
"noradrenergic",
"sys-",
"tems",
"in",
"the",
"pathophysiology",
"of",
"RLS",
"and",
"pain",
"and",
"indirectly",
"of",
"depression",
"and",
"insomnia.",
"Key",
"Words",
":",
"Restless",
"Legs",
"Syndrome;",
"Chorea;",
"Sleep",
"Initiation",
"and",
"Maintenance",
"Disorde;",
"Depression;",
"Tra-",
"madol",
"Yoon-Kyung",
"Shin,",
"Seung-Chul",
"Hong,",
"Yon",
"Kwon",
"Ihn*,",
"Jong-Hyun",
"Jeong,",
"Jin-Hee",
"Han,",
"and",
"Sung-Pil",
"Lee",
"Departments",
"of",
"Psychiatry",
"and",
"Radiology*,",
"St.",
"Vincent’s",
"Hospital,",
"The",
"Catholic",
"University",
"of",
"Korea",
"College",
"of",
"Medicine,",
"Suwon,",
"Korea",
"Received",
":",
"20",
"April",
"2007",
"Accepted",
":",
"20",
"September",
"2007",
"Address",
"for",
"correspondence",
"Seung-Chul",
"Hong,",
"M.D.",
"Department",
"of",
"Psychiatry,",
"St.",
"Vincent",
"Hospital,",
"The",
"Catholic",
"University",
"of",
"Korea,",
"93",
"Ji-dong,",
"Paldal-gu,",
"Suwon",
"442-723,",
"Korea",
"Tel",
":",
"+82.31-249-7161,",
"Fax",
":",
"+82.31-248-6758",
"E-mail",
":",
"hscjohn@hotmail.com",
"INTRODUCTION",
"The",
"patient",
"in",
"this",
"report",
"was",
"suffering",
"from",
"diabetic",
"neu-",
"ropathy,",
"end-stage",
"renal",
"disease,",
"restless",
"legs",
"syndrome",
"(RLS),",
"and",
"depression.",
"He",
"had",
"injuries",
"of",
"both",
"basal",
"ganglia",
"and",
"the",
"thalamus",
"as",
"a",
"result",
"of",
"hypoglycemia,",
"causing",
"chorea",
"and",
"more",
"severe",
"leg",
"pains",
"and",
"dysesthetic",
"sensations.",
"RLS",
"is",
"a",
"sensorimotor",
"disorder",
"characterized",
"by",
"unpleasant",
"leg",
"sen-",
"sations",
"together",
"with",
"an",
"irresistible",
"inner",
"urge",
"to",
"move.",
"Chorea",
"is",
"a",
"neurological",
"syndrome",
"characterized",
"by",
"abrupt",
"involun-",
"tary",
"movements",
"resulting",
"from",
"a",
"continuous",
"flow",
"of",
"random",
"muscle",
"contractions.",
"The",
"first-line",
"pharmacological",
"treat-",
"ment",
"for",
"RLS",
"is",
"a",
"dopaminergic",
"agent,",
"whereas",
"anti-dopamin-",
"ergic",
"drugs",
"are",
"the",
"main",
"pharmacological",
"treatment",
"for",
"chorea.",
"In",
"general,",
"greater",
"D2-receptor",
"blocking",
"action",
"results",
"in",
"greater",
"anti-choreic",
"efficacy",
"(1).",
"Dopaminergic",
"drugs",
"for",
"RLS",
"would",
"aggravate",
"the",
"choreic",
"movements,",
"while",
"anti-",
"dopaminergic",
"agents",
"for",
"the",
"treatment",
"of",
"chorea",
"would",
"exac-",
"erbate",
"the",
"RLS.",
"In",
"this",
"report,",
"the",
"association",
"between",
"the",
"complex",
"medical",
"conditions",
"and",
"symptoms",
"of",
"a",
"patient",
"with",
"two",
"coexisting,",
"opposing",
"diseases",
"is",
"discussed.",
"This",
"report",
"also",
"introduces",
"the",
"process",
"through",
"which",
"proper",
"diagnoses",
"and",
"treatments",
"were",
"sought.",
"CASE",
"REPORT",
"A",
"44-yr-old",
"man",
"with",
"insomnia",
"and",
"depression",
"was",
"referr-",
"ed",
"to",
"the",
"psychiatric",
"department",
"of",
"our",
"institution.",
"He",
"com-",
"plained",
"that",
"he",
"rarely",
"fell",
"asleep",
"because",
"of",
"dysesthetic",
"sen-",
"533",
"sations",
"and",
"pain",
"in",
"the",
"lower",
"legs",
"and",
"feet",
"and",
"that",
"he",
"was",
"depressed",
"and",
"feeling",
"hopeless.",
"Although",
"he",
"was",
"aware",
"of",
"having",
"had",
"a",
"high",
"blood",
"sugar",
"level",
"for",
"10",
"yr,",
"he",
"never",
"sought",
"treatment.",
"About",
"3",
"yr",
"earlier,",
"in",
"summer",
"2003,",
"he",
"began",
"to",
"experience",
"cold,",
"numbing,",
"and",
"pins-and-needles",
"sensations",
"on",
"his",
"toes",
"that",
"eventually",
"spread",
"throughout",
"his",
"feet.",
"About",
"a",
"year",
"later,",
"he",
"started",
"taking",
"hypoglycemic",
"agents.",
"Howev-",
"er,",
"the",
"pain",
"in",
"his",
"feet",
"became",
"severe,",
"and",
"restlessness",
"as",
"a",
"result",
"of",
"creeping",
"sensations",
"in",
"his",
"lower",
"legs",
"gradually",
"start-",
"ed",
"to",
"occur",
"when",
"he",
"was",
"lying",
"down",
"or",
"sitting",
"awake.",
"He",
"tried",
"massaging",
"and",
"beating",
"his",
"legs",
"and",
"walking",
"around.",
"The",
"unpleasant",
"sensations",
"and",
"restlessness",
"were",
"temporarily",
"relieved",
"by",
"massage",
"and",
"walking,",
"but",
"the",
"pain",
"in",
"his",
"feet",
"remained",
"little",
"changed.",
"These",
"dysesthetic",
"sensations",
"were",
"most",
"severe",
"when",
"he",
"lay",
"down",
"to",
"sleep,",
"increasing",
"his",
"sleep",
"latency",
"to",
"longer",
"than",
"one",
"hour.",
"He",
"woke",
"repeatedly",
"and",
"had",
"a",
"difficulty",
"falling",
"back",
"asleep",
"because",
"of",
"further",
"dysesthetic",
"sensations.",
"In",
"July",
"2005,",
"the",
"patient",
"received",
"hemodialysis",
"for",
"end-stage",
"renal",
"disease.",
"In",
"those",
"days",
"his",
"serum",
"hemoglobin,",
"iron,",
"and",
"ferritin",
"levels",
"were",
"7.4",
"g/dL,",
"29",
"μg/dL,",
"and",
"97",
"ng/",
"mL,",
"respectively,",
"so",
"oral",
"iron",
"supplementation",
"was",
"adminis-",
"tered.",
"He",
"gradually",
"became",
"depressed,",
"experienced",
"feelings",
"of",
"worthlessness,",
"lost",
"his",
"appetite,",
"and",
"eventually",
"stopped",
"eating.",
"His",
"speech",
"became",
"slow,",
"and",
"his",
"arms",
"and",
"legs",
"trem-",
"bled",
"and",
"twitched",
"involuntarily.",
"Subsequently,",
"he",
"showed",
"irregular,",
"spasmodic,",
"involuntary",
"movements",
"in",
"his",
"limbs",
"and",
"on",
"his",
"face.",
"He",
"was",
"taken",
"to",
"the",
"emergency",
"center",
"of",
"St.",
"Vincent’s",
"Hospital",
"on",
"26",
"June",
"2006",
"by",
"his",
"son.",
"His",
"blood",
"sugar",
"level",
"was",
"very",
"low",
"(49",
"mg/dL).",
"T2-",
"and",
"fluid-attenuated",
"inversion",
"recovery",
"(FLAIR)-weighted",
"magnetic",
"resonance"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
9,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
16,
16,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
4,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,171,748 | null | [
[
682,
23,
49,
14
],
[
737,
23,
87,
14
],
[
69,
96,
92,
31
],
[
170,
96,
91,
31
],
[
270,
96,
176,
31
],
[
455,
96,
25,
31
],
[
489,
96,
153,
31
],
[
69,
132,
150,
31
],
[
227,
132,
33,
31
],
[
270,
132,
226,
31
],
[
69,
167,
153,
31
],
[
231,
167,
111,
31
],
[
69,
230,
31,
14
],
[
104,
230,
10,
14
],
[
117,
229,
51,
16
],
[
171,
230,
36,
14
],
[
210,
230,
12,
14
],
[
226,
229,
58,
16
],
[
288,
230,
38,
14
],
[
330,
230,
16,
14
],
[
349,
229,
89,
16
],
[
442,
230,
38,
14
],
[
484,
230,
15,
14
],
[
503,
229,
81,
16
],
[
587,
230,
23,
14
],
[
614,
230,
26,
14
],
[
644,
230,
10,
14
],
[
657,
229,
57,
16
],
[
69,
256,
50,
11
],
[
122,
258,
8,
10
],
[
132,
258,
42,
10
],
[
177,
256,
23,
11
],
[
203,
258,
29,
10
],
[
234,
258,
11,
10
],
[
247,
258,
36,
10
],
[
286,
258,
10,
10
],
[
299,
258,
46,
10
],
[
348,
258,
32,
10
],
[
382,
258,
16,
10
],
[
401,
258,
12,
10
],
[
415,
258,
25,
10
],
[
443,
258,
24,
10
],
[
470,
258,
16,
10
],
[
487,
256,
50,
11
],
[
540,
258,
8,
10
],
[
550,
258,
36,
10
],
[
589,
258,
16,
10
],
[
607,
258,
16,
10
],
[
626,
258,
33,
10
],
[
662,
258,
32,
10
],
[
697,
258,
8,
10
],
[
707,
258,
41,
10
],
[
74,
270,
16,
10
],
[
92,
270,
40,
10
],
[
135,
270,
40,
10
],
[
178,
270,
40,
10
],
[
220,
270,
21,
10
],
[
244,
270,
20,
10
],
[
267,
270,
14,
10
],
[
283,
270,
31,
10
],
[
28,
378,
12,
0
],
[
28,
394,
13,
0
],
[
28,
410,
12,
0
],
[
28,
424,
10,
0
],
[
28,
440,
12,
0
],
[
28,
449,
5,
0
],
[
28,
465,
12,
0
],
[
28,
485,
10,
0
],
[
28,
499,
10,
0
],
[
28,
513,
11,
0
],
[
28,
529,
12,
0
],
[
28,
550,
10,
0
],
[
28,
566,
12,
0
],
[
28,
586,
10,
0
],
[
28,
602,
12,
0
],
[
28,
620,
14,
0
],
[
28,
637,
13,
0
],
[
28,
653,
13,
0
],
[
28,
669,
12,
0
],
[
28,
683,
10,
0
],
[
28,
705,
11,
0
],
[
28,
722,
13,
0
],
[
28,
736,
10,
0
],
[
129,
313,
46,
14
],
[
179,
313,
11,
14
],
[
195,
313,
18,
14
],
[
217,
313,
30,
14
],
[
252,
313,
60,
14
],
[
317,
313,
86,
14
],
[
69,
315,
55,
64
],
[
129,
333,
50,
14
],
[
185,
333,
43,
14
],
[
234,
333,
42,
14
],
[
281,
333,
34,
14
],
[
321,
333,
15,
14
],
[
342,
333,
61,
14
],
[
129,
352,
55,
14
],
[
190,
352,
27,
14
],
[
223,
352,
12,
14
],
[
240,
352,
61,
14
],
[
307,
352,
40,
14
],
[
352,
352,
51,
14
],
[
69,
372,
23,
14
],
[
96,
372,
35,
14
],
[
135,
372,
9,
14
],
[
148,
372,
8,
14
],
[
160,
372,
63,
14
],
[
227,
372,
70,
14
],
[
301,
372,
53,
14
],
[
358,
372,
45,
14
],
[
69,
391,
41,
14
],
[
115,
391,
84,
14
],
[
205,
391,
15,
14
],
[
225,
391,
18,
14
],
[
248,
391,
79,
14
],
[
332,
391,
12,
14
],
[
349,
391,
26,
14
],
[
381,
391,
22,
14
],
[
69,
411,
19,
14
],
[
95,
411,
47,
14
],
[
149,
411,
11,
14
],
[
167,
411,
18,
14
],
[
192,
411,
74,
14
],
[
273,
411,
31,
14
],
[
311,
411,
23,
14
],
[
341,
411,
18,
14
],
[
366,
411,
37,
14
],
[
69,
430,
52,
14
],
[
124,
430,
34,
14
],
[
161,
430,
73,
14
],
[
238,
430,
47,
14
],
[
288,
430,
17,
14
],
[
309,
430,
23,
14
],
[
335,
430,
22,
14
],
[
360,
430,
16,
14
],
[
380,
430,
23,
14
],
[
69,
450,
22,
14
],
[
96,
450,
33,
14
],
[
133,
450,
12,
14
],
[
150,
450,
47,
14
],
[
201,
450,
54,
14
],
[
259,
450,
30,
14
],
[
294,
450,
109,
14
],
[
69,
469,
37,
14
],
[
109,
469,
20,
14
],
[
132,
469,
47,
14
],
[
181,
469,
53,
14
],
[
237,
469,
11,
14
],
[
252,
469,
42,
14
],
[
297,
469,
44,
14
],
[
343,
469,
11,
14
],
[
357,
469,
46,
14
],
[
69,
488,
11,
14
],
[
84,
488,
8,
14
],
[
95,
488,
51,
14
],
[
149,
488,
53,
14
],
[
206,
488,
11,
14
],
[
220,
488,
43,
14
],
[
267,
488,
60,
14
],
[
330,
488,
72,
14
],
[
69,
508,
30,
14
],
[
103,
508,
49,
14
],
[
155,
508,
15,
14
],
[
174,
508,
22,
14
],
[
200,
508,
114,
14
],
[
317,
508,
43,
14
],
[
363,
508,
40,
14
],
[
69,
527,
55,
14
],
[
128,
527,
11,
14
],
[
143,
527,
41,
14
],
[
188,
527,
58,
14
],
[
249,
527,
46,
14
],
[
299,
527,
15,
14
],
[
318,
527,
34,
14
],
[
356,
527,
47,
14
],
[
69,
602,
150,
17
],
[
69,
632,
45,
14
],
[
120,
632,
39,
14
],
[
165,
632,
67,
14
],
[
239,
632,
30,
14
],
[
275,
632,
64,
14
],
[
345,
632,
20,
14
],
[
370,
632,
33,
14
],
[
69,
648,
29,
14
],
[
101,
648,
53,
14
],
[
157,
648,
31,
14
],
[
192,
648,
11,
14
],
[
206,
648,
47,
14
],
[
255,
648,
11,
14
],
[
269,
648,
6,
14
],
[
279,
648,
37,
14
],
[
319,
648,
11,
14
],
[
333,
648,
27,
14
],
[
364,
648,
39,
14
],
[
69,
665,
39,
14
],
[
111,
665,
61,
14
],
[
175,
665,
45,
14
],
[
224,
665,
14,
14
],
[
241,
665,
44,
14
],
[
288,
665,
20,
14
],
[
312,
665,
17,
14
],
[
332,
665,
71,
14
],
[
69,
682,
14,
14
],
[
88,
682,
36,
14
],
[
130,
682,
70,
14
],
[
205,
682,
20,
14
],
[
230,
682,
17,
14
],
[
252,
682,
30,
14
],
[
287,
682,
12,
14
],
[
304,
682,
17,
14
],
[
326,
682,
77,
14
],
[
69,
698,
39,
14
],
[
112,
698,
30,
14
],
[
146,
698,
23,
14
],
[
172,
698,
25,
14
],
[
201,
698,
25,
14
],
[
229,
698,
21,
14
],
[
253,
698,
17,
14
],
[
273,
698,
66,
14
],
[
342,
698,
61,
14
],
[
69,
715,
16,
14
],
[
87,
715,
36,
14
],
[
126,
715,
65,
14
],
[
193,
715,
20,
14
],
[
215,
715,
98,
14
],
[
316,
715,
52,
14
],
[
370,
715,
33,
14
],
[
69,
732,
26,
14
],
[
98,
732,
11,
14
],
[
112,
732,
43,
14
],
[
158,
732,
13,
14
],
[
174,
732,
29,
14
],
[
206,
732,
42,
14
],
[
252,
732,
20,
14
],
[
275,
732,
9,
14
],
[
288,
732,
36,
14
],
[
328,
732,
56,
14
],
[
386,
732,
17,
14
],
[
69,
748,
17,
14
],
[
90,
748,
27,
14
],
[
121,
748,
48,
14
],
[
174,
748,
31,
14
],
[
209,
748,
12,
14
],
[
225,
748,
17,
14
],
[
246,
748,
57,
14
],
[
307,
748,
52,
14
],
[
363,
748,
39,
14
],
[
69,
765,
22,
14
],
[
96,
765,
36,
14
],
[
136,
765,
55,
14
],
[
196,
765,
39,
14
],
[
239,
765,
10,
14
],
[
253,
765,
17,
14
],
[
274,
765,
35,
14
],
[
312,
765,
33,
14
],
[
349,
765,
9,
14
],
[
363,
765,
6,
14
],
[
373,
765,
30,
14
],
[
69,
782,
30,
14
],
[
102,
782,
62,
14
],
[
167,
782,
20,
14
],
[
191,
782,
50,
14
],
[
244,
782,
36,
14
],
[
282,
782,
17,
14
],
[
302,
782,
69,
14
],
[
374,
782,
29,
14
],
[
69,
798,
20,
14
],
[
92,
798,
17,
14
],
[
112,
798,
50,
14
],
[
166,
798,
39,
14
],
[
209,
798,
71,
14
],
[
283,
798,
50,
14
],
[
336,
798,
50,
14
],
[
390,
798,
14,
14
],
[
69,
815,
36,
14
],
[
108,
815,
20,
14
],
[
131,
815,
32,
14
],
[
166,
815,
35,
14
],
[
99,
832,
21,
14
],
[
125,
832,
45,
14
],
[
176,
832,
12,
14
],
[
193,
832,
40,
14
],
[
238,
832,
9,
14
],
[
252,
832,
44,
14
],
[
301,
832,
50,
14
],
[
357,
832,
46,
14
],
[
69,
848,
23,
14
],
[
96,
848,
12,
14
],
[
111,
848,
62,
14
],
[
176,
848,
74,
14
],
[
254,
848,
40,
14
],
[
298,
848,
30,
14
],
[
331,
848,
32,
14
],
[
367,
848,
36,
14
],
[
69,
865,
11,
14
],
[
84,
865,
69,
14
],
[
157,
865,
12,
14
],
[
173,
865,
17,
14
],
[
194,
865,
81,
14
],
[
279,
865,
45,
14
],
[
328,
865,
20,
14
],
[
352,
865,
51,
14
],
[
69,
882,
45,
14
],
[
118,
882,
46,
14
],
[
167,
882,
44,
14
],
[
215,
882,
80,
14
],
[
298,
882,
35,
14
],
[
336,
882,
11,
14
],
[
351,
882,
52,
14
],
[
69,
898,
43,
14
],
[
115,
898,
37,
14
],
[
155,
898,
10,
14
],
[
168,
898,
17,
14
],
[
187,
898,
35,
14
],
[
99,
915,
29,
14
],
[
131,
915,
43,
14
],
[
176,
915,
28,
14
],
[
206,
915,
45,
14
],
[
254,
915,
11,
14
],
[
268,
915,
57,
14
],
[
327,
915,
24,
14
],
[
353,
915,
25,
14
],
[
381,
915,
22,
14
],
[
69,
932,
31,
14
],
[
105,
932,
39,
14
],
[
148,
932,
56,
14
],
[
209,
932,
20,
14
],
[
233,
932,
12,
14
],
[
249,
932,
20,
14
],
[
274,
932,
29,
14
],
[
308,
932,
42,
14
],
[
355,
932,
48,
14
],
[
69,
971,
70,
10
],
[
141,
971,
8,
10
],
[
152,
971,
19,
10
],
[
174,
971,
8,
10
],
[
185,
971,
34,
10
],
[
221,
971,
91,
10
],
[
69,
986,
15,
10
],
[
87,
986,
26,
10
],
[
115,
986,
30,
10
],
[
148,
986,
9,
10
],
[
159,
986,
14,
10
],
[
176,
986,
26,
10
],
[
204,
986,
35,
10
],
[
242,
986,
56,
10
],
[
300,
986,
38,
10
],
[
69,
1026,
0,
9
],
[
78,
1025,
15,
9
],
[
96,
1025,
49,
9
],
[
147,
1025,
44,
9
],
[
194,
1025,
23,
9
],
[
225,
1025,
26,
9
],
[
69,
1037,
15,
9
],
[
87,
1037,
33,
9
],
[
122,
1037,
9,
9
],
[
134,
1037,
16,
9
],
[
152,
1037,
36,
9
],
[
191,
1037,
17,
9
],
[
210,
1037,
20,
9
],
[
233,
1037,
16,
9
],
[
252,
1037,
9,
9
],
[
263,
1037,
40,
9
],
[
306,
1037,
15,
9
],
[
323,
1037,
23,
9
],
[
349,
1037,
39,
9
],
[
69,
1048,
236,
9
],
[
427,
313,
57,
14
],
[
490,
313,
74,
14
],
[
570,
313,
11,
14
],
[
588,
313,
64,
14
],
[
658,
313,
29,
14
],
[
694,
313,
49,
14
],
[
749,
313,
12,
14
],
[
427,
333,
109,
14
],
[
542,
333,
51,
14
],
[
599,
333,
56,
14
],
[
661,
333,
36,
14
],
[
703,
333,
22,
14
],
[
730,
333,
31,
14
],
[
427,
352,
30,
14
],
[
463,
352,
39,
14
],
[
508,
352,
53,
14
],
[
567,
352,
18,
14
],
[
590,
352,
57,
14
],
[
653,
352,
59,
14
],
[
717,
352,
44,
14
],
[
427,
372,
49,
14
],
[
481,
372,
35,
14
],
[
522,
372,
53,
14
],
[
579,
372,
18,
14
],
[
602,
372,
72,
14
],
[
679,
372,
44,
14
],
[
728,
372,
34,
14
],
[
427,
391,
52,
14
],
[
484,
391,
53,
14
],
[
541,
391,
17,
14
],
[
563,
391,
31,
14
],
[
598,
391,
22,
14
],
[
625,
391,
43,
14
],
[
673,
391,
36,
14
],
[
713,
391,
48,
14
],
[
427,
411,
30,
14
],
[
466,
411,
32,
14
],
[
505,
411,
38,
14
],
[
551,
411,
11,
14
],
[
570,
411,
88,
14
],
[
667,
411,
95,
14
],
[
427,
430,
25,
14
],
[
457,
430,
34,
14
],
[
497,
430,
63,
14
],
[
565,
430,
73,
14
],
[
643,
430,
34,
14
],
[
681,
430,
45,
14
],
[
732,
430,
29,
14
],
[
427,
450,
50,
14
],
[
481,
450,
17,
14
],
[
502,
450,
24,
14
],
[
530,
450,
31,
14
],
[
565,
450,
22,
14
],
[
591,
450,
43,
14
],
[
637,
450,
49,
14
],
[
690,
450,
43,
14
],
[
737,
450,
25,
14
],
[
427,
469,
74,
14
],
[
506,
469,
23,
14
],
[
534,
469,
9,
14
],
[
548,
469,
51,
14
],
[
604,
469,
17,
14
],
[
626,
469,
53,
14
],
[
684,
469,
33,
14
],
[
722,
469,
40,
14
],
[
427,
488,
44,
14
],
[
476,
488,
22,
14
],
[
503,
488,
40,
14
],
[
548,
488,
11,
14
],
[
564,
488,
68,
14
],
[
637,
488,
49,
14
],
[
690,
488,
20,
14
],
[
715,
488,
8,
14
],
[
728,
488,
34,
14
],
[
427,
508,
12,
14
],
[
443,
508,
41,
14
],
[
487,
508,
78,
14
],
[
568,
508,
11,
14
],
[
583,
508,
40,
14
],
[
627,
508,
48,
14
],
[
427,
633,
33,
14
],
[
465,
633,
46,
14
],
[
517,
633,
29,
14
],
[
552,
633,
39,
14
],
[
596,
633,
20,
14
],
[
621,
633,
52,
14
],
[
679,
633,
35,
14
],
[
719,
633,
20,
14
],
[
744,
633,
17,
14
],
[
427,
649,
67,
14
],
[
499,
649,
11,
14
],
[
514,
649,
29,
14
],
[
547,
649,
36,
14
],
[
588,
649,
37,
14
],
[
629,
649,
14,
14
],
[
648,
649,
29,
14
],
[
681,
649,
47,
14
],
[
733,
649,
28,
15
],
[
427,
666,
45,
14
],
[
476,
666,
45,
14
],
[
525,
666,
11,
14
],
[
540,
666,
29,
14
],
[
573,
666,
35,
14
],
[
612,
666,
49,
14
],
[
665,
666,
20,
14
],
[
689,
666,
24,
14
],
[
716,
666,
45,
14
],
[
427,
683,
11,
14
],
[
443,
683,
41,
14
],
[
487,
683,
11,
14
],
[
502,
683,
30,
14
],
[
536,
683,
43,
14
],
[
583,
683,
17,
14
],
[
604,
683,
39,
14
],
[
646,
683,
34,
14
],
[
684,
683,
50,
14
],
[
739,
683,
23,
14
],
[
427,
699,
51,
14
],
[
484,
699,
17,
14
],
[
506,
699,
63,
14
],
[
574,
699,
11,
14
],
[
591,
699,
55,
14
],
[
652,
699,
11,
14
],
[
668,
699,
40,
14
],
[
714,
699,
48,
14
],
[
427,
716,
24,
14
],
[
454,
716,
39,
14
],
[
496,
716,
11,
14
],
[
511,
716,
39,
14
],
[
553,
716,
45,
14
],
[
601,
716,
13,
14
],
[
617,
716,
25,
14
],
[
645,
716,
59,
14
],
[
707,
716,
40,
14
],
[
750,
716,
11,
14
],
[
427,
733,
50,
14
],
[
482,
733,
45,
14
],
[
533,
733,
57,
14
],
[
595,
733,
10,
14
],
[
611,
733,
17,
14
],
[
633,
733,
32,
14
],
[
670,
733,
32,
14
],
[
707,
733,
11,
14
],
[
723,
733,
38,
14
],
[
427,
749,
44,
14
],
[
474,
749,
20,
14
],
[
498,
749,
45,
14
],
[
545,
749,
11,
14
],
[
560,
749,
17,
14
],
[
579,
749,
57,
14
],
[
640,
749,
50,
14
],
[
693,
749,
68,
14
],
[
427,
766,
17,
14
],
[
449,
766,
29,
14
],
[
483,
766,
42,
14
],
[
530,
766,
47,
14
],
[
581,
766,
11,
14
],
[
596,
766,
58,
14
],
[
658,
766,
64,
14
],
[
727,
766,
20,
14
],
[
751,
766,
11,
14
],
[
427,
783,
37,
14
],
[
468,
783,
30,
14
],
[
500,
783,
17,
14
],
[
520,
783,
70,
14
],
[
594,
783,
40,
14
],
[
637,
783,
54,
14
],
[
694,
783,
36,
14
],
[
734,
783,
28,
14
],
[
427,
799,
33,
14
],
[
463,
799,
29,
14
],
[
494,
799,
43,
14
],
[
540,
799,
45,
14
],
[
587,
799,
13,
14
],
[
603,
799,
25,
14
],
[
630,
799,
43,
14
],
[
457,
816,
49,
14
],
[
510,
816,
16,
14
],
[
529,
816,
24,
14
],
[
557,
816,
39,
14
],
[
599,
816,
48,
14
],
[
650,
816,
56,
14
],
[
709,
816,
11,
14
],
[
723,
816,
39,
14
],
[
427,
833,
24,
14
],
[
454,
833,
17,
14
],
[
474,
833,
58,
14
],
[
534,
833,
38,
14
],
[
575,
833,
53,
14
],
[
631,
833,
30,
14
],
[
664,
833,
10,
14
],
[
677,
833,
17,
14
],
[
697,
833,
31,
14
],
[
731,
833,
31,
14
],
[
427,
849,
17,
14
],
[
449,
849,
55,
14
],
[
509,
849,
13,
14
],
[
527,
849,
94,
14
],
[
626,
849,
48,
14
],
[
679,
849,
49,
14
],
[
732,
849,
29,
14
],
[
427,
866,
42,
14
],
[
474,
866,
40,
14
],
[
517,
866,
53,
14
],
[
574,
866,
30,
14
],
[
609,
866,
41,
14
],
[
654,
866,
20,
14
],
[
677,
866,
36,
14
],
[
717,
866,
31,
14
],
[
752,
866,
9,
14
],
[
427,
883,
26,
14
],
[
456,
883,
64,
14
],
[
522,
883,
11,
14
],
[
535,
883,
28,
14
],
[
565,
883,
31,
14
],
[
598,
883,
11,
14
],
[
611,
883,
34,
14
],
[
647,
883,
46,
14
],
[
696,
883,
19,
14
],
[
717,
883,
44,
14
],
[
427,
899,
6,
14
],
[
441,
899,
113,
14
],
[
561,
899,
29,
14
],
[
598,
899,
42,
14
],
[
647,
899,
52,
14
],
[
706,
899,
20,
14
],
[
733,
899,
29,
14
],
[
427,
916,
35,
14
],
[
466,
916,
25,
14
],
[
494,
916,
42,
14
],
[
540,
916,
26,
14
],
[
570,
916,
38,
14
],
[
612,
916,
17,
14
],
[
633,
916,
34,
14
],
[
671,
916,
45,
14
],
[
719,
916,
42,
14
],
[
427,
933,
18,
14
],
[
449,
933,
25,
14
],
[
477,
933,
35,
14
],
[
515,
933,
11,
14
],
[
530,
933,
23,
14
],
[
556,
933,
6,
14
],
[
566,
933,
21,
14
],
[
590,
933,
11,
14
],
[
604,
933,
64,
14
],
[
671,
933,
77,
14
],
[
751,
933,
10,
14
],
[
427,
949,
17,
14
],
[
449,
949,
28,
14
],
[
481,
949,
11,
14
],
[
498,
949,
39,
14
],
[
541,
949,
52,
14
],
[
597,
949,
20,
14
],
[
621,
949,
29,
14
],
[
655,
949,
31,
14
],
[
690,
949,
47,
14
],
[
742,
949,
20,
14
],
[
427,
966,
46,
14
],
[
477,
966,
35,
14
],
[
515,
966,
11,
14
],
[
531,
966,
46,
14
],
[
580,
966,
42,
14
],
[
626,
966,
41,
14
],
[
670,
966,
11,
14
],
[
685,
966,
13,
14
],
[
701,
966,
6,
14
],
[
711,
966,
35,
14
],
[
750,
966,
11,
14
],
[
427,
983,
85,
14
],
[
518,
983,
69,
14
],
[
592,
983,
44,
14
],
[
642,
983,
10,
14
],
[
657,
983,
17,
14
],
[
679,
983,
35,
14
],
[
719,
983,
42,
14
],
[
749,
1055,
26,
9
],
[
785,
1055,
26,
9
]
] | [
"JCB:",
"ARTICLE",
"Linking",
"axonal",
"degeneration",
"to",
"microtubule",
"remodeling",
"by",
"Spastin-mediated",
"microtubule",
"severing",
"Katia",
"J.",
"Evans,1,2",
"Edgar",
"R.",
"Gomes,1,3",
"Steven",
"M.",
"Reisenweber,1,2",
"Gregg",
"G.",
"Gundersen,1,3",
"and",
"Brett",
"P.",
"Lauring1,2",
"1Department",
"of",
"Pathology,",
"2Taub",
"Institute",
"for",
"Research",
"on",
"Alzheimer's",
"Disease",
"and",
"the",
"Aging",
"Brain,",
"and",
"3Department",
"of",
"Anatomy",
"and",
"Cell",
"Biology,",
"College",
"of",
"Physicians",
"and",
"Surgeons,",
"Columbia",
"University,",
"New",
"York,",
"NY",
"10032",
"Y",
"G",
"O",
"L",
"O",
"I",
"B",
"L",
"L",
"E",
"C",
"F",
"O",
"L",
"A",
"N",
"R",
"U",
"O",
"J",
"E",
"H",
"T",
"utations",
"in",
"the",
"AAA",
"adenosine",
"triphosphatase",
"M",
"(ATPase)",
"Spastin",
"(SPG4)",
"cause",
"an",
"autosomal",
"dominant",
"form",
"of",
"hereditary",
"spastic",
"paraple-",
"gia,",
"which",
"is",
"a",
"retrograde",
"axonopathy",
"primarily",
"charac-",
"terized",
"pathologically",
"by",
"the",
"degeneration",
"of",
"long",
"spi-",
"nal",
"neurons",
"in",
"the",
"corticospinal",
"tracts",
"and",
"the",
"dorsal",
"columns.",
"Using",
"recombinant",
"Spastin,",
"we",
"find",
"that",
"six",
"mu-",
"tant",
"forms",
"of",
"Spastin,",
"including",
"three",
"disease-associated",
"forms,",
"are",
"severely",
"impaired",
"in",
"ATPase",
"activity.",
"In",
"contrast",
"to",
"a",
"mutation",
"designed",
"to",
"prevent",
"adenosine",
"triphosphate",
"(ATP)",
"binding,",
"an",
"ATP",
"hydrolysis–deficient",
"Spastin",
"mutant",
"predicted",
"to",
"remain",
"kinetically",
"trapped",
"on",
"target",
"proteins",
"Introduction",
"Neurons",
"expend",
"considerable",
"effort",
"maintaining",
"and",
"some-",
"times",
"degrading",
"axons",
"in",
"response",
"to",
"a",
"variety",
"of",
"cues.",
"Human",
"genetic",
"phenotypes",
"afforded",
"by",
"diseases",
"that",
"are",
"characterized",
"by",
"axonal",
"degeneration",
"and",
"the",
"study",
"of",
"the",
"corresponding",
"disease",
"genes",
"may",
"shed",
"light",
"into",
"the",
"mechanisms",
"responsible",
"for",
"axonal",
"homeostasis",
"and",
"neurodegenerative",
"disorders.",
"Muta-",
"tions",
"in",
"Spastin,",
"an",
"AAA",
"ATPase",
"that",
"is",
"widely",
"expressed,",
"are",
"the",
"most",
"common",
"cause",
"of",
"the",
"autosomal",
"dominant",
"heredi-",
"tary",
"spastic",
"paraplegia",
"(Hazan",
"et",
"al.,",
"1999),",
"which",
"is",
"a",
"retro-",
"grade",
"axonopathy",
"that",
"primarily",
"affects",
"the",
"corticospinal",
"tracts",
"and",
"the",
"fasciculis",
"gracilis",
"characterized",
"clinically",
"primarily",
"by",
"spastic",
"gait",
"(Fink,",
"2002).",
"The",
"function",
"of",
"Spastin",
"is",
"unclear.",
"Neuronal",
"suppres-",
"sion",
"of",
"Drosophila",
"melanogaster",
"Spastin",
"using",
"RNAi",
"results",
"in",
"undergrowth",
"of",
"the",
"neuromuscular",
"junction",
"and",
"increased",
"synaptic",
"currents,",
"whereas",
"overexpression",
"results",
"in",
"decreased",
"currents",
"(Trotta",
"et",
"al.,",
"2004).",
"AAA",
"proteins",
"often",
"function",
"as",
"oligomers,",
"with",
"each",
"pro-",
"tomer",
"usually",
"containing",
"one",
"or",
"two",
"AAA",
"ATPase",
"modules.",
"Correspondence",
"to",
"Brett",
"P.",
"Lauring:",
"bl320@columbia.edu",
"The",
"online",
"version",
"of",
"this",
"paper",
"contains",
"supplemental",
"material.",
"©",
"The",
"Rockefeller",
"University",
"Press",
"$8.00",
"The",
"Journal",
"of",
"Cell",
"Biology,",
"Vol.",
"168,",
"No.",
"4,",
"February",
"14,",
"2005",
"599–606",
"http://www.jcb.org/cgi/doi/10.1083/jcb.200409058",
"decorates",
"microtubules",
"in",
"transfected",
"cells.",
"Analysis",
"of",
"disease-associated",
"missense",
"mutations",
"shows",
"that",
"some",
"more",
"closely",
"resemble",
"the",
"canonical",
"hydrolysis",
"mutant,",
"whereas",
"others",
"resemble",
"the",
"ATP-binding",
"mutant.",
"Using",
"real-time",
"imaging,",
"we",
"show",
"that",
"Spastin",
"severs",
"microtu-",
"bules",
"when",
"added",
"to",
"permeabilized,",
"cytosol-depleted",
"cells",
"stably",
"expressing",
"GFP-tubulin.",
"Using",
"purified",
"com-",
"ponents,",
"we",
"also",
"show",
"that",
"Spastin",
"interacts",
"directly",
"with",
"microtubules",
"and",
"is",
"sufficient",
"for",
"severing.",
"These",
"studies",
"suggest",
"that",
"defects",
"in",
"microtubule",
"severing",
"are",
"a",
"cause",
"of",
"axonal",
"degeneration",
"in",
"human",
"disease.",
"These",
"domains",
"share",
"several",
"key",
"structural",
"motifs",
"and",
"are",
"homologous",
"to",
"some",
"degree",
"among",
"all",
"AAA",
"proteins.",
"NH2-",
"terminal",
"domains",
"of",
"AAA",
"family",
"members",
"that",
"bind",
"adaptors",
"or",
"directly",
"to",
"target",
"proteins",
"are",
"usually",
"highly",
"divergent",
"and,",
"therefore,",
"are",
"determinant",
"of",
"specificity",
"of",
"cellular",
"function.",
"This",
"portion",
"of",
"Spastin",
"contains",
"an",
"MIT",
"domain—a",
"domain",
"of",
"unknown",
"function",
"(Ciccarelli",
"et",
"al.,",
"2003)",
"found",
"in",
"several",
"proteins",
"that",
"function",
"in",
"the",
"endosome,",
"including",
"VPS4/SKD1",
"(an",
"AAA",
"ATPase",
"involved",
"in",
"endosomal",
"trafficking),",
"and",
"in",
"sorting",
"nexin",
"15.",
"Interestingly,",
"another",
"hereditary",
"spastic",
"para-",
"plegia",
"gene,",
"Spartin,",
"contains",
"an",
"MIT",
"domain.",
"Although",
"the",
"MIT",
"domain",
"mediated",
"interaction",
"of",
"Spastin",
"with",
"the",
"endosomal",
"protein",
"CHMP1B",
"(Reid",
"et",
"al.,",
"2005)",
"raises",
"the",
"possibility",
"an",
"endosome-related",
"function,",
"Spastin’s",
"AAA",
"ATPase",
"domain",
"(Frohlich,",
"2001;",
"Frickey",
"and",
"Lupas,",
"2004)",
"is",
"most",
"homologous",
"to",
"those",
"found",
"in",
"VPS4,",
"Fidegtin,",
"and",
"Katanin,",
"a",
"microtubule-severing",
"AAA",
"ATPase",
"(McNally",
"and",
"Vale,",
"1993).",
"First",
"purified",
"from",
"mitotic",
"sea",
"urchin",
"extracts,",
"Katanin",
"has",
"been",
"shown",
"to",
"play",
"a",
"role",
"in",
"microtubule",
"reorganization",
"at",
"the",
"onset",
"of",
"mitosis",
"(McNally",
"and",
"Vale,",
"1993;",
"McNally",
"and",
"Thomas,",
"1998).",
"In",
"neurons,",
"Katanin",
"appears",
"to",
"be",
"a",
"source",
"of",
"noncentrosomal",
"microtubules",
"(Ahmad",
"et",
"al.,",
"1999).",
"Katanin",
"JCB",
"599"
] | [
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
4
] |
2,845,646 | null | [
[
80,
78,
135,
28
],
[
224,
78,
160,
28
],
[
392,
78,
55,
28
],
[
456,
78,
47,
28
],
[
511,
78,
76,
28
],
[
596,
78,
139,
28
],
[
744,
78,
26,
28
],
[
80,
109,
137,
28
],
[
226,
109,
35,
28
],
[
270,
109,
146,
28
],
[
425,
109,
105,
28
],
[
538,
109,
46,
28
],
[
594,
109,
104,
28
],
[
80,
139,
99,
28
],
[
80,
183,
59,
14
],
[
144,
183,
49,
14
],
[
196,
183,
33,
14
],
[
234,
180,
81,
17
],
[
319,
183,
53,
14
],
[
376,
183,
45,
14
],
[
80,
205,
50,
10
],
[
133,
205,
9,
10
],
[
144,
205,
15,
10
],
[
162,
205,
33,
10
],
[
198,
205,
56,
10
],
[
257,
205,
16,
10
],
[
276,
205,
40,
10
],
[
319,
205,
31,
10
],
[
352,
205,
35,
10
],
[
390,
205,
41,
10
],
[
433,
205,
9,
10
],
[
444,
205,
24,
10
],
[
472,
205,
30,
10
],
[
505,
205,
30,
10
],
[
538,
205,
30,
10
],
[
571,
205,
28,
10
],
[
601,
205,
25,
10
],
[
629,
205,
9,
10
],
[
641,
205,
34,
10
],
[
102,
244,
57,
14
],
[
102,
266,
20,
13
],
[
126,
266,
23,
13
],
[
153,
266,
31,
13
],
[
188,
266,
11,
13
],
[
204,
266,
30,
13
],
[
238,
266,
20,
13
],
[
263,
266,
65,
13
],
[
332,
266,
36,
13
],
[
372,
266,
13,
13
],
[
390,
266,
45,
13
],
[
439,
266,
70,
13
],
[
513,
266,
11,
13
],
[
528,
266,
46,
13
],
[
578,
266,
11,
13
],
[
593,
266,
50,
13
],
[
648,
266,
10,
13
],
[
662,
266,
18,
13
],
[
684,
266,
64,
13
],
[
102,
280,
51,
13
],
[
157,
280,
46,
13
],
[
206,
280,
38,
13
],
[
247,
280,
11,
13
],
[
262,
280,
18,
13
],
[
283,
280,
27,
13
],
[
313,
280,
56,
13
],
[
373,
280,
40,
13
],
[
416,
280,
55,
13
],
[
475,
280,
6,
13
],
[
485,
280,
31,
13
],
[
519,
280,
60,
13
],
[
582,
280,
15,
13
],
[
601,
280,
46,
13
],
[
650,
280,
38,
13
],
[
691,
280,
57,
13
],
[
102,
294,
28,
13
],
[
134,
294,
56,
13
],
[
194,
294,
18,
13
],
[
216,
294,
23,
13
],
[
243,
294,
27,
13
],
[
273,
294,
47,
13
],
[
324,
294,
55,
13
],
[
383,
294,
27,
13
],
[
413,
294,
54,
13
],
[
471,
294,
11,
13
],
[
485,
294,
64,
13
],
[
553,
294,
33,
13
],
[
590,
294,
59,
13
],
[
653,
294,
25,
13
],
[
681,
294,
29,
13
],
[
714,
294,
34,
13
],
[
102,
307,
26,
13
],
[
132,
307,
62,
13
],
[
197,
307,
20,
13
],
[
221,
307,
34,
13
],
[
259,
307,
17,
13
],
[
279,
307,
35,
13
],
[
316,
307,
25,
13
],
[
345,
307,
10,
13
],
[
359,
307,
49,
13
],
[
411,
307,
49,
13
],
[
464,
307,
11,
13
],
[
478,
307,
18,
13
],
[
499,
307,
52,
13
],
[
555,
307,
11,
13
],
[
569,
307,
57,
13
],
[
630,
307,
64,
13
],
[
697,
307,
51,
13
],
[
102,
321,
24,
13
],
[
131,
321,
18,
13
],
[
155,
321,
61,
13
],
[
222,
321,
22,
13
],
[
249,
321,
62,
13
],
[
316,
321,
37,
13
],
[
359,
321,
32,
13
],
[
397,
321,
36,
13
],
[
439,
321,
34,
13
],
[
479,
321,
45,
13
],
[
529,
321,
42,
13
],
[
576,
321,
65,
13
],
[
647,
321,
33,
13
],
[
686,
321,
61,
13
],
[
102,
335,
49,
13
],
[
154,
335,
8,
13
],
[
166,
335,
6,
13
],
[
177,
335,
55,
13
],
[
236,
335,
11,
13
],
[
251,
335,
21,
13
],
[
275,
335,
38,
13
],
[
317,
335,
67,
13
],
[
388,
335,
21,
13
],
[
413,
335,
20,
13
],
[
437,
335,
33,
13
],
[
474,
335,
64,
13
],
[
542,
335,
23,
13
],
[
570,
335,
20,
13
],
[
593,
335,
46,
13
],
[
643,
335,
31,
13
],
[
678,
335,
30,
13
],
[
712,
335,
24,
13
],
[
739,
335,
8,
13
],
[
102,
349,
49,
13
],
[
155,
349,
44,
13
],
[
204,
349,
64,
13
],
[
273,
349,
33,
13
],
[
311,
349,
59,
13
],
[
375,
349,
11,
13
],
[
391,
349,
19,
13
],
[
415,
349,
11,
13
],
[
431,
349,
21,
13
],
[
456,
349,
35,
13
],
[
496,
349,
8,
13
],
[
510,
349,
6,
13
],
[
521,
349,
28,
13
],
[
554,
349,
60,
13
],
[
619,
349,
73,
13
],
[
696,
349,
32,
13
],
[
733,
349,
15,
13
],
[
102,
363,
46,
13
],
[
151,
363,
44,
13
],
[
199,
363,
52,
13
],
[
255,
363,
20,
13
],
[
278,
363,
28,
13
],
[
309,
363,
9,
13
],
[
321,
363,
49,
13
],
[
374,
363,
21,
13
],
[
398,
363,
25,
13
],
[
427,
363,
11,
13
],
[
441,
363,
34,
13
],
[
479,
363,
49,
13
],
[
532,
363,
20,
13
],
[
555,
363,
67,
13
],
[
625,
363,
21,
13
],
[
650,
363,
20,
13
],
[
674,
363,
38,
13
],
[
715,
363,
18,
13
],
[
737,
363,
11,
13
],
[
102,
376,
18,
13
],
[
124,
376,
21,
13
],
[
150,
376,
36,
13
],
[
190,
376,
10,
13
],
[
204,
376,
19,
13
],
[
228,
376,
32,
13
],
[
265,
376,
43,
13
],
[
313,
376,
73,
13
],
[
390,
376,
75,
13
],
[
470,
376,
11,
13
],
[
485,
376,
67,
13
],
[
556,
376,
26,
13
],
[
587,
376,
18,
13
],
[
610,
376,
27,
13
],
[
641,
376,
46,
13
],
[
692,
376,
15,
13
],
[
711,
376,
37,
13
],
[
102,
390,
69,
13
],
[
174,
390,
51,
13
],
[
229,
390,
10,
13
],
[
242,
390,
19,
13
],
[
264,
390,
41,
13
],
[
309,
390,
20,
13
],
[
332,
390,
43,
13
],
[
377,
390,
8,
13
],
[
389,
390,
12,
13
],
[
404,
390,
20,
13
],
[
427,
390,
32,
13
],
[
462,
390,
20,
13
],
[
485,
390,
8,
13
],
[
497,
390,
6,
13
],
[
506,
390,
32,
13
],
[
542,
390,
73,
13
],
[
618,
390,
11,
13
],
[
632,
390,
53,
13
],
[
688,
390,
60,
13
],
[
102,
404,
47,
13
],
[
153,
404,
34,
13
],
[
192,
404,
20,
13
],
[
216,
404,
41,
13
],
[
261,
404,
21,
13
],
[
286,
404,
56,
13
],
[
347,
404,
14,
13
],
[
365,
404,
30,
13
],
[
400,
404,
9,
13
],
[
413,
404,
49,
13
],
[
466,
404,
32,
13
],
[
503,
404,
22,
13
],
[
529,
404,
25,
13
],
[
559,
404,
45,
13
],
[
609,
404,
51,
13
],
[
664,
404,
11,
13
],
[
680,
404,
50,
13
],
[
734,
404,
13,
13
],
[
102,
418,
52,
13
],
[
157,
418,
33,
13
],
[
194,
418,
43,
13
],
[
241,
418,
12,
13
],
[
257,
418,
22,
13
],
[
282,
418,
53,
13
],
[
339,
418,
60,
13
],
[
403,
418,
11,
13
],
[
417,
418,
6,
13
],
[
428,
418,
27,
13
],
[
458,
418,
20,
13
],
[
482,
418,
19,
13
],
[
505,
418,
14,
13
],
[
522,
418,
52,
13
],
[
578,
418,
13,
13
],
[
595,
418,
18,
13
],
[
617,
418,
53,
13
],
[
673,
418,
10,
13
],
[
688,
418,
32,
13
],
[
723,
418,
25,
13
],
[
102,
432,
45,
13
],
[
151,
432,
51,
13
],
[
205,
432,
46,
13
],
[
255,
432,
10,
13
],
[
269,
432,
18,
13
],
[
290,
432,
28,
13
],
[
322,
432,
38,
13
],
[
364,
432,
10,
13
],
[
378,
432,
18,
13
],
[
399,
432,
51,
13
],
[
454,
432,
11,
13
],
[
469,
432,
45,
13
],
[
517,
432,
52,
13
],
[
573,
432,
8,
13
],
[
584,
432,
8,
13
],
[
596,
432,
32,
13
],
[
631,
432,
22,
13
],
[
657,
432,
67,
13
],
[
727,
432,
21,
13
],
[
102,
446,
24,
13
],
[
128,
446,
8,
13
],
[
139,
446,
48,
13
],
[
190,
446,
6,
13
],
[
199,
446,
32,
13
],
[
234,
446,
55,
13
],
[
291,
446,
15,
13
],
[
309,
446,
53,
13
],
[
365,
446,
60,
13
],
[
427,
446,
24,
13
],
[
454,
446,
35,
13
],
[
491,
446,
26,
13
],
[
520,
446,
33,
13
],
[
556,
446,
62,
13
],
[
620,
446,
58,
13
],
[
681,
446,
67,
13
],
[
102,
460,
21,
13
],
[
128,
460,
24,
13
],
[
156,
460,
8,
13
],
[
169,
460,
28,
13
],
[
202,
460,
60,
13
],
[
266,
460,
12,
13
],
[
283,
460,
19,
13
],
[
306,
460,
10,
13
],
[
321,
460,
63,
13
],
[
389,
460,
18,
13
],
[
411,
460,
31,
13
],
[
446,
460,
26,
13
],
[
477,
460,
13,
13
],
[
495,
460,
18,
13
],
[
517,
460,
23,
13
],
[
545,
460,
10,
13
],
[
560,
460,
45,
13
],
[
610,
460,
54,
13
],
[
669,
460,
11,
13
],
[
684,
460,
64,
13
],
[
102,
473,
44,
13
],
[
150,
473,
54,
13
],
[
209,
473,
20,
13
],
[
233,
473,
62,
13
],
[
300,
473,
11,
13
],
[
315,
473,
19,
13
],
[
339,
473,
38,
13
],
[
381,
473,
15,
13
],
[
401,
473,
44,
13
],
[
449,
473,
20,
13
],
[
474,
473,
42,
13
],
[
521,
473,
42,
13
],
[
568,
473,
11,
13
],
[
584,
473,
22,
13
],
[
610,
473,
11,
13
],
[
626,
473,
58,
13
],
[
689,
473,
44,
13
],
[
738,
473,
10,
13
],
[
102,
487,
42,
13
],
[
148,
487,
8,
13
],
[
160,
487,
53,
13
],
[
92,
522,
40,
10
],
[
135,
522,
27,
10
],
[
166,
522,
8,
10
],
[
177,
522,
43,
10
],
[
223,
522,
7,
10
],
[
233,
522,
24,
10
],
[
260,
522,
7,
10
],
[
271,
522,
26,
10
],
[
300,
522,
46,
10
],
[
349,
522,
54,
10
],
[
406,
522,
19,
10
],
[
427,
522,
16,
10
],
[
447,
522,
26,
10
],
[
476,
522,
47,
10
],
[
526,
522,
9,
10
],
[
539,
522,
46,
10
],
[
588,
522,
12,
10
],
[
603,
522,
49,
10
],
[
655,
522,
35,
10
],
[
694,
522,
16,
10
],
[
713,
522,
35,
10
],
[
92,
533,
35,
10
],
[
130,
533,
20,
10
],
[
153,
533,
18,
10
],
[
174,
533,
18,
10
],
[
195,
533,
27,
10
],
[
224,
533,
139,
10
],
[
92,
551,
31,
10
],
[
126,
551,
34,
10
],
[
163,
551,
28,
10
],
[
194,
551,
19,
10
],
[
215,
551,
37,
10
],
[
255,
551,
41,
10
],
[
299,
551,
9,
10
],
[
310,
551,
31,
10
],
[
344,
551,
16,
10
],
[
363,
551,
50,
10
],
[
416,
551,
23,
10
],
[
441,
551,
27,
10
],
[
92,
568,
42,
10
],
[
137,
568,
32,
10
],
[
172,
568,
7,
10
],
[
182,
568,
22,
10
],
[
207,
568,
44,
10
],
[
254,
568,
36,
10
],
[
293,
568,
12,
10
],
[
308,
568,
22,
10
],
[
333,
568,
47,
10
],
[
383,
568,
26,
10
],
[
411,
568,
12,
10
],
[
426,
568,
20,
10
],
[
92,
585,
50,
10
],
[
158,
585,
20,
10
],
[
182,
585,
27,
10
],
[
213,
585,
9,
10
],
[
225,
585,
9,
10
],
[
238,
585,
17,
10
],
[
259,
585,
6,
10
],
[
269,
585,
10,
10
],
[
283,
585,
50,
10
],
[
338,
585,
25,
10
],
[
367,
585,
45,
10
],
[
415,
585,
25,
10
],
[
444,
585,
14,
10
],
[
462,
585,
24,
10
],
[
489,
585,
9,
10
],
[
501,
585,
14,
10
],
[
519,
585,
34,
10
],
[
557,
585,
42,
10
],
[
603,
585,
45,
10
],
[
652,
585,
33,
10
],
[
688,
585,
25,
10
],
[
717,
585,
31,
10
],
[
92,
596,
49,
10
],
[
144,
596,
17,
10
],
[
163,
596,
50,
10
],
[
216,
596,
16,
10
],
[
235,
596,
54,
10
],
[
291,
596,
8,
10
],
[
302,
596,
15,
10
],
[
320,
596,
37,
10
],
[
359,
596,
37,
10
],
[
399,
596,
14,
10
],
[
416,
596,
31,
10
],
[
450,
596,
27,
10
],
[
480,
596,
16,
10
],
[
498,
596,
27,
10
],
[
529,
596,
13,
10
],
[
545,
596,
36,
10
],
[
92,
614,
42,
10
],
[
136,
614,
17,
10
],
[
154,
614,
21,
10
],
[
177,
614,
16,
10
],
[
195,
614,
43,
10
],
[
239,
614,
10,
10
],
[
252,
614,
14,
10
],
[
267,
614,
41,
10
],
[
310,
614,
9,
10
],
[
320,
614,
25,
10
],
[
347,
614,
28,
10
],
[
377,
614,
22,
10
],
[
400,
614,
47,
10
],
[
450,
614,
16,
10
],
[
468,
614,
5,
10
],
[
475,
614,
16,
10
],
[
492,
614,
19,
10
],
[
513,
614,
45,
10
],
[
560,
614,
23,
10
],
[
585,
614,
9,
10
],
[
595,
614,
19,
10
],
[
616,
614,
15,
10
],
[
634,
614,
31,
10
],
[
667,
614,
16,
10
],
[
685,
614,
11,
10
],
[
698,
614,
16,
10
],
[
715,
614,
8,
10
],
[
725,
614,
23,
10
],
[
92,
625,
30,
10
],
[
124,
625,
18,
10
],
[
146,
625,
40,
10
],
[
188,
625,
16,
10
],
[
207,
625,
34,
10
],
[
244,
625,
34,
10
],
[
280,
625,
9,
10
],
[
292,
625,
33,
10
],
[
328,
625,
9,
10
],
[
339,
625,
48,
10
],
[
390,
625,
9,
10
],
[
402,
625,
14,
10
],
[
418,
625,
48,
10
],
[
92,
642,
52,
10
],
[
147,
642,
44,
10
],
[
193,
642,
16,
10
],
[
212,
642,
31,
10
],
[
246,
642,
20,
10
],
[
268,
642,
35,
10
],
[
307,
642,
17,
10
],
[
326,
642,
11,
10
],
[
340,
642,
45,
10
],
[
388,
642,
35,
10
],
[
426,
642,
21,
10
],
[
92,
659,
5,
10
],
[
99,
659,
27,
10
],
[
129,
659,
85,
10
],
[
92,
677,
5,
10
],
[
100,
677,
31,
10
],
[
134,
677,
34,
10
],
[
171,
677,
48,
10
],
[
222,
677,
30,
10
],
[
255,
677,
34,
10
],
[
293,
677,
34,
10
],
[
330,
677,
9,
10
],
[
341,
677,
60,
10
],
[
404,
677,
27,
10
],
[
434,
677,
35,
10
],
[
472,
677,
32,
10
],
[
507,
677,
35,
10
],
[
544,
677,
38,
10
],
[
585,
677,
9,
10
],
[
597,
677,
27,
10
],
[
627,
677,
23,
10
],
[
653,
677,
37,
10
],
[
692,
677,
33,
10
],
[
728,
677,
20,
10
],
[
92,
688,
24,
10
],
[
119,
688,
36,
10
],
[
157,
688,
28,
10
],
[
188,
688,
25,
10
],
[
215,
688,
9,
10
],
[
227,
688,
34,
10
],
[
80,
730,
84,
14
],
[
93,
755,
62,
13
],
[
158,
755,
45,
13
],
[
207,
755,
42,
13
],
[
253,
755,
50,
13
],
[
307,
755,
12,
13
],
[
323,
755,
37,
13
],
[
364,
755,
49,
13
],
[
80,
770,
41,
13
],
[
128,
770,
43,
13
],
[
176,
770,
10,
13
],
[
193,
770,
16,
13
],
[
215,
770,
43,
13
],
[
265,
770,
50,
13
],
[
321,
770,
25,
13
],
[
352,
770,
61,
13
],
[
80,
785,
47,
13
],
[
131,
785,
19,
13
],
[
155,
785,
47,
13
],
[
206,
785,
20,
13
],
[
230,
785,
42,
13
],
[
276,
785,
10,
13
],
[
291,
785,
25,
13
],
[
320,
785,
48,
13
],
[
372,
785,
41,
13
],
[
80,
799,
61,
13
],
[
144,
799,
45,
13
],
[
193,
799,
16,
13
],
[
213,
799,
31,
13
],
[
247,
799,
43,
13
],
[
294,
799,
10,
13
],
[
307,
799,
20,
13
],
[
331,
799,
22,
13
],
[
356,
799,
34,
13
],
[
393,
799,
10,
13
],
[
406,
799,
6,
13
],
[
80,
814,
60,
13
],
[
144,
814,
63,
13
],
[
211,
814,
10,
13
],
[
224,
814,
51,
13
],
[
279,
814,
42,
13
],
[
325,
814,
18,
13
],
[
347,
814,
18,
13
],
[
368,
814,
44,
13
],
[
80,
829,
49,
13
],
[
135,
829,
43,
13
],
[
182,
829,
25,
13
],
[
212,
829,
16,
13
],
[
233,
829,
49,
13
],
[
287,
829,
44,
13
],
[
336,
829,
36,
13
],
[
377,
829,
35,
13
],
[
80,
844,
16,
13
],
[
100,
844,
53,
13
],
[
157,
844,
10,
13
],
[
171,
844,
16,
13
],
[
191,
844,
45,
13
],
[
240,
844,
44,
13
],
[
288,
844,
19,
13
],
[
311,
844,
64,
13
],
[
379,
844,
34,
13
],
[
80,
858,
16,
13
],
[
100,
858,
30,
13
],
[
134,
858,
61,
13
],
[
199,
858,
10,
13
],
[
213,
858,
16,
13
],
[
232,
858,
64,
13
],
[
300,
858,
51,
13
],
[
355,
858,
44,
13
],
[
93,
873,
21,
13
],
[
117,
873,
21,
13
],
[
142,
873,
51,
13
],
[
196,
873,
29,
13
],
[
228,
873,
10,
13
],
[
242,
873,
40,
13
],
[
285,
873,
10,
13
],
[
299,
873,
24,
13
],
[
326,
873,
64,
13
],
[
393,
873,
19,
13
],
[
80,
888,
39,
13
],
[
122,
888,
55,
13
],
[
180,
888,
72,
13
],
[
255,
888,
61,
13
],
[
318,
888,
45,
13
],
[
366,
888,
16,
13
],
[
385,
888,
28,
13
],
[
80,
903,
29,
13
],
[
115,
903,
21,
13
],
[
142,
903,
21,
13
],
[
169,
903,
40,
13
],
[
215,
903,
10,
13
],
[
231,
903,
30,
13
],
[
266,
903,
19,
13
],
[
291,
903,
65,
13
],
[
361,
903,
33,
13
],
[
400,
903,
13,
13
],
[
80,
917,
43,
13
],
[
128,
917,
66,
13
],
[
199,
917,
10,
13
],
[
214,
917,
44,
13
],
[
262,
917,
10,
13
],
[
277,
917,
47,
13
],
[
329,
917,
10,
13
],
[
344,
917,
16,
13
],
[
364,
917,
48,
13
],
[
80,
932,
39,
13
],
[
124,
932,
47,
13
],
[
175,
932,
20,
13
],
[
200,
932,
16,
13
],
[
220,
932,
36,
13
],
[
261,
932,
19,
13
],
[
285,
932,
49,
13
],
[
338,
932,
16,
13
],
[
359,
932,
31,
13
],
[
394,
932,
18,
13
],
[
80,
947,
18,
13
],
[
101,
947,
46,
13
],
[
150,
947,
33,
13
],
[
186,
947,
36,
13
],
[
224,
947,
33,
13
],
[
260,
947,
21,
13
],
[
284,
947,
25,
13
],
[
311,
947,
37,
13
],
[
351,
947,
10,
13
],
[
364,
947,
49,
13
],
[
80,
962,
16,
13
],
[
104,
962,
25,
13
],
[
138,
962,
21,
13
],
[
167,
962,
39,
13
],
[
215,
962,
46,
13
],
[
269,
962,
50,
13
],
[
327,
962,
50,
13
],
[
386,
962,
27,
13
],
[
80,
976,
59,
13
],
[
143,
976,
47,
13
],
[
194,
976,
43,
13
],
[
240,
976,
15,
13
],
[
259,
976,
37,
13
],
[
299,
976,
58,
13
],
[
361,
976,
28,
13
],
[
93,
991,
43,
13
],
[
141,
991,
19,
13
],
[
165,
991,
34,
13
],
[
204,
991,
51,
13
],
[
260,
991,
22,
13
],
[
287,
991,
30,
13
],
[
321,
991,
6,
13
],
[
333,
991,
43,
13
],
[
381,
991,
11,
13
],
[
397,
991,
16,
13
],
[
80,
1006,
56,
13
],
[
141,
1006,
19,
13
],
[
167,
1006,
16,
13
],
[
188,
1006,
36,
13
],
[
231,
1006,
10,
13
],
[
246,
1006,
11,
13
],
[
264,
1006,
64,
13
],
[
334,
1006,
21,
13
],
[
360,
1006,
36,
13
],
[
403,
1006,
10,
13
],
[
437,
730,
29,
13
],
[
470,
730,
44,
13
],
[
519,
730,
16,
13
],
[
539,
730,
26,
13
],
[
570,
730,
10,
13
],
[
585,
730,
16,
13
],
[
606,
730,
19,
13
],
[
629,
730,
37,
13
],
[
670,
730,
8,
13
],
[
682,
730,
30,
13
],
[
717,
730,
23,
13
],
[
745,
730,
25,
13
],
[
437,
744,
62,
13
],
[
504,
744,
39,
13
],
[
547,
744,
31,
13
],
[
583,
744,
16,
13
],
[
603,
744,
29,
13
],
[
636,
744,
29,
13
],
[
669,
744,
10,
13
],
[
683,
744,
87,
13
],
[
437,
759,
39,
13
],
[
481,
759,
42,
13
],
[
528,
759,
45,
13
],
[
577,
759,
63,
13
],
[
645,
759,
23,
13
],
[
673,
759,
10,
13
],
[
688,
759,
82,
13
],
[
437,
773,
15,
13
],
[
458,
773,
19,
13
],
[
484,
773,
65,
13
],
[
554,
773,
18,
13
],
[
579,
773,
45,
13
],
[
629,
773,
55,
13
],
[
690,
773,
22,
13
],
[
718,
773,
52,
13
],
[
437,
788,
42,
13
],
[
483,
788,
18,
13
],
[
505,
788,
18,
13
],
[
450,
803,
21,
13
],
[
475,
803,
27,
13
],
[
506,
803,
61,
13
],
[
571,
803,
29,
13
],
[
604,
803,
10,
13
],
[
618,
803,
61,
13
],
[
683,
803,
43,
13
],
[
730,
803,
40,
13
],
[
437,
817,
16,
13
],
[
457,
817,
56,
13
],
[
517,
817,
10,
13
],
[
531,
817,
44,
13
],
[
578,
817,
8,
13
],
[
590,
817,
20,
13
],
[
613,
817,
30,
13
],
[
647,
817,
23,
13
],
[
675,
817,
37,
13
],
[
715,
817,
54,
13
],
[
437,
832,
28,
13
],
[
473,
832,
53,
13
],
[
534,
832,
51,
13
],
[
594,
832,
8,
13
],
[
610,
832,
19,
13
],
[
637,
832,
10,
13
],
[
655,
832,
16,
13
],
[
680,
832,
30,
13
],
[
718,
832,
52,
13
],
[
437,
846,
65,
13
],
[
506,
846,
36,
13
],
[
546,
846,
24,
13
],
[
573,
846,
53,
13
],
[
629,
846,
17,
13
],
[
650,
846,
28,
13
],
[
681,
846,
19,
13
],
[
704,
846,
18,
13
],
[
726,
846,
44,
13
],
[
437,
861,
10,
13
],
[
450,
861,
15,
13
],
[
468,
861,
55,
13
],
[
525,
861,
39,
13
],
[
567,
861,
41,
13
],
[
610,
861,
19,
13
],
[
631,
861,
10,
13
],
[
644,
861,
16,
13
],
[
663,
861,
55,
13
],
[
720,
861,
10,
13
],
[
732,
861,
37,
13
],
[
437,
875,
19,
13
],
[
460,
875,
57,
13
],
[
520,
875,
68,
13
],
[
591,
875,
43,
13
],
[
637,
875,
23,
13
],
[
663,
875,
10,
13
],
[
677,
875,
16,
13
],
[
696,
875,
33,
13
],
[
732,
875,
18,
13
],
[
754,
875,
16,
13
],
[
437,
890,
60,
13
],
[
501,
890,
19,
13
],
[
524,
890,
16,
13
],
[
544,
890,
50,
13
],
[
598,
890,
24,
13
],
[
626,
890,
56,
13
],
[
686,
890,
62,
13
],
[
751,
890,
18,
13
],
[
437,
904,
37,
13
],
[
479,
904,
48,
13
],
[
533,
904,
27,
13
],
[
565,
904,
24,
13
],
[
594,
904,
24,
13
],
[
624,
904,
16,
13
],
[
645,
904,
25,
13
],
[
674,
904,
51,
13
],
[
730,
904,
39,
13
],
[
437,
919,
24,
13
],
[
465,
919,
36,
13
],
[
506,
919,
24,
13
],
[
535,
919,
53,
13
],
[
592,
919,
37,
13
],
[
633,
919,
8,
13
],
[
645,
919,
6,
13
],
[
656,
919,
69,
13
],
[
730,
919,
40,
13
],
[
437,
933,
70,
13
],
[
511,
933,
34,
13
],
[
548,
933,
16,
13
],
[
568,
933,
35,
13
],
[
607,
933,
32,
13
],
[
643,
933,
23,
13
],
[
670,
933,
37,
13
],
[
711,
933,
59,
13
],
[
437,
948,
21,
13
],
[
461,
948,
32,
13
],
[
496,
948,
16,
13
],
[
515,
948,
33,
13
],
[
551,
948,
23,
13
],
[
577,
948,
10,
13
],
[
590,
948,
46,
13
],
[
639,
948,
46,
13
],
[
689,
948,
10,
13
],
[
702,
948,
16,
13
],
[
721,
948,
49,
13
],
[
437,
962,
10,
13
],
[
451,
962,
54,
13
],
[
509,
962,
61,
13
],
[
574,
962,
45,
13
],
[
623,
962,
25,
13
],
[
651,
962,
10,
13
],
[
666,
962,
20,
13
],
[
690,
962,
10,
13
],
[
704,
962,
10,
13
],
[
718,
962,
52,
13
],
[
437,
977,
46,
13
],
[
488,
977,
39,
13
],
[
532,
977,
10,
13
],
[
547,
977,
30,
13
],
[
582,
977,
45,
13
],
[
632,
977,
46,
13
],
[
683,
977,
31,
13
],
[
719,
977,
20,
13
],
[
744,
977,
26,
13
],
[
437,
992,
64,
13
],
[
504,
992,
10,
13
],
[
517,
992,
59,
13
],
[
580,
992,
35,
13
],
[
617,
992,
28,
13
],
[
648,
992,
40,
13
],
[
691,
992,
21,
13
],
[
715,
992,
54,
13
],
[
437,
1006,
57,
13
],
[
497,
1006,
8,
13
],
[
508,
1006,
20,
13
],
[
531,
1006,
59,
13
],
[
593,
1006,
35,
13
],
[
631,
1006,
28,
13
],
[
662,
1006,
33,
13
],
[
698,
1006,
35,
13
],
[
735,
1006,
34,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
564,
1047,
29,
12
],
[
597,
1047,
23,
12
],
[
625,
1047,
3,
12
],
[
633,
1047,
36,
12
],
[
674,
1047,
6,
12
],
[
685,
1047,
3,
12
],
[
693,
1047,
24,
12
],
[
722,
1047,
6,
12
],
[
733,
1047,
3,
12
],
[
741,
1047,
29,
12
]
] | [
"Comparing",
"Transcription",
"Rate",
"and",
"mRNA",
"Abundance",
"as",
"Parameters",
"for",
"Biochemical",
"Pathway",
"and",
"Network",
"Analysis",
"Brewster",
"Hayles,",
"Sailu",
"Yellaboina¤,",
"Degeng",
"Wang*",
"Department",
"of",
"Cell",
"Biology,",
"Microbiology,",
"and",
"Molecular",
"Biology",
"(CMMB),",
"University",
"of",
"South",
"Florida,",
"Tampa,",
"Florida,",
"United",
"States",
"of",
"America",
"Abstract",
"The",
"cells",
"adapt",
"to",
"extra-",
"and",
"intra-cellular",
"signals",
"by",
"dynamic",
"orchestration",
"of",
"activities",
"of",
"pathways",
"in",
"the",
"biochemical",
"networks.",
"Dynamic",
"control",
"of",
"the",
"gene",
"expression",
"process",
"represents",
"a",
"major",
"mechanism",
"for",
"pathway",
"activity",
"regulation.",
"Gene",
"expression",
"has",
"thus",
"been",
"routinely",
"measured,",
"most",
"frequently",
"at",
"steady-state",
"mRNA",
"abundance",
"level",
"using",
"micro-",
"array",
"technology.",
"The",
"results",
"are",
"widely",
"used",
"in",
"statistical",
"inference",
"of",
"the",
"structures",
"of",
"underlying",
"biochemical",
"networks,",
"with",
"the",
"assumption",
"that",
"functionally",
"related",
"genes",
"exhibit",
"similar",
"dynamic",
"profiles.",
"Steady-state",
"mRNA",
"abundance,",
"however,",
"is",
"a",
"composite",
"of",
"two",
"factors:",
"transcription",
"rate",
"and",
"mRNA",
"degradation",
"rate.",
"The",
"question",
"being",
"asked",
"here",
"is",
"therefore",
"whether",
"steady-state",
"mRNA",
"abundance",
"or",
"any",
"of",
"two",
"factors",
"is",
"a",
"more",
"informative",
"measurement",
"target",
"for",
"studying",
"network",
"dynamics.",
"The",
"yeast",
"S.",
"cerevisiae",
"was",
"used",
"as",
"model",
"organism",
"and",
"transcription",
"rate",
"was",
"chosen",
"out",
"of",
"the",
"two",
"factors",
"in",
"this",
"study,",
"because",
"genome-wide",
"determination",
"of",
"transcription",
"rates",
"has",
"been",
"reported",
"for",
"several",
"physiological",
"processes",
"in",
"this",
"species.",
"Our",
"strategy",
"is",
"to",
"test",
"which",
"one",
"is",
"a",
"better",
"measurement",
"of",
"functional",
"relatedness",
"between",
"genes.",
"The",
"analysis",
"was",
"performed",
"on",
"those",
"S.",
"cerevisiae",
"genes",
"that",
"have",
"bacterial",
"orthologs",
"as",
"identified",
"by",
"reciprocal",
"BLAST",
"analysis,",
"so",
"that",
"functional",
"relatedness",
"of",
"a",
"gene",
"pair",
"can",
"be",
"measured",
"by",
"the",
"frequency",
"at",
"which",
"their",
"bacterial",
"orthologs",
"co-occur",
"in",
"the",
"same",
"operon",
"in",
"the",
"collection",
"of",
"bacterial",
"genomes.",
"It",
"is",
"found",
"that",
"transcription",
"rate",
"data",
"is",
"generally",
"a",
"better",
"parameter",
"for",
"functional",
"relatedness",
"than",
"steady",
"state",
"mRNA",
"abundance,",
"suggesting",
"transcription",
"rate",
"data",
"is",
"more",
"informative",
"to",
"use",
"in",
"deciphering",
"the",
"logics",
"used",
"by",
"the",
"cells",
"in",
"dynamic",
"regulation",
"of",
"biochemical",
"network",
"behaviors.",
"The",
"significance",
"of",
"this",
"finding",
"for",
"network",
"and",
"systems",
"biology,",
"as",
"well",
"as",
"biomedical",
"research",
"in",
"general,",
"is",
"discussed.",
"Citation:",
"Hayles",
"B,",
"Yellaboina",
"S,",
"Wang",
"D",
"(2010)",
"Comparing",
"Transcription",
"Rate",
"and",
"mRNA",
"Abundance",
"as",
"Parameters",
"for",
"Biochemical",
"Pathway",
"and",
"Network",
"Analysis.",
"PLoS",
"ONE",
"5(3):",
"e9908.",
"doi:10.1371/journal.pone.0009908",
"Editor:",
"Timothy",
"Ravasi,",
"King",
"Abdullah",
"University",
"of",
"Science",
"and",
"Technology,",
"Saudi",
"Arabia",
"Received",
"January",
"5,",
"2010;",
"Accepted",
"February",
"19,",
"2010;",
"Published",
"March",
"26,",
"2010",
"Copyright:",
"2010",
"Hayles",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"work",
"was",
"supported",
"by",
"the",
"University",
"of",
"South",
"Florida",
"(USF)",
"Foundation",
"and",
"a",
"USF",
"New",
"Researcher",
"Grant",
"to",
"D.W.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"dwang1@cas.usf.edu",
"¤",
"Current",
"address:",
"Biostatistics",
"Branch,",
"National",
"Institute",
"of",
"Environmental",
"Health",
"Sciences",
"(NIEHS),",
"National",
"Institutes",
"of",
"Health",
"(NIH),",
"Research",
"Triangle",
"Park,",
"North",
"Carolina,",
"United",
"States",
"of",
"America",
"Introduction",
"Biochemical",
"networks",
"underlie",
"essentially",
"all",
"cellular",
"functions.",
"Proteins",
"encoded",
"in",
"the",
"genomic",
"sequences",
"form",
"biochemical",
"pathways",
"and",
"pathways",
"join",
"together",
"to",
"form",
"networks.",
"Cellular",
"biochemical",
"networks",
"are",
"highly",
"modular",
"in",
"that",
"they",
"consist",
"of",
"a",
"hierarchical",
"organization",
"of",
"functional",
"modules",
"[1].",
"For",
"instance,",
"metabolic",
"enzymes",
"form",
"the",
"metabolic",
"network;",
"protein",
"kinases",
"are",
"backbones",
"of",
"the",
"signaling",
"network;",
"and",
"transcription",
"factors",
"are",
"major",
"components",
"of",
"the",
"transcription",
"regulation",
"network.",
"The",
"cells",
"constantly",
"adapt",
"to",
"changes",
"in",
"their",
"environment",
"and",
"internal",
"conditions.",
"Consequently,",
"biochemical",
"networks",
"are",
"never",
"static.",
"The",
"cells",
"respond",
"to",
"extra-",
"and",
"intra-cellular",
"signals",
"by",
"dynamic",
"orchestration",
"of",
"activities",
"of",
"pathways",
"in",
"the",
"networks;",
"activate",
"pathways",
"that",
"are",
"needed",
"and",
"inactivate",
"the",
"others",
"[2].",
"For",
"example,",
"during",
"carbon",
"source",
"shift",
"from",
"glucose",
"to",
"galactose,",
"the",
"yeast",
"cells",
"activate",
"galactose",
"utilization",
"pathways,",
"while",
"inactivating",
"pathways",
"required",
"for",
"glucose",
"metabolism",
"[3,4].",
"Roughly",
"two",
"factors",
"determine",
"how",
"active",
"a",
"pathway",
"is:",
"the",
"abundance",
"and",
"the",
"activity",
"of",
"its",
"components.",
"The",
"activity",
"of",
"many",
"proteins,",
"the",
"latter",
"of",
"the",
"two",
"factors,",
"is",
"under",
"tight",
"post-",
"translational",
"control.",
"There",
"are",
"many",
"forms",
"of",
"post-translational",
"control:",
"covalent",
"chemical",
"modification",
"such",
"as",
"phosphorylation",
"[5]",
"and",
"glycosylation",
"[6],",
"allosteric",
"interaction",
"with",
"regulatory",
"partners",
"[7],",
"etc.",
"The",
"other",
"determining",
"factor",
"of",
"biochemical",
"pathway",
"activity,",
"the",
"abundance",
"of",
"proteins,",
"is",
"also",
"under",
"tight",
"cellular",
"regulation.",
"Gene",
"expression",
"regulation",
"is",
"one",
"of",
"the",
"major",
"regulatory",
"mechanisms.",
"Hence,",
"gene",
"expression",
"has",
"been,",
"and",
"will",
"continue",
"to",
"be,",
"extensively",
"studied.",
"Perhaps",
"due",
"to",
"the",
"availability",
"of",
"reliable",
"and",
"economical",
"measurement",
"methods",
"such",
"as",
"the",
"SAGE",
"[8],",
"the",
"micro-array",
"and",
"the",
"upcoming",
"deep",
"sequencing",
"technologies",
"[9],",
"mRNA",
"transcript",
"levels",
"have",
"been",
"the",
"most",
"frequently",
"studied,",
"even",
"though",
"gene",
"expression",
"process",
"is",
"a",
"multi-stepped",
"process.",
"Measurement",
"targets",
"are",
"usually",
"steady",
"state",
"mRNA",
"abundance.",
"The",
"results",
"are",
"widely",
"used",
"in",
"statistical",
"inference",
"of",
"the",
"structures",
"of",
"underlying",
"biochemical",
"networks",
"[10],",
"as",
"well",
"as",
"in",
"regulatory",
"sequence",
"analysis",
"to",
"detect",
"common",
"sequence",
"motifs",
"that",
"drive",
"transcription",
"of",
"functionally",
"related",
"genes",
"[11,12].",
"The",
"underlying",
"assumption",
"is",
"that",
"functionally",
"related",
"genes",
"should",
"exhibit",
"similar",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"March",
"2010",
"|",
"Volume",
"5",
"|",
"Issue",
"3",
"|",
"e9908"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,444,050 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
34,
11
],
[
105,
75,
9,
11
],
[
117,
75,
71,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
70,
25
],
[
145,
187,
64,
25
],
[
70,
220,
47,
25
],
[
121,
220,
120,
25
],
[
246,
220,
32,
25
],
[
282,
220,
96,
25
],
[
383,
220,
93,
25
],
[
120,
289,
69,
17
],
[
191,
289,
14,
17
],
[
208,
289,
19,
17
],
[
230,
287,
51,
18
],
[
284,
289,
15,
17
],
[
302,
289,
15,
17
],
[
320,
287,
82,
18
],
[
406,
289,
43,
17
],
[
452,
289,
19,
17
],
[
473,
289,
17,
17
],
[
493,
287,
28,
18
],
[
525,
289,
27,
17
],
[
555,
289,
47,
17
],
[
605,
289,
13,
17
],
[
621,
289,
19,
17
],
[
643,
287,
28,
18
],
[
120,
319,
4,
9
],
[
126,
320,
17,
13
],
[
146,
320,
44,
13
],
[
192,
320,
19,
13
],
[
213,
320,
50,
13
],
[
266,
320,
9,
13
],
[
278,
320,
27,
13
],
[
307,
320,
28,
13
],
[
337,
320,
29,
13
],
[
369,
320,
21,
13
],
[
392,
320,
25,
13
],
[
419,
320,
9,
13
],
[
431,
320,
26,
13
],
[
460,
320,
11,
13
],
[
473,
320,
18,
13
],
[
494,
320,
49,
13
],
[
545,
320,
29,
13
],
[
576,
320,
49,
13
],
[
627,
320,
9,
13
],
[
638,
320,
27,
13
],
[
668,
320,
25,
13
],
[
120,
333,
4,
9
],
[
126,
334,
59,
13
],
[
188,
334,
9,
13
],
[
200,
334,
78,
13
],
[
280,
334,
32,
13
],
[
315,
334,
27,
13
],
[
344,
334,
44,
13
],
[
391,
334,
27,
13
],
[
420,
334,
25,
13
],
[
120,
360,
82,
13
],
[
205,
360,
34,
13
],
[
241,
360,
12,
13
],
[
256,
360,
50,
13
],
[
308,
360,
11,
13
],
[
321,
360,
34,
13
],
[
357,
360,
9,
13
],
[
369,
360,
15,
13
],
[
385,
360,
19,
13
],
[
407,
360,
71,
13
],
[
120,
385,
44,
13
],
[
166,
385,
12,
13
],
[
181,
385,
22,
13
],
[
206,
385,
27,
13
],
[
235,
385,
39,
13
],
[
276,
385,
12,
13
],
[
291,
385,
20,
13
],
[
313,
385,
27,
13
],
[
343,
385,
46,
13
],
[
391,
385,
12,
13
],
[
406,
385,
35,
13
],
[
444,
385,
25,
13
],
[
120,
410,
49,
13
],
[
172,
410,
35,
13
],
[
209,
410,
33,
13
],
[
245,
410,
28,
13
],
[
120,
436,
51,
13
],
[
174,
436,
9,
13
],
[
186,
436,
24,
13
],
[
213,
436,
49,
13
],
[
265,
436,
10,
13
],
[
277,
436,
15,
13
],
[
294,
436,
30,
13
],
[
327,
436,
10,
13
],
[
339,
436,
12,
13
],
[
353,
436,
22,
13
],
[
378,
436,
8,
13
],
[
388,
436,
13,
13
],
[
403,
436,
25,
13
],
[
431,
436,
30,
13
],
[
464,
436,
31,
13
],
[
497,
436,
55,
13
],
[
555,
436,
30,
13
],
[
588,
436,
16,
13
],
[
606,
436,
41,
13
],
[
650,
436,
53,
13
],
[
705,
436,
58,
13
],
[
120,
450,
40,
13
],
[
163,
450,
31,
13
],
[
197,
450,
39,
13
],
[
239,
450,
61,
13
],
[
303,
450,
20,
13
],
[
326,
450,
63,
13
],
[
393,
450,
19,
13
],
[
415,
450,
66,
13
],
[
485,
450,
11,
13
],
[
499,
450,
18,
13
],
[
520,
450,
46,
13
],
[
569,
450,
45,
13
],
[
617,
450,
16,
13
],
[
637,
450,
39,
13
],
[
680,
450,
26,
13
],
[
709,
450,
8,
13
],
[
720,
450,
43,
13
],
[
120,
465,
27,
13
],
[
120,
491,
42,
13
],
[
167,
491,
13,
13
],
[
185,
491,
33,
13
],
[
224,
491,
16,
13
],
[
245,
491,
31,
13
],
[
281,
491,
54,
13
],
[
340,
491,
15,
13
],
[
361,
491,
43,
13
],
[
409,
491,
43,
13
],
[
458,
491,
25,
13
],
[
488,
491,
39,
13
],
[
533,
491,
43,
13
],
[
581,
491,
46,
13
],
[
632,
491,
32,
13
],
[
669,
491,
14,
13
],
[
688,
491,
11,
13
],
[
704,
491,
26,
13
],
[
736,
491,
27,
13
],
[
120,
506,
28,
13
],
[
154,
506,
46,
13
],
[
205,
506,
19,
13
],
[
230,
506,
31,
13
],
[
266,
506,
23,
13
],
[
295,
506,
15,
13
],
[
316,
506,
46,
13
],
[
367,
506,
35,
13
],
[
408,
506,
55,
13
],
[
468,
506,
47,
13
],
[
520,
506,
54,
13
],
[
579,
506,
46,
13
],
[
631,
506,
48,
13
],
[
685,
506,
46,
13
],
[
737,
506,
26,
13
],
[
120,
520,
54,
13
],
[
177,
520,
15,
13
],
[
195,
520,
49,
13
],
[
248,
520,
46,
13
],
[
297,
520,
38,
13
],
[
338,
520,
54,
13
],
[
395,
520,
93,
13
],
[
491,
520,
76,
13
],
[
570,
520,
69,
13
],
[
642,
520,
46,
13
],
[
692,
520,
71,
13
],
[
120,
535,
19,
13
],
[
144,
535,
78,
13
],
[
226,
535,
45,
13
],
[
275,
535,
25,
13
],
[
305,
535,
54,
13
],
[
363,
535,
25,
13
],
[
392,
535,
24,
13
],
[
420,
535,
36,
13
],
[
460,
535,
24,
13
],
[
489,
535,
48,
13
],
[
540,
535,
28,
13
],
[
573,
535,
24,
13
],
[
601,
535,
35,
13
],
[
640,
535,
11,
13
],
[
656,
535,
62,
13
],
[
722,
535,
10,
13
],
[
736,
535,
27,
13
],
[
120,
549,
31,
13
],
[
154,
549,
26,
13
],
[
182,
549,
24,
13
],
[
209,
549,
42,
13
],
[
254,
549,
25,
13
],
[
281,
549,
47,
13
],
[
332,
549,
31,
13
],
[
365,
549,
47,
13
],
[
415,
549,
53,
13
],
[
471,
549,
23,
13
],
[
496,
549,
24,
13
],
[
523,
549,
16,
13
],
[
542,
549,
26,
13
],
[
571,
549,
20,
13
],
[
593,
549,
11,
13
],
[
607,
549,
50,
13
],
[
659,
549,
15,
13
],
[
677,
549,
43,
13
],
[
723,
549,
40,
13
],
[
120,
564,
17,
13
],
[
141,
564,
23,
13
],
[
167,
564,
16,
13
],
[
187,
564,
54,
13
],
[
244,
564,
11,
13
],
[
258,
564,
43,
13
],
[
305,
564,
52,
13
],
[
360,
564,
26,
13
],
[
389,
564,
8,
13
],
[
401,
564,
6,
13
],
[
410,
564,
24,
13
],
[
438,
564,
15,
13
],
[
457,
564,
31,
13
],
[
491,
564,
68,
13
],
[
562,
564,
32,
13
],
[
597,
564,
19,
13
],
[
620,
564,
50,
13
],
[
673,
564,
47,
13
],
[
723,
564,
40,
13
],
[
120,
578,
54,
13
],
[
177,
578,
87,
13
],
[
266,
578,
19,
13
],
[
288,
578,
37,
13
],
[
328,
578,
41,
13
],
[
372,
578,
65,
13
],
[
439,
578,
15,
13
],
[
457,
578,
43,
13
],
[
504,
578,
16,
13
],
[
522,
578,
21,
13
],
[
546,
578,
57,
13
],
[
605,
578,
11,
13
],
[
619,
578,
24,
13
],
[
646,
578,
35,
13
],
[
684,
578,
19,
13
],
[
706,
578,
57,
13
],
[
120,
593,
36,
13
],
[
160,
593,
25,
13
],
[
190,
593,
23,
13
],
[
217,
593,
33,
13
],
[
254,
593,
20,
13
],
[
278,
593,
90,
13
],
[
373,
593,
87,
13
],
[
464,
593,
16,
13
],
[
483,
593,
29,
13
],
[
517,
593,
23,
13
],
[
544,
593,
16,
13
],
[
564,
593,
26,
13
],
[
595,
593,
54,
13
],
[
653,
593,
87,
13
],
[
744,
593,
19,
13
],
[
120,
607,
16,
13
],
[
139,
607,
10,
13
],
[
153,
607,
33,
13
],
[
190,
607,
10,
13
],
[
204,
607,
50,
13
],
[
258,
607,
41,
13
],
[
302,
607,
53,
13
],
[
359,
607,
35,
13
],
[
397,
607,
46,
13
],
[
447,
607,
52,
13
],
[
502,
607,
20,
13
],
[
525,
607,
27,
13
],
[
556,
607,
43,
13
],
[
603,
607,
43,
13
],
[
650,
607,
45,
13
],
[
698,
607,
65,
13
],
[
120,
622,
19,
13
],
[
142,
622,
33,
13
],
[
179,
622,
11,
13
],
[
193,
622,
42,
13
],
[
238,
622,
37,
13
],
[
278,
622,
11,
13
],
[
292,
622,
49,
13
],
[
344,
622,
37,
13
],
[
385,
622,
25,
13
],
[
413,
622,
11,
13
],
[
427,
622,
96,
13
],
[
526,
622,
25,
13
],
[
555,
622,
11,
13
],
[
569,
622,
10,
13
],
[
583,
622,
13,
13
],
[
599,
622,
38,
13
],
[
640,
622,
11,
13
],
[
654,
622,
53,
13
],
[
710,
622,
53,
13
],
[
120,
636,
57,
13
],
[
180,
636,
93,
13
],
[
275,
636,
87,
13
],
[
364,
636,
15,
13
],
[
382,
636,
26,
13
],
[
410,
636,
57,
13
],
[
470,
636,
11,
13
],
[
483,
636,
44,
13
],
[
529,
636,
50,
13
],
[
581,
636,
10,
13
],
[
594,
636,
43,
13
],
[
640,
636,
40,
13
],
[
683,
636,
27,
13
],
[
712,
636,
50,
13
],
[
120,
651,
41,
13
],
[
163,
651,
34,
13
],
[
200,
651,
56,
13
],
[
258,
651,
45,
13
],
[
304,
651,
65,
13
],
[
371,
651,
21,
13
],
[
395,
651,
12,
13
],
[
409,
651,
55,
13
],
[
466,
651,
11,
13
],
[
479,
651,
96,
13
],
[
577,
651,
50,
13
],
[
628,
651,
40,
13
],
[
671,
651,
11,
13
],
[
685,
651,
10,
13
],
[
697,
651,
13,
13
],
[
712,
651,
38,
13
],
[
752,
651,
11,
13
],
[
120,
665,
53,
13
],
[
175,
665,
40,
13
],
[
70,
721,
13,
17
],
[
86,
721,
92,
17
],
[
70,
751,
56,
14
],
[
129,
751,
45,
14
],
[
177,
751,
9,
14
],
[
189,
751,
6,
14
],
[
198,
751,
60,
14
],
[
261,
751,
47,
14
],
[
311,
751,
35,
14
],
[
350,
751,
54,
14
],
[
70,
767,
12,
14
],
[
86,
767,
38,
14
],
[
129,
767,
34,
14
],
[
167,
767,
20,
14
],
[
192,
767,
30,
14
],
[
227,
767,
34,
14
],
[
265,
767,
33,
14
],
[
303,
767,
21,
14
],
[
328,
767,
8,
14
],
[
341,
767,
20,
14
],
[
365,
767,
39,
14
],
[
70,
782,
11,
14
],
[
85,
782,
27,
14
],
[
116,
782,
31,
14
],
[
152,
782,
9,
14
],
[
165,
782,
18,
14
],
[
187,
782,
65,
14
],
[
256,
782,
75,
14
],
[
336,
782,
55,
14
],
[
395,
782,
9,
14
],
[
70,
798,
45,
14
],
[
121,
798,
25,
14
],
[
152,
798,
25,
14
],
[
183,
798,
12,
14
],
[
201,
798,
18,
14
],
[
225,
798,
23,
14
],
[
254,
798,
24,
14
],
[
284,
798,
28,
14
],
[
318,
798,
33,
14
],
[
357,
798,
47,
14
],
[
70,
814,
21,
14
],
[
96,
814,
9,
14
],
[
110,
814,
20,
14
],
[
135,
814,
13,
14
],
[
153,
814,
38,
14
],
[
196,
814,
14,
14
],
[
215,
814,
48,
14
],
[
268,
814,
32,
14
],
[
304,
814,
42,
14
],
[
351,
814,
53,
14
],
[
70,
830,
21,
14
],
[
100,
830,
52,
14
],
[
160,
830,
22,
14
],
[
190,
830,
51,
14
],
[
249,
830,
21,
14
],
[
278,
830,
38,
14
],
[
324,
830,
17,
14
],
[
349,
830,
55,
14
],
[
70,
846,
45,
14
],
[
121,
846,
41,
14
],
[
168,
846,
35,
14
],
[
209,
846,
44,
14
],
[
259,
846,
41,
14
],
[
306,
846,
22,
14
],
[
335,
846,
29,
14
],
[
369,
846,
35,
14
],
[
70,
861,
36,
14
],
[
110,
861,
44,
14
],
[
158,
861,
61,
14
],
[
224,
861,
36,
14
],
[
263,
861,
40,
14
],
[
307,
861,
42,
14
],
[
354,
861,
19,
14
],
[
378,
861,
26,
14
],
[
70,
877,
15,
14
],
[
89,
877,
58,
14
],
[
152,
877,
41,
14
],
[
198,
877,
62,
14
],
[
264,
877,
70,
14
],
[
338,
877,
42,
14
],
[
385,
877,
19,
14
],
[
70,
893,
12,
14
],
[
88,
893,
38,
14
],
[
131,
893,
47,
14
],
[
184,
893,
21,
14
],
[
211,
893,
47,
14
],
[
264,
893,
115,
14
],
[
385,
893,
19,
14
],
[
70,
909,
16,
14
],
[
90,
909,
22,
14
],
[
117,
909,
51,
14
],
[
172,
909,
57,
14
],
[
234,
909,
41,
14
],
[
280,
909,
80,
14
],
[
365,
909,
39,
14
],
[
70,
925,
100,
14
],
[
175,
925,
83,
14
],
[
264,
925,
73,
14
],
[
342,
925,
62,
14
],
[
70,
940,
72,
14
],
[
145,
940,
65,
14
],
[
213,
940,
21,
14
],
[
238,
940,
43,
14
],
[
285,
940,
42,
14
],
[
330,
940,
22,
14
],
[
356,
940,
48,
14
],
[
70,
956,
12,
14
],
[
87,
956,
65,
14
],
[
158,
956,
48,
14
],
[
212,
956,
28,
14
],
[
245,
956,
12,
14
],
[
262,
956,
48,
14
],
[
315,
956,
45,
14
],
[
365,
956,
39,
14
],
[
70,
972,
25,
14
],
[
102,
972,
43,
14
],
[
152,
972,
55,
14
],
[
214,
972,
21,
14
],
[
242,
972,
15,
14
],
[
264,
972,
20,
14
],
[
290,
972,
40,
14
],
[
337,
972,
40,
14
],
[
383,
972,
21,
14
],
[
70,
988,
45,
14
],
[
119,
988,
47,
14
],
[
170,
988,
17,
14
],
[
190,
988,
40,
14
],
[
234,
988,
21,
14
],
[
259,
988,
56,
14
],
[
319,
988,
9,
14
],
[
332,
988,
52,
14
],
[
387,
988,
17,
14
],
[
70,
1004,
41,
14
],
[
118,
1004,
33,
14
],
[
157,
1004,
22,
14
],
[
186,
1004,
17,
14
],
[
210,
1004,
27,
14
],
[
243,
1004,
12,
14
],
[
262,
1004,
24,
14
],
[
292,
1004,
39,
14
],
[
337,
1004,
12,
14
],
[
355,
1004,
49,
14
],
[
70,
1019,
38,
14
],
[
112,
1019,
28,
14
],
[
145,
1019,
40,
14
],
[
189,
1019,
12,
14
],
[
206,
1019,
27,
14
],
[
237,
1019,
42,
14
],
[
285,
1019,
56,
14
],
[
345,
1019,
26,
14
],
[
376,
1019,
28,
14
],
[
428,
723,
74,
14
],
[
511,
723,
48,
14
],
[
567,
723,
12,
14
],
[
586,
723,
45,
14
],
[
639,
723,
49,
14
],
[
696,
723,
46,
14
],
[
750,
723,
13,
14
],
[
428,
739,
60,
14
],
[
495,
739,
27,
14
],
[
529,
739,
37,
14
],
[
573,
739,
21,
14
],
[
601,
739,
48,
14
],
[
656,
739,
12,
14
],
[
675,
739,
41,
14
],
[
723,
739,
40,
14
],
[
428,
755,
13,
14
],
[
446,
755,
74,
14
],
[
524,
755,
12,
14
],
[
540,
755,
33,
14
],
[
578,
755,
53,
14
],
[
636,
755,
54,
14
],
[
694,
755,
43,
14
],
[
741,
755,
21,
14
],
[
428,
771,
38,
14
],
[
470,
771,
39,
14
],
[
512,
771,
25,
14
],
[
541,
771,
37,
14
],
[
581,
771,
57,
14
],
[
641,
771,
49,
14
],
[
693,
771,
12,
14
],
[
708,
771,
54,
14
],
[
428,
788,
12,
14
],
[
444,
788,
51,
14
],
[
499,
788,
12,
14
],
[
515,
788,
75,
14
],
[
594,
788,
35,
14
],
[
633,
788,
34,
14
],
[
671,
788,
91,
14
],
[
428,
804,
43,
14
],
[
474,
804,
54,
14
],
[
530,
804,
21,
14
],
[
553,
804,
12,
14
],
[
567,
804,
77,
14
],
[
646,
804,
55,
14
],
[
703,
804,
59,
14
],
[
428,
820,
12,
14
],
[
445,
820,
32,
14
],
[
481,
820,
77,
14
],
[
563,
820,
31,
14
],
[
599,
820,
14,
14
],
[
617,
820,
55,
14
],
[
677,
820,
13,
14
],
[
695,
820,
51,
14
],
[
750,
820,
12,
14
],
[
428,
836,
40,
14
],
[
472,
836,
46,
14
],
[
522,
836,
17,
14
],
[
543,
836,
85,
14
],
[
633,
836,
16,
14
],
[
652,
836,
22,
14
],
[
679,
836,
25,
14
],
[
708,
836,
20,
14
],
[
732,
836,
31,
14
],
[
428,
852,
57,
14
],
[
488,
852,
65,
14
],
[
557,
852,
12,
14
],
[
572,
852,
18,
14
],
[
593,
852,
39,
14
],
[
635,
852,
41,
14
],
[
680,
852,
39,
14
],
[
722,
852,
18,
14
],
[
744,
852,
19,
14
],
[
428,
868,
12,
14
],
[
445,
868,
33,
14
],
[
484,
868,
53,
14
],
[
542,
868,
62,
14
],
[
610,
868,
22,
14
],
[
637,
868,
46,
14
],
[
688,
868,
12,
14
],
[
705,
868,
21,
14
],
[
732,
868,
30,
14
],
[
428,
884,
21,
14
],
[
452,
884,
12,
14
],
[
467,
884,
37,
14
],
[
506,
884,
18,
14
],
[
527,
884,
34,
14
],
[
564,
884,
60,
14
],
[
627,
884,
48,
14
],
[
678,
884,
17,
14
],
[
698,
884,
43,
14
],
[
744,
884,
18,
14
],
[
428,
900,
55,
14
],
[
486,
900,
45,
14
],
[
534,
900,
53,
14
],
[
590,
900,
30,
14
],
[
623,
900,
34,
14
],
[
660,
900,
17,
14
],
[
680,
900,
47,
14
],
[
730,
900,
12,
14
],
[
744,
900,
18,
14
],
[
428,
916,
75,
14
],
[
506,
916,
45,
14
],
[
428,
957,
13,
17
],
[
444,
957,
62,
17
],
[
428,
987,
9,
14
],
[
444,
987,
48,
14
],
[
499,
987,
51,
14
],
[
557,
987,
35,
14
],
[
599,
987,
21,
14
],
[
627,
987,
59,
14
],
[
693,
987,
15,
14
],
[
715,
987,
12,
14
],
[
733,
987,
29,
14
],
[
428,
1003,
27,
14
],
[
460,
1003,
30,
14
],
[
496,
1003,
18,
14
],
[
519,
1003,
53,
14
],
[
577,
1003,
19,
14
],
[
602,
1003,
37,
14
],
[
644,
1003,
61,
14
],
[
711,
1003,
52,
14
],
[
428,
1019,
59,
14
],
[
490,
1019,
52,
14
],
[
544,
1019,
53,
14
],
[
599,
1019,
52,
14
],
[
653,
1019,
29,
14
],
[
684,
1019,
60,
14
],
[
746,
1019,
17,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Journal",
"of",
"Ophthalmology",
"Volume",
"2012,",
"Article",
"ID",
"831502,",
"7",
"pages",
"doi:10.1155/2012/831502",
"Review",
"Article",
"New",
"Treatments",
"for",
"Bacterial",
"Keratitis",
"Raymond",
"L.",
"M.",
"Wong,1",
"R.",
"A.",
"Gangwani,1",
"Lester",
"W.",
"H.",
"Yu,2",
"and",
"Jimmy",
"S.",
"M.",
"Lai1",
"1",
"Eye",
"Institute,",
"The",
"University",
"of",
"Hong",
"Kong,",
"Room",
"301,",
"Level",
"3,",
"Block",
"B,",
"100",
"Cyberport",
"Road,",
"Cyberport",
"4,",
"Hong",
"Kong",
"2",
"Department",
"of",
"Ophthalmology,",
"Queen",
"Mary",
"Hospital,",
"Hong",
"Kong",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Jimmy",
"S.",
"M.",
"Lai,",
"laism@hku.hk",
"Received",
"31",
"May",
"2012;",
"Revised",
"30",
"July",
"2012;",
"Accepted",
"19",
"August",
"2012",
"Academic",
"Editor:",
"Rajesh",
"Sinha",
"Copyright",
"©",
"2012",
"Raymond",
"L.",
"M.",
"Wong",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Purpose.",
"To",
"review",
"the",
"newer",
"treatments",
"for",
"bacterial",
"keratitis.",
"Data",
"Sources.",
"PubMed",
"literature",
"search",
"up",
"to",
"April",
"2012.",
"Study",
"Selection.",
"Key",
"words",
"used",
"for",
"literature",
"search:",
"“infectious",
"keratitis”,",
"“microbial",
"keratitis”,",
"“infective",
"keratitis”,",
"“new",
"treatments",
"for",
"infectious",
"keratitis”,",
"“fourth",
"generation",
"fluoroquinolones”,",
"“moxifloxacin”,",
"“gatifloxacin”,",
"“collagen",
"cross-linking”,",
"and",
"“photodynamic",
"therapy”.",
"Data",
"Extraction.",
"Over",
"2400",
"articles",
"were",
"retrieved.",
"Large",
"scale",
"studies",
"or",
"publications",
"at",
"more",
"recent",
"dates",
"were",
"selected.",
"Data",
"Synthesis.",
"Broad",
"spectrum",
"antibiotics",
"have",
"been",
"the",
"main",
"stay",
"of",
"treatment",
"for",
"bacterial",
"keratitis",
"but",
"with",
"the",
"emergence",
"of",
"bacterial",
"resistance;",
"there",
"is",
"a",
"need",
"for",
"newer",
"antimicrobial",
"agents",
"and",
"treatment",
"methods.",
"Fourth-",
"generation",
"fluoroquinolones",
"and",
"corneal",
"collagen",
"cross-linking",
"are",
"amongst",
"the",
"new",
"treatments.",
"In",
"vitro",
"studies",
"and",
"prospective",
"clinical",
"trials",
"have",
"shown",
"that",
"fourth-generation",
"fluoroquinolones",
"are",
"better",
"than",
"the",
"older",
"generation",
"fluoroquinolones",
"and",
"are",
"as",
"potent",
"as",
"combined",
"fortified",
"antibiotics",
"against",
"common",
"pathogens",
"that",
"cause",
"bacterial",
"keratitis.",
"Collagen",
"cross-linking",
"was",
"shown",
"to",
"improve",
"healing",
"of",
"infectious",
"corneal",
"ulcer",
"in",
"treatment-resistant",
"cases",
"or",
"as",
"an",
"adjunct",
"to",
"antibiotics",
"treatment.",
"Conclusion.",
"Fourth-generation",
"fluoroquinolones",
"are",
"good",
"alternatives",
"to",
"standard",
"treatment",
"of",
"bacterial",
"keratitis",
"using",
"combined",
"fortified",
"topical",
"antibiotics.",
"Collagen",
"cross-linking",
"may",
"be",
"considered",
"in",
"treatment-resistant",
"infectious",
"keratitis",
"or",
"as",
"an",
"adjunct",
"to",
"antibiotics",
"therapy.",
"1.",
"Introduction",
"Infectious",
"keratitis",
"is",
"a",
"potentially",
"blinding",
"ocular",
"condition",
"of",
"cornea",
"which",
"can",
"cause",
"severe",
"visual",
"loss",
"if",
"not",
"treated",
"at",
"early",
"stage.",
"If",
"the",
"appropriate",
"antimicrobial",
"treatment",
"is",
"delayed,",
"only",
"50%",
"of",
"the",
"eyes",
"gain",
"good",
"visual",
"recovery",
"[1].",
"It",
"can",
"be",
"caused",
"by",
"bacteria,",
"virus,",
"fungus,",
"protozoa,",
"and",
"parasites.",
"The",
"common",
"risk",
"factors",
"for",
"infectious",
"keratitis",
"include",
"ocular",
"trauma,",
"contact",
"lens",
"wear,",
"recent",
"ocular",
"surgery,",
"preexisting",
"ocular",
"surface",
"disease,",
"dry",
"eyes,",
"lid",
"deformity,",
"corneal",
"sensational",
"impairment,",
"chronic",
"use",
"of",
"topical",
"steroids,",
"and",
"systemic",
"immunosuppression",
"[2–",
"5].",
"The",
"common",
"pathogens",
"include",
"Staphylococcus",
"aureus,",
"coagulase-negative",
"Staphylococcus,",
"Pseudomonas",
"aeruginosa,",
"Streptococcus",
"pneumonia,",
"and",
"Serratia",
"species.",
"The",
"majority",
"of",
"community",
"acquired",
"cases",
"of",
"bacterial",
"keratitis",
"resolve",
"with",
"empiric",
"treatment",
"and",
"do",
"not",
"require",
"culture",
"[6].",
"Corneal",
"scraping",
"for",
"culture",
"and",
"sensitivity",
"is",
"indicated",
"for",
"corneal",
"ulcers",
"that",
"are",
"large",
"in",
"size,",
"central",
"in",
"location,",
"extend",
"from",
"middle",
"to",
"deep",
"stroma,",
"associated",
"with",
"pain,",
"simultaneous",
"presence",
"of",
"anterior",
"chamber",
"reaction",
"or",
"hypopyon,",
"poor",
"vision,",
"and",
"presence",
"of",
"corneal",
"abscess",
"or",
"unresponsive",
"to",
"broad",
"spectrum",
"antibiotic",
"therapy",
"[6].",
"Recent",
"studies",
"have",
"shown",
"increasing",
"evidence",
"of",
"resistance",
"of",
"microbes",
"to",
"antimicrobial",
"agents",
"[7–9].",
"Microorganisms",
"develop",
"resistance",
"due",
"to",
"chromosomal",
"mutation,",
"expression",
"of",
"latent",
"chromosomal",
"genes",
"by",
"induction",
"or",
"exchange",
"of",
"genetic",
"material",
"via",
"transformation",
"[9,",
"10].",
"This",
"can",
"cause",
"continued",
"progression",
"of",
"the",
"disease",
"process",
"despite",
"the",
"use",
"of",
"broad",
"spectrum",
"antibiotics.",
"The",
"purpose",
"of",
"this",
"study",
"was",
"to",
"review",
"the",
"newer",
"treatments",
"available",
"for",
"treating",
"the",
"infectious",
"keratitis",
"including",
"those",
"which",
"are",
"resistant",
"to",
"the",
"antimicrobial",
"therapy.",
"2.",
"Methods",
"A",
"PubMed",
"literature",
"search",
"was",
"conducted",
"up",
"to",
"April",
"2012",
"using",
"the",
"following",
"key",
"words:",
"“infectious",
"keratitis”,",
"“microbial",
"keratitis”,",
"“infective",
"keratitis”,",
"“new",
"treatments",
"for"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
3,268,608 | null | [
[
526,
32,
59,
12
],
[
589,
32,
66,
12
],
[
657,
32,
51,
12
],
[
603,
44,
41,
10
],
[
646,
44,
10,
10
],
[
659,
44,
29,
10
],
[
690,
44,
19,
10
],
[
586,
54,
15,
10
],
[
603,
54,
105,
10
],
[
63,
85,
182,
25
],
[
251,
85,
110,
25
],
[
367,
85,
23,
25
],
[
396,
85,
74,
25
],
[
476,
85,
133,
25
],
[
616,
85,
24,
25
],
[
63,
114,
189,
25
],
[
258,
114,
54,
25
],
[
319,
114,
81,
25
],
[
406,
114,
23,
25
],
[
435,
114,
129,
25
],
[
61,
161,
48,
14
],
[
113,
159,
59,
16
],
[
175,
161,
39,
14
],
[
217,
159,
47,
16
],
[
267,
161,
69,
14
],
[
339,
161,
17,
14
],
[
360,
160,
60,
15
],
[
423,
161,
59,
14
],
[
486,
161,
39,
14
],
[
526,
160,
5,
9
],
[
535,
161,
25,
14
],
[
564,
161,
45,
14
],
[
612,
161,
14,
14
],
[
629,
161,
39,
14
],
[
669,
160,
20,
15
],
[
63,
184,
4,
6
],
[
69,
185,
25,
10
],
[
96,
185,
19,
10
],
[
117,
185,
52,
10
],
[
171,
185,
9,
10
],
[
183,
185,
43,
10
],
[
228,
185,
34,
10
],
[
264,
185,
19,
10
],
[
285,
185,
44,
10
],
[
331,
185,
29,
10
],
[
363,
185,
9,
10
],
[
374,
185,
43,
10
],
[
418,
185,
28,
10
],
[
448,
185,
26,
10
],
[
63,
198,
4,
6
],
[
69,
198,
26,
10
],
[
97,
198,
34,
10
],
[
133,
198,
16,
10
],
[
151,
198,
48,
10
],
[
201,
198,
35,
10
],
[
238,
198,
21,
10
],
[
261,
198,
40,
10
],
[
303,
198,
12,
10
],
[
318,
198,
47,
10
],
[
367,
198,
34,
10
],
[
404,
198,
16,
10
],
[
421,
198,
50,
10
],
[
473,
198,
38,
10
],
[
513,
198,
26,
10
],
[
63,
237,
30,
10
],
[
95,
237,
14,
10
],
[
63,
250,
28,
10
],
[
93,
250,
29,
10
],
[
123,
250,
16,
10
],
[
142,
250,
21,
10
],
[
165,
250,
23,
10
],
[
63,
264,
45,
10
],
[
110,
264,
20,
10
],
[
63,
281,
45,
10
],
[
110,
281,
14,
10
],
[
63,
294,
29,
10
],
[
94,
294,
35,
10
],
[
131,
294,
44,
10
],
[
177,
294,
25,
10
],
[
63,
307,
32,
10
],
[
63,
320,
44,
10
],
[
108,
320,
28,
10
],
[
139,
320,
30,
10
],
[
171,
320,
45,
10
],
[
63,
334,
49,
10
],
[
114,
334,
14,
10
],
[
131,
334,
8,
10
],
[
141,
334,
28,
10
],
[
171,
334,
6,
10
],
[
179,
334,
7,
10
],
[
189,
334,
20,
10
],
[
211,
334,
13,
10
],
[
61,
347,
32,
10
],
[
96,
347,
19,
10
],
[
63,
360,
34,
10
],
[
99,
360,
41,
10
],
[
142,
360,
25,
10
],
[
169,
360,
26,
10
],
[
63,
373,
45,
10
],
[
110,
373,
20,
10
],
[
63,
390,
83,
10
],
[
63,
403,
29,
10
],
[
94,
403,
10,
10
],
[
105,
403,
29,
10
],
[
136,
403,
19,
10
],
[
157,
403,
44,
10
],
[
63,
417,
29,
10
],
[
94,
417,
9,
10
],
[
105,
417,
43,
10
],
[
150,
417,
6,
10
],
[
158,
417,
63,
10
],
[
63,
430,
53,
10
],
[
116,
430,
25,
10
],
[
144,
430,
43,
10
],
[
189,
430,
28,
10
],
[
63,
443,
29,
10
],
[
94,
443,
80,
10
],
[
63,
460,
34,
10
],
[
98,
460,
28,
10
],
[
129,
460,
16,
10
],
[
147,
460,
25,
10
],
[
175,
460,
20,
10
],
[
197,
460,
21,
10
],
[
63,
473,
50,
10
],
[
114,
473,
31,
10
],
[
147,
473,
9,
10
],
[
158,
473,
16,
10
],
[
177,
473,
25,
10
],
[
244,
237,
94,
14
],
[
343,
237,
34,
14
],
[
381,
237,
51,
14
],
[
437,
237,
19,
14
],
[
460,
237,
100,
14
],
[
565,
237,
31,
14
],
[
600,
237,
65,
14
],
[
670,
237,
34,
14
],
[
708,
237,
23,
14
],
[
736,
237,
28,
14
],
[
244,
254,
87,
14
],
[
336,
254,
52,
14
],
[
392,
254,
64,
14
],
[
460,
254,
54,
14
],
[
519,
254,
14,
14
],
[
537,
254,
65,
14
],
[
607,
254,
26,
14
],
[
637,
254,
29,
14
],
[
671,
254,
52,
14
],
[
727,
254,
7,
14
],
[
738,
254,
25,
14
],
[
244,
270,
31,
14
],
[
278,
270,
12,
14
],
[
293,
270,
20,
14
],
[
315,
270,
61,
14
],
[
379,
270,
48,
14
],
[
429,
270,
84,
14
],
[
516,
270,
61,
14
],
[
579,
270,
11,
14
],
[
592,
270,
20,
14
],
[
615,
270,
55,
14
],
[
672,
270,
47,
14
],
[
722,
270,
42,
14
],
[
244,
287,
20,
14
],
[
266,
287,
48,
14
],
[
315,
287,
12,
14
],
[
330,
287,
19,
14
],
[
351,
287,
52,
14
],
[
404,
287,
49,
14
],
[
455,
287,
28,
14
],
[
484,
287,
46,
14
],
[
533,
287,
75,
14
],
[
609,
287,
28,
14
],
[
639,
287,
55,
14
],
[
696,
287,
14,
14
],
[
712,
287,
52,
14
],
[
244,
304,
35,
14
],
[
283,
304,
48,
14
],
[
334,
304,
38,
14
],
[
375,
304,
63,
14
],
[
442,
304,
40,
14
],
[
486,
304,
28,
14
],
[
517,
304,
30,
14
],
[
550,
304,
55,
14
],
[
608,
304,
11,
14
],
[
623,
304,
66,
14
],
[
691,
304,
22,
14
],
[
716,
304,
47,
14
],
[
244,
320,
12,
14
],
[
261,
320,
38,
14
],
[
304,
320,
40,
14
],
[
349,
320,
19,
14
],
[
372,
320,
50,
14
],
[
427,
320,
11,
14
],
[
442,
320,
19,
14
],
[
466,
320,
40,
14
],
[
511,
320,
87,
14
],
[
603,
320,
103,
14
],
[
711,
320,
52,
14
],
[
244,
337,
22,
14
],
[
270,
337,
59,
14
],
[
334,
337,
43,
14
],
[
381,
337,
11,
14
],
[
396,
337,
20,
14
],
[
420,
337,
65,
14
],
[
489,
337,
44,
14
],
[
537,
337,
12,
14
],
[
553,
337,
31,
14
],
[
589,
337,
30,
14
],
[
622,
337,
32,
14
],
[
658,
337,
38,
14
],
[
700,
337,
63,
14
],
[
244,
354,
10,
14
],
[
258,
354,
46,
14
],
[
308,
354,
12,
14
],
[
324,
354,
33,
14
],
[
361,
354,
11,
14
],
[
375,
354,
20,
14
],
[
399,
354,
36,
14
],
[
439,
354,
11,
14
],
[
453,
354,
31,
14
],
[
489,
354,
31,
14
],
[
523,
354,
125,
14
],
[
651,
354,
51,
14
],
[
706,
354,
12,
14
],
[
722,
354,
42,
14
],
[
244,
370,
28,
14
],
[
275,
370,
38,
14
],
[
315,
370,
34,
14
],
[
351,
370,
49,
14
],
[
402,
370,
28,
14
],
[
432,
370,
50,
14
],
[
484,
370,
7,
14
],
[
493,
370,
64,
14
],
[
559,
370,
53,
14
],
[
614,
370,
12,
14
],
[
628,
370,
38,
14
],
[
668,
370,
40,
14
],
[
711,
370,
11,
14
],
[
724,
370,
40,
14
],
[
244,
387,
40,
14
],
[
288,
387,
55,
14
],
[
347,
387,
49,
14
],
[
400,
387,
22,
14
],
[
425,
387,
53,
14
],
[
482,
387,
10,
14
],
[
496,
387,
88,
14
],
[
588,
387,
12,
14
],
[
604,
387,
21,
14
],
[
628,
387,
24,
14
],
[
656,
387,
15,
14
],
[
675,
387,
42,
14
],
[
720,
387,
11,
14
],
[
735,
387,
29,
14
],
[
244,
403,
43,
14
],
[
292,
403,
47,
14
],
[
343,
403,
86,
14
],
[
434,
403,
33,
14
],
[
471,
403,
18,
14
],
[
494,
403,
32,
14
],
[
531,
403,
14,
14
],
[
549,
403,
94,
14
],
[
648,
403,
12,
14
],
[
665,
403,
27,
14
],
[
696,
403,
42,
14
],
[
742,
403,
22,
14
],
[
244,
420,
37,
14
],
[
286,
420,
28,
14
],
[
318,
420,
38,
14
],
[
360,
420,
34,
14
],
[
398,
420,
49,
14
],
[
452,
420,
23,
14
],
[
479,
420,
20,
14
],
[
503,
420,
57,
14
],
[
565,
420,
53,
14
],
[
622,
420,
12,
14
],
[
638,
420,
38,
14
],
[
680,
420,
40,
14
],
[
725,
420,
39,
14
],
[
244,
436,
105,
14
],
[
355,
436,
58,
14
],
[
419,
436,
16,
14
],
[
441,
436,
47,
14
],
[
493,
436,
46,
14
],
[
545,
436,
7,
14
],
[
556,
436,
142,
14
],
[
704,
436,
41,
14
],
[
752,
436,
12,
14
],
[
244,
453,
54,
14
],
[
302,
453,
65,
14
],
[
372,
453,
35,
14
],
[
410,
453,
10,
14
],
[
424,
453,
70,
14
],
[
497,
453,
16,
14
],
[
517,
453,
29,
14
],
[
550,
453,
41,
14
],
[
595,
453,
60,
14
],
[
659,
453,
31,
14
],
[
693,
453,
36,
14
],
[
733,
453,
31,
14
],
[
244,
470,
38,
14
],
[
285,
470,
11,
14
],
[
300,
470,
42,
14
],
[
345,
470,
19,
14
],
[
368,
470,
35,
14
],
[
406,
470,
22,
14
],
[
431,
470,
24,
14
],
[
458,
470,
41,
14
],
[
503,
470,
28,
14
],
[
534,
470,
31,
14
],
[
568,
470,
16,
14
],
[
588,
470,
27,
14
],
[
618,
470,
39,
14
],
[
660,
470,
36,
14
],
[
700,
470,
64,
14
],
[
244,
486,
11,
14
],
[
258,
486,
41,
14
],
[
300,
486,
24,
14
],
[
327,
486,
54,
14
],
[
383,
486,
23,
14
],
[
409,
486,
20,
14
],
[
431,
486,
57,
14
],
[
491,
486,
72,
14
],
[
566,
486,
12,
14
],
[
581,
486,
35,
14
],
[
619,
486,
11,
14
],
[
632,
486,
38,
14
],
[
673,
486,
63,
14
],
[
739,
486,
25,
14
],
[
244,
503,
15,
14
],
[
263,
503,
49,
14
],
[
315,
503,
11,
14
],
[
329,
503,
29,
14
],
[
361,
503,
22,
14
],
[
386,
503,
40,
14
],
[
429,
503,
47,
14
],
[
244,
528,
49,
10
],
[
295,
528,
31,
10
],
[
329,
528,
33,
10
],
[
363,
528,
24,
10
],
[
389,
528,
53,
10
],
[
444,
528,
41,
10
],
[
63,
565,
90,
14
],
[
63,
581,
91,
14
],
[
160,
581,
31,
14
],
[
198,
581,
51,
14
],
[
256,
581,
16,
14
],
[
279,
581,
91,
14
],
[
377,
581,
28,
14
],
[
63,
597,
31,
14
],
[
96,
597,
21,
14
],
[
119,
597,
46,
14
],
[
167,
597,
11,
14
],
[
180,
597,
26,
14
],
[
209,
597,
50,
14
],
[
261,
597,
12,
14
],
[
275,
597,
60,
14
],
[
337,
597,
42,
14
],
[
380,
597,
25,
14
],
[
63,
613,
36,
14
],
[
102,
613,
27,
14
],
[
132,
613,
67,
14
],
[
202,
613,
47,
14
],
[
252,
613,
20,
14
],
[
276,
613,
46,
14
],
[
326,
613,
24,
14
],
[
353,
613,
52,
14
],
[
63,
629,
39,
14
],
[
106,
629,
56,
14
],
[
167,
629,
44,
14
],
[
216,
629,
34,
14
],
[
255,
629,
52,
14
],
[
311,
629,
55,
14
],
[
371,
629,
35,
14
],
[
63,
645,
27,
14
],
[
91,
645,
20,
14
],
[
113,
645,
31,
14
],
[
145,
645,
11,
14
],
[
159,
645,
30,
14
],
[
190,
645,
29,
14
],
[
221,
645,
44,
14
],
[
267,
645,
11,
14
],
[
280,
645,
25,
14
],
[
307,
645,
35,
14
],
[
344,
645,
32,
14
],
[
378,
645,
10,
14
],
[
390,
645,
16,
14
],
[
63,
661,
29,
14
],
[
94,
661,
29,
14
],
[
124,
661,
30,
14
],
[
157,
661,
10,
14
],
[
170,
661,
16,
14
],
[
188,
661,
29,
14
],
[
219,
661,
36,
14
],
[
258,
661,
10,
14
],
[
270,
661,
16,
14
],
[
288,
661,
29,
14
],
[
320,
661,
55,
14
],
[
377,
661,
10,
14
],
[
390,
661,
16,
14
],
[
63,
677,
29,
14
],
[
95,
677,
74,
14
],
[
172,
677,
10,
14
],
[
185,
677,
16,
14
],
[
204,
677,
29,
14
],
[
236,
677,
41,
14
],
[
281,
677,
10,
14
],
[
295,
677,
16,
14
],
[
314,
677,
34,
14
],
[
351,
677,
55,
14
],
[
63,
693,
11,
14
],
[
77,
693,
17,
14
],
[
98,
693,
23,
14
],
[
125,
693,
29,
14
],
[
158,
693,
22,
14
],
[
183,
693,
11,
14
],
[
198,
693,
72,
14
],
[
273,
693,
11,
14
],
[
288,
693,
67,
14
],
[
358,
693,
47,
14
],
[
63,
709,
26,
14
],
[
91,
709,
10,
14
],
[
103,
709,
16,
14
],
[
120,
709,
29,
14
],
[
150,
709,
45,
14
],
[
196,
709,
10,
14
],
[
208,
709,
16,
14
],
[
225,
709,
29,
14
],
[
255,
709,
30,
14
],
[
287,
709,
10,
14
],
[
299,
709,
16,
14
],
[
316,
709,
29,
14
],
[
346,
709,
59,
14
],
[
63,
725,
10,
14
],
[
74,
725,
16,
14
],
[
91,
725,
29,
14
],
[
121,
725,
61,
14
],
[
184,
725,
10,
14
],
[
195,
725,
16,
14
],
[
213,
725,
29,
14
],
[
243,
725,
11,
14
],
[
255,
725,
10,
14
],
[
267,
725,
16,
14
],
[
284,
725,
34,
14
],
[
319,
725,
55,
14
],
[
376,
725,
11,
14
],
[
388,
725,
17,
14
],
[
63,
740,
96,
14
],
[
160,
740,
46,
14
],
[
207,
740,
23,
14
],
[
231,
740,
17,
14
],
[
249,
740,
37,
14
],
[
288,
740,
43,
14
],
[
332,
740,
28,
14
],
[
361,
740,
6,
14
],
[
369,
740,
37,
14
],
[
63,
756,
57,
14
],
[
122,
756,
60,
14
],
[
184,
756,
10,
14
],
[
196,
756,
16,
14
],
[
214,
756,
34,
14
],
[
250,
756,
30,
14
],
[
283,
756,
25,
14
],
[
310,
756,
29,
14
],
[
341,
756,
20,
14
],
[
364,
756,
41,
14
],
[
63,
772,
16,
14
],
[
82,
772,
50,
14
],
[
136,
772,
16,
14
],
[
156,
772,
59,
14
],
[
219,
772,
47,
14
],
[
269,
772,
11,
14
],
[
284,
772,
17,
14
],
[
304,
772,
50,
14
],
[
358,
772,
47,
14
],
[
63,
788,
20,
14
],
[
84,
788,
64,
14
],
[
149,
788,
17,
14
],
[
168,
788,
72,
14
],
[
241,
788,
48,
14
],
[
291,
788,
21,
14
],
[
313,
788,
31,
14
],
[
345,
788,
17,
14
],
[
364,
788,
41,
14
],
[
63,
804,
43,
14
],
[
108,
804,
47,
14
],
[
158,
804,
45,
14
],
[
206,
804,
51,
14
],
[
260,
804,
43,
14
],
[
306,
804,
17,
14
],
[
326,
804,
45,
14
],
[
374,
804,
11,
14
],
[
388,
804,
17,
14
],
[
63,
820,
47,
14
],
[
113,
820,
42,
14
],
[
159,
820,
27,
14
],
[
188,
820,
42,
14
],
[
234,
820,
67,
14
],
[
304,
820,
28,
14
],
[
335,
820,
47,
14
],
[
385,
820,
20,
14
],
[
63,
836,
40,
14
],
[
105,
836,
51,
14
],
[
159,
836,
20,
14
],
[
181,
836,
90,
14
],
[
78,
852,
91,
14
],
[
175,
852,
31,
14
],
[
212,
852,
16,
14
],
[
234,
852,
51,
14
],
[
291,
852,
43,
14
],
[
340,
852,
20,
14
],
[
366,
852,
40,
14
],
[
63,
868,
34,
14
],
[
99,
868,
17,
14
],
[
118,
868,
43,
14
],
[
163,
868,
56,
14
],
[
221,
868,
44,
14
],
[
267,
868,
20,
14
],
[
289,
868,
17,
14
],
[
308,
868,
71,
14
],
[
381,
868,
24,
14
],
[
63,
884,
17,
14
],
[
82,
884,
17,
14
],
[
101,
884,
56,
14
],
[
159,
884,
29,
14
],
[
190,
884,
36,
14
],
[
228,
884,
10,
14
],
[
241,
884,
16,
14
],
[
258,
884,
29,
14
],
[
289,
884,
55,
14
],
[
347,
884,
10,
14
],
[
359,
884,
16,
14
],
[
377,
884,
29,
14
],
[
63,
900,
74,
14
],
[
138,
900,
10,
14
],
[
150,
900,
16,
14
],
[
168,
900,
29,
14
],
[
199,
900,
11,
14
],
[
211,
900,
10,
14
],
[
223,
900,
16,
14
],
[
241,
900,
29,
14
],
[
272,
900,
40,
14
],
[
314,
900,
10,
14
],
[
326,
900,
16,
14
],
[
344,
900,
29,
14
],
[
374,
900,
31,
14
],
[
63,
915,
10,
14
],
[
75,
915,
16,
14
],
[
94,
915,
34,
14
],
[
130,
915,
44,
14
],
[
177,
915,
41,
14
],
[
221,
915,
16,
14
],
[
241,
915,
21,
14
],
[
265,
915,
51,
14
],
[
319,
915,
43,
14
],
[
365,
915,
17,
14
],
[
385,
915,
21,
14
],
[
63,
931,
28,
14
],
[
94,
931,
56,
14
],
[
153,
931,
48,
14
],
[
203,
931,
27,
14
],
[
233,
931,
17,
14
],
[
254,
931,
46,
14
],
[
302,
931,
11,
14
],
[
317,
931,
44,
14
],
[
364,
931,
41,
14
],
[
63,
947,
16,
14
],
[
82,
947,
50,
14
],
[
136,
947,
13,
14
],
[
153,
947,
17,
14
],
[
174,
947,
56,
14
],
[
233,
947,
26,
14
],
[
263,
947,
11,
14
],
[
277,
947,
48,
14
],
[
329,
947,
6,
14
],
[
339,
947,
24,
14
],
[
367,
947,
39,
14
],
[
63,
963,
23,
14
],
[
87,
963,
24,
14
],
[
112,
963,
11,
14
],
[
125,
963,
41,
14
],
[
169,
963,
11,
14
],
[
181,
963,
17,
14
],
[
200,
963,
50,
14
],
[
252,
963,
57,
14
],
[
311,
963,
51,
14
],
[
364,
963,
41,
14
],
[
421,
565,
21,
14
],
[
446,
565,
27,
14
],
[
477,
565,
11,
14
],
[
492,
565,
43,
14
],
[
540,
565,
42,
14
],
[
585,
565,
11,
14
],
[
601,
565,
36,
14
],
[
641,
565,
17,
14
],
[
662,
565,
56,
14
],
[
722,
565,
26,
14
],
[
753,
565,
11,
14
],
[
421,
581,
49,
14
],
[
437,
597,
44,
14
],
[
484,
597,
41,
14
],
[
529,
597,
16,
14
],
[
549,
597,
36,
14
],
[
589,
597,
49,
14
],
[
641,
597,
11,
14
],
[
656,
597,
60,
14
],
[
719,
597,
45,
14
],
[
421,
613,
28,
14
],
[
451,
613,
6,
14
],
[
460,
613,
34,
14
],
[
496,
613,
21,
14
],
[
520,
613,
16,
14
],
[
538,
613,
30,
14
],
[
571,
613,
10,
14
],
[
584,
613,
17,
14
],
[
603,
613,
7,
14
],
[
616,
613,
20,
14
],
[
638,
613,
21,
14
],
[
662,
613,
26,
14
],
[
690,
613,
20,
14
],
[
713,
613,
16,
14
],
[
732,
613,
32,
14
],
[
421,
629,
22,
14
],
[
445,
629,
36,
14
],
[
482,
629,
25,
14
],
[
509,
629,
22,
14
],
[
533,
629,
20,
14
],
[
555,
629,
24,
14
],
[
581,
629,
16,
14
],
[
599,
629,
10,
14
],
[
611,
629,
16,
14
],
[
628,
629,
29,
14
],
[
658,
629,
41,
14
],
[
701,
629,
10,
14
],
[
713,
629,
16,
14
],
[
730,
629,
34,
14
],
[
421,
645,
44,
14
],
[
468,
645,
42,
14
],
[
513,
645,
11,
14
],
[
527,
645,
40,
14
],
[
571,
645,
42,
14
],
[
616,
645,
23,
14
],
[
642,
645,
38,
14
],
[
683,
645,
17,
14
],
[
704,
645,
34,
14
],
[
741,
645,
23,
14
],
[
421,
661,
12,
14
],
[
437,
661,
16,
14
],
[
456,
661,
14,
14
],
[
474,
661,
24,
14
],
[
502,
661,
25,
14
],
[
530,
661,
16,
14
],
[
549,
661,
25,
14
],
[
578,
661,
73,
14
],
[
654,
661,
45,
14
],
[
703,
661,
10,
14
],
[
716,
661,
16,
14
],
[
735,
661,
29,
14
],
[
421,
677,
27,
14
],
[
451,
677,
10,
14
],
[
464,
677,
16,
14
],
[
482,
677,
29,
14
],
[
514,
677,
14,
14
],
[
531,
677,
10,
14
],
[
544,
677,
16,
14
],
[
562,
677,
34,
14
],
[
599,
677,
14,
14
],
[
616,
677,
9,
14
],
[
628,
677,
50,
14
],
[
681,
677,
16,
14
],
[
700,
677,
63,
14
],
[
421,
693,
11,
14
],
[
437,
693,
47,
14
],
[
488,
693,
20,
14
],
[
513,
693,
42,
14
],
[
559,
693,
25,
14
],
[
588,
693,
23,
14
],
[
615,
693,
11,
14
],
[
631,
693,
37,
14
],
[
673,
693,
57,
14
],
[
734,
693,
10,
14
],
[
748,
693,
16,
14
],
[
421,
709,
34,
14
],
[
457,
709,
31,
14
],
[
490,
709,
23,
14
],
[
515,
709,
14,
14
],
[
531,
709,
19,
14
],
[
552,
709,
39,
14
],
[
593,
709,
14,
14
],
[
610,
709,
23,
14
],
[
635,
709,
51,
14
],
[
688,
709,
14,
14
],
[
705,
709,
9,
14
],
[
716,
709,
48,
14
],
[
421,
725,
22,
14
],
[
446,
725,
16,
14
],
[
465,
725,
43,
14
],
[
511,
725,
37,
14
],
[
551,
725,
60,
14
],
[
613,
725,
11,
14
],
[
627,
725,
28,
14
],
[
658,
725,
26,
14
],
[
686,
725,
45,
14
],
[
736,
725,
28,
14
],
[
421,
740,
20,
14
],
[
445,
740,
46,
14
],
[
496,
740,
36,
14
],
[
536,
740,
16,
14
],
[
557,
740,
50,
14
],
[
611,
740,
16,
14
],
[
632,
740,
43,
14
],
[
679,
740,
37,
14
],
[
721,
740,
43,
14
],
[
421,
756,
22,
14
],
[
448,
756,
11,
14
],
[
464,
756,
25,
14
],
[
494,
756,
40,
14
],
[
539,
756,
33,
14
],
[
577,
756,
37,
14
],
[
619,
756,
10,
14
],
[
634,
756,
16,
14
],
[
654,
756,
29,
14
],
[
688,
756,
41,
14
],
[
733,
756,
10,
14
],
[
748,
756,
16,
14
],
[
421,
772,
29,
14
],
[
452,
772,
27,
14
],
[
481,
772,
10,
14
],
[
494,
772,
16,
14
],
[
511,
772,
31,
14
],
[
545,
772,
20,
14
],
[
567,
772,
28,
14
],
[
597,
772,
23,
14
],
[
622,
772,
45,
14
],
[
670,
772,
10,
14
],
[
683,
772,
16,
14
],
[
701,
772,
34,
14
],
[
736,
772,
28,
14
],
[
421,
788,
54,
14
],
[
479,
788,
39,
14
],
[
521,
788,
41,
14
],
[
567,
788,
45,
14
],
[
615,
788,
28,
14
],
[
647,
788,
20,
14
],
[
670,
788,
48,
14
],
[
723,
788,
40,
14
],
[
421,
804,
16,
14
],
[
441,
804,
50,
14
],
[
495,
804,
16,
14
],
[
514,
804,
43,
14
],
[
561,
804,
37,
14
],
[
602,
804,
73,
14
],
[
678,
804,
11,
14
],
[
692,
804,
29,
14
],
[
725,
804,
39,
14
],
[
421,
820,
10,
14
],
[
433,
820,
16,
14
],
[
450,
820,
34,
14
],
[
485,
820,
32,
14
],
[
519,
820,
29,
14
],
[
550,
820,
50,
14
],
[
602,
820,
16,
14
],
[
620,
820,
44,
14
],
[
665,
820,
37,
14
],
[
704,
820,
60,
14
],
[
421,
836,
38,
14
],
[
461,
836,
39,
14
],
[
437,
852,
21,
14
],
[
466,
852,
56,
14
],
[
530,
852,
26,
14
],
[
563,
852,
49,
14
],
[
620,
852,
37,
14
],
[
665,
852,
71,
14
],
[
743,
852,
20,
14
],
[
421,
868,
60,
14
],
[
484,
868,
50,
14
],
[
537,
868,
84,
14
],
[
624,
868,
20,
14
],
[
647,
868,
9,
14
],
[
659,
868,
41,
14
],
[
704,
868,
60,
14
],
[
421,
884,
42,
14
],
[
467,
884,
27,
14
],
[
498,
884,
11,
14
],
[
513,
884,
53,
14
],
[
570,
884,
16,
14
],
[
590,
884,
17,
14
],
[
611,
884,
65,
14
],
[
680,
884,
58,
14
],
[
743,
884,
21,
14
],
[
421,
900,
56,
14
],
[
480,
900,
41,
14
],
[
525,
900,
17,
14
],
[
546,
900,
71,
14
],
[
621,
900,
39,
14
],
[
664,
900,
45,
14
],
[
713,
900,
16,
14
],
[
733,
900,
31,
14
],
[
421,
915,
17,
14
],
[
442,
915,
17,
14
],
[
462,
915,
31,
14
],
[
497,
915,
42,
14
],
[
542,
915,
79,
14
],
[
625,
915,
10,
14
],
[
638,
915,
16,
14
],
[
657,
915,
29,
14
],
[
690,
915,
41,
14
],
[
735,
915,
10,
14
],
[
748,
915,
16,
14
],
[
421,
931,
34,
14
],
[
460,
931,
59,
14
],
[
524,
931,
17,
14
],
[
547,
931,
7,
14
],
[
563,
931,
20,
14
],
[
588,
931,
11,
14
],
[
605,
931,
38,
14
],
[
649,
931,
41,
14
],
[
696,
931,
11,
14
],
[
713,
931,
17,
14
],
[
736,
931,
28,
14
],
[
421,
947,
63,
14
],
[
488,
947,
39,
14
],
[
532,
947,
41,
14
],
[
578,
947,
16,
14
],
[
599,
947,
24,
14
],
[
628,
947,
36,
14
],
[
669,
947,
25,
14
],
[
698,
947,
31,
14
],
[
734,
947,
30,
14
],
[
421,
963,
90,
14
],
[
513,
963,
41,
14
],
[
557,
963,
16,
14
],
[
576,
963,
36,
14
],
[
614,
963,
11,
14
],
[
628,
963,
17,
14
],
[
647,
963,
28,
14
],
[
677,
963,
63,
14
],
[
743,
963,
21,
14
],
[
63,
1033,
101,
11
],
[
602,
1033,
31,
10
],
[
635,
1033,
20,
10
],
[
658,
1033,
3,
10
],
[
662,
1033,
33,
10
],
[
697,
1033,
6,
10
],
[
705,
1033,
3,
10
],
[
709,
1033,
28,
10
],
[
739,
1033,
11,
10
],
[
753,
1033,
3,
10
],
[
758,
1033,
6,
10
]
] | [
"ORIGINAL",
"RESEARCH",
"ARTICLE",
"published:",
"30",
"August",
"2011",
"doi:",
"10.3389/fgene.2011.00055",
"Gender-specific",
"hierarchy",
"in",
"nuage",
"localization",
"of",
"PIWI-interacting",
"RNA",
"factors",
"in",
"Drosophila",
"Akihiro",
"Nagao1†,",
"Kaoru",
"Sato1†,",
"Kazumichi",
"M.",
"Nishida1,",
"Haruhiko",
"Siomi",
"1",
"and",
"Mikiko",
"C.",
"Siomi",
"1,2*",
"1",
"Siomi",
"Lab,",
"Department",
"of",
"Molecular",
"Biology,",
"Keio",
"University",
"School",
"of",
"Medicine,",
"Tokyo,",
"Japan",
"2",
"Japan",
"Science",
"and",
"Technology",
"Agency,",
"Core",
"Research",
"for",
"Evolutional",
"Science",
"and",
"Technology,",
"Saitama,",
"Japan",
"Edited",
"by:",
"Muller",
"Fabbri,",
"The",
"Ohio",
"State",
"University,",
"USA",
"Reviewed",
"by:",
"Patrick",
"Provost,",
"Université",
"Laval,",
"Canada",
"Francesca",
"Fanini,",
"Istituto",
"Scientifico",
"Romagnolo",
"per",
"lo",
"Studio",
"e",
"la",
"Cura",
"dei",
"Tumori,",
"Italy",
"Michael",
"Frohman,",
"Stony",
"Brook",
"University,",
"USA",
"*Correspondence:",
"Mikiko",
"C.",
"Siomi,",
"Keio",
"University",
"School",
"of",
"Medicine,",
"3",
"Shinanomachi,",
"Shinjuku-ku,",
"Tokyo",
"160-8582,",
"Japan.",
"e-mail:",
"siomim@z6.keio.jp",
"†Akihiro",
"Nagao",
"and",
"Kaoru",
"Sato",
"have",
"contributed",
"equally",
"to",
"this",
"work.",
"PIWI-interacting",
"RNAs",
"(piRNAs)",
"are",
"germline-specific",
"small",
"non-coding",
"RNAs",
"that",
"form",
"piRNA-induced",
"silencing",
"complexes",
"(piRISCs)",
"by",
"associating",
"with",
"PIWI",
"proteins,",
"a",
"sub-",
"clade",
"of",
"the",
"Argonaute",
"proteins",
"predominantly",
"expressed",
"in",
"the",
"germline.",
"piRISCs",
"protect",
"the",
"integrity",
"of",
"the",
"germline",
"genome",
"from",
"invasive",
"transposable",
"DNA",
"elements",
"by",
"silencing",
"them.",
"Multiple",
"piRNA",
"biogenesis",
"factors",
"have",
"been",
"identified",
"in",
"Drosophila.",
"The",
"majority",
"of",
"piRNA",
"factors",
"are",
"localized",
"in",
"the",
"nuage,",
"electron-dense",
"non-membranous",
"cytoplas-",
"mic",
"structures",
"located",
"in",
"the",
"perinuclear",
"regions",
"of",
"germ",
"cells.",
"Thus,",
"piRNA",
"biogenesis",
"is",
"thought",
"to",
"occur",
"in",
"the",
"nuage",
"in",
"germ",
"cells.",
"Immunofluorescence",
"analyses",
"of",
"ovaries",
"from",
"piRNA",
"factor",
"mutants",
"have",
"revealed",
"a",
"localization",
"hierarchy",
"of",
"piRNA",
"factors",
"in",
"female",
"nuage.",
"However,",
"whether",
"this",
"hierarchy",
"is",
"female-specific",
"or",
"can",
"also",
"be",
"applied",
"in",
"male",
"gonads",
"remains",
"undetermined.",
"Here,",
"we",
"show",
"by",
"immunostaining",
"of",
"both",
"ovaries",
"and",
"testes",
"from",
"piRNA",
"factor",
"mutants",
"that",
"the",
"molecular",
"hierarchy",
"of",
"piRNA",
"factors",
"shows",
"gender-specificity,",
"especially",
"for",
"Krimper",
"(Krimp),",
"a",
"Tudor-domain-containing",
"protein",
"of",
"unknown",
"function(s):",
"Krimp",
"is",
"dispensable",
"for",
"PIWI",
"protein",
"Aubergine",
"(Aub)",
"nuage",
"local-",
"ization",
"in",
"ovaries",
"but",
"Krimp",
"and",
"Aub",
"require",
"each",
"other",
"for",
"their",
"proper",
"nuage",
"localization",
"in",
"testes.",
"This",
"suggests",
"that",
"the",
"functional",
"requirement",
"of",
"Krimp",
"in",
"piRNA",
"biogenesis",
"may",
"be",
"different",
"in",
"male",
"and",
"female",
"gonads.",
"Keywords:",
"nuage,",
"piRNA,",
"PIWI,",
"Drosophila,",
"germline",
"INTRODUCTION",
"PIWI-interacting",
"RNAs",
"(piRNAs)",
"are",
"germline-specific",
"small",
"RNAs",
"that",
"function",
"in",
"RNA",
"silencing.",
"In",
"Drosophila,",
"piRNAs",
"arise",
"mostly",
"from",
"transposable",
"elements",
"and",
"associate",
"with",
"germline-",
"specific",
"Argonaute",
"proteins",
"(PIWI",
"proteins),",
"Aubergine",
"(Aub),",
"Piwi,",
"and",
"Ago3,",
"to",
"guide",
"PIWI",
"proteins",
"to",
"their",
"targets",
"(Saito",
"et",
"al.,",
"2006,",
"2009;",
"Vagin",
"et",
"al.,",
"2006;",
"Aravin",
"et",
"al.,",
"2007;",
"Brennecke",
"et",
"al.,",
"2007;",
"Gunawardane",
"et",
"al.,",
"2007;",
"Nishida",
"et",
"al.,",
"2007).",
"Mutations",
"in",
"the",
"piwi",
"genes",
"lead",
"to",
"de-repression",
"of",
"transposable",
"elements",
"(Cox",
"et",
"al.,",
"1998;",
"Schmidt",
"et",
"al.,",
"1999;",
"Vagin",
"et",
"al.,",
"2004;",
"Kalmykova",
"et",
"al.,",
"2005;",
"Klattenhoff",
"et",
"al.,",
"2007;",
"Li",
"et",
"al.,",
"2009).",
"Mutations",
"in",
"the",
"piRNA-producing",
"genomic",
"loci,",
"the",
"piRNA",
"clusters,",
"show",
"a",
"similar",
"phenotype",
"(Brennecke",
"et",
"al.,",
"2007).",
"Thus,",
"both",
"PIWI",
"and",
"piRNAs",
"are",
"necessary",
"for",
"transposon",
"silencing",
"in",
"the",
"germline.",
"Through",
"this",
"mechanism,",
"the",
"PIWI–piRNA",
"complex,",
"also",
"called",
"the",
"piRNA-",
"induced",
"silencing",
"complex",
"(piRISC),",
"protects",
"the",
"integrity",
"of",
"the",
"germline",
"genome",
"from",
"invasive",
"transposable",
"DNA",
"elements",
"and",
"ensures",
"oogenesis",
"and",
"spermatogenesis.",
"PIWI-interacting",
"RNAs",
"are",
"produced",
"through",
"two",
"mecha-",
"nisms,",
"the",
"primary",
"processing",
"pathway",
"and",
"the",
"amplification",
"loop",
"(or",
"the",
"Ping-Pong",
"cycle;",
"Aravin",
"et",
"al.,",
"2007;",
"Brennecke",
"et",
"al.,",
"2007;",
"Gunawardane",
"et",
"al.,",
"2007;",
"Li",
"et",
"al.,",
"2009;",
"Malone",
"et",
"al.,",
"2009;",
"Siomi",
"et",
"al.,",
"2011).",
"Primary",
"piRNAs",
"are",
"first",
"produced",
"through",
"the",
"pri-",
"mary",
"processing",
"pathway;",
"then,",
"the",
"majority",
"of",
"primary",
"piRNAs",
"are",
"amplified",
"by",
"the",
"Ping-Pong",
"cycle",
"to",
"maintain",
"a",
"high",
"expres-",
"sion",
"level",
"of",
"piRNAs",
"in",
"the",
"germline.",
"Maternally",
"deposited",
"piRNAs",
"also",
"serve",
"as",
"primary",
"piRNAs",
"to",
"induce",
"the",
"Ping-Pong",
"cycle",
"in",
"embryos.",
"Primary",
"piRNAs",
"are",
"mostly",
"antisense",
"to",
"transposon",
"mRNAs,",
"show",
"a",
"strong",
"bias",
"for",
"uracil",
"at",
"the",
"5",
"end",
"(1U",
"bias)",
"and",
"are",
"favor-",
"ably",
"loaded",
"onto",
"Aub",
"and",
"Piwi",
"(Li",
"et",
"al.,",
"2009;",
"Malone",
"et",
"al.,",
"2009).",
"Primary",
"piRNAs",
"in",
"ovarian",
"somatic",
"cells",
"require",
"the",
"female",
"ster-",
"ile",
"(1)",
"Yb",
"(Yb)",
"gene",
"for",
"their",
"accumulation",
"(Olivieri",
"et",
"al.,",
"2010;",
"Saito",
"et",
"al.,",
"2010;",
"Qi",
"et",
"al.,",
"2011).",
"Yb",
"is",
"necessary",
"for",
"self-renewal",
"of",
"germline",
"and",
"somatic",
"stem",
"cells",
"in",
"ovaries",
"(Szakmary",
"et",
"al.,",
"2009).",
"Germ",
"cells",
"do",
"not",
"express",
"Yb",
"and,",
"therefore,",
"Yb",
"is",
"unneces-",
"sary",
"for",
"primary",
"piRNA",
"production",
"in",
"germ",
"cells.",
"Zucchini",
"(zuc)",
"and",
"armitage",
"(armi)",
"are",
"necessary",
"for",
"primary",
"piRNA",
"produc-",
"tion",
"in",
"both",
"ovarian",
"somas",
"(Haase",
"et",
"al.,",
"2010;",
"Olivieri",
"et",
"al.,",
"2010;",
"Saito",
"et",
"al.,",
"2010)",
"and",
"germ",
"cells",
"(Malone",
"et",
"al.,",
"2009).",
"Vasa,",
"maelstrom",
"(mael),",
"krimper",
"(krimp),",
"armi,",
"and",
"spindle-E",
"(spn-E)",
"are",
"necessary",
"for",
"primary",
"piRNA",
"accumulation",
"in",
"testes",
"(Nagao",
"et",
"al.,",
"2010).",
"Other",
"genes",
"necessary",
"for",
"primary",
"piRNA",
"production",
"remain",
"elusive.",
"The",
"Ping-Pong",
"cycle",
"performs",
"piRNA",
"amplification",
"and",
"transposon",
"silencing,",
"simultaneously;",
"this",
"is",
"because",
"transposon",
"mRNAs",
"serve",
"as",
"substrates",
"for",
"the",
"Aub–piRNA",
"complexes.",
"The",
"Aub-Slicer",
"activity,",
"the",
"endonuclease",
"activity",
"required",
"for",
"cleav-",
"ing",
"the",
"target",
"mRNAs",
"(Gunawardane",
"et",
"al.,",
"2007;",
"Nishida",
"et",
"al.,",
"2007),",
"determines",
"the",
"5",
"end",
"of",
"mature",
"piRNAs",
"in",
"the",
"sense",
"orientation.",
"Mature",
"piRNAs",
"are",
"then",
"loaded",
"onto",
"Ago3.",
"Thus,",
"Ago3-associating",
"piRNAs",
"are",
"mostly",
"in",
"the",
"sense",
"orientation.",
"The",
"www.frontiersin.org",
"August",
"2011",
"|",
"Volume",
"2",
"|",
"Article",
"55",
"|",
"1"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
11,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
538,270 | null | [
[
76,
47,
135,
34
],
[
223,
47,
39,
34
],
[
274,
47,
273,
34
],
[
76,
118,
42,
20
],
[
123,
118,
45,
20
],
[
76,
143,
137,
23
],
[
219,
143,
56,
23
],
[
281,
143,
20,
23
],
[
307,
143,
71,
23
],
[
384,
143,
190,
23
],
[
579,
143,
111,
23
],
[
76,
168,
90,
23
],
[
171,
168,
76,
23
],
[
253,
168,
103,
23
],
[
362,
168,
38,
23
],
[
406,
168,
105,
23
],
[
517,
168,
86,
23
],
[
76,
193,
84,
21
],
[
165,
193,
14,
21
],
[
184,
193,
75,
22
],
[
264,
193,
49,
21
],
[
318,
193,
11,
21
],
[
333,
193,
67,
22
],
[
405,
193,
54,
21
],
[
464,
193,
81,
22
],
[
550,
193,
53,
21
],
[
608,
193,
38,
22
],
[
651,
193,
35,
21
],
[
76,
218,
54,
21
],
[
135,
218,
14,
21
],
[
153,
218,
56,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
268,
41,
12
],
[
119,
268,
63,
12
],
[
184,
268,
10,
12
],
[
196,
268,
68,
12
],
[
266,
268,
37,
12
],
[
305,
268,
10,
12
],
[
317,
268,
45,
12
],
[
364,
268,
40,
12
],
[
406,
268,
53,
12
],
[
460,
268,
62,
12
],
[
524,
268,
23,
12
],
[
548,
268,
34,
12
],
[
585,
268,
24,
12
],
[
611,
268,
63,
12
],
[
676,
268,
10,
12
],
[
688,
268,
37,
12
],
[
727,
268,
40,
12
],
[
76,
281,
53,
11
],
[
131,
281,
62,
11
],
[
195,
281,
22,
11
],
[
220,
281,
34,
11
],
[
257,
281,
21,
11
],
[
280,
281,
19,
11
],
[
301,
281,
46,
12
],
[
350,
281,
10,
11
],
[
363,
281,
52,
11
],
[
417,
281,
32,
11
],
[
451,
281,
24,
11
],
[
477,
281,
27,
11
],
[
506,
281,
40,
11
],
[
549,
281,
10,
11
],
[
562,
281,
45,
11
],
[
610,
281,
62,
11
],
[
673,
281,
22,
11
],
[
698,
281,
34,
11
],
[
735,
281,
21,
11
],
[
76,
301,
31,
12
],
[
110,
301,
45,
12
],
[
157,
301,
8,
12
],
[
167,
301,
33,
12
],
[
203,
301,
4,
12
],
[
209,
301,
161,
12
],
[
373,
301,
26,
12
],
[
401,
301,
6,
12
],
[
410,
301,
29,
12
],
[
441,
301,
4,
12
],
[
448,
301,
89,
12
],
[
539,
301,
29,
12
],
[
571,
301,
36,
12
],
[
609,
301,
4,
12
],
[
616,
301,
137,
12
],
[
76,
314,
29,
11
],
[
107,
314,
16,
11
],
[
126,
314,
4,
11
],
[
132,
314,
153,
11
],
[
287,
314,
29,
11
],
[
319,
314,
7,
11
],
[
329,
314,
26,
11
],
[
357,
314,
4,
11
],
[
363,
314,
91,
11
],
[
76,
330,
7,
12
],
[
85,
330,
73,
12
],
[
160,
330,
33,
12
],
[
76,
389,
45,
12
],
[
124,
389,
12,
12
],
[
138,
389,
40,
12
],
[
180,
389,
23,
12
],
[
76,
409,
29,
11
],
[
108,
409,
9,
11
],
[
119,
409,
61,
11
],
[
183,
409,
25,
11
],
[
211,
409,
20,
12
],
[
243,
409,
128,
11
],
[
76,
429,
20,
11
],
[
98,
429,
28,
11
],
[
129,
429,
7,
11
],
[
139,
429,
38,
11
],
[
179,
429,
25,
11
],
[
207,
429,
210,
11
],
[
430,
389,
43,
12
],
[
476,
389,
11,
12
],
[
490,
389,
49,
12
],
[
542,
389,
23,
12
],
[
430,
402,
46,
11
],
[
478,
402,
12,
11
],
[
492,
402,
40,
11
],
[
534,
402,
23,
11
],
[
76,
448,
9,
12
],
[
87,
448,
23,
12
],
[
113,
448,
30,
12
],
[
145,
448,
10,
12
],
[
157,
448,
10,
12
],
[
170,
448,
36,
12
],
[
209,
448,
35,
12
],
[
246,
448,
35,
12
],
[
283,
448,
18,
12
],
[
76,
462,
20,
12
],
[
98,
462,
7,
12
],
[
108,
462,
11,
12
],
[
121,
462,
26,
12
],
[
150,
462,
32,
12
],
[
184,
462,
28,
12
],
[
215,
462,
49,
12
],
[
267,
462,
27,
12
],
[
296,
462,
15,
12
],
[
314,
462,
27,
12
],
[
343,
462,
10,
12
],
[
355,
462,
15,
12
],
[
373,
462,
39,
12
],
[
415,
462,
48,
12
],
[
465,
462,
51,
12
],
[
519,
462,
34,
12
],
[
555,
462,
202,
12
],
[
76,
475,
27,
12
],
[
106,
475,
35,
12
],
[
143,
475,
56,
12
],
[
201,
475,
18,
12
],
[
222,
475,
55,
12
],
[
279,
475,
16,
12
],
[
298,
475,
60,
12
],
[
361,
475,
8,
12
],
[
372,
475,
16,
12
],
[
390,
475,
39,
12
],
[
432,
475,
40,
12
],
[
475,
475,
15,
12
],
[
493,
475,
34,
12
],
[
529,
475,
24,
12
],
[
556,
475,
7,
12
],
[
565,
475,
39,
12
],
[
607,
475,
25,
12
],
[
155,
535,
62,
15
],
[
155,
556,
16,
14
],
[
175,
556,
24,
14
],
[
203,
556,
30,
14
],
[
236,
556,
18,
14
],
[
258,
556,
14,
14
],
[
276,
556,
37,
14
],
[
317,
556,
36,
14
],
[
357,
556,
104,
14
],
[
465,
556,
42,
14
],
[
511,
556,
33,
14
],
[
547,
556,
18,
14
],
[
569,
556,
48,
14
],
[
621,
556,
53,
14
],
[
678,
556,
12,
14
],
[
155,
572,
27,
14
],
[
188,
572,
51,
14
],
[
245,
572,
53,
14
],
[
304,
572,
20,
14
],
[
330,
572,
54,
14
],
[
390,
572,
61,
14
],
[
457,
572,
22,
14
],
[
485,
572,
23,
14
],
[
514,
572,
33,
14
],
[
553,
572,
57,
14
],
[
616,
572,
11,
14
],
[
633,
572,
34,
14
],
[
673,
572,
18,
14
],
[
155,
589,
61,
14
],
[
220,
589,
55,
14
],
[
280,
589,
70,
14
],
[
355,
589,
72,
14
],
[
431,
589,
20,
14
],
[
455,
589,
87,
14
],
[
546,
589,
36,
14
],
[
587,
589,
104,
14
],
[
155,
605,
69,
14
],
[
226,
605,
24,
14
],
[
253,
605,
30,
14
],
[
286,
605,
63,
14
],
[
353,
605,
18,
14
],
[
374,
605,
60,
14
],
[
437,
605,
11,
14
],
[
452,
605,
14,
14
],
[
469,
605,
37,
14
],
[
509,
605,
33,
14
],
[
545,
605,
25,
14
],
[
574,
605,
27,
14
],
[
604,
605,
36,
14
],
[
644,
605,
12,
14
],
[
659,
605,
22,
14
],
[
685,
605,
6,
14
],
[
155,
621,
23,
14
],
[
181,
621,
10,
14
],
[
194,
621,
37,
14
],
[
234,
621,
60,
14
],
[
297,
621,
35,
14
],
[
336,
621,
37,
14
],
[
376,
621,
20,
14
],
[
399,
621,
19,
14
],
[
421,
621,
25,
14
],
[
450,
621,
41,
14
],
[
494,
621,
27,
14
],
[
525,
621,
40,
14
],
[
568,
621,
53,
14
],
[
624,
621,
43,
14
],
[
671,
621,
20,
14
],
[
155,
638,
55,
14
],
[
213,
638,
43,
14
],
[
259,
638,
29,
14
],
[
291,
638,
42,
14
],
[
335,
638,
12,
14
],
[
351,
638,
70,
14
],
[
424,
638,
58,
14
],
[
485,
638,
10,
14
],
[
499,
638,
18,
14
],
[
520,
638,
71,
14
],
[
594,
638,
11,
14
],
[
608,
638,
31,
14
],
[
642,
638,
49,
14
],
[
155,
654,
63,
14
],
[
220,
654,
17,
14
],
[
240,
654,
53,
14
],
[
295,
654,
18,
14
],
[
316,
654,
69,
14
],
[
387,
654,
36,
14
],
[
426,
654,
39,
14
],
[
468,
654,
22,
14
],
[
492,
654,
60,
14
],
[
555,
654,
30,
14
],
[
588,
654,
11,
14
],
[
602,
654,
18,
14
],
[
622,
654,
69,
14
],
[
155,
670,
36,
14
],
[
195,
670,
20,
14
],
[
218,
670,
49,
14
],
[
270,
670,
55,
14
],
[
328,
670,
29,
14
],
[
360,
670,
47,
14
],
[
410,
670,
28,
14
],
[
441,
670,
18,
14
],
[
463,
670,
26,
14
],
[
492,
670,
29,
14
],
[
524,
670,
63,
14
],
[
590,
670,
36,
14
],
[
630,
670,
27,
14
],
[
660,
670,
30,
14
],
[
155,
687,
11,
14
],
[
170,
687,
44,
14
],
[
218,
687,
29,
14
],
[
250,
687,
49,
14
],
[
302,
687,
13,
14
],
[
319,
687,
46,
14
],
[
369,
687,
44,
14
],
[
417,
687,
29,
14
],
[
450,
687,
28,
14
],
[
482,
687,
21,
14
],
[
507,
687,
43,
14
],
[
553,
687,
27,
14
],
[
584,
687,
32,
14
],
[
620,
687,
20,
14
],
[
644,
687,
19,
14
],
[
666,
687,
25,
14
],
[
155,
703,
20,
14
],
[
178,
703,
26,
14
],
[
207,
703,
10,
14
],
[
221,
703,
18,
14
],
[
242,
703,
46,
14
],
[
292,
703,
37,
14
],
[
332,
703,
30,
14
],
[
365,
703,
20,
14
],
[
388,
703,
26,
14
],
[
418,
703,
58,
14
],
[
480,
703,
60,
14
],
[
543,
703,
11,
14
],
[
558,
703,
34,
14
],
[
595,
703,
48,
14
],
[
646,
703,
7,
14
],
[
656,
703,
35,
14
],
[
155,
719,
37,
14
],
[
195,
719,
19,
14
],
[
218,
719,
25,
14
],
[
247,
719,
20,
14
],
[
271,
719,
7,
14
],
[
282,
719,
62,
14
],
[
348,
719,
35,
14
],
[
386,
719,
19,
14
],
[
409,
719,
25,
14
],
[
438,
719,
21,
14
],
[
463,
719,
80,
14
],
[
547,
719,
21,
14
],
[
572,
719,
25,
14
],
[
601,
719,
59,
14
],
[
665,
719,
13,
14
],
[
681,
719,
9,
14
],
[
155,
735,
22,
14
],
[
180,
735,
65,
14
],
[
247,
735,
11,
14
],
[
261,
735,
28,
14
],
[
292,
735,
60,
14
],
[
355,
735,
20,
14
],
[
378,
735,
61,
14
],
[
441,
735,
60,
14
],
[
504,
735,
10,
14
],
[
516,
735,
14,
14
],
[
533,
735,
34,
14
],
[
570,
735,
15,
14
],
[
587,
735,
10,
14
],
[
600,
735,
10,
14
],
[
613,
735,
10,
14
],
[
626,
735,
37,
14
],
[
666,
735,
25,
14
],
[
155,
752,
17,
14
],
[
175,
752,
20,
14
],
[
199,
752,
18,
14
],
[
221,
752,
60,
14
],
[
284,
752,
48,
14
],
[
335,
752,
40,
14
],
[
378,
752,
53,
14
],
[
435,
752,
20,
14
],
[
459,
752,
55,
14
],
[
517,
752,
35,
14
],
[
555,
752,
19,
14
],
[
577,
752,
28,
14
],
[
609,
752,
30,
14
],
[
642,
752,
48,
14
],
[
155,
768,
48,
14
],
[
208,
768,
22,
14
],
[
234,
768,
39,
14
],
[
278,
768,
60,
14
],
[
343,
768,
11,
14
],
[
359,
768,
34,
14
],
[
397,
768,
23,
14
],
[
424,
768,
22,
14
],
[
451,
768,
6,
14
],
[
462,
768,
23,
14
],
[
489,
768,
10,
14
],
[
504,
768,
18,
14
],
[
527,
768,
55,
14
],
[
587,
768,
58,
14
],
[
651,
768,
25,
14
],
[
681,
768,
10,
14
],
[
155,
785,
40,
14
],
[
198,
785,
53,
14
],
[
254,
785,
44,
14
],
[
76,
853,
88,
15
],
[
76,
870,
13,
14
],
[
93,
870,
34,
14
],
[
130,
870,
9,
14
],
[
143,
870,
22,
14
],
[
168,
870,
57,
14
],
[
229,
870,
24,
14
],
[
256,
870,
85,
14
],
[
344,
870,
19,
14
],
[
367,
870,
44,
14
],
[
76,
886,
62,
14
],
[
142,
886,
38,
14
],
[
184,
886,
15,
14
],
[
203,
886,
60,
14
],
[
267,
886,
27,
14
],
[
298,
886,
48,
14
],
[
350,
886,
41,
14
],
[
395,
886,
16,
14
],
[
76,
902,
22,
14
],
[
102,
902,
39,
14
],
[
145,
902,
73,
14
],
[
222,
902,
61,
14
],
[
287,
902,
46,
14
],
[
337,
902,
17,
14
],
[
358,
902,
7,
14
],
[
369,
902,
42,
14
],
[
76,
919,
62,
14
],
[
141,
919,
47,
14
],
[
192,
919,
13,
14
],
[
208,
919,
30,
14
],
[
242,
919,
43,
14
],
[
289,
919,
32,
14
],
[
324,
919,
48,
14
],
[
376,
919,
35,
14
],
[
76,
935,
38,
14
],
[
117,
935,
42,
14
],
[
162,
935,
38,
14
],
[
204,
935,
12,
14
],
[
220,
935,
34,
14
],
[
257,
935,
19,
14
],
[
279,
935,
43,
14
],
[
326,
935,
13,
14
],
[
342,
935,
19,
14
],
[
364,
935,
31,
14
],
[
399,
935,
12,
14
],
[
76,
951,
19,
14
],
[
100,
951,
39,
14
],
[
143,
951,
34,
14
],
[
181,
951,
42,
14
],
[
227,
951,
27,
14
],
[
259,
951,
67,
14
],
[
331,
951,
17,
14
],
[
353,
951,
19,
14
],
[
376,
951,
35,
14
],
[
76,
968,
60,
14
],
[
142,
968,
23,
14
],
[
171,
968,
47,
14
],
[
225,
968,
59,
14
],
[
290,
968,
33,
14
],
[
329,
968,
21,
14
],
[
357,
968,
22,
14
],
[
385,
968,
26,
14
],
[
76,
984,
35,
14
],
[
115,
984,
12,
14
],
[
131,
984,
35,
14
],
[
171,
984,
38,
14
],
[
212,
984,
13,
14
],
[
229,
984,
60,
14
],
[
293,
984,
45,
14
],
[
342,
984,
29,
14
],
[
374,
984,
20,
14
],
[
399,
984,
12,
14
],
[
76,
1000,
55,
14
],
[
133,
1000,
10,
14
],
[
146,
1000,
38,
14
],
[
186,
1000,
27,
14
],
[
216,
1000,
12,
14
],
[
232,
1000,
42,
14
],
[
276,
1000,
56,
14
],
[
335,
1000,
45,
14
],
[
383,
1000,
29,
14
],
[
434,
853,
21,
14
],
[
458,
853,
20,
14
],
[
481,
853,
13,
14
],
[
496,
853,
55,
14
],
[
553,
853,
26,
14
],
[
582,
853,
19,
14
],
[
604,
853,
20,
14
],
[
626,
853,
12,
14
],
[
641,
853,
19,
14
],
[
663,
853,
54,
14
],
[
719,
853,
19,
14
],
[
740,
853,
29,
14
],
[
434,
870,
30,
14
],
[
468,
870,
47,
14
],
[
519,
870,
15,
14
],
[
537,
870,
49,
14
],
[
589,
870,
20,
14
],
[
613,
870,
13,
14
],
[
629,
870,
55,
14
],
[
687,
870,
10,
14
],
[
701,
870,
38,
14
],
[
742,
870,
27,
14
],
[
434,
886,
60,
14
],
[
497,
886,
45,
14
],
[
544,
886,
40,
14
],
[
585,
886,
21,
14
],
[
609,
886,
20,
14
],
[
631,
886,
13,
14
],
[
646,
886,
55,
14
],
[
703,
886,
11,
14
],
[
717,
886,
31,
14
],
[
750,
886,
20,
14
],
[
434,
902,
21,
14
],
[
461,
902,
29,
14
],
[
496,
902,
7,
14
],
[
509,
902,
40,
14
],
[
555,
902,
63,
14
],
[
623,
902,
13,
14
],
[
642,
902,
17,
14
],
[
665,
902,
45,
14
],
[
716,
902,
19,
14
],
[
740,
902,
29,
14
],
[
434,
919,
35,
14
],
[
474,
919,
38,
14
],
[
517,
919,
23,
14
],
[
544,
919,
51,
14
],
[
600,
919,
64,
14
],
[
669,
919,
13,
14
],
[
686,
919,
34,
14
],
[
725,
919,
15,
14
],
[
745,
919,
25,
14
],
[
434,
935,
37,
14
],
[
478,
935,
49,
14
],
[
534,
935,
25,
14
],
[
565,
935,
30,
14
],
[
601,
935,
13,
14
],
[
620,
935,
47,
14
],
[
674,
935,
35,
14
],
[
716,
935,
38,
14
],
[
760,
935,
10,
14
],
[
434,
951,
51,
14
],
[
488,
951,
12,
14
],
[
504,
951,
32,
14
],
[
539,
951,
41,
14
],
[
583,
951,
45,
14
],
[
630,
951,
13,
14
],
[
646,
951,
19,
14
],
[
668,
951,
41,
14
],
[
712,
951,
34,
14
],
[
748,
951,
21,
14
],
[
434,
968,
35,
14
],
[
476,
968,
38,
14
],
[
521,
968,
10,
14
],
[
537,
968,
19,
14
],
[
563,
968,
30,
14
],
[
599,
968,
54,
14
],
[
660,
968,
38,
14
],
[
704,
968,
41,
14
],
[
752,
968,
18,
14
],
[
434,
984,
48,
14
],
[
488,
984,
54,
14
],
[
547,
984,
19,
14
],
[
572,
984,
22,
14
],
[
600,
984,
13,
14
],
[
618,
984,
35,
14
],
[
659,
984,
60,
14
],
[
725,
984,
29,
14
],
[
760,
984,
10,
14
],
[
434,
1000,
35,
14
],
[
478,
1000,
28,
14
],
[
515,
1000,
33,
14
],
[
558,
1000,
27,
14
],
[
595,
1000,
28,
14
],
[
633,
1000,
45,
14
],
[
687,
1000,
21,
14
],
[
717,
1000,
33,
14
],
[
760,
1000,
10,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"Journal",
"of",
"Carcinogenesis",
"Short",
"paper",
"Comparative",
"study",
"of",
"matrix",
"metalloproteinase",
"expression",
"between",
"African",
"American",
"and",
"Caucasian",
"Women",
"Jacquline",
"A",
"Mason1,",
"Haile",
"F",
"Yancy1,",
"Kerrie",
"Lashley2,",
"Marty",
"Jett3",
"and",
"Agnes",
"A",
"Day*1",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Department",
"of",
"Microbiology,",
"College",
"of",
"Medicine",
"Howard",
"University,",
"Washington,",
"D.C.",
"20059,",
"USA,",
"2Department",
"of",
"Biology",
"Howard",
"University,",
"Washington,",
"D.C.",
"20059,",
"USA",
"and",
"3Division",
"of",
"Pathology,",
"Walter",
"Reed",
"Army",
"Institute",
"of",
"Research,",
"Washington,",
"D.C.",
"20021,",
"USA",
"Email:",
"Jacquline",
"A",
"Mason",
"-",
"Jacquline.A.Mason@comcast.net;",
"Haile",
"F",
"Yancy",
"-",
"Hyancy@aol.com;",
"Kerrie",
"Lashley",
"-",
"kerrielashley@hotmail.com;",
"Marty",
"Jett",
"-",
"marti.jett@na.amedd.army.mil;",
"Agnes",
"A",
"Day*",
"-",
"aday@howard.edu",
"*",
"Corresponding",
"author",
"Published:",
"29",
"October",
"2004",
"Journal",
"of",
"Carcinogenesis",
"2004,",
"3:15",
"doi:10.1186/1477-3163-3-15",
"This",
"article",
"is",
"available",
"from:",
"http://www.carcinogenesis.com/content/3/1/15",
"Received:",
"13",
"September",
"2004",
"Accepted:",
"29",
"October",
"2004",
"©",
"2004",
"Mason",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"To",
"date",
"there",
"are",
"26",
"human",
"matrix",
"metalloproteinases",
"(MMPs)",
"which",
"are",
"classified",
"according",
"to",
"their",
"substrate",
"specificity",
"and",
"structural",
"similarities.",
"The",
"four",
"major",
"subgroups",
"of",
"MMPs",
"are",
"gelatinases,",
"interstitial",
"collagenases,",
"stromelysins,",
"and",
"membrane-type",
"matrix",
"metalloproteinases",
"(MT-MMPs).",
"This",
"study",
"investigates",
"the",
"expression",
"of",
"26",
"MMPs,",
"which",
"have",
"been",
"shown",
"to",
"play",
"a",
"role",
"in",
"cancer",
"metastasis.",
"Breast",
"tissues",
"and",
"cell",
"lines",
"derived",
"from",
"African",
"American",
"patients",
"and",
"Caucasian",
"patients",
"were",
"assayed",
"to",
"demonstrate",
"alterations",
"in",
"the",
"transcription",
"of",
"genes",
"primarily",
"responsible",
"for",
"degrading",
"the",
"extracellular",
"matrix",
"(ECM).",
"The",
"expression",
"levels",
"of",
"the",
"extracellular",
"matrix",
"and",
"adhesion",
"molecules",
"were",
"analyzed",
"using",
"the",
"gene",
"array",
"technology.",
"Steady",
"state",
"levels",
"of",
"mRNAs",
"were",
"validated",
"by",
"RT-PCR",
"analysis.",
"Total",
"RNA",
"was",
"isolated",
"from",
"tissue",
"and",
"cell",
"lines",
"and",
"used",
"in",
"the",
"RT-PCR",
"assays.",
"From",
"this",
"data,",
"differential",
"expression",
"of",
"MMPs",
"between",
"6",
"breast",
"cancer",
"cell",
"lines",
"and",
"2",
"non-cancer",
"breast",
"cell",
"lines",
"was",
"demonstrated.",
"We",
"have",
"performed",
"an",
"in",
"vitro",
"comparison",
"of",
"MMP",
"expression",
"and",
"established",
"differences",
"in",
"12",
"MMPs",
"(3,",
"7,",
"8,",
"9,",
"11–15,",
"23B,",
"26,",
"and",
"28)",
"expression",
"between",
"African",
"American",
"and",
"Caucasian",
"breast",
"cell",
"lines.",
"Thus,",
"evidence",
"indicates",
"that",
"altered",
"expression",
"of",
"MMPs",
"may",
"play",
"a",
"role",
"in",
"the",
"aggressive",
"phenotype",
"seen",
"in",
"African",
"American",
"women.",
"Introduction",
"In",
"2003,",
"it",
"was",
"estimated",
"that",
"approximately",
"1.3",
"million",
"Americans",
"would",
"be",
"diagnosed",
"with",
"invasive",
"cancer.",
"Of",
"this",
"group,",
"racial/ethnic",
"minorities",
"account",
"for",
"a",
"dispro-",
"portionate",
"number",
"of",
"these",
"cancers",
"[1,2].",
"Invasive",
"breast",
"cancer",
"usually",
"begins",
"in",
"either",
"the",
"lobules",
"or",
"the",
"ducts",
"of",
"the",
"breast.",
"These",
"tumors",
"then",
"metastasize",
"via",
"the",
"breast",
"associated",
"and",
"thoracic",
"lymphatic",
"tissue",
"[3].",
"The",
"inci-",
"dence",
"of",
"breast",
"cancer",
"in",
"Caucasian",
"women",
"(112",
"out",
"of",
"100,000)",
"is",
"higher",
"than",
"in",
"African",
"American",
"women",
"(AA)",
"(95",
"out",
"of",
"100,000)",
"after",
"the",
"age",
"of",
"40,",
"however,",
"the",
"mor-",
"tality",
"suffered",
"by",
"(AA)(37",
"out",
"of",
"100,000)",
"is",
"higher",
"than",
"Caucasian",
"women",
"(CAU)",
"(31",
"out",
"of",
"100,000)",
"at",
"every",
"age",
"[4].",
"Thus",
"a",
"greater",
"percentage",
"of",
"AA",
"women",
"die",
"from",
"breast",
"cancer",
"and",
"resulting",
"metastasis.",
"In",
"2004,",
"an",
"esti-",
"mated",
"215,990",
"new",
"cases",
"of",
"invasive",
"breast",
"cancer",
"is",
"expected",
"to",
"occur",
"among",
"women",
"in",
"the",
"United",
"States",
"[5].",
"Breast",
"cancer",
"is",
"the",
"most",
"common",
"cancer",
"among",
"AA",
"women;",
"however,",
"the",
"rate",
"of",
"newly",
"diagnosed",
"cases",
"is",
"about",
"13%",
"lower",
"than",
"CAU",
"women",
"[6].",
"There",
"is",
"Page",
"1",
"of",
"6",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
2,585,850 | null | [
[
232,
112,
60,
28
],
[
301,
112,
114,
28
],
[
424,
112,
23,
28
],
[
455,
112,
72,
28
],
[
536,
112,
112,
28
],
[
232,
144,
80,
28
],
[
321,
144,
146,
28
],
[
473,
144,
106,
28
],
[
588,
144,
55,
28
],
[
232,
177,
24,
28
],
[
265,
177,
62,
32
],
[
335,
177,
42,
28
],
[
386,
177,
68,
32
],
[
463,
177,
23,
28
],
[
494,
177,
37,
28
],
[
540,
177,
111,
28
],
[
232,
209,
24,
28
],
[
265,
209,
141,
28
],
[
415,
209,
64,
28
],
[
701,
48,
12,
17
],
[
714,
48,
25,
17
],
[
741,
48,
6,
17
],
[
748,
48,
13,
17
],
[
762,
48,
10,
17
],
[
773,
48,
10,
17
],
[
29,
381,
10,
0
],
[
29,
393,
12,
0
],
[
29,
399,
6,
0
],
[
29,
409,
11,
0
],
[
29,
415,
6,
0
],
[
29,
427,
12,
0
],
[
29,
437,
10,
0
],
[
29,
456,
20,
0
],
[
29,
469,
6,
0
],
[
29,
479,
10,
0
],
[
29,
486,
8,
0
],
[
29,
498,
12,
0
],
[
29,
508,
10,
0
],
[
29,
527,
20,
0
],
[
29,
534,
6,
0
],
[
29,
542,
9,
0
],
[
29,
552,
10,
0
],
[
29,
564,
12,
0
],
[
29,
575,
11,
0
],
[
29,
588,
14,
0
],
[
29,
602,
7,
0
],
[
29,
614,
12,
0
],
[
29,
626,
6,
0
],
[
29,
636,
10,
0
],
[
29,
648,
12,
0
],
[
29,
657,
9,
0
],
[
29,
669,
12,
0
],
[
29,
680,
12,
0
],
[
29,
688,
8,
0
],
[
29,
705,
10,
0
],
[
29,
716,
12,
0
],
[
29,
731,
16,
0
],
[
75,
703,
77,
11
],
[
75,
715,
23,
11
],
[
99,
715,
9,
11
],
[
110,
715,
33,
11
],
[
75,
728,
125,
11
],
[
75,
753,
58,
11
],
[
135,
753,
21,
11
],
[
158,
753,
27,
11
],
[
75,
765,
65,
11
],
[
142,
765,
17,
11
],
[
162,
765,
48,
11
],
[
75,
778,
20,
11
],
[
97,
778,
27,
11
],
[
126,
778,
67,
11
],
[
75,
790,
30,
12
],
[
107,
790,
36,
11
],
[
145,
790,
25,
12
],
[
173,
790,
15,
11
],
[
75,
803,
7,
11
],
[
84,
803,
46,
11
],
[
132,
803,
54,
11
],
[
75,
815,
24,
11
],
[
101,
815,
68,
11
],
[
172,
815,
31,
11
],
[
75,
828,
19,
11
],
[
96,
828,
57,
11
],
[
155,
828,
25,
11
],
[
182,
828,
26,
11
],
[
75,
840,
26,
11
],
[
103,
840,
9,
11
],
[
114,
840,
40,
11
],
[
156,
840,
36,
11
],
[
75,
853,
48,
11
],
[
125,
853,
55,
11
],
[
183,
853,
7,
11
],
[
75,
865,
37,
11
],
[
114,
865,
26,
11
],
[
142,
865,
59,
11
],
[
75,
878,
52,
11
],
[
129,
878,
42,
11
],
[
173,
878,
13,
11
],
[
75,
890,
44,
11
],
[
121,
890,
29,
11
],
[
152,
890,
25,
11
],
[
180,
890,
24,
11
],
[
75,
903,
73,
11
],
[
150,
903,
28,
11
],
[
181,
903,
23,
11
],
[
75,
915,
30,
11
],
[
107,
915,
26,
11
],
[
135,
915,
10,
11
],
[
148,
915,
33,
11
],
[
183,
915,
21,
11
],
[
75,
928,
44,
11
],
[
120,
928,
27,
11
],
[
75,
1028,
13,
10
],
[
90,
1028,
41,
10
],
[
133,
1028,
38,
10
],
[
172,
1028,
20,
10
],
[
201,
1028,
26,
10
],
[
75,
1040,
5,
10
],
[
82,
1040,
15,
10
],
[
99,
1040,
19,
10
],
[
119,
1040,
14,
10
],
[
135,
1040,
15,
10
],
[
151,
1040,
13,
10
],
[
166,
1040,
10,
10
],
[
185,
1040,
41,
10
],
[
75,
1053,
163,
10
],
[
232,
264,
54,
17
],
[
291,
263,
49,
18
],
[
345,
264,
49,
17
],
[
399,
263,
82,
18
],
[
486,
264,
57,
17
],
[
548,
263,
40,
18
],
[
593,
264,
47,
17
],
[
645,
264,
23,
17
],
[
671,
263,
42,
18
],
[
232,
282,
36,
17
],
[
273,
282,
51,
18
],
[
329,
282,
42,
17
],
[
376,
282,
21,
17
],
[
400,
282,
36,
18
],
[
441,
282,
53,
17
],
[
499,
282,
18,
17
],
[
521,
282,
59,
18
],
[
585,
282,
51,
17
],
[
641,
282,
21,
17
],
[
665,
282,
51,
18
],
[
232,
301,
26,
17
],
[
263,
301,
43,
17
],
[
311,
301,
17,
17
],
[
331,
301,
63,
18
],
[
232,
340,
54,
12
],
[
288,
340,
9,
12
],
[
300,
340,
39,
12
],
[
341,
340,
16,
12
],
[
359,
340,
34,
12
],
[
395,
340,
9,
12
],
[
407,
340,
64,
12
],
[
473,
340,
56,
12
],
[
530,
340,
16,
12
],
[
549,
340,
30,
12
],
[
581,
340,
16,
12
],
[
599,
340,
32,
12
],
[
633,
340,
13,
12
],
[
648,
340,
55,
12
],
[
706,
340,
54,
12
],
[
235,
353,
16,
12
],
[
254,
353,
51,
12
],
[
307,
353,
26,
12
],
[
336,
353,
51,
12
],
[
389,
353,
9,
12
],
[
400,
353,
66,
12
],
[
469,
353,
57,
12
],
[
528,
353,
16,
12
],
[
547,
353,
18,
12
],
[
567,
353,
41,
12
],
[
610,
353,
36,
12
],
[
649,
353,
16,
12
],
[
667,
353,
39,
12
],
[
708,
353,
35,
12
],
[
235,
367,
16,
12
],
[
254,
367,
34,
12
],
[
290,
367,
33,
12
],
[
326,
367,
31,
12
],
[
359,
367,
32,
12
],
[
393,
367,
15,
12
],
[
410,
367,
25,
12
],
[
232,
410,
47,
14
],
[
282,
410,
90,
14
],
[
375,
410,
70,
14
],
[
449,
410,
34,
14
],
[
487,
410,
44,
14
],
[
534,
410,
7,
14
],
[
545,
410,
70,
14
],
[
619,
410,
50,
14
],
[
672,
410,
33,
14
],
[
709,
410,
53,
14
],
[
232,
426,
49,
14
],
[
285,
426,
35,
14
],
[
323,
426,
9,
14
],
[
336,
426,
79,
14
],
[
419,
426,
18,
14
],
[
440,
426,
19,
14
],
[
463,
426,
58,
14
],
[
525,
426,
20,
14
],
[
548,
426,
36,
14
],
[
587,
426,
25,
14
],
[
616,
426,
46,
14
],
[
666,
426,
13,
14
],
[
682,
426,
76,
14
],
[
232,
443,
48,
14
],
[
283,
443,
26,
14
],
[
313,
443,
20,
14
],
[
336,
443,
45,
14
],
[
384,
443,
25,
14
],
[
413,
443,
39,
14
],
[
455,
443,
39,
14
],
[
498,
443,
21,
14
],
[
523,
443,
52,
14
],
[
578,
443,
47,
14
],
[
629,
443,
15,
14
],
[
647,
443,
74,
14
],
[
725,
443,
29,
15
],
[
232,
460,
63,
14
],
[
298,
460,
25,
14
],
[
327,
460,
9,
14
],
[
340,
460,
24,
14
],
[
368,
460,
13,
14
],
[
384,
460,
19,
14
],
[
407,
460,
101,
14
],
[
512,
460,
21,
14
],
[
537,
460,
135,
14
],
[
676,
460,
36,
14
],
[
716,
460,
45,
14
],
[
232,
476,
14,
14
],
[
249,
476,
29,
14
],
[
281,
476,
52,
14
],
[
337,
476,
13,
14
],
[
353,
476,
76,
14
],
[
432,
476,
26,
14
],
[
462,
476,
19,
14
],
[
485,
476,
52,
14
],
[
541,
476,
39,
14
],
[
584,
476,
45,
14
],
[
632,
476,
63,
14
],
[
699,
476,
13,
14
],
[
715,
476,
26,
14
],
[
232,
493,
32,
14
],
[
268,
493,
13,
14
],
[
284,
493,
19,
14
],
[
307,
493,
61,
14
],
[
372,
493,
32,
15
],
[
407,
493,
34,
14
],
[
445,
493,
54,
14
],
[
503,
493,
60,
14
],
[
567,
493,
42,
14
],
[
613,
493,
80,
14
],
[
697,
493,
30,
14
],
[
232,
510,
61,
14
],
[
296,
510,
73,
14
],
[
373,
510,
21,
14
],
[
398,
510,
50,
14
],
[
451,
510,
11,
14
],
[
466,
510,
48,
14
],
[
518,
510,
13,
14
],
[
535,
510,
39,
14
],
[
578,
510,
56,
14
],
[
637,
510,
28,
16
],
[
669,
510,
63,
14
],
[
736,
510,
9,
14
],
[
232,
526,
71,
14
],
[
306,
526,
46,
14
],
[
356,
526,
11,
14
],
[
371,
526,
93,
14
],
[
467,
526,
79,
14
],
[
550,
526,
28,
15
],
[
582,
526,
24,
14
],
[
610,
526,
14,
14
],
[
627,
526,
53,
14
],
[
684,
526,
19,
14
],
[
707,
526,
28,
15
],
[
232,
543,
49,
14
],
[
284,
543,
26,
14
],
[
314,
543,
35,
14
],
[
352,
543,
44,
14
],
[
399,
543,
33,
14
],
[
435,
543,
28,
14
],
[
467,
543,
63,
14
],
[
534,
543,
21,
14
],
[
559,
543,
42,
14
],
[
604,
543,
36,
14
],
[
645,
543,
9,
14
],
[
657,
543,
62,
14
],
[
722,
543,
14,
14
],
[
232,
560,
33,
14
],
[
269,
560,
7,
14
],
[
280,
560,
22,
14
],
[
306,
560,
18,
14
],
[
327,
560,
28,
15
],
[
359,
560,
11,
14
],
[
374,
560,
42,
14
],
[
419,
560,
13,
14
],
[
436,
560,
51,
14
],
[
490,
560,
45,
14
],
[
539,
560,
17,
14
],
[
559,
560,
30,
14
],
[
592,
560,
25,
14
],
[
621,
560,
52,
14
],
[
677,
560,
13,
14
],
[
693,
560,
68,
14
],
[
232,
576,
18,
14
],
[
254,
576,
8,
14
],
[
265,
576,
50,
14
],
[
319,
576,
40,
14
],
[
366,
576,
3,
9
],
[
380,
576,
76,
14
],
[
460,
576,
11,
14
],
[
475,
576,
27,
14
],
[
506,
576,
26,
14
],
[
536,
576,
39,
14
],
[
578,
576,
47,
14
],
[
629,
576,
11,
14
],
[
644,
576,
71,
14
],
[
718,
576,
37,
14
],
[
232,
593,
51,
14
],
[
286,
593,
40,
14
],
[
331,
593,
56,
14
],
[
391,
593,
26,
14
],
[
420,
593,
56,
14
],
[
480,
593,
79,
14
],
[
563,
593,
31,
14
],
[
597,
593,
70,
14
],
[
671,
593,
30,
14
],
[
709,
593,
3,
9
],
[
723,
593,
27,
14
],
[
232,
610,
38,
14
],
[
274,
610,
71,
14
],
[
348,
610,
37,
14
],
[
389,
610,
25,
14
],
[
417,
610,
26,
14
],
[
447,
610,
40,
14
],
[
491,
610,
8,
14
],
[
503,
610,
17,
14
],
[
523,
610,
29,
14
],
[
556,
610,
53,
14
],
[
612,
610,
41,
14
],
[
657,
610,
52,
14
],
[
713,
610,
26,
14
],
[
232,
626,
45,
14
],
[
280,
626,
29,
14
],
[
312,
626,
32,
14
],
[
348,
626,
11,
14
],
[
363,
626,
27,
14
],
[
394,
626,
21,
14
],
[
419,
626,
11,
14
],
[
435,
626,
24,
14
],
[
462,
626,
26,
14
],
[
491,
626,
47,
14
],
[
542,
626,
25,
14
],
[
570,
626,
28,
15
],
[
602,
626,
29,
14
],
[
635,
626,
7,
14
],
[
646,
626,
41,
14
],
[
690,
626,
23,
14
],
[
717,
626,
11,
14
],
[
232,
643,
56,
14
],
[
291,
643,
13,
14
],
[
307,
643,
25,
14
],
[
336,
643,
66,
14
],
[
233,
698,
67,
14
],
[
302,
698,
8,
14
],
[
312,
698,
17,
14
],
[
332,
698,
68,
14
],
[
402,
698,
28,
14
],
[
432,
698,
15,
14
],
[
450,
698,
40,
14
],
[
233,
714,
14,
14
],
[
251,
714,
27,
14
],
[
281,
714,
41,
14
],
[
326,
714,
59,
14
],
[
389,
714,
45,
14
],
[
438,
714,
52,
14
],
[
233,
730,
62,
14
],
[
298,
730,
42,
14
],
[
344,
730,
35,
14
],
[
383,
730,
23,
14
],
[
409,
730,
42,
14
],
[
454,
730,
36,
14
],
[
233,
747,
35,
14
],
[
271,
747,
67,
14
],
[
342,
747,
17,
14
],
[
362,
747,
42,
14
],
[
408,
747,
29,
14
],
[
441,
747,
36,
14
],
[
480,
747,
10,
14
],
[
233,
763,
6,
14
],
[
242,
763,
68,
14
],
[
313,
763,
11,
14
],
[
328,
763,
17,
14
],
[
348,
763,
32,
14
],
[
384,
763,
31,
14
],
[
418,
763,
49,
14
],
[
470,
763,
20,
14
],
[
233,
779,
17,
14
],
[
255,
779,
58,
14
],
[
317,
779,
11,
14
],
[
333,
779,
99,
14
],
[
437,
779,
53,
14
],
[
233,
795,
23,
14
],
[
259,
795,
52,
14
],
[
316,
795,
32,
14
],
[
352,
795,
17,
14
],
[
374,
795,
47,
14
],
[
425,
795,
29,
14
],
[
458,
795,
11,
14
],
[
473,
795,
17,
14
],
[
233,
812,
51,
14
],
[
287,
812,
19,
14
],
[
308,
812,
40,
14
],
[
351,
812,
64,
14
],
[
418,
812,
11,
14
],
[
432,
812,
21,
14
],
[
456,
812,
34,
14
],
[
233,
828,
77,
14
],
[
313,
828,
16,
14
],
[
332,
828,
53,
14
],
[
387,
828,
11,
14
],
[
401,
828,
41,
14
],
[
445,
828,
45,
14
],
[
233,
844,
17,
14
],
[
252,
844,
27,
14
],
[
281,
844,
46,
14
],
[
329,
844,
11,
14
],
[
343,
844,
41,
14
],
[
385,
844,
21,
14
],
[
408,
844,
16,
14
],
[
426,
844,
50,
14
],
[
479,
844,
11,
14
],
[
233,
860,
18,
14
],
[
253,
860,
27,
14
],
[
283,
860,
40,
14
],
[
326,
860,
11,
14
],
[
340,
860,
18,
14
],
[
361,
860,
24,
14
],
[
388,
860,
19,
14
],
[
410,
860,
23,
14
],
[
436,
860,
54,
14
],
[
233,
877,
16,
14
],
[
251,
877,
72,
14
],
[
325,
877,
14,
14
],
[
340,
877,
58,
14
],
[
400,
877,
13,
14
],
[
421,
877,
4,
14
],
[
427,
877,
34,
14
],
[
463,
877,
27,
14
],
[
233,
893,
10,
14
],
[
246,
893,
6,
14
],
[
255,
893,
52,
14
],
[
310,
893,
16,
14
],
[
329,
893,
22,
14
],
[
354,
893,
20,
14
],
[
376,
893,
47,
14
],
[
426,
893,
26,
14
],
[
455,
893,
35,
14
],
[
233,
923,
13,
11
],
[
248,
923,
43,
11
],
[
293,
923,
15,
11
],
[
310,
923,
11,
11
],
[
324,
923,
18,
11
],
[
345,
923,
49,
11
],
[
395,
923,
30,
11
],
[
428,
923,
9,
11
],
[
439,
923,
15,
11
],
[
456,
923,
25,
11
],
[
233,
937,
13,
11
],
[
248,
937,
29,
11
],
[
279,
937,
30,
11
],
[
312,
937,
29,
11
],
[
344,
937,
6,
11
],
[
352,
937,
32,
11
],
[
387,
937,
39,
11
],
[
428,
937,
32,
11
],
[
462,
937,
17,
11
],
[
233,
949,
18,
11
],
[
253,
949,
38,
11
],
[
294,
949,
38,
11
],
[
334,
949,
36,
11
],
[
372,
949,
34,
11
],
[
408,
949,
46,
11
],
[
233,
962,
40,
11
],
[
275,
962,
36,
11
],
[
313,
962,
34,
11
],
[
349,
962,
35,
11
],
[
386,
962,
39,
11
],
[
427,
962,
9,
11
],
[
438,
962,
29,
11
],
[
233,
976,
8,
11
],
[
243,
976,
30,
11
],
[
275,
976,
30,
11
],
[
308,
976,
29,
11
],
[
339,
976,
6,
11
],
[
348,
976,
39,
11
],
[
389,
976,
20,
11
],
[
411,
976,
43,
11
],
[
457,
976,
32,
11
],
[
233,
988,
30,
11
],
[
265,
988,
32,
11
],
[
299,
988,
21,
11
],
[
323,
988,
35,
11
],
[
360,
988,
13,
11
],
[
376,
988,
29,
11
],
[
233,
1002,
17,
11
],
[
252,
1002,
26,
11
],
[
280,
1002,
29,
11
],
[
311,
1002,
9,
11
],
[
322,
1002,
14,
11
],
[
338,
1002,
24,
11
],
[
365,
1002,
33,
11
],
[
400,
1002,
53,
11
],
[
455,
1002,
35,
11
],
[
509,
699,
31,
14
],
[
544,
699,
11,
14
],
[
559,
699,
13,
14
],
[
580,
699,
4,
14
],
[
588,
699,
39,
14
],
[
632,
699,
31,
14
],
[
667,
699,
60,
14
],
[
731,
699,
14,
14
],
[
749,
699,
17,
14
],
[
509,
715,
45,
14
],
[
558,
715,
35,
14
],
[
596,
715,
16,
14
],
[
615,
715,
57,
14
],
[
676,
715,
48,
14
],
[
727,
715,
20,
14
],
[
750,
715,
16,
14
],
[
509,
731,
41,
14
],
[
554,
731,
58,
14
],
[
616,
731,
11,
14
],
[
631,
731,
17,
14
],
[
652,
731,
114,
14
],
[
509,
748,
48,
14
],
[
560,
748,
11,
14
],
[
575,
748,
17,
14
],
[
595,
748,
22,
14
],
[
620,
748,
13,
14
],
[
645,
748,
15,
14
],
[
663,
748,
15,
14
],
[
680,
748,
23,
14
],
[
706,
748,
17,
14
],
[
726,
748,
29,
14
],
[
759,
748,
8,
14
],
[
509,
764,
11,
14
],
[
523,
764,
45,
14
],
[
570,
764,
27,
14
],
[
599,
764,
11,
14
],
[
613,
764,
43,
14
],
[
658,
764,
42,
14
],
[
701,
764,
21,
14
],
[
725,
764,
17,
14
],
[
744,
764,
23,
14
],
[
509,
780,
10,
14
],
[
522,
780,
34,
14
],
[
560,
780,
100,
14
],
[
664,
780,
46,
14
],
[
713,
780,
15,
14
],
[
732,
780,
20,
14
],
[
755,
780,
12,
14
],
[
509,
796,
31,
14
],
[
544,
796,
6,
14
],
[
554,
796,
50,
14
],
[
608,
796,
61,
14
],
[
673,
796,
34,
14
],
[
711,
796,
34,
14
],
[
749,
796,
18,
14
],
[
509,
813,
20,
14
],
[
532,
813,
39,
14
],
[
574,
813,
73,
14
],
[
650,
813,
32,
14
],
[
685,
813,
20,
14
],
[
708,
813,
59,
14
],
[
509,
829,
60,
14
],
[
573,
829,
20,
14
],
[
596,
829,
20,
14
],
[
619,
829,
13,
14
],
[
644,
829,
45,
14
],
[
693,
829,
26,
14
],
[
722,
829,
44,
14
],
[
509,
845,
45,
14
],
[
557,
845,
42,
14
],
[
602,
845,
69,
14
],
[
674,
845,
14,
14
],
[
691,
845,
44,
14
],
[
738,
845,
8,
14
],
[
749,
845,
17,
14
],
[
509,
861,
51,
14
],
[
563,
861,
26,
14
],
[
591,
861,
11,
14
],
[
605,
861,
18,
14
],
[
626,
861,
32,
14
],
[
661,
861,
34,
14
],
[
697,
861,
35,
14
],
[
734,
861,
6,
14
],
[
743,
861,
24,
14
],
[
509,
878,
35,
14
],
[
547,
878,
34,
14
],
[
584,
878,
15,
14
],
[
603,
878,
21,
14
],
[
627,
878,
15,
14
],
[
645,
878,
15,
14
],
[
662,
878,
31,
14
],
[
696,
878,
56,
14
],
[
755,
878,
11,
14
],
[
509,
894,
18,
14
],
[
531,
894,
29,
14
],
[
565,
894,
38,
14
],
[
606,
894,
42,
14
],
[
652,
894,
8,
14
],
[
664,
894,
11,
14
],
[
680,
894,
65,
14
],
[
749,
894,
18,
14
],
[
509,
910,
40,
14
],
[
552,
910,
15,
14
],
[
570,
910,
17,
14
],
[
591,
910,
53,
14
],
[
509,
955,
5,
9
],
[
516,
955,
16,
9
],
[
535,
955,
17,
9
],
[
555,
955,
7,
9
],
[
564,
955,
8,
9
],
[
580,
955,
13,
9
],
[
595,
955,
20,
9
],
[
618,
955,
5,
9
],
[
626,
955,
35,
9
],
[
663,
955,
19,
9
],
[
685,
955,
11,
9
],
[
699,
955,
19,
9
],
[
720,
955,
7,
9
],
[
730,
955,
8,
9
],
[
741,
955,
26,
9
],
[
509,
965,
89,
9
],
[
600,
965,
29,
9
],
[
630,
965,
21,
9
],
[
652,
965,
15,
9
],
[
669,
965,
22,
9
],
[
693,
965,
10,
9
],
[
704,
965,
11,
9
],
[
717,
965,
13,
9
],
[
731,
965,
9,
9
],
[
742,
965,
25,
9
],
[
509,
975,
16,
9
],
[
528,
975,
11,
9
],
[
541,
975,
36,
9
],
[
580,
975,
14,
9
],
[
597,
975,
13,
9
],
[
613,
975,
122,
9
],
[
739,
975,
16,
9
],
[
758,
975,
9,
9
],
[
509,
984,
25,
9
],
[
536,
984,
5,
9
],
[
543,
984,
5,
9
],
[
550,
984,
28,
9
],
[
580,
984,
19,
9
],
[
601,
984,
4,
9
],
[
607,
984,
26,
9
],
[
635,
984,
32,
9
],
[
670,
984,
23,
9
],
[
695,
984,
72,
9
],
[
509,
994,
45,
9
],
[
556,
994,
16,
9
],
[
573,
994,
10,
9
],
[
585,
994,
30,
9
],
[
616,
994,
23,
9
],
[
641,
994,
7,
9
],
[
650,
994,
30,
9
],
[
682,
994,
7,
9
],
[
690,
994,
76,
9
],
[
509,
1004,
88,
9
],
[
745,
1040,
22,
10
]
] | [
"Lipid",
"mediators",
"in",
"innate",
"immunity",
"against",
"tuberculosis:",
"opposing",
"roles",
"of",
"PGE2",
"and",
"LXA4",
"in",
"the",
"induction",
"of",
"macrophage",
"death",
"A",
"RT",
"I",
"C",
"L",
"E",
"e",
"n",
"i",
"c",
"i",
"d",
"e",
"M",
"l",
"a",
"t",
"n",
"e",
"m",
"i",
"r",
"e",
"p",
"x",
"E",
"f",
"o",
"l",
"a",
"n",
"r",
"u",
"o",
"J",
"e",
"h",
"T",
"CORRESPONDENCE",
"Heinz",
"G.",
"Remold:",
"hremold@rics.bwh.harvard.edu",
"Abbreviations",
"used:",
"5-LO,",
"5-lipoxygenase;",
"AA,",
"arachidonic",
"acid;",
"COX,",
"cyclooxygenase;",
"cPLA2,",
"cytosolic",
"PLA2;",
"EP,",
"E",
"prostanoid;",
"LC-MS-MS,",
"liquid",
"chromatography",
"tandem",
"mass",
"spectrometry;",
"MOI,",
"multi-",
"plicity",
"of",
"infection;",
"mPGES,",
"microsomal",
"prostaglandin",
"E",
"synthase;",
"MPT,",
"mitochondrial",
"permeability",
"transition;",
"PI,",
"propidium",
"iodide;",
"PI3K,",
"phos-",
"phatidylinositol-3",
"kinase;",
"PKA,",
"protein",
"kinase",
"A;",
"siRNA,",
"small",
"interfering",
"RNA.",
"The",
"Rockefeller",
"University",
"Press",
"$30.00",
"J.",
"Exp.",
"Med.",
"Vol.",
"205",
"No.",
"12",
"2791-2801",
"www.jem.org/cgi/doi/10.1084/jem.20080767",
"Minjian",
"Chen,1",
"Maziar",
"Divangahi,1",
"Huixian",
"Gan,1",
"Daniel",
"S.J.",
"Shin,1",
"Song",
"Hong,2",
"David",
"M.",
"Lee,1",
"Charles",
"N.",
"Serhan,2",
"Samuel",
"M.",
"Behar,1",
"and",
"Heinz",
"G.",
"Remold1",
"1Department",
"of",
"Medicine",
"and",
"Division",
"of",
"Rheumatology,",
"Immunology,",
"and",
"Allergy",
"and",
"2Center",
"for",
"Experimental",
"Therapeutics",
"and",
"Reperfusion",
"Injury,",
"Department",
"of",
"Anesthesiology,",
"Perioperative,",
"and",
"Pain",
"Medicine,",
"Brigham",
"and",
"Women’s",
"Hospital",
"and",
"Harvard",
"Medical",
"School,",
"Boston,",
"MA",
"02115",
"Virulent",
"Mycobacterium",
"tuberculosis",
"(Mtb)",
"induces",
"a",
"maladaptive",
"cytolytic",
"death",
"modality,",
"necrosis,",
"which",
"is",
"advantageous",
"for",
"the",
"pathogen.",
"We",
"report",
"that",
"necrosis",
"of",
"macrophages",
"infected",
"with",
"the",
"virulent",
"Mtb",
"strains",
"H37Rv",
"and",
"Erdmann",
"depends",
"on",
"predominant",
"LXA4",
"production",
"that",
"is",
"part",
"of",
"the",
"antiinflammatory",
"and",
"inflammation-resolving",
"action",
"induced",
"by",
"Mtb.",
"Infection",
"of",
"macrophages",
"with",
"the",
"avirulent",
"H37Ra",
"triggers",
"production",
"of",
"high",
"levels",
"of",
"the",
"prostanoid",
"PGE2,",
"which",
"promotes",
"protection",
"against",
"mitochondrial",
"inner",
"membrane",
"perturbation",
"and",
"necrosis.",
"In",
"contrast",
"to",
"H37Ra",
"infection,",
"PGE2",
"production",
"is",
"significantly",
"reduced",
"in",
"H37Rv-infected",
"macrophages.",
"PGE2",
"acts",
"by",
"engaging",
"the",
"PGE2",
"receptor",
"EP2,",
"which",
"induces",
"cyclic",
"AMP",
"production",
"and",
"protein",
"kinase",
"A",
"activation.",
"To",
"verify",
"a",
"role",
"for",
"PGE2",
"in",
"control",
"of",
"bacterial",
"growth,",
"we",
"show",
"that",
"infection",
"of",
"prostaglan-",
"din",
"E",
"synthase",
"(PGES)",
"/",
"macrophages",
"in",
"vitro",
"with",
"H37Rv",
"resulted",
"in",
"significantly",
"higher",
"bacterial",
"burden",
"compared",
"with",
"wild-type",
"macrophages.",
"More",
"importantly,",
"PGES",
"/",
"mice",
"harbor",
"significantly",
"higher",
"Mtb",
"lung",
"burden",
"5",
"wk",
"after",
"low-dose",
"aerosol",
"infection",
"with",
"virulent",
"Mtb.",
"These",
"in",
"vitro",
"and",
"in",
"vivo",
"data",
"indicate",
"that",
"PGE2",
"plays",
"a",
"critical",
"role",
"in",
"inhibition",
"of",
"Mtb",
"replication.",
"Tuberculosis",
"is",
"the",
"predominant",
"cause",
"for",
"mortal-",
"ity",
"from",
"chronic",
"pulmonary",
"bacterial",
"infections",
"worldwide",
"causing",
"nearly",
"two",
"million",
"deaths",
"yearly.",
"Tuberculosis",
"has",
"become",
"more",
"serious",
"as",
"a",
"consequence",
"of",
"the",
"global",
"AIDS",
"epidemic",
"and",
"the",
"emergence",
"of",
"multidrug-resistant",
"Mycobacte-",
"rium",
"tuberculosis",
"(Mtb),",
"the",
"causative",
"agent",
"of",
"tu-",
"berculosis",
"(1).",
"Natural",
"transmission",
"of",
"Mtb",
"occurs",
"predominantly",
"via",
"inhalation",
"of",
"aerosols",
"contain-",
"ing",
"small",
"numbers",
"of",
"bacteria",
"that",
"are",
"deposited",
"in",
"the",
"distal",
"airways",
"of",
"the",
"lung",
"(2).",
"The",
"pathogens",
"are",
"phagocytosed",
"by",
"pulmonary",
"M",
",",
"which",
"serve",
"as",
"a",
"sanctuary",
"for",
"Mtb",
"(3).",
"Virulent",
"Mtb,",
"which",
"M.",
"Divangahi",
"and",
"H.",
"Gan",
"contributed",
"equally",
"to",
"this",
"study.",
"M.",
"Chen’s",
"present",
"address",
"is",
"Clinical",
"Research",
"Center,",
"The",
"First",
"Affiliated",
"Hospital,",
"Guangxi",
"Medical",
"University,",
"Nanning,",
"Guangxi",
"530021,",
"People’s",
"Republic",
"of",
"China.",
"S.",
"Hong’s",
"present",
"address",
"is",
"Louisiana",
"State",
"University",
"Neuro-",
"science",
"Center,",
"New",
"Orleans,",
"LA",
"70112.",
"The",
"online",
"version",
"of",
"this",
"article",
"contains",
"supplemental",
"material.",
"reside",
"in",
"M",
",",
"initially",
"evade",
"elimination",
"by",
"the",
"immune",
"system",
"via",
"preventing",
"apoptosis",
"and",
"in-",
"hibiting",
"maturation",
"of",
"the",
"phagosome–lysosome",
"organelle",
"of",
"the",
"host",
"M",
"(4,",
"5).",
"The",
"net",
"effect",
"is",
"to",
"diminish",
"entry",
"of",
"bacterial",
"proteins",
"into",
"the",
"class",
"II",
"MHC",
"antigen-processing",
"pathway",
"(4)",
"and",
"to",
"create",
"a",
"protected",
"intracellular",
"milieu",
"where",
"ba-",
"cilli",
"remain",
"metabolically",
"active",
"and",
"replication",
"competent",
"(6).",
"For",
"M",
"infected",
"with",
"virulent",
"H37Rv,",
"necrosis",
"characterized",
"by",
"cytolysis",
"is",
"the",
"dominant",
"form",
"of",
"cell",
"death,",
"which",
"affords",
"a",
"pro-",
"tective",
"milieu",
"for",
"Mtb",
"(7,",
"8).",
"Thus,",
"subversion",
"of",
"cell",
"death",
"toward",
"necrosis",
"is",
"of",
"considerable",
"ad-",
"vantage",
"for",
"the",
"pathogen.",
"©",
"2008",
"Chen",
"et",
"al.",
"This",
"article",
"is",
"distributed",
"under",
"the",
"terms",
"of",
"an",
"Attribu-",
"tion–Noncommercial–Share",
"Alike–No",
"Mirror",
"Sites",
"license",
"for",
"the",
"first",
"six",
"months",
"after",
"the",
"publication",
"date",
"(see",
"http://www.jem.org/misc/terms.shtml).",
"After",
"six",
"months",
"it",
"is",
"available",
"under",
"a",
"Creative",
"Commons",
"License",
"(Attribution–Noncom-",
"mercial–Share",
"Alike",
"3.0",
"Unported",
"license,",
"as",
"described",
"at",
"http://creativecommons",
".org/licenses/by-nc-sa/3.0/).",
"2791"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
6,
6,
6,
6,
6,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
4
] |
3,424,422 | null | [
[
660,
82,
47,
12
],
[
710,
82,
51,
12
],
[
655,
94,
41,
10
],
[
699,
94,
10,
10
],
[
711,
94,
29,
10
],
[
742,
94,
19,
10
],
[
646,
105,
15,
10
],
[
663,
105,
98,
10
],
[
115,
138,
54,
25
],
[
176,
138,
116,
25
],
[
299,
138,
23,
25
],
[
328,
138,
100,
25
],
[
435,
138,
60,
25
],
[
501,
138,
97,
25
],
[
115,
180,
46,
14
],
[
164,
180,
56,
14
],
[
223,
180,
57,
14
],
[
283,
180,
27,
14
],
[
313,
180,
25,
14
],
[
341,
180,
43,
14
],
[
388,
180,
14,
14
],
[
404,
180,
79,
14
],
[
115,
202,
52,
10
],
[
170,
202,
9,
10
],
[
181,
202,
22,
10
],
[
205,
202,
45,
10
],
[
252,
202,
46,
10
],
[
301,
202,
16,
10
],
[
318,
202,
26,
10
],
[
346,
202,
37,
10
],
[
385,
202,
31,
10
],
[
417,
202,
23,
10
],
[
442,
202,
50,
10
],
[
494,
202,
15,
10
],
[
511,
202,
20,
10
],
[
115,
242,
30,
10
],
[
147,
242,
14,
10
],
[
114,
255,
24,
10
],
[
141,
255,
26,
10
],
[
169,
255,
33,
10
],
[
204,
255,
9,
10
],
[
216,
255,
16,
10
],
[
234,
255,
16,
10
],
[
115,
269,
62,
10
],
[
180,
269,
42,
10
],
[
224,
269,
44,
10
],
[
115,
282,
32,
10
],
[
149,
282,
45,
10
],
[
197,
282,
25,
10
],
[
115,
299,
46,
10
],
[
163,
299,
14,
10
],
[
115,
312,
17,
10
],
[
135,
312,
49,
10
],
[
184,
312,
47,
10
],
[
115,
325,
46,
10
],
[
164,
325,
49,
10
],
[
215,
325,
40,
10
],
[
115,
339,
35,
10
],
[
152,
339,
63,
10
],
[
115,
352,
71,
10
],
[
189,
352,
32,
10
],
[
115,
369,
83,
10
],
[
115,
382,
29,
10
],
[
146,
382,
10,
10
],
[
158,
382,
50,
10
],
[
210,
382,
52,
10
],
[
265,
382,
9,
10
],
[
115,
395,
22,
10
],
[
140,
395,
45,
10
],
[
186,
395,
46,
10
],
[
235,
395,
16,
10
],
[
253,
395,
26,
10
],
[
115,
408,
37,
10
],
[
154,
408,
31,
10
],
[
186,
408,
23,
10
],
[
210,
408,
16,
10
],
[
228,
408,
33,
10
],
[
263,
408,
17,
10
],
[
115,
422,
30,
10
],
[
148,
422,
50,
10
],
[
199,
422,
12,
10
],
[
214,
422,
30,
10
],
[
246,
422,
22,
10
],
[
115,
435,
29,
10
],
[
146,
435,
81,
10
],
[
295,
241,
27,
14
],
[
326,
241,
57,
14
],
[
386,
241,
11,
14
],
[
400,
241,
36,
14
],
[
438,
241,
66,
14
],
[
507,
241,
12,
14
],
[
523,
241,
27,
14
],
[
552,
241,
22,
14
],
[
577,
241,
78,
14
],
[
658,
241,
72,
14
],
[
734,
241,
12,
14
],
[
749,
241,
29,
14
],
[
781,
241,
35,
14
],
[
295,
258,
46,
14
],
[
344,
258,
22,
14
],
[
368,
258,
55,
14
],
[
425,
258,
12,
14
],
[
440,
258,
19,
14
],
[
462,
258,
78,
14
],
[
543,
258,
55,
14
],
[
601,
258,
80,
14
],
[
684,
258,
12,
14
],
[
699,
258,
40,
14
],
[
742,
258,
28,
14
],
[
772,
258,
44,
14
],
[
295,
274,
22,
14
],
[
320,
274,
48,
14
],
[
370,
274,
19,
14
],
[
391,
274,
52,
14
],
[
445,
274,
14,
14
],
[
461,
274,
19,
14
],
[
483,
274,
49,
14
],
[
534,
274,
50,
14
],
[
586,
274,
12,
14
],
[
601,
274,
40,
14
],
[
643,
274,
7,
14
],
[
653,
274,
32,
14
],
[
687,
274,
54,
14
],
[
743,
274,
12,
14
],
[
757,
274,
28,
14
],
[
787,
274,
28,
14
],
[
295,
291,
14,
14
],
[
313,
291,
20,
14
],
[
337,
291,
12,
14
],
[
353,
291,
33,
14
],
[
389,
291,
12,
14
],
[
405,
291,
14,
14
],
[
423,
291,
68,
14
],
[
495,
291,
43,
14
],
[
541,
291,
52,
14
],
[
597,
291,
28,
14
],
[
628,
291,
30,
14
],
[
662,
291,
29,
14
],
[
694,
291,
12,
14
],
[
710,
291,
46,
14
],
[
760,
291,
22,
14
],
[
785,
291,
30,
14
],
[
295,
307,
26,
14
],
[
325,
307,
19,
14
],
[
347,
307,
13,
14
],
[
363,
307,
19,
14
],
[
385,
307,
40,
14
],
[
428,
307,
12,
14
],
[
443,
307,
33,
14
],
[
480,
307,
38,
14
],
[
520,
307,
14,
14
],
[
537,
307,
65,
14
],
[
605,
307,
63,
14
],
[
671,
307,
26,
14
],
[
700,
307,
60,
14
],
[
763,
307,
53,
14
],
[
295,
324,
44,
14
],
[
344,
324,
21,
14
],
[
369,
324,
12,
14
],
[
386,
324,
55,
14
],
[
445,
324,
54,
14
],
[
503,
324,
31,
14
],
[
539,
324,
42,
14
],
[
585,
324,
49,
14
],
[
638,
324,
29,
14
],
[
672,
324,
45,
14
],
[
721,
324,
28,
14
],
[
753,
324,
63,
14
],
[
295,
340,
71,
14
],
[
370,
340,
12,
14
],
[
385,
340,
27,
14
],
[
414,
340,
33,
14
],
[
450,
340,
22,
14
],
[
474,
340,
45,
14
],
[
522,
340,
43,
14
],
[
568,
340,
14,
14
],
[
585,
340,
56,
14
],
[
644,
340,
43,
14
],
[
690,
340,
16,
14
],
[
709,
340,
50,
14
],
[
762,
340,
27,
14
],
[
792,
340,
24,
14
],
[
295,
357,
42,
14
],
[
339,
357,
22,
14
],
[
364,
357,
57,
14
],
[
423,
357,
71,
14
],
[
497,
357,
12,
14
],
[
513,
357,
48,
14
],
[
564,
357,
22,
14
],
[
589,
357,
71,
14
],
[
663,
357,
45,
14
],
[
711,
357,
19,
14
],
[
732,
357,
38,
14
],
[
774,
357,
12,
14
],
[
789,
357,
27,
14
],
[
295,
374,
53,
14
],
[
352,
374,
11,
14
],
[
366,
374,
23,
14
],
[
393,
374,
26,
14
],
[
422,
374,
19,
14
],
[
444,
374,
25,
14
],
[
472,
374,
12,
14
],
[
487,
374,
49,
14
],
[
540,
374,
49,
14
],
[
592,
374,
24,
14
],
[
619,
374,
38,
14
],
[
660,
374,
47,
14
],
[
711,
374,
22,
14
],
[
736,
374,
48,
14
],
[
787,
374,
28,
14
],
[
295,
390,
19,
14
],
[
317,
390,
26,
14
],
[
345,
390,
35,
14
],
[
383,
390,
12,
14
],
[
398,
390,
20,
14
],
[
419,
390,
50,
14
],
[
472,
390,
11,
14
],
[
486,
390,
48,
14
],
[
536,
390,
12,
14
],
[
550,
390,
31,
14
],
[
584,
390,
27,
14
],
[
613,
390,
54,
14
],
[
669,
390,
33,
14
],
[
705,
390,
53,
14
],
[
760,
390,
28,
14
],
[
790,
390,
25,
14
],
[
295,
407,
50,
14
],
[
349,
407,
26,
14
],
[
379,
407,
26,
14
],
[
408,
407,
45,
14
],
[
457,
407,
23,
14
],
[
483,
407,
28,
14
],
[
515,
407,
7,
14
],
[
526,
407,
29,
14
],
[
558,
407,
75,
14
],
[
636,
407,
37,
14
],
[
677,
407,
28,
14
],
[
708,
407,
23,
14
],
[
735,
407,
7,
14
],
[
745,
407,
25,
14
],
[
774,
407,
41,
14
],
[
295,
424,
12,
14
],
[
311,
424,
61,
14
],
[
375,
424,
58,
14
],
[
436,
424,
65,
14
],
[
504,
424,
25,
14
],
[
533,
424,
28,
14
],
[
564,
424,
52,
14
],
[
620,
424,
26,
14
],
[
649,
424,
22,
14
],
[
675,
424,
53,
14
],
[
731,
424,
22,
14
],
[
756,
424,
31,
14
],
[
790,
424,
25,
14
],
[
295,
440,
34,
14
],
[
333,
440,
75,
14
],
[
411,
440,
12,
14
],
[
427,
440,
30,
14
],
[
461,
440,
26,
14
],
[
490,
440,
34,
14
],
[
528,
440,
11,
14
],
[
542,
440,
20,
14
],
[
565,
440,
47,
14
],
[
615,
440,
47,
14
],
[
664,
440,
22,
14
],
[
689,
440,
34,
14
],
[
727,
440,
12,
14
],
[
743,
440,
44,
14
],
[
789,
440,
26,
14
],
[
295,
457,
34,
14
],
[
334,
457,
11,
14
],
[
349,
457,
57,
14
],
[
410,
457,
22,
14
],
[
436,
457,
24,
14
],
[
464,
457,
35,
14
],
[
504,
457,
20,
14
],
[
529,
457,
49,
14
],
[
582,
457,
58,
14
],
[
644,
457,
67,
14
],
[
715,
457,
12,
14
],
[
732,
457,
84,
14
],
[
295,
473,
27,
14
],
[
328,
473,
61,
14
],
[
392,
473,
24,
14
],
[
421,
473,
39,
14
],
[
465,
473,
58,
14
],
[
528,
473,
20,
14
],
[
552,
473,
37,
14
],
[
594,
473,
12,
14
],
[
611,
473,
79,
14
],
[
694,
473,
71,
14
],
[
770,
473,
22,
14
],
[
796,
473,
20,
14
],
[
295,
490,
51,
14
],
[
350,
490,
69,
14
],
[
423,
490,
12,
14
],
[
439,
490,
26,
14
],
[
468,
490,
34,
14
],
[
506,
490,
16,
14
],
[
526,
490,
20,
14
],
[
549,
490,
50,
14
],
[
603,
490,
58,
14
],
[
664,
490,
50,
14
],
[
718,
490,
15,
14
],
[
737,
490,
79,
14
],
[
295,
507,
68,
14
],
[
368,
507,
10,
14
],
[
382,
507,
44,
14
],
[
430,
507,
12,
14
],
[
446,
507,
50,
14
],
[
501,
507,
40,
14
],
[
545,
507,
12,
14
],
[
561,
507,
27,
14
],
[
592,
507,
57,
14
],
[
653,
507,
46,
14
],
[
704,
507,
20,
14
],
[
727,
507,
49,
14
],
[
780,
507,
36,
14
],
[
295,
523,
25,
14
],
[
324,
523,
43,
14
],
[
370,
523,
7,
14
],
[
380,
523,
63,
14
],
[
447,
523,
26,
14
],
[
475,
523,
68,
14
],
[
547,
523,
15,
14
],
[
565,
523,
28,
14
],
[
596,
523,
61,
14
],
[
295,
549,
49,
10
],
[
350,
549,
40,
10
],
[
396,
549,
56,
10
],
[
458,
549,
63,
10
],
[
526,
549,
58,
10
],
[
590,
549,
74,
10
],
[
670,
549,
53,
10
],
[
729,
549,
59,
10
],
[
794,
549,
22,
10
],
[
295,
562,
47,
10
],
[
115,
601,
90,
14
],
[
115,
619,
26,
14
],
[
147,
619,
55,
14
],
[
208,
619,
11,
14
],
[
224,
619,
32,
14
],
[
262,
619,
18,
14
],
[
285,
619,
43,
14
],
[
334,
619,
54,
14
],
[
393,
619,
48,
14
],
[
447,
619,
11,
14
],
[
115,
635,
33,
14
],
[
152,
635,
30,
14
],
[
187,
635,
9,
14
],
[
199,
635,
9,
14
],
[
212,
635,
13,
14
],
[
229,
635,
55,
14
],
[
288,
635,
71,
14
],
[
363,
635,
11,
14
],
[
378,
635,
21,
14
],
[
403,
635,
8,
14
],
[
415,
635,
43,
14
],
[
115,
650,
21,
14
],
[
138,
650,
32,
14
],
[
172,
650,
40,
14
],
[
214,
650,
10,
14
],
[
225,
650,
17,
14
],
[
244,
650,
24,
14
],
[
270,
650,
11,
14
],
[
283,
650,
68,
14
],
[
353,
650,
58,
14
],
[
412,
650,
46,
14
],
[
115,
666,
21,
14
],
[
139,
666,
37,
14
],
[
178,
666,
9,
14
],
[
189,
666,
19,
14
],
[
210,
666,
50,
14
],
[
262,
666,
11,
14
],
[
275,
666,
17,
14
],
[
295,
666,
18,
14
],
[
315,
666,
11,
14
],
[
328,
666,
32,
14
],
[
362,
666,
8,
14
],
[
373,
666,
20,
14
],
[
395,
666,
64,
14
],
[
115,
682,
18,
14
],
[
138,
682,
32,
14
],
[
174,
682,
34,
14
],
[
212,
682,
27,
14
],
[
243,
682,
56,
14
],
[
302,
682,
20,
14
],
[
327,
682,
25,
14
],
[
355,
682,
23,
14
],
[
382,
682,
24,
14
],
[
410,
682,
48,
14
],
[
115,
698,
43,
14
],
[
163,
698,
17,
14
],
[
185,
698,
41,
14
],
[
231,
698,
35,
14
],
[
270,
698,
20,
14
],
[
296,
698,
22,
14
],
[
322,
698,
34,
14
],
[
361,
698,
34,
14
],
[
400,
698,
20,
14
],
[
424,
698,
34,
14
],
[
115,
714,
42,
14
],
[
160,
714,
46,
14
],
[
207,
714,
11,
14
],
[
221,
714,
23,
14
],
[
246,
714,
37,
14
],
[
285,
714,
27,
14
],
[
314,
714,
25,
14
],
[
342,
714,
29,
14
],
[
373,
714,
11,
14
],
[
387,
714,
33,
14
],
[
422,
714,
13,
14
],
[
437,
714,
21,
14
],
[
115,
730,
28,
14
],
[
146,
730,
65,
14
],
[
212,
730,
61,
14
],
[
275,
730,
17,
14
],
[
294,
730,
28,
14
],
[
324,
730,
20,
14
],
[
346,
730,
16,
14
],
[
364,
730,
11,
14
],
[
377,
730,
22,
14
],
[
401,
730,
11,
14
],
[
414,
730,
6,
14
],
[
422,
730,
36,
14
],
[
115,
746,
16,
14
],
[
134,
746,
68,
14
],
[
204,
746,
28,
14
],
[
235,
746,
72,
14
],
[
131,
762,
50,
14
],
[
183,
762,
17,
14
],
[
202,
762,
29,
14
],
[
233,
762,
11,
14
],
[
247,
762,
27,
14
],
[
276,
762,
57,
14
],
[
335,
762,
44,
14
],
[
381,
762,
23,
14
],
[
405,
762,
11,
14
],
[
419,
762,
6,
14
],
[
427,
762,
31,
14
],
[
115,
778,
50,
14
],
[
168,
778,
44,
14
],
[
215,
778,
64,
14
],
[
282,
778,
57,
14
],
[
343,
778,
9,
14
],
[
355,
778,
9,
14
],
[
367,
778,
42,
14
],
[
412,
778,
11,
14
],
[
427,
778,
32,
14
],
[
115,
794,
33,
14
],
[
151,
794,
54,
14
],
[
208,
794,
17,
14
],
[
228,
794,
18,
14
],
[
249,
794,
11,
14
],
[
263,
794,
32,
14
],
[
299,
794,
11,
14
],
[
313,
794,
13,
14
],
[
329,
794,
26,
14
],
[
358,
794,
48,
14
],
[
409,
794,
29,
14
],
[
441,
794,
17,
14
],
[
115,
810,
53,
14
],
[
171,
810,
11,
14
],
[
184,
810,
35,
14
],
[
220,
810,
20,
14
],
[
243,
810,
60,
14
],
[
304,
810,
23,
14
],
[
328,
810,
16,
14
],
[
347,
810,
49,
14
],
[
398,
810,
24,
14
],
[
423,
810,
35,
14
],
[
115,
825,
14,
14
],
[
132,
825,
11,
14
],
[
146,
825,
59,
14
],
[
207,
825,
37,
14
],
[
247,
825,
37,
14
],
[
287,
825,
46,
14
],
[
335,
825,
47,
14
],
[
385,
825,
20,
14
],
[
408,
825,
29,
14
],
[
439,
825,
8,
14
],
[
450,
825,
9,
14
],
[
115,
841,
49,
14
],
[
168,
841,
43,
14
],
[
215,
841,
21,
14
],
[
240,
841,
27,
14
],
[
271,
841,
16,
14
],
[
292,
841,
31,
14
],
[
327,
841,
29,
14
],
[
360,
841,
44,
14
],
[
407,
841,
20,
14
],
[
432,
841,
26,
14
],
[
115,
857,
29,
14
],
[
148,
857,
11,
14
],
[
164,
857,
42,
14
],
[
209,
857,
21,
14
],
[
235,
857,
45,
14
],
[
283,
857,
71,
14
],
[
359,
857,
57,
14
],
[
419,
857,
39,
14
],
[
115,
873,
10,
14
],
[
127,
873,
16,
14
],
[
146,
873,
34,
14
],
[
184,
873,
17,
14
],
[
205,
873,
32,
14
],
[
241,
873,
30,
14
],
[
274,
873,
11,
14
],
[
290,
873,
26,
14
],
[
320,
873,
55,
14
],
[
379,
873,
23,
14
],
[
406,
873,
28,
14
],
[
438,
873,
20,
14
],
[
115,
889,
24,
14
],
[
142,
889,
48,
14
],
[
192,
889,
9,
14
],
[
203,
889,
54,
14
],
[
131,
905,
45,
14
],
[
179,
905,
32,
14
],
[
215,
905,
16,
14
],
[
234,
905,
43,
14
],
[
280,
905,
11,
14
],
[
294,
905,
17,
14
],
[
314,
905,
73,
14
],
[
390,
905,
11,
14
],
[
405,
905,
26,
14
],
[
434,
905,
24,
14
],
[
115,
921,
36,
14
],
[
154,
921,
41,
14
],
[
198,
921,
37,
14
],
[
237,
921,
37,
14
],
[
277,
921,
24,
14
],
[
304,
921,
17,
14
],
[
323,
921,
33,
14
],
[
359,
921,
11,
14
],
[
373,
921,
27,
14
],
[
403,
921,
56,
14
],
[
115,
937,
37,
14
],
[
155,
937,
24,
14
],
[
181,
937,
23,
14
],
[
206,
937,
37,
14
],
[
245,
937,
43,
14
],
[
290,
937,
17,
14
],
[
310,
937,
64,
14
],
[
376,
937,
28,
14
],
[
407,
937,
17,
14
],
[
426,
937,
32,
14
],
[
115,
953,
15,
14
],
[
133,
953,
11,
14
],
[
147,
953,
30,
14
],
[
180,
953,
12,
14
],
[
195,
953,
17,
14
],
[
215,
953,
22,
14
],
[
239,
953,
11,
14
],
[
254,
953,
50,
14
],
[
306,
953,
38,
14
],
[
348,
953,
46,
14
],
[
397,
953,
62,
14
],
[
115,
969,
17,
14
],
[
136,
969,
64,
14
],
[
204,
969,
36,
14
],
[
244,
969,
41,
14
],
[
289,
969,
11,
14
],
[
304,
969,
37,
14
],
[
345,
969,
27,
14
],
[
375,
969,
23,
14
],
[
402,
969,
11,
14
],
[
417,
969,
41,
14
],
[
115,
985,
39,
14
],
[
158,
985,
10,
14
],
[
170,
985,
16,
14
],
[
189,
985,
29,
14
],
[
223,
985,
85,
14
],
[
311,
985,
10,
14
],
[
323,
985,
16,
14
],
[
343,
985,
34,
14
],
[
381,
985,
20,
14
],
[
405,
985,
20,
14
],
[
429,
985,
30,
14
],
[
115,
1000,
41,
14
],
[
161,
1000,
50,
14
],
[
215,
1000,
16,
14
],
[
236,
1000,
77,
14
],
[
317,
1000,
26,
14
],
[
348,
1000,
55,
14
],
[
407,
1000,
11,
14
],
[
423,
1000,
35,
14
],
[
115,
1016,
42,
14
],
[
162,
1016,
41,
14
],
[
207,
1016,
18,
14
],
[
229,
1016,
6,
14
],
[
239,
1016,
48,
14
],
[
291,
1016,
26,
14
],
[
321,
1016,
23,
14
],
[
348,
1016,
30,
14
],
[
381,
1016,
20,
14
],
[
406,
1016,
19,
14
],
[
429,
1016,
30,
14
],
[
115,
1032,
29,
14
],
[
149,
1032,
50,
14
],
[
205,
1032,
6,
14
],
[
217,
1032,
43,
14
],
[
265,
1032,
11,
14
],
[
282,
1032,
37,
14
],
[
325,
1032,
27,
14
],
[
357,
1032,
6,
14
],
[
369,
1032,
37,
14
],
[
411,
1032,
30,
14
],
[
447,
1032,
11,
14
],
[
474,
602,
28,
14
],
[
507,
602,
45,
14
],
[
557,
602,
20,
14
],
[
582,
602,
41,
14
],
[
629,
602,
19,
14
],
[
653,
602,
16,
14
],
[
674,
602,
11,
14
],
[
691,
602,
6,
14
],
[
702,
602,
22,
14
],
[
730,
602,
16,
14
],
[
751,
602,
23,
14
],
[
779,
602,
37,
14
],
[
474,
618,
26,
14
],
[
504,
618,
27,
14
],
[
535,
618,
30,
14
],
[
569,
618,
46,
14
],
[
619,
618,
40,
14
],
[
664,
618,
72,
14
],
[
740,
618,
17,
14
],
[
761,
618,
55,
14
],
[
474,
634,
17,
14
],
[
495,
634,
44,
14
],
[
543,
634,
44,
14
],
[
591,
634,
41,
14
],
[
637,
634,
20,
14
],
[
661,
634,
27,
14
],
[
692,
634,
11,
14
],
[
708,
634,
13,
14
],
[
725,
634,
28,
14
],
[
757,
634,
34,
14
],
[
795,
634,
21,
14
],
[
474,
650,
17,
14
],
[
493,
650,
46,
14
],
[
542,
650,
11,
14
],
[
556,
650,
42,
14
],
[
601,
650,
61,
14
],
[
664,
650,
11,
14
],
[
678,
650,
6,
14
],
[
687,
650,
23,
14
],
[
713,
650,
24,
14
],
[
740,
650,
53,
14
],
[
795,
650,
21,
14
],
[
474,
666,
16,
14
],
[
493,
666,
50,
14
],
[
545,
666,
27,
14
],
[
575,
666,
28,
14
],
[
606,
666,
11,
14
],
[
621,
666,
45,
14
],
[
668,
666,
23,
14
],
[
695,
666,
60,
14
],
[
757,
666,
17,
14
],
[
777,
666,
39,
14
],
[
474,
682,
11,
14
],
[
489,
682,
92,
14
],
[
585,
682,
62,
14
],
[
650,
682,
23,
14
],
[
677,
682,
37,
14
],
[
719,
682,
21,
14
],
[
744,
682,
18,
14
],
[
766,
682,
50,
14
],
[
474,
698,
22,
14
],
[
498,
698,
17,
14
],
[
518,
698,
45,
14
],
[
566,
698,
14,
14
],
[
583,
698,
17,
14
],
[
603,
698,
33,
14
],
[
639,
698,
21,
14
],
[
663,
698,
42,
14
],
[
708,
698,
64,
14
],
[
775,
698,
11,
14
],
[
789,
698,
28,
14
],
[
474,
714,
67,
14
],
[
544,
714,
39,
14
],
[
587,
714,
56,
14
],
[
646,
714,
64,
14
],
[
714,
714,
35,
14
],
[
753,
714,
36,
14
],
[
792,
714,
24,
14
],
[
474,
730,
22,
14
],
[
500,
730,
19,
14
],
[
524,
730,
27,
14
],
[
555,
730,
11,
14
],
[
571,
730,
13,
14
],
[
589,
730,
69,
14
],
[
662,
730,
26,
14
],
[
693,
730,
59,
14
],
[
756,
730,
11,
14
],
[
771,
730,
45,
14
],
[
474,
745,
37,
14
],
[
515,
745,
11,
14
],
[
530,
745,
37,
14
],
[
572,
745,
30,
14
],
[
605,
745,
24,
14
],
[
633,
745,
35,
14
],
[
672,
745,
20,
14
],
[
696,
745,
45,
14
],
[
745,
745,
17,
14
],
[
766,
745,
35,
14
],
[
805,
745,
11,
14
],
[
474,
761,
71,
14
],
[
548,
761,
64,
14
],
[
616,
761,
20,
14
],
[
640,
761,
45,
14
],
[
689,
761,
17,
14
],
[
710,
761,
58,
14
],
[
772,
761,
20,
14
],
[
796,
761,
20,
14
],
[
474,
777,
58,
14
],
[
536,
777,
11,
14
],
[
552,
777,
29,
14
],
[
586,
777,
46,
14
],
[
636,
777,
16,
14
],
[
657,
777,
37,
14
],
[
699,
777,
11,
14
],
[
715,
777,
27,
14
],
[
746,
777,
55,
14
],
[
805,
777,
11,
14
],
[
474,
793,
35,
14
],
[
474,
824,
62,
14
],
[
538,
824,
39,
14
],
[
580,
824,
89,
14
],
[
671,
824,
23,
14
],
[
697,
824,
50,
14
],
[
750,
824,
44,
14
],
[
474,
841,
21,
14
],
[
497,
841,
59,
14
],
[
559,
841,
44,
14
],
[
606,
841,
45,
14
],
[
654,
841,
32,
14
],
[
689,
841,
20,
14
],
[
712,
841,
25,
14
],
[
740,
841,
28,
14
],
[
770,
841,
18,
14
],
[
791,
841,
25,
14
],
[
474,
857,
53,
14
],
[
529,
857,
11,
14
],
[
542,
857,
23,
14
],
[
568,
857,
37,
14
],
[
607,
857,
31,
14
],
[
639,
857,
35,
14
],
[
676,
857,
34,
14
],
[
712,
857,
21,
14
],
[
736,
857,
41,
14
],
[
780,
857,
11,
14
],
[
794,
857,
22,
14
],
[
474,
873,
27,
14
],
[
506,
873,
28,
14
],
[
539,
873,
64,
14
],
[
608,
873,
11,
14
],
[
625,
873,
25,
14
],
[
655,
873,
37,
14
],
[
697,
873,
9,
14
],
[
711,
873,
62,
14
],
[
779,
873,
11,
14
],
[
795,
873,
21,
14
],
[
474,
889,
25,
14
],
[
503,
889,
38,
14
],
[
545,
889,
33,
14
],
[
581,
889,
44,
14
],
[
630,
889,
44,
14
],
[
677,
889,
32,
14
],
[
714,
889,
11,
14
],
[
729,
889,
27,
14
],
[
760,
889,
22,
14
],
[
787,
889,
30,
14
],
[
474,
905,
14,
14
],
[
491,
905,
64,
14
],
[
558,
905,
20,
14
],
[
582,
905,
43,
14
],
[
628,
905,
57,
14
],
[
689,
905,
26,
14
],
[
719,
905,
30,
14
],
[
752,
905,
20,
14
],
[
775,
905,
41,
14
],
[
474,
921,
64,
14
],
[
543,
921,
46,
14
],
[
593,
921,
56,
14
],
[
654,
921,
64,
14
],
[
723,
921,
55,
14
],
[
783,
921,
20,
14
],
[
808,
921,
9,
14
],
[
474,
937,
19,
14
],
[
497,
937,
22,
14
],
[
524,
937,
11,
14
],
[
541,
937,
13,
14
],
[
559,
937,
41,
14
],
[
605,
937,
40,
14
],
[
651,
937,
8,
14
],
[
664,
937,
9,
14
],
[
678,
937,
46,
14
],
[
728,
937,
16,
14
],
[
750,
937,
41,
14
],
[
796,
937,
20,
14
],
[
474,
953,
62,
14
],
[
540,
953,
30,
14
],
[
575,
953,
20,
14
],
[
599,
953,
24,
14
],
[
627,
953,
17,
14
],
[
649,
953,
33,
14
],
[
686,
953,
11,
14
],
[
701,
953,
45,
14
],
[
751,
953,
27,
14
],
[
781,
953,
35,
14
],
[
474,
969,
30,
14
],
[
507,
969,
10,
14
],
[
519,
969,
16,
14
],
[
539,
969,
29,
14
],
[
573,
969,
43,
14
],
[
619,
969,
34,
14
],
[
657,
969,
50,
14
],
[
712,
969,
42,
14
],
[
758,
969,
58,
14
],
[
474,
985,
30,
14
],
[
506,
985,
16,
14
],
[
525,
985,
17,
14
],
[
544,
985,
30,
14
],
[
576,
985,
11,
14
],
[
590,
985,
38,
14
],
[
631,
985,
17,
14
],
[
650,
985,
38,
14
],
[
690,
985,
17,
14
],
[
710,
985,
45,
14
],
[
757,
985,
59,
14
],
[
474,
1001,
43,
14
],
[
518,
1001,
6,
14
],
[
526,
1001,
33,
14
],
[
561,
1001,
64,
14
],
[
627,
1001,
52,
14
],
[
680,
1001,
45,
14
],
[
727,
1001,
25,
14
],
[
754,
1001,
20,
14
],
[
776,
1001,
41,
14
],
[
474,
1016,
44,
14
],
[
520,
1016,
29,
14
],
[
552,
1016,
22,
14
],
[
575,
1016,
34,
14
],
[
612,
1016,
50,
14
],
[
665,
1016,
55,
14
],
[
723,
1016,
23,
14
],
[
748,
1016,
26,
14
],
[
777,
1016,
40,
14
],
[
474,
1032,
51,
14
],
[
528,
1032,
27,
14
],
[
558,
1032,
17,
14
],
[
578,
1032,
23,
14
],
[
604,
1032,
43,
14
],
[
651,
1032,
20,
14
],
[
674,
1032,
35,
14
],
[
712,
1032,
29,
14
],
[
744,
1032,
42,
14
],
[
789,
1032,
10,
14
],
[
801,
1032,
16,
14
],
[
115,
1088,
101,
11
],
[
647,
1089,
31,
10
],
[
680,
1089,
21,
10
],
[
703,
1088,
3,
10
],
[
709,
1089,
33,
10
],
[
744,
1089,
6,
10
],
[
752,
1088,
3,
10
],
[
757,
1089,
28,
10
],
[
787,
1089,
17,
10
],
[
806,
1088,
3,
10
],
[
811,
1089,
6,
10
],
[
297,
1151,
98,
14
],
[
401,
1151,
14,
14
],
[
421,
1151,
58,
14
],
[
485,
1151,
14,
14
],
[
505,
1151,
33,
14
],
[
543,
1151,
14,
14
],
[
563,
1151,
31,
14
],
[
600,
1151,
8,
14
],
[
614,
1151,
14,
14
],
[
634,
1151,
15,
14
]
] | [
"REVIEW",
"ARTICLE",
"published:",
"22",
"August",
"2012",
"doi:",
"10.3389/fpls.2012.00203",
"RNA",
"trafficking",
"in",
"parasitic",
"plant",
"systems",
"Megan",
"LeBlanc,",
"Gunjune",
"Kim",
"and",
"James",
"H.",
"Westwood*",
"Department",
"of",
"Plant",
"Pathology,",
"Physiology",
"and",
"Weed",
"Science,",
"Virginia",
"Tech,",
"Blacksburg,",
"VA,",
"USA",
"Edited",
"by:",
"Yiguo",
"Hong,",
"College",
"of",
"Life",
"and",
"Environmental",
"Sciences,",
"Hangzhou",
"Normal",
"University,",
"China",
"Reviewed",
"by:",
"Ralf",
"Kaldenhoff,",
"Technische",
"Universität",
"Darmstadt,",
"Germany",
"Roberto",
"Ruiz-Medrano,",
"CINVESTAV-IPN,",
"Maxico",
"*Correspondence:",
"James",
"H.",
"Westwood,",
"Department",
"of",
"Plant",
"Pathology,",
"Physiology",
"and",
"Weed",
"Science,",
"Virginia",
"Tech,",
"401",
"Latham",
"Hall",
"(0390),",
"Blacksburg,",
"VA",
"24061,",
"USA.",
"e-mail:",
"westwood@vt.edu",
"RNA",
"trafficking",
"in",
"plants",
"contributes",
"to",
"local",
"and",
"long-distance",
"coordination",
"of",
"plant",
"devel-",
"opment",
"and",
"response",
"to",
"the",
"environment.",
"However,",
"investigations",
"of",
"mobile",
"RNA",
"identity",
"and",
"function",
"are",
"hindered",
"by",
"the",
"inherent",
"difficulty",
"of",
"tracing",
"a",
"given",
"molecule",
"of",
"RNA",
"from",
"its",
"cell",
"of",
"origin",
"to",
"its",
"destination.",
"Several",
"methods",
"have",
"been",
"used",
"to",
"address",
"this",
"prob-",
"lem,",
"but",
"all",
"are",
"limited",
"to",
"some",
"extent",
"by",
"constraints",
"associated",
"with",
"accurately",
"sampling",
"phloem",
"sap",
"or",
"detecting",
"trafficked",
"RNA.",
"Certain",
"parasitic",
"plant",
"species",
"form",
"symplastic",
"connections",
"to",
"their",
"hosts",
"and",
"thereby",
"provide",
"an",
"additional",
"system",
"for",
"studying",
"RNA",
"traf-",
"ficking.",
"The",
"haustorial",
"connections",
"of",
"Cuscuta",
"and",
"Phelipanche",
"species",
"are",
"similar",
"to",
"graft",
"junctions",
"in",
"that",
"they",
"are",
"able",
"to",
"transmit",
"mRNAs,",
"viral",
"RNAs,",
"siRNAs,",
"and",
"proteins",
"from",
"the",
"host",
"plants",
"to",
"the",
"parasite.",
"In",
"contrast",
"to",
"other",
"graft",
"systems,",
"these",
"parasites",
"form",
"con-",
"nections",
"with",
"host",
"species",
"that",
"span",
"a",
"wide",
"phylogenetic",
"range,",
"such",
"that",
"a",
"high",
"degree",
"of",
"nucleotide",
"sequence",
"divergence",
"may",
"exist",
"between",
"host",
"and",
"parasites",
"and",
"allow",
"con-",
"fident",
"identification",
"of",
"most",
"host",
"RNAs",
"in",
"the",
"parasite",
"system.",
"The",
"ability",
"to",
"identify",
"host",
"RNAs",
"in",
"parasites,",
"and",
"vice",
"versa,",
"will",
"facilitate",
"genomics",
"approaches",
"to",
"understanding",
"RNA",
"trafficking.",
"This",
"review",
"discusses",
"the",
"nature",
"of",
"host–parasite",
"connections",
"and",
"the",
"potential",
"significance",
"of",
"host",
"RNAs",
"for",
"the",
"parasite.",
"Additional",
"research",
"on",
"host–parasite",
"interactions",
"is",
"needed",
"to",
"interpret",
"results",
"of",
"RNA",
"trafficking",
"studies,",
"but",
"parasitic",
"plants",
"may",
"provide",
"a",
"fascinating",
"new",
"perspective",
"on",
"RNA",
"trafficking.",
"Keywords:",
"Cuscuta,",
"haustorium,",
"host–parasite",
"interactions,",
"Orobanchaceae,",
"Orobanche,",
"Phelipanche,",
"RNA",
"trafficking",
"INTRODUCTION",
"RNA",
"trafficking",
"in",
"plants",
"has",
"received",
"increasing",
"attention",
"in",
"recent",
"years.",
"It",
"is",
"an",
"important",
"phenomenon",
"in",
"that",
"it",
"suggests",
"that",
"plants",
"operate",
"at",
"the",
"level",
"of",
"supracellular",
"organisms,",
"meaning",
"that",
"mRNA",
"is",
"not",
"restricted",
"to",
"the",
"cell",
"in",
"which",
"it",
"was",
"synthesized,",
"but",
"rather",
"moves",
"from",
"cell-to-cell",
"and",
"even",
"over",
"long",
"distances",
"through",
"the",
"phloem",
"(Lucas",
"and",
"Lee,",
"2004).",
"Under",
"this",
"model",
"mRNAs",
"function",
"in",
"cells",
"distant",
"from",
"their",
"point",
"of",
"origin",
"by",
"car-",
"rying",
"information",
"throughout",
"the",
"plant",
"and",
"act",
"as",
"part",
"of",
"a",
"system",
"for",
"coordinating",
"plant",
"development.",
"However,",
"the",
"study",
"of",
"RNA",
"movement",
"between",
"cells",
"of",
"a",
"single",
"organism",
"presents",
"tremendous",
"challenges.",
"It",
"is",
"difficult",
"to",
"confi-",
"dently",
"determine",
"the",
"cell",
"of",
"origin",
"of",
"an",
"RNA",
"molecule",
"when",
"the",
"genotypes",
"of",
"source",
"and",
"destination",
"cells",
"are",
"identical.",
"This",
"inabil-",
"ity",
"to",
"distinguish",
"mRNA",
"origins",
"hampers",
"research,",
"and",
"while",
"it",
"is",
"currently",
"thought",
"that",
"there",
"are",
"about",
"1,100",
"proteins",
"and",
"hun-",
"dreds",
"of",
"mRNAs",
"that",
"undergo",
"long-distance",
"movement",
"(Atkins",
"et",
"al.,",
"2011),",
"the",
"actual",
"scope",
"of",
"RNA",
"trafficking",
"over",
"short",
"and",
"long",
"distances",
"is",
"unknown.",
"Parasitic",
"plants",
"are",
"relevant",
"to",
"the",
"consideration",
"of",
"RNA",
"traf-",
"ficking",
"because",
"certain",
"species",
"have",
"the",
"ability",
"to",
"form",
"symplastic",
"unions",
"with",
"host",
"species",
"wherein",
"the",
"connections",
"allow",
"the",
"trans-",
"fer",
"of",
"RNA.",
"In",
"the",
"case",
"of",
"lespedeza",
"dodder",
"(Cuscuta",
"pentagona),",
"the",
"connections",
"permit",
"transfer",
"of",
"mRNA",
"from",
"host",
"to",
"parasite",
"(Roney",
"et",
"al.,",
"2007;",
"David-Schwartz",
"et",
"al.,",
"2008),",
"and",
"this",
"raises",
"exciting",
"prospects",
"for",
"understanding",
"RNA",
"trafficking",
"in",
"plants.",
"Because",
"Cuscuta",
"has",
"a",
"relatively",
"wide",
"host",
"range",
"and",
"can",
"effec-",
"tively",
"parasitize",
"a",
"number",
"of",
"species",
"from",
"a",
"diverse",
"range",
"of",
"plant",
"families,",
"this",
"parasite",
"can",
"act",
"as",
"a",
"sink",
"for",
"host",
"mobile",
"RNA",
"from",
"many",
"different",
"species.",
"Furthermore,",
"the",
"evolution-",
"ary",
"distance",
"between",
"Cuscuta",
"and",
"most",
"of",
"its",
"hosts",
"means",
"that",
"the",
"majority",
"of",
"mRNAs",
"synthesized",
"in",
"a",
"host",
"have",
"sequences",
"that",
"are",
"divergent",
"from",
"those",
"of",
"Cuscuta,",
"thus",
"simplifying",
"the",
"process",
"of",
"bioinformatically",
"recognizing",
"host",
"mRNA",
"that",
"has",
"trafficked",
"into",
"the",
"parasite.",
"To",
"the",
"extent",
"that",
"Cuscuta",
"connections",
"to",
"hosts",
"approximate",
"normal",
"cell-to-cell",
"connections",
"within",
"plants,",
"Cus-",
"cuta",
"can",
"serve",
"as",
"an",
"exceptionally",
"wide",
"heterograft",
"to",
"facilitate",
"studies",
"of",
"mobile",
"RNA.",
"This",
"review",
"will",
"examine",
"the",
"nature",
"of",
"host–parasite",
"connections",
"and",
"consider",
"the",
"advantages",
"and",
"dis-",
"advantages",
"of",
"using",
"parasites",
"for",
"studies",
"of",
"RNA",
"trafficking",
"in",
"plants.",
"PARASITIC",
"PLANT",
"CONNECTIONS:",
"THE",
"PERFECT",
"GRAFT?",
"The",
"connection",
"between",
"parasitic",
"plants",
"and",
"their",
"hosts",
"has",
"been",
"compared",
"to",
"“the",
"perfect",
"graft”",
"(Kuijt,",
"1983).",
"The",
"analogy",
"of",
"par-",
"asitic",
"plant",
"connections",
"to",
"graft",
"unions",
"is",
"appropriate",
"in",
"that",
"both",
"involve",
"fusing",
"together",
"separate",
"plants",
"to",
"forge",
"new",
"cellu-",
"lar",
"connections",
"and",
"vascular",
"continuity.",
"Both",
"grafts",
"and",
"parasite",
"connections",
"establish",
"symplastic",
"connections",
"(Although",
"this",
"is",
"not",
"true",
"of",
"all",
"parasite",
"species,",
"it",
"is",
"accepted",
"for",
"Cuscuta",
"and",
"Phelipanche",
"spp.),",
"and",
"have",
"the",
"ability",
"to",
"transmit",
"RNA",
"(West-",
"wood",
"et",
"al.,",
"2009;",
"Harada,",
"2010).",
"However,",
"whereas",
"man-made",
"grafts",
"are",
"the",
"result",
"of",
"joining",
"cut",
"tissues,",
"the",
"parasitic",
"connection",
"involves",
"a",
"highly",
"coordinated",
"biological",
"invasion",
"(Joel",
"and",
"Losner-",
"Goshen,",
"1994;",
"Lee,",
"2007).",
"Although",
"parasitism",
"may",
"elicit",
"defense",
"responses",
"from",
"the",
"host",
"(Borsics",
"and",
"Lados,",
"2002;",
"Griffitts",
"et",
"al.,",
"www.frontiersin.org",
"August",
"2012",
"|",
"Volume",
"3",
"|",
"Article",
"203",
"|",
"1",
"“fpls-03-00203”",
"—",
"2012/8/20",
"—",
"19:45",
"—",
"page",
"1",
"—",
"#1"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
11,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
1,974,794 | null | [
[
84,
48,
93,
12
],
[
83,
91,
118,
23
],
[
207,
91,
62,
23
],
[
275,
91,
97,
23
],
[
378,
91,
19,
23
],
[
403,
91,
83,
23
],
[
492,
91,
29,
23
],
[
527,
91,
108,
23
],
[
641,
91,
67,
23
],
[
83,
121,
91,
23
],
[
180,
121,
29,
23
],
[
215,
121,
63,
23
],
[
284,
121,
183,
23
],
[
83,
172,
15,
17
],
[
102,
172,
66,
17
],
[
173,
172,
16,
17
],
[
193,
172,
63,
17
],
[
260,
172,
13,
17
],
[
277,
172,
61,
17
],
[
342,
172,
13,
17
],
[
360,
172,
77,
17
],
[
440,
172,
11,
17
],
[
455,
172,
76,
17
],
[
534,
172,
15,
17
],
[
554,
172,
77,
17
],
[
83,
191,
16,
17
],
[
103,
191,
63,
17
],
[
170,
191,
16,
17
],
[
190,
191,
87,
17
],
[
281,
191,
11,
17
],
[
296,
191,
51,
17
],
[
351,
191,
27,
17
],
[
382,
191,
16,
17
],
[
402,
191,
51,
17
],
[
83,
280,
50,
10
],
[
135,
280,
9,
10
],
[
146,
280,
60,
10
],
[
208,
280,
40,
10
],
[
250,
280,
39,
10
],
[
83,
292,
28,
10
],
[
113,
292,
9,
10
],
[
124,
292,
33,
10
],
[
159,
292,
37,
10
],
[
198,
292,
47,
10
],
[
247,
292,
43,
10
],
[
83,
305,
49,
10
],
[
134,
305,
54,
10
],
[
190,
305,
31,
10
],
[
224,
305,
50,
10
],
[
275,
305,
9,
10
],
[
83,
317,
53,
10
],
[
139,
317,
55,
10
],
[
196,
317,
52,
10
],
[
250,
317,
37,
10
],
[
83,
330,
31,
10
],
[
115,
330,
25,
10
],
[
141,
330,
40,
10
],
[
183,
330,
34,
10
],
[
218,
330,
16,
10
],
[
235,
330,
55,
10
],
[
83,
342,
9,
10
],
[
93,
342,
40,
10
],
[
134,
342,
45,
10
],
[
180,
342,
34,
10
],
[
215,
342,
12,
10
],
[
229,
342,
21,
10
],
[
251,
342,
40,
10
],
[
83,
355,
25,
10
],
[
110,
355,
43,
10
],
[
155,
355,
27,
10
],
[
184,
355,
24,
10
],
[
83,
380,
39,
10
],
[
124,
380,
11,
10
],
[
138,
380,
30,
10
],
[
170,
380,
22,
10
],
[
308,
253,
61,
14
],
[
308,
278,
28,
12
],
[
347,
278,
28,
13
],
[
379,
278,
8,
13
],
[
390,
278,
45,
13
],
[
439,
278,
9,
13
],
[
451,
278,
50,
13
],
[
504,
278,
14,
13
],
[
522,
278,
7,
13
],
[
532,
278,
77,
13
],
[
612,
278,
36,
13
],
[
652,
278,
12,
13
],
[
667,
278,
50,
13
],
[
720,
278,
22,
13
],
[
308,
294,
24,
13
],
[
334,
294,
51,
13
],
[
388,
294,
35,
13
],
[
426,
294,
58,
13
],
[
486,
294,
31,
13
],
[
519,
294,
47,
13
],
[
568,
294,
52,
13
],
[
623,
294,
12,
13
],
[
637,
294,
41,
13
],
[
680,
294,
62,
13
],
[
308,
311,
52,
13
],
[
364,
311,
12,
13
],
[
380,
311,
31,
13
],
[
415,
311,
44,
13
],
[
464,
311,
25,
13
],
[
493,
311,
27,
13
],
[
524,
311,
38,
13
],
[
566,
311,
33,
13
],
[
603,
311,
41,
13
],
[
648,
311,
9,
13
],
[
661,
311,
36,
13
],
[
702,
311,
40,
13
],
[
308,
328,
31,
13
],
[
343,
328,
21,
13
],
[
368,
328,
87,
13
],
[
459,
328,
36,
13
],
[
499,
328,
25,
13
],
[
528,
328,
84,
13
],
[
616,
328,
19,
13
],
[
639,
328,
54,
13
],
[
697,
328,
45,
13
],
[
308,
344,
58,
13
],
[
368,
344,
31,
13
],
[
401,
344,
47,
13
],
[
450,
344,
44,
13
],
[
497,
344,
37,
13
],
[
536,
344,
30,
13
],
[
568,
344,
87,
13
],
[
657,
344,
44,
13
],
[
703,
344,
14,
13
],
[
720,
344,
23,
13
],
[
308,
361,
41,
13
],
[
352,
361,
45,
13
],
[
308,
386,
49,
12
],
[
369,
385,
19,
13
],
[
390,
385,
54,
13
],
[
445,
385,
17,
13
],
[
465,
385,
70,
13
],
[
537,
385,
30,
13
],
[
569,
385,
23,
13
],
[
594,
385,
12,
13
],
[
608,
385,
14,
13
],
[
623,
385,
48,
13
],
[
674,
385,
12,
13
],
[
687,
385,
55,
13
],
[
308,
402,
31,
13
],
[
342,
402,
47,
13
],
[
393,
402,
21,
13
],
[
417,
402,
53,
13
],
[
474,
402,
34,
13
],
[
511,
402,
30,
13
],
[
545,
402,
12,
13
],
[
560,
402,
69,
13
],
[
632,
402,
7,
13
],
[
642,
402,
40,
13
],
[
686,
402,
12,
13
],
[
701,
402,
41,
13
],
[
308,
419,
32,
13
],
[
342,
419,
29,
13
],
[
374,
419,
21,
13
],
[
397,
419,
163,
14
],
[
562,
419,
61,
13
],
[
626,
419,
7,
13
],
[
635,
419,
40,
13
],
[
677,
419,
12,
13
],
[
691,
419,
51,
13
],
[
308,
435,
36,
13
],
[
348,
435,
38,
13
],
[
390,
435,
7,
13
],
[
400,
435,
26,
13
],
[
431,
435,
23,
13
],
[
458,
435,
43,
13
],
[
505,
435,
53,
13
],
[
562,
435,
20,
13
],
[
586,
435,
48,
13
],
[
638,
435,
11,
13
],
[
654,
435,
15,
13
],
[
673,
435,
46,
13
],
[
723,
435,
19,
13
],
[
308,
452,
44,
13
],
[
357,
452,
25,
13
],
[
386,
452,
40,
13
],
[
431,
452,
41,
13
],
[
477,
452,
51,
13
],
[
533,
452,
42,
13
],
[
579,
452,
15,
13
],
[
598,
452,
25,
13
],
[
628,
452,
23,
13
],
[
656,
452,
21,
13
],
[
682,
452,
30,
13
],
[
717,
452,
25,
13
],
[
308,
469,
28,
13
],
[
339,
469,
8,
13
],
[
349,
469,
53,
13
],
[
308,
494,
40,
12
],
[
359,
493,
70,
13
],
[
436,
493,
30,
13
],
[
475,
493,
54,
13
],
[
537,
493,
26,
13
],
[
571,
493,
41,
13
],
[
620,
493,
42,
13
],
[
670,
493,
30,
13
],
[
703,
493,
8,
13
],
[
713,
493,
29,
13
],
[
308,
510,
32,
13
],
[
343,
510,
8,
13
],
[
353,
510,
29,
13
],
[
384,
510,
32,
13
],
[
418,
510,
8,
13
],
[
428,
510,
25,
13
],
[
456,
510,
21,
13
],
[
479,
510,
32,
13
],
[
514,
510,
8,
13
],
[
524,
510,
25,
13
],
[
551,
510,
35,
13
],
[
588,
510,
37,
13
],
[
627,
510,
12,
13
],
[
642,
510,
26,
13
],
[
670,
510,
21,
13
],
[
693,
510,
11,
13
],
[
707,
510,
18,
13
],
[
727,
510,
15,
13
],
[
308,
526,
21,
13
],
[
331,
526,
22,
13
],
[
356,
526,
25,
13
],
[
383,
526,
68,
13
],
[
454,
526,
15,
14
],
[
472,
527,
8,
13
],
[
482,
526,
33,
13
],
[
517,
526,
15,
13
],
[
534,
526,
45,
13
],
[
581,
526,
12,
13
],
[
595,
526,
49,
13
],
[
646,
526,
82,
13
],
[
730,
526,
12,
13
],
[
308,
543,
51,
13
],
[
365,
543,
40,
13
],
[
412,
543,
11,
13
],
[
430,
543,
15,
13
],
[
447,
543,
22,
13
],
[
476,
543,
21,
13
],
[
504,
543,
25,
13
],
[
536,
543,
53,
13
],
[
595,
543,
54,
13
],
[
656,
543,
37,
13
],
[
695,
543,
8,
13
],
[
706,
543,
36,
13
],
[
308,
560,
39,
13
],
[
350,
560,
8,
13
],
[
360,
560,
35,
13
],
[
397,
560,
39,
13
],
[
439,
560,
8,
13
],
[
449,
560,
32,
13
],
[
483,
560,
21,
13
],
[
506,
560,
39,
13
],
[
547,
560,
8,
13
],
[
557,
560,
32,
13
],
[
592,
560,
35,
13
],
[
629,
560,
15,
14
],
[
647,
561,
8,
13
],
[
657,
560,
25,
13
],
[
684,
560,
15,
13
],
[
701,
560,
41,
13
],
[
308,
576,
15,
14
],
[
326,
577,
8,
13
],
[
337,
576,
25,
13
],
[
366,
576,
15,
13
],
[
386,
576,
15,
13
],
[
403,
576,
30,
13
],
[
437,
576,
22,
13
],
[
463,
576,
73,
13
],
[
541,
576,
31,
13
],
[
576,
576,
56,
13
],
[
636,
576,
25,
13
],
[
666,
576,
18,
13
],
[
688,
576,
39,
13
],
[
731,
576,
11,
13
],
[
308,
593,
65,
13
],
[
376,
593,
31,
13
],
[
408,
593,
10,
14
],
[
421,
594,
8,
13
],
[
431,
593,
29,
13
],
[
462,
594,
8,
13
],
[
474,
593,
8,
13
],
[
484,
593,
33,
13
],
[
520,
593,
55,
13
],
[
576,
593,
28,
13
],
[
607,
593,
22,
13
],
[
631,
593,
15,
13
],
[
648,
593,
66,
13
],
[
717,
593,
25,
13
],
[
308,
610,
18,
13
],
[
328,
610,
39,
13
],
[
370,
610,
11,
13
],
[
384,
610,
50,
13
],
[
437,
610,
30,
13
],
[
470,
610,
28,
13
],
[
501,
610,
8,
13
],
[
511,
610,
12,
13
],
[
526,
610,
15,
13
],
[
543,
610,
25,
13
],
[
308,
635,
65,
12
],
[
385,
634,
92,
13
],
[
480,
634,
11,
13
],
[
496,
634,
49,
13
],
[
549,
634,
12,
13
],
[
564,
634,
23,
13
],
[
591,
634,
42,
13
],
[
637,
634,
43,
13
],
[
683,
634,
59,
13
],
[
308,
651,
31,
13
],
[
344,
651,
47,
13
],
[
395,
651,
25,
13
],
[
426,
651,
58,
13
],
[
489,
651,
65,
13
],
[
559,
651,
34,
13
],
[
598,
651,
22,
13
],
[
624,
651,
61,
13
],
[
690,
651,
52,
13
],
[
308,
667,
31,
13
],
[
343,
667,
45,
13
],
[
392,
667,
14,
13
],
[
411,
667,
89,
13
],
[
504,
667,
24,
13
],
[
532,
667,
32,
13
],
[
568,
667,
18,
13
],
[
590,
667,
42,
13
],
[
637,
667,
33,
13
],
[
674,
667,
30,
13
],
[
709,
667,
33,
13
],
[
308,
684,
45,
13
],
[
356,
684,
46,
13
],
[
405,
684,
40,
13
],
[
449,
684,
23,
13
],
[
475,
684,
48,
13
],
[
526,
684,
70,
13
],
[
600,
684,
87,
13
],
[
691,
684,
24,
13
],
[
718,
684,
24,
13
],
[
308,
701,
14,
13
],
[
325,
701,
56,
13
],
[
384,
701,
22,
13
],
[
408,
701,
11,
13
],
[
422,
701,
18,
13
],
[
443,
701,
71,
13
],
[
516,
701,
21,
13
],
[
540,
701,
65,
13
],
[
608,
701,
12,
13
],
[
623,
701,
45,
13
],
[
671,
701,
48,
13
],
[
308,
726,
41,
13
],
[
352,
726,
30,
13
],
[
384,
726,
18,
13
],
[
405,
726,
51,
13
],
[
459,
726,
38,
13
],
[
308,
751,
56,
12
],
[
375,
751,
32,
13
],
[
412,
751,
44,
13
],
[
461,
751,
49,
13
],
[
515,
751,
41,
13
],
[
561,
751,
54,
13
],
[
619,
751,
51,
13
],
[
675,
751,
34,
13
],
[
714,
751,
28,
13
],
[
308,
767,
46,
13
],
[
357,
767,
86,
13
],
[
308,
792,
78,
12
],
[
397,
792,
53,
13
],
[
452,
792,
163,
14
],
[
618,
792,
37,
13
],
[
658,
792,
42,
13
],
[
703,
792,
12,
13
],
[
717,
792,
25,
13
],
[
308,
808,
28,
13
],
[
338,
808,
27,
13
],
[
367,
808,
46,
13
],
[
415,
808,
48,
13
],
[
465,
808,
27,
13
],
[
494,
808,
50,
13
],
[
546,
808,
41,
13
],
[
590,
808,
55,
13
],
[
647,
808,
20,
13
],
[
669,
808,
73,
13
],
[
308,
825,
35,
13
],
[
348,
825,
33,
13
],
[
387,
825,
40,
13
],
[
433,
825,
41,
13
],
[
480,
825,
55,
13
],
[
540,
825,
42,
13
],
[
587,
825,
23,
13
],
[
615,
825,
41,
13
],
[
662,
825,
51,
13
],
[
719,
825,
23,
13
],
[
308,
842,
32,
13
],
[
343,
842,
65,
13
],
[
83,
933,
67,
10
],
[
152,
933,
12,
10
],
[
166,
933,
29,
10
],
[
197,
933,
34,
10
],
[
233,
933,
18,
10
],
[
253,
933,
20,
10
],
[
275,
933,
50,
10
],
[
327,
933,
9,
10
],
[
338,
933,
60,
10
],
[
83,
945,
41,
10
],
[
126,
945,
39,
10
],
[
167,
945,
28,
10
],
[
196,
945,
9,
10
],
[
208,
945,
33,
10
],
[
242,
945,
37,
10
],
[
281,
945,
47,
10
],
[
330,
945,
43,
10
],
[
375,
945,
23,
10
],
[
83,
958,
28,
10
],
[
113,
958,
47,
10
],
[
161,
958,
17,
10
],
[
180,
958,
45,
10
],
[
227,
958,
27,
10
],
[
256,
958,
28,
10
],
[
286,
958,
114,
10
],
[
83,
977,
28,
10
],
[
113,
977,
9,
10
],
[
124,
977,
15,
10
],
[
141,
977,
25,
10
],
[
168,
977,
6,
10
],
[
177,
977,
41,
10
],
[
220,
977,
8,
10
],
[
230,
977,
47,
10
],
[
279,
977,
19,
10
],
[
300,
977,
14,
10
],
[
316,
977,
34,
10
],
[
352,
977,
43,
10
],
[
83,
990,
25,
10
],
[
110,
990,
45,
10
],
[
157,
990,
16,
10
],
[
176,
990,
25,
10
],
[
203,
990,
20,
10
],
[
225,
990,
15,
10
],
[
242,
990,
27,
10
],
[
271,
990,
48,
10
],
[
321,
990,
51,
10
],
[
83,
1042,
19,
12
],
[
425,
896,
90,
14
],
[
425,
922,
45,
13
],
[
472,
922,
41,
13
],
[
514,
922,
9,
13
],
[
524,
922,
53,
13
],
[
579,
922,
24,
13
],
[
605,
922,
17,
13
],
[
623,
922,
67,
13
],
[
691,
922,
11,
13
],
[
704,
922,
38,
13
],
[
425,
938,
42,
13
],
[
468,
938,
18,
13
],
[
487,
938,
25,
13
],
[
514,
938,
74,
13
],
[
589,
938,
39,
13
],
[
629,
938,
23,
13
],
[
654,
938,
11,
13
],
[
667,
938,
27,
13
],
[
695,
938,
47,
13
],
[
425,
955,
55,
13
],
[
481,
955,
33,
13
],
[
515,
955,
20,
13
],
[
537,
955,
67,
13
],
[
605,
955,
20,
13
],
[
627,
955,
73,
13
],
[
702,
955,
40,
13
],
[
425,
972,
24,
13
],
[
451,
972,
11,
13
],
[
465,
972,
41,
13
],
[
509,
972,
67,
13
],
[
578,
972,
20,
13
],
[
600,
972,
64,
13
],
[
667,
972,
17,
13
],
[
686,
972,
56,
13
],
[
425,
988,
11,
13
],
[
439,
988,
42,
13
],
[
484,
988,
24,
13
],
[
512,
988,
11,
13
],
[
525,
988,
67,
13
],
[
596,
988,
64,
13
],
[
663,
988,
20,
13
],
[
686,
988,
56,
13
],
[
660,
1033,
8,
10
],
[
670,
1033,
20,
10
],
[
692,
1033,
14,
10
],
[
709,
1033,
33,
10
],
[
459,
1044,
28,
10
],
[
489,
1044,
45,
10
],
[
536,
1044,
8,
10
],
[
546,
1044,
20,
10
],
[
568,
1044,
33,
10
],
[
603,
1044,
15,
10
],
[
620,
1044,
31,
10
],
[
653,
1044,
38,
10
],
[
692,
1044,
13,
10
],
[
707,
1044,
35,
10
]
] | [
"DIABETICMedicine",
"P20BODA37licxMra4uficb2ogEtike-rn3wtdnaoi0,cexa7UlMi1drKPtaAeituacdrlbvietcliscnhlteriensg,Li2nt0dnhy6perglycaemciaY.Miyarzakietael.atic",
"B-cell",
"function",
"is",
"altered",
"by",
"oxidative",
"stress",
"induced",
"by",
"acute",
"hyperglycaemia",
"Y.",
"Miyazaki,",
"H.",
"Kawano,",
"T.",
"Yoshida,",
"S.",
"Miyamoto,",
"J.",
"Hokamaki,",
"Y.",
"Nagayoshi,",
"H.",
"Yamabe,",
"H.",
"Nakamura*,",
"J.",
"Yodoi†",
"and",
"H.",
"Ogawa",
"Department",
"of",
"Cardiovascular",
"Medicine,",
"Graduate",
"School",
"of",
"Medical",
"Sciences,",
"Kumamoto",
"University,",
"Kumamoto,",
"*Thioredoxin",
"Project,",
"Department",
"of",
"Experimental",
"Therapeutics,",
"Translational",
"Research",
"Centre,",
"Kyoto",
"University",
"Hospital",
"and",
"†Department",
"of",
"Biological",
"Responses,",
"Institute",
"for",
"Virus",
"Research,",
"Kyoto",
"University,",
"Kyoto,",
"Japan",
"Accepted",
"29",
"August",
"2006",
"Abstract",
"Aims",
"Type",
"2",
"diabetes",
"is",
"preceded",
"by",
"a",
"symptom-free",
"period",
"of",
"impaired",
"glu-",
"cose",
"tolerance",
"(IGT).",
"Pancreatic",
"B-cell",
"function",
"decreases",
"as",
"glucose",
"intolerance",
"develops.",
"In",
"many",
"patients",
"with",
"IGT,",
"fasting",
"blood",
"glucose",
"is",
"within",
"normal",
"limits",
"and",
"hyperglycaemia",
"occurs",
"only",
"postprandially.",
"We",
"examined",
"whether",
"pancreatic",
"B-cell",
"function",
"changes",
"during",
"acute",
"hyperglycaemia",
"induced",
"by",
"oral",
"glucose",
"loading.",
"Methods",
"We",
"calculated",
"the",
"insulinogenic",
"index",
"(I.I.)",
"as",
"an",
"indicator",
"of",
"pancreatic",
"B-cell",
"function",
"and",
"measured",
"serum",
"levels",
"of",
"thioredoxin,",
"a",
"marker",
"of",
"cellular",
"redox",
"state,",
"and",
"8-hydroxy-2′-deoxyguanosine",
"(8-OHdG),",
"a",
"marker",
"of",
"oxidative",
"stress,",
"during",
"a",
"75-g",
"oral",
"glucose",
"tolerance",
"test",
"(OGTT)",
"in",
"45",
"subjects",
"[24",
"patients",
"with",
"normal",
"glucose",
"tolerance",
"(NGT),",
"14",
"with",
"IGT",
"and",
"seven",
"with",
"Type",
"2",
"diabetes].",
"Results",
"Thioredoxin",
"levels",
"decreased",
"after",
"glucose",
"loading",
"[66.1",
"±",
"23.7,",
"*59.3",
"±",
"22.4,",
"*49.3",
"±",
"21.2",
"and",
"*37.7",
"±",
"18.0",
"ng/ml,",
"fasting",
"(0",
"min)",
"and",
"at",
"30,",
"60",
"and",
"120",
"min,",
"respectively;",
"*P",
"<",
"0.001",
"vs.",
"fasting].",
"In",
"contrast,",
"concentrations",
"of",
"8-OHdG",
"peaked",
"at",
"30",
"min",
"and",
"then",
"gradually",
"decreased",
"(0.402",
"±",
"0.123,",
"*0.440",
"±",
"0.120,",
"†0.362",
"±",
"0.119",
"and",
"†0.355",
"±",
"0.131",
"ng/ml,",
"*P",
"<",
"0.05",
"vs.",
"fasting,",
"†P",
"<",
"0.01",
"vs.",
"30",
"min).",
"The",
"insulinogenic",
"index",
"correlated",
"with",
"the",
"change",
"in",
"thioredoxin",
"levels",
"(r",
"=",
"0.34,",
"P",
"<",
"0.05).",
"However,",
"there",
"was",
"no",
"relationship",
"with",
"the",
"change",
"in",
"8-OHdG",
"levels",
"from",
"0",
"to",
"30",
"min.",
"Conclusions",
"Hyperglycaemia",
"in",
"response",
"to",
"oral",
"glucose",
"impairs",
"pancreatic",
"B-cell",
"function",
"with",
"decreasing",
"thioredoxin",
"levels.",
"The",
"augmented",
"oxidative",
"stress",
"induced",
"by",
"hyperglycaemia",
"may",
"affect",
"the",
"cellular",
"redox",
"state.",
"These",
"findings",
"strongly",
"suggest",
"that",
"repeated",
"postprandial",
"hyperglycaemia",
"may",
"play",
"an",
"important",
"role",
"in",
"the",
"development",
"and",
"progression",
"of",
"diabetes",
"mellitus.",
"Diabet.",
"Med.",
"24,",
"154–160",
"(2007)",
"Keywords",
"blood",
"glucose,",
"impaired",
"glucose",
"tolerance,",
"oxidative",
"stress,",
"post-",
"prandial",
"hyperglycaemia",
"Abbreviations",
"8-OHdG,",
"8-hydroxy-2′-deoxyguanosine;",
"ANOVA,",
"analysis",
"of",
"vari-",
"ance;",
"DM,",
"diabetes",
"mellitus;",
"IGT,",
"impaired",
"glucose",
"tolerance;",
"I.I.,",
"insulinogenic",
"index;",
"NGT,",
"normal",
"glucose",
"tolerance;",
"OGTT,",
"oral",
"glucose",
"tolerance",
"test;",
"TRX,",
"thioredoxin",
"Correspondence",
"to:",
"Hiroaki",
"Kawano",
"MD,",
"PhD,",
"Department",
"of",
"Cardiovascular",
"Medicine,",
"Graduate",
"School",
"of",
"Medical",
"Sciences,",
"Kumamoto",
"University,",
"1-1-1",
"Honjo,",
"Kumamoto",
"City",
"860–8556,",
"Japan.",
"E-mail:",
"koumei@kumamoto-u.ac.jp",
"Re-use",
"of",
"this",
"article",
"is",
"permitted",
"in",
"accordance",
"with",
"the",
"Creative",
"Commons",
"Deed,",
"Attribution",
"2.5,",
"which",
"does",
"not",
"permit",
"commercial",
"exploitation.",
"154",
"Introduction",
"Diabetes",
"mellitus",
"is",
"associated",
"with",
"the",
"development",
"of",
"athero-",
"sclerosis",
"[1].",
"Both",
"macrovascular",
"disease,",
"such",
"as",
"acute",
"coronary",
"syndrome,",
"stroke",
"and",
"claudication,",
"and",
"microvascular",
"disease,",
"such",
"as",
"diabetic",
"nephropathy",
"and",
"retinopathy,",
"are",
"commoner",
"in",
"diabetic",
"than",
"in",
"non-diabetic",
"populations",
"and",
"contribute",
"©",
"2007",
"The",
"Authors.",
"Journal",
"compilation",
"©",
"2007",
"Diabetes",
"UK.",
"Diabetic",
"Medicine,",
"24,",
"154–160"
] | [
11,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
4,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
1,915,630 | null | [
[
65,
46,
5,
12
],
[
72,
46,
27,
12
],
[
102,
46,
20,
12
],
[
126,
46,
30,
12
],
[
159,
46,
53,
12
],
[
65,
58,
20,
12
],
[
88,
58,
126,
12
],
[
65,
126,
72,
19
],
[
142,
126,
104,
19
],
[
252,
126,
66,
19
],
[
323,
126,
15,
19
],
[
344,
126,
64,
19
],
[
413,
126,
63,
19
],
[
65,
147,
46,
19
],
[
116,
147,
89,
19
],
[
210,
147,
82,
19
],
[
298,
147,
15,
19
],
[
319,
147,
33,
19
],
[
65,
168,
72,
18
],
[
142,
168,
85,
18
],
[
65,
211,
42,
14
],
[
111,
211,
55,
14
],
[
169,
213,
5,
12
],
[
176,
211,
35,
14
],
[
215,
211,
16,
14
],
[
235,
211,
23,
14
],
[
262,
211,
27,
14
],
[
292,
213,
4,
12
],
[
65,
227,
27,
14
],
[
96,
227,
10,
14
],
[
110,
227,
13,
14
],
[
127,
227,
23,
14
],
[
154,
227,
30,
14
],
[
186,
229,
4,
11
],
[
193,
227,
40,
14
],
[
237,
227,
32,
14
],
[
65,
284,
44,
12
],
[
112,
284,
6,
12
],
[
121,
284,
47,
12
],
[
171,
284,
23,
12
],
[
196,
284,
3,
12
],
[
200,
284,
45,
12
],
[
249,
284,
11,
12
],
[
263,
284,
45,
12
],
[
312,
284,
23,
12
],
[
336,
284,
4,
12
],
[
65,
297,
44,
12
],
[
111,
297,
31,
12
],
[
145,
297,
6,
12
],
[
155,
297,
29,
12
],
[
187,
297,
23,
12
],
[
65,
310,
11,
12
],
[
79,
310,
38,
11
],
[
120,
310,
35,
11
],
[
158,
310,
7,
11
],
[
168,
310,
40,
11
],
[
210,
310,
31,
11
],
[
245,
310,
21,
11
],
[
269,
310,
23,
11
],
[
65,
352,
49,
14
],
[
120,
352,
49,
14
],
[
173,
352,
22,
14
],
[
199,
352,
23,
14
],
[
227,
352,
9,
14
],
[
240,
352,
6,
14
],
[
251,
352,
19,
14
],
[
274,
352,
47,
14
],
[
325,
352,
46,
14
],
[
376,
352,
11,
14
],
[
391,
352,
26,
14
],
[
421,
352,
40,
14
],
[
466,
352,
54,
14
],
[
525,
352,
21,
14
],
[
65,
368,
30,
14
],
[
100,
368,
11,
14
],
[
117,
368,
15,
14
],
[
138,
368,
49,
14
],
[
193,
368,
11,
14
],
[
210,
368,
43,
14
],
[
260,
368,
31,
14
],
[
297,
368,
14,
14
],
[
316,
368,
24,
14
],
[
347,
368,
67,
14
],
[
419,
368,
15,
14
],
[
441,
368,
59,
14
],
[
506,
368,
14,
14
],
[
525,
368,
20,
14
],
[
65,
384,
38,
14
],
[
106,
384,
11,
14
],
[
121,
384,
43,
14
],
[
168,
384,
29,
14
],
[
201,
384,
56,
14
],
[
261,
384,
31,
14
],
[
296,
384,
31,
14
],
[
330,
384,
19,
14
],
[
354,
384,
10,
14
],
[
367,
384,
54,
14
],
[
425,
384,
21,
14
],
[
449,
384,
67,
14
],
[
519,
384,
26,
14
],
[
65,
400,
45,
14
],
[
113,
400,
38,
14
],
[
155,
400,
20,
14
],
[
178,
400,
30,
14
],
[
211,
400,
25,
14
],
[
239,
400,
14,
14
],
[
256,
400,
33,
14
],
[
293,
400,
11,
14
],
[
307,
400,
54,
14
],
[
365,
400,
32,
14
],
[
400,
400,
52,
14
],
[
456,
400,
10,
14
],
[
470,
400,
37,
14
],
[
510,
400,
35,
14
],
[
65,
416,
18,
14
],
[
85,
416,
28,
14
],
[
117,
416,
20,
14
],
[
140,
416,
19,
14
],
[
162,
416,
9,
14
],
[
174,
416,
19,
14
],
[
197,
416,
11,
14
],
[
211,
416,
50,
14
],
[
264,
416,
10,
14
],
[
278,
416,
16,
14
],
[
298,
416,
26,
14
],
[
327,
416,
24,
14
],
[
355,
416,
15,
14
],
[
373,
416,
49,
14
],
[
425,
416,
31,
14
],
[
459,
416,
23,
14
],
[
485,
416,
13,
14
],
[
501,
416,
30,
14
],
[
534,
416,
11,
14
],
[
65,
432,
15,
14
],
[
84,
432,
30,
14
],
[
119,
432,
21,
14
],
[
144,
432,
59,
14
],
[
208,
432,
55,
14
],
[
268,
432,
15,
14
],
[
288,
432,
37,
14
],
[
330,
432,
31,
14
],
[
367,
432,
9,
14
],
[
380,
432,
48,
14
],
[
433,
432,
11,
14
],
[
449,
432,
68,
14
],
[
522,
432,
24,
14
],
[
65,
448,
26,
14
],
[
95,
448,
30,
14
],
[
129,
448,
29,
14
],
[
162,
448,
24,
14
],
[
191,
448,
46,
14
],
[
242,
448,
11,
14
],
[
258,
448,
10,
14
],
[
272,
448,
31,
14
],
[
308,
448,
58,
14
],
[
370,
448,
21,
14
],
[
395,
448,
34,
14
],
[
433,
448,
14,
14
],
[
452,
448,
54,
14
],
[
510,
448,
35,
14
],
[
65,
464,
27,
14
],
[
97,
464,
70,
14
],
[
173,
464,
39,
14
],
[
218,
464,
11,
14
],
[
235,
464,
20,
14
],
[
260,
464,
38,
14
],
[
304,
464,
41,
14
],
[
351,
464,
21,
14
],
[
377,
464,
36,
14
],
[
420,
464,
15,
14
],
[
441,
464,
37,
14
],
[
484,
464,
19,
14
],
[
510,
464,
36,
14
],
[
65,
480,
35,
14
],
[
105,
480,
48,
14
],
[
159,
480,
20,
14
],
[
185,
480,
11,
14
],
[
202,
480,
16,
14
],
[
224,
480,
20,
14
],
[
251,
480,
75,
14
],
[
331,
480,
26,
14
],
[
363,
480,
38,
14
],
[
406,
480,
11,
14
],
[
423,
480,
30,
14
],
[
459,
480,
45,
14
],
[
509,
480,
11,
14
],
[
525,
480,
20,
14
],
[
65,
496,
38,
14
],
[
105,
496,
41,
14
],
[
149,
496,
11,
14
],
[
163,
496,
54,
14
],
[
220,
496,
35,
14
],
[
258,
496,
32,
14
],
[
292,
496,
16,
14
],
[
311,
496,
53,
14
],
[
367,
496,
26,
14
],
[
395,
496,
38,
14
],
[
436,
496,
6,
14
],
[
445,
496,
34,
14
],
[
482,
496,
44,
14
],
[
529,
496,
16,
14
],
[
65,
512,
41,
14
],
[
110,
512,
70,
14
],
[
184,
512,
41,
14
],
[
229,
512,
41,
14
],
[
275,
512,
26,
14
],
[
305,
512,
20,
14
],
[
329,
512,
38,
14
],
[
371,
512,
41,
14
],
[
416,
512,
11,
14
],
[
431,
512,
54,
14
],
[
490,
512,
31,
14
],
[
526,
512,
19,
14
],
[
65,
527,
20,
14
],
[
89,
527,
26,
14
],
[
119,
527,
37,
14
],
[
161,
527,
35,
14
],
[
200,
527,
23,
14
],
[
228,
527,
17,
14
],
[
250,
527,
17,
14
],
[
271,
527,
68,
14
],
[
344,
527,
46,
14
],
[
394,
527,
11,
14
],
[
409,
527,
20,
14
],
[
433,
527,
38,
14
],
[
475,
527,
70,
14
],
[
65,
543,
38,
14
],
[
109,
543,
50,
14
],
[
165,
543,
14,
14
],
[
185,
543,
17,
14
],
[
208,
543,
27,
14
],
[
241,
543,
11,
14
],
[
258,
543,
39,
14
],
[
303,
543,
16,
14
],
[
325,
543,
37,
14
],
[
369,
543,
11,
14
],
[
385,
543,
59,
14
],
[
450,
543,
55,
14
],
[
512,
543,
11,
14
],
[
529,
543,
16,
14
],
[
65,
559,
53,
14
],
[
121,
559,
24,
14
],
[
149,
559,
15,
14
],
[
168,
559,
53,
14
],
[
224,
559,
56,
14
],
[
285,
559,
20,
14
],
[
308,
559,
11,
14
],
[
324,
559,
16,
14
],
[
344,
559,
49,
14
],
[
397,
559,
73,
14
],
[
474,
559,
16,
14
],
[
494,
559,
50,
14
],
[
65,
591,
57,
14
],
[
129,
591,
25,
14
],
[
155,
591,
26,
14
],
[
183,
591,
47,
14
],
[
232,
588,
4,
14
],
[
238,
591,
78,
14
],
[
318,
588,
4,
14
],
[
324,
591,
31,
14
],
[
359,
591,
31,
14
],
[
392,
588,
4,
14
],
[
397,
591,
31,
14
],
[
432,
591,
50,
14
],
[
485,
588,
4,
14
],
[
491,
591,
46,
14
],
[
539,
588,
4,
14
],
[
65,
607,
67,
14
],
[
133,
604,
4,
14
],
[
139,
607,
72,
14
],
[
213,
607,
45,
14
],
[
65,
655,
71,
14
],
[
65,
687,
32,
14
],
[
100,
687,
19,
14
],
[
123,
687,
13,
14
],
[
139,
687,
44,
14
],
[
186,
687,
14,
14
],
[
204,
687,
30,
14
],
[
237,
687,
63,
14
],
[
303,
687,
36,
14
],
[
343,
687,
19,
14
],
[
366,
687,
25,
14
],
[
395,
687,
42,
14
],
[
440,
687,
6,
14
],
[
450,
687,
36,
14
],
[
490,
687,
11,
14
],
[
505,
687,
40,
14
],
[
65,
703,
53,
14
],
[
124,
703,
50,
14
],
[
181,
703,
76,
14
],
[
264,
703,
43,
14
],
[
314,
703,
48,
14
],
[
369,
703,
11,
14
],
[
388,
703,
27,
14
],
[
421,
703,
11,
14
],
[
439,
703,
46,
14
],
[
492,
703,
53,
14
],
[
65,
719,
64,
14
],
[
133,
719,
19,
14
],
[
157,
719,
16,
14
],
[
178,
719,
36,
14
],
[
219,
719,
11,
14
],
[
235,
719,
59,
14
],
[
299,
719,
20,
14
],
[
323,
719,
33,
14
],
[
361,
719,
36,
14
],
[
402,
719,
43,
14
],
[
450,
719,
11,
14
],
[
466,
719,
16,
14
],
[
487,
719,
59,
14
],
[
65,
756,
13,
11
],
[
81,
756,
43,
11
],
[
126,
755,
20,
12
],
[
148,
749,
5,
17
],
[
155,
756,
7,
11
],
[
165,
756,
8,
11
],
[
176,
756,
11,
11
],
[
190,
756,
18,
11
],
[
211,
756,
24,
11
],
[
236,
749,
5,
17
],
[
243,
756,
13,
11
],
[
259,
756,
27,
11
],
[
65,
768,
49,
11
],
[
117,
768,
10,
11
],
[
129,
768,
57,
11
],
[
189,
768,
55,
11
],
[
248,
768,
49,
11
],
[
299,
768,
19,
11
],
[
321,
768,
19,
11
],
[
344,
768,
25,
11
],
[
372,
768,
23,
11
],
[
398,
768,
15,
11
],
[
416,
768,
58,
11
],
[
65,
781,
18,
12
],
[
85,
781,
53,
12
],
[
65,
794,
31,
12
],
[
99,
794,
113,
12
],
[
65,
820,
11,
12
],
[
79,
820,
13,
12
],
[
95,
820,
18,
12
],
[
116,
820,
22,
12
],
[
65,
832,
30,
12
],
[
97,
832,
13,
12
],
[
114,
832,
45,
12
],
[
162,
832,
39,
12
],
[
204,
832,
53,
12
],
[
260,
832,
36,
12
],
[
300,
832,
10,
12
],
[
312,
832,
37,
12
],
[
353,
832,
75,
12
],
[
430,
832,
19,
12
],
[
452,
832,
19,
12
],
[
474,
832,
14,
12
],
[
65,
845,
23,
12
],
[
90,
845,
15,
12
],
[
108,
845,
38,
12
],
[
149,
845,
18,
12
],
[
170,
845,
53,
12
]
] | [
"J",
"Chem",
"Ecol",
"(2007)",
"33:655–668",
"DOI",
"10.1007/s10886-006-9245-2",
"Jasmonic",
"Acid-Induced",
"Changes",
"in",
"Brassica",
"oleracea",
"Affect",
"Oviposition",
"Preference",
"of",
"Two",
"Specialist",
"Herbivores",
"Maaike",
"Bruinsma",
"&",
"Nicole",
"M.",
"Van",
"Dam",
"&",
"Joop",
"J.",
"A.",
"Van",
"Loon",
"&",
"Marcel",
"Dicke",
"Received:",
"6",
"September",
"2006",
"/",
"Accepted:",
"18",
"December",
"2006",
"/",
"Published",
"online:",
"2",
"March",
"2007",
"#",
"Springer",
"Science",
"+",
"Business",
"Media,",
"LLC",
"2007",
"Abstract",
"Jasmonic",
"acid",
"(JA)",
"is",
"a",
"key",
"hormone",
"involved",
"in",
"plant",
"defense",
"responses.",
"The",
"effect",
"of",
"JA",
"treatment",
"of",
"cabbage",
"plants",
"on",
"their",
"acceptability",
"for",
"oviposition",
"by",
"two",
"species",
"of",
"cabbage",
"white",
"butterflies,",
"Pieris",
"rapae",
"and",
"P.",
"brassicae,",
"was",
"investigated.",
"Both",
"butterfly",
"species",
"laid",
"fewer",
"eggs",
"on",
"leaves",
"of",
"JA-treated",
"plants",
"compared",
"to",
"control",
"plants.",
"We",
"show",
"that",
"this",
"is",
"due",
"to",
"processes",
"in",
"the",
"plant",
"after",
"JA",
"treatment",
"rather",
"than",
"an",
"effect",
"of",
"JA",
"itself.",
"The",
"oviposition",
"preference",
"for",
"control",
"plants",
"is",
"adaptive,",
"as",
"development",
"time",
"from",
"larval",
"hatch",
"until",
"pupation",
"of",
"P.",
"rapae",
"caterpillars",
"was",
"longer",
"on",
"JA-treated",
"plants.",
"Total",
"glucosinolate",
"content",
"in",
"leaf",
"surface",
"extracts",
"was",
"similar",
"for",
"control",
"and",
"treated",
"plants;",
"however,",
"two",
"of",
"the",
"five",
"glucosinolates",
"were",
"present",
"in",
"lower",
"amounts",
"in",
"leaf",
"surface",
"extracts",
"of",
"JA-treated",
"plants.",
"When",
"the",
"butterflies",
"were",
"offered",
"a",
"choice",
"between",
"the",
"purified",
"glucosinolate",
"fraction",
"isolated",
"from",
"leaf",
"surface",
"extracts",
"of",
"JA-treated",
"plants",
"and",
"that",
"from",
"control",
"plants,",
"they",
"did",
"not",
"discriminate.",
"Changes",
"in",
"leaf",
"surface",
"glucosinolate",
"profile,",
"therefore,",
"do",
"not",
"seem",
"to",
"explain",
"the",
"change",
"in",
"oviposition",
"preference",
"of",
"the",
"butterflies",
"after",
"JA",
"treatment,",
"suggesting",
"that",
"as",
"yet",
"unknown",
"infochemicals",
"are",
"involved.",
"Keywords",
"Host",
"plant",
"selection",
".",
"Glucosinolates",
".",
"Pieris",
"rapae",
".",
"Pieris",
"brassicae",
".",
"Cabbage",
".",
"Performance",
".",
"Octadecanoid",
"pathway",
"Introduction",
"Plants",
"can",
"be",
"attacked",
"by",
"many",
"herbivorous",
"insects",
"and",
"have",
"evolved",
"a",
"variety",
"of",
"defense",
"strategies,",
"including",
"morphological",
"barriers,",
"synthesis",
"of",
"toxic",
"or",
"repellent",
"secondary",
"metabolites,",
"and",
"the",
"release",
"of",
"synomones",
"that",
"attract",
"natural",
"enemies",
"of",
"the",
"herbivores.",
"M.",
"Bruinsma",
"(*)",
":",
"J.",
"J.",
"A.",
"Van",
"Loon",
":",
"M.",
"Dicke",
"Laboratory",
"of",
"Entomology,",
"Wageningen",
"University,",
"P.O.",
"Box",
"8031,",
"6700",
"EH",
"Wageningen,",
"The",
"Netherlands",
"e-mail:",
"maaike.bruinsma@wur.nl",
"N.",
"M.",
"Van",
"Dam",
"Centre",
"for",
"Terrestrial",
"Ecology,",
"Netherlands",
"Institute",
"of",
"Ecology",
"(NIOO-KNAW),",
"P.O.",
"Box",
"40,",
"6666",
"ZG",
"Heteren,",
"The",
"Netherlands"
] | [
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3
] |
2,920,880 | null | [
[
78,
47,
27,
12
],
[
108,
47,
9,
12
],
[
120,
47,
11,
12
],
[
134,
47,
21,
12
],
[
158,
47,
31,
12
],
[
193,
47,
25,
12
],
[
221,
47,
32,
12
],
[
78,
61,
233,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
136,
34
],
[
225,
169,
90,
34
],
[
325,
169,
102,
34
],
[
438,
169,
81,
34
],
[
529,
169,
45,
34
],
[
584,
169,
77,
34
],
[
78,
205,
107,
34
],
[
196,
205,
127,
34
],
[
332,
205,
27,
34
],
[
369,
205,
36,
34
],
[
423,
205,
18,
34
],
[
450,
205,
51,
34
],
[
511,
205,
52,
34
],
[
78,
252,
51,
16
],
[
133,
249,
41,
18
],
[
179,
252,
35,
16
],
[
217,
249,
50,
18
],
[
271,
252,
52,
16
],
[
328,
249,
22,
18
],
[
355,
252,
68,
16
],
[
427,
249,
28,
18
],
[
460,
252,
57,
16
],
[
520,
249,
44,
18
],
[
569,
252,
39,
16
],
[
612,
249,
29,
18
],
[
78,
271,
28,
16
],
[
110,
271,
37,
16
],
[
151,
269,
35,
19
],
[
191,
271,
45,
16
],
[
240,
271,
30,
16
],
[
274,
269,
23,
19
],
[
301,
271,
64,
16
],
[
369,
269,
23,
19
],
[
397,
271,
30,
16
],
[
431,
271,
38,
16
],
[
474,
269,
28,
19
],
[
507,
271,
22,
16
],
[
533,
271,
31,
16
],
[
568,
269,
32,
19
],
[
605,
271,
60,
16
],
[
669,
269,
25,
19
],
[
87,
325,
54,
15
],
[
87,
350,
76,
14
],
[
167,
351,
78,
14
],
[
250,
351,
32,
14
],
[
286,
351,
24,
14
],
[
314,
351,
8,
14
],
[
327,
351,
19,
14
],
[
350,
351,
30,
14
],
[
384,
351,
21,
14
],
[
410,
351,
11,
14
],
[
425,
351,
14,
14
],
[
443,
351,
56,
14
],
[
504,
351,
17,
14
],
[
524,
351,
22,
14
],
[
550,
351,
58,
14
],
[
612,
351,
12,
14
],
[
628,
351,
19,
14
],
[
651,
351,
33,
14
],
[
87,
367,
56,
14
],
[
147,
367,
60,
14
],
[
211,
367,
38,
14
],
[
253,
367,
33,
14
],
[
290,
367,
71,
14
],
[
365,
367,
26,
14
],
[
395,
367,
12,
14
],
[
411,
367,
47,
14
],
[
463,
367,
19,
14
],
[
486,
367,
54,
14
],
[
544,
367,
51,
14
],
[
599,
367,
21,
14
],
[
625,
367,
50,
14
],
[
680,
367,
57,
14
],
[
87,
384,
38,
14
],
[
130,
384,
37,
14
],
[
171,
384,
21,
14
],
[
197,
384,
76,
14
],
[
277,
384,
27,
14
],
[
308,
384,
27,
14
],
[
339,
384,
40,
14
],
[
383,
384,
54,
14
],
[
441,
384,
52,
14
],
[
496,
384,
52,
14
],
[
553,
384,
69,
14
],
[
626,
384,
79,
14
],
[
709,
384,
25,
14
],
[
87,
400,
76,
14
],
[
168,
400,
69,
14
],
[
241,
400,
21,
14
],
[
267,
400,
59,
14
],
[
330,
400,
41,
14
],
[
376,
400,
58,
14
],
[
438,
400,
17,
14
],
[
459,
400,
27,
14
],
[
490,
400,
48,
14
],
[
543,
400,
22,
14
],
[
569,
400,
61,
14
],
[
635,
400,
31,
14
],
[
670,
400,
11,
14
],
[
87,
417,
56,
14
],
[
148,
417,
43,
14
],
[
195,
417,
8,
14
],
[
207,
417,
58,
14
],
[
269,
417,
25,
14
],
[
298,
417,
65,
14
],
[
367,
417,
11,
14
],
[
383,
417,
73,
14
],
[
460,
417,
21,
14
],
[
485,
417,
43,
14
],
[
532,
417,
46,
14
],
[
583,
417,
11,
14
],
[
598,
415,
30,
17
],
[
633,
417,
7,
14
],
[
644,
417,
26,
14
],
[
674,
417,
11,
14
],
[
689,
417,
20,
14
],
[
87,
434,
33,
14
],
[
124,
434,
17,
14
],
[
145,
434,
38,
14
],
[
187,
434,
53,
14
],
[
244,
434,
22,
14
],
[
270,
434,
59,
14
],
[
334,
434,
31,
14
],
[
369,
434,
11,
14
],
[
385,
434,
56,
14
],
[
445,
434,
43,
14
],
[
492,
434,
8,
14
],
[
505,
434,
22,
14
],
[
531,
434,
19,
14
],
[
555,
434,
25,
14
],
[
583,
434,
56,
14
],
[
643,
434,
77,
14
],
[
87,
450,
39,
14
],
[
130,
450,
14,
14
],
[
149,
450,
53,
14
],
[
206,
450,
19,
14
],
[
229,
450,
48,
14
],
[
281,
450,
16,
14
],
[
304,
450,
7,
14
],
[
315,
450,
21,
14
],
[
341,
450,
22,
14
],
[
367,
450,
11,
14
],
[
382,
450,
38,
14
],
[
425,
450,
60,
14
],
[
488,
450,
38,
14
],
[
87,
471,
56,
14
],
[
148,
471,
33,
14
],
[
184,
471,
40,
14
],
[
229,
471,
56,
14
],
[
289,
471,
38,
14
],
[
331,
471,
22,
14
],
[
357,
471,
50,
14
],
[
411,
471,
22,
14
],
[
437,
471,
38,
14
],
[
479,
471,
11,
14
],
[
494,
471,
56,
14
],
[
555,
471,
38,
14
],
[
596,
471,
22,
14
],
[
622,
471,
54,
14
],
[
681,
471,
14,
14
],
[
699,
471,
30,
14
],
[
87,
488,
30,
14
],
[
122,
488,
71,
14
],
[
197,
488,
35,
14
],
[
235,
488,
98,
14
],
[
338,
488,
45,
14
],
[
387,
488,
11,
14
],
[
402,
488,
20,
14
],
[
426,
488,
33,
14
],
[
463,
488,
17,
14
],
[
484,
488,
35,
14
],
[
523,
488,
59,
14
],
[
586,
488,
39,
14
],
[
629,
488,
22,
14
],
[
655,
488,
58,
14
],
[
87,
504,
35,
14
],
[
126,
504,
65,
14
],
[
195,
504,
11,
14
],
[
210,
504,
56,
14
],
[
271,
504,
38,
14
],
[
313,
504,
30,
14
],
[
347,
504,
39,
14
],
[
391,
504,
30,
14
],
[
425,
504,
11,
14
],
[
440,
504,
35,
14
],
[
479,
504,
19,
14
],
[
502,
504,
25,
14
],
[
532,
504,
52,
14
],
[
588,
504,
63,
14
],
[
655,
504,
62,
14
],
[
87,
521,
32,
14
],
[
124,
521,
37,
14
],
[
165,
521,
21,
14
],
[
190,
521,
54,
14
],
[
249,
521,
37,
14
],
[
290,
521,
10,
14
],
[
304,
521,
24,
14
],
[
332,
521,
21,
14
],
[
358,
521,
10,
14
],
[
372,
521,
22,
14
],
[
398,
521,
38,
14
],
[
440,
521,
60,
14
],
[
504,
521,
38,
14
],
[
87,
541,
46,
14
],
[
137,
542,
58,
14
],
[
200,
542,
38,
14
],
[
242,
542,
45,
14
],
[
291,
542,
50,
14
],
[
345,
542,
35,
14
],
[
383,
542,
19,
14
],
[
406,
542,
67,
14
],
[
478,
542,
10,
14
],
[
492,
542,
24,
14
],
[
520,
542,
22,
14
],
[
546,
542,
45,
14
],
[
596,
542,
33,
14
],
[
633,
542,
19,
14
],
[
656,
542,
32,
14
],
[
692,
542,
11,
14
],
[
87,
558,
35,
14
],
[
126,
558,
24,
14
],
[
154,
558,
14,
14
],
[
172,
558,
76,
14
],
[
252,
558,
77,
14
],
[
333,
558,
56,
14
],
[
394,
558,
30,
14
],
[
428,
558,
53,
14
],
[
485,
558,
16,
14
],
[
509,
558,
7,
14
],
[
520,
558,
21,
14
],
[
546,
558,
22,
14
],
[
572,
558,
39,
14
],
[
615,
558,
22,
14
],
[
641,
558,
26,
14
],
[
671,
558,
33,
14
],
[
87,
575,
34,
14
],
[
125,
575,
26,
14
],
[
155,
575,
12,
14
],
[
171,
575,
28,
14
],
[
204,
575,
34,
14
],
[
241,
575,
21,
14
],
[
267,
575,
42,
14
],
[
314,
575,
23,
14
],
[
341,
575,
80,
14
],
[
425,
575,
11,
14
],
[
440,
575,
56,
14
],
[
501,
575,
38,
14
],
[
543,
575,
11,
14
],
[
557,
575,
60,
14
],
[
621,
575,
83,
14
],
[
87,
591,
36,
14
],
[
128,
591,
65,
14
],
[
197,
591,
50,
14
],
[
251,
591,
34,
14
],
[
290,
591,
41,
14
],
[
335,
591,
25,
14
],
[
364,
591,
19,
14
],
[
386,
591,
30,
14
],
[
420,
591,
65,
14
],
[
489,
591,
11,
14
],
[
505,
591,
35,
14
],
[
543,
591,
51,
14
],
[
599,
591,
10,
14
],
[
613,
591,
26,
14
],
[
87,
612,
70,
14
],
[
161,
612,
21,
14
],
[
186,
612,
30,
14
],
[
221,
612,
49,
14
],
[
274,
612,
22,
14
],
[
300,
612,
59,
14
],
[
364,
612,
31,
14
],
[
399,
612,
11,
14
],
[
415,
612,
56,
14
],
[
475,
612,
43,
14
],
[
522,
612,
8,
14
],
[
535,
612,
41,
14
],
[
579,
612,
34,
14
],
[
617,
612,
25,
14
],
[
646,
612,
55,
14
],
[
87,
629,
77,
14
],
[
168,
629,
39,
14
],
[
211,
629,
21,
14
],
[
237,
629,
53,
14
],
[
295,
629,
11,
14
],
[
310,
629,
16,
14
],
[
333,
629,
7,
14
],
[
345,
629,
22,
14
],
[
370,
629,
22,
14
],
[
397,
629,
47,
14
],
[
449,
629,
21,
14
],
[
474,
629,
26,
14
],
[
504,
629,
33,
14
],
[
541,
629,
34,
14
],
[
579,
629,
10,
14
],
[
594,
629,
24,
14
],
[
622,
629,
21,
14
],
[
647,
629,
10,
14
],
[
662,
629,
22,
14
],
[
688,
629,
38,
14
],
[
87,
645,
60,
14
],
[
151,
645,
38,
14
],
[
194,
645,
38,
14
],
[
236,
645,
38,
14
],
[
278,
645,
62,
14
],
[
344,
645,
11,
14
],
[
359,
645,
33,
14
],
[
396,
645,
71,
14
],
[
471,
645,
11,
14
],
[
486,
645,
56,
14
],
[
547,
645,
38,
14
],
[
589,
645,
31,
14
],
[
624,
645,
24,
14
],
[
652,
645,
12,
14
],
[
87,
662,
75,
14
],
[
166,
662,
11,
14
],
[
182,
662,
38,
14
],
[
224,
662,
59,
14
],
[
287,
662,
32,
14
],
[
323,
662,
12,
14
],
[
340,
662,
88,
14
],
[
432,
662,
22,
14
],
[
457,
662,
58,
14
],
[
519,
662,
52,
14
],
[
575,
662,
15,
14
],
[
595,
662,
19,
14
],
[
618,
662,
55,
14
],
[
677,
662,
11,
14
],
[
693,
662,
39,
14
],
[
87,
679,
44,
14
],
[
78,
725,
77,
15
],
[
78,
742,
39,
14
],
[
121,
742,
57,
14
],
[
183,
742,
18,
14
],
[
205,
742,
76,
14
],
[
284,
742,
50,
14
],
[
339,
742,
34,
14
],
[
377,
742,
26,
14
],
[
78,
758,
28,
14
],
[
111,
758,
27,
14
],
[
143,
758,
12,
14
],
[
160,
758,
62,
14
],
[
228,
758,
23,
14
],
[
255,
758,
54,
14
],
[
314,
758,
22,
14
],
[
341,
758,
27,
14
],
[
373,
758,
31,
14
],
[
78,
775,
32,
14
],
[
116,
775,
53,
14
],
[
174,
775,
29,
14
],
[
209,
775,
61,
14
],
[
275,
775,
63,
14
],
[
343,
775,
19,
14
],
[
367,
775,
36,
14
],
[
78,
791,
52,
14
],
[
134,
791,
72,
14
],
[
210,
791,
21,
14
],
[
235,
791,
44,
14
],
[
283,
791,
6,
14
],
[
294,
791,
33,
14
],
[
331,
791,
23,
14
],
[
358,
791,
11,
14
],
[
374,
791,
30,
14
],
[
78,
808,
68,
14
],
[
151,
808,
22,
14
],
[
179,
808,
64,
14
],
[
248,
808,
61,
14
],
[
314,
808,
52,
14
],
[
370,
808,
34,
14
],
[
78,
825,
45,
14
],
[
128,
825,
17,
14
],
[
149,
825,
44,
14
],
[
197,
825,
49,
14
],
[
250,
825,
46,
14
],
[
300,
825,
19,
14
],
[
323,
825,
27,
14
],
[
355,
825,
49,
14
],
[
78,
841,
53,
14
],
[
135,
841,
40,
14
],
[
180,
841,
37,
14
],
[
221,
841,
21,
14
],
[
246,
841,
46,
14
],
[
297,
841,
31,
14
],
[
89,
858,
82,
14
],
[
176,
858,
34,
14
],
[
214,
858,
25,
14
],
[
243,
858,
9,
14
],
[
256,
858,
18,
14
],
[
279,
858,
30,
14
],
[
313,
858,
24,
14
],
[
341,
858,
11,
14
],
[
356,
858,
14,
14
],
[
375,
858,
29,
14
],
[
78,
875,
34,
14
],
[
117,
875,
20,
14
],
[
141,
875,
23,
14
],
[
170,
875,
60,
14
],
[
235,
875,
12,
14
],
[
252,
875,
19,
14
],
[
276,
875,
37,
14
],
[
319,
875,
64,
14
],
[
388,
875,
16,
14
],
[
78,
891,
49,
14
],
[
133,
891,
47,
14
],
[
185,
891,
43,
14
],
[
234,
891,
36,
14
],
[
275,
891,
76,
14
],
[
357,
891,
28,
14
],
[
391,
891,
12,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
62,
11
],
[
78,
936,
32,
13
],
[
113,
937,
9,
11
],
[
125,
937,
15,
11
],
[
143,
937,
36,
11
],
[
182,
937,
16,
11
],
[
201,
937,
35,
11
],
[
240,
937,
34,
11
],
[
277,
937,
37,
11
],
[
317,
937,
30,
11
],
[
350,
937,
38,
11
],
[
78,
950,
34,
11
],
[
115,
950,
9,
11
],
[
127,
950,
32,
11
],
[
162,
950,
16,
11
],
[
181,
950,
49,
11
],
[
233,
950,
26,
11
],
[
262,
950,
5,
11
],
[
270,
950,
59,
11
],
[
332,
950,
30,
11
],
[
365,
950,
38,
11
],
[
78,
962,
35,
11
],
[
116,
962,
36,
11
],
[
155,
962,
9,
11
],
[
167,
962,
24,
11
],
[
423,
725,
52,
14
],
[
480,
725,
21,
14
],
[
506,
725,
60,
14
],
[
571,
725,
53,
14
],
[
630,
725,
22,
14
],
[
657,
725,
55,
14
],
[
718,
725,
30,
14
],
[
423,
742,
35,
14
],
[
461,
742,
40,
14
],
[
505,
742,
38,
14
],
[
547,
742,
21,
14
],
[
573,
742,
79,
14
],
[
656,
742,
29,
14
],
[
689,
742,
29,
14
],
[
722,
742,
26,
14
],
[
423,
758,
41,
14
],
[
468,
758,
55,
14
],
[
528,
758,
54,
14
],
[
586,
758,
54,
14
],
[
644,
758,
73,
14
],
[
721,
758,
27,
14
],
[
423,
775,
57,
14
],
[
484,
775,
106,
14
],
[
594,
775,
71,
14
],
[
670,
775,
36,
14
],
[
710,
775,
38,
14
],
[
423,
791,
22,
14
],
[
449,
791,
63,
14
],
[
516,
791,
42,
14
],
[
562,
791,
43,
14
],
[
610,
791,
55,
14
],
[
669,
791,
17,
14
],
[
690,
791,
19,
14
],
[
713,
791,
35,
14
],
[
423,
808,
46,
14
],
[
474,
808,
12,
14
],
[
491,
808,
60,
14
],
[
557,
808,
12,
14
],
[
574,
808,
39,
14
],
[
618,
808,
18,
14
],
[
640,
808,
40,
14
],
[
685,
808,
63,
14
],
[
423,
825,
44,
14
],
[
472,
825,
43,
14
],
[
521,
825,
19,
14
],
[
545,
825,
59,
14
],
[
610,
825,
28,
14
],
[
643,
825,
12,
14
],
[
661,
825,
69,
14
],
[
736,
825,
12,
14
],
[
423,
841,
50,
14
],
[
479,
841,
76,
14
],
[
560,
841,
23,
14
],
[
588,
841,
101,
14
],
[
694,
841,
12,
14
],
[
712,
841,
36,
14
],
[
423,
858,
66,
14
],
[
493,
858,
42,
14
],
[
540,
858,
35,
14
],
[
579,
858,
25,
14
],
[
608,
858,
62,
14
],
[
674,
858,
44,
14
],
[
434,
875,
46,
14
],
[
484,
875,
18,
14
],
[
506,
875,
18,
14
],
[
529,
875,
29,
14
],
[
562,
875,
88,
14
],
[
655,
875,
36,
14
],
[
694,
875,
54,
14
],
[
423,
891,
12,
14
],
[
439,
891,
19,
14
],
[
462,
891,
34,
14
],
[
500,
891,
26,
14
],
[
531,
891,
35,
14
],
[
570,
891,
27,
14
],
[
602,
891,
28,
14
],
[
634,
891,
32,
14
],
[
670,
891,
29,
14
],
[
704,
891,
12,
14
],
[
721,
891,
27,
14
],
[
423,
908,
47,
14
],
[
475,
908,
50,
14
],
[
530,
908,
71,
14
],
[
606,
908,
12,
14
],
[
624,
908,
68,
14
],
[
697,
908,
51,
14
],
[
423,
924,
57,
14
],
[
485,
924,
57,
14
],
[
547,
924,
22,
14
],
[
574,
924,
66,
14
],
[
645,
924,
50,
14
],
[
700,
924,
48,
14
],
[
423,
941,
41,
14
],
[
469,
941,
26,
14
],
[
499,
941,
18,
14
],
[
522,
941,
53,
14
],
[
579,
941,
50,
14
],
[
634,
941,
12,
14
],
[
650,
941,
58,
14
],
[
713,
941,
35,
14
],
[
423,
957,
50,
14
],
[
477,
957,
37,
14
],
[
519,
957,
12,
14
],
[
535,
957,
37,
14
],
[
576,
957,
26,
14
],
[
607,
957,
14,
14
],
[
626,
957,
62,
14
],
[
692,
957,
55,
14
],
[
248,
987,
7,
10
],
[
256,
987,
19,
10
],
[
277,
987,
22,
10
],
[
301,
987,
8,
10
],
[
311,
987,
8,
10
],
[
321,
987,
30,
10
],
[
354,
987,
29,
10
],
[
385,
987,
27,
10
],
[
414,
987,
14,
10
],
[
431,
987,
15,
10
],
[
448,
987,
6,
10
],
[
456,
987,
10,
10
],
[
468,
987,
21,
10
],
[
491,
987,
25,
10
],
[
519,
987,
23,
10
],
[
544,
987,
41,
10
],
[
587,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
22,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Kwon",
"et",
"al.",
"BMC",
"Cancer",
"2010,",
"10:392",
"http://www.biomedcentral.com/1471-2407/10/392",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Cinnamon",
"extract",
"induces",
"tumor",
"cell",
"death",
"through",
"inhibition",
"of",
"NF",
"B",
"and",
"AP1",
"Ho-Keun",
"Kwon1,",
"Ji-Sun",
"Hwang1,",
"Jae-Seon",
"So1,",
"Choong-Gu",
"Lee1,",
"Anupama",
"Sahoo1,",
"Jae-Ha",
"Ryu1,",
"Won",
"Kyung",
"Jeon2,",
"Byoung",
"Seob",
"Ko2,",
"Chang-Rok",
"Im3,",
"Sung",
"Haeng",
"Lee4,",
"Zee",
"Yong",
"Park1,",
"Sin-Hyeog",
"Im1*",
"Abstract",
"Background:",
"Cinnamomum",
"cassia",
"bark",
"is",
"the",
"outer",
"skin",
"of",
"an",
"evergreen",
"tall",
"tree",
"belonging",
"to",
"the",
"family",
"Lauraceae",
"containing",
"several",
"active",
"components",
"such",
"as",
"essential",
"oils",
"(cinnamic",
"aldehyde",
"and",
"cinnamyl",
"aldehyde),",
"tannin,",
"mucus",
"and",
"carbohydrate.",
"They",
"have",
"various",
"biological",
"functions",
"including",
"anti-oxidant,",
"anti-microbial,",
"anti-",
"inflammation,",
"anti-diabetic",
"and",
"anti-tumor",
"activity.",
"Previously,",
"we",
"have",
"reported",
"that",
"anti-cancer",
"effect",
"of",
"cinnamon",
"extracts",
"is",
"associated",
"with",
"modulation",
"of",
"angiogenesis",
"and",
"effector",
"function",
"of",
"CD8+",
"T",
"cells.",
"In",
"this",
"study,",
"we",
"further",
"identified",
"that",
"anti-tumor",
"effect",
"of",
"cinnamon",
"extracts",
"is",
"also",
"link",
"with",
"enhanced",
"pro-apoptotic",
"activity",
"by",
"inhibiting",
"the",
"activities",
"NF",
"B",
"and",
"AP1",
"in",
"mouse",
"melanoma",
"model.",
"Methods:",
"Water",
"soluble",
"cinnamon",
"extract",
"was",
"obtained",
"and",
"quality",
"of",
"cinnamon",
"extract",
"was",
"evaluated",
"by",
"HPLC",
"(High",
"Performance",
"Liquid",
"Chromatography)",
"analysis.",
"In",
"this",
"study,",
"we",
"tested",
"anti-tumor",
"activity",
"and",
"elucidated",
"action",
"mechanism",
"of",
"cinnamon",
"extract",
"using",
"various",
"types",
"of",
"tumor",
"cell",
"lines",
"including",
"lymphoma,",
"melanoma,",
"cervix",
"cancer",
"and",
"colorectal",
"cancer",
"in",
"vitro",
"and",
"in",
"vivo",
"mouse",
"melanoma",
"model.",
"Results:",
"Cinnamon",
"extract",
"strongly",
"inhibited",
"tumor",
"cell",
"proliferation",
"in",
"vitro",
"and",
"induced",
"active",
"cell",
"death",
"of",
"tumor",
"cells",
"by",
"up-regulating",
"pro-apoptotic",
"molecules",
"while",
"inhibiting",
"NF",
"B",
"and",
"AP1",
"activity",
"and",
"their",
"target",
"genes",
"such",
"as",
"Bcl-2,",
"BcL-xL",
"and",
"survivin.",
"Oral",
"administration",
"of",
"cinnamon",
"extract",
"in",
"melanoma",
"transplantation",
"model",
"significantly",
"inhibited",
"tumor",
"growth",
"with",
"the",
"same",
"mechanism",
"of",
"action",
"observed",
"in",
"vitro.",
"Conclusion:",
"Our",
"study",
"suggests",
"that",
"anti-tumor",
"effect",
"of",
"cinnamon",
"extracts",
"is",
"directly",
"linked",
"with",
"enhanced",
"pro-apoptotic",
"activity",
"and",
"inhibition",
"of",
"NF",
"B",
"and",
"AP1",
"activities",
"and",
"their",
"target",
"genes",
"in",
"vitro",
"and",
"in",
"vivo",
"mouse",
"melanoma",
"model.",
"Hence,",
"further",
"elucidation",
"of",
"active",
"components",
"of",
"cinnamon",
"extract",
"could",
"lead",
"to",
"development",
"of",
"potent",
"anti-tumor",
"agent",
"or",
"complementary",
"and",
"alternative",
"medicine",
"for",
"the",
"treatment",
"of",
"diverse",
"cancers.",
"Background",
"Herbal",
"medicines",
"are",
"plant-derived",
"products",
"which",
"have",
"been",
"used",
"as",
"traditional",
"folk",
"medicine",
"and",
"food",
"addi-",
"tives.",
"Recently",
"their",
"medicinal",
"properties",
"are",
"under",
"extensive",
"investigation",
"and",
"become",
"a",
"major",
"part",
"of",
"com-",
"plementary",
"and",
"alternative",
"medicines",
"(CAMs).",
"Their",
"potency",
"for",
"treating",
"different",
"diseases",
"has",
"been",
"reported",
"including",
"cancer,",
"allergy",
"and",
"diabetes",
"[1-4].",
"Cinnamomum",
"cassia",
"bark",
"is",
"the",
"outer",
"skin",
"of",
"an",
"ever-",
"green",
"tall",
"tree",
"belonging",
"to",
"the",
"family",
"Lauraceae.",
"Its",
"extracts",
"contain",
"several",
"active",
"components",
"such",
"as",
"*",
"Correspondence:",
"imsh@gist.ac.kr",
"1School",
"of",
"Life",
"Sciences",
"and",
"Immune",
"Synapse",
"Research",
"Center,",
"Gwangju",
"Institute",
"of",
"Science",
"and",
"Technology",
"(GIST),",
"1",
"Oryong-dong,",
"Puk-ku,",
"Gwangju",
"500-712,",
"Republic",
"of",
"Korea",
"essential",
"oils",
"(cinnamic",
"aldehyde",
"and",
"cinnamyl",
"alde-",
"hyde),",
"tannin,",
"mucus",
"and",
"carbohydrates",
"[5,6].",
"They",
"have",
"various",
"biological",
"functions",
"including",
"anti-oxidant,",
"anti-",
"microbial,",
"anti-inflammation,",
"anti-diabetic",
"effects",
"[7-12],",
"and",
"anti-tumor",
"activity",
"[11,13].",
"However,",
"for",
"the",
"devel-",
"opment",
"of",
"cinnamon",
"as",
"CAMs",
"for",
"cancer",
"treatment,",
"further",
"studies",
"are",
"necessary",
"such",
"as",
"elucidation",
"of",
"working",
"mechanisms",
"and",
"characterization",
"of",
"active",
"compounds",
"directly",
"linked",
"with",
"anti-tumor",
"activity.",
"Cancers",
"are",
"the",
"most",
"life-threatening",
"health",
"problems",
"in",
"the",
"world",
"[14].",
"There",
"have",
"been",
"many",
"trials",
"to",
"treat",
"cancers",
"through",
"modulation",
"of",
"anti-tumor",
"immune",
"response,",
"apoptosis",
"and",
"anti-tumor",
"proteins",
"[15-18].",
"Tumor",
"cells",
"are",
"generally",
"resistant",
"to",
"apoptosis;",
"hence",
"selective",
"killing",
"of",
"tumor",
"cells",
"by",
"promoting",
"apoptosis",
"©",
"2010",
"Kwon",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,439,283 | null | [
[
78,
47,
28,
11
],
[
109,
47,
9,
12
],
[
121,
47,
11,
12
],
[
135,
47,
21,
12
],
[
158,
47,
70,
12
],
[
231,
47,
25,
11
],
[
259,
47,
26,
12
],
[
78,
61,
227,
12
],
[
84,
128,
11,
19
],
[
96,
128,
10,
19
],
[
108,
128,
10,
19
],
[
120,
128,
10,
19
],
[
131,
128,
12,
19
],
[
145,
128,
11,
19
],
[
158,
128,
11,
19
],
[
170,
128,
13,
19
],
[
190,
128,
12,
19
],
[
204,
128,
11,
19
],
[
216,
128,
10,
19
],
[
228,
128,
6,
19
],
[
235,
128,
11,
19
],
[
248,
128,
10,
19
],
[
259,
128,
10,
19
],
[
641,
128,
44,
19
],
[
690,
128,
53,
19
],
[
78,
169,
137,
34
],
[
225,
169,
27,
34
],
[
260,
169,
102,
34
],
[
372,
169,
71,
34
],
[
452,
169,
72,
34
],
[
533,
169,
44,
34
],
[
586,
168,
152,
35
],
[
78,
205,
59,
34
],
[
146,
205,
167,
34
],
[
322,
204,
76,
35
],
[
405,
205,
134,
34
],
[
549,
205,
28,
34
],
[
78,
241,
90,
34
],
[
177,
241,
107,
34
],
[
78,
289,
40,
16
],
[
122,
286,
42,
19
],
[
168,
289,
39,
16
],
[
210,
289,
10,
16
],
[
224,
286,
47,
19
],
[
274,
289,
25,
16
],
[
304,
286,
34,
19
],
[
341,
289,
22,
16
],
[
367,
289,
29,
16
],
[
400,
286,
110,
19
],
[
87,
342,
54,
15
],
[
87,
368,
76,
14
],
[
167,
368,
14,
14
],
[
185,
368,
58,
14
],
[
246,
368,
19,
14
],
[
268,
368,
61,
14
],
[
333,
368,
50,
14
],
[
386,
368,
59,
14
],
[
449,
368,
47,
14
],
[
499,
368,
21,
14
],
[
524,
368,
19,
14
],
[
547,
367,
64,
15
],
[
614,
368,
25,
14
],
[
643,
368,
69,
14
],
[
87,
384,
34,
15
],
[
125,
384,
12,
14
],
[
141,
384,
23,
14
],
[
167,
384,
12,
14
],
[
183,
384,
50,
14
],
[
236,
384,
33,
14
],
[
272,
384,
30,
14
],
[
306,
384,
11,
14
],
[
321,
384,
19,
14
],
[
344,
384,
30,
14
],
[
377,
384,
21,
14
],
[
402,
384,
59,
14
],
[
465,
384,
49,
14
],
[
518,
384,
73,
14
],
[
595,
384,
52,
14
],
[
651,
384,
22,
14
],
[
676,
384,
51,
14
],
[
87,
405,
56,
14
],
[
147,
405,
14,
14
],
[
165,
405,
115,
14
],
[
283,
405,
25,
14
],
[
312,
405,
28,
14
],
[
343,
405,
51,
14
],
[
398,
405,
37,
14
],
[
439,
405,
72,
14
],
[
514,
405,
28,
14
],
[
546,
405,
27,
14
],
[
576,
405,
12,
14
],
[
592,
405,
30,
14
],
[
625,
405,
19,
14
],
[
648,
405,
42,
14
],
[
694,
405,
25,
14
],
[
723,
405,
11,
14
],
[
87,
422,
64,
14
],
[
155,
422,
12,
14
],
[
171,
422,
19,
14
],
[
193,
422,
61,
14
],
[
258,
422,
25,
14
],
[
287,
422,
69,
14
],
[
360,
422,
30,
14
],
[
393,
422,
14,
14
],
[
411,
422,
22,
14
],
[
436,
422,
47,
14
],
[
487,
422,
59,
14
],
[
550,
422,
13,
14
],
[
566,
422,
19,
14
],
[
588,
422,
30,
14
],
[
622,
422,
24,
14
],
[
649,
422,
38,
14
],
[
691,
422,
25,
14
],
[
87,
438,
26,
14
],
[
117,
438,
12,
14
],
[
133,
438,
59,
14
],
[
195,
438,
49,
14
],
[
248,
438,
24,
14
],
[
275,
438,
53,
14
],
[
332,
438,
31,
14
],
[
367,
438,
35,
14
],
[
406,
438,
15,
14
],
[
425,
438,
28,
14
],
[
457,
438,
82,
14
],
[
543,
438,
21,
14
],
[
568,
438,
44,
14
],
[
615,
438,
37,
14
],
[
657,
438,
28,
14
],
[
688,
438,
50,
14
],
[
87,
455,
14,
14
],
[
105,
455,
44,
14
],
[
152,
455,
54,
14
],
[
87,
476,
46,
14
],
[
137,
476,
27,
14
],
[
168,
476,
89,
14
],
[
261,
476,
14,
14
],
[
278,
476,
19,
14
],
[
301,
476,
11,
14
],
[
316,
476,
14,
14
],
[
334,
476,
25,
14
],
[
362,
476,
40,
14
],
[
406,
476,
45,
14
],
[
455,
476,
19,
14
],
[
477,
476,
33,
14
],
[
514,
476,
47,
14
],
[
564,
475,
67,
15
],
[
635,
476,
22,
14
],
[
660,
476,
59,
14
],
[
87,
492,
47,
14
],
[
138,
492,
54,
14
],
[
195,
492,
11,
14
],
[
210,
492,
11,
14
],
[
225,
492,
25,
14
],
[
254,
492,
26,
14
],
[
284,
492,
44,
14
],
[
331,
492,
76,
14
],
[
411,
492,
65,
14
],
[
479,
492,
22,
14
],
[
505,
492,
44,
14
],
[
552,
492,
20,
14
],
[
576,
492,
55,
14
],
[
635,
492,
73,
14
],
[
712,
492,
20,
14
],
[
87,
509,
61,
14
],
[
152,
509,
22,
14
],
[
177,
509,
34,
14
],
[
215,
509,
50,
14
],
[
268,
509,
59,
14
],
[
330,
509,
46,
14
],
[
381,
509,
21,
14
],
[
406,
509,
61,
14
],
[
471,
509,
25,
14
],
[
500,
509,
69,
14
],
[
573,
509,
30,
14
],
[
606,
508,
16,
15
],
[
626,
509,
35,
14
],
[
664,
509,
21,
14
],
[
690,
508,
16,
15
],
[
87,
525,
35,
14
],
[
126,
525,
37,
14
],
[
167,
525,
23,
14
],
[
193,
525,
21,
14
],
[
218,
525,
25,
14
],
[
247,
525,
71,
14
],
[
322,
525,
54,
14
],
[
380,
525,
19,
14
],
[
402,
525,
59,
14
],
[
465,
525,
11,
14
],
[
480,
525,
19,
14
],
[
503,
525,
81,
14
],
[
587,
525,
40,
14
],
[
631,
525,
24,
14
],
[
658,
525,
61,
14
],
[
87,
542,
22,
14
],
[
113,
542,
33,
14
],
[
150,
542,
49,
14
],
[
203,
542,
62,
14
],
[
269,
542,
11,
14
],
[
284,
542,
58,
14
],
[
346,
542,
22,
14
],
[
371,
542,
33,
14
],
[
408,
542,
59,
14
],
[
471,
542,
47,
14
],
[
521,
542,
10,
15
],
[
535,
542,
23,
14
],
[
562,
542,
7,
14
],
[
573,
542,
29,
14
],
[
87,
563,
75,
14
],
[
166,
563,
57,
14
],
[
228,
563,
42,
14
],
[
274,
563,
30,
14
],
[
308,
563,
25,
14
],
[
336,
563,
87,
14
],
[
427,
563,
14,
14
],
[
444,
563,
31,
14
],
[
479,
563,
19,
14
],
[
501,
563,
61,
14
],
[
566,
563,
25,
14
],
[
595,
563,
69,
14
],
[
668,
563,
30,
14
],
[
701,
563,
8,
14
],
[
713,
563,
7,
14
],
[
87,
579,
30,
14
],
[
121,
579,
56,
14
],
[
181,
579,
15,
14
],
[
200,
579,
57,
14
],
[
261,
579,
59,
14
],
[
324,
579,
47,
14
],
[
374,
579,
40,
14
],
[
418,
579,
11,
14
],
[
432,
579,
25,
14
],
[
460,
579,
49,
14
],
[
514,
579,
7,
14
],
[
524,
579,
55,
14
],
[
582,
579,
30,
14
],
[
615,
579,
11,
14
],
[
631,
579,
32,
14
],
[
667,
579,
37,
14
],
[
708,
579,
21,
14
],
[
87,
596,
50,
14
],
[
141,
596,
11,
14
],
[
156,
596,
59,
14
],
[
219,
596,
15,
14
],
[
238,
596,
19,
14
],
[
260,
596,
42,
14
],
[
306,
596,
25,
14
],
[
335,
596,
44,
14
],
[
383,
596,
22,
14
],
[
409,
596,
19,
14
],
[
431,
596,
20,
14
],
[
455,
596,
8,
14
],
[
467,
596,
28,
14
],
[
498,
596,
12,
14
],
[
514,
596,
31,
14
],
[
549,
596,
33,
14
],
[
586,
596,
49,
14
],
[
87,
620,
62,
14
],
[
153,
620,
45,
14
],
[
202,
620,
27,
14
],
[
233,
620,
59,
14
],
[
295,
620,
49,
14
],
[
348,
620,
43,
14
],
[
395,
620,
24,
14
],
[
423,
620,
46,
14
],
[
473,
620,
89,
14
],
[
78,
672,
77,
15
],
[
78,
690,
30,
14
],
[
114,
690,
23,
14
],
[
142,
690,
54,
14
],
[
201,
690,
14,
14
],
[
220,
690,
37,
14
],
[
262,
690,
11,
14
],
[
279,
690,
28,
14
],
[
312,
690,
19,
14
],
[
336,
690,
68,
14
],
[
78,
706,
25,
14
],
[
109,
706,
26,
14
],
[
142,
706,
19,
14
],
[
167,
706,
27,
14
],
[
200,
706,
36,
14
],
[
243,
706,
26,
14
],
[
275,
706,
21,
14
],
[
303,
706,
45,
14
],
[
354,
706,
18,
14
],
[
379,
706,
25,
14
],
[
78,
723,
49,
14
],
[
133,
723,
11,
14
],
[
151,
723,
44,
14
],
[
200,
723,
56,
14
],
[
262,
723,
11,
14
],
[
279,
723,
57,
14
],
[
343,
723,
61,
14
],
[
78,
739,
42,
14
],
[
124,
739,
47,
14
],
[
175,
739,
15,
14
],
[
194,
739,
70,
14
],
[
269,
739,
21,
14
],
[
295,
739,
79,
14
],
[
377,
739,
26,
14
],
[
78,
756,
42,
14
],
[
127,
756,
19,
14
],
[
153,
756,
57,
14
],
[
216,
756,
42,
14
],
[
265,
756,
22,
14
],
[
294,
756,
35,
14
],
[
335,
756,
47,
14
],
[
389,
756,
15,
14
],
[
78,
773,
18,
14
],
[
103,
773,
63,
14
],
[
173,
773,
12,
14
],
[
191,
773,
50,
14
],
[
247,
773,
53,
14
],
[
307,
773,
11,
14
],
[
325,
773,
18,
14
],
[
350,
773,
24,
14
],
[
381,
773,
23,
14
],
[
78,
789,
59,
14
],
[
146,
789,
76,
14
],
[
230,
789,
66,
14
],
[
304,
789,
21,
14
],
[
334,
789,
24,
14
],
[
366,
789,
11,
14
],
[
385,
789,
18,
14
],
[
78,
806,
61,
14
],
[
144,
806,
45,
14
],
[
192,
806,
24,
14
],
[
220,
806,
11,
14
],
[
236,
806,
40,
14
],
[
280,
806,
45,
14
],
[
329,
806,
9,
14
],
[
342,
806,
14,
14
],
[
360,
806,
44,
14
],
[
78,
822,
18,
14
],
[
103,
822,
23,
14
],
[
132,
822,
11,
14
],
[
149,
822,
49,
14
],
[
204,
822,
18,
14
],
[
229,
822,
33,
14
],
[
268,
822,
48,
14
],
[
322,
822,
26,
14
],
[
354,
822,
50,
14
],
[
78,
839,
42,
14
],
[
124,
839,
11,
14
],
[
139,
839,
7,
14
],
[
149,
839,
36,
14
],
[
189,
839,
61,
14
],
[
254,
839,
11,
14
],
[
269,
839,
18,
14
],
[
291,
839,
45,
14
],
[
339,
839,
29,
14
],
[
89,
856,
30,
14
],
[
126,
856,
31,
14
],
[
163,
856,
6,
14
],
[
175,
856,
45,
14
],
[
226,
856,
11,
14
],
[
244,
856,
71,
14
],
[
321,
856,
21,
14
],
[
349,
856,
55,
14
],
[
78,
872,
28,
14
],
[
116,
872,
11,
14
],
[
138,
872,
45,
14
],
[
192,
872,
29,
14
],
[
231,
872,
31,
14
],
[
272,
872,
82,
14
],
[
363,
872,
40,
14
],
[
78,
913,
5,
11
],
[
85,
913,
71,
11
],
[
158,
913,
103,
11
],
[
78,
924,
54,
13
],
[
135,
926,
9,
11
],
[
147,
926,
68,
11
],
[
217,
926,
75,
11
],
[
294,
926,
9,
11
],
[
305,
926,
28,
11
],
[
78,
938,
77,
11
],
[
158,
938,
12,
11
],
[
172,
938,
21,
11
],
[
195,
938,
28,
11
],
[
226,
938,
48,
11
],
[
78,
949,
63,
13
],
[
144,
951,
15,
11
],
[
162,
951,
6,
11
],
[
170,
951,
13,
11
],
[
186,
951,
39,
11
],
[
227,
951,
33,
11
],
[
262,
951,
33,
11
],
[
298,
951,
30,
11
],
[
330,
951,
31,
11
],
[
364,
951,
16,
11
],
[
383,
951,
18,
11
],
[
78,
963,
15,
11
],
[
96,
963,
12,
11
],
[
110,
963,
9,
11
],
[
122,
963,
28,
11
],
[
152,
963,
49,
11
],
[
203,
963,
6,
11
],
[
213,
963,
36,
11
],
[
251,
963,
8,
11
],
[
262,
963,
14,
11
],
[
279,
963,
17,
11
],
[
298,
963,
9,
11
],
[
310,
963,
14,
11
],
[
326,
963,
25,
11
],
[
423,
673,
26,
14
],
[
455,
673,
27,
14
],
[
488,
673,
54,
14
],
[
547,
673,
31,
14
],
[
584,
673,
34,
14
],
[
624,
673,
27,
14
],
[
657,
673,
36,
14
],
[
699,
673,
49,
14
],
[
423,
690,
41,
14
],
[
471,
690,
68,
14
],
[
547,
690,
11,
14
],
[
566,
690,
45,
14
],
[
619,
690,
24,
14
],
[
650,
690,
69,
14
],
[
727,
690,
21,
14
],
[
423,
706,
59,
14
],
[
487,
706,
6,
14
],
[
499,
706,
41,
14
],
[
546,
706,
58,
14
],
[
609,
706,
12,
14
],
[
625,
706,
18,
14
],
[
649,
706,
72,
14
],
[
726,
706,
22,
14
],
[
423,
723,
29,
14
],
[
458,
723,
23,
14
],
[
487,
723,
45,
14
],
[
538,
723,
59,
14
],
[
603,
723,
11,
14
],
[
621,
723,
46,
14
],
[
674,
723,
12,
14
],
[
692,
723,
56,
14
],
[
423,
739,
23,
14
],
[
452,
739,
45,
14
],
[
502,
739,
24,
14
],
[
533,
739,
73,
14
],
[
612,
739,
19,
14
],
[
637,
739,
23,
14
],
[
665,
739,
28,
14
],
[
700,
739,
48,
14
],
[
423,
756,
38,
14
],
[
466,
756,
11,
14
],
[
482,
756,
35,
14
],
[
523,
756,
44,
14
],
[
572,
756,
42,
14
],
[
619,
756,
9,
14
],
[
633,
756,
21,
14
],
[
659,
756,
89,
14
],
[
423,
773,
45,
14
],
[
475,
773,
34,
14
],
[
517,
773,
32,
14
],
[
556,
773,
59,
14
],
[
622,
773,
76,
14
],
[
706,
773,
24,
14
],
[
736,
773,
12,
14
],
[
423,
789,
18,
14
],
[
450,
789,
45,
14
],
[
503,
789,
24,
14
],
[
536,
789,
26,
14
],
[
572,
789,
8,
14
],
[
588,
789,
62,
14
],
[
659,
789,
48,
14
],
[
716,
789,
32,
14
],
[
423,
806,
45,
14
],
[
475,
806,
23,
14
],
[
504,
806,
58,
14
],
[
569,
806,
19,
14
],
[
595,
806,
12,
14
],
[
614,
806,
31,
14
],
[
651,
806,
12,
14
],
[
670,
806,
30,
14
],
[
707,
806,
7,
14
],
[
720,
806,
28,
14
],
[
423,
822,
59,
14
],
[
487,
822,
63,
14
],
[
556,
822,
11,
14
],
[
574,
822,
24,
14
],
[
604,
822,
69,
14
],
[
679,
822,
21,
14
],
[
706,
822,
12,
14
],
[
724,
822,
24,
14
],
[
423,
839,
22,
14
],
[
451,
839,
50,
14
],
[
508,
839,
29,
14
],
[
543,
839,
11,
14
],
[
560,
839,
36,
14
],
[
603,
839,
27,
14
],
[
637,
839,
42,
14
],
[
686,
839,
16,
14
],
[
709,
839,
39,
14
],
[
423,
856,
39,
14
],
[
473,
856,
41,
14
],
[
526,
856,
65,
14
],
[
603,
856,
50,
14
],
[
664,
856,
48,
14
],
[
724,
856,
24,
14
],
[
423,
872,
43,
14
],
[
477,
872,
44,
14
],
[
532,
872,
53,
14
],
[
596,
872,
18,
14
],
[
626,
872,
72,
14
],
[
709,
872,
39,
14
],
[
423,
889,
54,
14
],
[
482,
889,
14,
14
],
[
501,
889,
29,
14
],
[
535,
889,
21,
14
],
[
562,
889,
36,
14
],
[
604,
889,
42,
14
],
[
651,
889,
18,
14
],
[
675,
889,
43,
14
],
[
723,
889,
25,
14
],
[
423,
905,
67,
14
],
[
496,
905,
46,
14
],
[
548,
905,
29,
14
],
[
584,
905,
48,
14
],
[
638,
905,
16,
14
],
[
660,
905,
21,
14
],
[
687,
905,
18,
14
],
[
711,
905,
37,
14
],
[
423,
922,
30,
14
],
[
461,
922,
25,
14
],
[
495,
922,
46,
14
],
[
550,
922,
40,
14
],
[
599,
922,
47,
14
],
[
654,
922,
23,
14
],
[
685,
922,
27,
14
],
[
721,
922,
27,
14
],
[
423,
939,
36,
14
],
[
464,
939,
17,
14
],
[
487,
939,
11,
14
],
[
504,
939,
30,
14
],
[
539,
939,
26,
14
],
[
570,
939,
27,
14
],
[
602,
939,
57,
14
],
[
665,
939,
12,
14
],
[
682,
939,
66,
14
],
[
423,
955,
43,
14
],
[
471,
955,
31,
14
],
[
508,
955,
23,
14
],
[
536,
955,
67,
14
],
[
610,
955,
24,
14
],
[
640,
955,
72,
14
],
[
718,
955,
30,
14
],
[
250,
987,
7,
10
],
[
259,
987,
18,
10
],
[
279,
987,
22,
10
],
[
304,
987,
8,
10
],
[
314,
987,
10,
10
],
[
325,
987,
30,
10
],
[
358,
987,
28,
10
],
[
388,
987,
26,
10
],
[
417,
987,
14,
10
],
[
433,
987,
15,
10
],
[
450,
987,
6,
10
],
[
458,
987,
9,
10
],
[
470,
987,
21,
10
],
[
493,
987,
25,
10
],
[
521,
987,
22,
10
],
[
545,
987,
40,
10
],
[
588,
987,
22,
10
],
[
612,
987,
13,
10
],
[
627,
987,
21,
10
],
[
650,
987,
8,
10
],
[
660,
987,
13,
10
],
[
675,
987,
30,
10
],
[
250,
998,
39,
10
],
[
291,
998,
40,
10
],
[
334,
998,
28,
10
],
[
363,
998,
167,
10
],
[
533,
998,
23,
10
],
[
558,
998,
28,
10
],
[
588,
998,
44,
10
],
[
635,
998,
15,
10
],
[
651,
998,
44,
10
],
[
698,
998,
15,
10
],
[
250,
1010,
48,
10
],
[
301,
1010,
7,
10
],
[
310,
1010,
14,
10
],
[
326,
1010,
33,
10
],
[
362,
1010,
33,
10
],
[
397,
1010,
13,
10
],
[
412,
1010,
28,
10
],
[
442,
1010,
19,
10
],
[
463,
1010,
6,
10
],
[
471,
1010,
31,
10
],
[
504,
1010,
20,
10
]
] | [
"Furrer",
"et",
"al.",
"BMC",
"Ophthalmology",
"2012,",
"12:24",
"http://www.biomedcentral.com/1471-2415/12/24",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Evaluation",
"of",
"filtering",
"blebs",
"using",
"the",
"‘Wuerzburg",
"bleb",
"classification",
"score’",
"compared",
"to",
"clinical",
"findings",
"Sandra",
"Furrer1,",
"Marcel",
"N",
"Menke2,",
"Jens",
"Funk3",
"and",
"Marc",
"Töteberg-Harms3,4*",
"Abstract",
"Background:",
"To",
"determine",
"the",
"agreement",
"between",
"intraocular",
"pressure",
"and",
"the",
"‘Wuerzburg",
"bleb",
"classification",
"score’,",
"as",
"well",
"as",
"between",
"single",
"items",
"of",
"the",
"score",
"and",
"intraocular",
"pressure.",
"Interobserver",
"variability",
"was",
"analyzed.",
"Methods:",
"57",
"post-trabeculectomy",
"eyes",
"were",
"included.",
"Colour",
"photographs",
"were",
"used",
"to",
"score",
"the",
"filtering",
"bleb",
"in",
"accordance",
"to",
"the",
"Wuerzburg",
"bleb",
"classification",
"score",
"by",
"two",
"different",
"examiners.",
"At",
"the",
"same",
"visit,",
"clinical",
"data",
"such",
"as",
"intraocular",
"pressure,",
"best",
"corrected",
"visual",
"acuity,",
"slit",
"lamp",
"biomicroscopy",
"and",
"medical",
"history",
"were",
"obtained",
"by",
"another",
"examiner.",
"Results:",
"After",
"trabeculectomy,",
"42",
"out",
"of",
"57",
"eyes",
"(73.7%)",
"reached",
"the",
"target",
"pressure",
"(≤21mmHg,",
"and",
"intraocular",
"pressure",
"reduction",
"of",
"at",
"least",
"20%,",
"without",
"antiglaucoma",
"medication,",
"and",
"without",
"any",
"additional",
"intervention).",
"Fair",
"agreement",
"was",
"found",
"between",
"intraocular",
"pressure",
"and",
"Wuerzburg",
"bleb",
"classification",
"score",
"≥8",
"points",
"and",
"≥7",
"points",
"(kappa",
"0.24",
"and",
"0.27,",
"respectively).",
"Analyzing",
"the",
"subgroups",
"of",
"the",
"morphological",
"criteria,",
"best",
"agreement",
"was",
"found",
"between",
"occurrence",
"of",
"microcysts",
"and",
"target",
"intraocular",
"pressure",
"(к",
"0.22",
"–",
"0.34).",
"Conclusions:",
"Evaluating",
"filtering",
"blebs",
"after",
"trabeculectomy",
"by",
"using",
"the",
"Wuerzburg",
"bleb",
"classification",
"score",
"is",
"a",
"good",
"technique",
"for",
"predicting",
"intraocular",
"pressure",
"control",
"in",
"eyes",
"attaining",
"a",
"minimum",
"score",
"of",
"seven",
"points.",
"The",
"presence",
"of",
"microcysts",
"on",
"the",
"filtering",
"bleb",
"predicts",
"that",
"the",
"eye",
"is",
"likely",
"to",
"attain",
"target",
"pressure.",
"Keywords:",
"Filtering",
"bleb,",
"Glaucoma,",
"Filtration",
"surgery,",
"Bleb",
"grading,",
"Trabeculectomy",
"Background",
"Since",
"first",
"described",
"by",
"Cairns",
"in",
"1968",
"[1],",
"trabeculect-",
"omy",
"(TE)",
"has",
"been",
"widely",
"used",
"and",
"remains",
"the",
"gold",
"standard",
"in",
"surgical",
"treatment",
"of",
"glaucoma.",
"Long-term",
"success",
"depends",
"on",
"preoperative",
"and",
"intraoperative",
"con-",
"ditions,",
"but",
"long-term",
"success",
"also",
"highly",
"depends",
"on",
"the",
"persistence",
"of",
"filtration",
"efficiency",
"at",
"the",
"bleb",
"site.",
"Therefore,",
"postoperative",
"observation",
"and",
"care",
"of",
"the",
"developing",
"filtering",
"bleb",
"in",
"clinical",
"practice",
"is",
"an",
"import-",
"ant",
"tool",
"in",
"reaching",
"the",
"target",
"pressure",
"after",
"filtration",
"surgery",
"in",
"a",
"higher",
"percentage",
"of",
"the",
"patients",
"[2,3].",
"Since",
"1989,",
"a",
"number",
"of",
"observations",
"and",
"classifica-",
"tions",
"of",
"filtering",
"blebs",
"using",
"morphological",
"criteria",
"*",
"Correspondence:",
"MarcToeteberg@aol.com",
"3Department",
"of",
"Ophthalmology,",
"UniversityHospital",
"of",
"Zurich,",
"Frauenklinikstrasse",
"24,",
"8091",
"Zurich,",
"Switzerland",
"4Massachusetts",
"Eye",
"&",
"Ear",
"Infirmary,",
"Harvard",
"Medical",
"School,",
"Boston,",
"MA,",
"USA",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"have",
"been",
"described",
"[4-7].",
"These",
"early",
"efforts",
"included",
"various",
"assessments",
"of",
"filtering",
"bleb",
"morphology",
"and",
"emphasize",
"a",
"general",
"consensus",
"in",
"the",
"morphologic",
"fea-",
"tures",
"that",
"indicate",
"favourable",
"in",
"contrast",
"to",
"unfavour-",
"able",
"filtering",
"bleb",
"development",
"[8].",
"The",
"most",
"frequent",
"matter",
"of",
"failing",
"filtering",
"surgery",
"is",
"still",
"subconjunctival",
"scarring",
"which",
"needs",
"intensified",
"postoperative",
"care",
"of",
"the",
"filtering",
"bleb",
"even",
"if",
"intraocular",
"pressure",
"(IOP)",
"remains",
"well",
"controlled",
"[9].",
"In",
"order",
"to",
"allow",
"a",
"well-",
"structured",
"assessment",
"of",
"bleb",
"morphology",
"and",
"to",
"pre-",
"dict",
"potential",
"signs",
"of",
"failure",
"early",
"enough",
"(to",
"initiate",
"wound",
"healing",
"modulation",
"therapy),",
"different",
"bleb",
"grading",
"systems",
"including",
"the",
"classification",
"system",
"described",
"by",
"Picht",
"and",
"Grehn",
"[10,11],",
"the",
"Indiana",
"Bleb",
"Appearance",
"Grading",
"Scale",
"(IBAGS)",
"[8]",
"and",
"the",
"Moor-",
"fileds",
"Bleb",
"Grading",
"System",
"(MBGS)",
"[12]",
"were",
"pub-",
"lished.",
"All",
"of",
"them",
"have",
"been",
"developed",
"as",
"stand-alone",
"grading",
"tools.",
"The",
"‘Wuerzburg",
"bleb",
"classification",
"score",
"©",
"2012",
"Furrer",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,637,875 | null | [
[
76,
47,
84,
34
],
[
172,
47,
176,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
76,
143,
128,
23
],
[
210,
143,
20,
23
],
[
236,
143,
35,
23
],
[
277,
143,
154,
23
],
[
437,
143,
71,
23
],
[
513,
143,
104,
23
],
[
623,
143,
75,
23
],
[
703,
143,
25,
23
],
[
76,
168,
103,
23
],
[
185,
168,
18,
23
],
[
208,
168,
38,
23
],
[
252,
168,
75,
23
],
[
332,
168,
119,
23
],
[
457,
168,
19,
23
],
[
482,
168,
146,
23
],
[
634,
168,
95,
23
],
[
76,
193,
117,
21
],
[
198,
193,
53,
22
],
[
256,
193,
80,
21
],
[
341,
193,
12,
21
],
[
357,
193,
107,
22
],
[
469,
193,
68,
21
],
[
541,
193,
13,
21
],
[
560,
193,
73,
22
],
[
637,
193,
35,
21
],
[
76,
218,
40,
21
],
[
120,
218,
12,
21
],
[
138,
218,
73,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
268,
41,
12
],
[
119,
268,
63,
12
],
[
184,
268,
10,
12
],
[
196,
268,
56,
12
],
[
254,
268,
43,
12
],
[
298,
268,
35,
12
],
[
335,
268,
50,
12
],
[
387,
268,
37,
12
],
[
425,
268,
10,
12
],
[
438,
268,
48,
12
],
[
487,
268,
33,
12
],
[
522,
268,
35,
12
],
[
559,
268,
45,
12
],
[
605,
268,
43,
12
],
[
650,
268,
21,
12
],
[
674,
268,
25,
12
],
[
701,
268,
36,
12
],
[
738,
268,
29,
12
],
[
76,
281,
24,
11
],
[
102,
281,
22,
11
],
[
126,
281,
59,
11
],
[
186,
281,
10,
11
],
[
198,
281,
34,
11
],
[
234,
281,
24,
11
],
[
260,
281,
63,
12
],
[
325,
281,
10,
11
],
[
337,
281,
68,
11
],
[
407,
281,
50,
11
],
[
458,
281,
10,
11
],
[
470,
281,
37,
11
],
[
509,
281,
39,
11
],
[
550,
281,
10,
11
],
[
562,
281,
34,
11
],
[
598,
281,
21,
11
],
[
621,
281,
19,
11
],
[
642,
281,
63,
12
],
[
706,
281,
10,
11
],
[
718,
281,
49,
11
],
[
76,
294,
8,
12
],
[
87,
294,
51,
12
],
[
140,
294,
56,
12
],
[
199,
294,
50,
12
],
[
251,
294,
47,
12
],
[
301,
294,
39,
12
],
[
342,
294,
10,
12
],
[
355,
294,
34,
12
],
[
391,
294,
21,
12
],
[
76,
314,
31,
11
],
[
110,
314,
63,
11
],
[
175,
314,
15,
11
],
[
192,
314,
4,
11
],
[
199,
314,
82,
11
],
[
283,
314,
42,
11
],
[
327,
314,
6,
11
],
[
336,
314,
44,
11
],
[
382,
314,
4,
11
],
[
389,
314,
99,
11
],
[
490,
314,
36,
11
],
[
529,
314,
7,
11
],
[
539,
314,
28,
11
],
[
569,
314,
4,
11
],
[
576,
314,
102,
11
],
[
76,
327,
21,
12
],
[
100,
327,
7,
12
],
[
109,
327,
35,
12
],
[
146,
327,
4,
12
],
[
153,
327,
80,
12
],
[
76,
344,
7,
11
],
[
85,
344,
73,
11
],
[
160,
344,
33,
11
],
[
76,
402,
45,
11
],
[
124,
402,
12,
11
],
[
138,
402,
48,
11
],
[
189,
402,
23,
11
],
[
76,
422,
21,
12
],
[
100,
422,
41,
12
],
[
143,
422,
25,
12
],
[
171,
422,
26,
12
],
[
209,
422,
133,
12
],
[
76,
442,
20,
12
],
[
98,
442,
28,
12
],
[
129,
442,
7,
12
],
[
139,
442,
38,
12
],
[
179,
442,
25,
12
],
[
207,
442,
220,
12
],
[
430,
402,
43,
11
],
[
476,
402,
12,
11
],
[
490,
402,
40,
11
],
[
532,
402,
23,
11
],
[
430,
415,
46,
12
],
[
478,
415,
12,
12
],
[
492,
415,
48,
12
],
[
543,
415,
23,
12
],
[
76,
462,
9,
12
],
[
87,
462,
23,
12
],
[
113,
462,
13,
12
],
[
128,
462,
10,
12
],
[
140,
462,
10,
12
],
[
153,
462,
36,
12
],
[
192,
462,
35,
12
],
[
230,
462,
34,
12
],
[
266,
462,
18,
12
],
[
76,
475,
20,
12
],
[
98,
475,
7,
12
],
[
108,
475,
11,
12
],
[
121,
475,
26,
12
],
[
150,
475,
32,
12
],
[
184,
475,
28,
12
],
[
215,
475,
49,
12
],
[
267,
475,
27,
12
],
[
296,
475,
15,
12
],
[
314,
475,
27,
12
],
[
343,
475,
10,
12
],
[
355,
475,
15,
12
],
[
373,
475,
39,
12
],
[
415,
475,
48,
12
],
[
465,
475,
51,
12
],
[
519,
475,
34,
12
],
[
555,
475,
202,
12
],
[
76,
488,
27,
12
],
[
106,
488,
35,
12
],
[
143,
488,
56,
12
],
[
201,
488,
18,
12
],
[
222,
488,
55,
12
],
[
279,
488,
16,
12
],
[
298,
488,
60,
12
],
[
361,
488,
8,
12
],
[
372,
488,
16,
12
],
[
390,
488,
39,
12
],
[
432,
488,
40,
12
],
[
475,
488,
15,
12
],
[
493,
488,
34,
12
],
[
529,
488,
24,
12
],
[
556,
488,
7,
12
],
[
565,
488,
39,
12
],
[
607,
488,
25,
12
],
[
155,
548,
62,
15
],
[
155,
569,
80,
14
],
[
237,
569,
33,
14
],
[
273,
569,
43,
14
],
[
319,
569,
10,
14
],
[
331,
569,
79,
14
],
[
413,
569,
63,
14
],
[
478,
569,
26,
14
],
[
506,
569,
19,
16
],
[
528,
569,
20,
14
],
[
550,
569,
21,
14
],
[
574,
569,
62,
14
],
[
638,
569,
53,
14
],
[
155,
585,
25,
14
],
[
183,
585,
33,
14
],
[
220,
585,
6,
14
],
[
230,
585,
49,
14
],
[
283,
585,
80,
14
],
[
367,
585,
50,
14
],
[
421,
585,
10,
14
],
[
435,
585,
28,
14
],
[
467,
585,
46,
14
],
[
517,
585,
12,
14
],
[
533,
585,
11,
14
],
[
549,
585,
18,
14
],
[
571,
585,
84,
14
],
[
658,
585,
32,
14
],
[
155,
602,
55,
14
],
[
213,
602,
30,
14
],
[
246,
602,
13,
14
],
[
263,
602,
54,
14
],
[
319,
602,
79,
14
],
[
401,
602,
55,
14
],
[
460,
602,
37,
14
],
[
499,
602,
27,
14
],
[
530,
602,
25,
14
],
[
558,
602,
6,
14
],
[
567,
602,
40,
14
],
[
610,
602,
29,
14
],
[
642,
602,
11,
14
],
[
656,
602,
35,
14
],
[
155,
618,
37,
14
],
[
194,
618,
26,
14
],
[
223,
618,
6,
14
],
[
233,
618,
49,
14
],
[
285,
618,
80,
14
],
[
367,
618,
50,
14
],
[
420,
618,
44,
14
],
[
467,
618,
55,
14
],
[
525,
618,
47,
14
],
[
575,
618,
54,
14
],
[
632,
618,
45,
14
],
[
679,
618,
11,
14
],
[
155,
635,
18,
14
],
[
176,
635,
52,
14
],
[
231,
635,
46,
14
],
[
280,
635,
25,
14
],
[
308,
635,
32,
14
],
[
343,
635,
25,
14
],
[
370,
635,
10,
14
],
[
384,
635,
45,
14
],
[
431,
635,
12,
14
],
[
446,
635,
71,
14
],
[
521,
635,
31,
14
],
[
555,
635,
17,
14
],
[
574,
635,
53,
14
],
[
630,
635,
18,
14
],
[
651,
635,
40,
14
],
[
155,
651,
48,
14
],
[
210,
651,
18,
14
],
[
234,
651,
46,
14
],
[
287,
651,
37,
14
],
[
330,
651,
13,
14
],
[
350,
651,
14,
14
],
[
370,
651,
46,
14
],
[
422,
651,
10,
14
],
[
439,
651,
50,
14
],
[
495,
651,
51,
14
],
[
553,
651,
35,
14
],
[
594,
651,
20,
14
],
[
621,
651,
44,
14
],
[
671,
651,
20,
14
],
[
155,
667,
61,
14
],
[
222,
667,
65,
14
],
[
293,
667,
44,
14
],
[
343,
667,
18,
14
],
[
367,
667,
19,
14
],
[
392,
667,
31,
14
],
[
429,
667,
29,
14
],
[
464,
667,
17,
14
],
[
487,
667,
56,
14
],
[
548,
667,
54,
14
],
[
608,
667,
20,
14
],
[
634,
667,
57,
14
],
[
155,
683,
40,
14
],
[
198,
683,
11,
14
],
[
213,
683,
18,
14
],
[
234,
683,
32,
14
],
[
270,
683,
55,
14
],
[
329,
683,
40,
14
],
[
371,
683,
13,
14
],
[
388,
683,
18,
14
],
[
409,
683,
30,
14
],
[
442,
683,
51,
14
],
[
497,
683,
11,
14
],
[
512,
683,
60,
14
],
[
575,
683,
25,
14
],
[
603,
683,
52,
14
],
[
658,
683,
10,
14
],
[
671,
683,
20,
14
],
[
155,
700,
40,
14
],
[
198,
700,
62,
14
],
[
263,
700,
33,
14
],
[
299,
700,
54,
14
],
[
356,
700,
80,
14
],
[
440,
700,
59,
14
],
[
502,
700,
60,
14
],
[
155,
723,
49,
14
],
[
207,
723,
30,
14
],
[
240,
723,
47,
14
],
[
291,
723,
45,
14
],
[
339,
723,
11,
14
],
[
353,
723,
18,
14
],
[
374,
723,
80,
14
],
[
458,
723,
56,
14
],
[
516,
723,
47,
14
],
[
566,
723,
26,
14
],
[
595,
723,
60,
14
],
[
659,
723,
32,
14
],
[
155,
739,
10,
14
],
[
168,
739,
18,
14
],
[
189,
739,
49,
14
],
[
240,
739,
18,
14
],
[
261,
739,
7,
14
],
[
271,
739,
14,
14
],
[
288,
739,
25,
14
],
[
316,
739,
90,
14
],
[
409,
739,
11,
14
],
[
423,
739,
29,
14
],
[
455,
739,
20,
14
],
[
477,
739,
76,
14
],
[
556,
739,
52,
14
],
[
611,
739,
46,
14
],
[
660,
739,
10,
14
],
[
673,
739,
18,
14
],
[
155,
756,
27,
14
],
[
187,
756,
53,
14
],
[
244,
756,
11,
14
],
[
260,
756,
18,
14
],
[
282,
756,
19,
14
],
[
306,
756,
28,
14
],
[
338,
756,
11,
14
],
[
354,
756,
23,
14
],
[
381,
756,
11,
14
],
[
397,
756,
23,
14
],
[
424,
756,
20,
14
],
[
449,
756,
120,
14
],
[
573,
756,
52,
14
],
[
630,
756,
46,
14
],
[
681,
756,
10,
14
],
[
155,
772,
69,
14
],
[
226,
772,
32,
14
],
[
262,
772,
53,
14
],
[
317,
772,
11,
14
],
[
331,
772,
55,
14
],
[
389,
772,
57,
14
],
[
448,
772,
20,
14
],
[
471,
772,
41,
14
],
[
515,
772,
52,
14
],
[
570,
772,
85,
14
],
[
657,
772,
34,
14
],
[
155,
788,
7,
14
],
[
165,
788,
52,
14
],
[
220,
788,
46,
14
],
[
268,
788,
10,
14
],
[
281,
788,
40,
14
],
[
323,
788,
112,
14
],
[
437,
788,
42,
14
],
[
481,
788,
37,
14
],
[
521,
788,
58,
14
],
[
581,
788,
20,
14
],
[
604,
788,
56,
14
],
[
662,
788,
29,
14
],
[
155,
805,
58,
14
],
[
219,
805,
72,
14
],
[
297,
805,
70,
14
],
[
373,
805,
30,
14
],
[
410,
805,
24,
14
],
[
440,
805,
29,
14
],
[
475,
805,
40,
14
],
[
521,
805,
24,
14
],
[
552,
805,
52,
14
],
[
610,
805,
10,
14
],
[
626,
805,
23,
14
],
[
654,
805,
36,
14
],
[
155,
821,
70,
14
],
[
229,
821,
69,
14
],
[
301,
821,
30,
14
],
[
335,
821,
52,
14
],
[
392,
821,
71,
14
],
[
467,
821,
29,
14
],
[
500,
821,
12,
14
],
[
516,
821,
45,
14
],
[
565,
821,
12,
14
],
[
582,
821,
40,
14
],
[
626,
821,
65,
14
],
[
155,
837,
34,
14
],
[
191,
837,
37,
14
],
[
232,
837,
40,
14
],
[
275,
837,
18,
14
],
[
296,
837,
49,
14
],
[
348,
837,
32,
14
],
[
384,
837,
50,
14
],
[
437,
837,
9,
14
],
[
449,
837,
40,
14
],
[
491,
837,
13,
14
],
[
508,
837,
18,
14
],
[
529,
837,
30,
14
],
[
562,
837,
51,
14
],
[
616,
837,
11,
14
],
[
631,
837,
60,
14
],
[
155,
854,
23,
14
],
[
181,
854,
17,
14
],
[
200,
854,
54,
14
],
[
257,
854,
43,
14
],
[
303,
854,
10,
14
],
[
316,
854,
40,
14
],
[
359,
854,
56,
14
],
[
418,
854,
36,
14
],
[
458,
854,
18,
14
],
[
479,
854,
75,
14
],
[
557,
854,
40,
14
],
[
600,
854,
25,
14
],
[
629,
854,
19,
14
],
[
651,
854,
40,
14
],
[
155,
870,
62,
14
],
[
220,
870,
17,
14
],
[
240,
870,
14,
14
],
[
257,
870,
29,
14
],
[
289,
870,
6,
14
],
[
298,
870,
70,
14
],
[
370,
870,
28,
14
],
[
402,
869,
12,
15
],
[
417,
870,
7,
14
],
[
427,
870,
63,
14
],
[
493,
870,
33,
14
],
[
529,
870,
39,
14
],
[
570,
870,
61,
14
],
[
634,
870,
43,
14
],
[
680,
870,
10,
14
],
[
155,
886,
86,
14
],
[
246,
886,
26,
14
],
[
276,
886,
53,
14
],
[
334,
886,
26,
14
],
[
365,
886,
33,
14
],
[
402,
886,
64,
14
],
[
471,
886,
33,
14
],
[
509,
886,
30,
14
],
[
543,
886,
20,
14
],
[
568,
886,
34,
14
],
[
606,
886,
29,
14
],
[
640,
886,
51,
14
],
[
155,
903,
26,
14
],
[
184,
903,
10,
14
],
[
198,
903,
18,
14
],
[
219,
903,
50,
14
],
[
272,
903,
20,
14
],
[
295,
903,
44,
14
],
[
343,
903,
11,
14
],
[
357,
903,
53,
14
],
[
413,
903,
12,
14
],
[
155,
926,
74,
14
],
[
235,
926,
24,
14
],
[
264,
926,
30,
14
],
[
300,
926,
19,
14
],
[
325,
926,
24,
14
],
[
354,
926,
72,
14
],
[
432,
926,
48,
14
],
[
485,
926,
18,
14
],
[
509,
926,
26,
14
],
[
541,
926,
52,
14
],
[
599,
926,
22,
14
],
[
627,
926,
45,
14
],
[
678,
926,
12,
14
],
[
155,
942,
62,
14
],
[
220,
942,
51,
14
],
[
276,
942,
20,
14
],
[
300,
942,
31,
14
],
[
335,
942,
22,
14
],
[
360,
942,
46,
14
],
[
410,
942,
12,
14
],
[
426,
942,
40,
14
],
[
470,
942,
62,
14
],
[
536,
942,
18,
14
],
[
559,
942,
45,
14
],
[
608,
942,
18,
14
],
[
630,
942,
45,
14
],
[
680,
942,
11,
14
],
[
155,
959,
18,
14
],
[
177,
959,
22,
14
],
[
201,
959,
13,
14
],
[
218,
959,
25,
14
],
[
247,
959,
9,
14
],
[
259,
959,
12,
14
],
[
274,
959,
41,
14
],
[
319,
959,
51,
14
],
[
373,
959,
82,
14
],
[
458,
959,
20,
14
],
[
482,
959,
60,
14
],
[
545,
959,
40,
14
],
[
589,
959,
24,
14
],
[
616,
959,
18,
14
],
[
638,
959,
19,
14
],
[
660,
959,
31,
14
],
[
155,
975,
47,
14
],
[
204,
975,
10,
14
],
[
217,
975,
50,
14
],
[
270,
975,
12,
14
],
[
286,
975,
75,
14
],
[
364,
975,
22,
14
],
[
389,
975,
39,
14
],
[
430,
975,
49,
14
],
[
482,
975,
51,
14
],
[
535,
975,
13,
14
],
[
552,
975,
31,
14
],
[
585,
975,
22,
14
],
[
610,
975,
40,
14
],
[
654,
975,
37,
14
],
[
155,
991,
72,
14
],
[
230,
991,
69,
14
],
[
302,
991,
33,
14
],
[
337,
991,
53,
14
],
[
393,
991,
17,
14
],
[
413,
991,
57,
14
],
[
473,
991,
40,
14
],
[
517,
991,
53,
14
],
[
698,
1052,
30,
13
],
[
731,
1052,
7,
13
],
[
741,
1052,
11,
13
],
[
755,
1052,
14,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"BMC",
"Genomics",
"Research",
"article",
"Comparison",
"of",
"the",
"transcriptomic",
"\"stress",
"response\"",
"evoked",
"by",
"antimycin",
"A",
"and",
"oxygen",
"deprivation",
"in",
"saccharomyces",
"cerevisiae",
"Liang-Chuan",
"Lai1,4,",
"Matthew",
"T",
"Kissinger2,4,",
"Patricia",
"V",
"Burke3,4",
"and",
"Kurt",
"E",
"Kwast*4",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Department",
"of",
"Physiology,",
"National",
"Taiwan",
"University",
"College",
"of",
"Medicine,",
"Taipei,",
"Taiwan",
"(R.O.C.),",
"2Coskata",
"Inc.,",
"4575",
"Weaver",
"Pkwy,",
"Suite",
"100,",
"Warrenville,",
"IL",
"60555,",
"USA,",
"3Department",
"of",
"Microbiology,",
"University",
"of",
"Illinois,",
"Urbana,",
"IL",
"61801,",
"USA",
"and",
"4Department",
"of",
"Molecular",
"&",
"Integrative",
"Physiology,",
"University",
"ofIllinois,",
"Urbana,",
"IL",
"61801,",
"USA",
"Email:",
"Liang-Chuan",
"Lai",
"-",
"llai@ntu.edu.tw;",
"Matthew",
"T",
"Kissinger",
"-",
"mkissi@yahoo.com;",
"Patricia",
"V",
"Burke",
"-",
"burke@life.uiuc.edu;",
"Kurt",
"E",
"Kwast*",
"-",
"kwast@uiuc.edu",
"*",
"Corresponding",
"author",
"Published:",
"23",
"December",
"2008",
"BMC",
"Genomics",
"2008,",
"9:627",
"doi:10.1186/1471-2164-9-627",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2164/9/627",
"Received:",
"22",
"October",
"2007",
"Accepted:",
"23",
"December",
"2008",
"©",
"2008",
"Lai",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"Acute",
"changes",
"in",
"environmental",
"parameters",
"(e.g.,",
"O2,",
"pH,",
"UV,",
"osmolarity,",
"nutrients,",
"etc.)",
"evoke",
"a",
"common",
"transcriptomic",
"response",
"in",
"yeast",
"referred",
"to",
"as",
"the",
"\"environmental",
"stress",
"response\"",
"(ESR)",
"or",
"\"common",
"environmental",
"response\"",
"(CER).",
"Why",
"such",
"a",
"diverse",
"array",
"of",
"insults",
"should",
"elicit",
"a",
"common",
"transcriptional",
"response",
"remains",
"enigmatic.",
"Previous",
"functional",
"analyses",
"of",
"the",
"networks",
"involved",
"have",
"found",
"that,",
"in",
"addition",
"to",
"up-regulating",
"those",
"for",
"mitigating",
"the",
"specific",
"stressor,",
"the",
"majority",
"appear",
"to",
"be",
"involved",
"in",
"balancing",
"energetic",
"supply",
"and",
"demand",
"and",
"modulating",
"progression",
"through",
"the",
"cell",
"cycle.",
"Here",
"we",
"compared",
"functional",
"and",
"regulatory",
"aspects",
"of",
"the",
"stress",
"responses",
"elicited",
"by",
"the",
"acute",
"inhibition",
"of",
"respiration",
"with",
"antimycin",
"A",
"and",
"oxygen",
"deprivation",
"under",
"catabolite",
"non-repressed",
"(galactose)",
"conditions.",
"Results:",
"Gene",
"network",
"analyses",
"of",
"the",
"transcriptomic",
"responses",
"revealed",
"both",
"treatments",
"result",
"in",
"the",
"transient",
"(10",
"–",
"60",
"min)",
"down-regulation",
"of",
"MBF-",
"and",
"SBF-regulated",
"networks",
"involved",
"in",
"the",
"G1/S",
"transition",
"of",
"the",
"cell",
"cycle",
"as",
"well",
"as",
"Fhl1",
"and",
"PAC/RRPE-associated",
"networks",
"involved",
"in",
"energetically",
"costly",
"programs",
"of",
"ribosomal",
"biogenesis",
"and",
"protein",
"synthesis.",
"Simultaneously,",
"Msn2/",
"4",
"networks",
"involved",
"in",
"hexose",
"import/dissimilation,",
"reserve",
"energy",
"regulation,",
"and",
"autophagy",
"were",
"transiently",
"up-regulated.",
"Interestingly,",
"when",
"cells",
"were",
"treated",
"with",
"antimycin",
"A",
"well",
"before",
"experiencing",
"anaerobiosis",
"these",
"networks",
"subsequently",
"failed",
"to",
"respond",
"to",
"oxygen",
"deprivation.",
"These",
"results",
"suggest",
"the",
"transient",
"stress",
"response",
"is",
"elicited",
"by",
"the",
"acute",
"inhibition",
"of",
"respiration",
"and,",
"we",
"postulate,",
"changes",
"in",
"cellular",
"energetics",
"and/or",
"the",
"instantaneous",
"growth",
"rate,",
"not",
"oxygen",
"deprivation",
"per",
"se.",
"After",
"a",
"considerable",
"delay",
"(≥",
"1",
"generation)",
"under",
"anoxia,",
"predictable",
"changes",
"in",
"heme-regulated",
"gene",
"networks",
"(e.g.,",
"Hap1,",
"Hap2/3/4/5,",
"Mot3,",
"Rox1",
"and",
"Upc2)",
"were",
"observed",
"both",
"in",
"the",
"presence",
"and",
"absence",
"of",
"antimycin",
"A.",
"Conclusion:",
"This",
"study",
"not",
"only",
"differentiates",
"between",
"the",
"gene",
"networks",
"that",
"respond",
"to",
"respiratory",
"inhibition",
"and",
"those",
"that",
"respond",
"to",
"oxygen",
"deprivation",
"but",
"suggests",
"the",
"function",
"of",
"the",
"ESR",
"or",
"CER",
"is",
"to",
"balance",
"energetic",
"supply/demand",
"and",
"coordinate",
"growth",
"with",
"the",
"cell",
"cycle,",
"whether",
"in",
"response",
"to",
"perturbations",
"that",
"disrupt",
"catabolic",
"pathways",
"or",
"those",
"that",
"require",
"rapidly",
"up-regulating",
"energetically",
"costly",
"programs",
"for",
"combating",
"specific",
"stressors.",
"Page",
"1",
"of",
"14",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,492,723 | null | [
[
63,
52,
75,
14
],
[
139,
52,
33,
14
],
[
176,
52,
77,
14
],
[
255,
52,
111,
14
],
[
62,
84,
68,
25
],
[
137,
84,
60,
25
],
[
203,
84,
117,
25
],
[
327,
84,
109,
25
],
[
442,
84,
120,
25
],
[
568,
84,
23,
25
],
[
598,
84,
69,
25
],
[
673,
84,
83,
25
],
[
62,
113,
20,
25
],
[
89,
113,
116,
25
],
[
211,
113,
127,
25
],
[
344,
113,
45,
25
],
[
396,
113,
130,
25
],
[
532,
113,
24,
25
],
[
563,
113,
38,
25
],
[
607,
113,
96,
25
],
[
62,
142,
75,
25
],
[
144,
142,
45,
25
],
[
196,
142,
105,
25
],
[
307,
142,
50,
25
],
[
364,
142,
100,
25
],
[
471,
142,
98,
25
],
[
62,
184,
51,
14
],
[
116,
184,
17,
14
],
[
137,
184,
40,
14
],
[
178,
183,
10,
15
],
[
191,
184,
57,
14
],
[
251,
184,
17,
14
],
[
272,
184,
47,
14
],
[
320,
183,
10,
15
],
[
333,
184,
45,
14
],
[
382,
184,
67,
14
],
[
450,
183,
17,
15
],
[
469,
184,
32,
14
],
[
504,
184,
13,
14
],
[
521,
184,
46,
14
],
[
569,
183,
10,
15
],
[
582,
184,
49,
14
],
[
634,
184,
40,
14
],
[
676,
183,
10,
15
],
[
62,
200,
43,
14
],
[
109,
200,
64,
14
],
[
173,
199,
10,
15
],
[
186,
200,
42,
14
],
[
232,
200,
12,
14
],
[
247,
200,
47,
14
],
[
295,
199,
10,
15
],
[
308,
200,
35,
14
],
[
346,
200,
12,
14
],
[
362,
200,
34,
14
],
[
397,
199,
17,
15
],
[
417,
200,
38,
14
],
[
458,
200,
13,
14
],
[
474,
200,
47,
14
],
[
522,
199,
5,
9
],
[
531,
200,
25,
14
],
[
560,
200,
61,
14
],
[
624,
200,
17,
14
],
[
645,
200,
68,
14
],
[
713,
199,
13,
15
],
[
62,
224,
4,
6
],
[
69,
225,
35,
10
],
[
106,
225,
9,
10
],
[
117,
225,
50,
10
],
[
169,
225,
41,
10
],
[
212,
225,
16,
10
],
[
230,
225,
43,
10
],
[
275,
225,
43,
10
],
[
320,
225,
21,
10
],
[
343,
225,
35,
10
],
[
380,
225,
32,
10
],
[
414,
225,
16,
10
],
[
432,
225,
21,
10
],
[
455,
225,
44,
10
],
[
501,
225,
29,
10
],
[
533,
225,
9,
10
],
[
544,
225,
43,
10
],
[
589,
225,
34,
10
],
[
625,
225,
19,
10
],
[
646,
225,
20,
10
],
[
62,
237,
4,
6
],
[
69,
238,
12,
10
],
[
83,
238,
22,
10
],
[
108,
238,
27,
10
],
[
137,
238,
47,
10
],
[
186,
238,
36,
10
],
[
224,
238,
22,
10
],
[
248,
238,
30,
10
],
[
280,
238,
16,
10
],
[
298,
238,
20,
10
],
[
62,
250,
4,
6
],
[
69,
251,
53,
10
],
[
124,
251,
9,
10
],
[
135,
251,
43,
10
],
[
180,
251,
16,
10
],
[
198,
251,
47,
10
],
[
247,
251,
43,
10
],
[
293,
251,
17,
10
],
[
311,
251,
44,
10
],
[
357,
251,
9,
10
],
[
369,
251,
25,
10
],
[
396,
251,
35,
10
],
[
433,
251,
29,
10
],
[
464,
251,
9,
10
],
[
476,
251,
43,
10
],
[
521,
251,
30,
10
],
[
554,
251,
16,
10
],
[
572,
251,
17,
10
],
[
591,
251,
20,
10
],
[
62,
264,
4,
6
],
[
69,
264,
53,
10
],
[
124,
264,
9,
10
],
[
135,
264,
56,
10
],
[
193,
264,
16,
10
],
[
212,
264,
57,
10
],
[
270,
264,
44,
10
],
[
316,
264,
9,
10
],
[
328,
264,
41,
10
],
[
371,
264,
29,
10
],
[
402,
264,
9,
10
],
[
413,
264,
43,
10
],
[
459,
264,
45,
10
],
[
505,
264,
19,
10
],
[
527,
264,
20,
10
],
[
62,
277,
4,
6
],
[
69,
277,
53,
10
],
[
123,
277,
9,
10
],
[
135,
277,
33,
10
],
[
170,
277,
96,
10
],
[
267,
277,
44,
10
],
[
313,
277,
9,
10
],
[
324,
277,
34,
10
],
[
361,
277,
64,
10
],
[
427,
277,
15,
10
],
[
444,
277,
20,
10
],
[
62,
290,
4,
6
],
[
69,
290,
35,
10
],
[
106,
290,
49,
10
],
[
157,
290,
21,
10
],
[
180,
290,
35,
10
],
[
217,
290,
32,
10
],
[
251,
290,
34,
10
],
[
287,
290,
19,
10
],
[
308,
290,
20,
10
],
[
62,
303,
4,
6
],
[
69,
303,
53,
10
],
[
124,
303,
9,
10
],
[
135,
303,
17,
10
],
[
154,
303,
16,
10
],
[
172,
303,
66,
10
],
[
240,
303,
34,
10
],
[
277,
303,
33,
10
],
[
312,
303,
29,
10
],
[
343,
303,
16,
10
],
[
361,
303,
35,
10
],
[
398,
303,
46,
10
],
[
445,
303,
39,
10
],
[
486,
303,
17,
10
],
[
505,
303,
20,
10
],
[
526,
33,
60,
12
],
[
589,
33,
66,
12
],
[
658,
33,
52,
12
],
[
590,
45,
41,
10
],
[
634,
45,
10,
10
],
[
646,
45,
42,
10
],
[
691,
45,
19,
10
],
[
587,
56,
15,
10
],
[
604,
56,
106,
10
],
[
62,
344,
30,
10
],
[
95,
344,
14,
10
],
[
62,
357,
32,
10
],
[
96,
357,
10,
10
],
[
109,
357,
30,
10
],
[
141,
357,
44,
10
],
[
186,
357,
9,
10
],
[
62,
370,
25,
10
],
[
89,
370,
35,
10
],
[
126,
370,
33,
10
],
[
161,
370,
20,
10
],
[
62,
387,
46,
10
],
[
110,
387,
15,
10
],
[
62,
400,
31,
10
],
[
95,
400,
9,
10
],
[
106,
400,
23,
10
],
[
131,
400,
25,
10
],
[
158,
400,
23,
10
],
[
62,
414,
44,
10
],
[
108,
414,
29,
10
],
[
139,
414,
35,
10
],
[
176,
414,
32,
10
],
[
62,
427,
20,
10
],
[
62,
440,
35,
10
],
[
100,
440,
32,
10
],
[
134,
440,
44,
10
],
[
180,
440,
9,
10
],
[
62,
453,
30,
10
],
[
95,
453,
14,
10
],
[
62,
470,
84,
10
],
[
62,
483,
40,
10
],
[
104,
483,
12,
10
],
[
119,
483,
45,
10
],
[
166,
483,
35,
10
],
[
203,
483,
9,
10
],
[
62,
497,
50,
10
],
[
114,
497,
41,
10
],
[
157,
497,
16,
10
],
[
175,
497,
43,
10
],
[
62,
510,
38,
10
],
[
102,
510,
21,
10
],
[
126,
510,
35,
10
],
[
162,
510,
32,
10
],
[
62,
523,
17,
10
],
[
81,
523,
20,
10
],
[
103,
523,
17,
10
],
[
122,
523,
52,
10
],
[
176,
523,
30,
10
],
[
62,
536,
34,
10
],
[
98,
536,
16,
10
],
[
117,
536,
28,
10
],
[
147,
536,
22,
10
],
[
62,
549,
29,
10
],
[
94,
549,
53,
10
],
[
62,
562,
97,
10
],
[
242,
341,
32,
14
],
[
280,
341,
29,
14
],
[
314,
341,
58,
14
],
[
378,
341,
66,
14
],
[
450,
341,
20,
14
],
[
477,
341,
40,
14
],
[
522,
341,
19,
14
],
[
546,
341,
7,
14
],
[
559,
341,
33,
14
],
[
598,
341,
35,
14
],
[
639,
341,
12,
14
],
[
657,
341,
64,
14
],
[
726,
341,
37,
14
],
[
242,
357,
65,
14
],
[
312,
357,
55,
14
],
[
372,
357,
7,
14
],
[
385,
357,
63,
14
],
[
453,
357,
55,
14
],
[
514,
357,
20,
14
],
[
538,
357,
22,
14
],
[
566,
357,
33,
14
],
[
603,
357,
35,
14
],
[
644,
357,
24,
14
],
[
672,
357,
11,
14
],
[
688,
357,
19,
14
],
[
713,
357,
33,
14
],
[
751,
357,
12,
14
],
[
242,
374,
47,
14
],
[
293,
374,
22,
14
],
[
320,
374,
73,
14
],
[
398,
374,
34,
14
],
[
437,
374,
26,
14
],
[
467,
374,
10,
14
],
[
482,
374,
44,
14
],
[
530,
374,
25,
14
],
[
560,
374,
12,
14
],
[
577,
374,
20,
14
],
[
601,
374,
56,
14
],
[
662,
374,
12,
14
],
[
679,
374,
84,
14
],
[
242,
391,
19,
14
],
[
265,
391,
22,
14
],
[
291,
391,
12,
14
],
[
307,
391,
33,
14
],
[
343,
391,
35,
14
],
[
382,
391,
12,
14
],
[
398,
391,
91,
14
],
[
493,
391,
53,
14
],
[
550,
391,
57,
14
],
[
611,
391,
10,
14
],
[
625,
391,
7,
14
],
[
636,
391,
36,
14
],
[
676,
391,
11,
14
],
[
690,
391,
31,
14
],
[
725,
391,
39,
14
],
[
242,
407,
44,
14
],
[
290,
407,
23,
14
],
[
319,
407,
51,
14
],
[
375,
407,
36,
14
],
[
417,
407,
41,
14
],
[
463,
407,
49,
14
],
[
517,
407,
34,
14
],
[
556,
407,
40,
14
],
[
601,
407,
28,
14
],
[
635,
407,
30,
14
],
[
670,
407,
59,
14
],
[
734,
407,
29,
14
],
[
242,
424,
12,
14
],
[
260,
424,
32,
14
],
[
299,
424,
32,
14
],
[
338,
424,
37,
14
],
[
382,
424,
33,
14
],
[
421,
424,
87,
14
],
[
515,
424,
53,
14
],
[
574,
424,
77,
14
],
[
657,
424,
22,
14
],
[
686,
424,
50,
14
],
[
743,
424,
20,
14
],
[
242,
440,
75,
14
],
[
322,
440,
32,
14
],
[
360,
440,
33,
14
],
[
398,
440,
40,
14
],
[
444,
440,
23,
14
],
[
473,
440,
33,
14
],
[
511,
440,
87,
14
],
[
604,
440,
53,
14
],
[
662,
440,
47,
14
],
[
715,
440,
48,
14
],
[
242,
457,
56,
14
],
[
304,
457,
44,
14
],
[
355,
457,
22,
14
],
[
383,
457,
20,
14
],
[
409,
457,
20,
14
],
[
435,
457,
41,
14
],
[
482,
457,
35,
14
],
[
524,
457,
23,
14
],
[
554,
457,
12,
14
],
[
572,
457,
20,
14
],
[
598,
457,
33,
14
],
[
638,
457,
33,
14
],
[
677,
457,
60,
14
],
[
744,
457,
20,
14
],
[
242,
474,
32,
14
],
[
278,
474,
29,
14
],
[
311,
474,
49,
14
],
[
365,
474,
27,
15
],
[
397,
474,
21,
14
],
[
422,
474,
24,
14
],
[
450,
474,
75,
14
],
[
530,
474,
23,
14
],
[
557,
474,
33,
14
],
[
594,
474,
29,
14
],
[
627,
474,
58,
14
],
[
690,
474,
12,
14
],
[
707,
474,
19,
14
],
[
730,
474,
33,
14
],
[
242,
490,
33,
14
],
[
282,
490,
40,
14
],
[
330,
490,
11,
14
],
[
348,
490,
57,
14
],
[
412,
490,
22,
14
],
[
442,
490,
56,
14
],
[
505,
490,
12,
14
],
[
525,
490,
22,
14
],
[
555,
490,
36,
14
],
[
598,
490,
41,
14
],
[
647,
490,
46,
14
],
[
701,
490,
37,
14
],
[
745,
490,
18,
14
],
[
242,
507,
75,
14
],
[
322,
507,
23,
14
],
[
351,
507,
19,
14
],
[
376,
507,
33,
14
],
[
414,
507,
33,
14
],
[
453,
507,
37,
14
],
[
496,
507,
25,
14
],
[
527,
507,
15,
14
],
[
547,
507,
29,
14
],
[
582,
507,
12,
14
],
[
600,
507,
23,
14
],
[
628,
507,
57,
14
],
[
691,
507,
73,
14
],
[
242,
524,
42,
14
],
[
289,
524,
33,
14
],
[
326,
524,
87,
14
],
[
419,
524,
53,
14
],
[
477,
524,
51,
14
],
[
532,
524,
34,
14
],
[
572,
524,
20,
14
],
[
596,
524,
22,
14
],
[
623,
524,
47,
14
],
[
675,
524,
61,
14
],
[
742,
524,
22,
14
],
[
242,
540,
19,
14
],
[
265,
540,
25,
14
],
[
294,
540,
47,
14
],
[
346,
540,
38,
14
],
[
389,
540,
30,
14
],
[
423,
540,
60,
14
],
[
488,
540,
12,
14
],
[
504,
540,
62,
14
],
[
571,
540,
33,
14
],
[
608,
540,
87,
14
],
[
700,
540,
47,
14
],
[
751,
540,
12,
14
],
[
242,
557,
19,
14
],
[
265,
557,
35,
14
],
[
304,
557,
77,
14
],
[
385,
557,
12,
14
],
[
402,
557,
33,
14
],
[
439,
557,
40,
14
],
[
482,
557,
26,
14
],
[
512,
557,
20,
14
],
[
536,
557,
26,
14
],
[
566,
557,
46,
14
],
[
616,
557,
48,
14
],
[
668,
557,
11,
14
],
[
683,
557,
7,
14
],
[
694,
557,
54,
14
],
[
751,
557,
12,
14
],
[
242,
573,
33,
14
],
[
278,
573,
87,
14
],
[
370,
573,
59,
14
],
[
433,
573,
58,
14
],
[
495,
573,
12,
14
],
[
512,
573,
19,
14
],
[
535,
573,
35,
14
],
[
575,
573,
60,
14
],
[
640,
573,
19,
14
],
[
662,
573,
48,
14
],
[
714,
573,
23,
14
],
[
742,
573,
22,
14
],
[
242,
590,
37,
14
],
[
282,
590,
25,
14
],
[
310,
590,
15,
14
],
[
328,
590,
36,
14
],
[
367,
590,
11,
14
],
[
381,
590,
63,
14
],
[
447,
590,
75,
14
],
[
525,
590,
14,
14
],
[
542,
590,
35,
14
],
[
580,
590,
33,
14
],
[
615,
590,
35,
14
],
[
654,
590,
32,
14
],
[
689,
590,
60,
14
],
[
751,
590,
12,
14
],
[
242,
606,
53,
14
],
[
298,
606,
47,
14
],
[
349,
606,
11,
14
],
[
362,
606,
20,
14
],
[
385,
606,
44,
14
],
[
242,
634,
49,
10
],
[
293,
634,
27,
10
],
[
321,
634,
27,
10
],
[
350,
634,
107,
10
],
[
459,
634,
66,
10
],
[
526,
634,
29,
10
],
[
557,
634,
31,
10
],
[
590,
634,
20,
10
],
[
612,
634,
39,
10
],
[
62,
675,
90,
14
],
[
62,
692,
29,
14
],
[
94,
692,
87,
14
],
[
183,
692,
58,
14
],
[
244,
692,
18,
14
],
[
264,
692,
40,
14
],
[
307,
692,
16,
14
],
[
325,
692,
6,
14
],
[
334,
692,
71,
14
],
[
62,
708,
32,
14
],
[
97,
708,
11,
14
],
[
111,
708,
11,
14
],
[
125,
708,
18,
14
],
[
146,
708,
35,
14
],
[
184,
708,
60,
14
],
[
247,
708,
16,
14
],
[
266,
708,
30,
14
],
[
298,
708,
20,
14
],
[
322,
708,
65,
14
],
[
390,
708,
16,
14
],
[
62,
724,
23,
14
],
[
88,
724,
59,
14
],
[
151,
724,
59,
14
],
[
213,
724,
15,
14
],
[
231,
724,
17,
14
],
[
251,
724,
34,
14
],
[
289,
724,
76,
14
],
[
368,
724,
37,
14
],
[
62,
739,
11,
14
],
[
77,
739,
43,
14
],
[
124,
739,
59,
14
],
[
187,
739,
20,
14
],
[
210,
739,
30,
14
],
[
244,
739,
32,
14
],
[
280,
739,
43,
14
],
[
327,
739,
21,
14
],
[
353,
739,
19,
14
],
[
375,
739,
30,
14
],
[
62,
755,
11,
14
],
[
77,
755,
59,
14
],
[
140,
755,
49,
14
],
[
192,
755,
12,
14
],
[
208,
755,
30,
14
],
[
242,
755,
36,
14
],
[
281,
755,
10,
14
],
[
295,
755,
16,
14
],
[
315,
755,
29,
14
],
[
348,
755,
58,
14
],
[
62,
771,
10,
14
],
[
78,
771,
16,
14
],
[
100,
771,
29,
14
],
[
134,
771,
32,
14
],
[
171,
771,
10,
14
],
[
187,
771,
16,
14
],
[
208,
771,
34,
14
],
[
247,
771,
34,
14
],
[
287,
771,
43,
14
],
[
335,
771,
53,
14
],
[
394,
771,
11,
14
],
[
62,
787,
89,
14
],
[
154,
787,
45,
14
],
[
203,
787,
40,
14
],
[
245,
787,
69,
14
],
[
317,
787,
32,
14
],
[
352,
787,
29,
14
],
[
385,
787,
20,
14
],
[
62,
803,
17,
14
],
[
83,
803,
53,
14
],
[
140,
803,
38,
14
],
[
182,
803,
53,
14
],
[
238,
803,
40,
14
],
[
282,
803,
17,
14
],
[
302,
803,
70,
14
],
[
376,
803,
29,
14
],
[
62,
819,
11,
14
],
[
78,
819,
27,
14
],
[
109,
819,
34,
14
],
[
148,
819,
11,
14
],
[
163,
819,
16,
14
],
[
184,
819,
44,
14
],
[
233,
819,
44,
14
],
[
281,
819,
34,
14
],
[
319,
819,
32,
14
],
[
355,
819,
25,
14
],
[
384,
819,
21,
14
],
[
62,
835,
24,
14
],
[
90,
835,
54,
14
],
[
147,
835,
36,
14
],
[
187,
835,
17,
14
],
[
207,
835,
48,
14
],
[
258,
835,
34,
14
],
[
295,
835,
15,
14
],
[
313,
835,
50,
14
],
[
366,
835,
39,
14
],
[
62,
851,
65,
14
],
[
130,
851,
57,
14
],
[
190,
851,
24,
14
],
[
217,
851,
16,
14
],
[
235,
851,
89,
14
],
[
326,
851,
30,
14
],
[
78,
867,
29,
14
],
[
113,
867,
32,
14
],
[
152,
867,
31,
14
],
[
189,
867,
17,
14
],
[
212,
867,
17,
14
],
[
235,
867,
18,
14
],
[
259,
867,
49,
14
],
[
314,
867,
36,
14
],
[
356,
867,
49,
14
],
[
62,
883,
16,
14
],
[
84,
883,
16,
14
],
[
105,
883,
57,
14
],
[
168,
883,
32,
14
],
[
206,
883,
37,
14
],
[
249,
883,
36,
14
],
[
291,
883,
31,
14
],
[
327,
883,
51,
14
],
[
384,
883,
22,
14
],
[
62,
899,
17,
14
],
[
83,
899,
23,
14
],
[
111,
899,
32,
14
],
[
148,
899,
54,
14
],
[
206,
899,
11,
14
],
[
221,
899,
6,
14
],
[
232,
899,
31,
14
],
[
267,
899,
54,
14
],
[
326,
899,
80,
14
],
[
62,
915,
36,
14
],
[
102,
915,
11,
14
],
[
117,
915,
7,
14
],
[
128,
915,
61,
14
],
[
193,
915,
21,
14
],
[
218,
915,
58,
14
],
[
281,
915,
17,
14
],
[
301,
915,
50,
14
],
[
355,
915,
16,
14
],
[
376,
915,
30,
14
],
[
62,
930,
17,
14
],
[
86,
930,
11,
14
],
[
103,
930,
17,
14
],
[
126,
930,
28,
14
],
[
160,
930,
11,
14
],
[
177,
930,
17,
14
],
[
200,
930,
38,
14
],
[
244,
930,
11,
14
],
[
261,
930,
17,
14
],
[
284,
930,
23,
14
],
[
313,
930,
23,
14
],
[
342,
930,
16,
14
],
[
364,
930,
42,
14
],
[
62,
946,
22,
14
],
[
88,
946,
24,
14
],
[
115,
946,
39,
14
],
[
156,
946,
57,
14
],
[
216,
946,
24,
14
],
[
244,
946,
17,
14
],
[
264,
946,
95,
14
],
[
361,
946,
44,
14
],
[
62,
962,
118,
14
],
[
182,
962,
32,
15
],
[
216,
962,
30,
14
],
[
248,
962,
17,
14
],
[
267,
962,
32,
14
],
[
301,
962,
44,
14
],
[
347,
962,
58,
14
],
[
62,
978,
10,
14
],
[
75,
978,
16,
14
],
[
93,
978,
34,
14
],
[
129,
978,
28,
14
],
[
160,
978,
39,
14
],
[
200,
978,
17,
14
],
[
220,
978,
28,
14
],
[
250,
978,
55,
14
],
[
307,
978,
97,
14
],
[
420,
676,
62,
14
],
[
490,
676,
20,
14
],
[
517,
676,
9,
14
],
[
532,
676,
62,
14
],
[
601,
676,
56,
14
],
[
664,
676,
43,
14
],
[
714,
676,
17,
14
],
[
738,
676,
26,
14
],
[
420,
692,
58,
14
],
[
483,
692,
17,
14
],
[
505,
692,
30,
14
],
[
540,
692,
56,
14
],
[
600,
692,
20,
14
],
[
625,
692,
11,
14
],
[
641,
692,
17,
14
],
[
663,
692,
68,
14
],
[
735,
692,
29,
14
],
[
420,
708,
29,
14
],
[
455,
708,
29,
14
],
[
489,
708,
62,
14
],
[
557,
708,
44,
14
],
[
606,
708,
17,
14
],
[
629,
708,
26,
14
],
[
660,
708,
55,
14
],
[
720,
708,
21,
14
],
[
746,
708,
17,
14
],
[
420,
724,
61,
14
],
[
488,
724,
47,
14
],
[
542,
724,
17,
14
],
[
565,
724,
73,
14
],
[
645,
724,
31,
14
],
[
682,
724,
41,
14
],
[
729,
724,
11,
14
],
[
746,
724,
17,
14
],
[
420,
739,
54,
14
],
[
480,
739,
9,
14
],
[
495,
739,
76,
14
],
[
577,
739,
39,
14
],
[
621,
739,
43,
14
],
[
670,
739,
13,
14
],
[
689,
739,
27,
14
],
[
722,
739,
22,
14
],
[
750,
739,
13,
14
],
[
420,
755,
15,
14
],
[
442,
755,
49,
14
],
[
497,
755,
32,
14
],
[
536,
755,
43,
14
],
[
584,
755,
35,
14
],
[
626,
755,
11,
14
],
[
643,
755,
17,
14
],
[
667,
755,
15,
14
],
[
688,
755,
49,
14
],
[
743,
755,
21,
14
],
[
420,
771,
80,
14
],
[
502,
771,
54,
14
],
[
558,
771,
58,
14
],
[
618,
771,
16,
14
],
[
636,
771,
13,
14
],
[
651,
771,
79,
14
],
[
733,
771,
31,
14
],
[
420,
787,
20,
14
],
[
446,
787,
28,
14
],
[
479,
787,
43,
14
],
[
527,
787,
10,
14
],
[
542,
787,
16,
14
],
[
564,
787,
45,
14
],
[
613,
787,
24,
14
],
[
642,
787,
20,
14
],
[
668,
787,
56,
14
],
[
730,
787,
34,
14
],
[
420,
803,
56,
14
],
[
482,
803,
17,
14
],
[
505,
803,
46,
14
],
[
557,
803,
28,
14
],
[
591,
803,
9,
14
],
[
606,
803,
46,
14
],
[
658,
803,
43,
14
],
[
707,
803,
11,
14
],
[
724,
803,
17,
14
],
[
748,
803,
16,
14
],
[
420,
819,
50,
14
],
[
473,
819,
20,
14
],
[
497,
819,
29,
14
],
[
529,
819,
34,
14
],
[
566,
819,
20,
14
],
[
589,
819,
17,
14
],
[
610,
819,
73,
14
],
[
685,
819,
30,
14
],
[
719,
819,
15,
14
],
[
738,
819,
26,
14
],
[
420,
835,
28,
14
],
[
453,
835,
9,
14
],
[
466,
835,
65,
14
],
[
536,
835,
11,
14
],
[
552,
835,
17,
14
],
[
573,
835,
58,
14
],
[
635,
835,
32,
14
],
[
672,
835,
13,
14
],
[
689,
835,
74,
14
],
[
420,
851,
39,
14
],
[
464,
851,
35,
14
],
[
504,
851,
11,
14
],
[
519,
851,
17,
14
],
[
541,
851,
70,
14
],
[
616,
851,
11,
14
],
[
632,
851,
6,
14
],
[
643,
851,
31,
14
],
[
678,
851,
42,
14
],
[
725,
851,
38,
14
],
[
420,
867,
38,
14
],
[
462,
867,
11,
14
],
[
477,
867,
17,
14
],
[
497,
867,
95,
14
],
[
594,
867,
24,
14
],
[
622,
867,
11,
14
],
[
636,
867,
17,
14
],
[
657,
867,
19,
14
],
[
680,
867,
54,
14
],
[
737,
867,
27,
14
],
[
420,
883,
34,
14
],
[
458,
883,
21,
14
],
[
481,
883,
44,
14
],
[
529,
883,
29,
14
],
[
561,
883,
29,
14
],
[
593,
883,
10,
14
],
[
607,
883,
16,
14
],
[
626,
883,
29,
14
],
[
659,
883,
34,
14
],
[
696,
883,
24,
14
],
[
723,
883,
40,
14
],
[
420,
899,
35,
14
],
[
460,
899,
29,
14
],
[
493,
899,
35,
14
],
[
531,
899,
11,
14
],
[
547,
899,
17,
14
],
[
568,
899,
48,
14
],
[
620,
899,
11,
14
],
[
636,
899,
39,
14
],
[
679,
899,
48,
14
],
[
731,
899,
11,
14
],
[
746,
899,
17,
14
],
[
420,
915,
67,
14
],
[
492,
915,
57,
14
],
[
553,
915,
31,
14
],
[
587,
915,
20,
14
],
[
612,
915,
45,
14
],
[
661,
915,
6,
14
],
[
672,
915,
92,
14
],
[
420,
930,
48,
14
],
[
470,
930,
40,
14
],
[
512,
930,
42,
14
],
[
556,
930,
11,
14
],
[
570,
930,
11,
14
],
[
582,
930,
17,
14
],
[
601,
930,
48,
14
],
[
651,
930,
29,
14
],
[
682,
930,
47,
14
],
[
731,
930,
33,
14
],
[
420,
946,
54,
14
],
[
477,
946,
10,
14
],
[
489,
946,
16,
14
],
[
508,
946,
34,
14
],
[
436,
962,
21,
14
],
[
462,
962,
23,
14
],
[
489,
962,
9,
14
],
[
502,
962,
40,
14
],
[
545,
962,
11,
14
],
[
560,
962,
17,
14
],
[
582,
962,
52,
14
],
[
638,
962,
11,
14
],
[
654,
962,
68,
14
],
[
726,
962,
13,
14
],
[
743,
962,
21,
14
],
[
420,
978,
21,
14
],
[
447,
978,
39,
14
],
[
492,
978,
48,
14
],
[
545,
978,
52,
14
],
[
603,
978,
51,
14
],
[
659,
978,
29,
14
],
[
694,
978,
36,
14
],
[
735,
978,
29,
14
],
[
62,
1035,
45,
11
],
[
109,
1035,
10,
11
],
[
122,
1035,
38,
11
],
[
162,
1035,
19,
11
],
[
183,
1035,
43,
11
],
[
229,
1035,
65,
11
],
[
362,
1035,
100,
11
],
[
580,
1035,
46,
10
],
[
628,
1035,
21,
10
],
[
651,
1035,
3,
10
],
[
656,
1035,
33,
10
],
[
691,
1035,
6,
10
],
[
699,
1035,
3,
10
],
[
704,
1035,
28,
10
],
[
734,
1035,
16,
10
],
[
753,
1035,
3,
11
],
[
758,
1035,
6,
10
]
] | [
"CELLULAR",
"AND",
"INFECTION",
"MICROBIOLOGY",
"Shiga",
"toxin",
"2-induced",
"intestinal",
"pathology",
"in",
"infant",
"rabbits",
"is",
"A-subunit",
"dependent",
"and",
"responsive",
"to",
"the",
"tyrosine",
"kinase",
"and",
"potential",
"ZAK",
"inhibitor",
"imatinib",
"Samuel",
"M.",
"Stone",
"1,",
"Cheleste",
"M.",
"Thorpe",
"1,",
"Amrita",
"Ahluwalia",
"1,2,",
"Arlin",
"B.",
"Rogers",
"3,",
"Fumiko",
"Obata",
"4,",
"Aimee",
"Vozenilek",
"4,",
"Glynis",
"L.",
"Kolling",
"5,",
"Anne",
"V.",
"Kane",
"1,6,",
"Bruce",
"E.",
"Magun",
"7",
"and",
"Dakshina",
"M.",
"Jandhyala",
"1*",
"1",
"Division",
"of",
"Geographic",
"Medicine",
"and",
"Infectious",
"Diseases,",
"Tufts",
"Medical",
"Center,",
"and",
"Tufts",
"University",
"School",
"of",
"Medicine,",
"Boston,",
"MA,",
"USA",
"2",
"VA",
"Long",
"Beach",
"Healthcare",
"System,",
"Long",
"Beach,",
"CA,",
"USA",
"3",
"Department",
"of",
"Pathology",
"and",
"Laboratory",
"Medicine,",
"The",
"University",
"of",
"North",
"Carolina",
"School",
"of",
"Medicine,",
"Chapel",
"Hill,",
"NC,",
"USA",
"4",
"Department",
"of",
"Microbiology",
"and",
"Immunology,",
"University",
"of",
"Maryland",
"School",
"of",
"Medicine,",
"Baltimore,",
"MD,",
"USA",
"5",
"Department",
"of",
"Internal",
"Medicine/Nephrology,",
"University",
"of",
"Virginia,",
"Charlottesville,",
"VA,",
"USA",
"6",
"Phoenix",
"Laboratory,",
"Tufts",
"Medical",
"Center,",
"Boston,",
"MA,",
"USA",
"7",
"Department",
"of",
"Cell",
"and",
"Developmental",
"Biology,",
"Oregon",
"Health",
"and",
"Science",
"University,",
"Portland,",
"OR,",
"USA",
"ORIGINAL",
"RESEARCH",
"ARTICLE",
"published:",
"08",
"November",
"2012",
"doi:",
"10.3389/fcimb.2012.00135",
"Edited",
"by:",
"Alfredo",
"G.",
"Torres,",
"University",
"of",
"Texas",
"Medical",
"Branch,",
"USA",
"Reviewed",
"by:",
"Vernon",
"L.",
"Tesh,",
"Texas",
"A&M",
"University",
"Health",
"Science",
"Center,",
"USA",
"Jennifer",
"Ritchie,",
"University",
"of",
"Surrey,",
"UK",
"*Correspondence:",
"Dakshina",
"M.",
"Jandhyala,",
"Division",
"of",
"Geographic",
"Medicine",
"and",
"Infectious",
"Disease,",
"Tufts",
"Medical",
"Center,",
"Box",
"041,",
"750",
"Washington",
"Street,",
"Boston,",
"MA",
"02111,",
"USA.",
"e-mail:",
"djandhyala@",
"tuftsmedicalcenter.org",
"Shiga",
"toxin",
"producing",
"Escherichia",
"coli",
"(STEC)",
"are",
"a",
"major",
"cause",
"of",
"food-borne",
"illness",
"worldwide.",
"However,",
"a",
"consensus",
"regarding",
"the",
"role",
"Shiga",
"toxins",
"play",
"in",
"the",
"onset",
"of",
"diarrhea",
"and",
"hemorrhagic",
"colitis",
"(HC)",
"is",
"lacking.",
"One",
"of",
"the",
"obstacles",
"to",
"understanding",
"the",
"role",
"of",
"Shiga",
"toxins",
"to",
"STEC-mediated",
"intestinal",
"pathology",
"is",
"a",
"deficit",
"in",
"small",
"animal",
"models",
"that",
"perfectly",
"mimic",
"human",
"disease.",
"Infant",
"rabbits",
"have",
"been",
"previously",
"used",
"to",
"study",
"STEC",
"and/or",
"Shiga",
"toxin-mediated",
"intestinal",
"inflammation",
"and",
"diarrhea.",
"We",
"demonstrate",
"using",
"infant",
"rabbits",
"that",
"Shiga",
"toxin-mediated",
"intestinal",
"damage",
"requires",
"A-subunit",
"activity,",
"and",
"like",
"the",
"human",
"colon,",
"that",
"of",
"the",
"infant",
"rabbit",
"expresses",
"the",
"Shiga",
"toxin",
"receptor",
"Gb3.",
"We",
"also",
"demonstrate",
"that",
"Shiga",
"toxin",
"treatment",
"of",
"the",
"infant",
"rabbit",
"results",
"in",
"apoptosis",
"and",
"activation",
"of",
"p38",
"within",
"colonic",
"tissues.",
"Finally",
"we",
"demonstrate",
"that",
"the",
"infant",
"rabbit",
"model",
"may",
"be",
"used",
"to",
"test",
"candidate",
"therapeutics",
"against",
"Shiga",
"toxin-mediated",
"intestinal",
"damage.",
"While",
"the",
"p38",
"inhibitor",
"SB203580",
"and",
"the",
"ZAK",
"inhibitor",
"DHP-2",
"were",
"ineffective",
"at",
"preventing",
"Shiga",
"toxin-mediated",
"damage",
"to",
"the",
"colon,",
"pretreatment",
"of",
"infant",
"rabbits",
"with",
"the",
"drug",
"imatinib",
"resulted",
"in",
"a",
"decrease",
"of",
"Shiga",
"toxin-mediated",
"heterophil",
"infiltration",
"of",
"the",
"colon.",
"Therefore,",
"we",
"propose",
"that",
"this",
"model",
"may",
"be",
"useful",
"in",
"elucidating",
"mechanisms",
"by",
"which",
"Shiga",
"toxins",
"could",
"contribute",
"to",
"intestinal",
"damage",
"in",
"the",
"human.",
"Keywords:",
"Shiga",
"toxin,",
"globotriaosylceramide,",
"inflammation,",
"colon,",
"rabbit,",
"p38,",
"imatinib",
"INTRODUCTION",
"Shiga",
"toxin-producing",
"Escherichia",
"coli",
"(STEC)",
"are",
"a",
"heterogenous",
"group",
"of",
"E.",
"coli",
"strains",
"responsible",
"for",
"food-",
"and",
"water-borne",
"ill-",
"ness",
"worldwide.",
"Depending",
"on",
"the",
"strain,",
"approximately",
"5–22%",
"of",
"infected",
"individuals",
"will",
"suffer",
"severe",
"illnesses",
"that",
"can",
"result",
"in",
"permanent",
"disability",
"or",
"death",
"(Paton",
"et",
"al.,",
"1998;",
"Kulasekara",
"et",
"al.,",
"2009;",
"Frank",
"et",
"al.,",
"2011).",
"Severe",
"illnesses",
"attributed",
"to",
"STEC-associated",
"sequelae",
"include",
"hemorrhagic",
"colitis",
"(HC)",
"and",
"the",
"hemolytic",
"uremic",
"syndrome",
"(HUS),",
"the",
"predominant",
"cause",
"of",
"renal",
"failure",
"in",
"US",
"children",
"(Siegler,",
"2003).",
"Other",
"than",
"vol-",
"ume",
"expansion",
"during",
"the",
"diarrheal",
"phase,",
"no",
"approved",
"specific",
"preventative",
"treatments",
"exist",
"for",
"STEC-associated",
"HUS.",
"Shiga",
"toxins",
"(Stxs)",
"are",
"the",
"key",
"virulence",
"factors",
"responsi-",
"ble",
"for",
"promoting",
"severe",
"disease",
"during",
"STEC",
"infection.",
"Stxs",
"are",
"AB5",
"toxins",
"consisting",
"of",
"a",
"single",
"A-subunit",
"non-covalently",
"bound",
"to",
"5",
"B-subunits.",
"The",
"B-subunits",
"are",
"necessary",
"for",
"bind-",
"ing",
"of",
"the",
"toxin",
"to",
"the",
"surface",
"of",
"the",
"host",
"cells",
"via",
"interac-",
"tion",
"with",
"neutral",
"glycolipids",
"with",
"the",
"glycosphingolipid",
"receptor",
"globotriaosylceramide",
"(Gb3)",
"being",
"the",
"major",
"receptor",
"(Lingwood",
"et",
"al.,",
"2010).",
"Once",
"bound,",
"the",
"toxin",
"undergoes",
"receptor-mediated",
"endocytosis",
"and",
"is",
"transported",
"retrograde",
"through",
"the",
"early",
"endosome,",
"the",
"Golgi",
"apparatus,",
"and",
"to",
"the",
"endoplasmic",
"retic-",
"ulum",
"(ER).",
"Somewhere",
"between",
"the",
"early",
"endosome",
"and",
"the",
"trans-Golgi",
"network,",
"the",
"enzymatically",
"active",
"portion",
"of",
"the",
"A-subunit",
"is",
"proteolytically",
"cleaved",
"possibly",
"by",
"furin",
"into",
"an",
"A1",
"fragment",
"which",
"remains",
"bound",
"to",
"the",
"A2",
"fragment",
"and",
"non-covalently",
"associated",
"B-subunits",
"via",
"an",
"intramolecular",
"disul-",
"fide",
"bond",
"(Garred",
"et",
"al.,",
"1995a,b;",
"Tam",
"and",
"Lingwood,",
"2007).",
"Eventually",
"the",
"disulfide",
"bond",
"is",
"reduced,",
"possibly",
"in",
"the",
"ER",
"(Spooner",
"and",
"Lord,",
"2012),",
"and",
"the",
"enzymatically",
"active",
"A1",
"frag-",
"ment",
"is",
"translocated",
"to",
"the",
"cytoplasm,",
"where",
"its",
"N-glycosidase",
"activity",
"results",
"in",
"the",
"depurination",
"of",
"a",
"single",
"adenine",
"residue",
"located",
"in",
"the",
"alpha-sarcin/ricin",
"loop",
"of",
"the",
"28S",
"ribosomal",
"RNA",
"(Endo",
"and",
"Tsurugi,",
"1987;",
"Endo",
"et",
"al.,",
"1987,",
"1988).",
"This",
"depuri-",
"nation",
"event",
"results",
"in",
"the",
"cessation",
"of",
"protein",
"synthesis",
"in",
"the",
"translational",
"elongation",
"phase",
"and",
"activates",
"a",
"proinflammatory",
"signaling",
"cascade",
"referred",
"to",
"as",
"the",
"ribotoxic",
"stress",
"response",
"(RSR)",
"(Iordanov",
"et",
"al.,",
"1997).",
"The",
"RSR",
"is",
"defined",
"as",
"the",
"activation",
"of",
"MAPKinases",
"by",
"cer-",
"tain",
"protein",
"synthesis",
"inhibitors",
"including",
"Shiga",
"toxins,",
"ricin,",
"Frontiers",
"in",
"Cellular",
"and",
"Infection",
"Microbiology",
"www.frontiersin.org",
"November",
"2012",
"|",
"Volume",
"2",
"|",
"Article",
"135",
"|",
"1"
] | [
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
0,
0,
0,
0,
0,
0,
0,
0,
0,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,829,016 | null | [
[
78,
47,
36,
12
],
[
117,
47,
9,
12
],
[
129,
47,
11,
12
],
[
143,
47,
21,
12
],
[
167,
47,
44,
12
],
[
214,
47,
25,
12
],
[
243,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
85,
34
],
[
173,
169,
136,
34
],
[
319,
169,
83,
34
],
[
412,
169,
25,
34
],
[
448,
169,
153,
34
],
[
611,
169,
98,
34
],
[
719,
169,
27,
34
],
[
78,
205,
111,
34
],
[
200,
205,
230,
34
],
[
439,
205,
44,
34
],
[
493,
205,
46,
34
],
[
549,
205,
37,
34
],
[
596,
205,
61,
34
],
[
78,
241,
97,
34
],
[
185,
241,
27,
34
],
[
222,
241,
152,
34
],
[
385,
241,
83,
34
],
[
478,
241,
51,
34
],
[
538,
241,
82,
34
],
[
630,
241,
93,
34
],
[
78,
288,
64,
16
],
[
147,
285,
56,
19
],
[
207,
288,
32,
16
],
[
243,
285,
65,
19
],
[
312,
288,
63,
16
],
[
379,
285,
61,
19
],
[
444,
288,
49,
16
],
[
497,
288,
8,
16
],
[
509,
285,
44,
19
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
96,
14
],
[
268,
367,
17,
14
],
[
289,
367,
19,
14
],
[
312,
367,
39,
14
],
[
355,
367,
11,
14
],
[
370,
367,
19,
14
],
[
393,
367,
53,
14
],
[
450,
367,
11,
14
],
[
465,
367,
57,
14
],
[
526,
367,
55,
14
],
[
585,
367,
56,
14
],
[
645,
367,
7,
14
],
[
657,
367,
8,
14
],
[
669,
367,
25,
14
],
[
699,
367,
38,
14
],
[
87,
384,
22,
14
],
[
114,
384,
31,
14
],
[
149,
384,
88,
14
],
[
241,
384,
40,
14
],
[
285,
384,
19,
14
],
[
308,
384,
19,
14
],
[
330,
384,
54,
14
],
[
389,
384,
21,
14
],
[
414,
384,
73,
14
],
[
492,
384,
60,
14
],
[
556,
384,
27,
14
],
[
587,
384,
63,
14
],
[
654,
384,
56,
14
],
[
714,
384,
25,
14
],
[
87,
400,
67,
14
],
[
158,
400,
21,
14
],
[
183,
400,
8,
14
],
[
195,
400,
8,
14
],
[
207,
400,
37,
14
],
[
248,
400,
53,
14
],
[
305,
400,
7,
14
],
[
316,
400,
20,
14
],
[
340,
400,
22,
14
],
[
367,
400,
8,
14
],
[
379,
400,
58,
14
],
[
441,
400,
14,
14
],
[
459,
400,
47,
14
],
[
510,
400,
47,
14
],
[
562,
400,
56,
14
],
[
87,
421,
46,
14
],
[
137,
421,
18,
14
],
[
160,
421,
59,
14
],
[
223,
421,
47,
14
],
[
275,
421,
69,
14
],
[
348,
421,
42,
14
],
[
394,
421,
11,
14
],
[
410,
421,
19,
14
],
[
433,
421,
52,
14
],
[
489,
421,
11,
14
],
[
505,
421,
7,
14
],
[
516,
421,
28,
14
],
[
548,
421,
16,
14
],
[
568,
421,
11,
14
],
[
584,
421,
54,
14
],
[
641,
421,
96,
14
],
[
87,
438,
18,
14
],
[
110,
438,
60,
14
],
[
174,
438,
22,
14
],
[
201,
438,
57,
14
],
[
263,
438,
17,
14
],
[
284,
438,
39,
14
],
[
327,
438,
40,
14
],
[
372,
438,
73,
14
],
[
449,
438,
11,
14
],
[
464,
438,
22,
14
],
[
490,
438,
25,
14
],
[
519,
438,
56,
14
],
[
579,
438,
14,
14
],
[
597,
438,
41,
14
],
[
643,
438,
34,
14
],
[
87,
454,
74,
14
],
[
165,
454,
14,
14
],
[
183,
454,
31,
14
],
[
219,
454,
53,
14
],
[
276,
454,
55,
14
],
[
336,
454,
34,
14
],
[
374,
454,
49,
14
],
[
427,
454,
42,
14
],
[
473,
454,
35,
14
],
[
511,
454,
57,
14
],
[
573,
454,
35,
14
],
[
612,
454,
11,
14
],
[
627,
454,
19,
14
],
[
650,
454,
65,
14
],
[
87,
471,
44,
14
],
[
135,
471,
46,
14
],
[
185,
471,
60,
14
],
[
249,
471,
25,
14
],
[
279,
471,
28,
14
],
[
311,
471,
36,
14
],
[
351,
471,
36,
14
],
[
391,
471,
52,
14
],
[
448,
471,
11,
14
],
[
464,
471,
19,
14
],
[
487,
471,
9,
15
],
[
500,
471,
26,
14
],
[
530,
471,
46,
14
],
[
580,
471,
36,
14
],
[
620,
471,
38,
15
],
[
662,
471,
11,
14
],
[
678,
471,
34,
14
],
[
716,
471,
19,
14
],
[
87,
488,
46,
14
],
[
137,
488,
21,
14
],
[
162,
488,
39,
14
],
[
205,
488,
12,
14
],
[
221,
488,
7,
14
],
[
232,
488,
56,
14
],
[
292,
488,
64,
14
],
[
361,
488,
19,
14
],
[
384,
488,
21,
14
],
[
410,
488,
8,
14
],
[
422,
488,
41,
14
],
[
467,
488,
14,
14
],
[
485,
488,
7,
14
],
[
496,
488,
48,
14
],
[
548,
488,
59,
14
],
[
612,
488,
46,
14
],
[
662,
488,
38,
14
],
[
704,
488,
28,
14
],
[
87,
504,
25,
14
],
[
116,
504,
42,
14
],
[
163,
504,
7,
14
],
[
174,
504,
31,
14
],
[
209,
504,
25,
14
],
[
238,
504,
11,
14
],
[
253,
504,
50,
14
],
[
307,
504,
30,
14
],
[
341,
504,
25,
14
],
[
371,
504,
43,
14
],
[
417,
504,
14,
14
],
[
436,
504,
13,
14
],
[
452,
504,
73,
14
],
[
530,
504,
25,
14
],
[
559,
504,
27,
14
],
[
591,
504,
47,
14
],
[
642,
504,
55,
14
],
[
701,
504,
21,
14
],
[
87,
521,
25,
14
],
[
116,
521,
54,
14
],
[
174,
521,
54,
14
],
[
232,
521,
33,
14
],
[
268,
521,
18,
14
],
[
290,
521,
33,
14
],
[
328,
521,
27,
14
],
[
359,
521,
24,
14
],
[
387,
521,
37,
14
],
[
429,
521,
21,
14
],
[
454,
521,
13,
14
],
[
471,
521,
7,
14
],
[
482,
521,
28,
14
],
[
515,
521,
46,
14
],
[
565,
521,
53,
14
],
[
622,
521,
11,
14
],
[
638,
521,
7,
14
],
[
648,
521,
57,
14
],
[
87,
537,
53,
14
],
[
144,
537,
36,
14
],
[
185,
537,
24,
14
],
[
213,
537,
40,
14
],
[
257,
537,
45,
14
],
[
306,
537,
57,
14
],
[
367,
537,
54,
14
],
[
425,
537,
66,
14
],
[
495,
537,
11,
14
],
[
510,
537,
19,
14
],
[
533,
537,
115,
14
],
[
652,
537,
57,
14
],
[
87,
554,
55,
14
],
[
147,
554,
33,
14
],
[
184,
554,
36,
14
],
[
225,
554,
11,
14
],
[
240,
554,
19,
14
],
[
263,
554,
9,
15
],
[
276,
554,
39,
14
],
[
319,
554,
11,
14
],
[
335,
554,
19,
14
],
[
358,
554,
54,
14
],
[
416,
554,
21,
14
],
[
441,
554,
75,
15
],
[
520,
554,
43,
14
],
[
567,
554,
46,
14
],
[
617,
554,
21,
14
],
[
643,
554,
7,
14
],
[
654,
554,
56,
14
],
[
87,
571,
51,
14
],
[
142,
571,
32,
14
],
[
179,
571,
17,
14
],
[
200,
571,
22,
14
],
[
227,
571,
35,
14
],
[
265,
571,
57,
14
],
[
327,
571,
48,
14
],
[
379,
571,
11,
14
],
[
395,
571,
19,
14
],
[
417,
571,
46,
14
],
[
467,
571,
50,
14
],
[
87,
591,
75,
14
],
[
167,
591,
21,
14
],
[
192,
591,
69,
14
],
[
265,
591,
42,
14
],
[
311,
591,
11,
14
],
[
327,
591,
88,
14
],
[
419,
591,
52,
14
],
[
476,
591,
30,
14
],
[
511,
591,
54,
14
],
[
569,
591,
10,
14
],
[
583,
591,
26,
14
],
[
614,
591,
50,
14
],
[
668,
591,
65,
14
],
[
87,
608,
19,
14
],
[
110,
608,
39,
14
],
[
153,
608,
47,
14
],
[
205,
608,
70,
14
],
[
278,
608,
11,
14
],
[
294,
608,
60,
14
],
[
358,
608,
28,
14
],
[
389,
608,
49,
14
],
[
443,
608,
24,
14
],
[
471,
608,
38,
14
],
[
513,
608,
7,
14
],
[
524,
608,
16,
14
],
[
544,
608,
28,
14
],
[
577,
608,
25,
14
],
[
606,
608,
47,
14
],
[
657,
608,
57,
14
],
[
717,
608,
22,
14
],
[
87,
625,
69,
14
],
[
161,
625,
44,
14
],
[
209,
625,
57,
14
],
[
270,
625,
12,
14
],
[
286,
625,
30,
14
],
[
321,
625,
75,
14
],
[
400,
625,
34,
14
],
[
439,
625,
24,
14
],
[
467,
625,
58,
14
],
[
529,
625,
45,
14
],
[
578,
625,
25,
14
],
[
607,
625,
40,
14
],
[
652,
625,
11,
14
],
[
668,
625,
64,
14
],
[
87,
641,
35,
14
],
[
126,
641,
22,
14
],
[
152,
641,
34,
14
],
[
191,
641,
36,
14
],
[
78,
687,
77,
15
],
[
78,
704,
101,
14
],
[
184,
704,
22,
14
],
[
210,
704,
69,
14
],
[
284,
704,
69,
14
],
[
357,
704,
46,
14
],
[
78,
721,
12,
14
],
[
96,
721,
89,
14
],
[
190,
721,
21,
14
],
[
216,
721,
53,
14
],
[
274,
721,
29,
14
],
[
308,
721,
53,
14
],
[
367,
721,
17,
14
],
[
389,
721,
15,
14
],
[
78,
737,
29,
14
],
[
112,
737,
73,
14
],
[
189,
737,
21,
14
],
[
215,
737,
33,
14
],
[
252,
737,
19,
14
],
[
275,
737,
36,
14
],
[
316,
737,
23,
14
],
[
344,
737,
24,
14
],
[
372,
737,
32,
14
],
[
78,
754,
56,
14
],
[
140,
754,
56,
14
],
[
201,
754,
12,
14
],
[
219,
754,
20,
14
],
[
244,
754,
26,
14
],
[
276,
754,
57,
14
],
[
338,
754,
32,
14
],
[
376,
754,
28,
14
],
[
78,
771,
32,
14
],
[
115,
771,
22,
14
],
[
143,
771,
35,
14
],
[
183,
771,
46,
14
],
[
234,
771,
20,
14
],
[
260,
771,
19,
14
],
[
284,
771,
55,
14
],
[
344,
771,
13,
14
],
[
362,
771,
42,
14
],
[
78,
787,
44,
14
],
[
127,
787,
28,
14
],
[
160,
787,
67,
14
],
[
232,
787,
27,
14
],
[
264,
787,
26,
14
],
[
294,
787,
31,
14
],
[
330,
787,
74,
14
],
[
78,
804,
65,
14
],
[
148,
804,
51,
14
],
[
203,
804,
31,
14
],
[
239,
804,
12,
14
],
[
256,
804,
46,
14
],
[
306,
804,
7,
14
],
[
318,
804,
35,
14
],
[
357,
804,
46,
14
],
[
78,
820,
27,
14
],
[
109,
820,
12,
14
],
[
126,
820,
52,
14
],
[
182,
820,
32,
14
],
[
218,
820,
39,
14
],
[
262,
820,
103,
14
],
[
369,
820,
34,
14
],
[
78,
837,
41,
14
],
[
124,
837,
27,
14
],
[
156,
837,
60,
14
],
[
220,
837,
40,
14
],
[
265,
837,
48,
14
],
[
318,
837,
12,
14
],
[
335,
837,
19,
14
],
[
358,
837,
29,
14
],
[
392,
837,
12,
14
],
[
78,
854,
14,
14
],
[
97,
854,
52,
14
],
[
154,
854,
37,
14
],
[
196,
854,
28,
14
],
[
228,
854,
24,
14
],
[
256,
854,
37,
14
],
[
297,
854,
30,
14
],
[
332,
854,
12,
14
],
[
349,
854,
31,
14
],
[
385,
854,
19,
14
],
[
78,
870,
73,
14
],
[
156,
870,
32,
14
],
[
193,
870,
22,
14
],
[
220,
870,
33,
14
],
[
257,
870,
32,
14
],
[
294,
870,
67,
14
],
[
366,
870,
38,
14
],
[
78,
887,
71,
14
],
[
154,
887,
24,
14
],
[
182,
887,
19,
14
],
[
206,
887,
28,
14
],
[
238,
887,
27,
14
],
[
270,
887,
22,
14
],
[
296,
887,
40,
14
],
[
341,
887,
39,
14
],
[
385,
887,
19,
14
],
[
78,
904,
23,
14
],
[
105,
904,
48,
14
],
[
157,
904,
24,
14
],
[
185,
904,
18,
14
],
[
207,
904,
22,
14
],
[
233,
904,
12,
14
],
[
249,
904,
43,
14
],
[
296,
904,
27,
14
],
[
327,
904,
24,
14
],
[
356,
904,
48,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
129,
11
],
[
78,
948,
54,
13
],
[
136,
950,
9,
11
],
[
147,
950,
31,
11
],
[
181,
950,
16,
11
],
[
201,
950,
60,
11
],
[
264,
950,
34,
11
],
[
301,
950,
29,
11
],
[
332,
950,
9,
11
],
[
344,
950,
15,
11
],
[
362,
950,
37,
11
],
[
78,
962,
41,
11
],
[
122,
962,
9,
11
],
[
134,
962,
29,
11
],
[
166,
962,
38,
11
],
[
207,
962,
12,
11
],
[
423,
688,
29,
14
],
[
456,
688,
53,
14
],
[
514,
688,
39,
14
],
[
557,
688,
35,
14
],
[
596,
688,
97,
14
],
[
697,
688,
28,
14
],
[
730,
688,
18,
14
],
[
423,
704,
29,
14
],
[
456,
704,
54,
14
],
[
514,
704,
72,
14
],
[
590,
704,
46,
14
],
[
641,
704,
25,
14
],
[
670,
704,
12,
14
],
[
685,
704,
38,
14
],
[
728,
704,
20,
14
],
[
423,
721,
23,
14
],
[
450,
721,
63,
14
],
[
518,
721,
17,
14
],
[
539,
721,
18,
14
],
[
562,
721,
23,
14
],
[
589,
721,
62,
14
],
[
655,
721,
12,
14
],
[
671,
721,
46,
14
],
[
721,
721,
27,
14
],
[
423,
737,
20,
14
],
[
448,
737,
34,
14
],
[
487,
737,
47,
14
],
[
539,
737,
37,
14
],
[
580,
737,
22,
14
],
[
607,
737,
71,
14
],
[
683,
737,
27,
14
],
[
715,
737,
33,
14
],
[
423,
754,
22,
14
],
[
449,
754,
22,
14
],
[
475,
754,
26,
14
],
[
505,
754,
32,
14
],
[
542,
754,
18,
14
],
[
565,
754,
46,
14
],
[
615,
754,
58,
14
],
[
678,
754,
14,
14
],
[
696,
754,
26,
14
],
[
726,
754,
21,
14
],
[
423,
771,
83,
14
],
[
510,
771,
26,
14
],
[
540,
771,
16,
14
],
[
560,
771,
21,
14
],
[
585,
771,
24,
14
],
[
613,
771,
16,
14
],
[
633,
771,
69,
14
],
[
706,
771,
12,
14
],
[
722,
771,
26,
14
],
[
423,
787,
32,
14
],
[
462,
787,
20,
14
],
[
488,
787,
27,
14
],
[
522,
787,
152,
14
],
[
680,
787,
49,
14
],
[
736,
787,
12,
14
],
[
423,
804,
82,
14
],
[
510,
804,
52,
14
],
[
566,
804,
25,
14
],
[
595,
804,
32,
14
],
[
632,
804,
15,
14
],
[
652,
804,
12,
14
],
[
669,
804,
24,
14
],
[
697,
804,
12,
14
],
[
714,
804,
35,
14
],
[
423,
820,
35,
14
],
[
462,
820,
32,
14
],
[
497,
820,
33,
14
],
[
534,
820,
21,
14
],
[
559,
820,
24,
14
],
[
587,
820,
11,
14
],
[
602,
820,
34,
14
],
[
641,
820,
32,
14
],
[
677,
820,
32,
14
],
[
713,
820,
26,
14
],
[
434,
837,
23,
14
],
[
462,
837,
22,
14
],
[
488,
837,
29,
14
],
[
522,
837,
77,
14
],
[
603,
837,
12,
14
],
[
619,
837,
26,
14
],
[
650,
837,
99,
14
],
[
423,
854,
18,
14
],
[
445,
854,
18,
14
],
[
467,
854,
58,
14
],
[
529,
854,
88,
14
],
[
622,
854,
21,
14
],
[
647,
854,
57,
14
],
[
709,
854,
40,
14
],
[
423,
870,
48,
14
],
[
475,
870,
28,
14
],
[
509,
870,
36,
14
],
[
550,
870,
33,
14
],
[
588,
870,
12,
14
],
[
606,
870,
19,
14
],
[
630,
870,
33,
14
],
[
669,
870,
26,
14
],
[
700,
870,
49,
14
],
[
423,
887,
28,
14
],
[
455,
887,
33,
14
],
[
493,
887,
12,
14
],
[
509,
887,
19,
14
],
[
533,
887,
40,
14
],
[
577,
887,
53,
14
],
[
635,
887,
28,
14
],
[
667,
887,
49,
14
],
[
721,
887,
27,
14
],
[
423,
904,
22,
14
],
[
449,
904,
18,
14
],
[
471,
904,
19,
14
],
[
494,
904,
27,
14
],
[
525,
904,
21,
14
],
[
550,
904,
18,
14
],
[
573,
904,
18,
14
],
[
595,
904,
27,
14
],
[
625,
904,
39,
14
],
[
669,
904,
19,
14
],
[
692,
904,
46,
14
],
[
741,
904,
7,
14
],
[
423,
920,
37,
14
],
[
464,
920,
43,
14
],
[
512,
920,
24,
14
],
[
540,
920,
34,
14
],
[
578,
920,
19,
14
],
[
602,
920,
55,
14
],
[
661,
920,
44,
14
],
[
710,
920,
38,
14
],
[
423,
937,
37,
14
],
[
467,
937,
42,
14
],
[
517,
937,
22,
14
],
[
547,
937,
13,
14
],
[
568,
937,
23,
14
],
[
598,
937,
30,
14
],
[
636,
937,
54,
14
],
[
698,
937,
23,
14
],
[
728,
937,
20,
14
],
[
423,
953,
53,
14
],
[
489,
953,
18,
14
],
[
520,
953,
20,
14
],
[
553,
953,
74,
14
],
[
640,
953,
25,
14
],
[
678,
953,
12,
14
],
[
704,
953,
44,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
29,
10
],
[
307,
987,
8,
10
],
[
317,
987,
8,
10
],
[
327,
987,
30,
10
],
[
359,
987,
29,
10
],
[
390,
987,
27,
10
],
[
419,
987,
14,
10
],
[
435,
987,
15,
10
],
[
452,
987,
6,
10
],
[
460,
987,
10,
10
],
[
471,
987,
21,
10
],
[
494,
987,
26,
10
],
[
522,
987,
23,
10
],
[
546,
987,
41,
10
],
[
589,
987,
23,
10
],
[
614,
987,
13,
10
],
[
628,
987,
22,
10
],
[
652,
987,
8,
10
],
[
662,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Bousios",
"et",
"al.",
"BMC",
"Genomics",
"2010,",
"11:89",
"http://www.biomedcentral.com/1471-2164/11/89",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Highly",
"conserved",
"motifs",
"in",
"non-coding",
"regions",
"of",
"Sirevirus",
"retrotransposons:",
"the",
"key",
"for",
"their",
"pattern",
"of",
"distribution",
"within",
"and",
"across",
"plants?",
"Alexandros",
"Bousios1*,",
"Nikos",
"Darzentas2,",
"Athanasios",
"Tsaftaris2,3,",
"Stephen",
"R",
"Pearce1",
"Abstract",
"Background:",
"Retrotransposons",
"are",
"key",
"players",
"in",
"the",
"evolution",
"of",
"eukaryotic",
"genomes.",
"Moreover,",
"it",
"is",
"now",
"known",
"that",
"some",
"retrotransposon",
"classes,",
"like",
"the",
"abundant",
"and",
"plant-specific",
"Sireviruses,",
"have",
"intriguingly",
"distinctive",
"host",
"preferences.",
"Yet,",
"it",
"is",
"largely",
"unknown",
"if",
"this",
"bias",
"is",
"supported",
"by",
"different",
"genome",
"structures.",
"Results:",
"We",
"performed",
"sensitive",
"comparative",
"analysis",
"of",
"the",
"genomes",
"of",
"a",
"large",
"set",
"of",
"Ty1/copia",
"retrotransposons.",
"We",
"discovered",
"that",
"Sireviruses",
"are",
"unique",
"among",
"Pseudoviridae",
"in",
"that",
"they",
"constitute",
"an",
"ancient",
"genus",
"characterized",
"by",
"vastly",
"divergent",
"members,",
"which",
"however",
"contain",
"highly",
"conserved",
"motifs",
"in",
"key",
"non-coding",
"regions:",
"multiple",
"polypurine",
"tract",
"(PPT)",
"copies",
"cluster",
"upstream",
"of",
"the",
"3’",
"long",
"terminal",
"repeat",
"(3’LTR),",
"of",
"which",
"the",
"terminal",
"PPT",
"tethers",
"to",
"a",
"distinctive",
"attachment",
"site",
"and",
"is",
"flanked",
"by",
"a",
"precisely",
"positioned",
"inverted",
"repeat.",
"Their",
"LTRs",
"possess",
"a",
"novel",
"type",
"of",
"repeated",
"motif",
"(RM)",
"defined",
"by",
"its",
"exceptionally",
"high",
"copy",
"number,",
"symmetry",
"and",
"core",
"CGG-CCG",
"signature.",
"These",
"RM",
"boxes",
"form",
"CpG",
"islands",
"and",
"lie",
"a",
"short",
"distance",
"upstream",
"of",
"a",
"conserved",
"promoter",
"region",
"thus",
"hinting",
"towards",
"regulatory",
"functions.",
"Intriguingly,",
"in",
"the",
"envelope-containing",
"Sireviruses",
"additional",
"boxes",
"cluster",
"at",
"the",
"5’",
"vicinity",
"of",
"the",
"envelope.",
"The",
"5’LTR/internal",
"domain",
"junction",
"and",
"a",
"polyC-rich",
"integrase",
"signal",
"are",
"also",
"highly",
"conserved",
"domains",
"of",
"the",
"Sirevirus",
"genome.",
"Conclusions:",
"Our",
"comparative",
"analysis",
"of",
"retrotransposon",
"genomes",
"using",
"advanced",
"in",
"silico",
"methods",
"highlighted",
"the",
"unique",
"genome",
"organization",
"of",
"Sireviruses.",
"Their",
"structure",
"may",
"dictate",
"a",
"life",
"cycle",
"with",
"different",
"regulation",
"and",
"transmission",
"strategy",
"compared",
"to",
"other",
"Pseudoviridae,",
"which",
"may",
"contribute",
"towards",
"their",
"pattern",
"of",
"distribution",
"within",
"and",
"across",
"plants.",
"Background",
"Retrotransposons",
"and",
"retroviruses",
"(collectively",
"referred",
"as",
"retroelements)",
"can",
"replicate",
"their",
"genomes",
"via",
"an",
"RNA",
"intermediate",
"and",
"insert",
"the",
"copies",
"into",
"new",
"chro-",
"mosomal",
"locations",
"of",
"the",
"host",
"organism",
"[1,2].",
"This",
"‘copy",
"and",
"paste’",
"process",
"has",
"the",
"potential",
"to",
"greatly",
"amplify",
"their",
"abundance,",
"even",
"over",
"short",
"evolutionary",
"timescales,",
"enabling",
"them",
"to",
"become",
"a",
"major",
"compo-",
"nent",
"of",
"genomes",
"[3-5].",
"Unlike",
"retrotransposons,",
"retro-",
"viruses",
"have",
"additional",
"coding",
"capacity",
"in",
"the",
"form",
"of",
"an",
"envelope",
"(ENV)",
"gene",
"that",
"allows",
"them",
"to",
"enter",
"the",
"extracellular",
"space",
"and",
"infect",
"other",
"individuals.",
"Retro-",
"transposons",
"lack",
"the",
"ENV",
"gene",
"and",
"cannot",
"escape",
"the",
"cell,",
"however",
"they",
"are",
"free",
"to",
"reinfect",
"their",
"host",
"genome.",
"*",
"Correspondence:",
"alexandros.bousios@gmail.com",
"1Department",
"of",
"Biology",
"and",
"Environmental",
"Science,",
"School",
"of",
"Life",
"Sciences,",
"University",
"of",
"Sussex,",
"Brighton,",
"UK",
"Long",
"Terminal",
"Repeat",
"(LTR)",
"retrotransposons",
"form",
"the",
"most",
"abundant",
"transposable",
"element",
"type",
"in",
"plants,",
"lar-",
"gely",
"accounting",
"for",
"the",
"vast",
"differences",
"in",
"genome",
"sizes",
"[6].",
"Small",
"genome",
"plants",
"like",
"Arabidopsis",
"(121",
"Mbp)",
"and",
"rice",
"(389",
"Mbp)",
"are",
"sparsely",
"populated",
"by",
"LTR",
"ret-",
"rotransposons,",
"5.6%",
"[7]",
"and",
"17%",
"[8]",
"respectively.",
"In",
"con-",
"trast,",
"the",
"LTR",
"retrotransposon-derived",
"fraction",
"of",
"medium/large",
"genomes",
"may",
"reach",
"up",
"to",
"75%",
"in",
"maize",
"(2.300",
"Mbp)",
"[9,10]",
"and",
"70%",
"in",
"barley",
"(5439",
"Mbp)",
"[11].",
"The",
"two",
"main",
"superfamilies",
"of",
"LTR",
"retrotransposons",
"are",
"the",
"Ty1/copia",
"(Pseudoviridae)",
"and",
"Ty3/gypsy",
"(Meta-",
"viridae)",
"[12],",
"which",
"differ",
"in",
"the",
"order",
"they",
"package",
"their",
"genes",
"in",
"the",
"coding",
"domains.",
"Both",
"typically",
"con-",
"tain",
"the",
"gag",
"gene",
"and",
"the",
"pol",
"gene",
"region.",
"gag",
"encodes",
"a",
"capsid",
"protein",
"that",
"forms",
"the",
"virus-like",
"particle",
"(VLP),",
"which",
"houses",
"one",
"or",
"two",
"RNA",
"genomes",
"and",
"the",
"enzymes",
"for",
"the",
"cytoplasmic",
"step",
"of",
"reverse",
"©",
"2010",
"Bousios",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,338,505 | null | [
[
80,
221,
27,
15
],
[
107,
219,
40,
17
],
[
102,
324,
57,
14
],
[
80,
78,
96,
28
],
[
185,
78,
124,
28
],
[
318,
78,
47,
28
],
[
373,
78,
58,
28
],
[
440,
78,
112,
28
],
[
561,
78,
127,
28
],
[
696,
78,
54,
28
],
[
80,
109,
184,
28
],
[
273,
109,
30,
28
],
[
312,
109,
24,
28
],
[
344,
109,
144,
28
],
[
497,
109,
138,
28
],
[
644,
109,
80,
28
],
[
80,
139,
120,
28
],
[
80,
182,
16,
15
],
[
96,
183,
50,
14
],
[
150,
180,
77,
17
],
[
231,
183,
49,
14
],
[
285,
183,
13,
14
],
[
301,
182,
57,
15
],
[
358,
180,
48,
17
],
[
410,
182,
19,
15
],
[
428,
183,
47,
14
],
[
480,
182,
126,
15
],
[
606,
180,
36,
17
],
[
646,
183,
23,
14
],
[
673,
180,
82,
17
],
[
80,
202,
45,
14
],
[
129,
200,
117,
17
],
[
250,
202,
43,
14
],
[
297,
200,
71,
17
],
[
373,
202,
38,
14
],
[
415,
200,
122,
17
],
[
540,
202,
60,
14
],
[
605,
200,
50,
17
],
[
659,
202,
57,
14
],
[
720,
202,
42,
14
],
[
80,
244,
6,
10
],
[
88,
244,
29,
10
],
[
119,
244,
24,
10
],
[
145,
244,
28,
10
],
[
175,
244,
11,
10
],
[
189,
244,
45,
10
],
[
236,
244,
28,
10
],
[
266,
244,
53,
10
],
[
322,
244,
14,
10
],
[
338,
244,
25,
10
],
[
365,
244,
30,
10
],
[
397,
244,
6,
10
],
[
405,
244,
22,
10
],
[
430,
244,
42,
10
],
[
474,
244,
24,
10
],
[
500,
244,
57,
10
],
[
560,
244,
9,
10
],
[
571,
244,
30,
10
],
[
604,
244,
25,
10
],
[
632,
244,
30,
10
],
[
664,
244,
6,
10
],
[
671,
244,
29,
10
],
[
703,
244,
24,
10
],
[
729,
244,
28,
10
],
[
759,
244,
11,
10
],
[
80,
258,
45,
10
],
[
128,
258,
45,
10
],
[
175,
258,
43,
10
],
[
221,
258,
38,
10
],
[
262,
258,
9,
10
],
[
273,
258,
38,
10
],
[
313,
258,
23,
10
],
[
339,
258,
28,
10
],
[
369,
258,
53,
10
],
[
424,
258,
14,
10
],
[
441,
258,
25,
10
],
[
469,
258,
30,
10
],
[
501,
258,
6,
10
],
[
508,
258,
29,
10
],
[
540,
258,
24,
10
],
[
566,
258,
28,
10
],
[
596,
258,
11,
10
],
[
610,
258,
45,
10
],
[
657,
258,
21,
10
],
[
681,
258,
30,
10
],
[
713,
258,
6,
10
],
[
721,
258,
38,
10
],
[
761,
258,
9,
10
],
[
80,
272,
81,
10
],
[
163,
272,
57,
10
],
[
222,
272,
22,
10
],
[
246,
272,
37,
10
],
[
285,
272,
21,
10
],
[
308,
272,
30,
10
],
[
340,
272,
6,
10
],
[
347,
272,
45,
10
],
[
394,
272,
44,
10
],
[
440,
272,
38,
10
],
[
480,
272,
9,
10
],
[
490,
272,
38,
10
],
[
530,
272,
23,
10
],
[
555,
272,
22,
10
],
[
579,
272,
20,
10
],
[
601,
272,
17,
10
],
[
620,
272,
21,
10
],
[
644,
272,
30,
10
],
[
675,
272,
6,
10
],
[
683,
272,
29,
10
],
[
714,
272,
11,
10
],
[
727,
271,
43,
10
],
[
80,
285,
9,
10
],
[
91,
285,
68,
10
],
[
163,
285,
22,
10
],
[
188,
285,
20,
10
],
[
210,
285,
22,
10
],
[
235,
285,
41,
10
],
[
279,
285,
11,
10
],
[
293,
285,
30,
10
],
[
326,
285,
7,
10
],
[
336,
285,
32,
10
],
[
370,
285,
28,
10
],
[
102,
346,
68,
13
],
[
172,
346,
17,
13
],
[
192,
346,
57,
13
],
[
252,
346,
69,
13
],
[
324,
346,
45,
13
],
[
371,
346,
22,
13
],
[
396,
346,
38,
13
],
[
436,
346,
70,
13
],
[
508,
346,
63,
13
],
[
573,
346,
35,
13
],
[
611,
346,
40,
13
],
[
654,
346,
19,
13
],
[
675,
346,
24,
13
],
[
701,
346,
8,
13
],
[
712,
346,
36,
13
],
[
102,
360,
31,
13
],
[
140,
360,
18,
13
],
[
165,
360,
65,
13
],
[
237,
360,
57,
13
],
[
301,
360,
18,
13
],
[
326,
360,
68,
13
],
[
401,
360,
11,
13
],
[
419,
360,
25,
13
],
[
451,
360,
47,
13
],
[
505,
360,
65,
13
],
[
576,
360,
44,
13
],
[
627,
360,
50,
13
],
[
685,
360,
40,
13
],
[
731,
360,
17,
13
],
[
102,
374,
69,
13
],
[
174,
374,
25,
13
],
[
202,
374,
52,
13
],
[
257,
374,
43,
13
],
[
304,
374,
11,
13
],
[
318,
374,
40,
13
],
[
361,
374,
58,
13
],
[
423,
374,
25,
13
],
[
450,
374,
61,
13
],
[
514,
374,
46,
13
],
[
564,
374,
18,
13
],
[
585,
374,
66,
13
],
[
654,
374,
56,
13
],
[
713,
374,
35,
13
],
[
102,
388,
53,
13
],
[
159,
388,
23,
13
],
[
185,
388,
20,
13
],
[
209,
388,
25,
13
],
[
238,
388,
47,
13
],
[
288,
388,
51,
13
],
[
343,
388,
11,
13
],
[
357,
388,
29,
13
],
[
389,
388,
44,
13
],
[
437,
388,
50,
13
],
[
491,
388,
40,
13
],
[
534,
388,
20,
13
],
[
557,
388,
46,
13
],
[
607,
388,
25,
13
],
[
635,
388,
56,
13
],
[
694,
388,
13,
13
],
[
711,
388,
25,
13
],
[
739,
388,
8,
13
],
[
102,
401,
56,
13
],
[
161,
401,
11,
13
],
[
175,
401,
66,
13
],
[
245,
401,
25,
13
],
[
273,
401,
76,
13
],
[
353,
401,
48,
13
],
[
404,
401,
16,
13
],
[
423,
401,
71,
13
],
[
498,
401,
22,
13
],
[
522,
401,
23,
13
],
[
549,
401,
32,
13
],
[
584,
401,
21,
13
],
[
608,
401,
14,
13
],
[
625,
401,
39,
13
],
[
668,
401,
10,
13
],
[
682,
401,
66,
13
],
[
102,
415,
20,
13
],
[
130,
415,
22,
13
],
[
160,
415,
18,
13
],
[
185,
415,
21,
13
],
[
214,
415,
44,
13
],
[
265,
415,
32,
13
],
[
305,
415,
54,
13
],
[
366,
415,
11,
13
],
[
386,
415,
38,
13
],
[
431,
415,
25,
13
],
[
464,
415,
61,
13
],
[
532,
415,
35,
13
],
[
575,
415,
18,
13
],
[
600,
415,
30,
13
],
[
638,
415,
11,
13
],
[
657,
415,
53,
13
],
[
718,
415,
30,
13
],
[
102,
429,
111,
13
],
[
217,
429,
47,
13
],
[
267,
429,
16,
13
],
[
287,
429,
74,
13
],
[
365,
429,
18,
13
],
[
387,
429,
62,
13
],
[
453,
429,
11,
13
],
[
468,
429,
23,
13
],
[
495,
429,
12,
13
],
[
510,
429,
66,
13
],
[
580,
429,
25,
13
],
[
609,
429,
15,
13
],
[
628,
429,
32,
13
],
[
664,
429,
12,
13
],
[
679,
429,
40,
13
],
[
723,
429,
25,
13
],
[
102,
443,
6,
13
],
[
114,
443,
67,
13
],
[
186,
443,
11,
13
],
[
202,
443,
66,
13
],
[
274,
443,
10,
13
],
[
289,
443,
18,
13
],
[
313,
443,
72,
13
],
[
390,
443,
43,
13
],
[
439,
443,
63,
13
],
[
507,
443,
23,
13
],
[
535,
443,
66,
13
],
[
607,
443,
70,
13
],
[
682,
443,
41,
13
],
[
728,
443,
20,
13
],
[
102,
457,
54,
13
],
[
161,
457,
114,
13
],
[
280,
457,
16,
13
],
[
301,
457,
42,
13
],
[
348,
457,
22,
13
],
[
375,
457,
25,
13
],
[
405,
457,
72,
13
],
[
483,
457,
20,
13
],
[
508,
457,
75,
13
],
[
588,
457,
76,
13
],
[
670,
457,
23,
13
],
[
698,
457,
50,
13
],
[
102,
471,
44,
13
],
[
149,
471,
10,
13
],
[
162,
471,
61,
13
],
[
226,
471,
50,
13
],
[
280,
471,
31,
13
],
[
314,
471,
23,
13
],
[
340,
471,
21,
13
],
[
364,
471,
20,
13
],
[
387,
471,
6,
13
],
[
397,
471,
34,
13
],
[
434,
471,
53,
13
],
[
490,
471,
11,
13
],
[
504,
471,
63,
13
],
[
570,
471,
21,
13
],
[
595,
471,
58,
13
],
[
656,
471,
10,
13
],
[
670,
471,
18,
13
],
[
690,
471,
43,
13
],
[
737,
471,
11,
13
],
[
102,
485,
43,
13
],
[
151,
485,
58,
13
],
[
216,
485,
18,
13
],
[
240,
485,
60,
13
],
[
306,
485,
11,
13
],
[
323,
485,
63,
13
],
[
392,
485,
25,
13
],
[
424,
485,
44,
13
],
[
473,
485,
26,
13
],
[
506,
485,
45,
13
],
[
556,
485,
15,
13
],
[
578,
485,
18,
13
],
[
601,
485,
37,
13
],
[
645,
485,
62,
13
],
[
712,
485,
12,
13
],
[
730,
485,
18,
13
],
[
102,
498,
61,
13
],
[
166,
498,
11,
13
],
[
180,
498,
31,
13
],
[
214,
498,
78,
13
],
[
295,
498,
16,
13
],
[
314,
498,
13,
13
],
[
330,
498,
41,
13
],
[
375,
498,
57,
13
],
[
435,
498,
10,
13
],
[
448,
498,
18,
13
],
[
469,
498,
129,
13
],
[
601,
498,
43,
13
],
[
647,
498,
31,
13
],
[
681,
498,
67,
13
],
[
102,
512,
32,
13
],
[
137,
512,
18,
13
],
[
157,
512,
49,
13
],
[
210,
512,
11,
13
],
[
224,
512,
6,
13
],
[
233,
512,
53,
13
],
[
289,
512,
62,
13
],
[
354,
512,
46,
13
],
[
403,
512,
26,
13
],
[
432,
512,
26,
13
],
[
460,
512,
20,
13
],
[
484,
512,
78,
13
],
[
565,
512,
13,
13
],
[
581,
512,
10,
13
],
[
594,
512,
18,
13
],
[
615,
512,
61,
13
],
[
679,
512,
69,
13
],
[
102,
526,
43,
13
],
[
147,
526,
26,
13
],
[
175,
526,
42,
13
],
[
220,
526,
22,
13
],
[
244,
526,
18,
13
],
[
264,
526,
34,
13
],
[
301,
526,
53,
13
],
[
356,
526,
11,
13
],
[
369,
526,
63,
13
],
[
435,
526,
44,
13
],
[
482,
526,
50,
13
],
[
535,
526,
40,
13
],
[
577,
526,
10,
13
],
[
589,
526,
72,
13
],
[
664,
526,
23,
13
],
[
690,
526,
20,
13
],
[
712,
526,
10,
13
],
[
725,
526,
23,
13
],
[
102,
540,
38,
13
],
[
144,
540,
24,
13
],
[
170,
540,
78,
13
],
[
252,
540,
13,
13
],
[
268,
540,
50,
13
],
[
322,
540,
8,
13
],
[
333,
540,
47,
13
],
[
384,
540,
20,
13
],
[
408,
540,
18,
13
],
[
430,
540,
23,
13
],
[
456,
540,
12,
13
],
[
471,
540,
58,
13
],
[
532,
540,
69,
13
],
[
605,
540,
44,
13
],
[
652,
540,
50,
13
],
[
706,
540,
42,
13
],
[
102,
554,
19,
13
],
[
124,
554,
21,
13
],
[
149,
554,
11,
13
],
[
164,
554,
31,
13
],
[
199,
554,
39,
13
],
[
241,
554,
44,
13
],
[
289,
554,
50,
13
],
[
342,
554,
42,
13
],
[
388,
554,
17,
13
],
[
409,
554,
42,
13
],
[
454,
554,
22,
13
],
[
479,
554,
23,
13
],
[
506,
554,
20,
13
],
[
530,
554,
25,
13
],
[
559,
554,
54,
13
],
[
616,
554,
10,
13
],
[
630,
554,
52,
13
],
[
685,
554,
63,
13
],
[
102,
567,
50,
13
],
[
155,
567,
53,
13
],
[
211,
567,
11,
13
],
[
225,
567,
78,
13
],
[
306,
567,
16,
13
],
[
325,
567,
41,
13
],
[
369,
567,
55,
13
],
[
427,
567,
37,
13
],
[
466,
567,
61,
13
],
[
530,
567,
58,
13
],
[
591,
567,
20,
13
],
[
615,
567,
58,
13
],
[
675,
567,
18,
13
],
[
696,
567,
52,
13
],
[
102,
581,
11,
13
],
[
117,
581,
80,
13
],
[
200,
581,
63,
13
],
[
267,
581,
44,
13
],
[
315,
581,
50,
13
],
[
369,
581,
42,
13
],
[
92,
616,
40,
10
],
[
135,
616,
35,
10
],
[
174,
616,
7,
10
],
[
184,
616,
46,
10
],
[
233,
616,
12,
10
],
[
248,
616,
87,
10
],
[
338,
616,
9,
10
],
[
350,
616,
33,
10
],
[
386,
616,
5,
10
],
[
394,
616,
60,
10
],
[
457,
616,
8,
10
],
[
468,
616,
9,
10
],
[
479,
616,
9,
10
],
[
492,
616,
26,
10
],
[
520,
616,
33,
10
],
[
556,
616,
42,
10
],
[
601,
616,
16,
10
],
[
620,
616,
20,
10
],
[
643,
616,
38,
10
],
[
684,
616,
43,
10
],
[
730,
616,
18,
10
],
[
92,
627,
62,
10
],
[
157,
627,
10,
10
],
[
170,
627,
8,
10
],
[
181,
627,
49,
10
],
[
233,
627,
46,
10
],
[
282,
627,
27,
10
],
[
312,
627,
43,
10
],
[
357,
627,
20,
10
],
[
380,
627,
18,
10
],
[
401,
627,
18,
10
],
[
422,
627,
32,
10
],
[
457,
627,
139,
10
],
[
92,
645,
31,
10
],
[
126,
645,
19,
10
],
[
148,
645,
9,
10
],
[
159,
645,
34,
10
],
[
196,
645,
22,
10
],
[
220,
645,
43,
10
],
[
266,
645,
28,
10
],
[
297,
645,
25,
10
],
[
325,
645,
9,
10
],
[
336,
645,
34,
10
],
[
92,
662,
42,
10
],
[
137,
662,
43,
10
],
[
183,
662,
7,
10
],
[
193,
662,
22,
10
],
[
218,
662,
44,
10
],
[
265,
662,
36,
10
],
[
305,
662,
12,
10
],
[
320,
662,
22,
10
],
[
345,
662,
47,
10
],
[
394,
662,
20,
10
],
[
417,
662,
12,
10
],
[
432,
662,
20,
10
],
[
92,
679,
50,
10
],
[
157,
679,
20,
10
],
[
181,
679,
35,
10
],
[
220,
679,
9,
10
],
[
232,
679,
9,
10
],
[
244,
679,
17,
10
],
[
265,
679,
6,
10
],
[
275,
679,
10,
10
],
[
288,
679,
50,
10
],
[
342,
679,
25,
10
],
[
371,
679,
45,
10
],
[
419,
679,
25,
10
],
[
447,
679,
14,
10
],
[
465,
679,
24,
10
],
[
492,
679,
9,
10
],
[
504,
679,
14,
10
],
[
521,
679,
34,
10
],
[
558,
679,
42,
10
],
[
604,
679,
45,
10
],
[
653,
679,
32,
10
],
[
689,
679,
25,
10
],
[
717,
679,
31,
10
],
[
92,
690,
49,
10
],
[
144,
690,
17,
10
],
[
163,
690,
50,
10
],
[
216,
690,
16,
10
],
[
235,
690,
54,
10
],
[
291,
690,
8,
10
],
[
302,
690,
15,
10
],
[
320,
690,
37,
10
],
[
359,
690,
37,
10
],
[
399,
690,
14,
10
],
[
416,
690,
31,
10
],
[
450,
690,
27,
10
],
[
480,
690,
16,
10
],
[
498,
690,
27,
10
],
[
529,
690,
13,
10
],
[
545,
690,
36,
10
],
[
92,
708,
42,
10
],
[
136,
708,
17,
10
],
[
155,
708,
21,
10
],
[
178,
708,
16,
10
],
[
197,
708,
43,
10
],
[
242,
708,
11,
10
],
[
255,
708,
26,
10
],
[
283,
708,
20,
10
],
[
305,
708,
14,
10
],
[
321,
708,
29,
10
],
[
353,
708,
22,
10
],
[
377,
708,
21,
10
],
[
400,
708,
14,
10
],
[
416,
708,
28,
10
],
[
446,
708,
34,
10
],
[
483,
708,
11,
10
],
[
496,
708,
7,
10
],
[
506,
708,
43,
10
],
[
551,
708,
48,
10
],
[
601,
708,
30,
10
],
[
633,
708,
14,
10
],
[
650,
707,
45,
10
],
[
694,
707,
39,
10
],
[
735,
708,
13,
10
],
[
92,
719,
43,
10
],
[
137,
719,
14,
10
],
[
153,
719,
23,
10
],
[
178,
719,
27,
10
],
[
207,
719,
8,
10
],
[
217,
719,
28,
10
],
[
247,
719,
54,
10
],
[
304,
719,
14,
10
],
[
320,
719,
47,
10
],
[
369,
719,
20,
10
],
[
391,
719,
7,
10
],
[
400,
719,
43,
10
],
[
445,
719,
13,
10
],
[
460,
719,
8,
10
],
[
470,
719,
29,
10
],
[
501,
719,
28,
10
],
[
531,
719,
14,
10
],
[
547,
719,
31,
10
],
[
580,
719,
39,
10
],
[
622,
719,
11,
10
],
[
635,
719,
7,
10
],
[
644,
719,
43,
10
],
[
689,
719,
41,
10
],
[
732,
719,
16,
10
],
[
92,
730,
11,
10
],
[
104,
730,
46,
10
],
[
152,
730,
20,
10
],
[
174,
730,
14,
10
],
[
189,
730,
38,
10
],
[
229,
730,
34,
10
],
[
265,
730,
11,
10
],
[
277,
730,
63,
10
],
[
342,
730,
40,
10
],
[
383,
730,
9,
10
],
[
394,
730,
11,
10
],
[
406,
730,
7,
10
],
[
415,
730,
43,
10
],
[
460,
730,
16,
10
],
[
478,
730,
20,
10
],
[
499,
730,
14,
10
],
[
515,
730,
23,
10
],
[
540,
730,
39,
10
],
[
581,
730,
27,
10
],
[
610,
730,
8,
10
],
[
619,
730,
30,
10
],
[
651,
730,
15,
10
],
[
668,
730,
31,
10
],
[
702,
730,
16,
10
],
[
719,
730,
11,
10
],
[
732,
730,
16,
10
],
[
92,
741,
8,
10
],
[
103,
741,
23,
10
],
[
128,
741,
30,
10
],
[
161,
741,
18,
10
],
[
182,
741,
40,
10
],
[
225,
741,
16,
10
],
[
243,
741,
34,
10
],
[
280,
741,
34,
10
],
[
317,
741,
9,
10
],
[
329,
741,
33,
10
],
[
364,
741,
9,
10
],
[
376,
741,
48,
10
],
[
427,
741,
9,
10
],
[
438,
741,
14,
10
],
[
455,
741,
48,
10
],
[
92,
758,
52,
10
],
[
147,
758,
44,
10
],
[
193,
758,
16,
10
],
[
212,
758,
31,
10
],
[
246,
758,
20,
10
],
[
268,
758,
35,
10
],
[
307,
758,
17,
10
],
[
326,
758,
11,
10
],
[
340,
758,
45,
10
],
[
388,
758,
35,
10
],
[
426,
758,
21,
10
],
[
92,
775,
5,
10
],
[
99,
775,
27,
10
],
[
129,
775,
93,
10
],
[
80,
818,
84,
14
],
[
93,
843,
21,
13
],
[
124,
843,
58,
13
],
[
192,
843,
8,
13
],
[
209,
843,
6,
13
],
[
226,
843,
31,
13
],
[
267,
843,
67,
13
],
[
344,
843,
69,
13
],
[
80,
858,
45,
13
],
[
130,
858,
52,
13
],
[
188,
858,
10,
13
],
[
203,
858,
36,
13
],
[
245,
858,
25,
13
],
[
275,
858,
10,
13
],
[
290,
858,
48,
13
],
[
344,
858,
28,
13
],
[
377,
858,
36,
13
],
[
80,
873,
18,
13
],
[
105,
873,
9,
13
],
[
121,
873,
26,
13
],
[
153,
873,
13,
13
],
[
173,
873,
42,
13
],
[
221,
873,
20,
13
],
[
248,
873,
10,
13
],
[
265,
873,
17,
13
],
[
289,
873,
42,
13
],
[
338,
873,
58,
13
],
[
402,
873,
10,
13
],
[
80,
888,
59,
13
],
[
145,
888,
48,
13
],
[
198,
888,
19,
13
],
[
223,
888,
10,
13
],
[
238,
888,
43,
13
],
[
286,
888,
16,
13
],
[
308,
888,
57,
13
],
[
370,
888,
10,
13
],
[
385,
888,
28,
13
],
[
80,
902,
40,
13
],
[
123,
902,
10,
13
],
[
136,
902,
69,
13
],
[
209,
902,
10,
13
],
[
222,
902,
45,
13
],
[
271,
902,
21,
13
],
[
295,
902,
34,
13
],
[
332,
902,
35,
13
],
[
370,
902,
18,
13
],
[
391,
902,
21,
13
],
[
80,
917,
65,
13
],
[
150,
917,
10,
13
],
[
165,
917,
58,
13
],
[
228,
917,
39,
13
],
[
273,
917,
8,
13
],
[
285,
917,
21,
13
],
[
312,
917,
42,
13
],
[
359,
917,
10,
13
],
[
374,
917,
38,
13
],
[
80,
932,
69,
13
],
[
152,
932,
49,
13
],
[
203,
932,
19,
13
],
[
226,
932,
34,
13
],
[
262,
932,
65,
13
],
[
330,
932,
18,
13
],
[
351,
932,
22,
13
],
[
376,
932,
37,
13
],
[
80,
947,
10,
13
],
[
93,
947,
58,
13
],
[
154,
947,
39,
13
],
[
195,
947,
31,
13
],
[
229,
947,
22,
13
],
[
254,
947,
16,
13
],
[
273,
947,
58,
13
],
[
334,
947,
47,
13
],
[
383,
947,
20,
13
],
[
406,
947,
6,
13
],
[
80,
962,
61,
13
],
[
148,
962,
40,
13
],
[
194,
962,
31,
13
],
[
232,
962,
83,
13
],
[
322,
962,
55,
13
],
[
384,
962,
29,
13
],
[
80,
976,
30,
13
],
[
116,
976,
19,
13
],
[
141,
976,
16,
13
],
[
163,
976,
34,
13
],
[
202,
976,
50,
13
],
[
257,
976,
39,
13
],
[
302,
976,
33,
13
],
[
341,
976,
56,
13
],
[
402,
976,
10,
13
],
[
80,
991,
61,
13
],
[
146,
991,
44,
13
],
[
195,
991,
28,
13
],
[
229,
991,
37,
13
],
[
271,
991,
20,
13
],
[
297,
991,
28,
13
],
[
330,
991,
17,
13
],
[
352,
991,
12,
13
],
[
370,
991,
43,
13
],
[
80,
1006,
36,
13
],
[
119,
1006,
22,
13
],
[
143,
1006,
65,
13
],
[
211,
1006,
28,
13
],
[
241,
1006,
22,
13
],
[
266,
1006,
11,
13
],
[
280,
1006,
52,
13
],
[
334,
1006,
36,
13
],
[
372,
1006,
41,
13
],
[
437,
818,
28,
13
],
[
470,
818,
31,
13
],
[
506,
818,
37,
13
],
[
548,
818,
24,
13
],
[
578,
818,
30,
13
],
[
612,
818,
10,
13
],
[
628,
818,
12,
13
],
[
645,
818,
45,
13
],
[
695,
818,
10,
13
],
[
710,
818,
12,
13
],
[
728,
818,
42,
13
],
[
437,
832,
37,
13
],
[
481,
832,
21,
13
],
[
510,
832,
32,
13
],
[
549,
832,
19,
13
],
[
576,
832,
16,
13
],
[
599,
832,
46,
13
],
[
652,
832,
45,
13
],
[
705,
832,
65,
13
],
[
437,
847,
52,
13
],
[
493,
847,
31,
13
],
[
528,
847,
35,
13
],
[
567,
847,
19,
13
],
[
590,
847,
69,
13
],
[
663,
847,
28,
13
],
[
695,
847,
40,
13
],
[
739,
847,
31,
13
],
[
437,
862,
16,
13
],
[
458,
862,
20,
13
],
[
481,
862,
30,
13
],
[
515,
862,
42,
13
],
[
561,
862,
47,
13
],
[
613,
862,
37,
13
],
[
654,
862,
38,
13
],
[
695,
862,
16,
13
],
[
716,
862,
40,
13
],
[
759,
862,
10,
13
],
[
437,
877,
38,
13
],
[
481,
877,
55,
13
],
[
541,
877,
28,
13
],
[
575,
877,
57,
13
],
[
638,
877,
42,
13
],
[
686,
877,
16,
13
],
[
708,
877,
62,
13
],
[
437,
892,
52,
13
],
[
495,
892,
34,
13
],
[
535,
892,
47,
13
],
[
589,
892,
11,
13
],
[
606,
892,
10,
13
],
[
623,
892,
45,
13
],
[
674,
892,
25,
13
],
[
705,
892,
64,
13
],
[
437,
906,
50,
13
],
[
491,
906,
28,
13
],
[
522,
906,
28,
13
],
[
553,
906,
36,
13
],
[
593,
906,
12,
13
],
[
609,
906,
16,
13
],
[
629,
906,
29,
13
],
[
661,
906,
42,
13
],
[
707,
906,
10,
13
],
[
721,
906,
49,
13
],
[
437,
921,
21,
13
],
[
462,
921,
16,
13
],
[
481,
921,
10,
13
],
[
494,
921,
61,
13
],
[
558,
921,
30,
13
],
[
591,
921,
19,
13
],
[
614,
921,
24,
13
],
[
641,
921,
25,
13
],
[
668,
921,
47,
13
],
[
718,
921,
10,
13
],
[
731,
921,
38,
13
],
[
437,
936,
60,
13
],
[
499,
936,
10,
13
],
[
512,
936,
16,
13
],
[
531,
936,
36,
13
],
[
570,
936,
45,
13
],
[
617,
936,
55,
13
],
[
675,
936,
30,
13
],
[
709,
936,
33,
13
],
[
745,
936,
25,
13
],
[
437,
951,
50,
13
],
[
493,
951,
13,
13
],
[
511,
951,
61,
13
],
[
578,
951,
36,
13
],
[
620,
951,
31,
13
],
[
656,
951,
62,
13
],
[
723,
951,
28,
13
],
[
757,
951,
13,
13
],
[
437,
966,
21,
13
],
[
466,
966,
42,
13
],
[
516,
966,
40,
13
],
[
564,
966,
50,
13
],
[
622,
966,
29,
13
],
[
658,
966,
39,
13
],
[
705,
966,
65,
13
],
[
437,
980,
32,
13
],
[
473,
980,
19,
13
],
[
495,
980,
43,
13
],
[
541,
980,
10,
13
],
[
555,
980,
43,
13
],
[
601,
980,
27,
13
],
[
631,
980,
16,
13
],
[
651,
980,
13,
13
],
[
667,
980,
32,
13
],
[
703,
980,
51,
13
],
[
757,
980,
13,
13
],
[
437,
995,
50,
13
],
[
494,
995,
21,
13
],
[
521,
995,
50,
13
],
[
578,
995,
10,
13
],
[
594,
995,
61,
13
],
[
661,
995,
29,
13
],
[
696,
995,
41,
13
],
[
743,
995,
27,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
566,
1047,
22,
12
],
[
591,
1047,
23,
12
],
[
619,
1047,
3,
12
],
[
627,
1047,
36,
12
],
[
668,
1047,
6,
12
],
[
680,
1047,
3,
12
],
[
688,
1047,
24,
12
],
[
716,
1047,
6,
12
],
[
727,
1047,
3,
12
],
[
736,
1047,
34,
12
]
] | [
"Gue´",
"ret1,2*",
"Abstract",
"Bloom’s",
"Syndrome",
"and",
"PICH",
"Helicases",
"Cooperate",
"with",
"Topoisomerase",
"IIa",
"in",
"Centromere",
"Disjunction",
"before",
"Anaphase",
"Se´",
"bastien",
"Rouzeau1,2,",
"Fabrice",
"P.",
"Cordelie`",
"res1,2,3,",
"Ge´",
"raldine",
"Buhagiar-Labarche`",
"de1,2,",
"Ilse",
"Hurbain4,5,6,",
"Rosine",
"Onclercq-Delic1,2,",
"Simon",
"Gemble1,2,",
"Laura",
"Magnaghi-Jaulin7,",
"Christian",
"Jaulin7,",
"Mounira",
"Amor-",
"1",
"Institut",
"Curie,",
"Centre",
"de",
"Recherche,",
"Centre",
"Universitaire,",
"Baˆt",
"Orsay,",
"France,",
"2",
"CNRS",
"UMR3348,",
"Stress",
"Ge´notoxiques",
"et",
"Cancer,",
"Orsay,",
"France,",
"3",
"Institut",
"Curie,",
"Centre",
"de",
"Recherche,",
"Plateforme",
"d’Imagerie",
"Cellulaire",
"et",
"Tissulaire",
"IBiSA,",
"Centre",
"Universitaire,",
"Baˆt",
"Orsay,",
"France,",
"4",
"Institut",
"Curie,",
"Centre",
"de",
"Recherche,",
"Paris,",
"France,",
"5",
"Structure",
"et",
"Compartimentation",
"membranaire,",
"CNRS",
"UMR144,",
"Paris,",
"France,",
"6",
"Plateforme",
"d’Imagerie",
"Cellulaire",
"et",
"Tissulaire",
"IBiSA,",
"CNRS",
"UMR",
"144,",
"Paris,",
"France,",
"7",
"Institut",
"de",
"Ge´ne´tique",
"et",
"De´veloppement,",
"CNRS",
"UMR",
"6290,",
"Universite´",
"de",
"Rennes",
"1,",
"Rennes,",
"France",
"Centromeres",
"are",
"specialized",
"chromosome",
"domains",
"that",
"control",
"chromosome",
"segregation",
"during",
"mitosis,",
"but",
"little",
"is",
"known",
"about",
"the",
"mechanisms",
"underlying",
"the",
"maintenance",
"of",
"their",
"integrity.",
"Centromeric",
"ultrafine",
"anaphase",
"bridges",
"are",
"physiological",
"DNA",
"structures",
"thought",
"to",
"contain",
"unresolved",
"DNA",
"catenations",
"between",
"the",
"centromeres",
"separating",
"during",
"anaphase.",
"BLM",
"and",
"PICH",
"helicases",
"colocalize",
"at",
"these",
"ultrafine",
"anaphase",
"bridges",
"and",
"promote",
"their",
"resolution.",
"As",
"PICH",
"is",
"detectable",
"at",
"centromeres",
"from",
"prometaphase",
"onwards,",
"we",
"hypothesized",
"that",
"BLM",
"might",
"also",
"be",
"located",
"at",
"centromeres",
"and",
"that",
"the",
"two",
"proteins",
"might",
"cooperate",
"to",
"resolve",
"DNA",
"catenations",
"before",
"the",
"onset",
"of",
"anaphase.",
"Using",
"immunofluorescence",
"analyses,",
"we",
"demonstrated",
"the",
"recruitment",
"of",
"BLM",
"to",
"centromeres",
"from",
"G2",
"phase",
"to",
"mitosis.",
"With",
"a",
"combination",
"of",
"fluorescence",
"in",
"situ",
"hybridization,",
"electron",
"microscopy,",
"RNA",
"interference,",
"chromosome",
"spreads",
"and",
"chromatin",
"immunoprecipitation,",
"we",
"showed",
"that",
"both",
"BLM-deficient",
"and",
"PICH-deficient",
"prometaphase",
"cells",
"displayed",
"changes",
"in",
"centromere",
"structure.",
"These",
"cells",
"also",
"had",
"a",
"higher",
"frequency",
"of",
"centromeric",
"non",
"disjunction",
"in",
"the",
"absence",
"of",
"cohesin,",
"suggesting",
"the",
"persistence",
"of",
"catenations.",
"Both",
"proteins",
"were",
"required",
"for",
"the",
"correct",
"recruitment",
"to",
"the",
"centromere",
"of",
"active",
"topoisomerase",
"IIa,",
"an",
"enzyme",
"specialized",
"in",
"the",
"catenation/decatenation",
"process.",
"These",
"observations",
"reveal",
"the",
"existence",
"of",
"a",
"functional",
"relationship",
"between",
"BLM,",
"PICH",
"and",
"topoisomerase",
"IIa",
"in",
"the",
"centromere",
"decatenation",
"process.",
"They",
"indicate",
"that",
"the",
"higher",
"frequency",
"of",
"centromeric",
"ultrafine",
"anaphase",
"bridges",
"in",
"BLM-deficient",
"cells",
"and",
"in",
"cells",
"treated",
"with",
"topoisomerase",
"IIa",
"inhibitors",
"is",
"probably",
"due",
"not",
"only",
"to",
"unresolved",
"physiological",
"ultrafine",
"anaphase",
"bridges,",
"but",
"also",
"to",
"newly",
"formed",
"ultrafine",
"anaphase",
"bridges.",
"We",
"suggest",
"that",
"BLM",
"and",
"PICH",
"cooperate",
"in",
"rendering",
"centromeric",
"catenates",
"accessible",
"to",
"topoisomerase",
"IIa,",
"thereby",
"facilitating",
"correct",
"centromere",
"disjunction",
"and",
"preventing",
"the",
"formation",
"of",
"supernumerary",
"centromeric",
"ultrafine",
"anaphase",
"bridges.",
"Citation:",
"Rouzeau",
"S,",
"Cordelie`res",
"FP,",
"Buhagiar-Labarche`de",
"G,",
"Hurbain",
"I,",
"Onclercq-Delic",
"R,",
"et",
"al.",
"(2012)",
"Bloom’s",
"Syndrome",
"and",
"PICH",
"Helicases",
"Cooperate",
"with",
"Topoisomerase",
"IIa",
"in",
"Centromere",
"Disjunction",
"before",
"Anaphase.",
"PLoS",
"ONE",
"7(4):",
"e33905.",
"doi:10.1371/journal.pone.0033905",
"Editor:",
"Beth",
"A.",
"Sullivan,",
"Duke",
"University,",
"United",
"States",
"of",
"America",
"Received",
"November",
"4,",
"2011;",
"Accepted",
"February",
"19,",
"2012;",
"Published",
"April",
"26,",
"2012",
"Copyright:",
"2012",
"Rouzeau",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"work",
"was",
"supported",
"by",
"grants",
"from",
"the",
"Institut",
"Curie",
"(PIC),",
"the",
"Centre",
"National",
"de",
"la",
"Recherche",
"Scientifique",
"(CNRS),",
"the",
"Cance´ropoˆ",
"le/Re´gion",
"Ile-",
"de-France,",
"the",
"Ligue",
"contre",
"le",
"Cancer",
"Grand-Ouest,",
"the",
"Association",
"pour",
"la",
"Recherche",
"sur",
"le",
"Cancer",
"(1071),",
"the",
"Agence",
"Nationale",
"de",
"la",
"Recherche",
"(EpiCentr)",
"and",
"by",
"fellowships",
"from",
"the",
"Ministe`re",
"de´le´gue´",
"de",
"l’Enseignement",
"Supe´rieur",
"et",
"de",
"la",
"Recherche",
"and",
"from",
"the",
"Ligue",
"Nationale",
"contre",
"le",
"Cancer.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"mounira.amor@curie.fr",
"Introduction",
"The",
"centromere",
"is",
"a",
"highly",
"differentiated",
"chromosomal",
"structure",
"consisting,",
"in",
"human",
"cells,",
"of",
"a-satellite",
"DNA",
"repeats",
"[1].",
"It",
"plays",
"an",
"essential",
"role",
"in",
"cell",
"division,",
"particularly",
"in",
"kinetochore",
"assembly,",
"and",
"in",
"ensuring",
"the",
"segregation",
"of",
"equal",
"number",
"of",
"chromosomes",
"to",
"daughter",
"cells",
"during",
"mitosis",
"[2].",
"The",
"maintenance",
"of",
"centromere",
"stability",
"is",
"thus",
"essential",
"to",
"prevent",
"chromosomal",
"instability",
"and",
"cancer",
"development",
"[3].",
"Our",
"interest",
"in",
"centromere",
"stability",
"began",
"with",
"the",
"unexpected",
"discovery",
"that",
"a",
"helicase-like",
"protein,",
"PICH",
"(Plk1-interacting",
"checkpoint",
"‘‘heli-",
"case’’)",
"and",
"the",
"Bloom",
"syndrome",
"helicase",
"(BLM)",
"colocalized",
"to",
"centromeric",
"ultrathin",
"DNA",
"threads",
"that",
"could",
"not",
"be",
"counter-",
"stained",
"with",
"conventional",
"DNA",
"dyes",
"or",
"antibodies",
"against",
"histones",
"[4,5].",
"These",
"threads",
"were",
"found",
"to",
"be",
"common",
"in",
"all",
"cultured",
"normal",
"cells",
"tested,",
"and",
"are",
"therefore",
"probably",
"physiological",
"structures.",
"These",
"PICH-",
"and",
"BLM-positive",
"DNA",
"threads,",
"which",
"are",
"also",
"called",
"ultrafine",
"anaphase",
"bridges",
"(UFBs),",
"are",
"thought",
"to",
"contain",
"unresolved",
"DNA",
"catenations",
"between",
"the",
"centromeres",
"separating",
"during",
"anaphase",
"or",
"to",
"originate",
"from",
"incompletely",
"replicated",
"DNA",
"[4,5].",
"Almost",
"all",
"the",
"UFBs",
"detected",
"in",
"untreated",
"cells",
"are",
"of",
"centromeric",
"origin",
"and",
"have",
"been",
"proposed",
"to",
"prevent",
"reactivation",
"of",
"the",
"spindle",
"assembly",
"checkpoint",
"(SAC)",
"during",
"early",
"anaphase,",
"by",
"maintaining",
"tension",
"across",
"centromeres",
"[4,6].",
"As",
"cells",
"progress",
"through",
"anaphase,",
"UFBs",
"become",
"progressively",
"longer",
"and",
"decrease",
"in",
"number.",
"They",
"are",
"no",
"longer",
"detectable",
"by",
"telophase.",
"The",
"resolution",
"of",
"centromeric",
"UFBs",
"requires",
"topo-",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"April",
"2012",
"|",
"Volume",
"7",
"|",
"Issue",
"4",
"|",
"e33905"
] | [
11,
11,
5,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,896,109 | null | [
[
77,
43,
56,
14
],
[
138,
43,
35,
14
],
[
178,
43,
14,
14
],
[
198,
43,
28,
14
],
[
231,
43,
28,
14
],
[
361,
43,
44,
14
],
[
410,
43,
32,
14
],
[
447,
43,
57,
14
],
[
509,
43,
32,
14
],
[
546,
43,
25,
14
],
[
576,
43,
18,
14
],
[
599,
43,
27,
14
],
[
631,
43,
38,
14
],
[
674,
43,
28,
14
],
[
715,
43,
76,
14
],
[
653,
58,
138,
14
],
[
77,
101,
50,
28
],
[
137,
101,
121,
28
],
[
269,
101,
100,
28
],
[
380,
101,
106,
28
],
[
496,
101,
85,
28
],
[
592,
101,
50,
28
],
[
653,
101,
79,
28
],
[
77,
143,
62,
17
],
[
145,
143,
13,
17
],
[
158,
142,
26,
18
],
[
183,
140,
22,
20
],
[
212,
143,
55,
17
],
[
273,
140,
87,
20
],
[
366,
143,
61,
17
],
[
434,
140,
88,
20
],
[
527,
143,
53,
17
],
[
586,
140,
77,
20
],
[
77,
165,
39,
17
],
[
122,
165,
62,
17
],
[
190,
162,
74,
20
],
[
271,
165,
30,
17
],
[
307,
165,
66,
17
],
[
379,
162,
95,
20
],
[
77,
198,
66,
17
],
[
148,
200,
89,
14
],
[
242,
200,
54,
14
],
[
301,
200,
61,
14
],
[
367,
200,
32,
14
],
[
405,
200,
53,
14
],
[
463,
200,
56,
14
],
[
524,
200,
73,
14
],
[
602,
200,
35,
14
],
[
643,
200,
31,
14
],
[
679,
200,
24,
14
],
[
77,
214,
79,
17
],
[
161,
217,
12,
14
],
[
179,
217,
49,
14
],
[
233,
217,
44,
14
],
[
283,
217,
63,
14
],
[
351,
217,
26,
14
],
[
382,
217,
42,
14
],
[
429,
217,
55,
14
],
[
489,
214,
79,
17
],
[
573,
217,
12,
14
],
[
591,
217,
85,
14
],
[
77,
233,
38,
14
],
[
120,
233,
65,
14
],
[
190,
233,
42,
14
],
[
237,
233,
51,
14
],
[
293,
233,
24,
14
],
[
322,
231,
79,
17
],
[
407,
233,
12,
14
],
[
424,
233,
73,
14
],
[
503,
233,
61,
14
],
[
569,
233,
12,
14
],
[
586,
233,
49,
14
],
[
641,
233,
48,
14
],
[
77,
269,
47,
11
],
[
128,
269,
40,
11
],
[
171,
269,
16,
11
],
[
191,
269,
28,
11
],
[
223,
269,
40,
11
],
[
267,
269,
23,
11
],
[
294,
269,
10,
11
],
[
307,
269,
28,
11
],
[
339,
269,
48,
11
],
[
391,
269,
23,
11
],
[
418,
269,
16,
11
],
[
438,
269,
25,
11
],
[
77,
316,
75,
14
],
[
77,
339,
25,
14
],
[
107,
339,
61,
14
],
[
172,
339,
50,
14
],
[
227,
339,
49,
14
],
[
281,
339,
36,
14
],
[
322,
339,
99,
14
],
[
77,
356,
69,
14
],
[
154,
356,
24,
14
],
[
186,
356,
33,
14
],
[
228,
356,
62,
14
],
[
298,
356,
48,
14
],
[
354,
356,
45,
14
],
[
407,
356,
14,
14
],
[
77,
372,
41,
14
],
[
124,
372,
50,
14
],
[
179,
372,
25,
14
],
[
210,
372,
57,
14
],
[
272,
372,
73,
14
],
[
350,
372,
70,
14
],
[
77,
389,
25,
14
],
[
107,
389,
67,
14
],
[
180,
389,
85,
14
],
[
270,
389,
36,
14
],
[
311,
389,
9,
14
],
[
325,
389,
26,
14
],
[
357,
389,
33,
14
],
[
395,
389,
26,
14
],
[
77,
405,
73,
14
],
[
161,
405,
8,
14
],
[
181,
405,
36,
14
],
[
230,
405,
29,
14
],
[
271,
405,
25,
14
],
[
308,
405,
40,
14
],
[
360,
405,
61,
14
],
[
77,
422,
53,
14
],
[
139,
422,
26,
14
],
[
173,
422,
9,
14
],
[
191,
422,
24,
14
],
[
223,
422,
54,
14
],
[
286,
422,
8,
14
],
[
302,
422,
46,
14
],
[
357,
422,
64,
14
],
[
77,
439,
48,
14
],
[
131,
439,
28,
14
],
[
166,
439,
52,
14
],
[
225,
439,
14,
14
],
[
245,
439,
25,
14
],
[
276,
439,
57,
14
],
[
340,
439,
25,
14
],
[
372,
439,
48,
14
],
[
77,
455,
14,
14
],
[
96,
455,
30,
14
],
[
131,
455,
59,
14
],
[
195,
455,
19,
14
],
[
219,
455,
58,
14
],
[
282,
455,
24,
14
],
[
311,
455,
65,
14
],
[
382,
455,
39,
14
],
[
77,
472,
36,
14
],
[
122,
472,
16,
14
],
[
149,
472,
66,
14
],
[
224,
472,
28,
14
],
[
262,
472,
82,
14
],
[
354,
472,
24,
14
],
[
388,
472,
33,
14
],
[
77,
489,
68,
14
],
[
152,
489,
26,
14
],
[
184,
489,
48,
14
],
[
239,
489,
75,
14
],
[
320,
489,
69,
14
],
[
395,
489,
25,
14
],
[
77,
505,
30,
14
],
[
113,
505,
34,
14
],
[
153,
505,
37,
14
],
[
196,
505,
95,
14
],
[
298,
505,
12,
14
],
[
316,
505,
21,
14
],
[
343,
505,
30,
14
],
[
379,
505,
41,
14
],
[
77,
522,
25,
14
],
[
110,
522,
54,
14
],
[
172,
522,
16,
14
],
[
196,
522,
27,
14
],
[
231,
522,
16,
14
],
[
256,
522,
59,
14
],
[
323,
522,
98,
14
],
[
77,
538,
32,
14
],
[
117,
538,
37,
14
],
[
164,
538,
21,
14
],
[
194,
538,
28,
14
],
[
231,
538,
41,
14
],
[
280,
538,
14,
14
],
[
303,
538,
24,
14
],
[
336,
538,
25,
14
],
[
369,
538,
51,
14
],
[
77,
555,
35,
14
],
[
126,
555,
79,
14
],
[
219,
555,
31,
14
],
[
265,
555,
21,
14
],
[
300,
555,
46,
14
],
[
360,
555,
34,
14
],
[
408,
555,
13,
14
],
[
77,
571,
58,
14
],
[
143,
571,
39,
14
],
[
189,
571,
57,
14
],
[
254,
571,
58,
14
],
[
320,
571,
65,
14
],
[
392,
571,
28,
14
],
[
77,
588,
50,
14
],
[
131,
588,
31,
14
],
[
166,
588,
45,
14
],
[
215,
588,
14,
14
],
[
233,
588,
28,
14
],
[
264,
588,
60,
14
],
[
328,
588,
28,
14
],
[
360,
588,
60,
14
],
[
77,
605,
28,
14
],
[
109,
605,
12,
14
],
[
125,
605,
54,
14
],
[
183,
605,
85,
14
],
[
77,
645,
108,
14
],
[
77,
667,
64,
14
],
[
146,
667,
23,
14
],
[
173,
667,
60,
14
],
[
239,
667,
74,
14
],
[
318,
667,
35,
14
],
[
357,
667,
28,
14
],
[
390,
667,
31,
14
],
[
77,
682,
27,
14
],
[
110,
682,
81,
14
],
[
196,
682,
28,
14
],
[
230,
682,
50,
14
],
[
285,
682,
50,
14
],
[
340,
682,
32,
14
],
[
377,
682,
43,
14
],
[
77,
697,
26,
14
],
[
112,
697,
29,
14
],
[
151,
697,
49,
14
],
[
209,
697,
13,
14
],
[
231,
697,
50,
14
],
[
290,
697,
26,
14
],
[
325,
697,
54,
14
],
[
388,
697,
33,
14
],
[
77,
712,
58,
14
],
[
138,
712,
15,
14
],
[
156,
712,
98,
14
],
[
257,
712,
81,
14
],
[
341,
712,
47,
14
],
[
391,
712,
29,
14
],
[
77,
727,
39,
14
],
[
119,
727,
20,
14
],
[
143,
727,
30,
14
],
[
177,
727,
45,
14
],
[
226,
727,
7,
14
],
[
236,
727,
65,
14
],
[
305,
727,
43,
14
],
[
352,
727,
35,
14
],
[
391,
727,
29,
14
],
[
77,
743,
27,
14
],
[
106,
743,
22,
14
],
[
131,
743,
21,
14
],
[
155,
743,
14,
14
],
[
172,
743,
83,
14
],
[
258,
743,
60,
14
],
[
321,
743,
23,
14
],
[
347,
743,
48,
14
],
[
398,
743,
23,
14
],
[
77,
758,
22,
14
],
[
109,
758,
65,
14
],
[
184,
758,
13,
14
],
[
207,
758,
50,
14
],
[
267,
758,
60,
14
],
[
338,
758,
54,
14
],
[
402,
758,
19,
14
],
[
77,
773,
61,
14
],
[
144,
773,
23,
14
],
[
172,
773,
26,
14
],
[
203,
773,
30,
14
],
[
238,
773,
14,
14
],
[
257,
773,
32,
14
],
[
295,
773,
53,
14
],
[
354,
773,
13,
14
],
[
372,
773,
19,
14
],
[
396,
773,
25,
14
],
[
77,
788,
71,
14
],
[
91,
804,
23,
14
],
[
119,
804,
56,
14
],
[
180,
804,
48,
14
],
[
232,
804,
42,
14
],
[
279,
804,
37,
14
],
[
321,
804,
20,
14
],
[
346,
804,
28,
14
],
[
378,
804,
12,
14
],
[
395,
804,
26,
14
],
[
77,
819,
45,
14
],
[
126,
819,
29,
14
],
[
158,
819,
55,
14
],
[
217,
819,
23,
14
],
[
242,
819,
20,
14
],
[
266,
819,
44,
14
],
[
313,
819,
45,
14
],
[
361,
819,
22,
14
],
[
386,
819,
13,
14
],
[
402,
819,
19,
14
],
[
77,
834,
29,
14
],
[
110,
834,
50,
14
],
[
165,
834,
45,
14
],
[
214,
834,
12,
14
],
[
230,
834,
19,
14
],
[
253,
834,
67,
14
],
[
323,
834,
48,
14
],
[
375,
834,
30,
14
],
[
409,
834,
12,
14
],
[
77,
849,
19,
14
],
[
99,
849,
28,
14
],
[
130,
849,
26,
14
],
[
160,
849,
50,
14
],
[
213,
849,
33,
14
],
[
249,
849,
39,
14
],
[
292,
849,
12,
14
],
[
307,
849,
19,
14
],
[
329,
849,
47,
14
],
[
379,
849,
13,
14
],
[
395,
849,
26,
14
],
[
77,
864,
26,
14
],
[
108,
864,
48,
14
],
[
160,
864,
28,
14
],
[
192,
864,
19,
14
],
[
215,
864,
84,
14
],
[
303,
864,
13,
14
],
[
320,
864,
24,
14
],
[
348,
864,
13,
14
],
[
365,
864,
19,
14
],
[
388,
864,
32,
14
],
[
77,
880,
35,
14
],
[
115,
880,
57,
14
],
[
176,
880,
24,
14
],
[
204,
880,
19,
14
],
[
226,
880,
40,
14
],
[
270,
880,
37,
14
],
[
310,
880,
23,
14
],
[
337,
880,
28,
14
],
[
369,
880,
20,
14
],
[
393,
880,
28,
14
],
[
77,
895,
61,
14
],
[
142,
895,
56,
14
],
[
201,
895,
23,
14
],
[
227,
895,
43,
14
],
[
273,
895,
19,
14
],
[
295,
895,
41,
14
],
[
339,
895,
13,
14
],
[
355,
895,
28,
14
],
[
386,
895,
13,
14
],
[
402,
895,
19,
14
],
[
77,
910,
46,
14
],
[
127,
910,
67,
14
],
[
198,
910,
18,
14
],
[
220,
910,
50,
14
],
[
274,
910,
71,
14
],
[
349,
910,
16,
14
],
[
369,
910,
19,
14
],
[
391,
910,
29,
14
],
[
77,
925,
29,
14
],
[
110,
925,
71,
14
],
[
184,
925,
23,
14
],
[
211,
925,
27,
14
],
[
242,
925,
42,
14
],
[
288,
925,
31,
14
],
[
462,
315,
23,
14
],
[
489,
315,
26,
14
],
[
518,
315,
76,
14
],
[
598,
315,
13,
14
],
[
614,
315,
19,
14
],
[
637,
315,
28,
14
],
[
668,
315,
20,
14
],
[
692,
315,
55,
14
],
[
751,
315,
40,
14
],
[
448,
330,
65,
14
],
[
519,
330,
29,
14
],
[
556,
330,
14,
14
],
[
577,
330,
59,
14
],
[
643,
330,
51,
14
],
[
700,
330,
30,
14
],
[
738,
330,
13,
14
],
[
757,
330,
34,
14
],
[
448,
345,
61,
14
],
[
514,
345,
23,
14
],
[
542,
345,
26,
14
],
[
573,
345,
15,
14
],
[
593,
345,
32,
14
],
[
630,
345,
13,
14
],
[
649,
345,
53,
14
],
[
707,
345,
13,
14
],
[
724,
345,
24,
14
],
[
753,
345,
13,
14
],
[
771,
345,
20,
14
],
[
448,
361,
42,
14
],
[
493,
361,
59,
14
],
[
555,
361,
27,
14
],
[
586,
361,
13,
14
],
[
602,
361,
63,
14
],
[
668,
361,
66,
14
],
[
737,
361,
30,
14
],
[
770,
361,
21,
14
],
[
448,
376,
43,
14
],
[
494,
376,
23,
14
],
[
520,
376,
32,
14
],
[
555,
376,
75,
14
],
[
632,
376,
18,
14
],
[
653,
376,
7,
14
],
[
664,
376,
32,
14
],
[
699,
376,
32,
14
],
[
733,
376,
34,
14
],
[
770,
376,
21,
14
],
[
448,
391,
24,
14
],
[
476,
391,
47,
14
],
[
527,
391,
19,
14
],
[
550,
391,
76,
14
],
[
630,
391,
49,
14
],
[
683,
391,
37,
14
],
[
724,
391,
23,
14
],
[
751,
391,
40,
14
],
[
448,
406,
16,
14
],
[
472,
406,
23,
14
],
[
502,
406,
44,
14
],
[
554,
406,
13,
14
],
[
575,
406,
27,
14
],
[
609,
406,
56,
14
],
[
673,
406,
54,
14
],
[
735,
406,
20,
14
],
[
764,
406,
28,
14
],
[
448,
421,
56,
14
],
[
508,
421,
23,
14
],
[
535,
421,
22,
14
],
[
561,
421,
22,
14
],
[
587,
421,
14,
14
],
[
605,
421,
57,
14
],
[
666,
421,
39,
14
],
[
462,
437,
23,
14
],
[
489,
437,
28,
14
],
[
521,
437,
20,
14
],
[
546,
437,
40,
14
],
[
590,
437,
28,
14
],
[
622,
437,
51,
14
],
[
678,
437,
13,
14
],
[
694,
437,
14,
14
],
[
713,
437,
27,
14
],
[
744,
437,
12,
14
],
[
760,
437,
32,
14
],
[
448,
452,
47,
14
],
[
499,
452,
13,
14
],
[
517,
452,
7,
14
],
[
529,
452,
38,
14
],
[
572,
452,
13,
14
],
[
589,
452,
52,
14
],
[
646,
452,
53,
14
],
[
704,
452,
23,
14
],
[
731,
452,
20,
14
],
[
756,
452,
35,
14
],
[
448,
467,
36,
14
],
[
488,
467,
23,
14
],
[
516,
467,
34,
14
],
[
555,
467,
80,
14
],
[
639,
467,
11,
14
],
[
655,
467,
38,
14
],
[
697,
467,
24,
14
],
[
726,
467,
40,
14
],
[
771,
467,
20,
14
],
[
448,
482,
28,
14
],
[
479,
482,
53,
14
],
[
536,
482,
29,
14
],
[
569,
482,
19,
14
],
[
591,
482,
28,
14
],
[
623,
482,
29,
14
],
[
655,
482,
24,
14
],
[
683,
482,
70,
14
],
[
756,
482,
11,
14
],
[
771,
482,
20,
14
],
[
448,
498,
66,
14
],
[
518,
498,
13,
14
],
[
535,
498,
19,
14
],
[
557,
498,
24,
14
],
[
586,
498,
40,
14
],
[
630,
498,
20,
14
],
[
654,
498,
44,
14
],
[
702,
498,
28,
14
],
[
734,
498,
57,
14
],
[
448,
513,
27,
14
],
[
479,
513,
23,
14
],
[
505,
513,
30,
14
],
[
538,
513,
26,
14
],
[
567,
513,
27,
14
],
[
598,
513,
13,
14
],
[
614,
513,
32,
14
],
[
650,
513,
20,
14
],
[
673,
513,
13,
14
],
[
689,
513,
9,
14
],
[
701,
513,
19,
14
],
[
723,
513,
68,
14
],
[
448,
528,
13,
14
],
[
466,
528,
15,
14
],
[
487,
528,
13,
14
],
[
505,
528,
19,
14
],
[
530,
528,
28,
14
],
[
563,
528,
24,
14
],
[
593,
528,
40,
14
],
[
639,
528,
57,
14
],
[
702,
528,
42,
14
],
[
749,
528,
18,
14
],
[
773,
528,
19,
14
],
[
448,
543,
29,
14
],
[
490,
543,
62,
14
],
[
566,
543,
90,
14
],
[
668,
543,
23,
14
],
[
704,
543,
28,
14
],
[
745,
543,
47,
14
],
[
448,
559,
342,
14
],
[
448,
574,
58,
14
],
[
448,
614,
77,
14
],
[
529,
614,
38,
14
],
[
448,
636,
23,
14
],
[
477,
636,
23,
14
],
[
506,
636,
28,
14
],
[
540,
636,
67,
14
],
[
613,
636,
56,
14
],
[
675,
636,
9,
14
],
[
690,
636,
13,
14
],
[
708,
636,
63,
14
],
[
777,
636,
14,
14
],
[
448,
652,
65,
14
],
[
517,
652,
65,
14
],
[
587,
652,
18,
14
],
[
610,
652,
46,
14
],
[
660,
652,
21,
14
],
[
683,
652,
21,
14
],
[
709,
652,
37,
14
],
[
750,
652,
29,
14
],
[
784,
652,
7,
14
],
[
448,
667,
37,
14
],
[
492,
667,
42,
14
],
[
540,
667,
19,
14
],
[
566,
667,
27,
14
],
[
599,
667,
40,
14
],
[
646,
667,
24,
14
],
[
677,
667,
19,
14
],
[
702,
667,
28,
14
],
[
737,
667,
20,
14
],
[
764,
667,
28,
14
],
[
448,
682,
57,
14
],
[
513,
682,
13,
14
],
[
535,
682,
14,
14
],
[
557,
682,
65,
14
],
[
631,
682,
73,
14
],
[
712,
682,
26,
14
],
[
747,
682,
21,
14
],
[
770,
682,
21,
14
],
[
448,
697,
41,
14
],
[
494,
697,
33,
14
],
[
533,
697,
44,
14
],
[
583,
697,
16,
14
],
[
605,
697,
35,
14
],
[
645,
697,
32,
14
],
[
683,
697,
67,
14
],
[
756,
697,
35,
14
],
[
448,
712,
27,
14
],
[
478,
712,
13,
14
],
[
494,
712,
37,
14
],
[
533,
712,
55,
14
],
[
592,
712,
53,
14
],
[
647,
712,
23,
14
],
[
673,
712,
80,
14
],
[
755,
712,
36,
14
],
[
448,
728,
33,
14
],
[
490,
728,
23,
14
],
[
521,
728,
45,
14
],
[
575,
728,
95,
14
],
[
678,
728,
23,
14
],
[
710,
728,
51,
14
],
[
769,
728,
23,
14
],
[
448,
743,
33,
14
],
[
485,
743,
41,
14
],
[
530,
743,
13,
14
],
[
547,
743,
19,
14
],
[
570,
743,
7,
14
],
[
581,
743,
31,
14
],
[
616,
743,
29,
14
],
[
649,
743,
19,
14
],
[
672,
743,
28,
14
],
[
703,
743,
23,
14
],
[
730,
743,
61,
14
],
[
448,
758,
58,
14
],
[
511,
758,
12,
14
],
[
529,
758,
37,
14
],
[
571,
758,
14,
14
],
[
591,
758,
24,
14
],
[
621,
758,
61,
14
],
[
688,
758,
28,
14
],
[
722,
758,
28,
14
],
[
755,
758,
36,
14
],
[
448,
773,
39,
14
],
[
498,
773,
16,
14
],
[
525,
773,
34,
14
],
[
570,
773,
19,
14
],
[
601,
773,
68,
14
],
[
680,
773,
13,
14
],
[
705,
773,
15,
14
],
[
731,
773,
37,
14
],
[
779,
773,
12,
14
],
[
448,
789,
328,
14
],
[
448,
804,
13,
14
],
[
467,
804,
36,
14
],
[
509,
804,
7,
14
],
[
523,
804,
20,
14
],
[
549,
804,
36,
14
],
[
592,
804,
13,
14
],
[
611,
804,
54,
14
],
[
671,
804,
53,
14
],
[
730,
804,
61,
14
],
[
448,
819,
23,
14
],
[
475,
819,
29,
14
],
[
462,
834,
23,
14
],
[
490,
834,
61,
14
],
[
556,
834,
23,
14
],
[
584,
834,
26,
14
],
[
615,
834,
40,
14
],
[
660,
834,
12,
14
],
[
676,
834,
19,
14
],
[
700,
834,
28,
14
],
[
733,
834,
19,
14
],
[
757,
834,
35,
14
],
[
448,
850,
37,
14
],
[
488,
850,
15,
14
],
[
507,
850,
44,
14
],
[
554,
850,
48,
14
],
[
606,
850,
41,
14
],
[
650,
850,
24,
14
],
[
678,
850,
19,
14
],
[
700,
850,
45,
14
],
[
749,
850,
42,
14
],
[
448,
865,
12,
14
],
[
467,
865,
28,
14
],
[
502,
865,
35,
14
],
[
544,
865,
17,
14
],
[
568,
865,
53,
14
],
[
628,
865,
19,
14
],
[
654,
865,
28,
14
],
[
689,
865,
13,
14
],
[
709,
865,
62,
14
],
[
779,
865,
13,
14
],
[
448,
880,
48,
14
],
[
507,
880,
26,
14
],
[
545,
880,
19,
14
],
[
575,
880,
43,
14
],
[
630,
880,
28,
14
],
[
669,
880,
13,
14
],
[
694,
880,
67,
14
],
[
773,
880,
19,
14
],
[
448,
895,
53,
14
],
[
510,
895,
56,
14
],
[
576,
895,
19,
14
],
[
604,
895,
37,
14
],
[
650,
895,
16,
14
],
[
675,
895,
7,
14
],
[
691,
895,
29,
14
],
[
730,
895,
30,
14
],
[
769,
895,
23,
14
],
[
448,
910,
49,
14
],
[
502,
910,
23,
14
],
[
531,
910,
19,
14
],
[
555,
910,
73,
14
],
[
634,
910,
23,
14
],
[
663,
910,
39,
14
],
[
708,
910,
13,
14
],
[
726,
910,
41,
14
],
[
773,
910,
19,
14
],
[
448,
926,
26,
14
],
[
479,
926,
28,
14
],
[
512,
926,
56,
14
],
[
574,
926,
61,
14
],
[
640,
926,
19,
14
],
[
665,
926,
28,
14
],
[
698,
926,
43,
14
],
[
746,
926,
23,
14
],
[
775,
926,
16,
14
],
[
77,
977,
20,
12
],
[
100,
977,
30,
12
],
[
134,
977,
74,
12
],
[
212,
977,
32,
12
],
[
248,
977,
11,
12
],
[
264,
977,
50,
12
],
[
318,
977,
19,
12
],
[
338,
977,
21,
12
],
[
363,
977,
23,
12
],
[
390,
977,
17,
12
],
[
411,
977,
20,
12
],
[
435,
977,
22,
12
],
[
459,
977,
21,
12
],
[
483,
977,
23,
12
],
[
510,
977,
17,
12
],
[
531,
977,
20,
12
],
[
555,
977,
31,
12
],
[
590,
977,
78,
12
],
[
89,
1003,
18,
11
],
[
109,
1003,
44,
11
],
[
156,
1003,
24,
11
],
[
183,
1003,
44,
11
],
[
230,
1003,
11,
11
],
[
245,
1003,
33,
11
],
[
280,
1003,
47,
11
],
[
330,
1003,
26,
11
],
[
77,
1015,
20,
11
],
[
99,
1015,
7,
11
],
[
109,
1015,
11,
11
],
[
123,
1015,
24,
11
],
[
150,
1015,
30,
11
],
[
183,
1015,
28,
11
],
[
213,
1015,
48,
11
],
[
264,
1015,
26,
11
],
[
293,
1015,
14,
11
],
[
309,
1015,
25,
11
],
[
337,
1015,
10,
11
],
[
349,
1015,
14,
11
],
[
365,
1015,
38,
11
],
[
406,
1015,
46,
11
],
[
454,
1015,
51,
11
],
[
508,
1015,
78,
11
],
[
589,
1015,
34,
11
],
[
625,
1015,
166,
11
],
[
77,
1028,
48,
11
],
[
128,
1028,
27,
11
],
[
158,
1028,
33,
11
],
[
194,
1028,
53,
11
],
[
250,
1028,
72,
11
],
[
326,
1028,
18,
11
],
[
346,
1028,
55,
11
],
[
404,
1028,
17,
11
],
[
425,
1028,
58,
11
],
[
486,
1028,
9,
11
],
[
498,
1028,
17,
11
],
[
517,
1028,
39,
11
],
[
559,
1028,
40,
11
],
[
602,
1028,
14,
11
],
[
620,
1028,
35,
11
],
[
657,
1028,
23,
11
],
[
684,
1028,
7,
11
],
[
694,
1028,
38,
11
],
[
735,
1028,
24,
11
]
] | [
"Published",
"online",
"11",
"May",
"2010",
"Nucleic",
"Acids",
"Research,",
"2010,",
"Vol.",
"38,",
"Web",
"Server",
"issue",
"W155–W160",
"doi:10.1093/nar/gkq331",
"The",
"Ontology",
"Lookup",
"Service:",
"bigger",
"and",
"better",
"Richard",
"C",
"oˆte´",
"1,*,",
"Florian",
"Reisinger1,",
"Lennart",
"Martens2,3,",
"Harald",
"Barsnes4,",
"Juan",
"Antonio",
"Vizcaino1",
"and",
"Henning",
"Hermjakob1",
"1European",
"Bioinformatics",
"Institute,",
"Wellcome",
"Trust",
"Genome",
"Campus,",
"Cambridge,",
"CB10",
"1SD,",
"UK,",
"2Department",
"of",
"Medical",
"Protein",
"Research,",
"VIB,",
"Ghent,",
"Belgium,",
"3Department",
"of",
"Biochemistry,",
"Ghent",
"University,",
"Ghent,",
"Belgium",
"and",
"4Department",
"of",
"Informatics,",
"University",
"of",
"Bergen,",
"Norway",
"Received",
"January",
"29,",
"2010;",
"Revised",
"April",
"4,",
"2010;",
"Accepted",
"April",
"17,",
"2010",
"ABSTRACT",
"The",
"Ontology",
"Lookup",
"Service",
"(OLS;",
"http://www.ebi",
".ac.uk/ols)",
"has",
"been",
"providing",
"several",
"means",
"to",
"query,",
"browse",
"and",
"navigate",
"biomedical",
"ontologies",
"and",
"controlled",
"vocabularies",
"since",
"it",
"first",
"went",
"into",
"production",
"4",
"years",
"ago,",
"and",
"usage",
"statistics",
"indicate",
"that",
"it",
"has",
"become",
"a",
"heavily",
"accessed",
"service",
"with",
"millions",
"of",
"hits",
"monthly.",
"The",
"volume",
"of",
"data",
"available",
"for",
"querying",
"has",
"increased",
"7-fold",
"since",
"its",
"inception.",
"OLS",
"functionality",
"has",
"been",
"integrated",
"into",
"several",
"high-usage",
"databases",
"and",
"data",
"entry",
"tools.",
"Improvements",
"in",
"the",
"data",
"model",
"and",
"loaders,",
"as",
"well",
"as",
"interface",
"enhancements",
"have",
"made",
"the",
"OLS",
"easier",
"to",
"use",
"and",
"capture",
"more",
"annotations",
"from",
"the",
"source",
"data.",
"In",
"addition,",
"newly",
"released",
"software",
"packages",
"now",
"provide",
"easy",
"means",
"to",
"fully",
"integrate",
"OLS",
"function-",
"ality",
"in",
"external",
"applications.",
"INTRODUCTION",
"Ontologies",
"and",
"controlled",
"vocabularies",
"(CVs)",
"have",
"more",
"than",
"demonstrated",
"their",
"essential",
"function",
"when",
"dealing",
"with",
"large",
"volumes",
"of",
"complex",
"data",
"currently",
"being",
"generated",
"by",
"high-throughput",
"multi-domain",
"analysis",
"tech-",
"niques",
"(1).",
"They",
"provide",
"a",
"framework",
"around",
"which",
"large",
"data",
"sets",
"can",
"be",
"systematically",
"annotated",
"and",
"queried.",
"For",
"this",
"framework",
"to",
"function",
"efficiently,",
"however,",
"the",
"ontologies",
"and",
"CVs",
"must",
"be",
"made",
"available",
"to",
"the",
"user",
"community.",
"The",
"Ontology",
"Lookup",
"Service",
"(OLS)",
"has",
"been",
"in",
"pro-",
"duction",
"since",
"mid-2005",
"and",
"has",
"quickly",
"become",
"one",
"of",
"the",
"most",
"accessed",
"services",
"in",
"the",
"Proteomics",
"Services",
"team",
"at",
"the",
"EBI,",
"with",
"monthly",
"usage",
"figures",
"in",
"the",
"millions",
"of",
"hits.",
"This",
"includes",
"both",
"the",
"programmatic",
"as",
"well",
"as",
"the",
"inter-",
"active",
"interfaces",
"that",
"the",
"service",
"offers.",
"The",
"OLS",
"has",
"been",
"previously",
"described",
"and",
"readers",
"are",
"invited",
"to",
"refer",
"to",
"the",
"original",
"publication",
"for",
"in-depth",
"information",
"on",
"the",
"tech-",
"nical",
"architecture",
"and",
"data",
"models",
"(2,3).",
"The",
"core",
"functionality",
"of",
"the",
"OLS",
"has",
"remained",
"largely",
"unchanged",
"since",
"its",
"inception,",
"allowing",
"users",
"to",
"query",
"ontologies",
"and",
"CVs",
"by",
"name",
"or",
"identifier",
"as",
"well",
"as",
"ob-",
"taining",
"metadata,",
"such",
"as",
"synonyms,",
"definitions,",
"cross",
"ref-",
"erences",
"and",
"other",
"annotations,",
"for",
"a",
"given",
"term.",
"Users",
"can",
"also",
"traverse",
"the",
"relationships",
"between",
"terms.",
"The",
"usabil-",
"ity",
"and",
"volume",
"of",
"data",
"captured,",
"however,",
"has",
"been",
"enhanced",
"and",
"this",
"will",
"be",
"expanded",
"below.",
"The",
"OLS",
"has",
"always",
"been",
"designed",
"to",
"be",
"used",
"in",
"other",
"projects",
"as",
"a",
"means",
"to",
"integrate",
"ontology",
"and",
"CV",
"anno-",
"tation",
"and",
"query",
"functionality.",
"A",
"SOAP",
"web",
"service",
"has",
"been",
"available",
"since",
"the",
"OLS",
"went",
"into",
"production.",
"A",
"full",
"description",
"of",
"the",
"web",
"service",
"has",
"already",
"been",
"published",
"(2,3)",
"and",
"users",
"who",
"wish",
"to",
"make",
"use",
"of",
"it",
"are",
"encouraged",
"to",
"go",
"to",
"the",
"OLS",
"web",
"service",
"developer",
"section",
"for",
"the",
"most",
"up-to-date",
"documentation",
"and",
"code",
"samples",
"(http://www.ebi.ac.uk/ontology-lookup/WSDLDocument",
"ation.do).",
"AVAILABLE",
"DATA",
"The",
"first",
"OLS",
"publication",
"described",
"it",
"as",
"containing",
"42",
"ontologies,",
"accounting",
"for",
"roughly",
"135",
"000",
"terms.",
"Over",
"a",
"4-year",
"period,",
"the",
"data",
"loaded",
"into",
"the",
"OLS",
"has",
"been",
"expanded",
"to",
"79",
"ontologies,",
"representing",
"over",
"971",
"000",
"unique",
"terms",
"(Figure",
"1).",
"These",
"cover",
"far-ranging",
"topics",
"such",
"as",
"model",
"organism",
"anatomy",
"and",
"development,",
"physi-",
"ology",
"and",
"disease,",
"instrumentation",
"and",
"methods",
"and",
"many",
"others.",
"In",
"the",
"2",
"years",
"since",
"the",
"OLS",
"was",
"previously",
"published",
"in",
"NAR,",
"25",
"new",
"ontologies",
"have",
"been",
"added",
"(Table",
"1).",
"Users",
"are",
"encouraged",
"to",
"go",
"online",
"at",
"http://www.ebi.ac.uk/ontology-lookup/ontologyList.do",
"to",
"access",
"a",
"full",
"listing",
"of",
"currently",
"available",
"ontologies",
"and",
"CVs.",
"The",
"ontologies",
"and",
"CVs",
"loaded",
"in",
"the",
"OLS",
"are",
"main-",
"tained",
"by",
"various",
"external",
"groups",
"that",
"are",
"domain",
"experts",
"in",
"their",
"fields.",
"To",
"maintain",
"the",
"OLS",
"as",
"up-to-date",
"as",
"possible",
"with",
"the",
"current",
"state",
"of",
"knowledge,",
"the",
"ontology",
"providers",
"are",
"polled",
"on",
"a",
"daily",
"basis",
"and",
"updated",
"files",
"are",
"downloaded",
"and",
"parsed",
"to",
"update",
"the",
"core",
"OLS",
"database.",
"Currently,",
"the",
"OLS",
"loaders",
"poll",
"six",
"*To",
"whom",
"correspondence",
"should",
"be",
"addressed.",
"Tel:",
"+44",
"1223",
"492",
"610;",
"Fax:",
"+44",
"1223",
"494",
"468;",
"Email:",
"rcote@ebi.ac.uk",
"The",
"Author(s)",
"2010.",
"Published",
"by",
"Oxford",
"University",
"Press.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"Non-Commercial",
"License",
"(http://creativecommons.org/licenses/",
"by-nc/2.5),",
"which",
"permits",
"unrestricted",
"non-commercial",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
7,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,687,693 | null | [
[
106,
89,
19,
12
],
[
129,
89,
34,
12
],
[
168,
89,
35,
12
],
[
208,
89,
9,
12
],
[
222,
89,
35,
12
],
[
261,
89,
42,
12
],
[
308,
89,
3,
12
],
[
316,
89,
55,
12
],
[
376,
89,
22,
12
],
[
124,
154,
169,
21
],
[
300,
154,
70,
21
],
[
378,
154,
95,
21
],
[
481,
154,
96,
21
],
[
585,
154,
117,
21
],
[
118,
181,
25,
21
],
[
152,
181,
28,
21
],
[
187,
181,
155,
21
],
[
351,
181,
57,
21
],
[
416,
181,
22,
21
],
[
446,
181,
14,
21
],
[
468,
181,
79,
21
],
[
555,
181,
49,
21
],
[
612,
181,
96,
21
],
[
249,
209,
89,
21
],
[
346,
209,
112,
21
],
[
466,
209,
112,
21
],
[
180,
266,
21,
14
],
[
207,
266,
42,
14
],
[
255,
266,
35,
14
],
[
296,
266,
41,
14
],
[
343,
266,
50,
14
],
[
399,
266,
33,
14
],
[
438,
266,
41,
14
],
[
485,
266,
46,
14
],
[
536,
266,
29,
14
],
[
570,
266,
29,
14
],
[
605,
266,
41,
14
],
[
229,
283,
37,
14
],
[
272,
283,
29,
14
],
[
306,
283,
32,
14
],
[
344,
280,
47,
18
],
[
396,
283,
101,
14
],
[
503,
283,
41,
14
],
[
550,
280,
47,
18
],
[
226,
301,
37,
14
],
[
269,
301,
37,
14
],
[
311,
301,
32,
14
],
[
349,
301,
36,
14
],
[
390,
301,
28,
14
],
[
424,
301,
48,
14
],
[
477,
301,
19,
14
],
[
502,
301,
56,
14
],
[
565,
301,
36,
14
],
[
119,
348,
68,
13
],
[
193,
348,
10,
13
],
[
209,
348,
39,
13
],
[
253,
348,
50,
13
],
[
309,
345,
56,
16
],
[
371,
348,
20,
13
],
[
397,
348,
55,
13
],
[
457,
345,
59,
16
],
[
522,
348,
40,
13
],
[
568,
348,
10,
13
],
[
584,
348,
50,
13
],
[
640,
348,
67,
13
],
[
326,
365,
43,
13
],
[
375,
365,
54,
13
],
[
435,
365,
27,
13
],
[
468,
365,
32,
13
],
[
111,
418,
76,
13
],
[
194,
418,
30,
13
],
[
230,
418,
42,
13
],
[
279,
418,
32,
13
],
[
318,
418,
41,
13
],
[
365,
418,
8,
13
],
[
380,
418,
7,
13
],
[
394,
418,
44,
13
],
[
444,
418,
63,
13
],
[
514,
418,
41,
13
],
[
562,
418,
9,
13
],
[
577,
418,
39,
13
],
[
623,
418,
20,
13
],
[
650,
418,
26,
13
],
[
682,
418,
46,
13
],
[
98,
435,
40,
13
],
[
142,
435,
49,
13
],
[
195,
435,
55,
13
],
[
255,
435,
53,
13
],
[
313,
435,
59,
13
],
[
376,
435,
10,
13
],
[
390,
435,
25,
13
],
[
420,
435,
22,
13
],
[
446,
435,
29,
13
],
[
479,
435,
23,
13
],
[
506,
435,
69,
13
],
[
579,
435,
59,
13
],
[
642,
435,
10,
13
],
[
656,
435,
16,
13
],
[
676,
435,
52,
13
],
[
98,
453,
22,
13
],
[
128,
453,
10,
13
],
[
145,
453,
40,
13
],
[
194,
453,
64,
13
],
[
266,
453,
10,
13
],
[
284,
453,
38,
13
],
[
330,
453,
41,
13
],
[
380,
453,
47,
13
],
[
435,
453,
70,
13
],
[
513,
453,
35,
13
],
[
556,
453,
20,
13
],
[
584,
453,
25,
13
],
[
618,
453,
41,
13
],
[
667,
453,
17,
13
],
[
691,
453,
20,
13
],
[
720,
453,
9,
13
],
[
98,
471,
92,
13
],
[
195,
471,
19,
13
],
[
219,
471,
98,
13
],
[
322,
471,
30,
13
],
[
356,
471,
27,
13
],
[
389,
471,
15,
13
],
[
409,
471,
29,
13
],
[
443,
471,
25,
13
],
[
474,
471,
41,
13
],
[
520,
471,
52,
13
],
[
577,
471,
12,
13
],
[
595,
471,
13,
13
],
[
613,
471,
70,
13
],
[
688,
471,
27,
13
],
[
720,
471,
9,
13
],
[
98,
489,
7,
13
],
[
110,
489,
33,
13
],
[
148,
489,
20,
13
],
[
173,
489,
29,
13
],
[
112,
524,
21,
13
],
[
138,
524,
35,
13
],
[
179,
524,
3,
13
],
[
188,
524,
76,
13
],
[
269,
524,
30,
13
],
[
304,
524,
45,
13
],
[
354,
524,
71,
13
],
[
430,
524,
30,
13
],
[
466,
524,
26,
13
],
[
174,
597,
135,
17
],
[
92,
632,
76,
13
],
[
174,
632,
30,
13
],
[
211,
632,
42,
13
],
[
260,
632,
32,
13
],
[
299,
632,
8,
13
],
[
314,
632,
57,
13
],
[
378,
632,
12,
13
],
[
397,
632,
7,
13
],
[
78,
650,
44,
13
],
[
129,
650,
63,
13
],
[
199,
650,
46,
13
],
[
252,
650,
9,
13
],
[
268,
650,
39,
13
],
[
315,
650,
39,
13
],
[
361,
650,
20,
13
],
[
388,
650,
16,
13
],
[
78,
668,
35,
13
],
[
120,
668,
89,
13
],
[
216,
668,
24,
13
],
[
247,
665,
34,
16
],
[
288,
668,
25,
13
],
[
321,
668,
21,
13
],
[
349,
668,
21,
13
],
[
377,
668,
12,
13
],
[
397,
668,
7,
13
],
[
78,
686,
52,
13
],
[
144,
686,
47,
13
],
[
204,
686,
9,
13
],
[
226,
686,
92,
13
],
[
331,
686,
39,
13
],
[
384,
686,
20,
13
],
[
78,
704,
51,
13
],
[
135,
704,
46,
13
],
[
185,
704,
21,
13
],
[
212,
704,
44,
13
],
[
261,
704,
24,
13
],
[
291,
704,
12,
13
],
[
308,
704,
36,
13
],
[
350,
704,
54,
13
],
[
78,
721,
52,
13
],
[
137,
721,
39,
13
],
[
181,
721,
40,
13
],
[
227,
721,
19,
13
],
[
252,
721,
74,
13
],
[
332,
721,
12,
13
],
[
351,
721,
19,
13
],
[
376,
721,
12,
13
],
[
394,
721,
9,
13
],
[
78,
739,
54,
13
],
[
141,
739,
21,
13
],
[
172,
739,
35,
13
],
[
216,
739,
17,
13
],
[
242,
739,
28,
13
],
[
280,
739,
46,
13
],
[
335,
739,
50,
13
],
[
394,
739,
9,
13
],
[
78,
757,
52,
13
],
[
136,
754,
68,
16
],
[
210,
757,
54,
13
],
[
269,
757,
59,
13
],
[
335,
757,
10,
13
],
[
350,
757,
25,
13
],
[
382,
757,
22,
13
],
[
78,
775,
29,
13
],
[
111,
775,
23,
13
],
[
138,
775,
32,
13
],
[
174,
775,
59,
13
],
[
237,
775,
10,
13
],
[
251,
775,
40,
13
],
[
295,
775,
64,
13
],
[
363,
775,
41,
13
],
[
78,
792,
53,
13
],
[
139,
792,
64,
13
],
[
211,
792,
39,
13
],
[
257,
792,
20,
13
],
[
285,
792,
25,
13
],
[
318,
792,
33,
13
],
[
359,
792,
28,
13
],
[
394,
792,
9,
13
],
[
78,
810,
39,
13
],
[
123,
810,
20,
13
],
[
148,
810,
19,
13
],
[
172,
810,
9,
13
],
[
186,
810,
16,
13
],
[
207,
810,
43,
13
],
[
255,
810,
10,
13
],
[
270,
807,
76,
16
],
[
92,
828,
71,
13
],
[
168,
828,
59,
13
],
[
233,
828,
19,
13
],
[
257,
828,
10,
13
],
[
271,
828,
13,
13
],
[
289,
828,
59,
13
],
[
353,
828,
8,
13
],
[
367,
828,
7,
13
],
[
378,
828,
25,
13
],
[
78,
846,
48,
13
],
[
131,
846,
19,
13
],
[
154,
846,
7,
13
],
[
165,
846,
43,
13
],
[
212,
846,
44,
13
],
[
260,
846,
66,
13
],
[
330,
846,
10,
13
],
[
344,
846,
59,
13
],
[
78,
864,
9,
13
],
[
95,
864,
16,
13
],
[
119,
864,
43,
13
],
[
171,
864,
10,
13
],
[
189,
861,
39,
16
],
[
235,
864,
47,
13
],
[
291,
864,
70,
13
],
[
369,
864,
35,
13
],
[
78,
881,
41,
13
],
[
124,
881,
9,
13
],
[
137,
881,
25,
13
],
[
167,
881,
41,
13
],
[
212,
881,
17,
13
],
[
233,
881,
28,
13
],
[
265,
881,
28,
13
],
[
298,
881,
9,
13
],
[
311,
881,
92,
13
],
[
78,
899,
19,
13
],
[
102,
899,
98,
13
],
[
204,
896,
33,
16
],
[
239,
896,
9,
16
],
[
253,
899,
30,
13
],
[
287,
899,
25,
13
],
[
316,
899,
25,
13
],
[
346,
899,
18,
13
],
[
369,
899,
35,
13
],
[
78,
917,
10,
13
],
[
94,
917,
13,
13
],
[
113,
917,
70,
13
],
[
189,
917,
61,
13
],
[
256,
917,
10,
13
],
[
271,
917,
25,
13
],
[
303,
917,
41,
13
],
[
350,
917,
9,
13
],
[
365,
917,
39,
13
],
[
423,
596,
20,
13
],
[
447,
596,
43,
13
],
[
494,
596,
40,
13
],
[
538,
596,
49,
13
],
[
591,
596,
50,
13
],
[
645,
594,
53,
16
],
[
702,
596,
27,
13
],
[
733,
596,
15,
13
],
[
423,
614,
30,
13
],
[
457,
614,
13,
13
],
[
475,
614,
25,
13
],
[
506,
614,
41,
13
],
[
553,
614,
52,
13
],
[
610,
614,
12,
13
],
[
627,
614,
13,
13
],
[
645,
614,
70,
13
],
[
721,
614,
27,
13
],
[
423,
632,
9,
13
],
[
437,
632,
7,
13
],
[
449,
632,
33,
13
],
[
488,
632,
20,
13
],
[
513,
632,
26,
13
],
[
544,
632,
45,
13
],
[
594,
632,
66,
13
],
[
665,
632,
74,
13
],
[
521,
680,
50,
17
],
[
576,
680,
74,
17
],
[
437,
721,
8,
13
],
[
449,
721,
60,
13
],
[
513,
721,
25,
13
],
[
542,
721,
20,
13
],
[
567,
721,
43,
13
],
[
614,
721,
10,
13
],
[
628,
721,
16,
13
],
[
649,
721,
38,
13
],
[
691,
721,
43,
13
],
[
738,
721,
10,
13
],
[
423,
739,
31,
13
],
[
458,
739,
20,
13
],
[
482,
739,
37,
13
],
[
523,
739,
32,
13
],
[
559,
739,
13,
13
],
[
576,
739,
30,
13
],
[
611,
739,
27,
13
],
[
641,
739,
15,
13
],
[
660,
739,
20,
13
],
[
685,
739,
33,
13
],
[
721,
739,
10,
13
],
[
735,
739,
13,
13
],
[
423,
757,
62,
13
],
[
491,
757,
23,
13
],
[
520,
757,
7,
13
],
[
533,
757,
47,
13
],
[
586,
757,
29,
13
],
[
621,
757,
24,
13
],
[
652,
757,
37,
13
],
[
695,
757,
53,
13
],
[
423,
775,
21,
13
],
[
448,
775,
36,
13
],
[
487,
775,
22,
13
],
[
513,
775,
10,
13
],
[
527,
775,
52,
13
],
[
582,
775,
13,
13
],
[
599,
775,
20,
13
],
[
623,
775,
50,
13
],
[
676,
775,
20,
13
],
[
700,
775,
48,
13
],
[
423,
792,
28,
13
],
[
460,
792,
29,
13
],
[
497,
792,
14,
13
],
[
520,
792,
32,
13
],
[
561,
792,
56,
13
],
[
626,
792,
33,
13
],
[
668,
792,
80,
13
],
[
423,
810,
32,
13
],
[
460,
810,
58,
13
],
[
523,
810,
19,
13
],
[
546,
810,
35,
13
],
[
586,
810,
31,
13
],
[
621,
810,
41,
13
],
[
667,
810,
13,
13
],
[
685,
810,
16,
13
],
[
706,
810,
23,
13
],
[
733,
810,
15,
13
],
[
423,
828,
21,
13
],
[
450,
828,
22,
13
],
[
478,
828,
34,
13
],
[
519,
828,
13,
13
],
[
538,
828,
56,
13
],
[
600,
828,
56,
13
],
[
663,
828,
19,
13
],
[
688,
828,
41,
13
],
[
736,
828,
12,
13
],
[
423,
846,
67,
13
],
[
499,
846,
37,
13
],
[
546,
846,
19,
13
],
[
575,
846,
151,
13
],
[
736,
846,
12,
13
],
[
423,
863,
24,
13
],
[
452,
863,
59,
13
],
[
517,
863,
11,
13
],
[
534,
863,
19,
13
],
[
559,
863,
24,
13
],
[
589,
863,
15,
13
],
[
609,
863,
23,
13
],
[
638,
863,
19,
13
],
[
663,
863,
23,
13
],
[
691,
863,
57,
13
],
[
423,
881,
33,
13
],
[
464,
881,
25,
13
],
[
497,
878,
44,
16
],
[
549,
881,
19,
13
],
[
576,
878,
52,
16
],
[
637,
881,
61,
13
],
[
706,
881,
19,
13
],
[
734,
881,
15,
13
],
[
423,
899,
48,
13
],
[
478,
899,
22,
13
],
[
508,
899,
20,
13
],
[
536,
899,
24,
13
],
[
567,
899,
16,
13
],
[
591,
899,
19,
13
],
[
618,
899,
20,
13
],
[
646,
899,
21,
13
],
[
675,
899,
53,
13
],
[
736,
899,
12,
13
],
[
423,
917,
33,
13
],
[
460,
917,
43,
13
],
[
508,
917,
48,
13
],
[
561,
917,
20,
13
],
[
586,
917,
38,
13
],
[
629,
917,
54,
13
],
[
688,
917,
32,
13
],
[
724,
917,
24,
13
],
[
80,
970,
50,
11
],
[
134,
970,
3,
11
],
[
141,
970,
44,
11
],
[
190,
970,
8,
11
],
[
202,
970,
21,
11
],
[
80,
983,
50,
11
],
[
134,
983,
3,
11
],
[
141,
983,
44,
11
],
[
190,
983,
8,
11
],
[
202,
983,
21,
11
],
[
80,
996,
81,
11
],
[
165,
996,
9,
11
],
[
178,
996,
3,
11
],
[
186,
996,
13,
11
],
[
203,
996,
25,
11
],
[
233,
996,
19,
11
],
[
257,
996,
20,
11
],
[
282,
996,
50,
11
],
[
336,
996,
8,
11
],
[
349,
996,
32,
11
],
[
386,
996,
40,
11
],
[
431,
996,
33,
11
],
[
468,
996,
8,
11
],
[
481,
996,
40,
11
],
[
526,
996,
54,
11
],
[
585,
996,
35,
11
],
[
624,
996,
44,
11
],
[
673,
996,
11,
11
],
[
688,
996,
58,
11
],
[
186,
1009,
20,
11
],
[
209,
1009,
38,
11
],
[
252,
1009,
26,
11
],
[
282,
1009,
14,
11
],
[
299,
1009,
3,
11
],
[
307,
1009,
73,
11
],
[
384,
1009,
16,
11
],
[
404,
1009,
3,
11
],
[
412,
1009,
73,
11
],
[
489,
1009,
29,
11
],
[
522,
1009,
3,
11
],
[
530,
1009,
111,
11
]
] | [
"The",
"Korean",
"Journal",
"of",
"Internal",
"Medicine",
":",
"22:215-219,",
"2007",
"Mycobacterium",
"Avium",
"Complex",
"Infection",
"Presenting",
"as",
"an",
"Endobronchial",
"Mass",
"in",
"a",
"Patient",
"with",
"Acquired",
"Immune",
"Deficiency",
"Syndrome",
"Ho",
"Cheol",
"Kim,",
"M.D.,",
"In-Gyu",
"Bae,",
"M.D.,",
"Jeong",
"Eun",
"Ma,",
"M.D.,",
"Jong",
"Shil",
"Lee,",
"M.D.2,",
"Kyoung-Nyeo",
"Jeon,",
"M.D.3,",
"Jong",
"Deok",
"Lee,",
"M.D.",
"and",
"Young",
"Sil",
"Hwang,",
"M.D.",
"Departments",
"of",
"Internal",
"Medicine,",
"Pathology2",
"and",
"Diagnostic",
"Radiology3,",
"College",
"of",
"Medicine,",
"Gyeongsang",
"National",
"University,",
"Jinju,",
"Korea",
"Mycobacterium",
"avium",
"complex",
"(MAC)",
"infection",
"is",
"a",
"common",
"opportunistic",
"infection",
"in",
"patients",
"with",
"AIDS",
"(acquired",
"immune",
"deficiency",
"syndrome).",
"Pulmonary",
"involvement",
"of",
"MAC",
"may",
"range",
"from",
"asymptomatic",
"colonization",
"of",
"the",
"respiratory",
"tract",
"to",
"invasive",
"parenchymal",
"or",
"cavitary",
"disease.",
"However,",
"endobronchial",
"lesions",
"with",
"MAC",
"infection",
"are",
"rare",
"in",
"immunocompetent",
"and",
"immunosuppressed",
"hosts.",
"Here,",
"we",
"report",
"MAC",
"infection",
"presenting",
"as",
"an",
"endobronchial",
"mass",
"in",
"a",
"patient",
"with",
"AIDS.",
"Key",
"Words",
":",
"Mycobacterium",
"avium",
"complex,",
"Endobronchial",
"mass,",
"AIDS",
"INTRODUCTION",
"Mycobacterium",
"avium",
"complex",
"(MAC)",
"is",
"well-known",
"as",
"a",
"common",
"opportunistic",
"organism",
"in",
"patients",
"infected",
"with",
"the",
"human",
"immunodeficiency",
"virus",
"(HIV)1).",
"MAC",
"also",
"acts",
"as",
"a",
"pulmonary",
"pathogen",
"in",
"immunocompetent",
"patients",
"with",
"underlying",
"structural",
"lung",
"diseases",
"such",
"as",
"chronic",
"obstructive",
"pulmonary",
"disease",
"(COPD)",
"and",
"bronchiectasis,",
"as",
"well",
"as",
"in",
"destructive",
"lung",
"lesions",
"like",
"those",
"observed",
"previously",
"in",
"diagnosed",
"tuberculosis2).",
"Pulmonary",
"involvement",
"of",
"MAC",
"may",
"range",
"from",
"airway",
"colonization",
"to",
"invasive",
"parenchymal",
"disease.",
"Pulmonary",
"parenchymal",
"disease",
"with",
"MAC",
"occurs",
"rarely",
"in",
"patients",
"with",
"HIV",
"in",
"the",
"absence",
"of",
"dissemination3).",
"Endobronchial",
"involvement",
"due",
"to",
"M.",
"tuberculosis",
"is",
"a",
"well-",
"described",
"and",
"a",
"relatively",
"common",
"manifestation",
"of",
"tuberculosis",
"in",
"the",
"Republic",
"of",
"Korea4).",
"However,",
"endobronchial",
"lesions",
"involved",
"in",
"MAC",
"infection",
"are",
"rarely",
"found",
"in",
"immunocompetent",
"and",
"immunosuppressed",
"hosts5,",
"6).",
"There",
"have",
"been",
"few",
"reports",
"of",
"an",
"endobronchial",
"presentation",
"of",
"MAC",
"infection",
"in",
"patients",
"with",
"acquired",
"immune",
"deficiency",
"syndrome",
"(AIDS)6-11).",
"Here,",
"we",
"report",
"an",
"MAC",
"infection",
"presenting",
"as",
"an",
"endobronchial",
"mass",
"in",
"a",
"patient",
"with",
"AIDS",
"receiving",
"anti-retroviral",
"chemotherapy.",
"CASE",
"REPORT",
"A",
"40-year-old",
"male",
"was",
"admitted",
"to",
"the",
"hospital",
"because",
"of",
"cough",
"with",
"sputum",
"lasting",
"for",
"seven",
"days.",
"He",
"was",
"known",
"to",
"be",
"HIV-positive",
"from",
"a",
"diagnosis",
"made",
"eight",
"months",
"previously.",
"Five",
"months",
"prior",
"to",
"admission,",
"he",
"was",
"diagnosed",
"with",
"Pneumo-",
"cystis",
"carinii",
"(P.",
"carinii)",
"pneumonia",
"(PCP),",
"cytomegalovirus",
"(CMV)",
"pneumonia,",
"and",
"herpes",
"zoster",
"infection",
"on",
"the",
"skin.",
"He",
"was",
"then",
"started",
"on",
"lamivudine,",
"zidovudine,",
"and",
"indinavir",
"as",
"anti-retroviral",
"therapy",
"and",
"trimethoprim/sulfamethoxazole",
"as",
"PCP",
"prophylaxis.",
"At",
"that",
"time,",
"his",
"CD4",
"and",
"CD8",
"lymphocyte",
"counts",
"were",
"356/mm3",
"and",
"1546/mm3,",
"respectively,",
"and",
"his",
"CD4/CD8",
"ratio",
"was",
"0.23.",
"His",
"HIV",
"viral",
"load",
"(measured",
"by",
"Roche",
"Amplicor",
"RT-PCR)",
"was",
"670,000",
"copies/mL.",
"Seven",
"days",
"∙Received",
":",
"November",
"3,",
"2006",
"∙Accepted",
":",
"December",
"7,",
"2006",
"∙Correspondence",
"to",
":",
"Ho",
"Cheol",
"Kim,",
"M.D.",
"Department",
"of",
"Internal",
"Medicine,",
"College",
"of",
"Medicine,",
"Gyeongsang",
"National",
"University.",
"92",
"Chilam-dong,",
"Jinju",
"660-751,",
"Korea",
"Tel",
":",
"82-55-750-8684,",
"Fax",
":",
"82-55-758-9122,",
"E-mail",
":",
"hochkim@gshp.gsnu.ac.kr"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
16,
16,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13
] |
2,709,902 | null | [
[
76,
47,
141,
34
],
[
229,
47,
135,
34
],
[
76,
118,
70,
20
],
[
76,
143,
85,
23
],
[
167,
143,
20,
23
],
[
193,
143,
38,
23
],
[
236,
143,
117,
23
],
[
360,
143,
62,
23
],
[
427,
143,
18,
23
],
[
451,
143,
160,
23
],
[
617,
143,
77,
23
],
[
76,
168,
90,
23
],
[
171,
168,
151,
23
],
[
326,
168,
20,
23
],
[
349,
168,
111,
23
],
[
465,
168,
38,
23
],
[
507,
168,
81,
23
],
[
591,
168,
119,
23
],
[
714,
168,
51,
23
],
[
76,
193,
45,
23
],
[
126,
193,
78,
23
],
[
76,
218,
50,
21
],
[
131,
218,
131,
22
],
[
267,
218,
55,
21
],
[
327,
218,
89,
21
],
[
421,
218,
88,
22
],
[
514,
218,
64,
21
],
[
582,
218,
43,
21
],
[
630,
218,
76,
22
],
[
76,
243,
83,
21
],
[
164,
243,
65,
22
],
[
234,
243,
35,
21
],
[
274,
243,
73,
21
],
[
352,
243,
72,
22
],
[
706,
60,
54,
14
],
[
761,
60,
38,
14
],
[
697,
118,
44,
17
],
[
745,
118,
62,
17
],
[
76,
293,
41,
12
],
[
119,
293,
41,
12
],
[
162,
293,
19,
12
],
[
183,
293,
31,
12
],
[
216,
293,
42,
12
],
[
260,
293,
32,
12
],
[
294,
293,
44,
12
],
[
340,
293,
70,
12
],
[
412,
293,
42,
12
],
[
456,
293,
32,
12
],
[
490,
293,
33,
12
],
[
526,
293,
35,
12
],
[
563,
293,
40,
12
],
[
605,
293,
10,
12
],
[
618,
293,
20,
12
],
[
640,
293,
26,
12
],
[
668,
293,
37,
12
],
[
707,
293,
23,
12
],
[
732,
293,
36,
12
],
[
76,
306,
39,
11
],
[
117,
306,
16,
11
],
[
136,
306,
23,
11
],
[
161,
306,
65,
11
],
[
229,
306,
37,
11
],
[
268,
306,
20,
11
],
[
290,
306,
19,
11
],
[
311,
306,
63,
12
],
[
376,
306,
10,
11
],
[
389,
306,
39,
11
],
[
430,
306,
63,
11
],
[
495,
306,
34,
11
],
[
531,
306,
10,
11
],
[
544,
306,
31,
11
],
[
577,
306,
36,
11
],
[
615,
306,
34,
11
],
[
652,
306,
50,
11
],
[
704,
306,
10,
11
],
[
717,
306,
39,
11
],
[
76,
319,
43,
12
],
[
121,
319,
37,
12
],
[
161,
319,
20,
12
],
[
76,
339,
31,
11
],
[
110,
339,
27,
11
],
[
139,
339,
57,
11
],
[
198,
339,
4,
11
],
[
205,
339,
147,
11
],
[
354,
339,
30,
11
],
[
386,
339,
48,
11
],
[
436,
339,
40,
11
],
[
478,
339,
4,
11
],
[
484,
339,
151,
11
],
[
76,
352,
34,
12
],
[
113,
352,
23,
12
],
[
138,
352,
33,
12
],
[
174,
352,
4,
12
],
[
180,
352,
123,
12
],
[
306,
352,
45,
12
],
[
353,
352,
30,
12
],
[
386,
352,
4,
12
],
[
392,
352,
101,
12
],
[
495,
352,
39,
12
],
[
537,
352,
34,
12
],
[
574,
352,
4,
12
],
[
580,
352,
110,
12
],
[
76,
369,
7,
11
],
[
85,
369,
73,
11
],
[
160,
369,
33,
11
],
[
76,
427,
45,
11
],
[
124,
427,
12,
11
],
[
138,
427,
20,
11
],
[
161,
427,
23,
11
],
[
76,
447,
33,
12
],
[
111,
447,
29,
12
],
[
143,
447,
25,
12
],
[
171,
447,
26,
12
],
[
209,
447,
134,
12
],
[
76,
467,
20,
12
],
[
98,
467,
28,
12
],
[
129,
467,
7,
12
],
[
139,
467,
38,
12
],
[
179,
467,
25,
12
],
[
207,
467,
215,
12
],
[
430,
427,
43,
11
],
[
476,
427,
6,
11
],
[
484,
427,
29,
11
],
[
515,
427,
23,
11
],
[
430,
440,
46,
12
],
[
478,
440,
12,
12
],
[
492,
440,
20,
12
],
[
514,
440,
23,
12
],
[
76,
487,
9,
12
],
[
87,
487,
23,
12
],
[
113,
487,
51,
12
],
[
166,
487,
10,
12
],
[
179,
487,
10,
12
],
[
191,
487,
36,
12
],
[
230,
487,
35,
12
],
[
267,
487,
34,
12
],
[
305,
487,
18,
12
],
[
76,
500,
20,
12
],
[
98,
500,
7,
12
],
[
108,
500,
11,
12
],
[
121,
500,
26,
12
],
[
150,
500,
32,
12
],
[
184,
500,
28,
12
],
[
215,
500,
49,
12
],
[
267,
500,
27,
12
],
[
296,
500,
15,
12
],
[
314,
500,
27,
12
],
[
343,
500,
10,
12
],
[
355,
500,
15,
12
],
[
373,
500,
39,
12
],
[
415,
500,
48,
12
],
[
465,
500,
51,
12
],
[
519,
500,
34,
12
],
[
555,
500,
202,
12
],
[
76,
513,
27,
12
],
[
106,
513,
35,
12
],
[
143,
513,
56,
12
],
[
201,
513,
18,
12
],
[
222,
513,
55,
12
],
[
279,
513,
16,
12
],
[
298,
513,
60,
12
],
[
361,
513,
8,
12
],
[
372,
513,
16,
12
],
[
390,
513,
39,
12
],
[
432,
513,
40,
12
],
[
475,
513,
15,
12
],
[
493,
513,
34,
12
],
[
529,
513,
24,
12
],
[
556,
513,
7,
12
],
[
565,
513,
39,
12
],
[
607,
513,
25,
12
],
[
155,
573,
62,
15
],
[
155,
594,
80,
14
],
[
240,
594,
22,
14
],
[
266,
594,
71,
14
],
[
342,
594,
11,
14
],
[
358,
594,
19,
14
],
[
382,
594,
55,
14
],
[
442,
594,
9,
14
],
[
455,
594,
36,
14
],
[
496,
594,
17,
14
],
[
517,
594,
50,
14
],
[
572,
594,
119,
14
],
[
155,
610,
45,
14
],
[
205,
610,
41,
14
],
[
250,
610,
37,
14
],
[
291,
610,
31,
14
],
[
327,
610,
49,
14
],
[
380,
610,
65,
14
],
[
449,
610,
46,
14
],
[
500,
610,
18,
14
],
[
522,
610,
52,
14
],
[
579,
610,
11,
14
],
[
595,
610,
6,
14
],
[
605,
610,
40,
14
],
[
650,
610,
26,
14
],
[
679,
610,
11,
14
],
[
155,
627,
40,
14
],
[
200,
627,
119,
14
],
[
324,
627,
41,
14
],
[
371,
627,
32,
14
],
[
409,
627,
18,
14
],
[
433,
627,
51,
14
],
[
490,
627,
41,
14
],
[
537,
627,
11,
14
],
[
554,
627,
13,
14
],
[
573,
627,
73,
14
],
[
651,
627,
40,
14
],
[
155,
643,
41,
14
],
[
199,
643,
56,
14
],
[
258,
643,
10,
14
],
[
272,
643,
57,
14
],
[
332,
643,
37,
14
],
[
372,
643,
21,
14
],
[
396,
643,
61,
14
],
[
461,
643,
33,
14
],
[
497,
643,
10,
14
],
[
510,
643,
84,
14
],
[
596,
643,
41,
14
],
[
640,
643,
50,
14
],
[
155,
660,
9,
14
],
[
167,
660,
50,
14
],
[
220,
660,
10,
14
],
[
233,
660,
14,
14
],
[
250,
660,
61,
14
],
[
315,
660,
25,
14
],
[
344,
660,
41,
14
],
[
388,
660,
56,
14
],
[
448,
660,
10,
14
],
[
461,
660,
47,
14
],
[
511,
660,
41,
14
],
[
555,
660,
11,
14
],
[
570,
660,
25,
14
],
[
155,
683,
59,
14
],
[
217,
683,
40,
14
],
[
260,
683,
41,
14
],
[
305,
683,
28,
14
],
[
336,
683,
50,
14
],
[
390,
683,
27,
14
],
[
420,
683,
31,
14
],
[
455,
683,
57,
14
],
[
515,
683,
20,
14
],
[
538,
683,
50,
14
],
[
591,
683,
42,
14
],
[
637,
683,
40,
14
],
[
680,
683,
10,
14
],
[
155,
699,
25,
14
],
[
182,
699,
43,
14
],
[
229,
699,
25,
14
],
[
257,
699,
27,
14
],
[
286,
699,
48,
14
],
[
337,
699,
32,
14
],
[
372,
699,
15,
14
],
[
389,
699,
9,
14
],
[
401,
699,
25,
14
],
[
429,
699,
51,
14
],
[
483,
699,
59,
14
],
[
545,
699,
33,
14
],
[
581,
699,
49,
14
],
[
633,
699,
6,
14
],
[
642,
699,
49,
14
],
[
155,
715,
11,
14
],
[
169,
715,
32,
14
],
[
203,
715,
28,
14
],
[
233,
715,
14,
14
],
[
250,
715,
24,
14
],
[
277,
715,
15,
14
],
[
294,
715,
21,
14
],
[
318,
715,
51,
14
],
[
371,
715,
36,
14
],
[
410,
715,
60,
14
],
[
473,
715,
11,
14
],
[
487,
715,
25,
14
],
[
515,
715,
50,
14
],
[
567,
715,
21,
14
],
[
590,
715,
26,
14
],
[
619,
715,
12,
14
],
[
634,
715,
57,
14
],
[
155,
732,
79,
14
],
[
237,
732,
20,
14
],
[
260,
732,
39,
14
],
[
303,
732,
78,
14
],
[
384,
732,
41,
14
],
[
429,
732,
10,
14
],
[
442,
732,
9,
14
],
[
455,
732,
25,
14
],
[
483,
732,
34,
14
],
[
521,
732,
28,
14
],
[
552,
732,
42,
14
],
[
598,
732,
41,
14
],
[
155,
755,
49,
14
],
[
208,
755,
52,
14
],
[
264,
755,
38,
14
],
[
305,
755,
26,
14
],
[
335,
755,
43,
14
],
[
381,
755,
21,
14
],
[
405,
755,
14,
14
],
[
423,
755,
10,
14
],
[
437,
755,
24,
14
],
[
464,
755,
24,
14
],
[
492,
755,
15,
14
],
[
511,
755,
37,
14
],
[
552,
755,
38,
14
],
[
593,
755,
41,
14
],
[
638,
755,
43,
14
],
[
685,
755,
6,
14
],
[
155,
771,
50,
14
],
[
208,
771,
11,
14
],
[
222,
771,
50,
14
],
[
276,
771,
12,
14
],
[
292,
771,
9,
14
],
[
305,
771,
25,
14
],
[
333,
771,
23,
14
],
[
360,
771,
34,
14
],
[
397,
771,
51,
14
],
[
452,
771,
37,
14
],
[
493,
771,
41,
14
],
[
538,
771,
20,
14
],
[
561,
771,
7,
14
],
[
571,
771,
14,
14
],
[
589,
771,
64,
14
],
[
656,
771,
10,
14
],
[
670,
771,
21,
14
],
[
155,
788,
20,
14
],
[
178,
788,
21,
14
],
[
202,
788,
50,
14
],
[
255,
788,
22,
14
],
[
281,
788,
28,
14
],
[
312,
788,
94,
14
],
[
410,
788,
65,
14
],
[
478,
788,
13,
14
],
[
494,
788,
36,
14
],
[
534,
788,
12,
14
],
[
549,
788,
9,
14
],
[
562,
788,
37,
14
],
[
602,
788,
20,
14
],
[
626,
788,
9,
14
],
[
638,
788,
37,
14
],
[
678,
788,
12,
14
],
[
155,
804,
7,
14
],
[
165,
804,
41,
14
],
[
209,
804,
10,
14
],
[
222,
804,
65,
14
],
[
290,
804,
24,
14
],
[
318,
804,
18,
14
],
[
340,
804,
23,
14
],
[
366,
804,
54,
14
],
[
155,
827,
74,
14
],
[
231,
827,
24,
14
],
[
257,
827,
30,
14
],
[
290,
827,
47,
14
],
[
339,
827,
18,
14
],
[
360,
827,
22,
14
],
[
384,
827,
57,
14
],
[
444,
827,
36,
14
],
[
483,
827,
15,
14
],
[
500,
827,
38,
14
],
[
540,
827,
79,
14
],
[
621,
827,
10,
14
],
[
634,
827,
18,
14
],
[
655,
827,
36,
14
],
[
155,
844,
33,
14
],
[
190,
844,
47,
14
],
[
240,
844,
44,
14
],
[
287,
844,
23,
14
],
[
313,
844,
17,
14
],
[
332,
844,
59,
14
],
[
394,
844,
74,
14
],
[
471,
844,
24,
14
],
[
498,
844,
37,
14
],
[
538,
844,
26,
14
],
[
566,
844,
57,
14
],
[
626,
844,
20,
14
],
[
649,
844,
42,
14
],
[
155,
860,
9,
14
],
[
167,
860,
25,
14
],
[
196,
860,
44,
14
],
[
76,
928,
84,
15
],
[
76,
945,
67,
14
],
[
146,
945,
28,
14
],
[
178,
945,
10,
14
],
[
191,
945,
22,
14
],
[
216,
945,
13,
14
],
[
232,
945,
19,
14
],
[
254,
945,
22,
14
],
[
280,
945,
30,
14
],
[
312,
945,
55,
14
],
[
370,
945,
41,
14
],
[
76,
961,
13,
14
],
[
94,
961,
43,
14
],
[
142,
961,
45,
14
],
[
192,
961,
51,
14
],
[
248,
961,
24,
14
],
[
277,
961,
38,
14
],
[
320,
961,
67,
14
],
[
392,
961,
19,
14
],
[
76,
978,
44,
14
],
[
123,
978,
37,
14
],
[
163,
978,
13,
14
],
[
179,
978,
45,
14
],
[
228,
978,
23,
14
],
[
254,
978,
40,
14
],
[
298,
978,
73,
14
],
[
374,
978,
38,
14
],
[
76,
994,
36,
14
],
[
116,
994,
19,
14
],
[
140,
994,
46,
14
],
[
191,
994,
12,
14
],
[
208,
994,
34,
14
],
[
246,
994,
34,
14
],
[
285,
994,
16,
14
],
[
306,
994,
19,
14
],
[
329,
994,
41,
14
],
[
375,
994,
13,
14
],
[
392,
994,
19,
14
],
[
76,
1010,
36,
14
],
[
116,
1010,
26,
14
],
[
146,
1010,
39,
14
],
[
190,
1010,
47,
14
],
[
241,
1010,
19,
14
],
[
264,
1010,
29,
14
],
[
297,
1010,
71,
14
],
[
373,
1010,
21,
14
],
[
398,
1010,
13,
14
],
[
434,
929,
54,
14
],
[
491,
929,
36,
14
],
[
530,
929,
41,
14
],
[
575,
929,
28,
14
],
[
605,
929,
56,
14
],
[
665,
929,
24,
14
],
[
691,
929,
30,
14
],
[
725,
929,
45,
14
],
[
434,
945,
21,
14
],
[
459,
945,
46,
14
],
[
510,
945,
34,
14
],
[
548,
945,
13,
14
],
[
565,
945,
7,
14
],
[
576,
945,
41,
14
],
[
621,
945,
24,
14
],
[
649,
945,
13,
14
],
[
666,
945,
36,
14
],
[
706,
945,
64,
14
],
[
434,
961,
45,
14
],
[
482,
961,
33,
14
],
[
517,
961,
15,
14
],
[
535,
961,
29,
14
],
[
566,
961,
19,
14
],
[
588,
961,
76,
14
],
[
666,
961,
57,
14
],
[
725,
961,
23,
14
],
[
750,
961,
19,
14
],
[
434,
978,
36,
14
],
[
473,
978,
43,
14
],
[
518,
978,
55,
14
],
[
576,
978,
28,
14
],
[
606,
978,
20,
14
],
[
630,
978,
23,
14
],
[
655,
978,
7,
14
],
[
665,
978,
61,
14
],
[
729,
978,
41,
14
],
[
434,
994,
16,
14
],
[
454,
994,
19,
14
],
[
477,
994,
76,
14
],
[
556,
994,
12,
14
],
[
572,
994,
45,
14
],
[
620,
994,
29,
14
],
[
653,
994,
48,
14
],
[
704,
994,
12,
14
],
[
720,
994,
49,
14
],
[
434,
1010,
27,
14
],
[
467,
1010,
60,
14
],
[
532,
1010,
99,
14
],
[
637,
1010,
49,
14
],
[
691,
1010,
56,
14
],
[
753,
1010,
16,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"Malaria",
"Journal",
"Research",
"Analysis",
"of",
"von",
"Willebrand",
"factor",
"A",
"domain-related",
"protein",
"(WARP)",
"polymorphism",
"in",
"temperate",
"and",
"tropical",
"Plasmodium",
"vivax",
"field",
"isolates",
"Saber",
"Gholizadeh1,2,",
"Navid",
"Dinparast",
"Djadid*1,",
"Hamid",
"Reza",
"Basseri2,",
"Sedigheh",
"Zakeri1",
"and",
"Hossein",
"Ladoni2",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Malaria",
"and",
"Vector",
"Research",
"Group",
"(MVRG),",
"Biotechnology",
"Research",
"Center",
"(BRC),",
"Pasteur",
"Institute",
"of",
"Iran",
"(PII),",
"Tehran,",
"Iran,",
"Pasteur",
"Avenue,",
"PO",
"BOX",
"1316943551,",
"Tehran,",
"Iran",
"and",
"2Department",
"of",
"Medical",
"Entomology,",
"School",
"of",
"Public",
"Health,",
"Tehran",
"University",
"of",
"Medical",
"Sciences,",
"Tehran,",
"Iran",
"Email:",
"Saber",
"Gholizadeh",
"-",
"sabergholizadeh@yahoo.com;",
"Navid",
"Dinparast",
"Djadid*",
"-",
"ndinparastdjadid@yahoo.com;",
"Hamid",
"Reza",
"Basseri",
"-",
"basserih@sina.tums.ac.ir;",
"Sedigheh",
"Zakeri",
"-",
"zakeris@yahoo.com;",
"Hossein",
"Ladoni",
"-",
"laddonih@yahoo.com",
"*",
"Corresponding",
"author",
"Published:",
"23",
"June",
"2009",
"Malaria",
"Journal",
"2009,",
"8:137",
"doi:10.1186/1475-2875-8-137",
"This",
"article",
"is",
"available",
"from:",
"http://www.malariajournal.com/content/8/1/137",
"Received:",
"6",
"March",
"2009",
"Accepted:",
"23",
"June",
"2009",
"©",
"2009",
"Gholizadeh",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"The",
"identification",
"of",
"key",
"molecules",
"is",
"crucial",
"for",
"designing",
"transmission-blocking",
"vaccines",
"(TBVs),",
"among",
"those",
"ookinete",
"micronemal",
"proteins",
"are",
"candidate",
"as",
"a",
"general",
"class",
"of",
"malaria",
"transmission-blocking",
"targets.",
"Here,",
"the",
"sequence",
"analysis",
"of",
"an",
"extra-cellular",
"malaria",
"protein",
"expressed",
"in",
"ookinetes,",
"named",
"von",
"Willebrand",
"factor",
"A",
"domain-related",
"protein",
"(WARP),",
"is",
"reported",
"in",
"91",
"Plasmodium",
"vivax",
"isolates",
"circulating",
"in",
"different",
"regions",
"of",
"Iran.",
"Methods:",
"Clinical",
"isolates",
"were",
"collected",
"from",
"north",
"temperate",
"and",
"southern",
"tropical",
"regions",
"in",
"Iran.",
"Primers",
"have",
"been",
"designed",
"based",
"on",
"P.",
"vivax",
"sequence",
"(ctg_6991)",
"which",
"amplified",
"a",
"fragment",
"of",
"about",
"1044",
"bp",
"with",
"no",
"size",
"variation.",
"Direct",
"sequencing",
"of",
"PCR",
"products",
"was",
"used",
"to",
"determine",
"polymorphism",
"and",
"further",
"bioinformatics",
"analysis",
"in",
"P.",
"vivax",
"sexual",
"stage",
"antigen,",
"pvwarp.",
"Results:",
"Amplified",
"pvwarp",
"gene",
"showed",
"886",
"bp",
"in",
"size,",
"with",
"no",
"intron.",
"BLAST",
"analysis",
"showed",
"a",
"similarity",
"of",
"98–100%",
"to",
"P.",
"vivax",
"Sal-I",
"strain;",
"however,",
"Iranian",
"isolates",
"had",
"2",
"bp",
"mismatches",
"in",
"247",
"and",
"531",
"positions",
"that",
"were",
"non-synonymous",
"substitution",
"[T",
"(ACT)",
"to",
"A",
"(GCT)",
"and",
"R",
"(AGA)",
"to",
"S",
"(AGT)]",
"in",
"comparison",
"with",
"the",
"Sal-I",
"sequence.",
"Conclusion:",
"This",
"study",
"presents",
"the",
"first",
"large-scale",
"survey",
"on",
"pvwarp",
"polymorphism",
"in",
"the",
"world,",
"which",
"provides",
"baseline",
"data",
"for",
"developing",
"WARP-based",
"TBV",
"against",
"both",
"temperate",
"and",
"tropical",
"P.",
"vivax",
"isolates.",
"Background",
"Plasmodium",
"vivax",
"is",
"one",
"of",
"the",
"two",
"most",
"prevalent",
"species",
"of",
"human",
"malaria",
"parasites",
"that",
"occurs",
"throughout",
"the",
"tropics,",
"except",
"in",
"western",
"and",
"central",
"sub-Saharan",
"Africa,",
"where",
"the",
"absence",
"of",
"Duffy",
"factor",
"on",
"the",
"surface",
"of",
"red",
"blood",
"cells",
"largely",
"protects",
"the",
"local",
"populations",
"[1].",
"In",
"addition,",
"recent",
"studies",
"have",
"suggested",
"that",
"vivax",
"malaria",
"can",
"become",
"lethal",
"in",
"a",
"similar",
"way",
"to",
"severe",
"falciparum",
"malaria",
"[2-5].",
"To",
"date,",
"the",
"anti-malarial",
"treatment",
"and",
"the",
"vector",
"control",
"measures",
"have",
"not",
"had",
"a",
"significant",
"impact",
"on",
"the",
"transmission",
"of",
"malaria",
"from",
"humans",
"to",
"mosqui-",
"toes.",
"Therefore,",
"vaccine-targeting",
"antigens",
"expressed",
"on",
"Page",
"1",
"of",
"7",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
2,721,078 | null | [
[
70,
45,
8,
12
],
[
82,
45,
20,
12
],
[
105,
45,
47,
12
],
[
155,
45,
33,
12
],
[
192,
45,
32,
12
],
[
227,
45,
39,
12
],
[
70,
61,
21,
12
],
[
95,
61,
134,
12
],
[
78,
89,
56,
15
],
[
70,
148,
115,
25
],
[
193,
148,
57,
25
],
[
257,
148,
73,
25
],
[
338,
148,
61,
25
],
[
407,
148,
79,
25
],
[
493,
148,
72,
25
],
[
70,
175,
47,
25
],
[
125,
175,
113,
25
],
[
245,
175,
13,
25
],
[
265,
175,
65,
25
],
[
338,
175,
73,
25
],
[
419,
175,
117,
25
],
[
70,
203,
20,
25
],
[
98,
203,
177,
25
],
[
283,
203,
84,
25
],
[
70,
253,
48,
14
],
[
122,
253,
36,
14
],
[
161,
255,
4,
11
],
[
168,
253,
31,
14
],
[
203,
253,
15,
14
],
[
222,
253,
69,
14
],
[
293,
255,
4,
11
],
[
300,
253,
18,
14
],
[
323,
253,
48,
14
],
[
373,
255,
4,
11
],
[
70,
270,
14,
14
],
[
88,
270,
11,
14
],
[
103,
270,
57,
14
],
[
70,
337,
47,
12
],
[
121,
337,
12,
12
],
[
136,
337,
50,
12
],
[
190,
337,
24,
12
],
[
216,
337,
4,
12
],
[
220,
337,
48,
12
],
[
272,
337,
6,
12
],
[
281,
337,
37,
12
],
[
321,
337,
24,
12
],
[
348,
337,
4,
12
],
[
352,
337,
47,
12
],
[
402,
337,
33,
12
],
[
439,
337,
12,
12
],
[
454,
337,
37,
12
],
[
494,
337,
24,
12
],
[
70,
351,
12,
12
],
[
86,
350,
19,
12
],
[
108,
350,
46,
12
],
[
157,
350,
27,
12
],
[
187,
350,
21,
12
],
[
212,
350,
29,
12
],
[
245,
350,
8,
12
],
[
256,
350,
46,
12
],
[
306,
350,
21,
12
],
[
330,
350,
23,
12
],
[
357,
350,
30,
12
],
[
390,
350,
9,
12
],
[
403,
350,
82,
12
],
[
70,
392,
51,
14
],
[
128,
392,
22,
14
],
[
155,
392,
29,
14
],
[
190,
392,
40,
14
],
[
235,
392,
25,
14
],
[
265,
392,
26,
14
],
[
296,
392,
36,
14
],
[
338,
392,
12,
14
],
[
355,
392,
46,
14
],
[
70,
409,
45,
14
],
[
121,
409,
44,
14
],
[
172,
409,
40,
14
],
[
218,
409,
55,
14
],
[
280,
409,
37,
14
],
[
323,
409,
52,
14
],
[
381,
409,
20,
14
],
[
70,
426,
53,
14
],
[
128,
426,
36,
14
],
[
169,
426,
63,
14
],
[
238,
426,
32,
14
],
[
275,
426,
70,
14
],
[
350,
426,
52,
14
],
[
70,
444,
22,
14
],
[
99,
444,
20,
14
],
[
126,
444,
82,
14
],
[
215,
444,
39,
14
],
[
261,
444,
45,
14
],
[
312,
444,
26,
14
],
[
345,
444,
56,
14
],
[
70,
461,
39,
14
],
[
114,
461,
26,
14
],
[
145,
461,
74,
14
],
[
223,
461,
17,
14
],
[
245,
461,
29,
14
],
[
279,
461,
36,
14
],
[
319,
461,
11,
14
],
[
335,
461,
13,
14
],
[
353,
461,
49,
14
],
[
70,
478,
48,
14
],
[
127,
478,
47,
14
],
[
182,
478,
16,
14
],
[
206,
478,
90,
14
],
[
303,
478,
70,
14
],
[
381,
478,
20,
14
],
[
70,
495,
75,
14
],
[
151,
495,
36,
14
],
[
192,
495,
10,
14
],
[
207,
495,
44,
14
],
[
257,
495,
14,
14
],
[
276,
495,
35,
14
],
[
317,
495,
26,
14
],
[
349,
495,
12,
14
],
[
366,
495,
35,
14
],
[
70,
513,
33,
14
],
[
109,
513,
13,
14
],
[
128,
513,
73,
14
],
[
206,
513,
89,
14
],
[
300,
513,
31,
14
],
[
337,
513,
39,
14
],
[
381,
513,
20,
14
],
[
70,
530,
39,
14
],
[
113,
530,
20,
14
],
[
137,
530,
14,
14
],
[
154,
530,
45,
14
],
[
203,
530,
20,
14
],
[
227,
530,
80,
14
],
[
311,
530,
20,
14
],
[
335,
530,
29,
14
],
[
367,
530,
34,
14
],
[
70,
547,
74,
14
],
[
150,
547,
59,
14
],
[
216,
547,
12,
14
],
[
234,
547,
36,
14
],
[
277,
547,
19,
14
],
[
302,
547,
23,
14
],
[
331,
547,
26,
14
],
[
364,
547,
38,
14
],
[
70,
565,
68,
14
],
[
142,
565,
11,
14
],
[
157,
565,
31,
14
],
[
192,
565,
95,
14
],
[
290,
565,
49,
14
],
[
343,
565,
25,
14
],
[
371,
565,
30,
14
],
[
70,
582,
38,
14
],
[
115,
582,
22,
14
],
[
143,
582,
30,
14
],
[
179,
582,
14,
14
],
[
200,
582,
39,
14
],
[
246,
582,
20,
14
],
[
273,
582,
17,
14
],
[
297,
582,
34,
14
],
[
337,
582,
47,
14
],
[
390,
582,
11,
14
],
[
70,
599,
78,
14
],
[
152,
599,
36,
14
],
[
192,
599,
26,
14
],
[
222,
599,
56,
14
],
[
282,
599,
11,
14
],
[
296,
599,
34,
14
],
[
334,
599,
20,
14
],
[
358,
599,
44,
14
],
[
70,
617,
26,
14
],
[
100,
617,
36,
14
],
[
141,
617,
37,
14
],
[
183,
617,
14,
14
],
[
201,
617,
60,
14
],
[
265,
617,
7,
14
],
[
277,
617,
31,
14
],
[
312,
617,
20,
14
],
[
337,
617,
64,
14
],
[
70,
634,
51,
14
],
[
127,
634,
40,
14
],
[
173,
634,
61,
14
],
[
240,
634,
16,
14
],
[
262,
634,
94,
14
],
[
361,
634,
40,
14
],
[
70,
651,
10,
14
],
[
84,
651,
56,
14
],
[
70,
686,
60,
14
],
[
136,
686,
36,
14
],
[
174,
683,
4,
14
],
[
180,
686,
36,
14
],
[
217,
683,
4,
14
],
[
223,
686,
45,
14
],
[
269,
683,
4,
14
],
[
275,
686,
59,
14
],
[
70,
752,
21,
12
],
[
95,
752,
29,
12
],
[
128,
752,
19,
12
],
[
150,
752,
36,
12
],
[
189,
752,
10,
12
],
[
202,
752,
15,
12
],
[
220,
752,
48,
12
],
[
272,
752,
33,
12
],
[
309,
752,
10,
12
],
[
322,
752,
15,
12
],
[
340,
752,
25,
12
],
[
368,
752,
33,
12
],
[
70,
765,
39,
12
],
[
113,
765,
106,
12
],
[
70,
788,
12,
12
],
[
86,
788,
28,
12
],
[
116,
788,
21,
12
],
[
139,
782,
5,
17
],
[
146,
788,
10,
12
],
[
159,
788,
12,
12
],
[
175,
788,
51,
12
],
[
70,
802,
28,
12
],
[
102,
802,
30,
12
],
[
136,
802,
10,
12
],
[
149,
802,
38,
12
],
[
190,
802,
63,
12
],
[
257,
802,
17,
12
],
[
278,
802,
60,
12
],
[
70,
815,
41,
12
],
[
115,
815,
10,
12
],
[
128,
815,
21,
12
],
[
153,
815,
38,
12
],
[
194,
815,
17,
12
],
[
215,
815,
55,
12
],
[
274,
815,
10,
12
],
[
287,
815,
53,
12
],
[
344,
815,
17,
12
],
[
70,
829,
70,
12
],
[
144,
829,
41,
12
],
[
189,
829,
33,
12
],
[
225,
829,
10,
12
],
[
239,
829,
44,
12
],
[
286,
829,
17,
12
],
[
307,
829,
46,
12
],
[
70,
843,
50,
12
],
[
123,
843,
10,
12
],
[
137,
843,
38,
12
],
[
179,
843,
39,
12
],
[
70,
857,
31,
12
],
[
105,
857,
41,
12
],
[
150,
857,
44,
12
],
[
70,
871,
40,
12
],
[
114,
871,
17,
12
],
[
135,
871,
23,
12
],
[
161,
871,
23,
12
],
[
188,
871,
35,
12
],
[
70,
885,
33,
12
],
[
107,
885,
150,
12
],
[
70,
912,
12,
12
],
[
86,
912,
39,
12
],
[
127,
906,
5,
17
],
[
133,
912,
12,
12
],
[
149,
912,
8,
12
],
[
160,
912,
44,
12
],
[
70,
926,
31,
12
],
[
105,
926,
14,
12
],
[
123,
926,
72,
12
],
[
70,
940,
28,
12
],
[
102,
940,
21,
12
],
[
127,
940,
17,
12
],
[
147,
940,
50,
12
],
[
200,
940,
37,
12
],
[
241,
940,
39,
12
],
[
283,
940,
36,
12
],
[
70,
954,
50,
12
],
[
123,
954,
37,
12
],
[
164,
954,
37,
12
],
[
204,
954,
32,
12
],
[
240,
954,
21,
12
],
[
264,
954,
46,
12
],
[
70,
968,
43,
12
],
[
116,
968,
19,
12
],
[
138,
968,
30,
12
],
[
70,
982,
37,
12
],
[
111,
982,
26,
12
],
[
140,
982,
21,
12
],
[
165,
982,
17,
12
],
[
425,
392,
75,
14
],
[
425,
426,
22,
14
],
[
450,
426,
29,
14
],
[
483,
426,
40,
14
],
[
527,
426,
25,
14
],
[
556,
426,
26,
14
],
[
585,
426,
36,
14
],
[
625,
426,
56,
14
],
[
685,
426,
16,
14
],
[
705,
426,
51,
14
],
[
425,
444,
65,
14
],
[
498,
444,
34,
14
],
[
541,
444,
47,
14
],
[
597,
444,
17,
14
],
[
622,
444,
45,
14
],
[
676,
444,
50,
14
],
[
735,
444,
21,
14
],
[
425,
461,
44,
14
],
[
475,
461,
37,
14
],
[
517,
461,
127,
14
],
[
650,
461,
49,
14
],
[
705,
461,
51,
14
],
[
425,
478,
11,
14
],
[
441,
478,
42,
14
],
[
488,
478,
51,
14
],
[
545,
478,
49,
14
],
[
599,
478,
20,
14
],
[
624,
478,
53,
14
],
[
682,
478,
52,
14
],
[
739,
478,
17,
14
],
[
425,
495,
56,
14
],
[
486,
495,
50,
14
],
[
541,
495,
12,
14
],
[
559,
495,
29,
14
],
[
593,
495,
69,
14
],
[
667,
495,
40,
14
],
[
713,
495,
26,
14
],
[
744,
495,
12,
14
],
[
425,
513,
57,
14
],
[
486,
513,
40,
14
],
[
530,
513,
41,
14
],
[
575,
513,
69,
14
],
[
648,
513,
20,
14
],
[
673,
513,
36,
14
],
[
713,
513,
42,
14
],
[
425,
530,
30,
14
],
[
461,
530,
38,
14
],
[
506,
530,
20,
14
],
[
533,
530,
51,
14
],
[
592,
530,
36,
14
],
[
635,
530,
15,
14
],
[
657,
530,
32,
14
],
[
696,
530,
60,
14
],
[
425,
547,
32,
14
],
[
463,
547,
40,
14
],
[
509,
547,
32,
14
],
[
548,
547,
43,
14
],
[
597,
547,
40,
14
],
[
644,
547,
10,
14
],
[
660,
547,
43,
14
],
[
710,
547,
17,
14
],
[
733,
547,
23,
14
],
[
425,
565,
40,
14
],
[
469,
565,
36,
14
],
[
509,
565,
48,
14
],
[
440,
582,
36,
14
],
[
482,
582,
22,
14
],
[
509,
582,
43,
14
],
[
558,
582,
53,
14
],
[
616,
582,
12,
14
],
[
634,
582,
6,
14
],
[
646,
582,
39,
14
],
[
691,
582,
45,
14
],
[
742,
582,
14,
14
],
[
425,
599,
45,
14
],
[
474,
599,
38,
14
],
[
516,
599,
61,
14
],
[
582,
599,
25,
14
],
[
612,
599,
55,
14
],
[
671,
599,
10,
14
],
[
686,
599,
14,
14
],
[
704,
599,
36,
14
],
[
744,
599,
12,
14
],
[
425,
617,
28,
14
],
[
460,
617,
57,
14
],
[
525,
617,
36,
14
],
[
569,
617,
44,
14
],
[
620,
617,
7,
14
],
[
634,
617,
51,
14
],
[
693,
617,
63,
14
],
[
425,
634,
52,
14
],
[
480,
634,
25,
14
],
[
509,
634,
14,
14
],
[
527,
634,
40,
14
],
[
571,
634,
39,
14
],
[
614,
634,
25,
14
],
[
643,
634,
45,
14
],
[
692,
634,
10,
14
],
[
706,
634,
14,
14
],
[
724,
634,
32,
14
],
[
425,
651,
30,
14
],
[
460,
651,
10,
14
],
[
477,
651,
14,
14
],
[
497,
651,
33,
14
],
[
535,
651,
20,
14
],
[
562,
651,
38,
14
],
[
606,
651,
56,
14
],
[
668,
651,
25,
14
],
[
700,
651,
20,
14
],
[
726,
651,
10,
14
],
[
742,
651,
14,
14
],
[
425,
669,
32,
14
],
[
461,
669,
30,
14
],
[
496,
669,
10,
14
],
[
511,
669,
14,
14
],
[
530,
669,
36,
14
],
[
570,
669,
53,
14
],
[
628,
669,
36,
14
],
[
669,
669,
10,
14
],
[
683,
669,
18,
14
],
[
706,
669,
50,
14
],
[
425,
686,
55,
14
],
[
483,
686,
14,
14
],
[
501,
686,
29,
14
],
[
533,
686,
76,
14
],
[
612,
686,
29,
14
],
[
645,
686,
8,
14
],
[
656,
686,
10,
14
],
[
669,
686,
39,
14
],
[
712,
686,
44,
14
],
[
425,
703,
36,
14
],
[
467,
703,
17,
14
],
[
489,
703,
32,
14
],
[
526,
703,
32,
14
],
[
564,
703,
45,
14
],
[
615,
703,
16,
14
],
[
636,
703,
47,
14
],
[
689,
703,
28,
14
],
[
723,
703,
33,
14
],
[
425,
720,
49,
14
],
[
478,
720,
10,
14
],
[
492,
720,
14,
14
],
[
510,
720,
32,
14
],
[
546,
720,
42,
14
],
[
592,
720,
10,
14
],
[
606,
720,
14,
14
],
[
624,
720,
36,
14
],
[
664,
720,
22,
14
],
[
690,
720,
27,
14
],
[
721,
720,
35,
14
],
[
425,
738,
42,
14
],
[
472,
738,
12,
14
],
[
489,
738,
36,
14
],
[
530,
738,
59,
14
],
[
594,
738,
23,
14
],
[
623,
738,
15,
14
],
[
644,
738,
53,
14
],
[
702,
738,
10,
14
],
[
717,
738,
39,
14
],
[
425,
755,
22,
14
],
[
454,
755,
52,
14
],
[
515,
755,
12,
14
],
[
534,
755,
36,
14
],
[
578,
755,
14,
14
],
[
600,
755,
35,
14
],
[
643,
755,
10,
14
],
[
661,
755,
51,
14
],
[
720,
755,
11,
14
],
[
739,
755,
17,
14
],
[
425,
772,
76,
14
],
[
506,
772,
20,
14
],
[
532,
772,
45,
14
],
[
583,
772,
25,
14
],
[
614,
772,
32,
14
],
[
651,
772,
62,
14
],
[
718,
772,
38,
14
],
[
425,
789,
54,
14
],
[
485,
789,
54,
14
],
[
545,
789,
20,
14
],
[
572,
789,
51,
14
],
[
630,
789,
18,
14
],
[
655,
789,
11,
14
],
[
673,
789,
51,
14
],
[
730,
789,
25,
14
],
[
425,
807,
38,
14
],
[
467,
807,
10,
14
],
[
483,
807,
14,
14
],
[
501,
807,
32,
14
],
[
538,
807,
32,
14
],
[
575,
807,
47,
14
],
[
627,
807,
10,
14
],
[
642,
807,
14,
14
],
[
661,
807,
36,
14
],
[
702,
807,
54,
14
],
[
425,
824,
36,
14
],
[
465,
824,
10,
14
],
[
478,
824,
55,
14
],
[
537,
824,
11,
14
],
[
552,
824,
49,
14
],
[
604,
824,
11,
14
],
[
620,
824,
35,
15
],
[
659,
824,
11,
14
],
[
674,
824,
28,
14
],
[
706,
824,
50,
14
],
[
425,
841,
35,
14
],
[
465,
841,
51,
14
],
[
521,
841,
25,
14
],
[
552,
841,
48,
14
],
[
606,
841,
10,
14
],
[
621,
841,
14,
14
],
[
640,
841,
36,
14
],
[
681,
841,
33,
14
],
[
720,
841,
36,
14
],
[
425,
859,
44,
14
],
[
474,
859,
21,
14
],
[
500,
859,
36,
14
],
[
541,
859,
26,
14
],
[
573,
859,
56,
14
],
[
634,
859,
11,
14
],
[
650,
859,
49,
14
],
[
704,
859,
11,
14
],
[
720,
859,
36,
15
],
[
425,
876,
20,
14
],
[
448,
876,
30,
14
],
[
483,
876,
32,
14
],
[
519,
876,
14,
14
],
[
537,
876,
17,
14
],
[
559,
876,
20,
14
],
[
583,
876,
24,
14
],
[
611,
876,
57,
14
],
[
440,
893,
36,
14
],
[
480,
893,
10,
14
],
[
493,
893,
83,
14
],
[
579,
893,
11,
14
],
[
594,
893,
60,
14
],
[
657,
893,
32,
14
],
[
692,
893,
64,
14
],
[
425,
911,
26,
14
],
[
456,
911,
12,
14
],
[
474,
911,
11,
14
],
[
491,
911,
53,
14
],
[
550,
911,
45,
14
],
[
601,
911,
20,
14
],
[
627,
911,
41,
14
],
[
675,
911,
20,
14
],
[
701,
911,
11,
14
],
[
718,
911,
38,
14
],
[
425,
928,
67,
14
],
[
495,
928,
39,
14
],
[
537,
928,
35,
14
],
[
576,
928,
10,
14
],
[
590,
928,
14,
14
],
[
607,
928,
36,
14
],
[
647,
928,
26,
14
],
[
677,
928,
59,
14
],
[
739,
928,
17,
14
],
[
425,
945,
45,
14
],
[
476,
945,
12,
14
],
[
494,
945,
36,
14
],
[
536,
945,
59,
14
],
[
602,
945,
20,
14
],
[
628,
945,
17,
14
],
[
652,
945,
19,
14
],
[
677,
945,
12,
14
],
[
695,
945,
61,
14
],
[
425,
962,
53,
14
],
[
487,
962,
27,
14
],
[
523,
962,
20,
14
],
[
552,
962,
18,
14
],
[
579,
962,
11,
14
],
[
600,
962,
7,
14
],
[
615,
962,
63,
14
],
[
687,
962,
22,
14
],
[
719,
962,
37,
14
],
[
425,
980,
59,
14
],
[
492,
980,
49,
14
],
[
549,
980,
12,
14
],
[
569,
980,
44,
14
],
[
621,
980,
17,
14
],
[
646,
980,
43,
14
],
[
697,
980,
39,
14
],
[
744,
980,
12,
14
],
[
650,
1078,
47,
12
],
[
700,
1078,
14,
12
],
[
717,
1078,
10,
12
],
[
730,
1078,
26,
12
]
] | [
"J.",
"Cell",
"Commun.",
"Signal.",
"(2009)",
"3:89–94",
"DOI",
"10.1007/s12079-009-0037-7",
"REVIEW",
"Connective",
"tissue",
"growth",
"factor",
"(CTGF,",
"CCN2)",
"gene",
"regulation:",
"a",
"potent",
"clinical",
"bio-marker",
"of",
"fibroproliferative",
"disease?",
"Andrew",
"Leask",
"&",
"Sunil",
"K.",
"Parapuram",
"&",
"Xu",
"Shi-wen",
"&",
"D.",
"J.",
"Abraham",
"Received:",
"25",
"November",
"2008",
"/",
"Accepted:",
"9",
"January",
"2009",
"/",
"Published",
"online:",
"21",
"January",
"2009",
"#",
"The",
"Author(s)",
"2009.",
"This",
"article",
"is",
"published",
"with",
"open",
"access",
"at",
"Springerlink.com",
"Abstract",
"The",
"CCN",
"(cyr61,",
"ctgf,",
"nov)",
"family",
"of",
"modular",
"proteins",
"regulate",
"diverse",
"biological",
"affects",
"including",
"cell",
"adhesion,",
"matrix",
"production,",
"tissue",
"remodelling,",
"prolifera-",
"tion",
"and",
"differentiation.",
"Recent",
"targeted",
"gene",
"disruption",
"studies",
"have",
"demonstrated",
"the",
"CCN",
"family",
"to",
"be",
"develop-",
"mentally",
"essential",
"for",
"chondrogenesis,",
"osteogenesis",
"and",
"angiogenesis.",
"CCN2",
"is",
"induced",
"by",
"agents",
"such",
"as",
"angio-",
"tensin",
"II,",
"endothelin-1,",
"glucocorticoids,",
"HGF,",
"TGFβ,",
"and",
"VEGF,",
"and",
"by",
"hypoxia",
"and",
"biomechanical",
"and",
"shear",
"stress.",
"Dysregulated",
"expression",
"of",
"CCN2",
"has",
"also",
"been",
"widely",
"documented",
"in",
"many",
"fibroproliferative",
"diseases.",
"This",
"mini-",
"review",
"will",
"focus",
"on",
"CCN2,",
"and",
"the",
"recent",
"progress",
"in",
"understanding",
"CCN2",
"gene",
"regulation",
"in",
"health",
"and",
"disease.",
"That",
"CCN2",
"should",
"be",
"considered",
"a",
"novel",
"and",
"informative",
"surrogate",
"clinical",
"bio-marker",
"for",
"fibroproliferative",
"disease",
"is",
"discussed.",
"Keywords",
"CCN2",
".",
"CTGF",
".",
"Fibrosis",
".",
"Biomarker",
"This",
"article",
"also",
"appears",
"in",
"the",
"newsletter",
"section",
"of",
"the",
"CCN",
"society",
"website:",
"www.ccnsociety.com/.",
"A.",
"Leask",
"(*)",
":",
"S.",
"K.",
"Parapuram",
"CIHR",
"Group",
"in",
"Skeletal",
"Development",
"and",
"Remodeling,",
"Division",
"of",
"Oral",
"Biology",
"and",
"Department",
"of",
"Physiology",
"and",
"Pharmacology,",
"Schulich",
"School",
"of",
"Medicine",
"and",
"Dentistry,",
"University",
"of",
"Western",
"Ontario,",
"Dental",
"Sciences",
"Building,",
"London,",
"ON",
"N6A",
"5C1,",
"Canada",
"e-mail:",
"Andrew.leask@schulich.uwo.ca",
"X.",
"Shi-wen",
":",
"D.",
"J.",
"Abraham",
"Centre",
"for",
"Rheumatology,",
"Royal",
"Free",
"and",
"University",
"College",
"Medical",
"School,",
"University",
"College",
"London",
"(Royal",
"Free",
"Campus),",
"Rowland",
"Hill",
"Street,",
"London",
"NW3",
"2PF,",
"UK",
"Introduction",
"The",
"CCN",
"(cyr61,",
"ctgf,",
"nov)",
"family",
"comprises",
"six",
"members",
"(CCN1–6).",
"These",
"proteins",
"act",
"through",
"integrin-",
"and",
"heparan",
"sulfate",
"proteoglycan-mediated",
"adhesive",
"signaling",
"to",
"directly",
"modulate",
"adhesion",
"and",
"indirectly",
"modulate",
"the",
"functional",
"activities",
"of",
"other",
"extracellular",
"ligands",
"such",
"as",
"cytokines,",
"growth",
"factors,",
"morphogens",
"and",
"matrix",
"compo-",
"nents",
"(Leask",
"and",
"Abraham",
"2006).",
"Of",
"these,",
"connective",
"tissue",
"growth",
"factor",
"(CTGF,",
"CCN2)",
"is",
"perhaps",
"the",
"best",
"studied",
"family",
"member.",
"CCN2",
"was",
"initially",
"identified",
"as",
"a",
"protein",
"secreted",
"by",
"cultured",
"human",
"endothelial",
"cells",
"(Bradham",
"et",
"al.",
"1991).",
"In",
"adult",
"mammals,",
"CCN2",
"exhibits",
"a",
"restricted",
"expression,",
"produced",
"only",
"by",
"hepatic",
"stellate",
"cells",
"(Paradis",
"et",
"al.",
"1999;",
"Chen",
"et",
"al.",
"2001)",
"and",
"kidney",
"mesangial",
"cells",
"(Ito",
"et",
"al.",
"1998;",
"Chen",
"et",
"al.",
"2002).",
"Although",
"CCN2",
"is",
"not",
"normally",
"expressed",
"by",
"other",
"mesenchymal",
"cells,",
"it",
"is",
"rapidly",
"induced",
"during",
"the",
"tissue",
"repair",
"process,",
"for",
"example",
"upon",
"injury",
"(Igarashi",
"et",
"al.",
"1993;",
"Kapoor",
"et",
"al.",
"2008).",
"The",
"most",
"potent",
"inducer",
"of",
"CCN2",
"expression",
"thus",
"far",
"identified",
"is",
"TGFβ.",
"The",
"induction",
"of",
"CCN2",
"by",
"TGFβ",
"is",
"restricted",
"to",
"the",
"mesenchymal",
"cell",
"lineages",
"(e.g.",
"tissue",
"fibroblasts,",
"myofi-",
"broblasts,",
"pericytes)",
"and",
"generally",
"not",
"in",
"epithelial",
"cells",
"(Leask",
"et",
"al.",
"2001,",
"2003;",
"Kantarci",
"et",
"al.",
"2006).",
"However,",
"CCN2",
"is",
"expressed",
"in",
"response",
"to",
"TGFβ",
"in",
"renal",
"proximal",
"tubule",
"epithelial",
"cells",
"(Phanish",
"et",
"al.",
"2005).",
"These",
"results",
"indicate",
"that",
"CCN2",
"gene",
"regulation",
"in",
"response",
"to",
"TGFβ",
"can",
"differ",
"based",
"on",
"the",
"cell",
"type",
"examined.",
"CCN2",
"is",
"over-expressed",
"in",
"connective",
"tissue",
"pathologies",
"such",
"as",
"in",
"excessive",
"scarring",
"and",
"fibrosis",
"and",
"in",
"stroma",
"surrounding",
"tumors",
"(Blom",
"et",
"al.",
"2002).",
"Data",
"examining",
"the",
"location",
"of",
"CCN2",
"expression",
"and",
"the",
"use",
"of",
"genetically",
"modified",
"cells",
"has",
"led",
"to",
"a",
"hypothesis",
"that",
"CCN2",
"selectively",
"mediates",
"or",
"sustains",
"the",
"specific",
"actions",
"of",
"DO00037;",
"No",
"of",
"Pages"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4
] |
2,634,782 | null | [
[
151,
111,
149,
34
],
[
309,
111,
28,
34
],
[
345,
111,
162,
34
],
[
515,
111,
25,
34
],
[
151,
151,
115,
34
],
[
274,
151,
57,
34
],
[
340,
151,
140,
34
],
[
488,
151,
116,
34
],
[
612,
151,
37,
34
],
[
151,
191,
55,
34
],
[
215,
191,
83,
34
],
[
306,
191,
56,
34
],
[
370,
191,
126,
34
],
[
505,
191,
113,
34
],
[
627,
191,
76,
34
],
[
151,
231,
21,
34
],
[
180,
231,
158,
34
],
[
347,
231,
86,
34
],
[
157,
384,
34,
14
],
[
194,
384,
40,
14
],
[
157,
404,
32,
14
],
[
192,
404,
39,
14
],
[
157,
423,
36,
14
],
[
196,
423,
33,
14
],
[
157,
443,
46,
14
],
[
206,
443,
32,
14
],
[
167,
488,
67,
14
],
[
240,
488,
23,
14
],
[
270,
488,
51,
14
],
[
327,
488,
12,
14
],
[
345,
488,
23,
14
],
[
374,
488,
34,
14
],
[
414,
488,
25,
14
],
[
444,
488,
13,
14
],
[
463,
488,
67,
14
],
[
536,
488,
20,
14
],
[
563,
488,
69,
14
],
[
638,
488,
42,
14
],
[
686,
488,
12,
14
],
[
704,
488,
52,
14
],
[
147,
507,
35,
14
],
[
186,
507,
47,
14
],
[
237,
507,
23,
14
],
[
264,
507,
49,
14
],
[
316,
507,
100,
14
],
[
420,
507,
16,
14
],
[
439,
507,
20,
14
],
[
463,
507,
24,
14
],
[
490,
507,
32,
14
],
[
526,
507,
23,
14
],
[
553,
507,
52,
14
],
[
608,
507,
46,
14
],
[
658,
507,
28,
14
],
[
690,
507,
12,
14
],
[
706,
507,
50,
14
],
[
147,
526,
67,
14
],
[
217,
526,
26,
14
],
[
246,
526,
60,
14
],
[
309,
526,
55,
14
],
[
167,
546,
58,
14
],
[
227,
546,
9,
14
],
[
240,
546,
58,
14
],
[
300,
546,
83,
14
],
[
386,
546,
29,
14
],
[
418,
546,
41,
14
],
[
462,
546,
35,
14
],
[
500,
546,
25,
14
],
[
528,
546,
45,
14
],
[
577,
546,
12,
14
],
[
592,
546,
20,
14
],
[
616,
546,
22,
14
],
[
641,
546,
50,
14
],
[
694,
546,
42,
14
],
[
739,
546,
17,
14
],
[
147,
565,
26,
14
],
[
177,
565,
50,
14
],
[
231,
565,
27,
14
],
[
262,
565,
8,
14
],
[
274,
565,
49,
14
],
[
326,
565,
93,
14
],
[
423,
565,
81,
14
],
[
508,
565,
27,
14
],
[
539,
565,
15,
14
],
[
558,
565,
50,
14
],
[
612,
565,
18,
14
],
[
634,
565,
8,
14
],
[
646,
565,
47,
14
],
[
697,
565,
42,
14
],
[
743,
565,
13,
14
],
[
147,
585,
23,
14
],
[
174,
585,
8,
14
],
[
185,
585,
44,
14
],
[
234,
585,
37,
14
],
[
274,
585,
42,
14
],
[
320,
585,
14,
14
],
[
337,
585,
70,
14
],
[
410,
585,
12,
14
],
[
426,
585,
15,
14
],
[
444,
585,
39,
14
],
[
487,
585,
41,
14
],
[
532,
585,
54,
14
],
[
590,
585,
26,
14
],
[
620,
585,
45,
14
],
[
669,
585,
59,
14
],
[
731,
585,
25,
14
],
[
147,
604,
26,
14
],
[
177,
604,
49,
14
],
[
229,
604,
36,
14
],
[
269,
604,
8,
14
],
[
280,
604,
41,
14
],
[
324,
604,
55,
14
],
[
383,
604,
28,
14
],
[
414,
604,
36,
14
],
[
454,
604,
28,
14
],
[
486,
604,
78,
14
],
[
567,
604,
40,
14
],
[
610,
604,
42,
14
],
[
655,
604,
23,
14
],
[
682,
604,
16,
14
],
[
701,
604,
55,
14
],
[
147,
624,
60,
14
],
[
211,
624,
56,
14
],
[
271,
624,
23,
14
],
[
298,
624,
36,
14
],
[
338,
624,
28,
14
],
[
370,
624,
78,
14
],
[
451,
624,
40,
14
],
[
495,
624,
42,
14
],
[
541,
624,
20,
14
],
[
565,
624,
24,
14
],
[
592,
624,
32,
14
],
[
628,
624,
23,
14
],
[
655,
624,
52,
14
],
[
710,
624,
46,
14
],
[
147,
643,
28,
14
],
[
179,
643,
31,
14
],
[
214,
643,
67,
14
],
[
288,
643,
23,
14
],
[
315,
643,
71,
14
],
[
389,
643,
31,
14
],
[
424,
643,
35,
14
],
[
463,
643,
23,
14
],
[
490,
643,
40,
14
],
[
534,
643,
20,
14
],
[
558,
643,
62,
14
],
[
623,
643,
23,
14
],
[
650,
643,
12,
14
],
[
666,
643,
8,
14
],
[
678,
643,
40,
14
],
[
721,
643,
23,
14
],
[
748,
643,
8,
14
],
[
147,
663,
47,
14
],
[
197,
663,
12,
14
],
[
212,
663,
66,
14
],
[
167,
682,
51,
14
],
[
221,
682,
23,
14
],
[
247,
682,
24,
14
],
[
273,
682,
32,
14
],
[
309,
682,
23,
14
],
[
335,
682,
52,
14
],
[
389,
682,
46,
14
],
[
438,
682,
28,
14
],
[
469,
682,
40,
14
],
[
512,
682,
62,
14
],
[
577,
682,
12,
14
],
[
591,
682,
34,
14
],
[
628,
682,
45,
14
],
[
676,
682,
9,
14
],
[
687,
682,
23,
14
],
[
713,
682,
9,
14
],
[
725,
682,
31,
14
],
[
147,
701,
35,
14
],
[
185,
701,
12,
14
],
[
201,
701,
15,
14
],
[
219,
701,
40,
14
],
[
263,
701,
28,
14
],
[
294,
701,
35,
14
],
[
331,
701,
12,
14
],
[
346,
701,
20,
14
],
[
369,
701,
38,
14
],
[
410,
701,
13,
14
],
[
426,
701,
84,
14
],
[
513,
701,
20,
14
],
[
536,
701,
24,
14
],
[
563,
701,
32,
14
],
[
598,
701,
23,
14
],
[
624,
701,
52,
14
],
[
679,
701,
46,
14
],
[
728,
701,
28,
14
],
[
147,
721,
61,
14
],
[
212,
721,
41,
14
],
[
257,
721,
62,
14
],
[
323,
721,
12,
14
],
[
340,
721,
38,
14
],
[
382,
721,
9,
14
],
[
395,
721,
37,
14
],
[
437,
721,
26,
14
],
[
467,
721,
65,
14
],
[
536,
721,
12,
14
],
[
552,
721,
38,
14
],
[
594,
721,
12,
14
],
[
611,
721,
25,
14
],
[
640,
721,
32,
14
],
[
677,
721,
23,
14
],
[
704,
721,
52,
14
],
[
147,
740,
46,
14
],
[
196,
740,
28,
14
],
[
227,
740,
12,
14
],
[
242,
740,
38,
14
],
[
283,
740,
9,
14
],
[
295,
740,
31,
14
],
[
329,
740,
35,
14
],
[
367,
740,
12,
14
],
[
382,
740,
28,
14
],
[
413,
740,
8,
14
],
[
424,
740,
40,
14
],
[
467,
740,
23,
14
],
[
493,
740,
8,
14
],
[
504,
740,
47,
14
],
[
554,
740,
12,
14
],
[
569,
740,
62,
14
],
[
635,
740,
28,
14
],
[
665,
740,
12,
14
],
[
680,
740,
38,
14
],
[
721,
740,
13,
14
],
[
167,
760,
80,
14
],
[
250,
760,
9,
14
],
[
261,
760,
34,
14
],
[
298,
760,
15,
14
],
[
316,
760,
64,
14
],
[
383,
760,
64,
14
],
[
450,
760,
25,
14
],
[
478,
760,
52,
14
],
[
532,
760,
35,
14
],
[
570,
760,
47,
14
],
[
620,
760,
26,
14
],
[
649,
760,
15,
14
],
[
667,
760,
33,
14
],
[
703,
760,
52,
14
],
[
147,
779,
28,
14
],
[
177,
779,
49,
14
],
[
228,
779,
93,
14
],
[
322,
779,
12,
14
],
[
336,
779,
20,
14
],
[
358,
779,
62,
14
],
[
422,
779,
12,
14
],
[
436,
779,
55,
14
],
[
493,
779,
48,
14
],
[
542,
779,
85,
14
],
[
630,
779,
12,
14
],
[
644,
779,
23,
14
],
[
669,
779,
87,
14
],
[
147,
799,
47,
14
],
[
199,
799,
55,
14
],
[
257,
799,
39,
14
],
[
300,
799,
34,
14
],
[
338,
799,
72,
14
],
[
414,
799,
23,
14
],
[
442,
799,
8,
14
],
[
454,
799,
41,
14
],
[
498,
799,
59,
14
],
[
561,
799,
40,
14
],
[
605,
799,
21,
14
],
[
630,
799,
49,
14
],
[
684,
799,
27,
14
],
[
715,
799,
7,
14
],
[
726,
799,
30,
14
],
[
147,
818,
99,
14
],
[
167,
857,
23,
14
],
[
193,
857,
42,
14
],
[
238,
857,
98,
14
],
[
339,
857,
25,
14
],
[
368,
857,
36,
14
],
[
407,
857,
57,
14
],
[
467,
857,
53,
14
],
[
523,
857,
46,
14
],
[
572,
857,
32,
14
],
[
607,
857,
40,
14
],
[
158,
916,
4,
7
],
[
168,
916,
48,
12
],
[
218,
916,
49,
12
],
[
269,
916,
19,
12
],
[
290,
916,
52,
12
],
[
344,
916,
25,
12
],
[
371,
916,
24,
12
],
[
168,
931,
60,
12
],
[
230,
931,
10,
12
],
[
242,
931,
21,
12
],
[
265,
931,
19,
12
],
[
286,
931,
63,
12
],
[
351,
931,
42,
12
],
[
168,
947,
36,
12
],
[
208,
947,
10,
12
],
[
220,
947,
48,
12
],
[
271,
947,
36,
12
],
[
309,
947,
53,
12
],
[
168,
962,
40,
12
],
[
210,
962,
37,
12
],
[
158,
977,
4,
7
],
[
168,
977,
46,
12
],
[
215,
977,
51,
12
],
[
269,
977,
25,
12
],
[
296,
977,
24,
12
],
[
322,
977,
59,
12
],
[
383,
977,
10,
12
],
[
395,
977,
21,
12
],
[
419,
977,
19,
12
],
[
168,
992,
63,
12
],
[
233,
992,
42,
12
],
[
277,
992,
36,
12
],
[
316,
992,
10,
12
],
[
328,
992,
48,
12
],
[
168,
1008,
43,
12
],
[
213,
1008,
29,
12
],
[
244,
1008,
53,
12
],
[
299,
1008,
44,
12
],
[
345,
1008,
37,
12
],
[
158,
1023,
4,
7
],
[
168,
1023,
52,
12
],
[
222,
1023,
25,
12
],
[
249,
1023,
48,
12
],
[
300,
1023,
24,
12
],
[
168,
1038,
60,
12
],
[
230,
1038,
10,
12
],
[
242,
1038,
73,
12
],
[
317,
1038,
36,
12
],
[
356,
1038,
10,
12
],
[
168,
1054,
48,
12
],
[
218,
1054,
43,
12
],
[
264,
1054,
29,
12
],
[
295,
1054,
53,
12
],
[
350,
1054,
44,
12
],
[
395,
1054,
37,
12
],
[
481,
915,
4,
7
],
[
491,
915,
46,
12
],
[
540,
915,
39,
12
],
[
581,
915,
10,
12
],
[
593,
915,
63,
12
],
[
658,
915,
42,
12
],
[
703,
915,
46,
12
],
[
491,
930,
34,
12
],
[
527,
930,
10,
12
],
[
539,
930,
48,
12
],
[
590,
930,
37,
12
],
[
629,
930,
53,
12
],
[
684,
930,
37,
12
],
[
723,
930,
33,
12
],
[
481,
961,
74,
12
],
[
557,
961,
36,
12
],
[
596,
961,
16,
12
],
[
614,
961,
26,
12
],
[
642,
961,
27,
12
],
[
481,
976,
43,
12
],
[
527,
976,
29,
12
],
[
558,
976,
62,
12
],
[
622,
976,
16,
12
],
[
640,
976,
48,
12
],
[
690,
976,
46,
12
],
[
481,
992,
32,
12
],
[
516,
992,
50,
12
],
[
568,
992,
44,
12
],
[
614,
992,
37,
12
],
[
481,
1007,
35,
12
],
[
519,
1007,
18,
12
],
[
539,
1007,
18,
12
],
[
559,
1007,
69,
12
],
[
481,
1022,
21,
12
],
[
505,
1022,
18,
12
],
[
525,
1022,
18,
12
],
[
545,
1022,
41,
12
],
[
481,
1037,
37,
12
],
[
521,
1037,
93,
12
],
[
84,
1103,
23,
14
],
[
135,
1088,
55,
13
],
[
192,
1088,
44,
13
],
[
238,
1088,
11,
13
],
[
252,
1088,
52,
13
]
] | [
"Evaluation",
"of",
"Treatments",
"in",
"Patients",
"with",
"Nocturnal",
"Bruxism",
"on",
"Bite",
"Force",
"and",
"Occlusal",
"Contact",
"Area:",
"A",
"preliminary",
"report",
"Alper",
"Alkana",
"Emel",
"Bulutb",
"Selim",
"Aricic",
"Shuichi",
"Satod",
"Objectives:",
"The",
"purpose",
"of",
"this",
"study",
"was",
"to",
"investigate",
"the",
"short-term",
"effects",
"of",
"occlusal",
"splint",
"therapy",
"and",
"tricyclic",
"antidepressants",
"on",
"the",
"bite",
"force",
"and",
"occlusal",
"contact",
"area",
"of",
"patients",
"presenting",
"with",
"nocturnal",
"bruxism.",
"Methods:",
"A",
"maxillary",
"full-coverage",
"hard",
"acrylic",
"splint",
"was",
"applied",
"to",
"the",
"five",
"patients",
"(Group",
"S).",
"Five",
"patients",
"took",
"a",
"tricyclic",
"antidepressant",
"(Amitriptiline",
"HCl,",
"10",
"mg/day)",
"for",
"3",
"months",
"(Group",
"A)",
"and",
"a",
"control",
"group",
"(Group",
"C)",
"comprising",
"of",
"10",
"dental",
"school",
"students",
"with",
"normal",
"occlusion",
"was",
"also",
"formed.",
"Using",
"a",
"Dental",
"Prescale",
"(Fuji",
"Photo",
"Film",
"Corporation,",
"Tokyo,",
"Japan)",
"and",
"an",
"Occluzer",
"computer",
"(FPD703,",
"Fuji",
"Photo",
"Film",
"Corporation,",
"Tokyo,",
"Japan)",
"the",
"bite",
"force",
"and",
"occlusal",
"contact",
"area",
"were",
"measured.",
"The",
"evaluations",
"were",
"made",
"just",
"before",
"the",
"treatment",
"and",
"at",
"1",
"month",
"and",
"3",
"months",
"of",
"treatment.",
"Results:",
"The",
"bite",
"force",
"and",
"occlusal",
"contact",
"area",
"before",
"treatment",
"in",
"study",
"Groups",
"A",
"and",
"S",
"were",
"found",
"to",
"be",
"higher",
"than",
"those",
"in",
"the",
"Group",
"C.",
"Furthermore,",
"the",
"bite",
"force",
"and",
"occlusal",
"contact",
"area",
"increased",
"during",
"treatment",
"in",
"Group",
"A",
"whilst",
"they",
"decreased",
"in",
"Group",
"S.",
"Bite",
"force",
"and",
"occlusal",
"contact",
"area",
"in",
"Group",
"S",
"were",
"lower",
"at",
"both",
"1",
"month",
"and",
"3",
"months",
"of",
"treatment",
"than",
"in",
"Group",
"C.",
"Conclusions:",
"It",
"could",
"be",
"tentatively",
"suggested",
"that",
"occlusal",
"splint",
"therapy",
"may",
"be",
"more",
"effective",
"than",
"tricyclic",
"antidepressant",
"in",
"the",
"treatment",
"of",
"bruxism.",
"Further",
"investigations",
"of",
"this",
"measurement",
"method",
"involving",
"larger",
"study",
"populations",
"and",
"a",
"longer",
"follow-up",
"period",
"are",
"needed.",
"(Eur",
"J",
"Dent",
"2008;2:276-282)",
"Key",
"words:",
"Antidepressant;",
"Bite",
"force;",
"Bruxism;",
"Occlusal",
"contact",
"area;",
"Splint.",
"a",
"Associate",
"Professor",
"and",
"Chairman,",
"DDS,",
"PhD,",
"Department",
"of",
"Oral",
"and",
"Maxillofacial",
"Surgery,",
"Faculty",
"of",
"Dentistry,",
"Erciyes",
"University,",
"Kayseri,",
"Turkey.",
"b",
"Assistant",
"Professor,",
"DDS,",
"PhD,",
"Department",
"of",
"Oral",
"and",
"Maxillofacial",
"Surgery,",
"Faculty",
"of",
"Dentistry,",
"Ondokuz",
"Mayis",
"University,",
"Samsun,",
"Turkey.",
"c",
"Professor,",
"DDS,",
"MMedSci,",
"PhD,",
"Department",
"of",
"Orthodonthics,",
"Faculty",
"of",
"Dentistry,",
"Ondokuz",
"Mayis",
"University,",
"Samsun,",
"Turkey.",
"d",
"Lecturer,",
"Division",
"of",
"Maxillofacial",
"Surgery,",
"Graduate",
"School",
"of",
"Dentistry,",
"Tohoku",
"University,",
"Sendai,",
"Japan.",
"Corresponding",
"author:",
"Dr.",
"Emel",
"Bulut",
"Ondokuz",
"Mayis",
"Universitesi,",
"Dis",
"Hekimligi",
"Fakultesi",
"55139,",
"Kurupelit,",
"Samsun,",
"Turkey.",
"Phone:",
"+90",
"362",
"3121919-3008",
"Fax:",
"+90",
"362",
"4576032",
"E-mail:",
"euzun@omu.edu.tr",
"276",
"European",
"Journal",
"of",
"Dentistry"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
4,
0,
0,
0,
0
] |
3,000,839 | null | [
[
78,
47,
27,
12
],
[
109,
47,
18,
12
],
[
130,
47,
30,
12
],
[
163,
47,
44,
12
],
[
211,
47,
86,
12
],
[
300,
47,
25,
12
],
[
328,
47,
20,
12
],
[
78,
61,
286,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
20,
34
],
[
108,
169,
135,
34
],
[
253,
169,
90,
34
],
[
353,
169,
139,
34
],
[
502,
169,
121,
34
],
[
633,
169,
25,
34
],
[
78,
205,
222,
34
],
[
311,
205,
105,
34
],
[
427,
205,
186,
34
],
[
623,
205,
121,
34
],
[
78,
252,
24,
16
],
[
107,
252,
37,
16
],
[
148,
252,
50,
16
],
[
203,
249,
42,
18
],
[
87,
306,
54,
15
],
[
87,
331,
76,
14
],
[
167,
331,
57,
14
],
[
229,
331,
37,
14
],
[
270,
331,
63,
14
],
[
338,
331,
17,
14
],
[
359,
331,
7,
14
],
[
370,
331,
34,
14
],
[
408,
331,
11,
14
],
[
424,
331,
69,
14
],
[
497,
331,
50,
14
],
[
552,
331,
74,
14
],
[
630,
331,
14,
14
],
[
648,
331,
64,
14
],
[
87,
348,
29,
14
],
[
121,
348,
75,
14
],
[
200,
348,
11,
14
],
[
215,
348,
19,
14
],
[
238,
348,
41,
14
],
[
284,
348,
57,
14
],
[
345,
348,
21,
14
],
[
370,
348,
65,
14
],
[
440,
348,
32,
14
],
[
476,
348,
11,
14
],
[
491,
348,
19,
14
],
[
514,
348,
32,
14
],
[
550,
348,
28,
14
],
[
582,
348,
41,
14
],
[
628,
348,
12,
14
],
[
644,
348,
31,
14
],
[
680,
348,
25,
14
],
[
87,
365,
50,
14
],
[
142,
365,
21,
14
],
[
168,
365,
55,
14
],
[
227,
365,
24,
14
],
[
255,
365,
11,
14
],
[
271,
365,
19,
14
],
[
294,
365,
64,
14
],
[
361,
365,
50,
14
],
[
415,
365,
32,
14
],
[
451,
365,
11,
14
],
[
467,
365,
20,
14
],
[
491,
365,
40,
14
],
[
536,
365,
41,
14
],
[
581,
365,
21,
14
],
[
606,
365,
25,
14
],
[
635,
365,
16,
14
],
[
655,
365,
12,
14
],
[
672,
365,
39,
14
],
[
715,
365,
8,
14
],
[
87,
381,
39,
14
],
[
130,
381,
14,
14
],
[
149,
381,
30,
14
],
[
183,
381,
56,
14
],
[
243,
381,
11,
14
],
[
258,
381,
57,
14
],
[
319,
381,
26,
14
],
[
349,
381,
38,
14
],
[
391,
381,
12,
14
],
[
407,
381,
37,
14
],
[
449,
381,
34,
14
],
[
487,
381,
8,
14
],
[
499,
381,
46,
14
],
[
549,
381,
12,
14
],
[
565,
381,
15,
14
],
[
584,
381,
14,
14
],
[
602,
381,
68,
14
],
[
675,
381,
35,
14
],
[
714,
381,
15,
14
],
[
87,
398,
85,
14
],
[
87,
418,
46,
14
],
[
137,
418,
18,
14
],
[
160,
418,
68,
14
],
[
232,
418,
19,
14
],
[
255,
418,
31,
14
],
[
290,
418,
11,
14
],
[
306,
418,
14,
14
],
[
324,
418,
36,
14
],
[
364,
418,
51,
14
],
[
419,
418,
11,
14
],
[
434,
418,
57,
14
],
[
495,
418,
104,
14
],
[
603,
418,
15,
14
],
[
622,
418,
78,
14
],
[
87,
435,
50,
14
],
[
142,
435,
11,
14
],
[
157,
435,
46,
14
],
[
207,
435,
38,
14
],
[
249,
435,
40,
14
],
[
294,
435,
45,
14
],
[
343,
435,
30,
14
],
[
378,
435,
42,
14
],
[
424,
435,
62,
14
],
[
489,
435,
48,
14
],
[
542,
435,
96,
14
],
[
642,
435,
57,
14
],
[
703,
435,
27,
14
],
[
87,
452,
68,
14
],
[
160,
452,
21,
14
],
[
185,
452,
59,
14
],
[
248,
452,
78,
14
],
[
330,
452,
50,
14
],
[
385,
452,
20,
14
],
[
409,
452,
14,
14
],
[
427,
452,
60,
14
],
[
492,
452,
19,
14
],
[
515,
452,
55,
14
],
[
575,
452,
11,
14
],
[
590,
452,
68,
14
],
[
662,
452,
22,
14
],
[
87,
468,
59,
14
],
[
150,
468,
69,
14
],
[
223,
468,
70,
14
],
[
297,
468,
43,
14
],
[
344,
468,
22,
14
],
[
370,
468,
19,
14
],
[
394,
468,
47,
14
],
[
445,
468,
46,
14
],
[
495,
468,
59,
14
],
[
558,
468,
43,
14
],
[
605,
468,
42,
14
],
[
651,
468,
55,
14
],
[
87,
489,
75,
14
],
[
167,
489,
32,
14
],
[
203,
489,
25,
14
],
[
232,
489,
33,
14
],
[
269,
489,
34,
14
],
[
308,
489,
70,
14
],
[
381,
489,
12,
14
],
[
398,
489,
19,
14
],
[
420,
489,
56,
14
],
[
480,
489,
95,
14
],
[
580,
489,
11,
14
],
[
595,
489,
19,
14
],
[
618,
489,
68,
14
],
[
691,
489,
21,
14
],
[
87,
506,
59,
14
],
[
150,
506,
78,
14
],
[
232,
506,
40,
14
],
[
276,
506,
21,
14
],
[
302,
506,
25,
14
],
[
331,
506,
22,
14
],
[
357,
506,
25,
14
],
[
386,
506,
19,
14
],
[
409,
506,
55,
14
],
[
468,
506,
22,
14
],
[
495,
506,
68,
14
],
[
567,
506,
21,
14
],
[
593,
506,
59,
14
],
[
655,
506,
78,
14
],
[
87,
522,
50,
14
],
[
142,
522,
24,
14
],
[
170,
522,
15,
14
],
[
189,
522,
53,
14
],
[
246,
522,
11,
14
],
[
261,
522,
45,
14
],
[
309,
522,
25,
14
],
[
339,
522,
38,
14
],
[
78,
568,
77,
15
],
[
78,
585,
62,
14
],
[
144,
585,
39,
14
],
[
187,
585,
64,
14
],
[
256,
585,
18,
14
],
[
278,
585,
6,
14
],
[
289,
585,
34,
14
],
[
327,
585,
12,
14
],
[
343,
585,
60,
14
],
[
78,
602,
17,
14
],
[
100,
602,
55,
14
],
[
159,
602,
79,
14
],
[
243,
602,
14,
14
],
[
261,
602,
77,
14
],
[
343,
602,
60,
14
],
[
78,
619,
96,
14
],
[
179,
619,
56,
14
],
[
240,
619,
22,
14
],
[
267,
619,
56,
14
],
[
327,
619,
20,
14
],
[
352,
619,
24,
14
],
[
381,
619,
22,
14
],
[
78,
635,
31,
14
],
[
114,
635,
34,
14
],
[
153,
635,
47,
14
],
[
205,
635,
12,
14
],
[
223,
635,
14,
14
],
[
243,
635,
33,
14
],
[
281,
635,
80,
14
],
[
367,
635,
12,
14
],
[
384,
635,
20,
14
],
[
78,
652,
43,
14
],
[
126,
652,
59,
14
],
[
190,
652,
22,
14
],
[
217,
652,
67,
14
],
[
288,
652,
34,
14
],
[
328,
652,
12,
14
],
[
344,
652,
19,
14
],
[
368,
652,
35,
14
],
[
78,
668,
30,
14
],
[
113,
668,
42,
14
],
[
160,
668,
19,
14
],
[
183,
668,
69,
14
],
[
257,
668,
17,
14
],
[
279,
668,
22,
14
],
[
306,
668,
50,
14
],
[
360,
668,
43,
14
],
[
78,
685,
35,
14
],
[
117,
685,
9,
14
],
[
130,
685,
19,
14
],
[
154,
685,
42,
14
],
[
200,
685,
17,
14
],
[
220,
685,
27,
14
],
[
252,
685,
11,
14
],
[
267,
685,
26,
14
],
[
296,
685,
14,
14
],
[
315,
685,
38,
14
],
[
357,
685,
47,
14
],
[
78,
701,
17,
14
],
[
100,
701,
27,
14
],
[
131,
701,
21,
14
],
[
156,
701,
27,
14
],
[
187,
701,
28,
14
],
[
220,
701,
46,
14
],
[
270,
701,
46,
14
],
[
320,
701,
32,
14
],
[
357,
701,
46,
14
],
[
78,
718,
26,
14
],
[
110,
718,
20,
14
],
[
135,
718,
22,
14
],
[
162,
718,
15,
14
],
[
182,
718,
34,
14
],
[
222,
718,
28,
14
],
[
255,
718,
29,
14
],
[
289,
718,
59,
14
],
[
353,
718,
21,
14
],
[
380,
718,
24,
14
],
[
78,
735,
70,
14
],
[
154,
735,
21,
14
],
[
181,
735,
14,
14
],
[
201,
735,
64,
14
],
[
271,
735,
63,
14
],
[
340,
735,
64,
14
],
[
78,
751,
55,
14
],
[
138,
751,
13,
14
],
[
155,
751,
54,
14
],
[
213,
751,
25,
14
],
[
243,
751,
12,
14
],
[
259,
751,
19,
14
],
[
282,
751,
60,
14
],
[
347,
751,
56,
14
],
[
78,
768,
38,
14
],
[
122,
768,
44,
14
],
[
171,
768,
10,
14
],
[
186,
768,
41,
14
],
[
231,
768,
14,
14
],
[
251,
768,
61,
14
],
[
317,
768,
12,
14
],
[
334,
768,
70,
14
],
[
78,
785,
23,
14
],
[
106,
785,
40,
14
],
[
151,
785,
12,
14
],
[
167,
785,
42,
14
],
[
214,
785,
35,
14
],
[
254,
785,
10,
14
],
[
268,
785,
6,
14
],
[
280,
785,
49,
14
],
[
333,
785,
12,
14
],
[
350,
785,
19,
14
],
[
373,
785,
30,
14
],
[
78,
801,
28,
14
],
[
111,
801,
35,
14
],
[
150,
801,
11,
14
],
[
165,
801,
35,
14
],
[
205,
801,
49,
14
],
[
89,
818,
58,
14
],
[
152,
818,
37,
14
],
[
194,
818,
49,
14
],
[
248,
818,
19,
14
],
[
272,
818,
96,
14
],
[
372,
818,
31,
14
],
[
78,
834,
36,
14
],
[
119,
834,
12,
14
],
[
137,
834,
23,
14
],
[
165,
834,
35,
14
],
[
205,
834,
39,
14
],
[
249,
834,
23,
14
],
[
277,
834,
23,
14
],
[
305,
834,
28,
14
],
[
338,
834,
39,
14
],
[
383,
834,
21,
14
],
[
78,
851,
36,
14
],
[
119,
851,
18,
14
],
[
142,
851,
31,
14
],
[
178,
851,
55,
14
],
[
238,
851,
34,
14
],
[
276,
851,
32,
14
],
[
314,
851,
33,
14
],
[
352,
851,
12,
14
],
[
368,
851,
35,
14
],
[
78,
868,
30,
14
],
[
112,
868,
65,
14
],
[
182,
868,
8,
14
],
[
195,
868,
21,
14
],
[
220,
868,
10,
14
],
[
234,
868,
27,
14
],
[
265,
868,
39,
14
],
[
309,
868,
12,
14
],
[
325,
868,
41,
14
],
[
369,
868,
9,
14
],
[
382,
868,
21,
14
],
[
78,
884,
14,
14
],
[
97,
884,
20,
14
],
[
121,
884,
66,
14
],
[
192,
884,
22,
14
],
[
219,
884,
64,
14
],
[
287,
884,
18,
14
],
[
310,
884,
42,
14
],
[
356,
884,
47,
14
],
[
78,
901,
46,
14
],
[
129,
901,
61,
14
],
[
193,
901,
82,
14
],
[
280,
901,
50,
14
],
[
334,
901,
9,
14
],
[
348,
901,
56,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
89,
11
],
[
78,
950,
28,
11
],
[
109,
950,
12,
11
],
[
124,
950,
41,
11
],
[
168,
950,
57,
11
],
[
228,
950,
16,
11
],
[
247,
950,
51,
11
],
[
301,
950,
9,
11
],
[
313,
950,
58,
11
],
[
374,
950,
16,
11
],
[
78,
962,
21,
11
],
[
102,
962,
21,
11
],
[
126,
962,
43,
11
],
[
172,
962,
44,
11
],
[
219,
962,
14,
11
],
[
236,
962,
27,
11
],
[
266,
962,
18,
11
],
[
423,
569,
72,
14
],
[
499,
569,
31,
14
],
[
535,
569,
31,
14
],
[
570,
569,
9,
14
],
[
584,
569,
39,
14
],
[
628,
569,
33,
14
],
[
665,
569,
19,
14
],
[
688,
569,
44,
14
],
[
736,
569,
12,
14
],
[
423,
585,
70,
14
],
[
498,
585,
43,
14
],
[
545,
585,
54,
14
],
[
605,
585,
45,
14
],
[
655,
585,
22,
14
],
[
682,
585,
66,
14
],
[
423,
602,
45,
14
],
[
473,
602,
42,
14
],
[
520,
602,
69,
14
],
[
594,
602,
62,
14
],
[
661,
602,
62,
14
],
[
728,
602,
20,
14
],
[
423,
619,
44,
14
],
[
471,
619,
60,
14
],
[
536,
619,
12,
14
],
[
553,
619,
82,
14
],
[
639,
619,
60,
14
],
[
703,
619,
22,
14
],
[
729,
619,
19,
14
],
[
423,
635,
126,
14
],
[
553,
635,
49,
14
],
[
607,
635,
19,
14
],
[
630,
635,
30,
14
],
[
665,
635,
45,
14
],
[
714,
635,
34,
14
],
[
423,
652,
52,
14
],
[
480,
652,
39,
14
],
[
525,
652,
63,
14
],
[
594,
652,
28,
14
],
[
628,
652,
23,
14
],
[
656,
651,
92,
15
],
[
423,
668,
42,
14
],
[
434,
685,
89,
14
],
[
527,
685,
18,
14
],
[
549,
685,
18,
14
],
[
572,
685,
73,
14
],
[
649,
685,
53,
14
],
[
706,
685,
12,
14
],
[
721,
685,
27,
14
],
[
423,
701,
29,
14
],
[
456,
701,
30,
14
],
[
491,
701,
18,
14
],
[
513,
701,
91,
14
],
[
609,
701,
12,
14
],
[
625,
701,
46,
14
],
[
675,
701,
73,
14
],
[
423,
718,
22,
14
],
[
450,
718,
45,
14
],
[
500,
718,
86,
14
],
[
591,
718,
50,
14
],
[
646,
718,
61,
14
],
[
712,
718,
12,
14
],
[
729,
718,
19,
14
],
[
423,
735,
24,
14
],
[
451,
735,
48,
14
],
[
504,
735,
22,
14
],
[
530,
735,
26,
14
],
[
560,
735,
58,
14
],
[
623,
735,
39,
14
],
[
666,
735,
82,
14
],
[
423,
751,
37,
14
],
[
464,
751,
49,
14
],
[
517,
751,
34,
14
],
[
556,
751,
13,
14
],
[
574,
751,
22,
14
],
[
600,
751,
19,
14
],
[
624,
751,
12,
14
],
[
641,
751,
24,
14
],
[
669,
751,
12,
14
],
[
686,
751,
62,
14
],
[
423,
768,
38,
14
],
[
465,
768,
93,
14
],
[
563,
768,
26,
14
],
[
592,
768,
48,
14
],
[
645,
768,
45,
14
],
[
694,
768,
12,
14
],
[
710,
768,
38,
14
],
[
423,
785,
50,
14
],
[
477,
785,
56,
14
],
[
538,
785,
12,
14
],
[
555,
785,
50,
14
],
[
610,
785,
49,
14
],
[
663,
785,
22,
14
],
[
690,
785,
58,
14
],
[
423,
801,
35,
14
],
[
462,
801,
56,
14
],
[
523,
801,
42,
14
],
[
569,
801,
12,
14
],
[
586,
801,
85,
14
],
[
675,
801,
56,
14
],
[
736,
801,
12,
14
],
[
423,
818,
23,
14
],
[
450,
818,
26,
14
],
[
481,
818,
79,
14
],
[
564,
818,
23,
14
],
[
591,
818,
86,
14
],
[
681,
818,
31,
14
],
[
717,
818,
31,
14
],
[
423,
834,
34,
14
],
[
461,
834,
12,
14
],
[
477,
834,
7,
14
],
[
488,
834,
33,
14
],
[
525,
834,
70,
14
],
[
600,
834,
22,
14
],
[
626,
834,
73,
14
],
[
703,
834,
45,
14
],
[
423,
851,
44,
14
],
[
434,
868,
42,
14
],
[
480,
868,
15,
14
],
[
500,
868,
64,
14
],
[
568,
868,
55,
14
],
[
628,
868,
28,
14
],
[
660,
868,
27,
14
],
[
691,
868,
56,
14
],
[
423,
884,
23,
14
],
[
450,
884,
64,
14
],
[
519,
884,
24,
14
],
[
548,
884,
14,
14
],
[
566,
884,
14,
14
],
[
585,
884,
70,
14
],
[
659,
884,
36,
14
],
[
700,
884,
17,
14
],
[
721,
884,
27,
14
],
[
423,
901,
67,
14
],
[
495,
901,
12,
14
],
[
511,
901,
34,
14
],
[
550,
901,
27,
14
],
[
582,
901,
13,
14
],
[
600,
901,
46,
14
],
[
650,
901,
12,
14
],
[
667,
901,
22,
14
],
[
694,
901,
54,
14
],
[
423,
917,
16,
14
],
[
443,
917,
51,
14
],
[
498,
917,
6,
14
],
[
509,
917,
23,
14
],
[
536,
917,
55,
14
],
[
595,
917,
11,
14
],
[
611,
917,
18,
14
],
[
633,
917,
56,
14
],
[
694,
917,
11,
14
],
[
709,
917,
39,
14
],
[
423,
934,
49,
14
],
[
476,
934,
62,
14
],
[
543,
934,
12,
14
],
[
560,
934,
50,
14
],
[
614,
934,
48,
14
],
[
667,
934,
29,
14
],
[
700,
934,
48,
14
],
[
423,
950,
17,
14
],
[
444,
950,
55,
14
],
[
503,
950,
28,
14
],
[
536,
950,
26,
14
],
[
567,
950,
76,
14
],
[
647,
950,
27,
14
],
[
679,
950,
69,
14
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
22,
10
],
[
303,
987,
15,
10
],
[
320,
987,
26,
10
],
[
349,
987,
30,
10
],
[
382,
987,
29,
10
],
[
414,
987,
27,
10
],
[
443,
987,
14,
10
],
[
460,
987,
15,
10
],
[
478,
987,
6,
10
],
[
486,
987,
10,
10
],
[
499,
987,
21,
10
],
[
523,
987,
25,
10
],
[
551,
987,
23,
10
],
[
576,
987,
41,
10
],
[
620,
987,
23,
10
],
[
645,
987,
13,
10
],
[
661,
987,
22,
10
],
[
685,
987,
8,
10
],
[
696,
987,
13,
10
],
[
711,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
49,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Wang",
"and",
"Brown",
"Molecular",
"Neurodegeneration",
"2010,",
"5:52",
"http://www.molecularneurodegeneration.com/content/5/1/52",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"A",
"hereditary",
"spastic",
"paraplegia",
"mutation",
"in",
"kinesin-1A/KIF5A",
"disrupts",
"neurofilament",
"transport",
"Lina",
"Wang,",
"Anthony",
"Brown*",
"Abstract",
"Background:",
"Hereditary",
"spastic",
"paraplegias",
"are",
"a",
"group",
"of",
"neurological",
"disorders",
"characterized",
"by",
"progressive",
"distal",
"degeneration",
"of",
"the",
"longest",
"ascending",
"and",
"descending",
"axons",
"in",
"the",
"spinal",
"cord,",
"leading",
"to",
"lower",
"limb",
"spasticity",
"and",
"weakness.",
"One",
"of",
"the",
"dominantly",
"inherited",
"forms",
"of",
"this",
"disease",
"(spastic",
"gait",
"type",
"10,",
"or",
"SPG10)",
"is",
"caused",
"by",
"point",
"mutations",
"in",
"kinesin-1A",
"(also",
"known",
"as",
"KIF5A),",
"which",
"is",
"thought",
"to",
"be",
"an",
"anterograde",
"motor",
"for",
"neurofilaments.",
"Results:",
"We",
"investigated",
"the",
"effect",
"of",
"an",
"SPG10",
"mutation",
"in",
"kinesin-1A",
"(N256S-kinesin-1A)",
"on",
"neurofilament",
"transport",
"in",
"cultured",
"mouse",
"cortical",
"neurons",
"using",
"live-cell",
"fluorescent",
"imaging.",
"N256S-kinesin-1A",
"decreased",
"both",
"anterograde",
"and",
"retrograde",
"neurofilament",
"transport",
"flux",
"by",
"decreasing",
"the",
"frequency",
"of",
"anterograde",
"and",
"retrograde",
"movements.",
"Anterograde",
"velocity",
"was",
"not",
"affected,",
"whereas",
"retrograde",
"velocity",
"actually",
"increased.",
"Conclusions:",
"These",
"data",
"reveal",
"subtle",
"complexities",
"to",
"the",
"functional",
"interdependence",
"of",
"the",
"anterograde",
"and",
"retrograde",
"neurofilament",
"motors",
"and",
"they",
"also",
"raise",
"the",
"possibility",
"that",
"anterograde",
"and",
"retrograde",
"neurofilament",
"transport",
"may",
"be",
"disrupted",
"in",
"patients",
"with",
"SPG10.",
"Background",
"Hereditary",
"spastic",
"paraplegias",
"are",
"a",
"group",
"of",
"neurologi-",
"cal",
"disorders",
"characterized",
"by",
"progressively",
"increasing",
"lower-extremity",
"weakness",
"and",
"spasticity",
"[1].",
"The",
"pri-",
"mary",
"cause",
"appears",
"to",
"be",
"distal",
"degeneration",
"of",
"the",
"longest",
"ascending",
"and",
"descending",
"axons",
"in",
"the",
"spinal",
"cord,",
"though",
"the",
"explanation",
"for",
"this",
"selective",
"vulner-",
"ability",
"is",
"not",
"known.",
"To",
"date,",
"at",
"least",
"41",
"spastic",
"paraple-",
"gia",
"gene",
"loci",
"have",
"been",
"mapped",
"(termed",
"SPG1",
"through",
"SPG",
"41)",
"and",
"17",
"genes",
"have",
"been",
"identified",
"[2].",
"The",
"inheritance",
"can",
"be",
"autosomal",
"dominant,",
"autosomal",
"recessive,",
"or",
"X-linked.",
"One",
"of",
"the",
"autosomal",
"dominant",
"forms,",
"SPG10,",
"is",
"caused",
"by",
"mutations",
"in",
"kinesin-1A,",
"also",
"known",
"as",
"KIF5A,",
"which",
"is",
"a",
"member",
"of",
"the",
"kine-",
"sin-1",
"family",
"of",
"motor",
"proteins.",
"Kinesin-1",
"motor",
"proteins",
"are",
"heterotetramers",
"com-",
"posed",
"of",
"two",
"heavy",
"chains",
"and",
"two",
"light",
"chains",
"[3].",
"There",
"are",
"three",
"kinesin-1",
"heavy",
"chain",
"genes",
"in",
"mam-",
"mals:",
"kinesin-1A,",
"B",
"and",
"C",
"(also",
"known",
"as",
"KIF5A,",
"B",
"and",
"C)",
"[4].",
"Kinesin-1A",
"and",
"kinesin-1C",
"are",
"neuron",
"specific,",
"whereas",
"kinesin-1B",
"(\"conventional",
"kinesin”)",
"is",
"expressed",
"*",
"Correspondence:",
"brown.2302@osu.edu",
"Center",
"for",
"Molecular",
"Neurobiology",
"and",
"Department",
"of",
"Neuroscience,",
"The",
"Ohio",
"State",
"University,",
"Columbus,",
"OH",
"43210,",
"USA",
"ubiquitously",
"[5-7].",
"Little",
"is",
"known",
"about",
"the",
"cargoes",
"of",
"kinesin-1A,",
"though",
"potential",
"cargoes",
"and",
"interactors",
"include",
"HAP-1",
"(huntingtin",
"associated",
"protein-1)",
"[8],",
"DISC-1",
"(disrupted",
"in",
"schizophrenia",
"protein-1)",
"and",
"the",
"NUDEL/LIS1/14-3-3ε",
"complex",
"[9],",
"Grb2",
"(growth",
"factor",
"receptor",
"bound",
"protein-2)",
"[10],",
"and",
"b-dystrobrevin",
"[11,12].",
"Neurofilaments",
"are",
"the",
"intermediate",
"filaments",
"of",
"neu-",
"rons.",
"They",
"are",
"heteropolymers",
"of",
"variable",
"composition",
"and",
"subunit",
"stoichiometry,",
"typically",
"composed",
"of",
"the",
"low,",
"medium",
"and",
"high",
"molecular",
"weight",
"neurofilament",
"triplet",
"proteins",
"(NFL,",
"M",
"and",
"H),",
"as",
"well",
"as",
"peripherin",
"and/or",
"alpha-internexin",
"[13].",
"Live-cell",
"imaging",
"of",
"neuro-",
"filament",
"transport",
"in",
"cultured",
"neurons",
"and",
"computa-",
"tional",
"modeling",
"studies",
"of",
"neurofilament",
"transport",
"in",
"vivo",
"have",
"demonstrated",
"that",
"neurofilaments",
"move",
"along",
"axons",
"in",
"a",
"rapid,",
"intermittent",
"and",
"bidirectional",
"manner",
"[14-17].",
"Studies",
"on",
"kinesin-1A",
"knockout",
"mice",
"have",
"suggested",
"that",
"kinesin-1A",
"may",
"be",
"an",
"anterograde",
"motor",
"for",
"neu-",
"rofilaments",
"in",
"axons",
"[18].",
"In",
"support",
"of",
"this",
"proposal,",
"we",
"observed",
"a",
"75%",
"reduction",
"in",
"the",
"frequency",
"of",
"neuro-",
"filament",
"movement",
"in",
"cultured",
"neurons",
"from",
"kinesin-",
"1A",
"knockout",
"mice",
"[19].",
"Interestingly,",
"both",
"anterograde",
"©",
"2010",
"Wang",
"and",
"Brown;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,411,435 | null | [
[
78,
47,
14,
12
],
[
99,
47,
34,
12
],
[
135,
47,
9,
12
],
[
147,
47,
35,
12
],
[
185,
47,
21,
12
],
[
209,
47,
34,
12
],
[
246,
47,
25,
12
],
[
274,
47,
26,
12
],
[
78,
61,
249,
12
],
[
84,
128,
11,
19
],
[
96,
128,
10,
19
],
[
108,
128,
10,
19
],
[
120,
128,
10,
19
],
[
131,
128,
12,
19
],
[
145,
128,
11,
19
],
[
158,
128,
11,
19
],
[
171,
128,
13,
19
],
[
190,
128,
12,
19
],
[
204,
128,
11,
19
],
[
217,
128,
10,
19
],
[
229,
128,
5,
19
],
[
236,
128,
11,
19
],
[
249,
128,
10,
19
],
[
260,
128,
10,
19
],
[
601,
59,
62,
14
],
[
666,
59,
18,
14
],
[
688,
59,
60,
14
],
[
601,
70,
52,
22
],
[
658,
70,
90,
22
],
[
640,
128,
44,
19
],
[
689,
128,
53,
19
],
[
78,
169,
106,
34
],
[
192,
169,
101,
34
],
[
301,
169,
71,
34
],
[
380,
169,
16,
34
],
[
403,
169,
80,
34
],
[
491,
169,
64,
34
],
[
563,
169,
103,
34
],
[
673,
169,
25,
34
],
[
78,
206,
105,
34
],
[
191,
206,
25,
34
],
[
224,
206,
16,
34
],
[
247,
206,
146,
34
],
[
401,
206,
97,
34
],
[
505,
206,
69,
34
],
[
583,
206,
16,
34
],
[
606,
206,
57,
34
],
[
671,
206,
73,
34
],
[
78,
253,
37,
16
],
[
119,
253,
10,
16
],
[
132,
253,
17,
16
],
[
87,
307,
54,
15
],
[
87,
332,
78,
14
],
[
170,
333,
16,
14
],
[
190,
333,
56,
14
],
[
251,
333,
24,
14
],
[
280,
333,
12,
14
],
[
296,
333,
109,
14
],
[
410,
333,
9,
14
],
[
424,
333,
19,
14
],
[
448,
333,
20,
14
],
[
472,
333,
12,
14
],
[
489,
333,
41,
14
],
[
535,
333,
43,
14
],
[
582,
333,
12,
14
],
[
599,
333,
49,
14
],
[
653,
333,
19,
14
],
[
677,
333,
54,
14
],
[
87,
349,
22,
14
],
[
114,
349,
73,
14
],
[
192,
349,
12,
14
],
[
209,
349,
32,
14
],
[
246,
349,
54,
14
],
[
304,
349,
46,
14
],
[
355,
349,
44,
14
],
[
403,
349,
66,
14
],
[
474,
349,
31,
14
],
[
510,
349,
12,
14
],
[
527,
349,
19,
14
],
[
551,
349,
41,
14
],
[
597,
349,
43,
14
],
[
644,
349,
50,
14
],
[
87,
366,
50,
14
],
[
142,
366,
21,
14
],
[
167,
366,
15,
14
],
[
187,
366,
96,
14
],
[
288,
366,
64,
14
],
[
358,
366,
61,
14
],
[
423,
366,
58,
14
],
[
487,
366,
25,
14
],
[
517,
366,
35,
14
],
[
557,
366,
132,
14
],
[
87,
383,
50,
14
],
[
143,
383,
44,
14
],
[
192,
383,
23,
14
],
[
219,
383,
28,
14
],
[
253,
383,
31,
14
],
[
289,
383,
50,
14
],
[
344,
383,
26,
14
],
[
374,
383,
46,
14
],
[
425,
383,
41,
14
],
[
471,
383,
52,
14
],
[
528,
383,
38,
14
],
[
571,
383,
46,
14
],
[
622,
383,
11,
14
],
[
637,
383,
21,
14
],
[
663,
383,
25,
14
],
[
693,
383,
34,
14
],
[
87,
399,
17,
14
],
[
109,
399,
56,
14
],
[
170,
399,
19,
14
],
[
194,
399,
32,
14
],
[
231,
399,
12,
14
],
[
248,
399,
75,
14
],
[
327,
399,
47,
14
],
[
379,
399,
44,
14
],
[
428,
399,
11,
14
],
[
444,
399,
46,
14
],
[
494,
399,
11,
14
],
[
510,
399,
7,
14
],
[
522,
399,
63,
14
],
[
590,
399,
43,
14
],
[
638,
399,
27,
14
],
[
670,
399,
31,
14
],
[
706,
399,
7,
14
],
[
87,
416,
34,
14
],
[
126,
416,
54,
14
],
[
185,
416,
42,
14
],
[
233,
416,
90,
14
],
[
328,
416,
41,
14
],
[
374,
416,
18,
14
],
[
396,
416,
48,
14
],
[
87,
437,
29,
14
],
[
121,
437,
82,
14
],
[
208,
437,
31,
14
],
[
242,
437,
60,
14
],
[
306,
437,
12,
14
],
[
321,
437,
11,
14
],
[
335,
437,
36,
14
],
[
375,
437,
21,
14
],
[
399,
437,
44,
14
],
[
447,
437,
7,
14
],
[
457,
437,
41,
14
],
[
500,
437,
25,
14
],
[
528,
437,
71,
14
],
[
603,
437,
127,
14
],
[
87,
453,
50,
14
],
[
141,
453,
46,
14
],
[
191,
453,
68,
14
],
[
262,
453,
11,
14
],
[
276,
453,
74,
14
],
[
354,
453,
47,
14
],
[
404,
453,
43,
14
],
[
450,
453,
20,
14
],
[
474,
453,
35,
14
],
[
512,
453,
22,
14
],
[
537,
453,
12,
14
],
[
553,
453,
23,
14
],
[
580,
453,
31,
14
],
[
614,
453,
19,
14
],
[
636,
453,
30,
14
],
[
670,
453,
16,
14
],
[
689,
453,
23,
14
],
[
87,
470,
39,
14
],
[
130,
470,
25,
14
],
[
158,
470,
7,
14
],
[
168,
470,
41,
14
],
[
213,
470,
18,
14
],
[
234,
470,
45,
14
],
[
282,
470,
34,
14
],
[
319,
470,
64,
14
],
[
387,
470,
14,
14
],
[
405,
470,
7,
14
],
[
415,
470,
45,
14
],
[
464,
470,
52,
14
],
[
519,
470,
60,
14
],
[
583,
470,
7,
14
],
[
593,
470,
22,
14
],
[
619,
470,
7,
14
],
[
629,
470,
64,
14
],
[
87,
487,
56,
14
],
[
147,
487,
28,
14
],
[
179,
487,
25,
14
],
[
208,
487,
22,
14
],
[
233,
487,
14,
14
],
[
250,
487,
50,
14
],
[
304,
487,
18,
14
],
[
325,
487,
34,
14
],
[
363,
487,
15,
14
],
[
381,
487,
29,
14
],
[
413,
487,
58,
14
],
[
475,
487,
25,
14
],
[
503,
487,
50,
14
],
[
556,
487,
27,
14
],
[
586,
487,
70,
14
],
[
660,
487,
60,
14
],
[
724,
487,
7,
14
],
[
87,
503,
22,
14
],
[
113,
503,
7,
14
],
[
123,
503,
64,
14
],
[
190,
503,
56,
14
],
[
250,
503,
43,
14
],
[
297,
503,
25,
14
],
[
326,
503,
18,
14
],
[
347,
503,
68,
14
],
[
418,
503,
26,
14
],
[
447,
503,
7,
14
],
[
457,
503,
27,
14
],
[
488,
503,
34,
14
],
[
525,
503,
14,
14
],
[
543,
503,
44,
14
],
[
590,
503,
60,
14
],
[
654,
503,
60,
14
],
[
717,
503,
7,
14
],
[
87,
520,
22,
14
],
[
113,
520,
7,
14
],
[
123,
520,
64,
14
],
[
190,
520,
56,
14
],
[
250,
520,
43,
14
],
[
297,
520,
25,
14
],
[
326,
520,
7,
14
],
[
336,
520,
38,
14
],
[
378,
520,
12,
14
],
[
393,
520,
7,
14
],
[
403,
520,
27,
14
],
[
433,
520,
40,
14
],
[
476,
520,
45,
14
],
[
525,
520,
32,
14
],
[
561,
520,
55,
14
],
[
620,
520,
25,
14
],
[
648,
520,
27,
14
],
[
679,
520,
40,
14
],
[
87,
537,
81,
14
],
[
172,
537,
70,
14
],
[
245,
537,
14,
14
],
[
263,
537,
29,
14
],
[
295,
537,
24,
14
],
[
87,
553,
70,
14
],
[
161,
553,
26,
14
],
[
190,
553,
46,
14
],
[
240,
553,
13,
14
],
[
256,
553,
66,
14
],
[
326,
553,
80,
14
],
[
409,
553,
55,
14
],
[
467,
553,
22,
14
],
[
492,
553,
35,
14
],
[
530,
553,
18,
14
],
[
551,
553,
34,
14
],
[
589,
553,
32,
14
],
[
624,
553,
31,
14
],
[
659,
553,
37,
14
],
[
699,
553,
22,
14
],
[
87,
570,
44,
14
],
[
135,
570,
61,
14
],
[
199,
570,
11,
14
],
[
213,
570,
41,
14
],
[
257,
570,
30,
14
],
[
290,
570,
58,
14
],
[
352,
570,
25,
14
],
[
380,
570,
47,
14
],
[
430,
570,
86,
14
],
[
520,
570,
83,
14
],
[
606,
570,
28,
14
],
[
637,
570,
64,
14
],
[
705,
570,
22,
14
],
[
87,
587,
39,
14
],
[
129,
587,
26,
14
],
[
158,
587,
46,
14
],
[
208,
587,
36,
14
],
[
247,
587,
15,
14
],
[
266,
587,
22,
14
],
[
291,
587,
15,
14
],
[
310,
587,
22,
14
],
[
335,
587,
20,
14
],
[
359,
587,
31,
14
],
[
394,
587,
64,
14
],
[
461,
587,
28,
14
],
[
493,
587,
64,
14
],
[
560,
587,
16,
14
],
[
580,
587,
13,
14
],
[
596,
587,
30,
14
],
[
629,
587,
69,
14
],
[
701,
587,
25,
14
],
[
87,
603,
25,
14
],
[
115,
603,
22,
14
],
[
141,
603,
55,
14
],
[
200,
603,
58,
14
],
[
261,
603,
42,
14
],
[
306,
603,
19,
14
],
[
329,
603,
33,
14
],
[
365,
603,
73,
14
],
[
441,
603,
33,
14
],
[
87,
624,
77,
14
],
[
168,
624,
35,
14
],
[
206,
624,
54,
14
],
[
263,
624,
44,
14
],
[
310,
624,
63,
14
],
[
377,
624,
14,
14
],
[
394,
624,
90,
14
],
[
487,
624,
41,
14
],
[
532,
624,
18,
14
],
[
553,
624,
45,
14
],
[
601,
624,
24,
14
],
[
629,
624,
47,
14
],
[
679,
624,
22,
14
],
[
87,
641,
37,
14
],
[
128,
641,
61,
14
],
[
192,
641,
22,
14
],
[
217,
641,
65,
14
],
[
286,
641,
32,
14
],
[
321,
641,
12,
14
],
[
336,
641,
71,
14
],
[
410,
641,
11,
14
],
[
425,
641,
33,
14
],
[
461,
641,
45,
14
],
[
510,
641,
11,
14
],
[
524,
641,
7,
14
],
[
534,
641,
63,
14
],
[
601,
641,
43,
14
],
[
646,
641,
27,
14
],
[
677,
641,
26,
14
],
[
87,
657,
60,
14
],
[
151,
657,
36,
14
],
[
190,
657,
7,
14
],
[
200,
657,
131,
14
],
[
335,
657,
50,
14
],
[
389,
657,
44,
14
],
[
436,
657,
52,
14
],
[
491,
657,
21,
14
],
[
516,
657,
54,
14
],
[
573,
657,
40,
14
],
[
616,
657,
46,
14
],
[
665,
657,
41,
14
],
[
87,
674,
37,
14
],
[
128,
674,
32,
14
],
[
163,
674,
83,
14
],
[
249,
674,
60,
14
],
[
313,
674,
45,
14
],
[
362,
674,
43,
14
],
[
408,
674,
53,
14
],
[
465,
674,
47,
14
],
[
515,
674,
22,
14
],
[
540,
674,
44,
14
],
[
588,
674,
20,
14
],
[
612,
674,
46,
14
],
[
78,
716,
80,
15
],
[
78,
733,
63,
14
],
[
147,
733,
24,
14
],
[
178,
733,
40,
14
],
[
225,
733,
68,
14
],
[
299,
733,
76,
14
],
[
382,
733,
22,
14
],
[
78,
750,
28,
14
],
[
114,
750,
26,
14
],
[
147,
750,
35,
14
],
[
190,
750,
71,
14
],
[
269,
750,
46,
14
],
[
322,
750,
52,
14
],
[
382,
750,
21,
14
],
[
78,
767,
42,
14
],
[
124,
767,
40,
14
],
[
168,
767,
79,
14
],
[
250,
767,
26,
14
],
[
280,
767,
31,
14
],
[
314,
767,
25,
14
],
[
343,
767,
15,
14
],
[
361,
767,
20,
14
],
[
384,
767,
19,
14
],
[
78,
783,
54,
14
],
[
138,
783,
27,
14
],
[
171,
783,
70,
14
],
[
247,
783,
21,
14
],
[
274,
783,
76,
14
],
[
356,
783,
18,
14
],
[
380,
783,
24,
14
],
[
78,
800,
34,
14
],
[
116,
800,
11,
14
],
[
132,
800,
18,
14
],
[
154,
800,
49,
14
],
[
207,
800,
46,
14
],
[
256,
800,
48,
14
],
[
308,
800,
50,
14
],
[
362,
800,
21,
14
],
[
387,
800,
17,
14
],
[
78,
817,
37,
14
],
[
120,
817,
24,
14
],
[
148,
817,
22,
14
],
[
175,
817,
32,
14
],
[
211,
817,
17,
14
],
[
232,
817,
43,
14
],
[
280,
817,
35,
14
],
[
319,
817,
55,
14
],
[
379,
817,
25,
14
],
[
78,
833,
49,
14
],
[
130,
833,
71,
14
],
[
205,
833,
41,
14
],
[
249,
833,
40,
14
],
[
292,
833,
31,
14
],
[
327,
833,
21,
14
],
[
352,
833,
51,
14
],
[
78,
850,
53,
14
],
[
137,
850,
64,
14
],
[
207,
850,
53,
14
],
[
266,
850,
70,
14
],
[
341,
850,
45,
14
],
[
392,
850,
12,
14
],
[
78,
867,
29,
14
],
[
111,
867,
36,
14
],
[
150,
867,
65,
14
],
[
219,
867,
21,
14
],
[
244,
867,
82,
14
],
[
330,
867,
19,
14
],
[
78,
913,
71,
11
],
[
152,
913,
95,
11
],
[
78,
926,
51,
11
],
[
132,
926,
9,
11
],
[
143,
926,
33,
11
],
[
179,
926,
34,
11
],
[
215,
926,
16,
11
],
[
234,
926,
57,
11
],
[
294,
926,
34,
11
],
[
331,
926,
29,
11
],
[
362,
926,
9,
11
],
[
78,
938,
40,
11
],
[
121,
938,
41,
11
],
[
165,
938,
9,
11
],
[
176,
938,
39,
11
],
[
218,
938,
15,
11
],
[
236,
938,
39,
11
],
[
278,
938,
30,
11
],
[
310,
938,
10,
11
],
[
323,
938,
28,
11
],
[
353,
938,
16,
11
],
[
78,
951,
36,
11
],
[
117,
951,
30,
11
],
[
150,
951,
22,
11
],
[
175,
951,
50,
11
],
[
227,
951,
30,
11
],
[
260,
951,
20,
11
],
[
283,
951,
29,
11
],
[
315,
951,
26,
11
],
[
344,
951,
16,
11
],
[
362,
951,
22,
11
],
[
387,
951,
16,
11
],
[
78,
963,
39,
11
],
[
120,
963,
50,
11
],
[
173,
963,
18,
11
],
[
434,
717,
18,
14
],
[
456,
717,
53,
14
],
[
515,
717,
24,
14
],
[
544,
717,
11,
14
],
[
560,
717,
109,
14
],
[
675,
717,
9,
14
],
[
689,
717,
18,
14
],
[
712,
717,
19,
14
],
[
736,
717,
11,
14
],
[
423,
733,
41,
14
],
[
469,
733,
41,
14
],
[
516,
733,
12,
14
],
[
533,
733,
47,
14
],
[
586,
733,
18,
14
],
[
610,
733,
54,
14
],
[
669,
733,
21,
14
],
[
696,
733,
52,
14
],
[
423,
750,
25,
14
],
[
453,
750,
12,
14
],
[
470,
750,
64,
14
],
[
540,
750,
46,
14
],
[
591,
750,
10,
14
],
[
607,
750,
45,
14
],
[
657,
750,
11,
14
],
[
674,
750,
42,
14
],
[
722,
750,
26,
14
],
[
423,
767,
27,
14
],
[
456,
767,
93,
14
],
[
555,
767,
34,
14
],
[
595,
767,
53,
14
],
[
655,
767,
46,
14
],
[
707,
767,
41,
14
],
[
423,
783,
41,
14
],
[
470,
783,
47,
14
],
[
523,
783,
46,
14
],
[
574,
783,
51,
14
],
[
632,
783,
21,
14
],
[
659,
783,
56,
14
],
[
720,
783,
28,
14
],
[
423,
800,
18,
14
],
[
448,
800,
43,
14
],
[
498,
800,
30,
14
],
[
535,
800,
55,
14
],
[
597,
800,
50,
14
],
[
654,
800,
46,
14
],
[
707,
800,
41,
14
],
[
423,
817,
37,
14
],
[
466,
817,
12,
14
],
[
484,
817,
47,
14
],
[
537,
817,
75,
14
],
[
618,
817,
28,
14
],
[
651,
817,
38,
14
],
[
695,
817,
11,
14
],
[
711,
817,
37,
14
],
[
423,
833,
25,
14
],
[
453,
833,
39,
14
],
[
497,
833,
40,
14
],
[
541,
833,
39,
14
],
[
585,
833,
67,
14
],
[
657,
833,
30,
14
],
[
692,
833,
56,
14
],
[
423,
850,
26,
14
],
[
452,
850,
38,
14
],
[
492,
850,
24,
14
],
[
520,
850,
70,
14
],
[
593,
850,
44,
14
],
[
640,
850,
41,
14
],
[
684,
850,
18,
14
],
[
705,
850,
42,
14
],
[
423,
867,
43,
14
],
[
473,
867,
16,
14
],
[
497,
867,
31,
14
],
[
535,
867,
52,
14
],
[
595,
867,
41,
14
],
[
644,
867,
15,
14
],
[
666,
867,
7,
14
],
[
681,
867,
67,
14
],
[
423,
883,
55,
14
],
[
481,
883,
49,
14
],
[
534,
883,
17,
14
],
[
554,
883,
39,
14
],
[
596,
883,
12,
14
],
[
611,
883,
31,
14
],
[
645,
883,
11,
14
],
[
659,
883,
18,
14
],
[
680,
883,
29,
14
],
[
712,
883,
36,
14
],
[
423,
900,
27,
14
],
[
461,
900,
12,
14
],
[
484,
900,
70,
14
],
[
565,
900,
122,
14
],
[
699,
900,
49,
14
],
[
423,
917,
43,
14
],
[
469,
917,
55,
14
],
[
528,
917,
25,
14
],
[
557,
917,
12,
14
],
[
572,
917,
24,
14
],
[
600,
917,
15,
14
],
[
618,
917,
19,
14
],
[
641,
917,
65,
14
],
[
710,
917,
16,
14
],
[
730,
917,
18,
14
],
[
423,
933,
22,
14
],
[
452,
933,
11,
14
],
[
470,
933,
31,
14
],
[
509,
933,
26,
14
],
[
542,
933,
41,
14
],
[
590,
933,
21,
14
],
[
618,
933,
50,
14
],
[
675,
933,
73,
14
],
[
423,
950,
46,
14
],
[
472,
950,
12,
14
],
[
486,
950,
20,
14
],
[
510,
950,
25,
14
],
[
537,
950,
11,
14
],
[
551,
950,
59,
14
],
[
613,
950,
45,
14
],
[
250,
987,
7,
10
],
[
259,
987,
18,
10
],
[
280,
987,
13,
10
],
[
295,
987,
30,
10
],
[
327,
987,
28,
10
],
[
357,
987,
27,
10
],
[
386,
987,
14,
10
],
[
403,
987,
15,
10
],
[
420,
987,
6,
10
],
[
428,
987,
10,
10
],
[
440,
987,
21,
10
],
[
463,
987,
25,
10
],
[
490,
987,
22,
10
],
[
515,
987,
40,
10
],
[
558,
987,
22,
10
],
[
582,
987,
13,
10
],
[
597,
987,
21,
10
],
[
621,
987,
8,
10
],
[
631,
987,
13,
10
],
[
646,
987,
30,
10
],
[
678,
987,
39,
10
],
[
250,
999,
40,
10
],
[
293,
999,
28,
10
],
[
323,
999,
167,
10
],
[
493,
999,
23,
10
],
[
518,
999,
28,
10
],
[
548,
999,
44,
10
],
[
595,
999,
15,
10
],
[
612,
999,
44,
10
],
[
658,
999,
15,
10
],
[
250,
1010,
49,
10
],
[
301,
1010,
7,
10
],
[
311,
1010,
14,
10
],
[
326,
1010,
33,
10
],
[
362,
1010,
34,
10
],
[
398,
1010,
13,
10
],
[
413,
1010,
28,
10
],
[
443,
1010,
19,
10
],
[
464,
1010,
6,
10
],
[
472,
1010,
31,
10
],
[
505,
1010,
20,
10
]
] | [
"Byl",
"Journal",
"of",
"Medical",
"Case",
"Reports",
"2012,",
"6:216",
"http://www.jmedicalcasereports.com/content/6/1/216",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"JOURNAL",
"OF",
"MEDICAL",
"CASE",
"REPORTS",
"Open",
"Access",
"Mobility",
"training",
"using",
"a",
"bionic",
"knee",
"orthosis",
"in",
"patients",
"in",
"a",
"post-stroke",
"chronic",
"state:",
"a",
"case",
"series",
"Nancy",
"N",
"Byl",
"Abstract",
"Introduction:",
"An",
"emerging",
"area",
"of",
"neurorehabilitation",
"is",
"the",
"use",
"of",
"robotic",
"devices",
"to",
"enhance",
"the",
"efficiency",
"and",
"effectiveness",
"of",
"lower",
"extremity",
"physical",
"therapy",
"post-stroke.",
"Many",
"of",
"the",
"robotic",
"devices",
"currently",
"available",
"rely",
"on",
"computer-driven",
"locomotive",
"algorithms",
"combined",
"with",
"partial",
"bodyweight-supported",
"treadmill",
"training",
"that",
"drive",
"reflex",
"stepping",
"with",
"minimal",
"patient",
"intention",
"during",
"therapy.",
"In",
"this",
"case",
"series,",
"we",
"examined",
"the",
"effect",
"of",
"task-oriented",
"mobility",
"training",
"in",
"patients",
"in",
"a",
"post-stroke",
"chronic",
"state",
"using",
"a",
"novel,",
"wearable,",
"mobile,",
"intention-based",
"robotic",
"leg",
"orthosis.",
"Case",
"presentation:",
"Three",
"individuals,",
"all",
"of",
"whom",
"had",
"reached",
"a",
"plateau",
"with",
"conventional",
"bodyweight-supported",
"treadmill",
"training,",
"participated",
"in",
"task-oriented",
"mobility",
"therapy",
"(1.5",
"hours,",
"two",
"to",
"four",
"times",
"per",
"week",
"for",
"four",
"weeks)",
"with",
"a",
"robotic",
"leg",
"orthosis",
"under",
"supervision",
"by",
"a",
"physical",
"therapist.",
"Participant",
"1",
"was",
"a",
"59-year-old",
"Caucasian",
"man,",
"who",
"had",
"an",
"ischemic",
"left",
"stroke",
"six",
"years",
"previously",
"with",
"resultant",
"right",
"hemiparesis.",
"Participant",
"2",
"was",
"a",
"42-year-old",
"Caucasian",
"woman",
"with",
"left",
"hemiparesis",
"after",
"a",
"right",
"stroke",
"15",
"months",
"previously.",
"Participant",
"3",
"was",
"a",
"62-year-old",
"Caucasian",
"woman",
"with",
"a",
"history",
"of",
"a",
"right",
"middle",
"cerebral",
"artery",
"aneurysm",
"with",
"third",
"degree",
"sub-arachnoid",
"hemorrhage",
"10",
"years",
"ago.",
"Immediately",
"after",
"training,",
"all",
"participants",
"demonstrated",
"improved",
"gait",
"speed",
"(10",
"meter",
"walk),",
"stride",
"length",
"and",
"walking",
"endurance",
"(6",
"minute",
"walk)",
"compared",
"with",
"baseline",
"measurements.",
"Improvements",
"were",
"maintained",
"one",
"month",
"after",
"training.",
"Timed",
"up",
"and",
"go",
"and",
"five",
"times",
"sit-to-stand",
"were",
"maintained",
"for",
"all",
"three",
"participants,",
"with",
"only",
"one",
"individual",
"remaining",
"outside",
"the",
"safety",
"performance",
"norm.",
"Conclusions:",
"Lower",
"extremity",
"training",
"integrating",
"an",
"intention-based",
"robotic",
"leg",
"orthosis",
"may",
"improve",
"gait",
"speed,",
"endurance",
"and",
"community",
"levels",
"of",
"participation",
"in",
"select",
"patients",
"in",
"a",
"post-stroke",
"chronic",
"state",
"after",
"plateauing",
"within",
"a",
"bodyweight-supported",
"treadmill",
"training",
"program.",
"The",
"wearable,",
"mobile",
"assistive",
"robotic",
"device",
"safely",
"supplemented",
"supervised",
"physical",
"therapy",
"including",
"mobility",
"and",
"balance",
"skill",
"training.",
"Introduction",
"Individuals",
"who",
"receive",
"coordinated",
"rehabilitation",
"ser-",
"vices",
"after",
"stroke",
"demonstrate",
"reduced",
"mortality",
"and",
"achieve",
"greater",
"independence",
"than",
"those",
"who",
"do",
"not",
"[1].",
"Although",
"early",
"intervention",
"and",
"rehabilitation",
"are",
"pre-",
"ferred",
"in",
"the",
"recovery",
"process,",
"research",
"indicates",
"late",
"re-",
"covery",
"may",
"also",
"occur",
"for",
"chronic",
"stroke",
"survivors.",
"Late",
"recovery",
"mechanisms",
"require",
"patient",
"effort",
"and",
"attention",
"including",
"progressive",
"repetitive",
"task-specific",
"training",
"to",
"drive",
"neural",
"remodeling",
"and",
"reorganization",
"[2].",
"Correspondence:",
"byln@ptrehab.ucsf.edu",
"Department",
"of",
"Physical",
"Therapy",
"and",
"Rehabilitation",
"Science,",
"School",
"of",
"Medicine,",
"University",
"of",
"California",
"San",
"Francisco",
"(UCSF),",
"PT",
"Health",
"and",
"Wellness",
"Center,",
"Bakar",
"Community",
"Center,",
"1675",
"Owens",
"Street,",
"Box",
"0736,",
"San",
"Francisco",
"94158-2332,",
"USA",
"An",
"emerging",
"area",
"in",
"neurorehabilitation",
"is",
"the",
"use",
"of",
"robotic",
"devices",
"to",
"enhance",
"the",
"efficiency",
"and",
"effective-",
"ness",
"of",
"post-stroke",
"therapy.",
"A",
"number",
"of",
"designs",
"have",
"been",
"commercialized.",
"These",
"wearable,",
"assistive",
"robotic",
"devices",
"typically",
"demand",
"attention",
"and",
"repetition",
"from",
"the",
"patient,",
"while",
"providing",
"feedback",
"through",
"various",
"modes",
"to",
"improve",
"performance.",
"Early",
"studies",
"of",
"upper-",
"limb",
"robotic",
"devices",
"remain",
"inconclusive",
"when",
"evaluating",
"their",
"benefit",
"over",
"conventional",
"physical",
"therapy",
"[3].",
"Robotic",
"systems",
"for",
"lower",
"extremity",
"therapy",
"on",
"a",
"bodyweight-",
"supported",
"treadmill",
"are",
"subject",
"to",
"many",
"of",
"the",
"same",
"limita-",
"tions",
"as",
"conventional",
"bodyweight-supported",
"treadmill",
"training",
"(BWSTT)",
"[4,5]",
"as",
"they",
"do",
"not",
"compensate",
"for",
"the",
"lack",
"of",
"visual",
"flow,",
"balance",
"and",
"intention",
"requirements",
"inherent",
"to",
"this",
"kind",
"of",
"movement",
"training.",
"©",
"2012",
"Byl;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
1,976,336 | null | [
[
62,
70,
119,
35
],
[
192,
70,
117,
35
],
[
320,
70,
30,
35
],
[
360,
70,
160,
35
],
[
532,
70,
138,
35
],
[
62,
111,
28,
35
],
[
101,
111,
48,
35
],
[
160,
111,
113,
35
],
[
284,
111,
114,
35
],
[
409,
111,
175,
35
],
[
595,
111,
152,
35
],
[
62,
161,
55,
13
],
[
121,
161,
57,
13
],
[
182,
157,
61,
18
],
[
247,
161,
34,
13
],
[
285,
157,
51,
18
],
[
340,
161,
31,
13
],
[
375,
157,
31,
17
],
[
62,
183,
50,
10
],
[
115,
183,
9,
10
],
[
126,
183,
55,
10
],
[
184,
183,
26,
10
],
[
212,
183,
34,
10
],
[
249,
183,
9,
10
],
[
261,
183,
33,
10
],
[
297,
183,
43,
10
],
[
343,
183,
42,
10
],
[
388,
183,
20,
10
],
[
62,
216,
59,
14
],
[
124,
216,
69,
14
],
[
196,
216,
65,
14
],
[
265,
216,
12,
14
],
[
280,
216,
20,
14
],
[
303,
216,
77,
14
],
[
384,
216,
12,
14
],
[
400,
216,
44,
14
],
[
447,
216,
44,
14
],
[
495,
216,
77,
14
],
[
576,
216,
20,
14
],
[
600,
216,
43,
14
],
[
646,
216,
23,
14
],
[
673,
216,
90,
14
],
[
62,
231,
36,
14
],
[
105,
231,
79,
14
],
[
191,
231,
23,
14
],
[
222,
231,
82,
14
],
[
312,
231,
56,
14
],
[
375,
231,
7,
14
],
[
390,
231,
25,
14
],
[
422,
231,
30,
14
],
[
460,
231,
13,
14
],
[
480,
231,
70,
14
],
[
558,
231,
10,
14
],
[
575,
231,
54,
14
],
[
637,
231,
59,
14
],
[
703,
231,
60,
14
],
[
62,
246,
72,
14
],
[
140,
246,
22,
14
],
[
168,
246,
43,
14
],
[
216,
246,
29,
14
],
[
251,
246,
63,
14
],
[
320,
246,
7,
14
],
[
333,
246,
48,
14
],
[
386,
246,
29,
14
],
[
421,
246,
47,
14
],
[
474,
246,
13,
14
],
[
493,
246,
63,
14
],
[
561,
246,
53,
14
],
[
620,
246,
12,
14
],
[
638,
246,
22,
14
],
[
666,
246,
38,
14
],
[
710,
246,
18,
14
],
[
733,
246,
29,
14
],
[
62,
262,
70,
14
],
[
139,
262,
8,
14
],
[
153,
262,
63,
14
],
[
223,
262,
65,
14
],
[
294,
262,
50,
14
],
[
350,
262,
17,
14
],
[
374,
262,
20,
14
],
[
401,
262,
48,
14
],
[
456,
262,
52,
14
],
[
515,
262,
71,
14
],
[
593,
262,
66,
14
],
[
665,
262,
11,
14
],
[
683,
262,
63,
14
],
[
753,
262,
10,
14
],
[
62,
277,
69,
14
],
[
134,
277,
17,
14
],
[
155,
277,
43,
14
],
[
201,
277,
41,
14
],
[
246,
277,
41,
14
],
[
290,
277,
33,
14
],
[
327,
277,
30,
14
],
[
360,
277,
23,
14
],
[
386,
277,
87,
14
],
[
477,
277,
20,
14
],
[
501,
277,
45,
14
],
[
549,
277,
12,
14
],
[
565,
277,
20,
14
],
[
589,
277,
48,
14
],
[
640,
277,
10,
14
],
[
654,
277,
7,
14
],
[
665,
277,
21,
14
],
[
689,
277,
48,
14
],
[
740,
277,
22,
14
],
[
62,
292,
48,
14
],
[
116,
292,
54,
14
],
[
175,
292,
71,
14
],
[
251,
292,
27,
14
],
[
283,
292,
34,
14
],
[
323,
292,
13,
14
],
[
342,
292,
25,
14
],
[
372,
292,
12,
14
],
[
390,
292,
15,
14
],
[
410,
292,
19,
14
],
[
435,
292,
33,
14
],
[
473,
292,
23,
14
],
[
501,
292,
69,
14
],
[
575,
292,
29,
14
],
[
610,
292,
32,
14
],
[
647,
292,
30,
14
],
[
683,
292,
63,
14
],
[
751,
292,
12,
14
],
[
62,
307,
48,
14
],
[
114,
307,
47,
14
],
[
164,
307,
23,
14
],
[
190,
307,
46,
14
],
[
240,
307,
15,
14
],
[
258,
307,
37,
14
],
[
298,
307,
68,
14
],
[
370,
307,
20,
14
],
[
393,
307,
76,
14
],
[
472,
307,
13,
14
],
[
488,
307,
69,
14
],
[
560,
307,
12,
14
],
[
575,
307,
44,
14
],
[
622,
307,
61,
14
],
[
686,
307,
17,
14
],
[
707,
307,
45,
14
],
[
755,
307,
7,
14
],
[
62,
323,
48,
14
],
[
115,
323,
63,
14
],
[
182,
323,
49,
14
],
[
236,
323,
15,
14
],
[
255,
323,
63,
14
],
[
323,
323,
79,
14
],
[
406,
323,
72,
14
],
[
483,
323,
27,
14
],
[
514,
323,
26,
14
],
[
545,
323,
12,
14
],
[
561,
323,
30,
14
],
[
596,
323,
51,
14
],
[
651,
323,
19,
14
],
[
675,
323,
29,
14
],
[
708,
323,
55,
14
],
[
62,
338,
53,
14
],
[
119,
338,
13,
14
],
[
136,
338,
42,
14
],
[
183,
338,
94,
14
],
[
280,
338,
70,
14
],
[
355,
338,
17,
14
],
[
376,
338,
48,
14
],
[
429,
338,
69,
14
],
[
501,
338,
36,
14
],
[
541,
338,
16,
14
],
[
561,
338,
20,
14
],
[
585,
338,
70,
14
],
[
660,
338,
12,
14
],
[
676,
338,
86,
14
],
[
62,
353,
42,
14
],
[
107,
353,
72,
14
],
[
183,
353,
25,
14
],
[
211,
353,
27,
14
],
[
241,
353,
23,
14
],
[
268,
353,
28,
14
],
[
299,
353,
59,
14
],
[
361,
353,
26,
14
],
[
391,
353,
70,
14
],
[
465,
353,
46,
14
],
[
514,
353,
29,
14
],
[
547,
353,
47,
14
],
[
597,
353,
99,
14
],
[
700,
353,
32,
14
],
[
735,
353,
27,
14
],
[
62,
368,
39,
14
],
[
105,
368,
42,
14
],
[
152,
368,
49,
14
],
[
205,
368,
13,
14
],
[
222,
368,
20,
14
],
[
247,
368,
50,
14
],
[
301,
368,
43,
14
],
[
348,
368,
20,
14
],
[
372,
368,
35,
14
],
[
412,
368,
35,
14
],
[
451,
368,
13,
14
],
[
468,
368,
55,
14
],
[
528,
368,
58,
14
],
[
590,
368,
15,
14
],
[
610,
368,
72,
14
],
[
686,
368,
22,
14
],
[
713,
368,
50,
14
],
[
62,
384,
48,
14
],
[
114,
384,
75,
14
],
[
192,
384,
13,
14
],
[
209,
384,
69,
14
],
[
281,
384,
12,
14
],
[
297,
384,
61,
14
],
[
362,
384,
72,
14
],
[
438,
384,
44,
14
],
[
485,
384,
65,
14
],
[
554,
384,
23,
14
],
[
581,
384,
91,
14
],
[
676,
384,
74,
14
],
[
754,
384,
9,
14
],
[
62,
399,
38,
14
],
[
103,
399,
14,
14
],
[
120,
399,
13,
14
],
[
136,
399,
33,
14
],
[
171,
399,
67,
14
],
[
241,
399,
59,
14
],
[
303,
399,
20,
14
],
[
326,
399,
55,
14
],
[
384,
399,
12,
14
],
[
400,
399,
74,
14
],
[
477,
399,
49,
14
],
[
530,
399,
36,
14
],
[
569,
399,
16,
14
],
[
587,
399,
28,
14
],
[
619,
399,
74,
14
],
[
696,
399,
9,
14
],
[
708,
399,
38,
14
],
[
749,
399,
14,
14
],
[
62,
414,
13,
14
],
[
79,
414,
33,
14
],
[
115,
414,
44,
14
],
[
163,
414,
67,
14
],
[
234,
414,
35,
14
],
[
273,
414,
81,
14
],
[
358,
414,
71,
14
],
[
432,
414,
12,
14
],
[
447,
414,
20,
14
],
[
471,
414,
48,
14
],
[
523,
414,
23,
14
],
[
550,
414,
38,
14
],
[
591,
414,
55,
14
],
[
650,
414,
13,
14
],
[
667,
414,
56,
14
],
[
726,
414,
13,
14
],
[
743,
414,
20,
14
],
[
62,
429,
38,
14
],
[
106,
429,
23,
14
],
[
136,
429,
45,
14
],
[
188,
429,
50,
14
],
[
245,
429,
49,
14
],
[
301,
429,
13,
14
],
[
320,
429,
20,
14
],
[
347,
429,
50,
14
],
[
403,
429,
52,
14
],
[
461,
429,
7,
14
],
[
476,
429,
46,
14
],
[
529,
429,
30,
14
],
[
566,
429,
18,
14
],
[
590,
429,
20,
14
],
[
617,
429,
76,
14
],
[
699,
429,
44,
14
],
[
750,
429,
13,
14
],
[
62,
444,
87,
14
],
[
153,
444,
7,
14
],
[
164,
444,
69,
14
],
[
237,
444,
38,
14
],
[
279,
444,
55,
14
],
[
337,
444,
43,
14
],
[
384,
444,
48,
14
],
[
436,
444,
12,
14
],
[
452,
444,
20,
14
],
[
476,
444,
50,
14
],
[
530,
444,
52,
14
],
[
585,
444,
8,
14
],
[
597,
444,
64,
14
],
[
665,
444,
30,
14
],
[
699,
444,
17,
14
],
[
720,
444,
42,
14
],
[
62,
460,
74,
14
],
[
139,
460,
55,
14
],
[
197,
460,
43,
14
],
[
243,
460,
87,
14
],
[
333,
460,
20,
14
],
[
356,
460,
75,
14
],
[
434,
460,
13,
14
],
[
450,
460,
22,
14
],
[
475,
460,
60,
14
],
[
538,
460,
28,
14
],
[
569,
460,
13,
14
],
[
585,
460,
60,
14
],
[
648,
460,
12,
14
],
[
663,
460,
48,
14
],
[
714,
460,
48,
14
],
[
62,
486,
35,
10
],
[
100,
486,
34,
10
],
[
138,
486,
13,
10
],
[
154,
486,
27,
10
],
[
185,
486,
8,
10
],
[
196,
486,
19,
10
],
[
218,
486,
7,
10
],
[
229,
486,
26,
10
],
[
258,
486,
34,
10
],
[
296,
486,
32,
10
],
[
331,
486,
9,
10
],
[
344,
486,
44,
10
],
[
392,
486,
38,
10
],
[
433,
486,
8,
10
],
[
445,
486,
14,
10
],
[
463,
486,
32,
10
],
[
499,
486,
33,
10
],
[
535,
486,
50,
10
],
[
589,
486,
45,
10
],
[
638,
486,
20,
10
],
[
662,
486,
34,
10
],
[
699,
486,
16,
10
],
[
719,
486,
18,
10
],
[
740,
486,
22,
10
],
[
62,
497,
136,
10
],
[
62,
536,
82,
15
],
[
75,
561,
56,
13
],
[
134,
561,
64,
13
],
[
200,
561,
26,
13
],
[
229,
561,
48,
13
],
[
281,
561,
12,
13
],
[
296,
561,
36,
13
],
[
335,
561,
29,
13
],
[
366,
561,
11,
13
],
[
381,
561,
19,
13
],
[
62,
577,
39,
13
],
[
106,
577,
12,
13
],
[
122,
577,
38,
13
],
[
164,
577,
41,
13
],
[
210,
577,
55,
13
],
[
269,
577,
12,
13
],
[
286,
577,
47,
13
],
[
338,
577,
12,
13
],
[
354,
577,
46,
13
],
[
62,
593,
12,
13
],
[
77,
593,
18,
13
],
[
98,
593,
40,
13
],
[
141,
593,
12,
13
],
[
155,
593,
32,
13
],
[
190,
593,
63,
13
],
[
256,
593,
49,
13
],
[
309,
593,
24,
13
],
[
336,
593,
23,
13
],
[
362,
593,
38,
13
],
[
62,
608,
28,
13
],
[
98,
608,
12,
13
],
[
118,
608,
18,
13
],
[
145,
608,
75,
13
],
[
228,
608,
12,
13
],
[
248,
608,
47,
13
],
[
304,
608,
35,
13
],
[
347,
608,
53,
13
],
[
62,
624,
67,
13
],
[
135,
624,
38,
13
],
[
180,
624,
41,
13
],
[
227,
624,
12,
13
],
[
245,
624,
18,
13
],
[
269,
624,
70,
13
],
[
346,
624,
54,
13
],
[
62,
639,
27,
13
],
[
97,
639,
50,
13
],
[
155,
639,
12,
13
],
[
175,
639,
55,
13
],
[
239,
639,
50,
13
],
[
297,
639,
11,
13
],
[
317,
639,
22,
13
],
[
348,
639,
11,
13
],
[
367,
639,
32,
13
],
[
62,
655,
71,
13
],
[
139,
655,
30,
13
],
[
176,
655,
14,
13
],
[
196,
655,
70,
13
],
[
273,
655,
19,
13
],
[
298,
655,
50,
13
],
[
353,
655,
47,
13
],
[
62,
670,
25,
13
],
[
90,
670,
11,
13
],
[
104,
670,
42,
13
],
[
149,
670,
40,
13
],
[
192,
670,
21,
13
],
[
216,
670,
73,
13
],
[
292,
670,
41,
13
],
[
336,
670,
64,
13
],
[
62,
686,
25,
13
],
[
91,
686,
11,
13
],
[
105,
686,
36,
13
],
[
144,
686,
28,
13
],
[
175,
686,
32,
13
],
[
210,
686,
42,
13
],
[
256,
686,
17,
13
],
[
276,
686,
22,
13
],
[
301,
686,
61,
13
],
[
366,
686,
12,
13
],
[
381,
686,
19,
13
],
[
62,
701,
42,
13
],
[
108,
701,
85,
13
],
[
196,
701,
56,
13
],
[
255,
701,
21,
13
],
[
280,
701,
72,
13
],
[
356,
701,
27,
13
],
[
386,
701,
14,
13
],
[
62,
717,
28,
13
],
[
96,
717,
30,
13
],
[
132,
717,
63,
13
],
[
201,
717,
18,
13
],
[
224,
717,
22,
13
],
[
252,
717,
47,
13
],
[
305,
717,
34,
13
],
[
344,
717,
56,
13
],
[
62,
732,
59,
13
],
[
125,
732,
21,
13
],
[
149,
732,
18,
13
],
[
171,
732,
51,
13
],
[
225,
732,
53,
13
],
[
282,
732,
12,
13
],
[
297,
732,
18,
13
],
[
319,
732,
22,
13
],
[
345,
732,
33,
13
],
[
382,
732,
18,
13
],
[
62,
748,
49,
13
],
[
114,
748,
43,
13
],
[
161,
748,
12,
13
],
[
176,
748,
30,
13
],
[
209,
748,
49,
13
],
[
262,
748,
18,
13
],
[
283,
748,
33,
13
],
[
319,
748,
26,
13
],
[
348,
748,
31,
13
],
[
382,
748,
18,
13
],
[
62,
763,
39,
13
],
[
105,
763,
39,
13
],
[
149,
763,
38,
13
],
[
192,
763,
38,
13
],
[
235,
763,
45,
13
],
[
285,
763,
67,
13
],
[
356,
763,
21,
13
],
[
382,
763,
18,
13
],
[
62,
779,
29,
13
],
[
98,
779,
23,
13
],
[
128,
779,
43,
13
],
[
178,
779,
17,
13
],
[
202,
779,
33,
13
],
[
242,
779,
43,
13
],
[
293,
779,
12,
13
],
[
311,
779,
63,
13
],
[
382,
779,
18,
13
],
[
62,
794,
60,
13
],
[
126,
794,
21,
13
],
[
152,
794,
56,
13
],
[
213,
794,
12,
13
],
[
229,
794,
27,
13
],
[
261,
794,
56,
13
],
[
322,
794,
28,
13
],
[
355,
794,
45,
13
],
[
62,
810,
12,
13
],
[
81,
810,
36,
13
],
[
124,
810,
62,
13
],
[
193,
810,
12,
13
],
[
212,
810,
36,
13
],
[
254,
810,
31,
13
],
[
292,
810,
18,
13
],
[
317,
810,
64,
13
],
[
388,
810,
12,
13
],
[
62,
825,
64,
13
],
[
129,
825,
12,
13
],
[
144,
825,
82,
13
],
[
229,
825,
52,
13
],
[
285,
825,
18,
13
],
[
306,
825,
27,
13
],
[
337,
825,
63,
13
],
[
62,
841,
13,
13
],
[
83,
841,
18,
13
],
[
109,
841,
82,
13
],
[
198,
841,
12,
13
],
[
217,
841,
7,
13
],
[
231,
841,
22,
13
],
[
261,
841,
17,
13
],
[
286,
841,
36,
13
],
[
329,
841,
12,
13
],
[
348,
841,
52,
13
],
[
62,
856,
40,
13
],
[
106,
856,
50,
13
],
[
160,
856,
30,
13
],
[
75,
872,
42,
13
],
[
120,
872,
18,
13
],
[
141,
872,
57,
13
],
[
201,
872,
52,
13
],
[
257,
872,
12,
13
],
[
272,
872,
33,
13
],
[
308,
872,
64,
13
],
[
374,
872,
25,
13
],
[
62,
888,
27,
13
],
[
95,
888,
62,
13
],
[
163,
888,
27,
13
],
[
196,
888,
38,
13
],
[
240,
888,
26,
13
],
[
272,
888,
27,
13
],
[
305,
888,
53,
13
],
[
364,
888,
12,
13
],
[
382,
888,
18,
13
],
[
62,
903,
42,
13
],
[
109,
903,
12,
13
],
[
126,
903,
56,
13
],
[
186,
903,
66,
13
],
[
258,
903,
33,
13
],
[
296,
903,
9,
13
],
[
309,
903,
45,
13
],
[
359,
903,
41,
13
],
[
62,
919,
23,
13
],
[
88,
919,
23,
13
],
[
114,
919,
63,
13
],
[
181,
919,
48,
13
],
[
232,
919,
12,
13
],
[
247,
919,
58,
13
],
[
309,
919,
24,
13
],
[
336,
919,
43,
13
],
[
382,
919,
18,
13
],
[
62,
934,
65,
13
],
[
135,
934,
21,
13
],
[
165,
934,
31,
13
],
[
204,
934,
50,
13
],
[
261,
934,
41,
13
],
[
310,
934,
33,
13
],
[
352,
934,
48,
13
],
[
62,
950,
59,
13
],
[
129,
950,
62,
13
],
[
198,
950,
12,
13
],
[
218,
950,
47,
13
],
[
273,
950,
51,
13
],
[
332,
950,
12,
13
],
[
351,
950,
18,
13
],
[
378,
950,
22,
13
],
[
62,
965,
69,
13
],
[
136,
965,
18,
13
],
[
159,
965,
27,
13
],
[
192,
965,
12,
13
],
[
209,
965,
47,
13
],
[
261,
965,
90,
13
],
[
356,
965,
44,
13
],
[
62,
981,
24,
13
],
[
95,
981,
53,
13
],
[
156,
981,
18,
13
],
[
183,
981,
7,
13
],
[
198,
981,
36,
13
],
[
242,
981,
85,
13
],
[
335,
981,
12,
13
],
[
356,
981,
44,
13
],
[
62,
996,
55,
13
],
[
125,
996,
62,
13
],
[
194,
996,
62,
13
],
[
264,
996,
53,
13
],
[
325,
996,
17,
13
],
[
350,
996,
50,
13
],
[
425,
530,
23,
13
],
[
452,
530,
43,
13
],
[
500,
530,
6,
13
],
[
511,
530,
60,
13
],
[
575,
530,
60,
13
],
[
640,
530,
12,
13
],
[
657,
530,
30,
13
],
[
691,
530,
18,
13
],
[
713,
530,
49,
13
],
[
425,
546,
12,
13
],
[
440,
546,
7,
13
],
[
450,
546,
19,
13
],
[
473,
546,
12,
13
],
[
489,
546,
45,
13
],
[
538,
546,
62,
13
],
[
603,
546,
46,
13
],
[
653,
546,
12,
13
],
[
669,
546,
29,
13
],
[
702,
546,
18,
13
],
[
723,
546,
39,
13
],
[
425,
562,
64,
13
],
[
494,
562,
12,
13
],
[
511,
562,
63,
13
],
[
580,
562,
12,
13
],
[
597,
562,
54,
13
],
[
656,
562,
55,
13
],
[
716,
562,
15,
13
],
[
737,
562,
26,
13
],
[
425,
578,
31,
13
],
[
459,
578,
14,
13
],
[
477,
578,
32,
13
],
[
513,
578,
11,
13
],
[
528,
578,
52,
13
],
[
583,
578,
59,
13
],
[
646,
578,
62,
13
],
[
712,
578,
50,
13
],
[
425,
594,
12,
13
],
[
439,
594,
39,
13
],
[
480,
594,
39,
13
],
[
522,
594,
11,
13
],
[
536,
594,
22,
13
],
[
561,
594,
11,
13
],
[
575,
594,
21,
13
],
[
599,
594,
12,
13
],
[
613,
594,
18,
13
],
[
634,
594,
27,
13
],
[
664,
594,
57,
13
],
[
724,
594,
39,
13
],
[
425,
610,
60,
13
],
[
488,
610,
18,
13
],
[
510,
610,
46,
13
],
[
559,
610,
44,
13
],
[
607,
610,
10,
13
],
[
621,
610,
56,
13
],
[
437,
627,
40,
13
],
[
479,
627,
13,
13
],
[
495,
627,
18,
13
],
[
516,
627,
30,
13
],
[
549,
627,
18,
13
],
[
570,
627,
44,
13
],
[
616,
627,
62,
13
],
[
681,
627,
32,
13
],
[
716,
627,
46,
13
],
[
425,
642,
7,
13
],
[
434,
642,
73,
13
],
[
509,
642,
33,
13
],
[
544,
642,
35,
13
],
[
582,
642,
21,
13
],
[
606,
642,
6,
13
],
[
615,
642,
80,
13
],
[
697,
642,
39,
13
],
[
739,
642,
24,
13
],
[
425,
658,
21,
13
],
[
453,
658,
66,
13
],
[
527,
658,
47,
13
],
[
582,
658,
12,
13
],
[
602,
658,
24,
13
],
[
634,
658,
31,
13
],
[
673,
658,
57,
13
],
[
739,
658,
24,
13
],
[
425,
674,
39,
13
],
[
467,
674,
18,
13
],
[
488,
674,
39,
13
],
[
531,
674,
30,
13
],
[
565,
674,
18,
13
],
[
586,
674,
44,
13
],
[
634,
674,
66,
13
],
[
703,
674,
24,
13
],
[
731,
674,
31,
13
],
[
425,
690,
66,
13
],
[
496,
690,
37,
13
],
[
539,
690,
18,
13
],
[
563,
690,
37,
13
],
[
605,
690,
47,
13
],
[
658,
690,
22,
13
],
[
686,
690,
18,
13
],
[
710,
690,
7,
13
],
[
722,
690,
40,
13
],
[
425,
706,
49,
13
],
[
478,
706,
12,
13
],
[
494,
706,
45,
13
],
[
543,
706,
9,
13
],
[
557,
706,
9,
13
],
[
570,
706,
52,
13
],
[
627,
706,
45,
13
],
[
675,
706,
23,
13
],
[
702,
706,
24,
13
],
[
731,
706,
31,
13
],
[
425,
722,
47,
13
],
[
474,
722,
26,
13
],
[
503,
722,
6,
13
],
[
513,
722,
22,
13
],
[
539,
722,
12,
13
],
[
554,
722,
23,
13
],
[
580,
722,
12,
13
],
[
595,
722,
18,
13
],
[
617,
722,
60,
13
],
[
680,
722,
12,
13
],
[
695,
722,
21,
13
],
[
720,
722,
43,
13
],
[
425,
738,
12,
13
],
[
443,
738,
18,
13
],
[
467,
738,
44,
13
],
[
518,
738,
12,
13
],
[
536,
738,
18,
13
],
[
560,
738,
39,
13
],
[
605,
738,
26,
13
],
[
638,
738,
22,
13
],
[
666,
738,
45,
13
],
[
718,
738,
44,
13
],
[
425,
754,
53,
13
],
[
486,
754,
39,
13
],
[
533,
754,
65,
13
],
[
606,
754,
54,
13
],
[
668,
754,
48,
13
],
[
724,
754,
12,
13
],
[
744,
754,
18,
13
],
[
425,
770,
39,
13
],
[
468,
770,
39,
13
],
[
511,
770,
39,
13
],
[
555,
770,
21,
13
],
[
581,
770,
36,
13
],
[
622,
770,
43,
13
],
[
670,
770,
43,
13
],
[
718,
770,
44,
13
],
[
425,
786,
39,
13
],
[
471,
786,
17,
13
],
[
496,
786,
50,
13
],
[
554,
786,
18,
13
],
[
580,
786,
27,
13
],
[
615,
786,
35,
13
],
[
659,
786,
12,
13
],
[
679,
786,
14,
13
],
[
700,
786,
43,
13
],
[
751,
786,
12,
13
],
[
425,
802,
65,
13
],
[
493,
802,
18,
13
],
[
515,
802,
96,
13
],
[
614,
802,
12,
13
],
[
630,
802,
7,
13
],
[
640,
802,
32,
13
],
[
675,
802,
43,
13
],
[
722,
802,
40,
13
],
[
425,
818,
12,
13
],
[
440,
818,
10,
13
],
[
454,
818,
20,
13
],
[
478,
818,
57,
13
],
[
539,
818,
23,
13
],
[
565,
818,
47,
13
],
[
616,
818,
23,
13
],
[
643,
818,
25,
13
],
[
672,
818,
7,
13
],
[
683,
818,
80,
13
],
[
425,
858,
29,
10
],
[
455,
858,
23,
10
],
[
480,
858,
7,
10
],
[
489,
858,
32,
10
],
[
523,
858,
41,
10
],
[
565,
858,
9,
10
],
[
576,
858,
39,
10
],
[
616,
858,
15,
10
],
[
633,
858,
27,
10
],
[
662,
858,
28,
10
],
[
692,
858,
25,
10
],
[
718,
858,
9,
10
],
[
729,
858,
34,
10
],
[
425,
877,
39,
10
],
[
465,
877,
45,
10
],
[
511,
877,
7,
10
],
[
520,
877,
22,
10
],
[
543,
877,
40,
10
],
[
585,
877,
16,
10
],
[
602,
877,
12,
10
],
[
615,
877,
22,
10
],
[
639,
877,
43,
10
],
[
683,
877,
45,
10
],
[
729,
877,
12,
10
],
[
743,
877,
20,
10
],
[
425,
897,
46,
10
],
[
484,
897,
20,
10
],
[
507,
897,
33,
10
],
[
544,
897,
9,
10
],
[
555,
897,
10,
10
],
[
567,
897,
17,
10
],
[
587,
897,
7,
10
],
[
596,
897,
10,
10
],
[
609,
897,
50,
10
],
[
662,
897,
25,
10
],
[
690,
897,
45,
10
],
[
738,
897,
25,
10
],
[
425,
908,
14,
10
],
[
440,
908,
24,
10
],
[
466,
908,
9,
10
],
[
476,
908,
14,
10
],
[
492,
908,
34,
10
],
[
527,
908,
42,
10
],
[
571,
908,
45,
10
],
[
619,
908,
32,
10
],
[
653,
908,
25,
10
],
[
680,
908,
31,
10
],
[
713,
908,
50,
10
],
[
425,
919,
17,
10
],
[
444,
919,
50,
10
],
[
497,
919,
16,
10
],
[
516,
919,
54,
10
],
[
574,
919,
8,
10
],
[
585,
919,
15,
10
],
[
603,
919,
37,
10
],
[
643,
919,
37,
10
],
[
683,
919,
14,
10
],
[
701,
919,
31,
10
],
[
735,
919,
28,
10
],
[
425,
930,
16,
10
],
[
443,
930,
27,
10
],
[
473,
930,
13,
10
],
[
489,
930,
36,
10
],
[
425,
949,
64,
10
],
[
494,
949,
12,
10
],
[
512,
949,
52,
10
],
[
570,
949,
41,
10
],
[
616,
949,
15,
10
],
[
636,
949,
60,
10
],
[
701,
949,
26,
10
],
[
732,
949,
30,
10
],
[
425,
960,
30,
10
],
[
457,
960,
41,
10
],
[
500,
960,
40,
10
],
[
543,
960,
38,
10
],
[
584,
960,
19,
10
],
[
605,
960,
24,
10
],
[
632,
960,
30,
10
],
[
425,
979,
5,
10
],
[
430,
979,
11,
10
],
[
443,
979,
26,
10
],
[
471,
979,
66,
10
],
[
539,
979,
28,
10
],
[
568,
979,
11,
10
],
[
580,
979,
44,
10
],
[
626,
979,
27,
10
],
[
655,
979,
108,
10
],
[
425,
998,
9,
10
],
[
436,
998,
24,
10
],
[
463,
998,
31,
10
],
[
497,
998,
49,
10
],
[
549,
998,
30,
10
],
[
581,
998,
9,
10
],
[
593,
998,
15,
10
],
[
611,
998,
23,
10
],
[
95,
1030,
23,
12
],
[
121,
1030,
70,
12
],
[
194,
1030,
35,
12
],
[
232,
1030,
3,
12
],
[
239,
1030,
109,
12
],
[
401,
1030,
23,
12
],
[
555,
1030,
52,
12
],
[
610,
1030,
23,
12
],
[
636,
1030,
3,
12
],
[
642,
1030,
36,
12
],
[
682,
1030,
6,
12
],
[
691,
1030,
3,
12
],
[
697,
1030,
24,
12
],
[
724,
1030,
6,
12
],
[
733,
1030,
3,
12
],
[
739,
1030,
23,
12
]
] | [
"Systems",
"Analysis",
"of",
"Chaperone",
"Networks",
"in",
"the",
"Malarial",
"Parasite",
"Plasmodium",
"falciparum",
"Soundara",
"Raghavan",
"Pavithra[,",
"Ranjit",
"Kumar[,",
"Utpal",
"Tatu*",
"Department",
"of",
"Biochemistry,",
"Indian",
"Institute",
"of",
"Science,",
"Bangalore,",
"Karnataka,",
"India",
"Molecular",
"chaperones",
"participate",
"in",
"the",
"maintenance",
"of",
"cellular",
"protein",
"homeostasis,",
"cell",
"growth",
"and",
"differentiation,",
"signal",
"transduction,",
"and",
"development.",
"Although",
"a",
"vast",
"body",
"of",
"information",
"is",
"available",
"regarding",
"individual",
"chaperones,",
"few",
"studies",
"have",
"attempted",
"a",
"systems",
"level",
"analysis",
"of",
"chaperone",
"function.",
"In",
"this",
"paper,",
"we",
"have",
"constructed",
"a",
"chaperone",
"interaction",
"network",
"for",
"the",
"malarial",
"parasite,",
"Plasmodium",
"falciparum.",
"P.",
"falciparum",
"is",
"responsible",
"for",
"several",
"million",
"deaths",
"every",
"year,",
"and",
"understanding",
"the",
"biology",
"of",
"the",
"parasite",
"is",
"a",
"top",
"priority.",
"The",
"parasite",
"regularly",
"experiences",
"heat",
"shock",
"as",
"part",
"of",
"its",
"life",
"cycle,",
"and",
"chaperones",
"have",
"often",
"been",
"implicated",
"in",
"parasite",
"survival",
"and",
"growth.",
"To",
"better",
"understand",
"the",
"participation",
"of",
"chaperones",
"in",
"cellular",
"processes,",
"we",
"created",
"a",
"parasite",
"chaperone",
"network",
"by",
"combining",
"experimental",
"interactome",
"data",
"with",
"in",
"silico",
"analysis.",
"We",
"used",
"interolog",
"mapping",
"to",
"predict",
"protein–protein",
"interactions",
"for",
"parasite",
"chaperones",
"based",
"on",
"the",
"interactions",
"of",
"corresponding",
"human",
"chaperones.",
"This",
"data",
"was",
"then",
"combined",
"with",
"information",
"derived",
"from",
"existing",
"high-throughput",
"yeast",
"two-",
"hybrid",
"assays.",
"Analysis",
"of",
"the",
"network",
"reveals",
"the",
"broad",
"range",
"of",
"functions",
"regulated",
"by",
"chaperones.",
"The",
"network",
"predicts",
"involvement",
"of",
"chaperones",
"in",
"chromatin",
"remodeling,",
"protein",
"trafficking,",
"and",
"cytoadherence.",
"Importantly,",
"it",
"allows",
"us",
"to",
"make",
"predictions",
"regarding",
"the",
"functions",
"of",
"hypothetical",
"proteins",
"based",
"on",
"their",
"interactions.",
"It",
"allows",
"us",
"to",
"make",
"specific",
"predictions",
"about",
"Hsp70–Hsp40",
"interactions",
"in",
"the",
"parasite",
"and",
"assign",
"functions",
"to",
"members",
"of",
"the",
"Hsp90",
"and",
"Hsp100",
"families.",
"Analysis",
"of",
"the",
"network",
"provides",
"a",
"rational",
"basis",
"for",
"the",
"anti-malarial",
"activity",
"of",
"geldanamycin,",
"a",
"well-known",
"Hsp90",
"inhibitor.",
"Finally,",
"analysis",
"of",
"the",
"network",
"provides",
"a",
"theoretical",
"basis",
"for",
"further",
"experiments",
"designed",
"toward",
"understanding",
"the",
"involvement",
"of",
"this",
"important",
"class",
"of",
"molecules",
"in",
"parasite",
"biology.",
"Citation:",
"Pavithra",
"SR,",
"Kumar",
"R,",
"Tatu",
"U",
"(2007)",
"Systems",
"analysis",
"of",
"chaperone",
"networks",
"in",
"the",
"malarial",
"parasite",
"Plasmodium",
"falciparum.",
"PLoS",
"Comput",
"Biol",
"3(9):",
"e168.",
"doi:10.1371/journal.pcbi.0030168",
"Introduction",
"Molecular",
"chaperones",
"have",
"emerged",
"in",
"recent",
"years",
"as",
"key",
"players",
"in",
"several",
"cellular",
"processes.",
"In",
"addition",
"to",
"assisting",
"in",
"the",
"folding",
"of",
"newly",
"synthesized",
"proteins,",
"they",
"play",
"crucial",
"roles",
"in",
"the",
"translocation",
"of",
"proteins",
"across",
"organelle",
"membranes,",
"quality",
"control",
"in",
"the",
"endoplasmic",
"reticulum",
"(ER),",
"turnover",
"of",
"misfolded",
"proteins,",
"as",
"well",
"as",
"signal",
"transduction",
"[1–3].",
"By",
"chaperoning",
"key",
"signaling",
"proteins",
"such",
"as",
"protein",
"kinases",
"and",
"transcription",
"factors,",
"chaperones",
"such",
"as",
"Hsp90",
"(heat",
"shock",
"protein",
"90)",
"also",
"participate",
"in",
"cell",
"growth,",
"differentiation,",
"apoptosis,",
"and",
"development",
"[4,5].",
"As",
"such,",
"many",
"chaperones",
"are",
"also",
"essential",
"under",
"non-stress",
"conditions",
"and",
"are",
"relatively",
"abundant",
"in",
"the",
"cell.",
"There",
"are",
"different",
"families",
"of",
"stress",
"proteins,",
"the",
"major",
"ones",
"being",
"the",
"Hsp40,",
"Hsp60,",
"Hsp70,",
"Hsp90,",
"Hsp100,",
"TCP-1/CCT,",
"and",
"the",
"small",
"Hsp",
"families",
"[6].",
"These",
"families",
"of",
"chaperones",
"are",
"ubiquitous",
"and",
"conserved",
"in",
"most",
"organisms",
"from",
"bacteria",
"to",
"higher",
"eukaryotes.",
"In",
"recent",
"years,",
"the",
"importance",
"of",
"chaperones",
"in",
"developmental",
"processes",
"has",
"been",
"highlighted",
"by",
"the",
"demonstration",
"of",
"a",
"role",
"for",
"Hsp90",
"in",
"buffering",
"genetic",
"variation",
"[7–9].",
"Despite",
"the",
"important",
"processes",
"in",
"which",
"chaperones",
"have",
"been",
"implicated,",
"most",
"studies",
"have",
"been",
"restricted",
"to",
"the",
"analysis",
"of",
"individual",
"chaperones.",
"There",
"is",
"growing",
"realiza-",
"tion",
"that",
"chaperones",
"function",
"in",
"complexes",
"with",
"partner",
"co-",
"chaperones",
"and",
"other",
"effectors",
"[10,11].",
"These",
"modular",
"complexes",
"participate",
"in",
"multiple",
"pathways",
"in",
"the",
"cell,",
"emphasizing",
"the",
"need",
"to",
"examine",
"protein–protein",
"interac-",
"tion",
"networks",
"for",
"a",
"better",
"understanding",
"of",
"cellular",
"processes.",
"Chaperone",
"interaction",
"networks,",
"for",
"example,",
"may",
"provide",
"a",
"theoretical",
"framework",
"to",
"study",
"the",
"response",
"of",
"a",
"cell",
"to",
"stressful",
"conditions.",
"Keeping",
"in",
"mind",
"the",
"central",
"importance",
"of",
"chaperones",
"in",
"biological",
"processes,",
"we",
"have",
"made",
"an",
"effort",
"at",
"analyzing",
"chaperone",
"interaction",
"networks",
"in",
"human",
"beings,",
"as",
"well",
"as",
"one",
"of",
"the",
"most",
"important",
"human",
"pathogens,",
"the",
"malarial",
"parasite",
"P.",
"falciparum.",
"During",
"its",
"life",
"cycle,",
"the",
"parasite",
"continually",
"cycles",
"between",
"a",
"cold-blooded",
"insect",
"vector",
"and",
"a",
"warm-blooded",
"human",
"host",
"and",
"experiences",
"episodes",
"of",
"heat",
"shock",
"frequently",
"[12].",
"Within",
"the",
"human",
"body,",
"the",
"parasite",
"experiences",
"heat",
"shock",
"periodically",
"during",
"the",
"febrile",
"episodes",
"that",
"are",
"a",
"clinical",
"hallmark",
"of",
"malaria.",
"It",
"is",
"therefore",
"possible",
"that",
"heat",
"shock",
"proteins",
"have",
"a",
"role",
"to",
"play",
"in",
"the",
"adaptation",
"to",
"and",
"survival",
"of",
"the",
"parasite",
"in",
"the",
"human",
"host.",
"The",
"malarial",
"parasite",
"expresses",
"several",
"chaperones",
"including",
"proteins",
"of",
"the",
"Hsp40,",
"Hsp60,",
"Hsp70,",
"and",
"Hsp90",
"families",
"[13–17].",
"Parasite",
"Hsp70,",
"for",
"example,",
"has",
"been",
"shown",
"to",
"be",
"capable",
"of",
"suppressing",
"the",
"thermosensitivity",
"of",
"a",
"DnaK",
"(Hsp70)",
"mutant",
"of",
"E.",
"coli,",
"suggesting",
"that",
"PfHsp70",
"may",
"have",
"a",
"cytoprotective",
"Editor:",
"Philip",
"E.",
"Bourne,",
"University",
"of",
"California",
"San",
"Diego,",
"United",
"States",
"of",
"America",
"Received",
"September",
"5,",
"2006;",
"Accepted",
"July",
"11,",
"2007;",
"Published",
"September",
"14,",
"2007",
"Copyright:",
"2007",
"Pavithra",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Abbreviations:",
"ER,",
"endoplasmic",
"reticulum;",
"GA,",
"geldanamycin;",
"HPRD,",
"Human",
"Protein",
"Reference",
"Database;",
"Hsp/HSP,",
"heat",
"shock",
"protein",
"*",
"To",
"whom",
"correspondence",
"should",
"be",
"addressed.",
"E-mail:",
"tatu@biochem.iisc.ernet.in",
"[",
"These",
"authors",
"contributed",
"equally",
"to",
"this",
"work.",
"PLoS",
"Computational",
"Biology",
"|",
"www.ploscompbiol.org",
"1701",
"September",
"2007",
"|",
"Volume",
"3",
"|",
"Issue",
"9",
"|",
"e168"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
13,
13,
13,
13,
13,
13,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
539,249 | null | [
[
76,
47,
84,
34
],
[
172,
47,
123,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
143,
138,
23
],
[
220,
143,
20,
23
],
[
246,
143,
12,
23
],
[
264,
143,
56,
23
],
[
326,
143,
20,
23
],
[
352,
143,
181,
23
],
[
539,
143,
87,
23
],
[
632,
143,
52,
23
],
[
689,
143,
66,
23
],
[
76,
168,
110,
23
],
[
191,
168,
36,
23
],
[
233,
168,
53,
23
],
[
292,
168,
48,
23
],
[
346,
168,
76,
23
],
[
428,
168,
38,
23
],
[
472,
168,
56,
23
],
[
533,
168,
65,
23
],
[
604,
168,
85,
23
],
[
76,
193,
96,
23
],
[
178,
193,
27,
23
],
[
210,
193,
77,
23
],
[
293,
193,
62,
23
],
[
76,
218,
84,
21
],
[
164,
218,
76,
22
],
[
246,
218,
51,
21
],
[
301,
218,
84,
22
],
[
390,
218,
65,
21
],
[
460,
218,
62,
22
],
[
527,
218,
68,
21
],
[
599,
218,
98,
22
],
[
76,
243,
43,
21
],
[
124,
243,
93,
22
],
[
222,
243,
68,
21
],
[
295,
243,
63,
22
],
[
362,
243,
53,
21
],
[
419,
243,
48,
21
],
[
472,
243,
80,
22
],
[
557,
243,
62,
21
],
[
624,
243,
26,
21
],
[
655,
243,
80,
21
],
[
76,
268,
75,
22
],
[
156,
268,
75,
21
],
[
235,
268,
71,
22
],
[
312,
268,
82,
21
],
[
399,
268,
109,
22
],
[
513,
268,
59,
21
],
[
577,
268,
78,
22
],
[
76,
293,
61,
21
],
[
143,
293,
68,
22
],
[
215,
293,
35,
21
],
[
255,
293,
44,
21
],
[
304,
293,
122,
22
],
[
76,
343,
41,
12
],
[
119,
343,
40,
12
],
[
162,
343,
25,
12
],
[
189,
343,
16,
12
],
[
207,
343,
30,
12
],
[
240,
343,
21,
12
],
[
263,
343,
42,
12
],
[
307,
343,
40,
12
],
[
350,
343,
34,
12
],
[
387,
343,
25,
12
],
[
414,
343,
61,
12
],
[
478,
343,
10,
12
],
[
490,
343,
70,
12
],
[
562,
343,
38,
12
],
[
603,
343,
67,
12
],
[
672,
343,
15,
12
],
[
690,
343,
39,
12
],
[
731,
343,
35,
12
],
[
76,
356,
47,
11
],
[
125,
356,
10,
11
],
[
137,
356,
33,
11
],
[
171,
356,
32,
11
],
[
205,
356,
34,
11
],
[
241,
356,
25,
11
],
[
268,
356,
55,
12
],
[
325,
356,
38,
11
],
[
365,
356,
66,
11
],
[
433,
356,
10,
11
],
[
445,
356,
45,
11
],
[
492,
356,
63,
11
],
[
557,
356,
6,
11
],
[
565,
356,
49,
11
],
[
615,
356,
35,
11
],
[
652,
356,
10,
11
],
[
664,
356,
45,
11
],
[
711,
356,
6,
11
],
[
718,
356,
49,
11
],
[
76,
369,
50,
12
],
[
128,
369,
10,
12
],
[
141,
369,
29,
12
],
[
172,
369,
16,
12
],
[
191,
369,
51,
12
],
[
244,
369,
32,
12
],
[
278,
369,
34,
12
],
[
315,
369,
22,
12
],
[
339,
369,
19,
12
],
[
360,
369,
71,
12
],
[
433,
369,
10,
12
],
[
446,
369,
36,
12
],
[
484,
369,
82,
12
],
[
569,
369,
49,
12
],
[
620,
369,
6,
12
],
[
628,
369,
55,
12
],
[
685,
369,
50,
12
],
[
737,
369,
10,
12
],
[
76,
382,
42,
12
],
[
121,
382,
34,
12
],
[
157,
382,
22,
12
],
[
76,
402,
31,
12
],
[
110,
402,
45,
12
],
[
157,
402,
34,
12
],
[
193,
402,
4,
12
],
[
200,
402,
91,
12
],
[
293,
402,
27,
12
],
[
323,
402,
38,
12
],
[
363,
402,
4,
12
],
[
369,
402,
94,
12
],
[
466,
402,
35,
12
],
[
503,
402,
26,
12
],
[
531,
402,
4,
12
],
[
538,
402,
84,
12
],
[
76,
416,
36,
12
],
[
115,
416,
45,
12
],
[
163,
416,
4,
12
],
[
169,
416,
103,
12
],
[
275,
416,
23,
12
],
[
300,
416,
43,
12
],
[
345,
416,
4,
12
],
[
351,
416,
100,
12
],
[
454,
416,
36,
12
],
[
493,
416,
26,
12
],
[
521,
416,
4,
12
],
[
528,
416,
66,
12
],
[
76,
429,
28,
11
],
[
107,
429,
26,
11
],
[
135,
429,
36,
11
],
[
173,
429,
4,
11
],
[
179,
429,
82,
11
],
[
264,
429,
33,
11
],
[
300,
429,
14,
11
],
[
317,
429,
43,
11
],
[
362,
429,
33,
11
],
[
397,
429,
4,
11
],
[
403,
429,
115,
11
],
[
521,
429,
40,
11
],
[
564,
429,
31,
11
],
[
597,
429,
4,
11
],
[
604,
429,
119,
11
],
[
76,
442,
44,
12
],
[
123,
442,
51,
12
],
[
176,
442,
4,
12
],
[
183,
442,
67,
12
],
[
252,
442,
31,
12
],
[
286,
442,
35,
12
],
[
323,
442,
4,
12
],
[
329,
442,
136,
12
],
[
468,
442,
33,
12
],
[
503,
442,
26,
12
],
[
531,
442,
4,
12
],
[
537,
442,
81,
12
],
[
76,
455,
24,
12
],
[
102,
455,
61,
12
],
[
165,
455,
4,
12
],
[
172,
455,
109,
12
],
[
76,
471,
7,
12
],
[
85,
471,
73,
12
],
[
160,
471,
33,
12
],
[
76,
530,
45,
12
],
[
124,
530,
12,
12
],
[
138,
530,
49,
12
],
[
190,
530,
23,
12
],
[
76,
550,
21,
12
],
[
100,
550,
30,
12
],
[
132,
550,
25,
12
],
[
160,
550,
20,
12
],
[
192,
550,
128,
12
],
[
76,
570,
20,
12
],
[
98,
570,
28,
12
],
[
129,
570,
7,
12
],
[
139,
570,
38,
12
],
[
179,
570,
25,
12
],
[
207,
570,
215,
12
],
[
430,
530,
43,
12
],
[
476,
530,
11,
12
],
[
490,
530,
20,
12
],
[
512,
530,
23,
12
],
[
430,
543,
46,
12
],
[
478,
543,
12,
12
],
[
492,
543,
49,
12
],
[
544,
543,
23,
12
],
[
76,
589,
9,
12
],
[
87,
589,
23,
12
],
[
113,
589,
30,
12
],
[
145,
589,
10,
12
],
[
157,
589,
10,
12
],
[
170,
589,
36,
12
],
[
209,
589,
35,
12
],
[
246,
589,
35,
12
],
[
283,
589,
18,
12
],
[
76,
603,
20,
12
],
[
98,
603,
7,
12
],
[
108,
603,
11,
12
],
[
121,
603,
26,
12
],
[
150,
603,
32,
12
],
[
184,
603,
28,
12
],
[
215,
603,
49,
12
],
[
267,
603,
27,
12
],
[
296,
603,
15,
12
],
[
314,
603,
27,
12
],
[
343,
603,
10,
12
],
[
355,
603,
15,
12
],
[
373,
603,
39,
12
],
[
415,
603,
48,
12
],
[
465,
603,
51,
12
],
[
519,
603,
34,
12
],
[
555,
603,
202,
12
],
[
76,
616,
27,
12
],
[
106,
616,
35,
12
],
[
143,
616,
56,
12
],
[
201,
616,
18,
12
],
[
222,
616,
55,
12
],
[
279,
616,
16,
12
],
[
298,
616,
60,
12
],
[
361,
616,
8,
12
],
[
372,
616,
16,
12
],
[
390,
616,
39,
12
],
[
432,
616,
40,
12
],
[
475,
616,
15,
12
],
[
493,
616,
34,
12
],
[
529,
616,
24,
12
],
[
556,
616,
7,
12
],
[
565,
616,
39,
12
],
[
607,
616,
25,
12
],
[
155,
676,
62,
15
],
[
155,
697,
80,
14
],
[
238,
697,
99,
14
],
[
340,
697,
45,
14
],
[
388,
697,
60,
14
],
[
452,
697,
13,
14
],
[
468,
697,
46,
14
],
[
517,
697,
49,
14
],
[
569,
697,
11,
14
],
[
584,
697,
18,
14
],
[
605,
697,
44,
14
],
[
653,
697,
38,
14
],
[
155,
713,
18,
14
],
[
175,
713,
6,
14
],
[
184,
713,
24,
14
],
[
211,
713,
52,
14
],
[
265,
713,
33,
14
],
[
301,
713,
17,
14
],
[
320,
713,
37,
14
],
[
359,
713,
37,
14
],
[
398,
713,
60,
14
],
[
461,
713,
20,
14
],
[
483,
713,
45,
14
],
[
531,
713,
39,
14
],
[
572,
713,
49,
14
],
[
624,
713,
10,
14
],
[
636,
713,
55,
14
],
[
155,
730,
59,
14
],
[
220,
730,
25,
14
],
[
252,
730,
17,
14
],
[
276,
730,
12,
14
],
[
295,
730,
55,
14
],
[
356,
730,
52,
14
],
[
414,
730,
11,
14
],
[
431,
730,
73,
14
],
[
511,
730,
35,
14
],
[
553,
730,
46,
14
],
[
605,
730,
32,
14
],
[
643,
730,
15,
14
],
[
664,
730,
27,
14
],
[
155,
746,
51,
14
],
[
209,
746,
25,
14
],
[
237,
746,
61,
14
],
[
300,
746,
38,
14
],
[
342,
746,
23,
14
],
[
369,
746,
50,
14
],
[
155,
769,
59,
14
],
[
216,
769,
40,
14
],
[
258,
769,
23,
14
],
[
283,
769,
61,
14
],
[
346,
769,
86,
14
],
[
435,
769,
36,
14
],
[
473,
769,
44,
14
],
[
520,
769,
27,
14
],
[
549,
769,
35,
14
],
[
586,
769,
65,
14
],
[
654,
769,
37,
14
],
[
155,
786,
29,
14
],
[
188,
786,
20,
14
],
[
211,
786,
35,
14
],
[
250,
786,
57,
14
],
[
310,
786,
19,
14
],
[
333,
786,
25,
14
],
[
361,
786,
41,
14
],
[
406,
786,
77,
14
],
[
487,
786,
28,
14
],
[
519,
786,
69,
14
],
[
592,
786,
22,
14
],
[
617,
786,
41,
14
],
[
662,
786,
29,
14
],
[
155,
802,
56,
14
],
[
214,
802,
10,
14
],
[
228,
802,
18,
14
],
[
249,
802,
44,
14
],
[
296,
802,
12,
14
],
[
311,
802,
33,
14
],
[
347,
802,
12,
14
],
[
363,
802,
77,
14
],
[
443,
802,
39,
14
],
[
486,
802,
41,
14
],
[
530,
802,
14,
14
],
[
546,
802,
97,
14
],
[
646,
802,
44,
14
],
[
155,
818,
29,
14
],
[
187,
818,
52,
14
],
[
242,
818,
50,
14
],
[
295,
818,
25,
14
],
[
323,
818,
23,
14
],
[
350,
818,
27,
14
],
[
380,
818,
43,
14
],
[
427,
818,
25,
14
],
[
455,
818,
35,
14
],
[
492,
818,
40,
14
],
[
155,
841,
49,
14
],
[
210,
841,
10,
14
],
[
225,
841,
29,
14
],
[
261,
841,
11,
14
],
[
278,
841,
14,
14
],
[
298,
841,
35,
14
],
[
339,
841,
69,
14
],
[
414,
841,
14,
14
],
[
434,
841,
46,
14
],
[
487,
841,
48,
14
],
[
540,
841,
48,
14
],
[
595,
841,
27,
14
],
[
627,
841,
46,
14
],
[
679,
841,
11,
14
],
[
155,
858,
51,
14
],
[
209,
858,
48,
14
],
[
260,
858,
21,
14
],
[
285,
858,
54,
14
],
[
342,
858,
34,
14
],
[
379,
858,
11,
14
],
[
393,
858,
30,
14
],
[
426,
858,
45,
14
],
[
474,
858,
34,
14
],
[
511,
858,
33,
14
],
[
548,
858,
20,
14
],
[
571,
858,
38,
14
],
[
612,
858,
29,
14
],
[
643,
858,
32,
14
],
[
678,
858,
12,
14
],
[
155,
874,
14,
14
],
[
174,
874,
81,
14
],
[
261,
874,
10,
14
],
[
278,
874,
40,
14
],
[
324,
874,
11,
14
],
[
341,
874,
55,
14
],
[
402,
874,
13,
14
],
[
420,
874,
39,
14
],
[
466,
874,
37,
14
],
[
509,
874,
10,
14
],
[
524,
874,
59,
14
],
[
589,
874,
41,
14
],
[
636,
874,
11,
14
],
[
653,
874,
18,
14
],
[
677,
874,
14,
14
],
[
155,
890,
47,
14
],
[
205,
890,
45,
14
],
[
253,
890,
47,
14
],
[
304,
890,
6,
14
],
[
314,
890,
36,
14
],
[
353,
890,
80,
14
],
[
436,
890,
36,
14
],
[
475,
890,
17,
14
],
[
495,
890,
11,
14
],
[
510,
890,
26,
14
],
[
539,
890,
19,
14
],
[
562,
890,
35,
14
],
[
601,
890,
34,
14
],
[
638,
890,
30,
14
],
[
671,
890,
20,
14
],
[
155,
907,
10,
14
],
[
168,
907,
33,
14
],
[
205,
907,
20,
14
],
[
228,
907,
41,
14
],
[
155,
930,
80,
14
],
[
238,
930,
62,
14
],
[
303,
930,
37,
14
],
[
343,
930,
43,
14
],
[
389,
930,
22,
14
],
[
414,
930,
38,
14
],
[
456,
930,
35,
14
],
[
494,
930,
51,
14
],
[
548,
930,
37,
14
],
[
588,
930,
19,
14
],
[
610,
930,
11,
14
],
[
625,
930,
18,
14
],
[
646,
930,
45,
14
],
[
155,
946,
9,
14
],
[
166,
946,
57,
14
],
[
226,
946,
25,
14
],
[
253,
946,
35,
14
],
[
291,
946,
42,
14
],
[
336,
946,
22,
14
],
[
361,
946,
30,
14
],
[
394,
946,
27,
14
],
[
424,
946,
42,
14
],
[
469,
946,
33,
14
],
[
504,
946,
9,
14
],
[
516,
946,
81,
14
],
[
600,
946,
10,
14
],
[
613,
946,
35,
14
],
[
651,
946,
40,
14
],
[
155,
963,
20,
14
],
[
178,
963,
60,
14
],
[
241,
963,
58,
14
],
[
302,
963,
13,
14
],
[
319,
963,
35,
14
],
[
357,
963,
37,
14
],
[
397,
963,
38,
14
],
[
438,
963,
26,
14
],
[
468,
963,
9,
14
],
[
480,
963,
58,
14
],
[
540,
963,
32,
14
],
[
576,
963,
10,
14
],
[
589,
963,
37,
14
],
[
629,
963,
52,
14
],
[
698,
1052,
30,
13
],
[
731,
1052,
7,
13
],
[
741,
1052,
11,
13
],
[
755,
1052,
14,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"BMC",
"Cancer",
"Research",
"article",
"BioMed",
"Central",
"Open",
"Access",
"Identification",
"of",
"a",
"panel",
"of",
"tumor-associated",
"antigens",
"from",
"breast",
"carcinoma",
"cell",
"lines,",
"solid",
"tumors",
"and",
"testis",
"cDNA",
"libraries",
"displayed",
"on",
"lambda",
"phage",
"Emiliano",
"Pavoni1,",
"Paola",
"Vaccaro1,",
"Andrea",
"Pucci1,",
"Giorgia",
"Monteriù1,",
"Elisa",
"Beghetto1,",
"Stefano",
"Barca2,",
"Maria",
"Luisa",
"Dupuis2,",
"Adolfo",
"De",
"Pasquale",
"Ceratti3,",
"Antonio",
"Lugini3,",
"Maurizio",
"Cianfriglia2,",
"Enrico",
"Cortesi3,",
"Franco",
"Felici1,4",
"and",
"Olga",
"Minenkova*1",
"Address:",
"1Kenton",
"Labs,",
"c/o",
"Sigma",
"Tau,",
"Pomezia",
"(Rome),",
"00040,",
"Italy,",
"2Laboratorio",
"di",
"Immunologia,",
"Reparto",
"Immunologia",
"dei",
"Tumori,",
"Istituto",
"Superiore",
"di",
"Sanità,",
"Roma,",
"00100,",
"Italy,",
"3Oncologia",
"Medica,",
"Dipartimento",
"di",
"Medicina",
"Sperimentale",
"e",
"Patologia,",
"Facoltà",
"di",
"Medicina",
"e",
"Chirurgia,",
"Università",
"di",
"Roma",
"\"La",
"Sapienza\",",
"Rome,",
"00100,",
"Italy",
"and",
"4Dipartimento",
"di",
"Scienze",
"Microbiologiche,",
"Genetiche",
"e",
"Molecolari,",
"Università",
"di",
"Messina,",
"98100,",
"Italy",
"Email:",
"Emiliano",
"Pavoni",
"-",
"pavoni@kenton.it;",
"Paola",
"Vaccaro",
"-",
"vaccaro@kenton.it;",
"Andrea",
"Pucci",
"-",
"pucci@kenton.it;",
"Giorgia",
"Monteriù",
"-",
"monteriu@kenton.it;",
"Elisa",
"Beghetto",
"-",
"beghetto@kenton.it;",
"Stefano",
"Barca",
"-",
"sbarca@iss.it;",
"Maria",
"Luisa",
"Dupuis",
"-",
"mldupuis@iss.it;",
"Adolfo",
"De",
"Pasquale",
"Ceratti",
"-",
"adolfo.ceratti@tiscali.it;",
"Antonio",
"Lugini",
"-",
"antoniolugini@libero.it;",
"Maurizio",
"Cianfriglia",
"-",
"cianfri@iss.it;",
"Enrico",
"Cortesi",
"-",
"enrico.cortesi@uniroma1.it;",
"Franco",
"Felici",
"-",
"felici@kenton.it;",
"Olga",
"Minenkova*",
"-",
"minenkova@kenton.it",
"*",
"Corresponding",
"author",
"Published:",
"12",
"November",
"2004",
"BMC",
"Cancer",
"2004,",
"4:78",
"doi:10.1186/1471-2407-4-78",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2407/4/78",
"Received:",
"18",
"June",
"2004",
"Accepted:",
"12",
"November",
"2004",
"©",
"2004",
"Pavoni",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"Tumor-associated",
"antigens",
"recognized",
"by",
"humoral",
"effectors",
"of",
"the",
"immune",
"system",
"are",
"a",
"very",
"attractive",
"target",
"for",
"human",
"cancer",
"diagnostics",
"and",
"therapy.",
"Recent",
"advances",
"in",
"molecular",
"techniques",
"have",
"led",
"to",
"molecular",
"definition",
"of",
"immunogenic",
"tumor",
"proteins",
"based",
"on",
"their",
"reactivity",
"with",
"autologous",
"patient",
"sera",
"(SEREX).",
"Methods:",
"Several",
"high",
"complexity",
"phage-displayed",
"cDNA",
"libraries",
"from",
"breast",
"carcinomas,",
"human",
"testis",
"and",
"breast",
"carcinoma",
"cell",
"lines",
"MCF-7,",
"MDA-MB-468",
"were",
"constructed.",
"The",
"cDNAs",
"were",
"expressed",
"in",
"the",
"libraries",
"as",
"fusion",
"to",
"bacteriophage",
"lambda",
"protein",
"D.",
"Lambda-displayed",
"libraries",
"were",
"efficiently",
"screened",
"with",
"sera",
"from",
"patients",
"with",
"breast",
"cancer.",
"Results:",
"A",
"panel",
"of",
"21",
"clones",
"representing",
"18",
"different",
"antigens,",
"including",
"eight",
"proteins",
"of",
"unknown",
"function,",
"was",
"identified.",
"Three",
"of",
"these",
"antigens",
"(T7-1,",
"T11-3",
"and",
"T11-9)",
"were",
"found",
"to",
"be",
"overexpressed",
"in",
"tumors",
"as",
"compared",
"to",
"normal",
"breast.",
"A",
"serological",
"analysis",
"of",
"the",
"21",
"different",
"antigens",
"revealed",
"a",
"strong",
"cancer-related",
"profile",
"for",
"at",
"least",
"five",
"clones",
"(T6-2,",
"T6-7,",
"T7-",
"1,",
"T9-21",
"and",
"T9-27).",
"Conclusions:",
"Preliminary",
"results",
"indicate",
"that",
"patient",
"serum",
"reactivity",
"against",
"five",
"of",
"the",
"antigens",
"is",
"associated",
"with",
"tumor",
"disease.",
"The",
"novel",
"T7-1",
"antigen,",
"which",
"is",
"overexpressed",
"in",
"breast",
"tumors",
"and",
"recognized",
"specifically",
"by",
"breast",
"cancer",
"patient",
"sera,",
"is",
"potentially",
"useful",
"in",
"cancer",
"diagnosis.",
"Page",
"1",
"of",
"10",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
16,
16,
0,
0,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
12,
12,
12,
12,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
2,933,844 | null | [
[
70,
45,
40,
12
],
[
113,
45,
24,
12
],
[
141,
45,
23,
12
],
[
168,
45,
32,
12
],
[
203,
45,
51,
12
],
[
70,
61,
21,
12
],
[
95,
61,
134,
12
],
[
70,
148,
70,
25
],
[
148,
148,
145,
25
],
[
300,
148,
53,
25
],
[
361,
148,
46,
25
],
[
414,
148,
31,
25
],
[
452,
148,
77,
25
],
[
70,
197,
45,
14
],
[
119,
197,
13,
14
],
[
135,
197,
38,
14
],
[
176,
199,
5,
12
],
[
184,
197,
44,
14
],
[
231,
197,
14,
14
],
[
248,
197,
33,
14
],
[
284,
199,
4,
12
],
[
291,
197,
12,
14
],
[
306,
197,
14,
14
],
[
323,
197,
68,
14
],
[
394,
199,
4,
12
],
[
70,
215,
38,
14
],
[
113,
215,
38,
14
],
[
155,
215,
49,
14
],
[
207,
217,
4,
12
],
[
214,
215,
38,
14
],
[
256,
215,
46,
14
],
[
305,
217,
4,
12
],
[
70,
232,
36,
14
],
[
110,
232,
14,
14
],
[
128,
232,
50,
14
],
[
70,
337,
47,
12
],
[
121,
337,
12,
12
],
[
136,
337,
50,
12
],
[
189,
337,
24,
12
],
[
216,
337,
4,
12
],
[
220,
337,
48,
12
],
[
271,
337,
12,
12
],
[
287,
337,
42,
12
],
[
333,
337,
24,
12
],
[
359,
337,
4,
12
],
[
364,
337,
47,
12
],
[
414,
337,
33,
12
],
[
450,
337,
12,
12
],
[
465,
337,
31,
12
],
[
500,
337,
24,
12
],
[
70,
351,
12,
12
],
[
86,
350,
19,
12
],
[
108,
350,
46,
12
],
[
157,
350,
27,
12
],
[
187,
350,
21,
12
],
[
212,
350,
29,
12
],
[
245,
350,
8,
12
],
[
256,
350,
46,
12
],
[
306,
350,
21,
12
],
[
330,
350,
23,
12
],
[
357,
350,
30,
12
],
[
390,
350,
9,
12
],
[
403,
350,
82,
12
],
[
70,
392,
51,
14
],
[
128,
392,
12,
14
],
[
145,
392,
34,
14
],
[
183,
392,
33,
14
],
[
221,
392,
50,
14
],
[
275,
392,
25,
14
],
[
305,
392,
35,
14
],
[
344,
392,
26,
14
],
[
375,
392,
26,
14
],
[
70,
409,
53,
14
],
[
130,
409,
11,
14
],
[
148,
409,
6,
14
],
[
161,
409,
43,
14
],
[
211,
409,
12,
14
],
[
229,
409,
46,
14
],
[
283,
409,
38,
14
],
[
327,
409,
28,
14
],
[
362,
409,
40,
14
],
[
70,
426,
57,
14
],
[
131,
426,
11,
14
],
[
146,
426,
17,
14
],
[
167,
426,
41,
14
],
[
211,
426,
12,
14
],
[
227,
426,
42,
14
],
[
273,
426,
53,
14
],
[
330,
426,
43,
14
],
[
377,
426,
25,
14
],
[
70,
444,
25,
14
],
[
100,
444,
37,
14
],
[
143,
444,
26,
14
],
[
175,
444,
14,
14
],
[
193,
444,
60,
14
],
[
259,
444,
29,
14
],
[
293,
444,
44,
14
],
[
342,
444,
59,
14
],
[
70,
461,
29,
14
],
[
102,
461,
24,
14
],
[
130,
461,
21,
14
],
[
155,
461,
49,
14
],
[
207,
461,
36,
14
],
[
246,
461,
17,
14
],
[
266,
461,
41,
14
],
[
310,
461,
11,
14
],
[
325,
461,
11,
14
],
[
340,
461,
34,
14
],
[
377,
461,
14,
14
],
[
395,
461,
6,
14
],
[
70,
478,
84,
14
],
[
161,
478,
49,
14
],
[
218,
478,
40,
14
],
[
266,
478,
20,
14
],
[
293,
478,
31,
14
],
[
331,
478,
26,
14
],
[
365,
478,
11,
14
],
[
383,
478,
18,
14
],
[
70,
495,
44,
14
],
[
119,
495,
23,
14
],
[
147,
495,
37,
14
],
[
190,
495,
13,
14
],
[
208,
495,
39,
14
],
[
251,
495,
10,
14
],
[
265,
495,
20,
14
],
[
291,
495,
12,
14
],
[
307,
495,
17,
14
],
[
329,
495,
27,
14
],
[
361,
495,
40,
14
],
[
70,
513,
76,
14
],
[
155,
513,
42,
14
],
[
207,
513,
42,
14
],
[
258,
513,
21,
14
],
[
287,
513,
19,
14
],
[
316,
513,
48,
14
],
[
373,
513,
29,
14
],
[
70,
530,
53,
14
],
[
130,
530,
13,
14
],
[
150,
530,
37,
14
],
[
194,
530,
110,
14
],
[
310,
530,
48,
14
],
[
365,
530,
36,
14
],
[
70,
547,
11,
14
],
[
88,
547,
33,
14
],
[
126,
547,
29,
14
],
[
162,
547,
13,
14
],
[
181,
547,
33,
14
],
[
220,
547,
42,
14
],
[
269,
547,
11,
14
],
[
286,
547,
13,
14
],
[
306,
547,
39,
14
],
[
350,
547,
17,
14
],
[
374,
547,
28,
14
],
[
70,
565,
74,
14
],
[
151,
565,
11,
14
],
[
169,
565,
33,
14
],
[
208,
565,
25,
14
],
[
240,
565,
10,
14
],
[
256,
565,
32,
14
],
[
295,
565,
14,
14
],
[
316,
565,
39,
14
],
[
361,
565,
40,
14
],
[
70,
582,
51,
14
],
[
130,
582,
21,
14
],
[
158,
582,
22,
14
],
[
188,
582,
51,
14
],
[
247,
582,
46,
14
],
[
302,
582,
20,
14
],
[
330,
582,
71,
14
],
[
70,
599,
58,
14
],
[
132,
599,
11,
14
],
[
148,
599,
35,
14
],
[
187,
599,
42,
14
],
[
233,
599,
31,
14
],
[
269,
599,
14,
14
],
[
288,
599,
58,
14
],
[
350,
599,
35,
14
],
[
390,
599,
12,
14
],
[
70,
617,
20,
14
],
[
94,
617,
55,
14
],
[
152,
617,
38,
14
],
[
193,
617,
43,
14
],
[
240,
617,
21,
14
],
[
264,
617,
43,
14
],
[
309,
617,
45,
14
],
[
358,
617,
44,
14
],
[
70,
658,
72,
12
],
[
146,
658,
15,
12
],
[
164,
658,
36,
12
],
[
204,
658,
14,
12
],
[
221,
658,
33,
12
],
[
70,
681,
51,
12
],
[
125,
681,
23,
12
],
[
151,
681,
6,
12
],
[
160,
681,
57,
12
],
[
221,
681,
9,
12
],
[
233,
681,
15,
12
],
[
251,
681,
60,
12
],
[
314,
681,
56,
12
],
[
70,
695,
70,
12
],
[
143,
695,
28,
12
],
[
175,
695,
14,
12
],
[
192,
695,
25,
12
],
[
221,
695,
43,
12
],
[
268,
695,
35,
12
],
[
306,
695,
17,
12
],
[
327,
695,
52,
12
],
[
70,
708,
69,
12
],
[
143,
708,
18,
12
],
[
164,
708,
31,
12
],
[
198,
708,
27,
12
],
[
229,
708,
37,
12
],
[
269,
708,
46,
12
],
[
318,
708,
46,
12
],
[
368,
708,
12,
12
],
[
70,
722,
31,
12
],
[
105,
722,
27,
12
],
[
135,
722,
43,
12
],
[
182,
722,
56,
12
],
[
242,
722,
49,
12
],
[
294,
722,
63,
12
],
[
360,
722,
41,
12
],
[
70,
736,
17,
12
],
[
91,
736,
29,
12
],
[
70,
759,
11,
12
],
[
85,
759,
10,
12
],
[
99,
759,
30,
12
],
[
131,
752,
5,
17
],
[
138,
759,
66,
12
],
[
206,
752,
5,
17
],
[
212,
759,
10,
12
],
[
226,
759,
37,
12
],
[
70,
772,
55,
12
],
[
129,
772,
10,
12
],
[
143,
772,
24,
12
],
[
170,
772,
44,
12
],
[
218,
772,
51,
12
],
[
272,
772,
10,
12
],
[
285,
772,
15,
12
],
[
303,
772,
39,
12
],
[
70,
786,
120,
12
],
[
194,
786,
55,
12
],
[
70,
800,
62,
12
],
[
135,
800,
9,
12
],
[
70,
814,
42,
12
],
[
116,
814,
55,
12
],
[
175,
814,
44,
12
],
[
70,
853,
14,
12
],
[
88,
853,
11,
12
],
[
102,
853,
27,
12
],
[
70,
866,
23,
12
],
[
96,
866,
26,
12
],
[
126,
866,
31,
12
],
[
160,
866,
27,
12
],
[
70,
880,
34,
12
],
[
108,
880,
27,
12
],
[
70,
894,
41,
12
],
[
115,
894,
23,
12
],
[
141,
894,
26,
12
],
[
171,
894,
17,
12
],
[
70,
939,
10,
12
],
[
84,
939,
11,
12
],
[
98,
939,
54,
12
],
[
70,
953,
50,
12
],
[
123,
953,
10,
12
],
[
137,
953,
57,
12
],
[
198,
953,
44,
12
],
[
70,
967,
34,
12
],
[
108,
967,
42,
12
],
[
70,
981,
48,
12
],
[
122,
981,
36,
12
],
[
161,
981,
51,
12
],
[
216,
981,
24,
12
],
[
425,
392,
31,
14
],
[
461,
392,
17,
14
],
[
483,
392,
50,
14
],
[
538,
392,
48,
14
],
[
592,
392,
12,
14
],
[
609,
392,
34,
14
],
[
648,
392,
11,
14
],
[
664,
392,
35,
14
],
[
705,
392,
33,
14
],
[
742,
392,
13,
14
],
[
425,
409,
32,
14
],
[
460,
409,
32,
14
],
[
494,
409,
12,
14
],
[
509,
409,
40,
14
],
[
553,
409,
44,
14
],
[
600,
409,
20,
14
],
[
623,
409,
39,
14
],
[
665,
409,
10,
14
],
[
678,
409,
31,
14
],
[
713,
409,
43,
14
],
[
425,
426,
11,
14
],
[
443,
426,
43,
14
],
[
493,
426,
24,
14
],
[
524,
426,
49,
14
],
[
580,
426,
32,
14
],
[
619,
426,
62,
14
],
[
687,
426,
50,
14
],
[
744,
426,
12,
14
],
[
425,
444,
43,
14
],
[
475,
444,
37,
14
],
[
519,
444,
74,
14
],
[
601,
444,
25,
14
],
[
634,
444,
12,
14
],
[
654,
444,
34,
14
],
[
695,
444,
27,
14
],
[
729,
444,
26,
14
],
[
425,
461,
52,
14
],
[
485,
461,
11,
14
],
[
505,
461,
35,
14
],
[
549,
461,
11,
14
],
[
568,
461,
43,
14
],
[
620,
461,
65,
14
],
[
694,
461,
62,
14
],
[
425,
478,
47,
14
],
[
477,
478,
39,
14
],
[
521,
478,
33,
14
],
[
559,
478,
27,
14
],
[
591,
478,
64,
14
],
[
661,
478,
73,
14
],
[
739,
478,
16,
14
],
[
425,
495,
42,
14
],
[
472,
495,
60,
14
],
[
536,
495,
11,
14
],
[
552,
495,
17,
14
],
[
574,
495,
27,
14
],
[
606,
495,
12,
14
],
[
623,
495,
35,
14
],
[
662,
495,
43,
14
],
[
710,
495,
14,
14
],
[
729,
495,
27,
14
],
[
425,
513,
48,
14
],
[
480,
513,
16,
14
],
[
503,
513,
58,
14
],
[
567,
513,
61,
14
],
[
635,
513,
39,
14
],
[
681,
513,
20,
14
],
[
708,
513,
48,
14
],
[
425,
530,
36,
14
],
[
469,
530,
10,
14
],
[
487,
530,
37,
14
],
[
533,
530,
25,
14
],
[
567,
530,
7,
14
],
[
582,
530,
23,
14
],
[
613,
530,
67,
14
],
[
689,
530,
67,
14
],
[
425,
547,
48,
14
],
[
477,
547,
54,
14
],
[
425,
582,
60,
14
],
[
490,
582,
34,
14
],
[
528,
582,
25,
14
],
[
555,
579,
4,
14
],
[
561,
582,
50,
14
],
[
614,
579,
4,
14
],
[
620,
582,
38,
14
],
[
660,
579,
4,
14
],
[
666,
582,
43,
14
],
[
425,
599,
48,
14
],
[
474,
596,
4,
14
],
[
480,
599,
43,
14
],
[
527,
599,
41,
14
],
[
570,
596,
4,
14
],
[
576,
599,
71,
14
],
[
650,
596,
4,
14
],
[
656,
599,
51,
14
],
[
711,
599,
26,
14
],
[
739,
596,
4,
14
],
[
425,
617,
51,
14
],
[
478,
614,
4,
14
],
[
484,
617,
30,
14
],
[
516,
614,
4,
14
],
[
523,
617,
61,
14
],
[
587,
617,
53,
14
],
[
643,
614,
4,
14
],
[
649,
617,
76,
14
],
[
728,
617,
25,
14
],
[
425,
758,
11,
12
],
[
439,
758,
11,
12
],
[
454,
758,
41,
12
],
[
425,
772,
63,
12
],
[
491,
772,
45,
12
],
[
540,
772,
17,
12
],
[
560,
772,
45,
12
],
[
609,
772,
43,
12
],
[
425,
786,
61,
12
],
[
489,
786,
46,
12
],
[
538,
786,
54,
12
],
[
595,
786,
58,
12
],
[
425,
800,
18,
12
],
[
446,
800,
44,
12
],
[
494,
800,
28,
12
],
[
425,
814,
13,
12
],
[
441,
814,
30,
12
],
[
475,
814,
21,
12
],
[
499,
814,
27,
12
],
[
529,
814,
43,
12
],
[
425,
841,
36,
12
],
[
464,
841,
41,
12
],
[
425,
855,
11,
12
],
[
439,
855,
10,
12
],
[
453,
855,
30,
12
],
[
486,
855,
21,
12
],
[
425,
869,
59,
12
],
[
425,
883,
35,
12
],
[
463,
883,
42,
12
],
[
508,
883,
15,
12
],
[
527,
883,
20,
12
],
[
550,
883,
66,
12
],
[
620,
883,
39,
12
],
[
662,
883,
31,
12
],
[
425,
897,
33,
12
],
[
461,
897,
90,
12
],
[
425,
924,
36,
12
],
[
464,
924,
41,
12
],
[
425,
938,
66,
13
],
[
425,
952,
19,
12
],
[
447,
952,
50,
12
],
[
500,
952,
10,
12
],
[
513,
952,
38,
12
],
[
555,
952,
43,
12
],
[
601,
952,
39,
12
],
[
425,
966,
12,
12
],
[
440,
966,
35,
12
],
[
479,
966,
46,
12
],
[
425,
980,
42,
12
],
[
470,
980,
19,
12
],
[
492,
980,
27,
12
],
[
523,
980,
43,
12
]
] | [
"Tropical",
"Plant",
"Biol.",
"(2010)",
"3:123–135",
"DOI",
"10.1007/s12042-010-9046-1",
"Lablab",
"purpureus—A",
"Crop",
"Lost",
"for",
"Africa?",
"Brigitte",
"L.",
"Maass",
"&",
"Maggie",
"R.",
"Knox",
"&",
"S.",
"C.",
"Venkatesha",
"&",
"Tefera",
"Tolera",
"Angessa",
"&",
"Stefan",
"Ramme",
"&",
"Bruce",
"C.",
"Pengelly",
"Received:",
"11",
"November",
"2009",
"/",
"Accepted:",
"18",
"February",
"2010",
"/",
"Published",
"online:",
"28",
"March",
"2010",
"#",
"The",
"Author(s)",
"2010.",
"This",
"article",
"is",
"published",
"with",
"open",
"access",
"at",
"Springerlink.com",
"Abstract",
"In",
"recent",
"years,",
"so-called",
"‘lost",
"crops’",
"have",
"been",
"appraised",
"in",
"a",
"number",
"of",
"reviews,",
"among",
"them",
"Lablab",
"purpureus",
"in",
"the",
"context",
"of",
"African",
"vegetable",
"species.",
"This",
"crop",
"cannot",
"truly",
"be",
"considered",
"‘lost’",
"because",
"worldwide",
"more",
"than",
"150",
"common",
"names",
"are",
"applied",
"to",
"it.",
"Based",
"on",
"a",
"comprehensive",
"literature",
"review,",
"this",
"paper",
"aims",
"to",
"put",
"forward",
"four",
"theses,",
"(i)",
"Lablab",
"is",
"one",
"of",
"the",
"most",
"diverse",
"domesticated",
"legume",
"species",
"and",
"has",
"multiple",
"uses.",
"Although",
"its",
"largest",
"agro-morphological",
"diversity",
"occurs",
"in",
"South",
"Asia,",
"its",
"origin",
"appears",
"to",
"be",
"Africa.",
"(ii)",
"Crop",
"improvement",
"in",
"South",
"Asia",
"is",
"based",
"on",
"limited",
"genetic",
"diversity.",
"(iii)",
"The",
"restricted",
"research",
"and",
"development",
"performed",
"in",
"Africa",
"focuses",
"either",
"on",
"improving",
"forage",
"or",
"soil",
"properties",
"mostly",
"through",
"one",
"popular",
"cultivar,",
"Rongai,",
"Communicated",
"by:",
"Desiree",
"M.",
"Hautea",
"Elaborated",
"from",
"a",
"presentation",
"at",
"the",
"International",
"Symposium",
"“Underutilized",
"plants",
"for",
"food,",
"nutrition,",
"income",
"and",
"sustainable",
"development”,",
"3–7",
"March",
"2008,",
"Arusha,",
"Tanzania;",
"organized",
"by",
"ICUC,",
"GFU,",
"AVRDC,",
"GlobalHort,",
"Bioversity",
"International,",
"PROTA,",
"and",
"ISHS.",
"B.",
"L.",
"Maass",
":",
"TT.eTf.erAanTg.esAs.a",
":",
"S.",
"Ramme",
"Department",
"of",
"Crop",
"Sciences:",
"Agronomy",
"in",
"the",
"Tropics,",
"Georg-August-University",
"Goettingen,",
"Grisebachstr.",
"6,",
"D-37077",
"Goettingen,",
"Germany",
"M.",
"R.",
"Knox",
"John",
"Innes",
"Centre",
"(JIC),",
"Colney",
"Lane,",
"Norwich",
"NR4",
"7UH,",
"UK",
"S.",
"C.",
"Venkatesha",
"University",
"of",
"Agricultural",
"Sciences,",
"GKVK",
"Campus,",
"Bangalore",
"560065",
"Karnataka,",
"India",
"while",
"the",
"available",
"diversity",
"of",
"lablab",
"in",
"Africa",
"might",
"be",
"under",
"threat",
"of",
"genetic",
"erosion.",
"(iv)",
"Lablab",
"is",
"better",
"adapted",
"to",
"drought",
"than",
"common",
"beans",
"(Phaseolus",
"vulgaris)",
"or",
"cowpea",
"(Vigna",
"unguiculata),",
"both",
"of",
"which",
"have",
"been",
"preferred",
"to",
"lablab",
"in",
"African",
"agricultural",
"production",
"systems.",
"Lablab",
"might",
"offer",
"comparable",
"opportunities",
"for",
"African",
"agriculture",
"in",
"the",
"view",
"of",
"global",
"change.",
"Its",
"wide",
"potential",
"for",
"adaptation",
"throughout",
"eastern",
"and",
"southern",
"Africa",
"is",
"shown",
"with",
"a",
"GIS",
"(geographic",
"information",
"systems)",
"approach.",
"Keywords",
"Cover",
"crop",
".",
"Dolichos",
".",
"Forage",
".",
"Genetic",
"diversity",
".",
"Genetic",
"erosion",
".",
"Homegarden",
".",
"Hyacinth",
"bean",
".",
"Landrace",
".",
"Pulse",
".",
"Traditional",
"vegetable",
".",
"Underutilized",
"crop",
"B.",
"C.",
"Pengelly",
"Commwealth",
"Scientific",
"and",
"Industrial",
"Research",
"Organisation",
"(CSIRO):",
"Sustainable",
"Ecosystems,",
"306",
"Carmody",
"Road,",
"St.",
"Lucia,",
"Qld.",
"4067,",
"Australia",
"Present",
"Address:",
"B.",
"L.",
"Maass",
"(*)",
"CIAT-TSBF,",
"ICRAF",
"Campus,",
"PO",
"Box",
"30677-00100,",
"Nairobi,",
"Kenya",
"e-mail:",
"b.maass@cgiar.org",
"Present",
"Address:",
"T.efTe.raATn.geAs.sa",
"The",
"University",
"of",
"Western",
"Australia",
"(M703),",
"35",
"Stirling",
"Highway,",
"Crawley,",
"WA",
"6009,",
"Australia"
] | [
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
11,
11,
11,
11,
11,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3
] |
2,853,497 | null | [
[
78,
47,
33,
12
],
[
115,
47,
9,
12
],
[
127,
47,
11,
12
],
[
141,
47,
33,
12
],
[
178,
47,
9,
12
],
[
190,
47,
15,
12
],
[
208,
47,
58,
12
],
[
269,
47,
32,
12
],
[
304,
47,
9,
12
],
[
316,
47,
28,
12
],
[
348,
47,
40,
12
],
[
391,
47,
25,
12
],
[
419,
47,
14,
12
],
[
78,
61,
165,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
12,
18
],
[
121,
128,
5,
18
],
[
128,
128,
10,
18
],
[
139,
128,
16,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
59,
34
],
[
148,
169,
106,
34
],
[
264,
169,
20,
34
],
[
294,
169,
68,
34
],
[
372,
169,
114,
34
],
[
496,
169,
94,
34
],
[
78,
205,
111,
34
],
[
200,
205,
20,
34
],
[
229,
205,
241,
34
],
[
78,
252,
43,
16
],
[
126,
252,
8,
16
],
[
138,
249,
53,
18
],
[
195,
252,
30,
16
],
[
229,
252,
10,
16
],
[
243,
249,
53,
18
],
[
301,
252,
26,
16
],
[
331,
249,
42,
18
],
[
378,
252,
17,
16
],
[
399,
249,
63,
18
],
[
466,
252,
50,
16
],
[
521,
252,
7,
16
],
[
532,
249,
52,
18
],
[
589,
252,
23,
16
],
[
616,
249,
46,
18
],
[
78,
271,
47,
16
],
[
130,
269,
45,
19
],
[
179,
271,
42,
16
],
[
226,
271,
8,
16
],
[
238,
269,
50,
19
],
[
292,
271,
28,
16
],
[
324,
269,
76,
19
],
[
405,
271,
48,
16
],
[
457,
271,
7,
16
],
[
468,
269,
51,
19
],
[
523,
271,
31,
16
],
[
558,
271,
12,
16
],
[
574,
269,
58,
19
],
[
637,
271,
34,
16
],
[
675,
271,
12,
16
],
[
691,
269,
52,
19
],
[
78,
291,
29,
16
],
[
112,
288,
62,
18
],
[
178,
291,
39,
16
],
[
221,
288,
48,
18
],
[
274,
291,
40,
16
],
[
318,
291,
12,
16
],
[
334,
288,
55,
18
],
[
394,
291,
23,
16
],
[
421,
288,
57,
18
],
[
482,
291,
35,
16
],
[
521,
288,
47,
18
],
[
572,
291,
32,
16
],
[
609,
288,
50,
18
],
[
78,
310,
39,
16
],
[
121,
307,
65,
19
],
[
190,
310,
39,
16
],
[
234,
310,
7,
16
],
[
245,
307,
74,
19
],
[
323,
310,
22,
16
],
[
350,
310,
10,
16
],
[
364,
307,
75,
19
],
[
443,
310,
25,
16
],
[
473,
307,
57,
19
],
[
87,
364,
54,
15
],
[
87,
385,
35,
14
],
[
126,
385,
48,
14
],
[
179,
385,
8,
14
],
[
191,
385,
7,
14
],
[
202,
385,
57,
14
],
[
263,
385,
47,
14
],
[
315,
385,
24,
14
],
[
343,
385,
25,
14
],
[
372,
385,
53,
14
],
[
429,
385,
11,
14
],
[
445,
385,
46,
14
],
[
496,
385,
37,
14
],
[
537,
385,
55,
14
],
[
596,
385,
49,
14
],
[
650,
385,
18,
14
],
[
672,
385,
20,
14
],
[
696,
385,
40,
14
],
[
87,
402,
45,
14
],
[
136,
402,
15,
14
],
[
155,
402,
12,
14
],
[
172,
402,
25,
14
],
[
201,
402,
25,
14
],
[
230,
402,
19,
14
],
[
253,
402,
49,
14
],
[
306,
402,
8,
14
],
[
319,
402,
30,
14
],
[
353,
402,
44,
14
],
[
400,
402,
22,
14
],
[
427,
402,
32,
14
],
[
463,
402,
8,
14
],
[
476,
402,
7,
14
],
[
487,
402,
20,
14
],
[
510,
402,
23,
14
],
[
538,
402,
40,
14
],
[
582,
402,
11,
14
],
[
598,
402,
19,
14
],
[
620,
402,
34,
14
],
[
658,
402,
48,
14
],
[
87,
418,
37,
14
],
[
128,
418,
33,
14
],
[
166,
418,
55,
14
],
[
225,
418,
12,
14
],
[
241,
418,
19,
14
],
[
264,
418,
24,
14
],
[
292,
418,
32,
14
],
[
328,
418,
12,
14
],
[
344,
418,
37,
14
],
[
386,
418,
19,
14
],
[
409,
418,
30,
14
],
[
443,
418,
11,
14
],
[
457,
418,
27,
14
],
[
489,
418,
21,
14
],
[
514,
418,
47,
14
],
[
565,
418,
7,
14
],
[
576,
418,
86,
14
],
[
666,
418,
51,
14
],
[
721,
418,
11,
14
],
[
87,
435,
19,
14
],
[
110,
435,
40,
14
],
[
154,
435,
27,
14
],
[
185,
435,
11,
14
],
[
201,
435,
19,
14
],
[
224,
435,
41,
14
],
[
269,
435,
39,
14
],
[
312,
435,
12,
14
],
[
328,
435,
25,
14
],
[
357,
435,
12,
14
],
[
373,
435,
49,
14
],
[
426,
435,
43,
14
],
[
473,
435,
21,
14
],
[
499,
435,
41,
14
],
[
544,
435,
71,
14
],
[
619,
435,
46,
14
],
[
669,
435,
50,
14
],
[
87,
452,
29,
14
],
[
121,
452,
61,
14
],
[
186,
452,
20,
14
],
[
210,
452,
32,
14
],
[
247,
452,
48,
14
],
[
299,
452,
14,
14
],
[
317,
452,
50,
14
],
[
372,
452,
14,
14
],
[
389,
452,
13,
14
],
[
407,
452,
21,
14
],
[
432,
452,
62,
14
],
[
498,
452,
48,
14
],
[
551,
452,
11,
14
],
[
566,
452,
56,
14
],
[
627,
452,
22,
14
],
[
653,
452,
21,
14
],
[
679,
452,
38,
14
],
[
87,
468,
74,
14
],
[
165,
468,
13,
14
],
[
183,
468,
26,
14
],
[
213,
468,
38,
14
],
[
255,
468,
72,
14
],
[
331,
468,
17,
14
],
[
353,
468,
36,
14
],
[
393,
468,
56,
14
],
[
452,
468,
13,
14
],
[
470,
468,
26,
14
],
[
500,
468,
12,
14
],
[
516,
468,
47,
14
],
[
567,
468,
19,
14
],
[
590,
468,
48,
14
],
[
642,
468,
29,
14
],
[
676,
468,
11,
14
],
[
691,
468,
30,
14
],
[
87,
485,
31,
14
],
[
123,
485,
74,
14
],
[
201,
485,
13,
14
],
[
218,
485,
43,
14
],
[
265,
485,
57,
14
],
[
326,
485,
53,
14
],
[
383,
485,
12,
14
],
[
400,
485,
49,
14
],
[
452,
485,
71,
14
],
[
528,
485,
22,
14
],
[
553,
485,
48,
14
],
[
606,
485,
50,
14
],
[
660,
485,
24,
14
],
[
688,
485,
13,
14
],
[
705,
485,
16,
14
],
[
87,
501,
50,
14
],
[
142,
501,
11,
14
],
[
157,
501,
19,
14
],
[
181,
501,
40,
14
],
[
225,
501,
81,
14
],
[
310,
501,
11,
14
],
[
326,
501,
19,
14
],
[
349,
501,
57,
14
],
[
409,
501,
30,
14
],
[
443,
501,
11,
14
],
[
459,
501,
48,
14
],
[
511,
501,
21,
14
],
[
536,
501,
38,
14
],
[
579,
501,
95,
14
],
[
678,
501,
11,
14
],
[
692,
501,
41,
14
],
[
87,
518,
12,
14
],
[
103,
518,
39,
14
],
[
147,
518,
27,
14
],
[
177,
518,
39,
14
],
[
221,
518,
23,
14
],
[
248,
518,
21,
14
],
[
274,
518,
71,
14
],
[
349,
518,
80,
14
],
[
433,
518,
21,
14
],
[
458,
518,
29,
14
],
[
492,
518,
8,
14
],
[
504,
518,
22,
14
],
[
531,
518,
25,
14
],
[
560,
518,
53,
14
],
[
617,
518,
21,
14
],
[
643,
518,
59,
14
],
[
706,
518,
30,
14
],
[
87,
535,
30,
14
],
[
122,
535,
11,
14
],
[
137,
535,
34,
14
],
[
175,
535,
48,
14
],
[
227,
535,
22,
14
],
[
253,
535,
20,
14
],
[
277,
535,
37,
14
],
[
318,
535,
33,
14
],
[
355,
535,
11,
14
],
[
370,
535,
25,
14
],
[
400,
535,
26,
14
],
[
430,
535,
44,
14
],
[
478,
535,
21,
14
],
[
504,
535,
69,
14
],
[
576,
535,
25,
14
],
[
606,
535,
25,
14
],
[
635,
535,
38,
14
],
[
78,
581,
80,
15
],
[
78,
598,
39,
14
],
[
123,
598,
56,
14
],
[
184,
598,
80,
14
],
[
270,
598,
29,
14
],
[
304,
598,
12,
14
],
[
322,
598,
33,
14
],
[
360,
598,
25,
14
],
[
391,
598,
13,
14
],
[
78,
614,
49,
14
],
[
132,
614,
19,
14
],
[
156,
614,
54,
14
],
[
215,
614,
33,
14
],
[
253,
614,
12,
14
],
[
269,
614,
43,
14
],
[
318,
614,
22,
14
],
[
345,
614,
59,
14
],
[
78,
631,
35,
14
],
[
117,
631,
32,
14
],
[
154,
631,
45,
14
],
[
203,
631,
21,
14
],
[
229,
631,
51,
14
],
[
284,
631,
50,
14
],
[
338,
631,
13,
14
],
[
355,
631,
24,
14
],
[
383,
631,
20,
14
],
[
78,
648,
48,
14
],
[
130,
648,
59,
14
],
[
193,
648,
28,
14
],
[
225,
648,
28,
14
],
[
258,
648,
109,
14
],
[
371,
648,
33,
14
],
[
78,
664,
19,
14
],
[
103,
664,
22,
14
],
[
130,
664,
66,
14
],
[
202,
664,
59,
14
],
[
266,
664,
13,
14
],
[
284,
664,
33,
14
],
[
323,
664,
13,
14
],
[
341,
664,
26,
14
],
[
373,
664,
31,
14
],
[
78,
681,
53,
14
],
[
135,
681,
27,
14
],
[
166,
681,
52,
14
],
[
222,
681,
32,
14
],
[
259,
681,
18,
14
],
[
281,
681,
30,
14
],
[
316,
681,
12,
14
],
[
331,
681,
35,
14
],
[
370,
681,
33,
14
],
[
78,
697,
29,
14
],
[
113,
697,
17,
14
],
[
136,
697,
28,
14
],
[
170,
697,
50,
14
],
[
226,
697,
20,
14
],
[
252,
697,
31,
14
],
[
290,
697,
51,
14
],
[
347,
697,
10,
14
],
[
364,
697,
40,
14
],
[
78,
714,
59,
14
],
[
143,
714,
44,
14
],
[
192,
714,
25,
14
],
[
223,
714,
23,
14
],
[
251,
714,
28,
14
],
[
285,
714,
13,
14
],
[
304,
714,
27,
14
],
[
336,
714,
42,
14
],
[
384,
714,
20,
14
],
[
78,
730,
36,
14
],
[
119,
730,
63,
14
],
[
187,
730,
36,
14
],
[
228,
730,
19,
14
],
[
253,
730,
39,
14
],
[
297,
730,
58,
14
],
[
360,
730,
43,
14
],
[
78,
747,
52,
14
],
[
135,
747,
27,
14
],
[
167,
747,
34,
14
],
[
206,
747,
51,
14
],
[
262,
747,
14,
14
],
[
281,
747,
53,
14
],
[
339,
747,
15,
14
],
[
359,
747,
15,
14
],
[
380,
747,
24,
14
],
[
78,
764,
66,
14
],
[
149,
764,
49,
14
],
[
203,
764,
12,
14
],
[
219,
764,
56,
14
],
[
280,
764,
23,
14
],
[
307,
764,
22,
14
],
[
333,
764,
40,
14
],
[
378,
764,
26,
14
],
[
78,
780,
56,
14
],
[
138,
780,
15,
14
],
[
157,
780,
28,
14
],
[
189,
780,
40,
14
],
[
233,
780,
73,
14
],
[
310,
780,
18,
14
],
[
332,
780,
36,
14
],
[
373,
780,
31,
14
],
[
78,
797,
34,
14
],
[
120,
797,
16,
14
],
[
144,
797,
29,
14
],
[
180,
797,
13,
14
],
[
200,
797,
51,
14
],
[
259,
797,
20,
14
],
[
286,
797,
56,
14
],
[
350,
797,
34,
14
],
[
391,
797,
12,
14
],
[
78,
814,
63,
14
],
[
146,
814,
77,
14
],
[
227,
814,
15,
14
],
[
247,
814,
46,
14
],
[
298,
814,
63,
14
],
[
365,
814,
38,
14
],
[
78,
830,
23,
14
],
[
107,
830,
12,
14
],
[
124,
830,
53,
14
],
[
183,
830,
77,
14
],
[
265,
830,
22,
14
],
[
293,
830,
50,
14
],
[
348,
830,
55,
14
],
[
78,
847,
25,
14
],
[
109,
847,
15,
14
],
[
129,
847,
18,
14
],
[
152,
847,
53,
14
],
[
209,
847,
12,
14
],
[
226,
847,
21,
14
],
[
251,
847,
44,
14
],
[
301,
847,
86,
14
],
[
392,
847,
12,
14
],
[
78,
863,
19,
14
],
[
102,
863,
58,
14
],
[
165,
863,
31,
14
],
[
202,
863,
12,
14
],
[
219,
863,
44,
14
],
[
268,
863,
12,
14
],
[
285,
863,
40,
14
],
[
330,
863,
29,
14
],
[
364,
863,
40,
14
],
[
78,
880,
26,
14
],
[
109,
880,
22,
14
],
[
136,
880,
75,
14
],
[
216,
880,
80,
14
],
[
300,
880,
78,
14
],
[
383,
880,
21,
14
],
[
78,
897,
28,
14
],
[
113,
897,
24,
14
],
[
143,
897,
71,
14
],
[
221,
897,
67,
14
],
[
294,
897,
78,
14
],
[
379,
897,
25,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
98,
11
],
[
78,
948,
37,
13
],
[
118,
950,
6,
11
],
[
127,
950,
26,
11
],
[
157,
950,
37,
11
],
[
197,
950,
17,
11
],
[
217,
950,
23,
11
],
[
243,
950,
20,
11
],
[
266,
950,
43,
11
],
[
312,
950,
32,
11
],
[
347,
950,
31,
11
],
[
381,
950,
13,
11
],
[
78,
962,
18,
11
],
[
423,
581,
67,
14
],
[
494,
581,
57,
14
],
[
556,
581,
51,
14
],
[
612,
581,
57,
14
],
[
674,
581,
23,
14
],
[
702,
581,
29,
14
],
[
736,
581,
12,
14
],
[
423,
598,
24,
14
],
[
451,
598,
22,
14
],
[
477,
598,
64,
14
],
[
546,
598,
62,
14
],
[
612,
598,
12,
14
],
[
628,
598,
24,
14
],
[
656,
598,
7,
14
],
[
667,
598,
65,
14
],
[
736,
598,
12,
14
],
[
423,
614,
21,
14
],
[
450,
614,
45,
14
],
[
500,
614,
57,
14
],
[
563,
614,
25,
14
],
[
593,
614,
60,
14
],
[
659,
614,
48,
14
],
[
713,
614,
35,
14
],
[
423,
631,
35,
14
],
[
462,
631,
54,
14
],
[
520,
631,
29,
14
],
[
553,
631,
18,
14
],
[
575,
631,
20,
14
],
[
599,
631,
20,
14
],
[
623,
631,
29,
14
],
[
657,
631,
30,
14
],
[
690,
631,
26,
14
],
[
721,
631,
27,
14
],
[
423,
648,
32,
14
],
[
459,
648,
47,
14
],
[
510,
648,
12,
14
],
[
527,
648,
20,
14
],
[
552,
648,
45,
14
],
[
601,
648,
83,
14
],
[
688,
648,
12,
14
],
[
705,
648,
43,
14
],
[
423,
664,
39,
14
],
[
466,
664,
13,
14
],
[
483,
664,
51,
14
],
[
539,
664,
6,
14
],
[
550,
664,
46,
14
],
[
600,
664,
12,
14
],
[
616,
664,
24,
14
],
[
644,
664,
73,
14
],
[
721,
664,
27,
14
],
[
423,
681,
27,
14
],
[
454,
681,
63,
14
],
[
521,
681,
12,
14
],
[
537,
681,
18,
14
],
[
560,
681,
40,
14
],
[
605,
681,
18,
14
],
[
627,
681,
51,
14
],
[
682,
681,
12,
14
],
[
698,
681,
21,
14
],
[
723,
681,
25,
14
],
[
423,
697,
20,
14
],
[
447,
697,
35,
14
],
[
486,
697,
31,
14
],
[
521,
697,
24,
14
],
[
549,
697,
20,
14
],
[
573,
697,
30,
14
],
[
608,
697,
26,
14
],
[
638,
697,
14,
14
],
[
656,
697,
12,
14
],
[
672,
697,
20,
14
],
[
697,
697,
51,
14
],
[
423,
714,
43,
14
],
[
472,
714,
12,
14
],
[
490,
714,
20,
14
],
[
516,
714,
58,
14
],
[
580,
714,
42,
14
],
[
628,
714,
89,
14
],
[
723,
714,
12,
14
],
[
741,
714,
7,
14
],
[
423,
730,
60,
14
],
[
488,
730,
75,
14
],
[
568,
730,
22,
14
],
[
595,
730,
32,
14
],
[
632,
730,
85,
14
],
[
723,
730,
25,
14
],
[
423,
747,
40,
14
],
[
467,
747,
25,
14
],
[
496,
747,
26,
14
],
[
526,
747,
12,
14
],
[
542,
747,
30,
14
],
[
576,
747,
48,
14
],
[
628,
747,
9,
14
],
[
641,
747,
73,
14
],
[
718,
747,
30,
14
],
[
423,
764,
86,
14
],
[
514,
764,
18,
14
],
[
536,
764,
33,
14
],
[
574,
764,
15,
14
],
[
593,
764,
43,
14
],
[
641,
764,
50,
14
],
[
696,
764,
52,
14
],
[
423,
780,
49,
14
],
[
476,
780,
21,
14
],
[
501,
780,
26,
14
],
[
532,
780,
27,
14
],
[
563,
780,
23,
14
],
[
590,
780,
47,
14
],
[
641,
780,
36,
14
],
[
681,
780,
18,
14
],
[
704,
780,
44,
14
],
[
423,
797,
53,
14
],
[
480,
797,
70,
14
],
[
555,
797,
24,
14
],
[
584,
797,
29,
14
],
[
617,
797,
10,
14
],
[
631,
797,
23,
14
],
[
659,
797,
30,
14
],
[
694,
797,
54,
14
],
[
423,
814,
24,
14
],
[
451,
814,
22,
14
],
[
477,
814,
70,
14
],
[
553,
814,
35,
14
],
[
593,
814,
12,
14
],
[
609,
814,
28,
14
],
[
642,
814,
28,
14
],
[
675,
814,
47,
14
],
[
726,
814,
22,
14
],
[
423,
830,
70,
14
],
[
497,
830,
25,
14
],
[
526,
830,
27,
14
],
[
557,
830,
40,
14
],
[
423,
863,
64,
15
],
[
491,
863,
22,
15
],
[
423,
880,
18,
14
],
[
445,
880,
56,
14
],
[
506,
880,
18,
14
],
[
528,
880,
9,
14
],
[
542,
880,
20,
14
],
[
567,
880,
46,
14
],
[
617,
880,
61,
14
],
[
682,
880,
66,
14
],
[
423,
897,
39,
14
],
[
466,
897,
61,
14
],
[
532,
897,
49,
14
],
[
585,
897,
94,
14
],
[
684,
897,
47,
14
],
[
735,
897,
13,
14
],
[
423,
913,
78,
14
],
[
505,
913,
58,
14
],
[
567,
913,
23,
14
],
[
595,
913,
20,
14
],
[
620,
913,
48,
14
],
[
673,
913,
46,
14
],
[
724,
913,
24,
14
],
[
423,
930,
55,
14
],
[
482,
930,
47,
14
],
[
534,
930,
39,
14
],
[
578,
930,
48,
14
],
[
631,
930,
46,
14
],
[
681,
930,
67,
14
],
[
423,
946,
34,
14
],
[
463,
946,
28,
14
],
[
497,
946,
52,
14
],
[
554,
946,
25,
14
],
[
585,
946,
25,
14
],
[
616,
946,
25,
14
],
[
647,
946,
27,
14
],
[
680,
946,
47,
14
],
[
733,
946,
15,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
27,
10
],
[
305,
987,
8,
10
],
[
315,
987,
8,
10
],
[
325,
987,
30,
10
],
[
358,
987,
29,
10
],
[
388,
987,
27,
10
],
[
417,
987,
14,
10
],
[
434,
987,
15,
10
],
[
451,
987,
6,
10
],
[
459,
987,
10,
10
],
[
470,
987,
21,
10
],
[
493,
987,
25,
10
],
[
521,
987,
23,
10
],
[
546,
987,
41,
10
],
[
589,
987,
23,
10
],
[
613,
987,
13,
10
],
[
628,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Kreider",
"et",
"al.",
"Journal",
"of",
"the",
"International",
"Society",
"of",
"Sports",
"Nutrition",
"2010,",
"7:7",
"http://www.jissn.com/content/7/1/7",
"R",
"E",
"V",
"I",
"E",
"W",
"Open",
"Access",
"ISSN",
"exercise",
"&",
"sport",
"nutrition",
"review:",
"research",
"&",
"recommendations",
"Richard",
"B",
"Kreider1*,",
"Colin",
"D",
"Wilborn2,",
"Lem",
"Taylor2,",
"Bill",
"Campbell3,",
"Anthony",
"L",
"Almada4,",
"Rick",
"Collins5,",
"Mathew",
"Cooke6,",
"Conrad",
"P",
"Earnest7,",
"Mike",
"Greenwood8,",
"Douglas",
"S",
"Kalman9,",
"Chad",
"M",
"Kerksick10,",
"Susan",
"M",
"Kleiner11,",
"Brian",
"Leutholtz8,",
"Hector",
"Lopez12,",
"Lonnie",
"M",
"Lowery13,",
"Ron",
"Mendel14,",
"Abbie",
"Smith10,",
"Marie",
"Spano15,",
"Robert",
"Wildman16,",
"Darryn",
"S",
"Willoughby8,",
"Tim",
"N",
"Ziegenfuss17,",
"Jose",
"Antonio18",
"Abstract",
"Sports",
"nutrition",
"is",
"a",
"constantly",
"evolving",
"field",
"with",
"hundreds",
"of",
"research",
"papers",
"published",
"annually.",
"For",
"this",
"reason,",
"keeping",
"up",
"to",
"date",
"with",
"the",
"literature",
"is",
"often",
"difficult.",
"This",
"paper",
"is",
"a",
"five",
"year",
"update",
"of",
"the",
"sports",
"nutrition",
"review",
"article",
"published",
"as",
"the",
"lead",
"paper",
"to",
"launch",
"the",
"JISSN",
"in",
"2004",
"and",
"presents",
"a",
"well-referenced",
"overview",
"of",
"the",
"current",
"state",
"of",
"the",
"science",
"related",
"to",
"how",
"to",
"optimize",
"training",
"and",
"athletic",
"performance",
"through",
"nutrition.",
"More",
"specifically,",
"this",
"paper",
"provides",
"an",
"overview",
"of:",
"1.)",
"The",
"definitional",
"category",
"of",
"ergogenic",
"aids",
"and",
"dietary",
"supplements;",
"2.)",
"How",
"dietary",
"supplements",
"are",
"legally",
"regulated;",
"3.)",
"How",
"to",
"evaluate",
"the",
"scientific",
"merit",
"of",
"nutri-",
"tional",
"supplements;",
"4.)",
"General",
"nutritional",
"strategies",
"to",
"optimize",
"performance",
"and",
"enhance",
"recovery;",
"and,",
"5.)",
"An",
"overview",
"of",
"our",
"current",
"understanding",
"of",
"the",
"ergogenic",
"value",
"of",
"nutrition",
"and",
"dietary",
"supplementation",
"in",
"regards",
"to",
"weight",
"gain,",
"weight",
"loss,",
"and",
"performance",
"enhancement.",
"Our",
"hope",
"is",
"that",
"ISSN",
"members",
"and",
"individuals",
"inter-",
"ested",
"in",
"sports",
"nutrition",
"find",
"this",
"review",
"useful",
"in",
"their",
"daily",
"practice",
"and",
"consultation",
"with",
"their",
"clients.",
"Introduction",
"Sports",
"nutrition",
"professionals",
"need",
"to",
"know",
"how",
"to",
"evaluate",
"the",
"scientific",
"merit",
"of",
"articles",
"and",
"advertise-",
"ments",
"about",
"exercise",
"and",
"nutrition",
"products",
"so",
"they",
"can",
"separate",
"marketing",
"hype",
"from",
"scientifically-based",
"train-",
"ing",
"and",
"nutritional",
"practices.",
"In",
"order",
"to",
"help",
"ISSN",
"members",
"keep",
"informed",
"about",
"the",
"latest",
"in",
"sports",
"nutri-",
"tion,",
"we",
"have",
"updated",
"the",
"ISSN",
"Exercise",
"&",
"Sports",
"Nutrition",
"Review",
"that",
"was",
"used",
"to",
"help",
"launch",
"the",
"JISSN",
"(originally",
"called",
"the",
"Sports",
"Nutrition",
"Review",
"Journal).",
"This",
"paper",
"provides",
"an",
"overview",
"of:",
"1.)",
"The",
"definitional",
"category",
"of",
"ergogenic",
"aids",
"and",
"dietary",
"sup-",
"plements;",
"2.)",
"How",
"dietary",
"supplements",
"are",
"legally",
"regu-",
"lated;",
"3.)",
"How",
"to",
"evaluate",
"the",
"scientific",
"merit",
"of",
"nutritional",
"supplements;",
"4.)",
"General",
"nutritional",
"strate-",
"gies",
"to",
"optimize",
"performance",
"and",
"enhance",
"recovery;",
"and,",
"5.)",
"An",
"overview",
"of",
"our",
"current",
"understanding",
"of",
"the",
"ergogenic",
"value",
"in",
"regards",
"to",
"weight",
"gain,",
"weight",
"loss,",
"and",
"performance",
"enhancement",
"supplements.",
"We",
"have",
"also",
"categorized",
"nutritional",
"supplements",
"into",
"*",
"Correspondence:",
"rkreider@hlkn.tamu.edu",
"1Exercise",
"&",
"Sports",
"Nutrition",
"Lab,",
"Texas",
"A&M",
"University,",
"College",
"Station,",
"TX,",
"USA",
"‘apparently",
"effective’,",
"‘possibly",
"effective’,",
"‘too",
"early",
"to",
"tell’,",
"and",
"‘apparently",
"ineffective’",
"as",
"well",
"a",
"description",
"of",
"our",
"general",
"approach",
"into",
"educating",
"athletes",
"about",
"sports",
"nutrition.",
"Over",
"the",
"last",
"five",
"years",
"there",
"have",
"been",
"many",
"changes",
"to",
"our",
"original",
"categorization",
"of",
"supple-",
"ments.",
"In",
"addition,",
"a",
"number",
"of",
"new",
"supplements",
"have",
"been",
"introduced",
"to",
"the",
"market",
"are",
"reviewed",
"in",
"this",
"arti-",
"cle.",
"While",
"some",
"may",
"not",
"agree",
"with",
"all",
"of",
"our",
"interpre-",
"tations",
"of",
"the",
"literature",
"and/or",
"categorization",
"of",
"a",
"particular",
"supplement,",
"and",
"some",
"classifications",
"may",
"change",
"over",
"time",
"as",
"more",
"research",
"is",
"forthcoming,",
"these",
"interpretations",
"are",
"based",
"on",
"current",
"available",
"scientific",
"evidence",
"and",
"have",
"been",
"well",
"received",
"within",
"the",
"broader",
"scientific",
"community.",
"Our",
"hope",
"is",
"that",
"ISSN",
"members",
"find",
"this",
"information",
"useful",
"in",
"their",
"daily",
"practice",
"and",
"consultation",
"with",
"their",
"clients.",
"Ergogenic",
"Aid",
"An",
"ergogenic",
"aid",
"is",
"any",
"training",
"technique,",
"mechanical",
"device,",
"nutritional",
"practice,",
"pharmacological",
"method,",
"or",
"psychological",
"technique",
"that",
"can",
"improve",
"exercise",
"per-",
"formance",
"capacity",
"and/or",
"enhance",
"training",
"adaptations",
"[1-3].",
"This",
"includes",
"aids",
"that",
"may",
"help",
"prepare",
"an",
"©",
"2010",
"Kreider",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,206,425 | null | [
[
502,
57,
50,
12
],
[
555,
57,
34,
12
],
[
591,
57,
181,
12
],
[
78,
115,
85,
21
],
[
78,
118,
15,
3
],
[
78,
139,
43,
23
],
[
126,
139,
62,
23
],
[
194,
139,
37,
23
],
[
237,
139,
133,
23
],
[
375,
139,
40,
23
],
[
421,
139,
35,
23
],
[
461,
139,
40,
23
],
[
507,
139,
22,
23
],
[
535,
139,
59,
23
],
[
599,
139,
116,
23
],
[
78,
164,
84,
23
],
[
168,
164,
105,
23
],
[
279,
164,
74,
23
],
[
358,
164,
35,
23
],
[
399,
164,
89,
23
],
[
493,
164,
26,
23
],
[
525,
164,
13,
23
],
[
544,
164,
69,
23
],
[
618,
164,
58,
23
],
[
78,
190,
43,
17
],
[
126,
190,
12,
17
],
[
142,
190,
84,
17
],
[
230,
190,
62,
17
],
[
295,
190,
56,
17
],
[
355,
190,
49,
17
],
[
409,
190,
72,
17
],
[
485,
190,
51,
17
],
[
540,
190,
44,
17
],
[
588,
190,
52,
17
],
[
644,
190,
76,
17
],
[
662,
116,
44,
16
],
[
709,
116,
61,
16
],
[
78,
212,
26,
17
],
[
109,
212,
47,
17
],
[
160,
212,
36,
17
],
[
200,
212,
27,
17
],
[
231,
212,
55,
17
],
[
290,
212,
10,
17
],
[
304,
212,
47,
17
],
[
78,
258,
38,
12
],
[
119,
258,
10,
12
],
[
131,
258,
30,
12
],
[
164,
258,
31,
12
],
[
197,
258,
18,
12
],
[
218,
258,
31,
12
],
[
252,
258,
47,
12
],
[
301,
258,
46,
12
],
[
350,
258,
10,
12
],
[
362,
258,
74,
12
],
[
439,
258,
42,
12
],
[
483,
258,
22,
12
],
[
507,
258,
19,
12
],
[
529,
258,
22,
12
],
[
554,
258,
41,
12
],
[
597,
258,
17,
12
],
[
616,
258,
35,
12
],
[
654,
258,
23,
12
],
[
78,
271,
33,
12
],
[
114,
272,
37,
11
],
[
153,
272,
35,
11
],
[
191,
272,
33,
11
],
[
226,
272,
23,
11
],
[
252,
272,
20,
11
],
[
274,
272,
29,
11
],
[
305,
272,
13,
11
],
[
321,
272,
24,
11
],
[
348,
272,
61,
11
],
[
411,
272,
13,
11
],
[
426,
272,
35,
11
],
[
464,
272,
23,
11
],
[
78,
285,
41,
12
],
[
122,
285,
47,
12
],
[
172,
285,
26,
12
],
[
200,
285,
34,
12
],
[
237,
285,
19,
12
],
[
258,
285,
18,
12
],
[
278,
285,
25,
12
],
[
306,
285,
29,
12
],
[
337,
285,
44,
12
],
[
384,
285,
41,
12
],
[
428,
285,
22,
12
],
[
452,
285,
23,
12
],
[
478,
285,
38,
12
],
[
78,
298,
44,
12
],
[
125,
298,
34,
12
],
[
161,
298,
20,
12
],
[
183,
298,
53,
12
],
[
239,
298,
38,
12
],
[
279,
298,
27,
12
],
[
309,
298,
27,
12
],
[
338,
298,
37,
12
],
[
378,
298,
17,
12
],
[
397,
298,
35,
12
],
[
435,
298,
23,
12
],
[
78,
311,
62,
12
],
[
143,
311,
40,
11
],
[
185,
311,
35,
11
],
[
223,
311,
20,
11
],
[
246,
311,
26,
11
],
[
274,
311,
32,
11
],
[
309,
311,
22,
11
],
[
333,
311,
60,
11
],
[
396,
311,
17,
11
],
[
415,
311,
35,
11
],
[
453,
311,
23,
11
],
[
78,
336,
71,
11
],
[
152,
336,
33,
11
],
[
188,
336,
29,
11
],
[
220,
336,
8,
11
],
[
231,
336,
52,
11
],
[
285,
336,
147,
11
],
[
78,
361,
47,
12
],
[
128,
361,
13,
12
],
[
144,
361,
19,
12
],
[
165,
361,
26,
12
],
[
197,
361,
45,
12
],
[
245,
361,
51,
12
],
[
299,
361,
14,
12
],
[
315,
361,
19,
12
],
[
336,
361,
26,
12
],
[
368,
361,
46,
12
],
[
416,
361,
44,
12
],
[
462,
361,
13,
12
],
[
478,
361,
17,
12
],
[
498,
361,
26,
12
],
[
530,
361,
50,
12
],
[
582,
361,
7,
12
],
[
592,
361,
16,
12
],
[
610,
361,
26,
12
],
[
642,
361,
50,
12
],
[
695,
361,
7,
12
],
[
705,
361,
16,
12
],
[
723,
361,
26,
12
],
[
78,
387,
34,
12
],
[
115,
387,
24,
12
],
[
142,
387,
29,
12
],
[
173,
387,
36,
12
],
[
212,
387,
108,
12
],
[
78,
401,
20,
11
],
[
101,
401,
29,
11
],
[
132,
401,
8,
11
],
[
143,
401,
29,
11
],
[
174,
401,
12,
11
],
[
189,
401,
181,
11
],
[
78,
415,
10,
12
],
[
91,
415,
26,
12
],
[
120,
415,
49,
12
],
[
171,
415,
9,
12
],
[
183,
415,
14,
12
],
[
200,
415,
39,
12
],
[
242,
415,
37,
12
],
[
282,
415,
35,
12
],
[
320,
415,
18,
12
],
[
78,
429,
20,
12
],
[
100,
429,
8,
12
],
[
110,
429,
12,
12
],
[
123,
429,
24,
12
],
[
150,
429,
34,
12
],
[
185,
429,
29,
12
],
[
216,
429,
51,
12
],
[
268,
429,
28,
12
],
[
298,
429,
15,
12
],
[
315,
429,
27,
12
],
[
343,
429,
10,
12
],
[
354,
429,
15,
12
],
[
371,
429,
40,
12
],
[
413,
429,
49,
12
],
[
464,
429,
49,
12
],
[
515,
429,
37,
12
],
[
554,
429,
216,
12
],
[
78,
443,
28,
11
],
[
109,
443,
35,
11
],
[
147,
443,
57,
11
],
[
206,
443,
20,
11
],
[
229,
443,
55,
11
],
[
287,
443,
18,
11
],
[
307,
443,
61,
11
],
[
370,
443,
9,
11
],
[
382,
443,
17,
11
],
[
401,
443,
40,
11
],
[
444,
443,
42,
11
],
[
488,
443,
15,
11
],
[
506,
443,
35,
11
],
[
543,
443,
23,
11
],
[
568,
443,
8,
11
],
[
579,
443,
39,
11
],
[
620,
443,
26,
11
],
[
78,
484,
60,
15
],
[
78,
512,
69,
13
],
[
152,
512,
39,
13
],
[
195,
512,
24,
13
],
[
223,
512,
42,
13
],
[
270,
512,
20,
13
],
[
295,
512,
58,
13
],
[
358,
512,
11,
13
],
[
373,
512,
40,
13
],
[
78,
526,
18,
13
],
[
105,
526,
31,
13
],
[
145,
526,
25,
13
],
[
178,
526,
48,
13
],
[
234,
526,
22,
13
],
[
265,
526,
45,
13
],
[
319,
526,
17,
13
],
[
345,
526,
19,
13
],
[
372,
526,
15,
13
],
[
396,
526,
17,
13
],
[
78,
541,
69,
13
],
[
150,
541,
11,
13
],
[
164,
541,
30,
13
],
[
197,
541,
56,
13
],
[
257,
541,
42,
13
],
[
303,
541,
52,
13
],
[
358,
541,
42,
13
],
[
403,
541,
10,
13
],
[
78,
556,
43,
13
],
[
125,
556,
8,
13
],
[
136,
556,
45,
13
],
[
185,
556,
60,
13
],
[
249,
556,
42,
13
],
[
294,
556,
51,
13
],
[
348,
556,
17,
13
],
[
369,
556,
44,
13
],
[
78,
570,
11,
13
],
[
92,
570,
19,
13
],
[
114,
570,
64,
13
],
[
78,
599,
50,
13
],
[
131,
599,
14,
13
],
[
148,
599,
42,
13
],
[
193,
599,
17,
13
],
[
213,
599,
60,
13
],
[
276,
599,
46,
13
],
[
325,
599,
65,
13
],
[
393,
599,
20,
13
],
[
78,
614,
47,
13
],
[
129,
614,
24,
13
],
[
157,
614,
20,
13
],
[
181,
614,
62,
13
],
[
247,
614,
37,
13
],
[
288,
614,
16,
13
],
[
308,
614,
55,
13
],
[
367,
614,
7,
13
],
[
378,
614,
35,
13
],
[
78,
629,
29,
13
],
[
110,
629,
31,
13
],
[
144,
629,
23,
13
],
[
169,
629,
7,
13
],
[
179,
629,
62,
13
],
[
243,
629,
65,
13
],
[
311,
629,
71,
13
],
[
384,
629,
29,
13
],
[
78,
643,
11,
13
],
[
92,
643,
59,
13
],
[
153,
643,
44,
13
],
[
199,
643,
10,
13
],
[
211,
643,
17,
13
],
[
231,
643,
21,
13
],
[
255,
643,
32,
13
],
[
289,
643,
43,
13
],
[
335,
643,
32,
13
],
[
370,
643,
43,
13
],
[
78,
658,
8,
13
],
[
90,
658,
43,
13
],
[
135,
658,
10,
13
],
[
148,
658,
22,
13
],
[
174,
658,
27,
13
],
[
204,
658,
10,
13
],
[
217,
658,
17,
13
],
[
237,
658,
35,
13
],
[
275,
658,
38,
13
],
[
316,
658,
57,
13
],
[
376,
658,
36,
13
],
[
78,
672,
15,
13
],
[
100,
672,
34,
13
],
[
140,
672,
27,
13
],
[
173,
672,
70,
13
],
[
250,
672,
43,
13
],
[
300,
672,
20,
13
],
[
327,
672,
16,
13
],
[
349,
672,
43,
13
],
[
399,
672,
14,
13
],
[
78,
687,
45,
13
],
[
131,
687,
39,
13
],
[
177,
687,
34,
13
],
[
218,
687,
10,
13
],
[
235,
687,
57,
13
],
[
299,
687,
20,
13
],
[
326,
687,
69,
13
],
[
402,
687,
11,
13
],
[
78,
701,
34,
13
],
[
115,
701,
10,
13
],
[
128,
701,
17,
13
],
[
148,
701,
21,
13
],
[
172,
701,
36,
13
],
[
211,
701,
13,
13
],
[
226,
701,
17,
13
],
[
246,
701,
39,
13
],
[
289,
701,
50,
13
],
[
78,
731,
43,
13
],
[
124,
731,
39,
13
],
[
165,
731,
17,
13
],
[
185,
731,
32,
13
],
[
220,
731,
43,
13
],
[
265,
731,
39,
13
],
[
307,
731,
34,
13
],
[
343,
731,
10,
13
],
[
356,
731,
57,
13
],
[
78,
745,
22,
13
],
[
105,
745,
37,
13
],
[
147,
745,
56,
13
],
[
207,
745,
34,
13
],
[
246,
745,
10,
13
],
[
260,
745,
17,
13
],
[
281,
745,
24,
13
],
[
310,
745,
12,
13
],
[
327,
745,
47,
13
],
[
379,
745,
34,
13
],
[
78,
760,
32,
13
],
[
115,
760,
26,
13
],
[
146,
760,
46,
13
],
[
196,
760,
27,
13
],
[
228,
760,
26,
13
],
[
258,
760,
11,
13
],
[
274,
760,
14,
13
],
[
292,
760,
10,
13
],
[
306,
760,
7,
13
],
[
318,
760,
42,
13
],
[
364,
760,
24,
13
],
[
393,
760,
20,
13
],
[
78,
774,
27,
13
],
[
112,
774,
26,
13
],
[
145,
774,
11,
13
],
[
162,
774,
14,
13
],
[
183,
774,
47,
13
],
[
236,
774,
22,
13
],
[
265,
774,
59,
13
],
[
331,
774,
11,
13
],
[
348,
774,
35,
13
],
[
390,
774,
23,
13
],
[
78,
789,
43,
13
],
[
125,
789,
39,
13
],
[
168,
789,
37,
13
],
[
209,
789,
35,
13
],
[
247,
789,
22,
13
],
[
272,
789,
27,
13
],
[
302,
789,
27,
13
],
[
333,
789,
26,
13
],
[
363,
789,
11,
13
],
[
377,
789,
25,
13
],
[
406,
789,
7,
13
],
[
437,
512,
33,
13
],
[
474,
512,
52,
13
],
[
530,
512,
11,
13
],
[
544,
512,
38,
13
],
[
586,
512,
23,
13
],
[
613,
512,
18,
13
],
[
635,
512,
31,
13
],
[
669,
512,
30,
13
],
[
703,
512,
35,
13
],
[
742,
512,
30,
13
],
[
437,
526,
20,
13
],
[
462,
526,
7,
13
],
[
474,
526,
33,
13
],
[
512,
526,
42,
13
],
[
558,
526,
11,
13
],
[
573,
526,
21,
13
],
[
600,
526,
23,
13
],
[
628,
526,
11,
13
],
[
644,
526,
29,
13
],
[
678,
526,
11,
13
],
[
693,
526,
18,
13
],
[
716,
526,
21,
13
],
[
742,
526,
30,
13
],
[
437,
541,
35,
13
],
[
475,
541,
30,
13
],
[
508,
541,
20,
13
],
[
531,
541,
26,
13
],
[
561,
541,
27,
13
],
[
591,
541,
43,
13
],
[
637,
541,
8,
13
],
[
648,
541,
27,
13
],
[
678,
541,
21,
13
],
[
702,
541,
54,
13
],
[
759,
541,
13,
13
],
[
437,
556,
53,
13
],
[
497,
556,
13,
13
],
[
516,
556,
30,
13
],
[
553,
556,
17,
13
],
[
576,
556,
50,
13
],
[
633,
556,
6,
13
],
[
646,
556,
36,
13
],
[
688,
556,
57,
13
],
[
752,
556,
20,
13
],
[
437,
570,
43,
13
],
[
487,
570,
35,
13
],
[
530,
570,
55,
13
],
[
592,
570,
10,
13
],
[
610,
570,
11,
13
],
[
628,
570,
34,
13
],
[
669,
570,
61,
13
],
[
738,
570,
34,
13
],
[
437,
585,
36,
13
],
[
475,
585,
69,
13
],
[
547,
585,
30,
13
],
[
579,
585,
11,
13
],
[
593,
585,
9,
13
],
[
604,
585,
25,
13
],
[
631,
585,
15,
13
],
[
648,
585,
19,
13
],
[
669,
585,
60,
13
],
[
731,
585,
41,
13
],
[
437,
599,
20,
13
],
[
461,
599,
26,
13
],
[
491,
599,
11,
13
],
[
506,
599,
32,
13
],
[
541,
599,
20,
13
],
[
565,
599,
46,
13
],
[
615,
599,
66,
13
],
[
685,
599,
20,
13
],
[
709,
599,
49,
13
],
[
761,
599,
11,
13
],
[
437,
614,
34,
13
],
[
475,
614,
64,
13
],
[
544,
614,
11,
13
],
[
559,
614,
9,
13
],
[
572,
614,
32,
13
],
[
608,
614,
20,
13
],
[
633,
614,
17,
13
],
[
654,
614,
59,
13
],
[
717,
614,
27,
13
],
[
748,
614,
24,
13
],
[
437,
629,
27,
13
],
[
466,
629,
11,
13
],
[
479,
629,
59,
13
],
[
540,
629,
34,
13
],
[
576,
629,
10,
13
],
[
587,
629,
56,
13
],
[
646,
629,
43,
13
],
[
690,
629,
22,
13
],
[
714,
629,
25,
13
],
[
742,
629,
30,
13
],
[
437,
643,
59,
13
],
[
499,
643,
38,
13
],
[
540,
643,
23,
13
],
[
565,
643,
25,
13
],
[
593,
643,
11,
13
],
[
606,
643,
29,
13
],
[
637,
643,
7,
13
],
[
647,
643,
9,
13
],
[
658,
643,
44,
13
],
[
705,
643,
54,
13
],
[
761,
643,
11,
13
],
[
437,
658,
30,
13
],
[
472,
658,
29,
13
],
[
505,
658,
59,
13
],
[
569,
658,
26,
13
],
[
600,
658,
23,
13
],
[
627,
658,
44,
13
],
[
676,
658,
40,
13
],
[
721,
658,
11,
13
],
[
736,
658,
36,
13
],
[
437,
672,
49,
13
],
[
490,
672,
54,
13
],
[
547,
672,
20,
13
],
[
570,
672,
84,
13
],
[
657,
672,
37,
13
],
[
697,
672,
26,
13
],
[
726,
672,
46,
13
],
[
437,
687,
17,
13
],
[
459,
687,
17,
13
],
[
481,
687,
67,
13
],
[
552,
687,
61,
13
],
[
618,
687,
46,
13
],
[
669,
687,
34,
13
],
[
707,
687,
64,
13
],
[
437,
701,
20,
13
],
[
461,
701,
54,
13
],
[
518,
701,
34,
13
],
[
555,
701,
49,
13
],
[
608,
701,
54,
13
],
[
665,
701,
50,
13
],
[
718,
701,
22,
13
],
[
743,
701,
29,
13
],
[
437,
716,
26,
13
],
[
467,
716,
16,
13
],
[
485,
716,
25,
13
],
[
513,
716,
11,
13
],
[
527,
716,
29,
13
],
[
558,
716,
7,
13
],
[
569,
716,
9,
13
],
[
580,
716,
47,
13
],
[
437,
745,
64,
13
],
[
508,
745,
70,
13
],
[
585,
745,
11,
13
],
[
602,
745,
34,
13
],
[
643,
745,
24,
13
],
[
674,
745,
21,
13
],
[
702,
745,
54,
13
],
[
763,
745,
9,
13
],
[
437,
760,
49,
13
],
[
490,
760,
51,
13
],
[
544,
760,
10,
13
],
[
556,
760,
73,
13
],
[
633,
760,
19,
13
],
[
655,
760,
11,
13
],
[
669,
760,
43,
13
],
[
715,
760,
8,
13
],
[
726,
760,
45,
13
],
[
437,
774,
62,
13
],
[
505,
774,
11,
13
],
[
521,
774,
40,
13
],
[
567,
774,
9,
13
],
[
582,
774,
75,
13
],
[
663,
774,
58,
13
],
[
727,
774,
22,
13
],
[
755,
774,
17,
13
],
[
437,
789,
69,
13
],
[
509,
789,
11,
13
],
[
523,
789,
34,
13
],
[
560,
789,
10,
13
],
[
572,
789,
17,
13
],
[
592,
789,
24,
13
],
[
78,
858,
90,
16
],
[
78,
874,
33,
13
],
[
116,
874,
58,
13
],
[
179,
874,
43,
13
],
[
228,
874,
54,
13
],
[
286,
874,
43,
13
],
[
334,
874,
43,
13
],
[
382,
874,
7,
13
],
[
394,
874,
18,
13
],
[
78,
890,
32,
13
],
[
115,
890,
70,
13
],
[
190,
890,
11,
13
],
[
205,
890,
36,
13
],
[
246,
890,
34,
13
],
[
285,
890,
21,
13
],
[
311,
890,
9,
13
],
[
325,
890,
60,
13
],
[
390,
890,
23,
13
],
[
78,
907,
56,
13
],
[
138,
907,
50,
13
],
[
191,
907,
21,
13
],
[
215,
907,
49,
13
],
[
268,
907,
13,
13
],
[
285,
907,
71,
13
],
[
360,
907,
53,
13
],
[
78,
923,
21,
13
],
[
103,
923,
10,
13
],
[
116,
923,
18,
13
],
[
137,
923,
36,
13
],
[
176,
923,
36,
13
],
[
215,
923,
46,
13
],
[
264,
923,
15,
13
],
[
282,
923,
33,
13
],
[
318,
923,
18,
13
],
[
339,
923,
48,
13
],
[
391,
923,
22,
13
],
[
78,
939,
56,
13
],
[
136,
939,
21,
13
],
[
159,
939,
18,
13
],
[
179,
939,
26,
13
],
[
208,
939,
35,
13
],
[
245,
939,
21,
13
],
[
269,
939,
9,
13
],
[
280,
939,
24,
13
],
[
306,
939,
27,
13
],
[
336,
939,
19,
13
],
[
357,
939,
56,
13
],
[
78,
956,
13,
13
],
[
94,
956,
42,
13
],
[
138,
956,
56,
13
],
[
196,
956,
21,
13
],
[
219,
956,
59,
13
],
[
281,
956,
16,
13
],
[
299,
956,
54,
13
],
[
355,
956,
21,
13
],
[
378,
956,
35,
13
],
[
437,
858,
30,
13
],
[
471,
858,
11,
13
],
[
486,
858,
48,
13
],
[
538,
858,
48,
13
],
[
590,
858,
24,
13
],
[
618,
858,
20,
13
],
[
642,
858,
30,
13
],
[
676,
858,
61,
13
],
[
741,
858,
31,
13
],
[
437,
874,
18,
13
],
[
458,
874,
21,
13
],
[
482,
874,
69,
13
],
[
554,
874,
18,
13
],
[
576,
874,
35,
13
],
[
613,
874,
47,
13
],
[
663,
874,
26,
13
],
[
692,
874,
11,
13
],
[
706,
874,
27,
13
],
[
437,
907,
43,
13
],
[
485,
907,
35,
13
],
[
524,
907,
20,
13
],
[
549,
907,
23,
13
],
[
577,
907,
11,
13
],
[
592,
907,
35,
13
],
[
631,
907,
21,
13
],
[
656,
907,
32,
13
],
[
692,
907,
25,
13
],
[
721,
907,
35,
13
],
[
761,
907,
11,
13
],
[
437,
923,
38,
13
],
[
479,
923,
30,
13
],
[
513,
923,
49,
13
],
[
565,
923,
18,
13
],
[
586,
923,
41,
13
],
[
631,
923,
10,
13
],
[
645,
923,
33,
13
],
[
681,
923,
24,
13
],
[
709,
923,
9,
13
],
[
722,
923,
50,
13
],
[
437,
939,
11,
13
],
[
451,
939,
33,
13
],
[
487,
939,
44,
13
],
[
533,
939,
22,
13
],
[
558,
939,
56,
13
],
[
616,
939,
11,
13
],
[
630,
939,
35,
13
],
[
668,
939,
74,
13
],
[
744,
939,
28,
13
],
[
437,
956,
9,
13
],
[
452,
956,
7,
13
],
[
464,
956,
28,
13
],
[
497,
956,
11,
13
],
[
513,
956,
33,
13
],
[
550,
956,
62,
13
],
[
617,
956,
86,
13
],
[
709,
956,
48,
13
],
[
762,
956,
10,
13
],
[
78,
990,
45,
12
],
[
125,
990,
6,
12
],
[
133,
990,
8,
12
],
[
143,
990,
28,
12
],
[
174,
990,
51,
12
],
[
227,
990,
18,
12
],
[
247,
990,
38,
12
],
[
287,
990,
31,
12
],
[
320,
990,
49,
12
],
[
371,
990,
9,
12
],
[
382,
990,
30,
12
],
[
414,
990,
8,
12
],
[
424,
990,
27,
12
],
[
453,
990,
50,
12
],
[
505,
990,
38,
12
],
[
545,
990,
50,
12
],
[
597,
990,
11,
12
],
[
610,
990,
8,
12
],
[
620,
990,
53,
12
],
[
675,
990,
37,
12
],
[
714,
990,
19,
12
],
[
735,
990,
8,
12
],
[
745,
990,
27,
12
],
[
78,
1004,
19,
11
],
[
99,
1004,
21,
11
],
[
122,
1004,
20,
11
],
[
144,
1004,
17,
11
],
[
163,
1004,
8,
11
],
[
173,
1004,
24,
11
],
[
199,
1004,
24,
11
],
[
225,
1004,
30,
11
],
[
257,
1004,
8,
11
],
[
266,
1004,
35,
11
],
[
304,
1004,
16,
11
],
[
321,
1004,
27,
11
],
[
350,
1004,
20,
11
],
[
372,
1004,
25,
11
],
[
399,
1004,
8,
11
],
[
409,
1004,
42,
11
],
[
452,
1004,
60,
11
],
[
514,
1004,
44,
11
],
[
560,
1004,
50,
11
],
[
611,
1004,
30,
11
],
[
643,
1004,
8,
11
],
[
653,
1004,
51,
11
],
[
705,
1004,
30,
11
],
[
738,
1004,
32,
11
],
[
78,
1017,
61,
12
],
[
142,
1017,
29,
12
],
[
174,
1017,
8,
12
],
[
184,
1017,
88,
12
],
[
275,
1017,
27,
12
],
[
304,
1017,
21,
12
],
[
327,
1017,
27,
12
],
[
714,
1052,
25,
12
],
[
741,
1052,
7,
12
],
[
750,
1052,
10,
12
],
[
763,
1052,
7,
12
],
[
603,
1067,
25,
10
],
[
630,
1067,
32,
10
],
[
664,
1067,
14,
10
],
[
680,
1067,
11,
10
],
[
694,
1067,
30,
10
],
[
727,
1067,
43,
10
]
] | [
"Available",
"online",
"http://ccforum.com/content/11/3/R63",
"Research",
"Vol11No3",
"Red",
"blood",
"cell",
"transfusions",
"and",
"the",
"risk",
"of",
"acute",
"respiratory",
"distress",
"syndrome",
"among",
"the",
"critically",
"ill:",
"a",
"cohort",
"study",
"Marya",
"D",
"Zilberberg1,",
"Chureen",
"Carter2,",
"Patrick",
"Lefebvre3,",
"Monika",
"Raut2,",
"Francis",
"Vekeman3,",
"Open",
"Access",
"Mei",
"Sheng",
"Duh4",
"and",
"Andrew",
"F",
"Shorr5",
"1School",
"of",
"Public",
"Health",
"and",
"Health",
"Sciences,",
"University",
"of",
"Massachusetts,",
"Amherst,",
"P.O.",
"Box",
"303,",
"Goshen,",
"MA",
"01032,",
"USA",
"2Ortho",
"Biotech",
"Clinical",
"Affairs,",
"LLC,",
"430",
"Route",
"22",
"East,",
"Bridgewater,",
"NJ",
"08807,",
"USA",
"3Groupe",
"d'analyse,",
"1080",
"Beaver",
"Hall",
"Hill,",
"Suite",
"1810,",
"Montreal,",
"Quebec,",
"H2Z",
"1S8,",
"Canada",
"4Analysis",
"Group,",
"111",
"Huntington",
"Avenue,",
"Tenth",
"Floor,",
"Boston,",
"MA",
"02199,",
"USA",
"5Washington",
"Hospital",
"Center,",
"110",
"Irving",
"Street,",
"NW,",
"Washington,",
"DC",
"20010,",
"USA",
"Corresponding",
"author:",
"Marya",
"D",
"Zilberberg,",
"mzilberb@schoolph.umass.edu",
"Received:",
"28",
"Feb",
"2007",
"Revisions",
"requested:",
"29",
"Mar",
"2007",
"Revisions",
"received:",
"11",
"Apr",
"2007",
"Accepted:",
"6",
"Jun",
"2007",
"Published:",
"6",
"Jun",
"2007",
"Critical",
"Care",
"2007,",
"11:R63",
"(doi:10.1186/cc5934)",
"This",
"article",
"is",
"online",
"at:",
"http://ccforum.com/content/11/3/R63",
"©",
"2007",
"Zilberberg",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Introduction",
"Recent",
"data",
"indicate",
"that",
"transfusion",
"of",
"packed",
"red",
"blood",
"cells",
"(pRBCs)",
"may",
"increase",
"the",
"risk",
"for",
"the",
"development",
"of",
"acute",
"respiratory",
"distress",
"syndrome",
"(ARDS)",
"in",
"critically",
"ill",
"patients.",
"Uncertainty",
"remains",
"regarding",
"the",
"strength",
"of",
"this",
"relationship.",
"Methods",
"To",
"quantify",
"the",
"association",
"between",
"transfusions",
"and",
"intensive",
"care",
"unit",
"(ICU)-onset",
"ARDS,",
"we",
"performed",
"a",
"cohort",
"study",
"within",
"Crit,",
"a",
"multicenter,",
"prospective,",
"observational",
"study",
"of",
"transfusion",
"practice",
"in",
"the",
"ICU",
"which",
"enrolled",
"4,892",
"critically",
"ill",
"patients",
"in",
"284",
"ICUs",
"in",
"the",
"United",
"States.",
"Diagnostic",
"criteria",
"for",
"ARDS",
"were",
"prospectively",
"defined,",
"and",
"we",
"focused",
"on",
"subjects",
"without",
"ARDS",
"at",
"admission.",
"The",
"development",
"of",
"ARDS",
"in",
"the",
"ICU",
"served",
"as",
"the",
"primary",
"endpoint.",
"Results",
"Among",
"the",
"4,730",
"patients",
"without",
"ARDS",
"at",
"admission,",
"246",
"(5.2%)",
"developed",
"ARDS",
"in",
"the",
"ICU.",
"At",
"baseline,",
"ARDS",
"cases",
"were",
"younger,",
"more",
"likely",
"to",
"be",
"in",
"a",
"surgical",
"ICU,",
"and",
"more",
"likely",
"to",
"be",
"admitted",
"with",
"pneumonia",
"or",
"sepsis",
"than",
"controls",
"without",
"ARDS.",
"Cases",
"also",
"were",
"more",
"likely",
"to",
"have",
"a",
"serum",
"creatinine",
"of",
"greater",
"than",
"2.0",
"mg/dl",
"(23%",
"versus",
"18%)",
"and",
"a",
"serum",
"albumin",
"of",
"less",
"than",
"or",
"equal",
"to",
"2.3",
"g/dl",
"(54%",
"versus",
"30%)",
"and",
"were",
"more",
"severely",
"ill",
"upon",
"ICU",
"admission",
"as",
"measured",
"by",
"either",
"the",
"APACHE",
"II",
"(Acute",
"Physiology",
"and",
"Chronic",
"Health",
"Evaluation",
"II)",
"or",
"SOFA",
"(Sequential",
"Organ",
"Failure",
"Assessment)",
"score",
"(p",
"<",
"0.05",
"for",
"all).",
"Sixty-seven",
"percent",
"and",
"42%",
"of",
"cases",
"and",
"controls,",
"respectively,",
"had",
"exposure",
"to",
"pRBC",
"transfusions",
"(p",
"<",
"0.05),",
"and",
"the",
"unadjusted",
"odds",
"ratio",
"(OR)",
"of",
"developing",
"ARDS",
"in",
"transfused",
"patients",
"was",
"2.74",
"(95%",
"confidence",
"interval",
"[CI],",
"2.09",
"to",
"3.59;",
"p",
"<",
"0.0001)",
"compared",
"to",
"those",
"never",
"transfused.",
"After",
"age,",
"baseline",
"severity",
"of",
"illness,",
"admitting",
"diagnosis,",
"and",
"process-of-care",
"factors",
"were",
"adjusted",
"for,",
"the",
"independent",
"relationship",
"between",
"pRBC",
"transfusions",
"and",
"ICU-onset",
"ARDS",
"remained",
"significant",
"(adjusted",
"OR,",
"2.80;",
"95%",
"CI,",
"1.90",
"to",
"4.12;",
"p",
"<",
"0.0001).",
"Conclusion",
"Development",
"of",
"ARDS",
"after",
"ICU",
"admission",
"is",
"common,",
"occurring",
"in",
"approximately",
"5%",
"of",
"critically",
"ill",
"patients.",
"Transfusion",
"of",
"pRBCs",
"is",
"independently",
"associated",
"with",
"the",
"development",
"of",
"ARDS",
"in",
"the",
"ICU.",
"Introduction",
"Acute",
"respiratory",
"distress",
"syndrome",
"(ARDS)",
"remains",
"a",
"fre-",
"quent",
"complication",
"of",
"critical",
"illness",
"and",
"is",
"associated",
"with",
"significant",
"morbidity",
"and",
"mortality.",
"Its",
"age-adjusted",
"incidence",
"rate",
"in",
"the",
"United",
"States",
"exceeds",
"85",
"cases",
"per",
"100,000",
"per-",
"son-years,",
"and",
"the",
"case",
"fatality",
"rate",
"is",
"near",
"40%",
"[1].",
"Illustrating",
"its",
"burden,",
"Rubenfeld",
"and",
"colleagues",
"[1]",
"estimated",
"that",
"ARDS",
"leads",
"to",
"200,000",
"intensive",
"care",
"unit",
"(ICU)",
"admissions",
"annu-",
"ally",
"and",
"necessitates",
"3.6",
"million",
"inpatient",
"days",
"of",
"care.",
"Multiple",
"insults",
"can",
"lead",
"to",
"ARDS",
"and",
"range",
"from",
"sepsis",
"to",
"trauma",
"[2-5].",
"Because",
"the",
"manner",
"in",
"which",
"care",
"is",
"delivered",
"to",
"at-risk",
"patients",
"may",
"contribute",
"to",
"ARDS",
"development,",
"there",
"is",
"a",
"need",
"to",
"better",
"understand",
"process-of-care",
"variables",
"in",
"APACHE",
"II",
"=",
"Acute",
"Physiology",
"and",
"Chronic",
"Health",
"Evaluation",
"II;",
"ARDS",
"=",
"acute",
"respiratory",
"distress",
"syndrome;",
"CI",
"=",
"confidence",
"interval;",
"ICU",
"=",
"inten-",
"sive",
"care",
"unit;",
"OR",
"=",
"odds",
"ratio;",
"pRBC",
"=",
"packed",
"red",
"blood",
"cell;",
"SIRS",
"=",
"systemic",
"inflammatory",
"response",
"syndrome;",
"SOFA",
"=",
"Sequential",
"Organ",
"Failure",
"Assessment;",
"TRALI",
"=",
"transfusion-related",
"acute",
"lung",
"injury.",
"Page",
"1",
"of",
"9",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
9,
9,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,260,874 | null | [
[
29,
381,
10,
0
],
[
29,
393,
12,
0
],
[
29,
399,
7,
0
],
[
29,
409,
11,
0
],
[
29,
415,
7,
0
],
[
29,
427,
12,
0
],
[
29,
437,
10,
0
],
[
29,
456,
20,
0
],
[
29,
469,
6,
0
],
[
29,
479,
10,
0
],
[
29,
486,
8,
0
],
[
29,
498,
12,
0
],
[
29,
508,
10,
0
],
[
29,
527,
20,
0
],
[
29,
533,
7,
0
],
[
29,
541,
9,
0
],
[
29,
551,
10,
0
],
[
29,
563,
12,
0
],
[
29,
574,
12,
0
],
[
29,
588,
14,
0
],
[
29,
602,
7,
0
],
[
29,
614,
12,
0
],
[
29,
626,
6,
0
],
[
29,
636,
10,
0
],
[
29,
648,
12,
0
],
[
29,
656,
9,
0
],
[
29,
668,
12,
0
],
[
29,
680,
12,
0
],
[
29,
687,
8,
0
],
[
29,
704,
10,
0
],
[
29,
716,
12,
0
],
[
29,
731,
16,
0
],
[
75,
809,
77,
11
],
[
75,
822,
21,
11
],
[
98,
822,
9,
11
],
[
108,
822,
26,
11
],
[
75,
834,
101,
11
],
[
75,
859,
55,
11
],
[
132,
859,
21,
11
],
[
154,
859,
26,
11
],
[
75,
872,
61,
11
],
[
137,
872,
32,
11
],
[
172,
872,
35,
11
],
[
75,
884,
19,
11
],
[
96,
884,
67,
11
],
[
165,
884,
22,
11
],
[
75,
897,
25,
11
],
[
102,
897,
51,
11
],
[
155,
897,
22,
11
],
[
179,
897,
8,
11
],
[
75,
909,
32,
11
],
[
108,
909,
20,
11
],
[
131,
909,
41,
11
],
[
174,
909,
26,
11
],
[
75,
922,
30,
11
],
[
106,
922,
70,
11
],
[
178,
922,
22,
11
],
[
202,
922,
8,
11
],
[
726,
48,
12,
17
],
[
739,
48,
6,
17
],
[
747,
48,
6,
17
],
[
754,
48,
5,
17
],
[
760,
48,
8,
17
],
[
769,
48,
5,
17
],
[
775,
48,
8,
17
],
[
233,
112,
51,
28
],
[
292,
112,
24,
28
],
[
325,
112,
37,
28
],
[
371,
112,
103,
28
],
[
483,
112,
88,
28
],
[
580,
112,
91,
28
],
[
680,
112,
73,
28
],
[
233,
144,
69,
29
],
[
310,
145,
20,
28
],
[
339,
145,
41,
28
],
[
389,
145,
157,
28
],
[
554,
145,
77,
28
],
[
640,
145,
81,
28
],
[
233,
177,
42,
28
],
[
284,
177,
84,
28
],
[
376,
177,
88,
28
],
[
473,
177,
103,
28
],
[
233,
231,
38,
17
],
[
276,
231,
55,
18
],
[
335,
231,
30,
17
],
[
371,
231,
11,
17
],
[
387,
231,
90,
18
],
[
482,
231,
19,
17
],
[
506,
231,
34,
17
],
[
544,
231,
48,
18
],
[
598,
231,
30,
17
],
[
633,
231,
14,
17
],
[
652,
231,
87,
18
],
[
233,
250,
44,
17
],
[
282,
250,
36,
17
],
[
323,
250,
34,
18
],
[
362,
250,
49,
17
],
[
416,
250,
17,
17
],
[
438,
250,
54,
18
],
[
498,
250,
58,
17
],
[
561,
250,
80,
18
],
[
646,
250,
37,
17
],
[
688,
250,
77,
18
],
[
233,
269,
57,
17
],
[
295,
268,
75,
18
],
[
375,
269,
41,
17
],
[
421,
268,
64,
18
],
[
490,
269,
43,
17
],
[
538,
269,
19,
17
],
[
562,
268,
54,
18
],
[
621,
269,
35,
17
],
[
661,
269,
31,
17
],
[
697,
268,
40,
18
],
[
233,
288,
63,
17
],
[
301,
287,
78,
18
],
[
384,
288,
40,
17
],
[
429,
288,
21,
17
],
[
454,
287,
61,
18
],
[
521,
288,
37,
17
],
[
562,
287,
56,
18
],
[
624,
288,
45,
17
],
[
674,
287,
79,
18
],
[
233,
306,
78,
17
],
[
316,
306,
55,
18
],
[
377,
306,
47,
17
],
[
429,
306,
15,
17
],
[
449,
306,
72,
18
],
[
526,
306,
43,
17
],
[
574,
306,
17,
17
],
[
596,
306,
100,
18
],
[
233,
325,
50,
17
],
[
288,
325,
14,
17
],
[
307,
325,
78,
18
],
[
390,
325,
26,
17
],
[
421,
325,
40,
17
],
[
466,
325,
19,
17
],
[
490,
325,
48,
18
],
[
233,
364,
54,
12
],
[
289,
364,
9,
12
],
[
301,
364,
56,
12
],
[
359,
364,
35,
12
],
[
396,
364,
36,
12
],
[
434,
364,
36,
12
],
[
472,
364,
43,
12
],
[
518,
364,
9,
12
],
[
529,
364,
35,
12
],
[
567,
364,
35,
12
],
[
604,
364,
19,
12
],
[
626,
364,
19,
12
],
[
647,
364,
32,
12
],
[
233,
377,
54,
12
],
[
289,
378,
9,
12
],
[
301,
378,
33,
12
],
[
336,
378,
47,
12
],
[
385,
378,
43,
12
],
[
430,
378,
9,
12
],
[
442,
378,
35,
12
],
[
480,
378,
35,
12
],
[
517,
378,
21,
12
],
[
540,
378,
22,
12
],
[
564,
378,
32,
12
],
[
233,
391,
11,
12
],
[
246,
391,
11,
12
],
[
259,
391,
25,
12
],
[
285,
391,
47,
12
],
[
335,
391,
36,
12
],
[
373,
391,
9,
12
],
[
384,
391,
11,
12
],
[
397,
391,
40,
12
],
[
439,
391,
37,
12
],
[
479,
391,
43,
12
],
[
524,
391,
9,
12
],
[
535,
391,
35,
12
],
[
573,
391,
35,
12
],
[
611,
391,
20,
12
],
[
633,
391,
22,
12
],
[
657,
391,
32,
12
],
[
233,
404,
19,
12
],
[
253,
405,
40,
12
],
[
295,
405,
28,
12
],
[
325,
405,
30,
12
],
[
357,
405,
39,
12
],
[
398,
405,
38,
12
],
[
438,
405,
32,
12
],
[
472,
405,
30,
12
],
[
504,
405,
38,
12
],
[
544,
405,
43,
12
],
[
589,
405,
28,
12
],
[
620,
405,
38,
12
],
[
660,
405,
35,
12
],
[
236,
418,
21,
12
],
[
259,
418,
22,
12
],
[
283,
418,
32,
12
],
[
233,
431,
47,
12
],
[
282,
431,
37,
12
],
[
321,
431,
42,
12
],
[
366,
431,
34,
12
],
[
402,
431,
39,
12
],
[
443,
431,
28,
12
],
[
473,
431,
13,
12
],
[
488,
431,
62,
12
],
[
552,
431,
30,
12
],
[
585,
431,
36,
12
],
[
623,
431,
9,
12
],
[
635,
431,
42,
12
],
[
679,
431,
56,
12
],
[
738,
431,
27,
12
],
[
236,
445,
35,
12
],
[
273,
445,
39,
12
],
[
233,
458,
30,
12
],
[
265,
458,
18,
12
],
[
285,
458,
33,
12
],
[
320,
458,
26,
12
],
[
348,
458,
35,
12
],
[
386,
458,
20,
12
],
[
408,
458,
18,
12
],
[
428,
458,
32,
12
],
[
233,
472,
59,
12
],
[
294,
472,
10,
12
],
[
307,
472,
58,
12
],
[
367,
472,
9,
12
],
[
378,
472,
58,
12
],
[
438,
472,
43,
12
],
[
483,
472,
10,
12
],
[
496,
472,
41,
12
],
[
539,
472,
41,
12
],
[
582,
472,
18,
12
],
[
603,
472,
17,
12
],
[
622,
472,
32,
12
],
[
233,
485,
82,
12
],
[
317,
485,
30,
12
],
[
350,
485,
16,
12
],
[
368,
485,
34,
12
],
[
404,
485,
9,
12
],
[
416,
485,
54,
12
],
[
472,
485,
24,
12
],
[
498,
485,
33,
12
],
[
533,
485,
37,
12
],
[
572,
485,
16,
12
],
[
591,
485,
45,
12
],
[
638,
485,
36,
12
],
[
676,
485,
9,
12
],
[
688,
485,
14,
12
],
[
705,
485,
27,
12
],
[
236,
499,
43,
12
],
[
281,
499,
28,
12
],
[
312,
499,
30,
12
],
[
344,
499,
41,
12
],
[
387,
499,
18,
12
],
[
408,
499,
19,
12
],
[
429,
499,
32,
12
],
[
233,
542,
20,
14
],
[
256,
542,
51,
14
],
[
310,
542,
44,
14
],
[
358,
542,
95,
14
],
[
456,
542,
35,
14
],
[
495,
542,
8,
14
],
[
506,
542,
46,
14
],
[
556,
542,
9,
14
],
[
568,
542,
63,
14
],
[
635,
542,
21,
14
],
[
659,
542,
28,
14
],
[
690,
542,
76,
14
],
[
233,
558,
24,
14
],
[
260,
558,
7,
14
],
[
270,
558,
25,
14
],
[
299,
558,
37,
14
],
[
339,
558,
19,
14
],
[
362,
558,
42,
14
],
[
407,
558,
33,
14
],
[
443,
558,
13,
14
],
[
459,
558,
51,
14
],
[
514,
558,
26,
14
],
[
543,
558,
21,
14
],
[
567,
558,
11,
14
],
[
581,
558,
44,
14
],
[
629,
558,
12,
14
],
[
645,
558,
68,
14
],
[
716,
558,
42,
14
],
[
233,
575,
59,
14
],
[
295,
575,
27,
14
],
[
326,
575,
43,
14
],
[
372,
575,
31,
14
],
[
406,
575,
16,
14
],
[
426,
575,
11,
14
],
[
440,
575,
30,
14
],
[
474,
575,
11,
14
],
[
488,
575,
50,
14
],
[
542,
575,
37,
14
],
[
583,
575,
9,
14
],
[
595,
575,
64,
14
],
[
663,
575,
12,
14
],
[
678,
575,
36,
14
],
[
718,
575,
31,
14
],
[
233,
592,
11,
14
],
[
247,
592,
76,
14
],
[
327,
592,
7,
14
],
[
337,
592,
25,
14
],
[
365,
592,
12,
14
],
[
381,
592,
21,
14
],
[
405,
592,
60,
14
],
[
469,
592,
12,
14
],
[
485,
592,
28,
14
],
[
517,
592,
32,
14
],
[
552,
592,
34,
14
],
[
590,
592,
54,
14
],
[
647,
592,
37,
14
],
[
688,
592,
59,
14
],
[
233,
608,
58,
14
],
[
294,
608,
56,
14
],
[
353,
608,
26,
14
],
[
383,
608,
72,
14
],
[
457,
608,
33,
14
],
[
493,
608,
8,
14
],
[
505,
608,
59,
14
],
[
568,
608,
21,
14
],
[
592,
608,
21,
14
],
[
616,
608,
25,
14
],
[
644,
608,
21,
14
],
[
669,
608,
64,
14
],
[
736,
608,
13,
14
],
[
233,
625,
37,
14
],
[
273,
625,
11,
14
],
[
288,
625,
24,
14
],
[
315,
625,
7,
14
],
[
326,
625,
25,
14
],
[
354,
625,
28,
14
],
[
385,
625,
25,
14
],
[
414,
625,
60,
14
],
[
478,
625,
37,
14
],
[
519,
625,
11,
14
],
[
533,
625,
56,
14
],
[
592,
625,
21,
14
],
[
616,
625,
65,
14
],
[
685,
625,
14,
14
],
[
702,
625,
26,
14
],
[
233,
642,
59,
14
],
[
295,
642,
26,
14
],
[
325,
642,
19,
14
],
[
347,
642,
84,
14
],
[
434,
642,
12,
14
],
[
450,
642,
19,
14
],
[
473,
642,
85,
14
],
[
561,
642,
84,
14
],
[
649,
642,
48,
14
],
[
700,
642,
41,
14
],
[
233,
658,
101,
14
],
[
337,
658,
27,
14
],
[
368,
658,
27,
14
],
[
398,
658,
41,
14
],
[
443,
658,
11,
14
],
[
457,
658,
25,
14
],
[
486,
658,
41,
14
],
[
530,
658,
31,
14
],
[
565,
658,
20,
14
],
[
588,
658,
20,
14
],
[
611,
658,
25,
14
],
[
639,
658,
11,
14
],
[
654,
658,
42,
14
],
[
700,
658,
54,
14
],
[
233,
675,
31,
14
],
[
267,
675,
43,
14
],
[
313,
675,
19,
14
],
[
336,
675,
96,
14
],
[
435,
675,
21,
14
],
[
459,
675,
13,
14
],
[
475,
675,
40,
14
],
[
519,
675,
46,
14
],
[
569,
675,
25,
14
],
[
597,
675,
45,
14
],
[
645,
675,
37,
14
],
[
685,
675,
35,
14
],
[
233,
692,
9,
14
],
[
245,
692,
69,
14
],
[
317,
692,
56,
14
],
[
376,
692,
25,
14
],
[
405,
692,
24,
14
],
[
432,
692,
21,
14
],
[
456,
692,
41,
14
],
[
500,
692,
66,
14
],
[
569,
692,
49,
14
],
[
621,
692,
12,
14
],
[
636,
692,
8,
14
],
[
647,
692,
17,
14
],
[
667,
692,
28,
14
],
[
698,
692,
34,
14
],
[
735,
692,
31,
14
],
[
233,
708,
16,
14
],
[
252,
708,
51,
14
],
[
306,
708,
46,
14
],
[
356,
708,
7,
14
],
[
366,
708,
25,
14
],
[
395,
708,
21,
14
],
[
419,
708,
43,
14
],
[
466,
708,
25,
14
],
[
494,
708,
24,
14
],
[
522,
708,
11,
14
],
[
537,
708,
7,
14
],
[
547,
708,
103,
14
],
[
653,
708,
46,
14
],
[
703,
708,
58,
14
],
[
233,
725,
45,
14
],
[
281,
725,
12,
14
],
[
297,
725,
43,
14
],
[
343,
725,
20,
14
],
[
366,
725,
20,
14
],
[
389,
725,
45,
14
],
[
437,
725,
46,
14
],
[
486,
725,
7,
14
],
[
497,
725,
25,
14
],
[
525,
725,
12,
14
],
[
541,
725,
19,
14
],
[
563,
725,
42,
14
],
[
609,
725,
30,
14
],
[
643,
725,
13,
14
],
[
659,
725,
51,
14
],
[
713,
725,
43,
14
],
[
233,
742,
25,
14
],
[
261,
742,
28,
14
],
[
292,
742,
32,
14
],
[
327,
742,
46,
14
],
[
376,
742,
44,
14
],
[
424,
742,
37,
14
],
[
465,
742,
12,
14
],
[
480,
742,
7,
14
],
[
491,
742,
51,
14
],
[
546,
742,
57,
14
],
[
606,
742,
13,
14
],
[
622,
742,
70,
14
],
[
695,
742,
24,
14
],
[
723,
742,
7,
14
],
[
733,
742,
20,
14
],
[
233,
758,
38,
14
],
[
274,
758,
37,
14
],
[
314,
758,
19,
14
],
[
337,
758,
42,
14
],
[
382,
758,
33,
14
],
[
418,
758,
13,
14
],
[
434,
758,
40,
14
],
[
478,
758,
21,
14
],
[
502,
758,
7,
14
],
[
513,
758,
35,
14
],
[
552,
758,
17,
14
],
[
572,
758,
47,
14
],
[
233,
804,
48,
14
],
[
284,
804,
74,
14
],
[
361,
804,
8,
14
],
[
372,
804,
6,
14
],
[
382,
804,
48,
14
],
[
433,
804,
11,
14
],
[
448,
804,
42,
14
],
[
233,
820,
24,
14
],
[
263,
820,
49,
14
],
[
318,
820,
40,
14
],
[
364,
820,
11,
14
],
[
380,
820,
17,
14
],
[
402,
820,
36,
14
],
[
444,
820,
46,
14
],
[
233,
837,
49,
14
],
[
285,
837,
26,
14
],
[
314,
837,
39,
14
],
[
356,
837,
104,
14
],
[
463,
837,
27,
14
],
[
233,
853,
34,
14
],
[
271,
853,
12,
14
],
[
287,
853,
46,
14
],
[
337,
853,
11,
14
],
[
352,
853,
27,
14
],
[
382,
853,
11,
14
],
[
398,
853,
46,
14
],
[
448,
853,
12,
14
],
[
465,
853,
26,
14
],
[
233,
869,
69,
14
],
[
308,
869,
94,
14
],
[
408,
869,
27,
14
],
[
441,
869,
49,
14
],
[
233,
885,
30,
14
],
[
266,
885,
14,
14
],
[
283,
885,
11,
14
],
[
298,
885,
30,
14
],
[
330,
885,
34,
14
],
[
366,
885,
11,
14
],
[
381,
885,
75,
14
],
[
459,
885,
11,
14
],
[
473,
885,
17,
14
],
[
233,
902,
46,
14
],
[
282,
902,
52,
14
],
[
338,
902,
26,
14
],
[
368,
902,
10,
14
],
[
382,
902,
74,
14
],
[
459,
902,
31,
14
],
[
233,
918,
7,
14
],
[
245,
918,
41,
14
],
[
291,
918,
21,
14
],
[
317,
918,
41,
14
],
[
362,
918,
15,
14
],
[
383,
918,
44,
14
],
[
431,
918,
10,
14
],
[
446,
918,
28,
14
],
[
480,
918,
10,
14
],
[
233,
934,
24,
14
],
[
262,
934,
10,
14
],
[
277,
934,
18,
14
],
[
300,
934,
52,
14
],
[
357,
934,
64,
14
],
[
426,
934,
12,
14
],
[
442,
934,
48,
14
],
[
233,
963,
13,
11
],
[
248,
963,
45,
11
],
[
296,
963,
30,
11
],
[
328,
963,
29,
11
],
[
360,
963,
6,
11
],
[
369,
963,
29,
11
],
[
400,
963,
15,
11
],
[
417,
963,
20,
11
],
[
440,
963,
18,
11
],
[
460,
963,
22,
11
],
[
233,
976,
17,
11
],
[
252,
976,
9,
11
],
[
263,
976,
34,
11
],
[
299,
976,
41,
11
],
[
343,
976,
39,
11
],
[
384,
976,
39,
11
],
[
233,
990,
10,
11
],
[
245,
990,
43,
11
],
[
291,
990,
30,
11
],
[
324,
990,
29,
11
],
[
355,
990,
6,
11
],
[
364,
990,
36,
11
],
[
402,
990,
34,
11
],
[
439,
990,
12,
11
],
[
454,
990,
19,
11
],
[
233,
1002,
32,
11
],
[
268,
1002,
41,
11
],
[
311,
1002,
24,
11
],
[
338,
1002,
51,
11
],
[
509,
804,
58,
14
],
[
571,
804,
52,
14
],
[
627,
804,
25,
14
],
[
656,
804,
10,
14
],
[
671,
804,
36,
14
],
[
711,
804,
20,
14
],
[
735,
804,
32,
14
],
[
509,
820,
41,
14
],
[
554,
820,
11,
14
],
[
568,
820,
16,
14
],
[
588,
820,
31,
14
],
[
623,
820,
23,
14
],
[
649,
820,
11,
14
],
[
664,
820,
16,
14
],
[
684,
820,
31,
14
],
[
718,
820,
48,
14
],
[
509,
837,
11,
14
],
[
524,
837,
17,
14
],
[
545,
837,
32,
14
],
[
580,
837,
48,
14
],
[
632,
837,
11,
14
],
[
647,
837,
17,
14
],
[
668,
837,
32,
14
],
[
703,
837,
63,
14
],
[
509,
853,
11,
14
],
[
524,
853,
16,
14
],
[
544,
853,
31,
14
],
[
579,
853,
40,
14
],
[
623,
853,
11,
14
],
[
637,
853,
16,
14
],
[
657,
853,
31,
14
],
[
692,
853,
40,
14
],
[
736,
853,
11,
14
],
[
750,
853,
17,
14
],
[
509,
869,
31,
14
],
[
545,
869,
30,
14
],
[
580,
869,
11,
14
],
[
595,
869,
17,
14
],
[
616,
869,
31,
14
],
[
653,
869,
41,
14
],
[
699,
869,
11,
14
],
[
714,
869,
17,
14
],
[
735,
869,
31,
14
],
[
509,
885,
16,
14
],
[
529,
885,
11,
14
],
[
543,
885,
17,
14
],
[
564,
885,
36,
14
],
[
604,
885,
9,
14
],
[
617,
885,
8,
14
],
[
629,
885,
45,
14
],
[
678,
885,
22,
14
],
[
703,
885,
29,
14
],
[
736,
885,
31,
14
],
[
509,
902,
33,
14
],
[
546,
902,
68,
14
],
[
617,
902,
53,
14
],
[
675,
902,
47,
14
],
[
725,
902,
41,
14
],
[
509,
918,
22,
14
],
[
535,
918,
18,
14
],
[
557,
918,
21,
14
],
[
583,
918,
58,
14
],
[
645,
918,
12,
14
],
[
661,
918,
18,
14
],
[
683,
918,
45,
14
],
[
732,
918,
11,
14
],
[
748,
918,
18,
14
],
[
509,
955,
5,
9
],
[
515,
955,
16,
9
],
[
534,
955,
19,
9
],
[
554,
955,
7,
9
],
[
562,
955,
7,
9
],
[
577,
955,
13,
9
],
[
592,
955,
20,
9
],
[
613,
955,
5,
9
],
[
620,
955,
34,
9
],
[
656,
955,
19,
9
],
[
676,
955,
11,
9
],
[
689,
955,
18,
9
],
[
709,
955,
7,
9
],
[
718,
955,
8,
9
],
[
728,
955,
39,
9
],
[
509,
965,
72,
9
],
[
583,
965,
29,
9
],
[
613,
965,
20,
9
],
[
635,
965,
15,
9
],
[
652,
965,
22,
9
],
[
676,
965,
10,
9
],
[
687,
965,
11,
9
],
[
700,
965,
13,
9
],
[
714,
965,
9,
9
],
[
725,
965,
25,
9
],
[
751,
965,
16,
9
],
[
509,
975,
11,
9
],
[
523,
975,
36,
9
],
[
561,
975,
14,
9
],
[
579,
975,
13,
9
],
[
594,
975,
98,
9
],
[
695,
975,
16,
9
],
[
714,
975,
9,
9
],
[
726,
975,
25,
9
],
[
753,
975,
5,
9
],
[
761,
975,
5,
9
],
[
509,
984,
28,
9
],
[
539,
984,
19,
9
],
[
560,
984,
4,
9
],
[
566,
984,
26,
9
],
[
594,
984,
32,
9
],
[
628,
984,
23,
9
],
[
653,
984,
113,
9
],
[
509,
994,
16,
9
],
[
527,
994,
10,
9
],
[
539,
994,
30,
9
],
[
572,
994,
23,
9
],
[
598,
994,
7,
9
],
[
607,
994,
30,
9
],
[
640,
994,
7,
9
],
[
649,
994,
118,
9
],
[
509,
1004,
47,
9
],
[
75,
1028,
13,
10
],
[
90,
1028,
41,
10
],
[
133,
1028,
38,
10
],
[
172,
1028,
20,
10
],
[
201,
1028,
26,
10
],
[
75,
1040,
5,
10
],
[
82,
1040,
15,
10
],
[
99,
1040,
19,
10
],
[
119,
1040,
14,
10
],
[
135,
1040,
15,
10
],
[
152,
1040,
13,
10
],
[
166,
1040,
5,
10
],
[
181,
1040,
23,
10
],
[
75,
1053,
165,
10
],
[
755,
1040,
11,
10
]
] | [
"e",
"n",
"i",
"c",
"i",
"d",
"e",
"M",
"l",
"a",
"t",
"n",
"e",
"m",
"i",
"r",
"e",
"p",
"x",
"E",
"f",
"o",
"l",
"a",
"n",
"r",
"u",
"o",
"J",
"e",
"h",
"T",
"CORRESPONDENCE",
"Tania",
"H.",
"Watts:",
"tania.watts@utoronto.ca",
"Abbreviations",
"used:",
"CHX,",
"cycloheximide;",
"LCMV,",
"lympho-",
"cytic",
"choriomeningitis",
"virus;",
"PD-1,",
"programmed",
"death",
"1;",
"siRNA,",
"small",
"interfering",
"RNA;",
"TRAF,",
"TNFR-associated",
"factor",
"1.",
"A",
"r",
"t",
"i",
"c",
"l",
"e",
"Loss",
"of",
"the",
"signaling",
"adaptor",
"TRAF1",
"causes",
"CD8+",
"T",
"cell",
"dysregulation",
"during",
"human",
"and",
"murine",
"chronic",
"infection",
"Chao",
"Wang,1",
"Ann",
"J.",
"McPherson,1",
"R.",
"Brad",
"Jones,1",
"Kim",
"S.",
"Kawamura,5",
"Gloria",
"H.Y.",
"Lin,1",
"Philipp",
"A.",
"Lang,1,5",
"Thanuja",
"Ambagala,1",
"Marc",
"Pellegrini,5",
"Thomas",
"Calzascia,5",
"Nasra",
"Aidarus,1",
"Alisha",
"R.",
"Elford,5",
"Feng",
"Yun",
"Yue,2",
"Elisabeth",
"Kremmer,6",
"Colin",
"M.",
"Kovacs,7",
"Erika",
"Benko,7",
"Cecile",
"Tremblay,8",
"Jean-Pierre",
"Routy,9",
"Nicole",
"F.",
"Bernard,10",
"Mario",
"A.",
"Ostrowski,1,2,4",
"Pamela",
"S.",
"Ohashi,1,3,5",
"and",
"Tania",
"H.",
"Watts1",
"1Department",
"of",
"Immunology,",
"2Clinical",
"Sciences",
"Division,",
"University",
"of",
"Toronto,",
"Toronto,",
"M5S",
"1A8,",
"Canada",
"3Department",
"of",
"Medical",
"Biophysics,",
"University",
"of",
"Toronto,",
"Toronto,",
"M5G",
"2M9,",
"Canada",
"4Li",
"Ka",
"Shing",
"Knowledge",
"Institute",
"at",
"St.",
"Michael’s",
"Hospital,",
"University",
"of",
"Toronto,",
"Toronto,",
"M5B",
"1W8,",
"Canada",
"5The",
"Campbell",
"Family",
"Cancer",
"Research",
"Institute,",
"Ontario",
"Cancer",
"Institute,",
"University",
"Health",
"Network,",
"Toronto,",
"M5G",
"2M9,",
"Canada",
"6Helmholtz",
"Zentrum",
"München,",
"German",
"Research",
"Center",
"for",
"Environmental",
"Health,",
"Institute",
"of",
"Molecular",
"Immunology,",
"83177",
"Munich,",
"Germany",
"7Maple",
"Leaf",
"Medical",
"Clinic,",
"Toronto,",
"M5B",
"1L6,",
"Canada",
"8Département",
"de",
"microbiologie",
"et",
"immunologie,",
"Université",
"de",
"Montréal,",
"Montréal,",
"H3C",
"3J7,",
"Canada",
"9Immunodeficiency",
"Service",
"and",
"Division",
"of",
"Hematology,",
"Royal",
"Victoria",
"Hospital,",
"and",
"10Research",
"Institute",
"of",
"the",
"McGill",
"University",
"Health",
"Center,",
"Montreal,",
"H3A",
"1A1,",
"Canada",
"The",
"signaling",
"adaptor",
"TNFR-associated",
"factor",
"1",
"(TRAF1)",
"is",
"specifically",
"lost",
"from",
"virus-specific",
"CD8",
"T",
"cells",
"during",
"the",
"chronic",
"phase",
"of",
"infection",
"with",
"HIV",
"in",
"humans",
"or",
"lymphocytic",
"chorio-",
"meningitis",
"virus",
"(LCMV)",
"clone",
"13",
"in",
"mice.",
"In",
"contrast,",
"TRAF1",
"is",
"maintained",
"at",
"higher",
"levels",
"in",
"virus-specific",
"T",
"cells",
"of",
"HIV",
"controllers",
"or",
"after",
"acute",
"LCMV",
"infection.",
"TRAF1",
"expression",
"negatively",
"correlates",
"with",
"programmed",
"death",
"1",
"expression",
"and",
"HIV",
"load",
"and",
"knockdown",
"of",
"TRAF1",
"in",
"CD8",
"T",
"cells",
"from",
"viral",
"controllers",
"results",
"in",
"decreased",
"HIV",
"suppression",
"ex",
"vivo.",
"Consistent",
"with",
"the",
"desensitization",
"of",
"the",
"TRAF1-binding",
"co-stimulatory",
"receptor",
"4-1BB,",
"4-1BBL–deficient",
"mice",
"have",
"defects",
"in",
"viral",
"control",
"early,",
"but",
"not",
"late,",
"in",
"chronic",
"infection.",
"TGF",
"induces",
"the",
"posttranslational",
"loss",
"of",
"TRAF1,",
"whereas",
"IL-7",
"restores",
"TRAF1",
"levels.",
"A",
"combination",
"treatment",
"with",
"IL-7",
"and",
"agonist",
"anti–4-1BB",
"antibody",
"at",
"3",
"wk",
"after",
"LCMV",
"clone",
"13",
"infection",
"expands",
"T",
"cells",
"and",
"reduces",
"viral",
"load",
"in",
"a",
"TRAF1-dependent",
"manner.",
"Moreover,",
"transfer",
"of",
"TRAF1+",
"but",
"not",
"TRAF1",
"memory",
"T",
"cells",
"at",
"the",
"chronic",
"stage",
"of",
"infection",
"reduces",
"viral",
"load.",
"These",
"findings",
"identify",
"TRAF1",
"as",
"a",
"potential",
"biomarker",
"of",
"HIV-specific",
"CD8",
"T",
"cell",
"fitness",
"during",
"the",
"chronic",
"phase",
"of",
"disease",
"and",
"a",
"target",
"for",
"therapy.",
"Immune",
"dysregulation",
"is",
"a",
"hallmark",
"of",
"chronic",
"viral",
"infection",
"(Virgin",
"et",
"al.,",
"2009).",
"Chronic",
"infection",
"with",
"human",
"immunodeficiency",
"virus",
"(HIV)",
"or",
"hepatitis",
"C",
"virus",
"in",
"humans,",
"or",
"with",
"lymphocytic",
"choriomeningitis",
"virus",
"(LCMV)",
"clone",
"13",
"in",
"mice,",
"results",
"in",
"up-regulation",
"of",
"in-",
"hibitory",
"receptors",
"such",
"as",
"programmed",
"death",
"1",
"(PD-1)",
"and",
"TIM-3",
"on",
"effector",
"T",
"cells,",
"as",
"well",
"as",
"the",
"sustained",
"production",
"of",
"immune",
"M.",
"Pellegrini’s",
"present",
"address",
"is",
"Walter",
"and",
"Eliza",
"Hall",
"Insti-",
"tute",
"of",
"Medical",
"Research,",
"Parkville,",
"Australia.",
"T.",
"Calzascia’s",
"present",
"address",
"is",
"Novartis",
"Institute",
"for",
"Bio-",
"medical",
"Research,",
"Basel,",
"Switzerland.",
"regulatory",
"cytokines",
"such",
"as",
"TGF",
"and",
"IL-10",
"(Barber",
"et",
"al.,",
"2006;",
"Day",
"et",
"al.,",
"2006;",
"Freeman",
"et",
"al.,",
"2006;",
"Petrovas",
"et",
"al.,",
"2006;",
"Trautmann",
"et",
"al.,",
"2006;",
"Urbani",
"et",
"al.,",
"2006;",
"Brooks",
"et",
"al.,",
"2008;",
"Jones",
"et",
"al.,",
"2008;",
"Tinoco",
"et",
"al.,",
"2009;",
"Jin",
"et",
"al.,",
"2010).",
"It",
"is",
"thought",
"that",
"these",
"regu-",
"latory",
"mechanisms",
"minimize",
"immune",
"pathol-",
"ogy,",
"but",
"also",
"contribute",
"to",
"the",
"inability",
"of",
"the",
"©",
"2012",
"Wang",
"et",
"al.",
"This",
"article",
"is",
"distributed",
"under",
"the",
"terms",
"of",
"an",
"Attribution–",
"Noncommercial–Share",
"Alike–No",
"Mirror",
"Sites",
"license",
"for",
"the",
"first",
"six",
"months",
"after",
"the",
"publication",
"date",
"(see",
"http://www.rupress.org/terms).",
"After",
"six",
"months",
"it",
"is",
"available",
"under",
"a",
"Creative",
"Commons",
"License",
"(Attribution–Noncommercial–Share",
"Alike",
"3.0",
"Unported",
"license,",
"as",
"described",
"at",
"http://creativecommons.org/licenses/",
"by-nc-sa/3.0/).",
"The",
"Rockefeller",
"University",
"Press",
"$30.00",
"J.",
"Exp.",
"Med.",
"Vol.",
"209",
"No.",
"1",
"77-91",
"www.jem.org/cgi/doi/10.1084/jem.20110675",
"77"
] | [
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
13,
13,
13,
13,
13,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
16,
16,
16,
16,
16,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
4
] |
3,472,511 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
34,
11
],
[
105,
75,
9,
11
],
[
117,
75,
20,
11
],
[
139,
75,
32,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
70,
25
],
[
145,
187,
64,
25
],
[
70,
220,
47,
25
],
[
121,
220,
72,
25
],
[
198,
220,
22,
25
],
[
225,
220,
134,
25
],
[
363,
220,
22,
25
],
[
389,
220,
102,
25
],
[
496,
220,
34,
25
],
[
535,
220,
47,
25
],
[
587,
220,
22,
25
],
[
70,
248,
83,
25
],
[
158,
248,
113,
25
],
[
120,
318,
60,
17
],
[
183,
317,
51,
18
],
[
238,
318,
27,
17
],
[
268,
317,
55,
18
],
[
327,
318,
27,
17
],
[
357,
318,
64,
17
],
[
424,
317,
102,
18
],
[
120,
348,
4,
9
],
[
126,
349,
24,
13
],
[
153,
349,
29,
13
],
[
184,
349,
9,
13
],
[
196,
349,
66,
13
],
[
264,
349,
41,
13
],
[
308,
349,
9,
13
],
[
320,
349,
22,
13
],
[
344,
349,
19,
13
],
[
365,
349,
42,
13
],
[
409,
349,
43,
13
],
[
455,
349,
18,
13
],
[
475,
349,
33,
13
],
[
510,
349,
31,
13
],
[
544,
349,
30,
13
],
[
576,
349,
63,
13
],
[
642,
349,
32,
13
],
[
120,
363,
4,
9
],
[
126,
364,
35,
13
],
[
163,
364,
41,
13
],
[
207,
364,
6,
13
],
[
216,
364,
33,
13
],
[
251,
364,
36,
13
],
[
290,
364,
31,
13
],
[
323,
364,
30,
13
],
[
355,
364,
64,
13
],
[
421,
364,
32,
13
],
[
120,
389,
83,
13
],
[
205,
389,
35,
13
],
[
241,
389,
12,
13
],
[
256,
389,
49,
13
],
[
308,
389,
11,
13
],
[
321,
389,
43,
13
],
[
366,
389,
32,
13
],
[
400,
389,
103,
13
],
[
120,
415,
44,
13
],
[
166,
415,
6,
13
],
[
175,
415,
35,
13
],
[
213,
415,
27,
13
],
[
243,
415,
46,
13
],
[
291,
415,
12,
13
],
[
305,
415,
54,
13
],
[
362,
415,
24,
13
],
[
120,
440,
49,
13
],
[
172,
440,
35,
13
],
[
209,
440,
17,
13
],
[
229,
440,
46,
13
],
[
120,
466,
52,
13
],
[
174,
466,
9,
13
],
[
186,
466,
24,
13
],
[
213,
466,
43,
13
],
[
258,
466,
29,
13
],
[
289,
466,
10,
13
],
[
301,
466,
12,
13
],
[
315,
466,
22,
13
],
[
340,
466,
8,
13
],
[
350,
466,
13,
13
],
[
364,
466,
25,
13
],
[
392,
466,
30,
13
],
[
424,
466,
31,
13
],
[
457,
466,
55,
13
],
[
515,
466,
30,
13
],
[
547,
466,
16,
13
],
[
565,
466,
41,
13
],
[
608,
466,
53,
13
],
[
663,
466,
58,
13
],
[
723,
466,
40,
13
],
[
120,
480,
31,
13
],
[
153,
480,
39,
13
],
[
194,
480,
61,
13
],
[
258,
480,
20,
13
],
[
280,
480,
63,
13
],
[
345,
480,
19,
13
],
[
367,
480,
66,
13
],
[
436,
480,
11,
13
],
[
449,
480,
18,
13
],
[
469,
480,
46,
13
],
[
517,
480,
45,
13
],
[
565,
480,
16,
13
],
[
584,
480,
39,
13
],
[
625,
480,
26,
13
],
[
654,
480,
8,
13
],
[
664,
480,
43,
13
],
[
710,
480,
28,
13
],
[
120,
506,
37,
13
],
[
160,
506,
16,
13
],
[
179,
506,
17,
13
],
[
199,
506,
42,
13
],
[
244,
506,
49,
13
],
[
296,
506,
11,
13
],
[
310,
506,
61,
13
],
[
374,
506,
11,
13
],
[
387,
506,
16,
13
],
[
406,
506,
36,
13
],
[
445,
506,
34,
13
],
[
482,
506,
40,
13
],
[
524,
506,
11,
13
],
[
538,
506,
52,
13
],
[
593,
506,
69,
13
],
[
665,
506,
11,
13
],
[
679,
506,
16,
13
],
[
698,
506,
65,
13
],
[
120,
521,
11,
13
],
[
133,
521,
61,
13
],
[
197,
521,
37,
13
],
[
236,
521,
38,
13
],
[
277,
521,
16,
13
],
[
295,
521,
70,
13
],
[
368,
521,
34,
13
],
[
404,
521,
6,
13
],
[
413,
521,
54,
13
],
[
470,
521,
30,
13
],
[
501,
521,
10,
13
],
[
514,
521,
65,
13
],
[
582,
521,
50,
13
],
[
635,
521,
42,
13
],
[
679,
521,
11,
13
],
[
692,
521,
16,
13
],
[
711,
521,
30,
13
],
[
744,
521,
19,
13
],
[
120,
535,
35,
13
],
[
158,
535,
42,
13
],
[
202,
535,
61,
13
],
[
266,
535,
11,
13
],
[
280,
535,
6,
13
],
[
288,
535,
43,
13
],
[
334,
535,
52,
13
],
[
388,
535,
6,
13
],
[
397,
535,
29,
13
],
[
428,
535,
47,
13
],
[
478,
535,
25,
13
],
[
506,
535,
16,
13
],
[
525,
535,
50,
13
],
[
577,
535,
34,
13
],
[
614,
535,
22,
13
],
[
639,
535,
6,
13
],
[
648,
535,
34,
13
],
[
684,
535,
10,
13
],
[
697,
535,
42,
13
],
[
742,
535,
21,
13
],
[
120,
550,
41,
13
],
[
164,
550,
22,
13
],
[
189,
550,
16,
13
],
[
207,
550,
66,
13
],
[
275,
550,
48,
13
],
[
326,
550,
19,
13
],
[
348,
550,
36,
13
],
[
386,
550,
16,
13
],
[
405,
550,
50,
13
],
[
458,
550,
65,
13
],
[
526,
550,
11,
13
],
[
539,
550,
61,
13
],
[
603,
550,
37,
13
],
[
643,
550,
11,
13
],
[
657,
550,
16,
13
],
[
675,
550,
37,
13
],
[
715,
550,
31,
13
],
[
749,
550,
14,
13
],
[
120,
565,
56,
13
],
[
179,
565,
16,
13
],
[
198,
565,
26,
13
],
[
228,
565,
32,
13
],
[
262,
565,
11,
13
],
[
276,
565,
62,
13
],
[
341,
565,
56,
13
],
[
400,
565,
24,
13
],
[
427,
565,
54,
13
],
[
484,
565,
50,
13
],
[
537,
565,
65,
13
],
[
605,
565,
10,
13
],
[
619,
565,
40,
13
],
[
662,
565,
37,
13
],
[
702,
565,
47,
13
],
[
752,
565,
10,
13
],
[
120,
579,
42,
13
],
[
164,
579,
56,
13
],
[
223,
579,
19,
13
],
[
245,
579,
32,
13
],
[
279,
579,
48,
13
],
[
70,
658,
13,
17
],
[
86,
658,
92,
17
],
[
70,
687,
41,
14
],
[
113,
687,
18,
14
],
[
133,
687,
19,
14
],
[
154,
687,
47,
14
],
[
203,
687,
55,
14
],
[
260,
687,
12,
14
],
[
274,
687,
68,
14
],
[
344,
687,
12,
14
],
[
358,
687,
18,
14
],
[
378,
687,
26,
14
],
[
70,
703,
20,
14
],
[
93,
703,
37,
14
],
[
133,
703,
44,
14
],
[
181,
703,
12,
14
],
[
196,
703,
58,
14
],
[
257,
703,
77,
14
],
[
337,
703,
12,
14
],
[
352,
703,
18,
14
],
[
374,
703,
30,
14
],
[
70,
719,
48,
14
],
[
121,
719,
12,
14
],
[
136,
719,
68,
14
],
[
207,
719,
38,
14
],
[
248,
719,
21,
14
],
[
272,
719,
54,
14
],
[
330,
719,
12,
14
],
[
345,
719,
59,
14
],
[
70,
735,
50,
14
],
[
124,
735,
30,
14
],
[
158,
735,
40,
14
],
[
202,
735,
26,
14
],
[
232,
735,
20,
14
],
[
257,
735,
30,
14
],
[
291,
735,
39,
14
],
[
334,
735,
21,
14
],
[
360,
735,
21,
14
],
[
385,
735,
19,
14
],
[
70,
750,
46,
14
],
[
120,
750,
27,
14
],
[
151,
750,
56,
14
],
[
211,
750,
12,
14
],
[
227,
750,
18,
14
],
[
249,
750,
72,
14
],
[
325,
750,
12,
14
],
[
341,
750,
35,
14
],
[
380,
750,
24,
14
],
[
70,
766,
29,
14
],
[
103,
766,
57,
14
],
[
164,
766,
112,
14
],
[
280,
766,
85,
14
],
[
370,
766,
34,
14
],
[
70,
782,
43,
14
],
[
118,
782,
18,
14
],
[
141,
782,
52,
14
],
[
199,
782,
12,
14
],
[
216,
782,
50,
14
],
[
271,
782,
19,
14
],
[
295,
782,
63,
14
],
[
363,
782,
41,
14
],
[
70,
798,
21,
14
],
[
94,
798,
42,
14
],
[
139,
798,
18,
14
],
[
160,
798,
78,
14
],
[
242,
798,
38,
14
],
[
283,
798,
6,
14
],
[
293,
798,
60,
14
],
[
356,
798,
33,
14
],
[
392,
798,
12,
14
],
[
70,
814,
73,
14
],
[
148,
814,
56,
14
],
[
208,
814,
46,
14
],
[
260,
814,
12,
14
],
[
277,
814,
18,
14
],
[
300,
814,
34,
14
],
[
339,
814,
22,
14
],
[
365,
814,
39,
14
],
[
70,
829,
46,
14
],
[
119,
829,
68,
14
],
[
190,
829,
12,
14
],
[
204,
829,
6,
14
],
[
213,
829,
48,
14
],
[
264,
829,
58,
14
],
[
324,
829,
6,
14
],
[
333,
829,
32,
14
],
[
91,
845,
22,
14
],
[
115,
845,
65,
14
],
[
183,
845,
46,
14
],
[
231,
845,
68,
14
],
[
301,
845,
52,
14
],
[
355,
845,
49,
14
],
[
70,
861,
14,
14
],
[
89,
861,
49,
14
],
[
141,
861,
31,
14
],
[
176,
861,
50,
14
],
[
230,
861,
68,
14
],
[
303,
861,
38,
14
],
[
345,
861,
43,
14
],
[
392,
861,
12,
14
],
[
70,
877,
18,
14
],
[
90,
877,
42,
14
],
[
134,
877,
28,
14
],
[
164,
877,
38,
14
],
[
204,
877,
26,
14
],
[
231,
877,
12,
14
],
[
245,
877,
49,
14
],
[
296,
877,
36,
14
],
[
334,
877,
70,
14
],
[
70,
893,
22,
14
],
[
96,
893,
19,
14
],
[
118,
893,
12,
14
],
[
133,
893,
68,
14
],
[
205,
893,
26,
14
],
[
235,
893,
51,
14
],
[
289,
893,
59,
14
],
[
352,
893,
52,
14
],
[
70,
908,
21,
14
],
[
93,
908,
52,
14
],
[
147,
908,
18,
14
],
[
167,
908,
45,
14
],
[
214,
908,
12,
14
],
[
227,
908,
68,
14
],
[
297,
908,
50,
14
],
[
349,
908,
21,
14
],
[
372,
908,
32,
14
],
[
70,
924,
42,
14
],
[
117,
924,
12,
14
],
[
133,
924,
13,
14
],
[
151,
924,
19,
14
],
[
174,
924,
17,
14
],
[
195,
924,
57,
14
],
[
257,
924,
54,
14
],
[
315,
924,
71,
14
],
[
390,
924,
14,
14
],
[
70,
940,
50,
14
],
[
125,
940,
54,
14
],
[
183,
940,
68,
14
],
[
255,
940,
15,
14
],
[
274,
940,
72,
14
],
[
350,
940,
54,
14
],
[
70,
956,
18,
14
],
[
93,
956,
81,
14
],
[
178,
956,
12,
14
],
[
195,
956,
66,
14
],
[
265,
956,
21,
14
],
[
291,
956,
54,
14
],
[
350,
956,
23,
14
],
[
378,
956,
26,
14
],
[
70,
971,
28,
14
],
[
102,
971,
21,
14
],
[
127,
971,
45,
14
],
[
175,
971,
21,
14
],
[
199,
971,
52,
14
],
[
255,
971,
28,
14
],
[
287,
971,
18,
14
],
[
308,
971,
55,
14
],
[
367,
971,
38,
14
],
[
70,
987,
25,
14
],
[
100,
987,
6,
14
],
[
112,
987,
37,
14
],
[
155,
987,
12,
14
],
[
172,
987,
47,
14
],
[
224,
987,
23,
14
],
[
252,
987,
46,
14
],
[
303,
987,
24,
14
],
[
333,
987,
17,
14
],
[
355,
987,
49,
14
],
[
70,
1003,
30,
14
],
[
104,
1003,
53,
14
],
[
162,
1003,
21,
14
],
[
188,
1003,
40,
14
],
[
233,
1003,
18,
14
],
[
255,
1003,
55,
14
],
[
315,
1003,
73,
14
],
[
392,
1003,
12,
14
],
[
70,
1019,
68,
14
],
[
141,
1019,
41,
14
],
[
449,
660,
22,
14
],
[
474,
660,
22,
14
],
[
498,
660,
12,
14
],
[
513,
660,
21,
14
],
[
536,
660,
32,
14
],
[
571,
660,
21,
14
],
[
595,
660,
12,
14
],
[
609,
660,
62,
14
],
[
674,
660,
18,
14
],
[
695,
660,
29,
14
],
[
727,
660,
35,
14
],
[
428,
675,
12,
14
],
[
443,
675,
68,
14
],
[
514,
675,
17,
14
],
[
533,
675,
65,
14
],
[
601,
675,
18,
14
],
[
621,
675,
21,
14
],
[
645,
675,
12,
14
],
[
660,
675,
25,
14
],
[
688,
675,
63,
14
],
[
428,
721,
13,
17
],
[
444,
721,
31,
17
],
[
478,
721,
48,
17
],
[
529,
721,
15,
17
],
[
547,
721,
38,
17
],
[
588,
721,
75,
17
],
[
666,
721,
70,
17
],
[
428,
751,
28,
14
],
[
460,
751,
18,
14
],
[
480,
751,
71,
14
],
[
555,
751,
12,
14
],
[
569,
751,
71,
14
],
[
643,
751,
18,
14
],
[
664,
751,
23,
14
],
[
690,
751,
73,
14
],
[
428,
767,
33,
14
],
[
467,
767,
12,
14
],
[
485,
767,
44,
14
],
[
536,
767,
21,
14
],
[
564,
767,
56,
14
],
[
626,
767,
21,
14
],
[
653,
767,
12,
14
],
[
671,
767,
13,
14
],
[
691,
767,
52,
14
],
[
750,
767,
13,
14
],
[
428,
783,
31,
14
],
[
464,
783,
12,
14
],
[
481,
783,
46,
14
],
[
532,
783,
18,
14
],
[
555,
783,
34,
14
],
[
594,
783,
12,
14
],
[
611,
783,
18,
14
],
[
634,
783,
44,
14
],
[
683,
783,
12,
14
],
[
699,
783,
18,
14
],
[
722,
783,
40,
14
],
[
428,
798,
41,
14
],
[
477,
798,
41,
14
],
[
526,
798,
57,
14
],
[
591,
798,
41,
14
],
[
639,
798,
21,
14
],
[
669,
798,
60,
14
],
[
737,
798,
26,
14
],
[
428,
814,
27,
14
],
[
461,
814,
57,
14
],
[
524,
814,
34,
14
],
[
564,
814,
42,
14
],
[
612,
814,
63,
14
],
[
681,
814,
12,
14
],
[
699,
814,
29,
14
],
[
734,
814,
28,
14
],
[
428,
830,
37,
14
],
[
468,
830,
44,
14
],
[
516,
830,
12,
14
],
[
530,
830,
58,
14
],
[
591,
830,
76,
14
],
[
670,
830,
12,
14
],
[
684,
830,
18,
14
],
[
705,
830,
57,
14
],
[
428,
846,
49,
14
],
[
483,
846,
12,
14
],
[
501,
846,
53,
14
],
[
560,
846,
58,
14
],
[
624,
846,
68,
14
],
[
699,
846,
38,
14
],
[
743,
846,
19,
14
],
[
428,
861,
22,
14
],
[
455,
861,
57,
14
],
[
518,
861,
57,
14
],
[
580,
861,
63,
14
],
[
648,
861,
26,
14
],
[
680,
861,
22,
14
],
[
707,
861,
56,
14
],
[
428,
877,
39,
14
],
[
471,
877,
12,
14
],
[
486,
877,
47,
14
],
[
537,
877,
18,
14
],
[
559,
877,
19,
14
],
[
581,
877,
12,
14
],
[
596,
877,
68,
14
],
[
668,
877,
28,
14
],
[
699,
877,
20,
14
],
[
722,
877,
40,
14
],
[
428,
893,
33,
14
],
[
464,
893,
52,
14
],
[
520,
893,
21,
14
],
[
545,
893,
105,
14
],
[
654,
893,
21,
14
],
[
678,
893,
24,
14
],
[
706,
893,
34,
14
],
[
744,
893,
18,
14
],
[
428,
909,
63,
14
],
[
496,
909,
25,
14
],
[
525,
909,
12,
14
],
[
542,
909,
18,
14
],
[
564,
909,
44,
14
],
[
613,
909,
27,
14
],
[
645,
909,
69,
14
],
[
719,
909,
12,
14
],
[
736,
909,
27,
14
],
[
428,
925,
69,
14
],
[
500,
925,
12,
14
],
[
515,
925,
27,
14
],
[
545,
925,
45,
14
],
[
593,
925,
60,
14
],
[
656,
925,
17,
14
],
[
677,
925,
22,
14
],
[
702,
925,
60,
14
],
[
428,
940,
12,
14
],
[
444,
940,
30,
14
],
[
478,
940,
17,
14
],
[
499,
940,
65,
14
],
[
568,
940,
54,
14
],
[
626,
940,
55,
14
],
[
685,
940,
6,
14
],
[
696,
940,
66,
14
],
[
428,
956,
21,
14
],
[
455,
956,
84,
14
],
[
544,
956,
36,
14
],
[
585,
956,
21,
14
],
[
612,
956,
43,
14
],
[
661,
956,
18,
14
],
[
684,
956,
78,
14
],
[
428,
972,
48,
14
],
[
483,
972,
15,
14
],
[
505,
972,
24,
14
],
[
536,
972,
12,
14
],
[
555,
972,
23,
14
],
[
585,
972,
25,
14
],
[
618,
972,
18,
14
],
[
642,
972,
41,
14
],
[
691,
972,
71,
14
],
[
428,
988,
47,
14
],
[
449,
1004,
40,
14
],
[
494,
1004,
26,
14
],
[
525,
1004,
12,
14
],
[
542,
1004,
52,
14
],
[
599,
1004,
53,
14
],
[
658,
1004,
78,
14
],
[
741,
1004,
21,
14
],
[
428,
1019,
67,
14
],
[
500,
1019,
31,
14
],
[
536,
1019,
26,
14
],
[
566,
1019,
51,
14
],
[
621,
1019,
18,
14
],
[
644,
1019,
30,
14
],
[
678,
1019,
12,
14
],
[
694,
1019,
68,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Journal",
"of",
"Skin",
"Cancer",
"Volume",
"2012,",
"Article",
"ID",
"820474,",
"5",
"pages",
"doi:10.1155/2012/820474",
"Review",
"Article",
"New",
"Trends",
"in",
"Dermoscopy",
"to",
"Minimize",
"the",
"Risk",
"of",
"Missing",
"Melanoma",
"Aimilios",
"Lallas,1",
"Zoe",
"Apalla,1",
"and",
"Georgios",
"Chaidemenos2",
"1",
"State",
"Clinic",
"of",
"Dermatology,",
"Hospital",
"of",
"Skin",
"and",
"Venereal",
"Diseases,",
"124",
"Delfon",
"Street,",
"54643",
"Thessaloniki,",
"Greece",
"2",
"Private",
"Practice,",
"8",
"Kosma",
"Aitolou",
"Street,",
"54643",
"Thessaloniki,",
"Greece",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Aimilios",
"Lallas,",
"emlallas@gmail.com",
"Received",
"9",
"August",
"2012;",
"Accepted",
"18",
"September",
"2012",
"Academic",
"Editor:",
"Iris",
"Zalaudek",
"Copyright",
"©",
"2012",
"Aimilios",
"Lallas",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"During",
"the",
"last",
"decades,",
"induction",
"of",
"dermoscopy",
"in",
"the",
"clinical",
"setting",
"resulted",
"in",
"significant",
"modifications",
"in",
"the",
"management",
"of",
"melanocytic",
"lesions.",
"Indeed,",
"the",
"dermatoscope",
"reveals",
"a",
"fascinating",
"world",
"of",
"morphologic",
"structures",
"invisible",
"to",
"the",
"naked",
"eye,",
"adding",
"valuable",
"information",
"to",
"a",
"clinician",
"evaluating",
"a",
"mole.",
"However,",
"since",
"the",
"technique",
"counts",
"only",
"a",
"couple",
"of",
"decades,",
"new",
"research",
"data",
"are",
"continuously",
"gathering",
"and",
"modify",
"the",
"“optimal”",
"management",
"of",
"melanocytic",
"lesions.",
"In",
"the",
"present",
"paper,",
"we",
"summarize",
"the",
"latest",
"trends",
"in",
"dermoscopy",
"concerning",
"early",
"melanoma",
"diagnosis,",
"management",
"of",
"nodular",
"lesions,",
"diagnosis",
"of",
"mucosal",
"melanoma,",
"and",
"digital",
"followup.",
"1.",
"Introduction",
"During",
"the",
"last",
"decades,",
"induction",
"of",
"dermoscopy",
"in",
"the",
"clin-",
"ical",
"setting",
"resulted",
"in",
"significant",
"modifications",
"in",
"the",
"man-",
"agement",
"of",
"melanocytic",
"lesions",
"[1].",
"Incidence",
"of",
"melanoma",
"increases",
"more",
"rapidly",
"than",
"any",
"other",
"cancer,",
"and",
"this",
"has",
"partially",
"been",
"attributed",
"to",
"the",
"development",
"of",
"highly",
"sen-",
"sitive",
"diagnostic",
"techniques—mainly",
"dermoscopy—,",
"which",
"allowed",
"the",
"detection",
"of",
"clinically",
"not",
"identifiable",
"tumors",
"[2].",
"Indeed,",
"the",
"dermatoscope",
"reveals",
"a",
"fascinating",
"world",
"of",
"morphologic",
"structures",
"invisible",
"to",
"the",
"naked",
"eye,",
"adding",
"valuable",
"information",
"to",
"a",
"clinician",
"evaluating",
"a",
"mole.",
"The",
"controversy",
"whether",
"dermoscopy",
"improves",
"diagnos-",
"tic",
"accuracy",
"when",
"assessing",
"melanocytic",
"lesions",
"belongs",
"to",
"the",
"history,",
"since",
"several",
"lines",
"of",
"evidence",
"clearly",
"demonstrate",
"that",
"use",
"of",
"dermoscopy",
"both",
"enhances",
"melanoma",
"detection",
"and",
"decreases",
"the",
"number",
"of",
"unnecessary",
"excisions",
"[3].",
"Addi-",
"tionally",
"to",
"its",
"use",
"for",
"diagnostic",
"purposes,",
"dermoscopy,",
"by",
"revealing",
"unknown",
"information",
"on",
"morphology,",
"enhanced",
"the",
"understanding",
"of",
"nevogenesis",
"and",
"generated",
"new",
"con-",
"cepts",
"and",
"theories",
"[4].",
"However,",
"since",
"the",
"technique",
"counts",
"only",
"a",
"couple",
"of",
"decades,",
"new",
"research",
"data",
"are",
"continu-",
"ously",
"gathering",
"and",
"modify",
"the",
"“optimal”",
"management",
"of",
"melanocytic",
"lesions.",
"The",
"aim",
"of",
"this",
"paper",
"was",
"to",
"summarize",
"the",
"latest",
"trends",
"in",
"dermoscopy",
"for",
"minimizing",
"the",
"risk",
"to",
"miss",
"melanoma.",
"2.",
"New",
"Trends",
"in",
"Early",
"Melanoma",
"Detection",
"With",
"the",
"introduction",
"of",
"dermoscopy,",
"the",
"new",
"morphologic",
"world",
"of",
"features",
"and",
"structures",
"had",
"to",
"be",
"explored.",
"In",
"order",
"to",
"enhance",
"the",
"utility",
"of",
"the",
"method",
"in",
"the",
"clinical",
"setting,",
"various",
"diagnostic",
"models",
"and",
"algorithms",
"have",
"been",
"developed",
"[5–7].",
"Indeed,",
"application",
"of",
"these",
"algo-",
"rithms",
"resulted",
"in",
"significant",
"improvement",
"of",
"the",
"diagnostic",
"accuracy",
"of",
"clinicians",
"evaluating",
"melanocytic",
"lesions",
"[8–",
"10].",
"Simplified",
"diagnostic",
"approaches",
"were",
"also",
"proposed,",
"aiming",
"to",
"facilitate",
"the",
"use",
"of",
"dermoscopy",
"from",
"less",
"experi-",
"enced",
"clinicians",
"and",
"nondermatologists",
"and",
"thus",
"widen",
"the",
"application",
"field",
"of",
"the",
"method",
"[11].",
"Additionally",
"to",
"their",
"applicability",
"in",
"daily",
"routine,",
"algorithms",
"are",
"also",
"considered",
"of",
"value",
"for",
"educational",
"purposes,",
"providing",
"a",
"mathematic",
"and",
"comprehensive",
"model",
"and",
"guiding",
"the",
"inexperienced",
"clinician",
"on",
"how",
"to",
"deal",
"with",
"the",
"various",
"dermoscopic",
"features.",
"Several",
"lines",
"of",
"evidence,",
"including",
"meta-analyses",
"and",
"randomized",
"trials,",
"have",
"validated",
"the",
"value",
"of",
"dermoscopy"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
3,275,878 | null | [
[
271,
72,
57,
14
],
[
331,
72,
12,
14
],
[
346,
72,
25,
14
],
[
374,
72,
49,
14
],
[
426,
72,
42,
14
],
[
547,
72,
66,
14
],
[
616,
72,
13,
14
],
[
632,
72,
10,
14
],
[
645,
72,
11,
14
],
[
756,
72,
14,
14
],
[
175,
108,
109,
23
],
[
289,
108,
96,
23
],
[
170,
150,
146,
23
],
[
353,
150,
31,
23
],
[
421,
150,
57,
23
],
[
516,
150,
118,
23
],
[
671,
150,
99,
23
],
[
170,
175,
151,
23
],
[
326,
175,
25,
23
],
[
356,
175,
54,
23
],
[
415,
175,
69,
23
],
[
489,
175,
144,
23
],
[
638,
175,
112,
23
],
[
170,
216,
83,
17
],
[
256,
213,
55,
20
],
[
314,
216,
46,
17
],
[
364,
213,
84,
20
],
[
452,
216,
48,
17
],
[
503,
213,
74,
20
],
[
170,
251,
76,
14
],
[
170,
286,
107,
14
],
[
280,
286,
53,
14
],
[
336,
286,
30,
14
],
[
369,
286,
23,
14
],
[
395,
286,
24,
14
],
[
423,
286,
12,
14
],
[
438,
286,
37,
14
],
[
478,
286,
11,
14
],
[
493,
286,
22,
14
],
[
518,
286,
20,
14
],
[
541,
286,
15,
14
],
[
560,
286,
50,
14
],
[
613,
286,
49,
14
],
[
665,
286,
25,
14
],
[
694,
286,
45,
14
],
[
742,
286,
11,
14
],
[
756,
286,
14,
14
],
[
170,
302,
7,
14
],
[
180,
302,
41,
14
],
[
224,
302,
35,
14
],
[
262,
302,
23,
14
],
[
288,
302,
65,
14
],
[
356,
302,
11,
14
],
[
371,
302,
18,
14
],
[
392,
302,
27,
14
],
[
423,
302,
52,
14
],
[
478,
302,
55,
14
],
[
537,
302,
22,
14
],
[
562,
302,
56,
14
],
[
621,
302,
40,
14
],
[
665,
302,
63,
14
],
[
731,
302,
39,
14
],
[
170,
318,
34,
15
],
[
208,
318,
45,
15
],
[
257,
318,
22,
15
],
[
283,
318,
29,
15
],
[
317,
318,
70,
15
],
[
391,
318,
37,
15
],
[
432,
318,
32,
15
],
[
468,
318,
39,
15
],
[
511,
318,
37,
15
],
[
553,
318,
21,
15
],
[
578,
318,
11,
15
],
[
594,
318,
60,
15
],
[
658,
318,
34,
15
],
[
696,
318,
74,
15
],
[
170,
334,
34,
14
],
[
207,
334,
22,
14
],
[
232,
334,
61,
14
],
[
297,
334,
34,
14
],
[
335,
334,
10,
14
],
[
348,
334,
40,
14
],
[
391,
334,
69,
14
],
[
464,
334,
15,
14
],
[
483,
334,
18,
14
],
[
504,
334,
51,
14
],
[
559,
334,
20,
14
],
[
582,
334,
12,
14
],
[
598,
334,
37,
14
],
[
639,
334,
45,
14
],
[
688,
334,
45,
14
],
[
736,
334,
12,
14
],
[
752,
334,
18,
14
],
[
170,
350,
31,
14
],
[
204,
350,
29,
14
],
[
237,
350,
26,
14
],
[
266,
350,
31,
14
],
[
300,
350,
48,
14
],
[
352,
350,
18,
14
],
[
374,
350,
58,
14
],
[
435,
350,
12,
14
],
[
451,
350,
24,
14
],
[
478,
350,
45,
14
],
[
527,
350,
40,
14
],
[
571,
350,
58,
14
],
[
633,
350,
12,
14
],
[
648,
350,
24,
14
],
[
676,
350,
33,
14
],
[
713,
350,
57,
14
],
[
170,
366,
53,
14
],
[
170,
382,
76,
14
],
[
250,
382,
10,
14
],
[
264,
382,
34,
14
],
[
302,
382,
51,
14
],
[
357,
382,
65,
14
],
[
426,
382,
33,
14
],
[
463,
382,
31,
14
],
[
497,
382,
32,
14
],
[
533,
382,
68,
14
],
[
605,
382,
22,
14
],
[
631,
382,
61,
14
],
[
696,
382,
48,
14
],
[
748,
382,
22,
14
],
[
170,
398,
59,
14
],
[
232,
398,
28,
14
],
[
263,
398,
54,
14
],
[
321,
395,
22,
17
],
[
346,
398,
11,
14
],
[
360,
398,
39,
14
],
[
403,
395,
22,
17
],
[
428,
398,
32,
14
],
[
463,
398,
10,
14
],
[
475,
398,
26,
14
],
[
505,
398,
12,
14
],
[
520,
398,
28,
14
],
[
551,
398,
41,
14
],
[
596,
398,
24,
14
],
[
623,
398,
22,
14
],
[
649,
398,
11,
14
],
[
663,
398,
27,
14
],
[
693,
398,
21,
14
],
[
717,
398,
28,
14
],
[
749,
398,
21,
14
],
[
170,
413,
25,
15
],
[
200,
413,
29,
15
],
[
235,
413,
11,
15
],
[
252,
413,
18,
15
],
[
275,
413,
31,
15
],
[
311,
413,
27,
15
],
[
344,
413,
48,
15
],
[
398,
413,
12,
15
],
[
416,
413,
18,
15
],
[
440,
413,
31,
15
],
[
475,
413,
28,
15
],
[
509,
413,
26,
15
],
[
541,
413,
30,
15
],
[
576,
413,
22,
15
],
[
604,
413,
25,
15
],
[
634,
413,
35,
15
],
[
675,
413,
42,
15
],
[
723,
413,
12,
15
],
[
740,
413,
30,
15
],
[
170,
430,
51,
14
],
[
224,
430,
58,
14
],
[
285,
430,
45,
14
],
[
334,
430,
32,
14
],
[
370,
430,
7,
14
],
[
382,
430,
59,
14
],
[
445,
430,
53,
14
],
[
501,
430,
43,
14
],
[
548,
430,
28,
14
],
[
580,
430,
15,
14
],
[
599,
430,
65,
14
],
[
668,
430,
12,
14
],
[
684,
430,
18,
14
],
[
706,
430,
31,
14
],
[
741,
430,
29,
14
],
[
170,
445,
10,
14
],
[
183,
445,
56,
14
],
[
243,
445,
59,
14
],
[
306,
445,
65,
14
],
[
374,
445,
75,
14
],
[
452,
445,
79,
14
],
[
535,
445,
22,
14
],
[
561,
445,
27,
14
],
[
592,
445,
11,
14
],
[
607,
445,
37,
14
],
[
648,
445,
29,
14
],
[
680,
445,
71,
14
],
[
755,
445,
15,
14
],
[
170,
461,
18,
15
],
[
192,
461,
58,
15
],
[
255,
461,
12,
15
],
[
272,
461,
24,
15
],
[
300,
461,
45,
15
],
[
350,
461,
40,
15
],
[
395,
461,
22,
15
],
[
422,
461,
113,
15
],
[
539,
461,
58,
15
],
[
602,
461,
22,
15
],
[
629,
461,
70,
15
],
[
704,
461,
40,
15
],
[
748,
461,
22,
15
],
[
170,
477,
24,
14
],
[
200,
477,
49,
14
],
[
255,
477,
40,
14
],
[
302,
477,
27,
14
],
[
336,
477,
54,
14
],
[
397,
477,
36,
14
],
[
439,
477,
38,
14
],
[
483,
477,
63,
14
],
[
553,
477,
32,
14
],
[
591,
477,
22,
14
],
[
620,
477,
27,
14
],
[
653,
477,
18,
14
],
[
677,
477,
61,
14
],
[
745,
477,
25,
14
],
[
170,
493,
60,
14
],
[
234,
493,
23,
14
],
[
262,
493,
25,
14
],
[
292,
493,
27,
14
],
[
325,
493,
38,
14
],
[
368,
493,
48,
14
],
[
421,
493,
22,
14
],
[
448,
493,
43,
14
],
[
496,
493,
23,
14
],
[
524,
493,
7,
14
],
[
536,
493,
54,
14
],
[
596,
493,
22,
14
],
[
623,
493,
51,
14
],
[
678,
493,
32,
14
],
[
715,
493,
32,
14
],
[
753,
493,
18,
14
],
[
170,
509,
50,
14
],
[
222,
509,
42,
14
],
[
268,
509,
28,
14
],
[
170,
525,
61,
14
],
[
235,
525,
24,
14
],
[
265,
525,
54,
14
],
[
323,
525,
42,
14
],
[
370,
525,
25,
14
],
[
400,
525,
41,
14
],
[
447,
525,
24,
14
],
[
476,
525,
22,
14
],
[
503,
525,
11,
14
],
[
519,
525,
27,
14
],
[
551,
525,
21,
14
],
[
577,
525,
28,
14
],
[
610,
525,
28,
14
],
[
643,
525,
66,
14
],
[
714,
525,
44,
14
],
[
763,
525,
7,
14
],
[
170,
541,
51,
14
],
[
224,
541,
23,
14
],
[
250,
541,
40,
14
],
[
297,
541,
25,
14
],
[
325,
541,
49,
14
],
[
377,
541,
42,
14
],
[
422,
541,
21,
14
],
[
447,
541,
46,
14
],
[
496,
541,
12,
14
],
[
511,
541,
35,
14
],
[
550,
541,
22,
14
],
[
575,
541,
66,
14
],
[
645,
541,
30,
14
],
[
678,
541,
41,
14
],
[
723,
541,
47,
14
],
[
170,
557,
55,
14
],
[
229,
557,
25,
14
],
[
260,
557,
28,
14
],
[
293,
557,
37,
14
],
[
336,
557,
37,
14
],
[
378,
557,
71,
14
],
[
454,
557,
11,
14
],
[
471,
557,
27,
14
],
[
503,
557,
28,
14
],
[
536,
557,
39,
14
],
[
580,
557,
27,
14
],
[
613,
557,
20,
14
],
[
639,
557,
64,
14
],
[
709,
557,
61,
14
],
[
170,
573,
39,
14
],
[
211,
573,
12,
14
],
[
227,
573,
30,
14
],
[
260,
573,
22,
14
],
[
285,
573,
21,
14
],
[
310,
573,
46,
14
],
[
358,
573,
12,
14
],
[
374,
573,
35,
14
],
[
412,
573,
41,
14
],
[
457,
573,
52,
14
],
[
512,
573,
12,
14
],
[
527,
573,
37,
14
],
[
567,
573,
63,
14
],
[
633,
573,
14,
14
],
[
650,
573,
70,
14
],
[
723,
573,
47,
14
],
[
170,
589,
43,
14
],
[
218,
589,
23,
14
],
[
246,
589,
61,
14
],
[
312,
589,
26,
14
],
[
343,
589,
28,
14
],
[
376,
589,
21,
14
],
[
402,
589,
45,
14
],
[
453,
589,
58,
14
],
[
516,
589,
34,
14
],
[
555,
589,
55,
14
],
[
621,
589,
45,
14
],
[
672,
589,
33,
14
],
[
710,
589,
33,
14
],
[
748,
589,
22,
14
],
[
170,
605,
29,
14
],
[
203,
605,
40,
14
],
[
247,
605,
20,
14
],
[
271,
605,
28,
14
],
[
303,
605,
21,
14
],
[
328,
605,
45,
14
],
[
378,
605,
51,
14
],
[
434,
605,
22,
14
],
[
460,
605,
52,
14
],
[
516,
605,
57,
14
],
[
577,
605,
49,
14
],
[
630,
605,
45,
14
],
[
680,
605,
59,
14
],
[
742,
605,
27,
14
],
[
170,
621,
28,
14
],
[
200,
621,
61,
14
],
[
268,
621,
58,
14
],
[
329,
621,
12,
14
],
[
344,
621,
24,
14
],
[
370,
621,
45,
14
],
[
418,
621,
40,
14
],
[
461,
621,
20,
14
],
[
484,
621,
14,
14
],
[
500,
621,
47,
14
],
[
550,
621,
21,
14
],
[
575,
621,
33,
14
],
[
170,
637,
99,
14
],
[
272,
637,
30,
14
],
[
306,
637,
49,
14
],
[
358,
637,
14,
14
],
[
375,
637,
38,
14
],
[
416,
637,
57,
14
],
[
476,
637,
22,
14
],
[
502,
637,
21,
14
],
[
526,
637,
12,
14
],
[
541,
637,
18,
14
],
[
563,
637,
31,
14
],
[
597,
637,
29,
14
],
[
629,
637,
54,
14
],
[
687,
637,
60,
14
],
[
750,
637,
20,
14
],
[
170,
653,
28,
14
],
[
204,
653,
62,
14
],
[
272,
653,
22,
14
],
[
300,
653,
20,
14
],
[
326,
653,
20,
14
],
[
352,
653,
12,
14
],
[
370,
653,
48,
14
],
[
424,
653,
45,
14
],
[
475,
653,
19,
14
],
[
500,
653,
57,
14
],
[
563,
653,
61,
14
],
[
630,
653,
61,
14
],
[
698,
653,
73,
14
],
[
170,
669,
57,
14
],
[
233,
669,
22,
14
],
[
261,
669,
90,
14
],
[
358,
669,
15,
14
],
[
379,
669,
24,
14
],
[
409,
669,
45,
14
],
[
460,
669,
40,
14
],
[
507,
669,
62,
14
],
[
575,
669,
59,
14
],
[
640,
669,
12,
14
],
[
659,
669,
37,
14
],
[
702,
669,
40,
14
],
[
748,
669,
22,
14
],
[
170,
685,
81,
15
],
[
253,
685,
12,
15
],
[
268,
685,
41,
15
],
[
313,
685,
19,
15
],
[
335,
685,
44,
15
],
[
170,
717,
31,
14
],
[
203,
717,
57,
15
],
[
263,
717,
24,
14
],
[
290,
717,
49,
14
],
[
341,
717,
38,
14
],
[
382,
717,
64,
14
],
[
448,
717,
22,
14
],
[
473,
717,
52,
14
],
[
528,
717,
37,
14
],
[
568,
717,
40,
14
],
[
611,
717,
62,
14
],
[
170,
749,
112,
14
],
[
170,
781,
49,
14
],
[
224,
781,
31,
14
],
[
260,
781,
46,
14
],
[
310,
781,
41,
14
],
[
357,
781,
17,
14
],
[
379,
781,
26,
14
],
[
410,
781,
24,
14
],
[
440,
781,
21,
14
],
[
170,
797,
11,
15
],
[
186,
797,
58,
15
],
[
250,
797,
38,
15
],
[
293,
797,
11,
15
],
[
310,
797,
58,
15
],
[
374,
797,
21,
15
],
[
400,
797,
28,
15
],
[
433,
797,
27,
15
],
[
170,
813,
26,
14
],
[
201,
813,
12,
14
],
[
219,
813,
35,
14
],
[
260,
813,
31,
14
],
[
297,
813,
11,
14
],
[
314,
813,
62,
14
],
[
382,
813,
51,
14
],
[
440,
813,
20,
14
],
[
170,
829,
28,
14
],
[
204,
829,
28,
14
],
[
238,
829,
40,
14
],
[
284,
829,
12,
14
],
[
302,
829,
49,
14
],
[
357,
829,
36,
14
],
[
399,
829,
17,
14
],
[
422,
829,
21,
14
],
[
449,
829,
11,
14
],
[
170,
845,
37,
15
],
[
211,
845,
43,
15
],
[
259,
845,
38,
15
],
[
302,
845,
11,
15
],
[
317,
845,
58,
15
],
[
380,
845,
21,
15
],
[
406,
845,
55,
15
],
[
170,
861,
20,
14
],
[
480,
749,
22,
15
],
[
512,
749,
79,
15
],
[
601,
749,
21,
15
],
[
633,
749,
31,
15
],
[
675,
749,
17,
15
],
[
703,
749,
36,
15
],
[
750,
749,
20,
15
],
[
480,
765,
61,
14
],
[
549,
765,
12,
14
],
[
570,
765,
45,
14
],
[
624,
765,
32,
14
],
[
664,
765,
18,
14
],
[
690,
765,
40,
14
],
[
739,
765,
31,
14
],
[
480,
781,
34,
15
],
[
524,
781,
36,
15
],
[
570,
781,
31,
15
],
[
612,
781,
14,
15
],
[
636,
781,
44,
15
],
[
691,
781,
9,
15
],
[
711,
781,
59,
15
],
[
480,
797,
52,
14
],
[
537,
797,
27,
14
],
[
569,
797,
31,
14
],
[
605,
797,
21,
14
],
[
630,
797,
50,
14
],
[
685,
797,
29,
14
],
[
720,
797,
51,
14
],
[
480,
813,
65,
14
],
[
557,
813,
37,
14
],
[
607,
813,
62,
14
],
[
682,
813,
55,
14
],
[
750,
813,
21,
14
],
[
480,
829,
63,
15
],
[
548,
829,
36,
15
],
[
589,
829,
44,
15
],
[
638,
829,
48,
15
],
[
692,
829,
24,
15
],
[
721,
829,
49,
15
],
[
480,
845,
31,
14
],
[
524,
845,
24,
14
],
[
561,
845,
26,
14
],
[
601,
845,
12,
14
],
[
627,
845,
49,
14
],
[
689,
845,
36,
14
],
[
739,
845,
31,
14
],
[
480,
861,
70,
14
],
[
557,
861,
55,
14
],
[
619,
861,
50,
14
],
[
676,
861,
25,
14
],
[
709,
861,
29,
14
],
[
746,
861,
24,
14
],
[
480,
877,
22,
14
],
[
510,
877,
54,
14
],
[
573,
877,
36,
14
],
[
618,
877,
7,
14
],
[
633,
877,
20,
14
],
[
662,
877,
12,
14
],
[
683,
877,
46,
14
],
[
738,
877,
32,
14
],
[
170,
941,
260,
14
],
[
170,
954,
70,
17
],
[
246,
956,
12,
14
],
[
264,
956,
61,
14
],
[
331,
956,
11,
14
],
[
348,
956,
40,
14
],
[
394,
956,
41,
14
],
[
441,
956,
44,
14
],
[
491,
956,
12,
14
],
[
509,
956,
36,
14
],
[
551,
956,
38,
14
],
[
595,
956,
21,
14
],
[
622,
956,
46,
14
],
[
674,
956,
53,
14
],
[
733,
956,
37,
14
],
[
170,
972,
59,
15
]
] | [
"Predictors",
"of",
"Safe",
"Delivery",
"Service",
"Mulumebet",
"A.",
"et",
"al",
"95",
"ORIGINAL",
"ARTICLE",
"PREDICTORS",
"OF",
"SAFE",
"DELIVERY",
"SERVICE",
"UTILIZATION",
"IN",
"ARSI",
"ZONE,",
"SOUTH-EAST",
"ETHIOPIA",
"Mulumebet",
"Abera1,",
"Abebe",
"G/mariam1,",
"Tefera",
"Belachew1",
"ABSTRACT",
"BACKGROUND:",
"Evidence",
"show",
"that",
"lack",
"of",
"access",
"to",
"and",
"use",
"of,",
"essential",
"obstetric",
"care",
"services",
"to",
"be",
"a",
"crucial",
"factor",
"that",
"contributes",
"to",
"the",
"high",
"maternal",
"morbidity",
"and",
"mortality.",
"Skilled",
"attendance",
"during",
"labor,",
"delivery",
"and",
"early",
"post-partum",
"period",
"could",
"reduce",
"deaths",
"due",
"to",
"obstructed",
"labor,",
"hemorrhage,",
"sepsis",
"and",
"eclampsia.",
"There",
"is",
"limited",
"information",
"on",
"the",
"mothers’",
"use",
"of",
"skilled",
"delivery",
"services",
"in",
"the",
"study",
"area.",
"This",
"study",
"assessed",
"the",
"predictors",
"of",
"safe",
"delivery",
"service",
"utilization",
"in",
"Arsi",
"Zone,",
"Southeast",
"Ethiopia.",
"METHODS:",
"A",
"cross-",
"sectional",
"community",
"based",
"study",
"using",
"quantitative",
"and",
"qualitative",
"methods",
"was",
"conducted",
"from",
"February",
"15th",
"to",
"March",
"15th",
"2006.",
"A",
"total",
"of",
"1089",
"women",
"who",
"had",
"at",
"least",
"one",
"birth",
"one",
"year",
"prior",
"to",
"the",
"study",
"were",
"involved",
"in",
"the",
"study",
"from",
"nine",
"rural",
"and",
"four",
"urban",
"kebeles",
"in",
"three",
"Woredas",
"(Districts)",
"selected",
"using",
"a",
"systematic",
"sampling",
"method",
"from",
"all",
"households",
"in",
"the",
"study",
"area.",
"A",
"pre-tested",
"structured",
"interviewer",
"administered",
"questionnaire",
"was",
"used",
"to",
"collect",
"data.",
"Information",
"on",
"the",
"utilization",
"of",
"safe",
"delivery",
"service",
"and",
"socio-demographic,",
"individual",
"and",
"institutional",
"factors",
"and",
"past",
"obstetric",
"history",
"were",
"collected.",
"Focus",
"Group",
"Discussion",
"guide",
"was",
"used",
"for",
"qualitative",
"data",
"collection.",
"The",
"data",
"were",
"edited,",
"cleaned,",
"and",
"entered",
"into",
"a",
"computer",
"and",
"analyzed",
"using",
"SPSS",
"for",
"windows",
"version",
"12.0.",
"RESULT:",
"One",
"thousand",
"seventy",
"four",
"women",
"who",
"had",
"at",
"least",
"one",
"birth",
"were",
"interviewed",
"making",
"a",
"response",
"rate",
"98.6%.",
"Two",
"hundred",
"seventy",
"one",
"(75.0%)",
"of",
"urban",
"and",
"373(52.0%)",
"rural",
"women",
"received",
"antenatal",
"care",
"from",
"skilled",
"health",
"professional",
"at",
"least",
"once",
"during",
"their",
"last",
"pregnancy.",
"Thirty-one",
"(4.3%)",
"of",
"rural",
"and",
"145",
"(40.4%)",
"of",
"urban",
"women",
"delivered",
"in",
"health",
"institution.",
"In",
"multivariate",
"analysis",
"showed",
"that",
"residential",
"area",
"OR=",
"8.5,",
"95%CI;",
"(5.1,13.9),",
"parity",
"OR=0.18,",
"95%CI;",
"(0.08,",
"0.42),",
"and",
"ANC",
"service",
"use",
"OR=",
"4.5,",
"95%CI;",
"(2.2,8.9),",
"and",
"maternal",
"education",
"OR=4.6,",
"95%CI;",
"(1.7,12.8),",
"were",
"most",
"significant",
"predictors",
"of",
"safe",
"delivery",
"service",
"use",
"by",
"mothers",
"(P<",
"0.01).",
"CONCLUSION:",
"Birth",
"attended",
"by",
"skilled",
"personnel",
"was",
"low",
"in",
"the",
"study",
"area.",
"Maternal",
"education,",
"her",
"birth",
"experience",
"and",
"her",
"use",
"of",
"prenatal",
"services",
"are",
"important",
"predictors.",
"Promoting",
"information,",
"education",
"and",
"communication",
"on",
"safe",
"delivery",
"service",
"utilization,",
"expansion",
"of",
"health",
"service",
"and",
"empowerment",
"of",
"women",
"are",
"needed.",
"KEY",
"WORDS:",
"safe",
"delivery,",
"skilled",
"attendants,",
"and",
"maternal",
"health",
"service",
"utilization.",
"INTRODUCTION",
"Globally",
"about",
"585,000",
"women",
"die",
"each",
"year",
"due",
"to",
"conditions",
"related",
"to",
"pregnancy",
"and",
"child",
"birth",
"99%",
"of",
"which",
"occur",
"in",
"developing",
"countries",
"(1).",
"Over",
"three",
"quarter",
"of",
"maternal",
"deaths",
"are",
"due",
"to",
"causes",
"directly",
"related",
"to",
"pregnancy",
"and",
"childbirth",
"(2).",
"The",
"complications",
"that",
"cause",
"the",
"deaths",
"and",
"disabilities",
"of",
"mothers",
"affect",
"the",
"unborn",
"fetus.",
"These",
"deaths",
"could",
"be",
"avoided",
"if",
"preventive",
"measures",
"were",
"taken",
"and",
"adequate",
"cares",
"available",
"particularly",
"during",
"pregnancy,",
"childbirth",
"and",
"postpartum",
"period",
"through",
"obstetric",
"care",
"services.",
"More",
"than",
"60%",
"of",
"maternal",
"deaths",
"occur",
"immediately",
"following",
"delivery,",
"with",
"more",
"than",
"half",
"occurring",
"within",
"a",
"day",
"of",
"delivery",
"(3-4).",
"--------------------------------------------------------",
"1Department",
"of",
"Population",
"&",
"Family",
"Health,",
"College",
"of",
"Public",
"Health",
"and",
"Medical",
"Sciences,",
"Jimma",
"University"
] | [
8,
8,
8,
8,
8,
0,
0,
0,
0,
4,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3
] |
3,431,839 | null | [
[
69,
75,
23,
17
],
[
95,
75,
12,
17
],
[
111,
75,
31,
17
],
[
146,
75,
25,
17
],
[
175,
75,
38,
17
],
[
217,
75,
21,
17
],
[
242,
76,
77,
17
],
[
323,
76,
181,
17
],
[
654,
94,
39,
14
],
[
696,
94,
55,
14
],
[
575,
118,
100,
20
],
[
680,
118,
58,
20
],
[
742,
118,
17,
20
],
[
553,
141,
110,
25
],
[
669,
141,
89,
25
],
[
644,
168,
38,
17
],
[
686,
168,
73,
17
],
[
565,
187,
193,
17
],
[
69,
211,
46,
17
],
[
69,
248,
63,
25
],
[
137,
248,
163,
25
],
[
305,
248,
117,
25
],
[
427,
248,
76,
25
],
[
508,
248,
62,
25
],
[
575,
248,
22,
25
],
[
603,
248,
27,
25
],
[
635,
248,
24,
25
],
[
664,
248,
47,
25
],
[
69,
277,
69,
25
],
[
143,
277,
21,
25
],
[
170,
277,
63,
25
],
[
239,
277,
34,
25
],
[
278,
277,
64,
25
],
[
348,
277,
21,
25
],
[
375,
277,
67,
25
],
[
448,
277,
105,
25
],
[
559,
277,
107,
25
],
[
672,
277,
27,
25
],
[
69,
306,
89,
25
],
[
164,
306,
78,
25
],
[
248,
306,
92,
25
],
[
346,
306,
41,
25
],
[
392,
306,
113,
25
],
[
69,
354,
37,
17
],
[
109,
354,
17,
17
],
[
129,
354,
61,
17
],
[
194,
351,
10,
20
],
[
208,
354,
46,
17
],
[
257,
354,
14,
17
],
[
275,
354,
15,
17
],
[
293,
354,
40,
17
],
[
337,
351,
10,
20
],
[
351,
354,
63,
17
],
[
417,
354,
83,
17
],
[
504,
351,
6,
12
],
[
513,
354,
27,
17
],
[
544,
354,
51,
17
],
[
599,
354,
18,
17
],
[
621,
354,
50,
17
],
[
674,
351,
25,
20
],
[
69,
391,
6,
12
],
[
89,
394,
62,
17
],
[
154,
394,
45,
17
],
[
202,
394,
20,
17
],
[
226,
394,
90,
17
],
[
320,
394,
49,
17
],
[
373,
394,
47,
17
],
[
423,
394,
14,
17
],
[
441,
394,
74,
17
],
[
519,
394,
25,
17
],
[
547,
394,
90,
17
],
[
641,
394,
49,
17
],
[
89,
418,
64,
17
],
[
157,
418,
59,
17
],
[
220,
418,
71,
17
],
[
294,
418,
14,
17
],
[
312,
418,
65,
17
],
[
381,
418,
65,
17
],
[
449,
418,
39,
17
],
[
492,
418,
62,
17
],
[
557,
418,
38,
17
],
[
599,
418,
66,
17
],
[
89,
442,
59,
17
],
[
151,
442,
204,
17
],
[
359,
442,
63,
17
],
[
425,
442,
197,
17
],
[
626,
442,
74,
17
],
[
89,
465,
249,
17
],
[
341,
465,
42,
17
],
[
69,
485,
6,
12
],
[
89,
489,
79,
17
],
[
171,
489,
14,
17
],
[
189,
489,
105,
17
],
[
298,
489,
70,
17
],
[
372,
489,
40,
17
],
[
416,
489,
61,
17
],
[
481,
489,
61,
17
],
[
545,
489,
65,
17
],
[
89,
512,
39,
17
],
[
132,
512,
62,
17
],
[
197,
512,
38,
17
],
[
239,
512,
61,
17
],
[
69,
553,
9,
17
],
[
89,
553,
48,
17
],
[
140,
553,
13,
17
],
[
157,
553,
42,
17
],
[
203,
553,
105,
17
],
[
312,
553,
45,
17
],
[
360,
553,
16,
17
],
[
380,
553,
71,
17
],
[
455,
553,
52,
17
],
[
511,
553,
213,
17
],
[
89,
576,
31,
17
],
[
124,
576,
123,
17
],
[
250,
576,
30,
17
],
[
284,
576,
122,
17
],
[
69,
617,
66,
17
],
[
138,
617,
9,
17
],
[
151,
617,
28,
17
],
[
183,
617,
39,
17
],
[
226,
617,
14,
17
],
[
243,
617,
49,
17
],
[
295,
617,
38,
17
],
[
336,
617,
17,
17
],
[
357,
617,
28,
17
],
[
389,
617,
34,
17
],
[
427,
617,
5,
17
],
[
435,
617,
67,
17
],
[
506,
617,
9,
17
],
[
519,
617,
47,
17
],
[
569,
617,
34,
17
],
[
607,
617,
5,
17
],
[
69,
640,
73,
17
],
[
145,
640,
17,
17
],
[
166,
640,
47,
17
],
[
216,
640,
34,
17
],
[
108,
707,
68,
17
],
[
183,
707,
26,
17
],
[
217,
707,
57,
17
],
[
282,
707,
14,
17
],
[
304,
707,
50,
17
],
[
362,
707,
44,
17
],
[
414,
707,
52,
17
],
[
473,
707,
49,
17
],
[
530,
707,
30,
17
],
[
567,
707,
63,
17
],
[
638,
707,
49,
17
],
[
695,
707,
25,
17
],
[
108,
730,
48,
17
],
[
160,
730,
71,
17
],
[
236,
730,
68,
17
],
[
309,
730,
65,
17
],
[
379,
730,
53,
17
],
[
437,
730,
35,
17
],
[
477,
730,
74,
17
],
[
556,
730,
89,
17
],
[
650,
730,
13,
17
],
[
669,
730,
50,
17
],
[
108,
754,
44,
17
],
[
160,
754,
54,
17
],
[
224,
754,
26,
17
],
[
259,
754,
48,
17
],
[
316,
754,
21,
17
],
[
346,
754,
86,
17
],
[
441,
754,
14,
17
],
[
465,
754,
35,
17
],
[
508,
754,
59,
17
],
[
576,
754,
80,
17
],
[
665,
754,
54,
17
],
[
108,
777,
85,
17
],
[
199,
777,
80,
17
],
[
284,
777,
44,
17
],
[
334,
777,
49,
17
],
[
389,
777,
21,
17
],
[
416,
777,
31,
17
],
[
453,
777,
20,
17
],
[
479,
777,
21,
17
],
[
506,
777,
14,
17
],
[
525,
777,
28,
17
],
[
560,
777,
74,
17
],
[
640,
777,
14,
17
],
[
660,
777,
59,
17
],
[
108,
801,
28,
17
],
[
142,
801,
75,
17
],
[
223,
801,
45,
17
],
[
274,
801,
13,
17
],
[
294,
801,
50,
17
],
[
351,
801,
48,
17
],
[
405,
801,
66,
17
],
[
477,
801,
46,
17
],
[
530,
801,
49,
17
],
[
584,
801,
21,
17
],
[
612,
801,
40,
17
],
[
658,
801,
25,
17
],
[
689,
801,
30,
17
],
[
108,
825,
78,
17
],
[
192,
825,
38,
17
],
[
237,
825,
53,
17
],
[
297,
825,
31,
17
],
[
335,
825,
14,
17
],
[
356,
825,
21,
17
],
[
383,
825,
37,
17
],
[
427,
825,
51,
17
],
[
485,
825,
100,
17
],
[
592,
825,
71,
17
],
[
670,
825,
50,
17
],
[
108,
848,
41,
17
],
[
153,
848,
21,
17
],
[
179,
848,
61,
17
],
[
245,
848,
16,
17
],
[
265,
848,
63,
17
],
[
333,
848,
75,
17
],
[
413,
848,
38,
17
],
[
456,
848,
43,
17
],
[
504,
848,
32,
17
],
[
541,
848,
32,
17
],
[
578,
848,
46,
17
],
[
628,
848,
31,
17
],
[
664,
848,
13,
17
],
[
683,
848,
37,
17
],
[
108,
872,
87,
17
],
[
199,
872,
25,
17
],
[
228,
872,
40,
17
],
[
273,
872,
57,
17
],
[
335,
872,
14,
17
],
[
354,
872,
70,
17
],
[
429,
872,
53,
17
],
[
487,
872,
25,
17
],
[
516,
872,
35,
17
],
[
555,
872,
55,
17
],
[
615,
872,
66,
17
],
[
685,
872,
34,
17
],
[
108,
895,
32,
17
],
[
143,
895,
32,
17
],
[
179,
895,
48,
17
],
[
230,
895,
47,
17
],
[
281,
895,
25,
17
],
[
310,
895,
32,
17
],
[
346,
895,
31,
17
],
[
381,
895,
39,
17
],
[
423,
895,
43,
17
],
[
470,
895,
13,
17
],
[
487,
895,
41,
17
],
[
532,
895,
51,
17
],
[
587,
895,
44,
17
],
[
634,
895,
57,
17
],
[
695,
895,
25,
17
],
[
108,
919,
73,
17
],
[
185,
919,
24,
17
],
[
214,
919,
32,
17
],
[
251,
919,
61,
17
],
[
317,
919,
69,
17
],
[
390,
919,
8,
17
],
[
403,
919,
38,
17
],
[
447,
919,
36,
17
],
[
488,
919,
56,
17
],
[
549,
919,
14,
17
],
[
567,
919,
53,
17
],
[
625,
919,
21,
17
],
[
651,
919,
68,
17
],
[
108,
943,
67,
17
],
[
179,
943,
14,
17
],
[
197,
943,
50,
17
],
[
251,
943,
44,
17
],
[
299,
943,
31,
17
],
[
335,
943,
82,
17
],
[
421,
943,
60,
17
],
[
485,
943,
25,
17
],
[
513,
943,
52,
17
],
[
569,
943,
25,
17
],
[
598,
943,
13,
17
],
[
615,
943,
37,
17
],
[
656,
943,
21,
17
],
[
681,
943,
38,
17
],
[
108,
966,
14,
17
],
[
127,
966,
59,
17
],
[
190,
966,
75,
17
],
[
270,
966,
68,
17
],
[
343,
966,
14,
17
],
[
361,
966,
32,
17
],
[
398,
966,
26,
17
],
[
429,
966,
44,
17
],
[
478,
966,
33,
17
],
[
516,
966,
21,
17
],
[
542,
966,
39,
17
],
[
585,
966,
37,
17
],
[
626,
966,
21,
17
],
[
652,
966,
67,
17
],
[
108,
990,
30,
17
],
[
142,
990,
44,
17
],
[
191,
990,
25,
17
],
[
220,
990,
53,
17
],
[
278,
990,
25,
17
],
[
307,
990,
57,
17
],
[
368,
990,
61,
17
],
[
433,
990,
13,
17
],
[
451,
990,
13,
17
],
[
469,
990,
32,
17
],
[
506,
990,
47,
17
],
[
558,
990,
26,
17
],
[
589,
990,
44,
17
],
[
637,
990,
82,
17
],
[
108,
1014,
25,
17
],
[
140,
1014,
21,
17
],
[
168,
1014,
38,
17
],
[
214,
1014,
37,
17
],
[
257,
1014,
12,
17
],
[
276,
1014,
8,
17
],
[
291,
1014,
42,
17
],
[
340,
1014,
25,
17
],
[
372,
1014,
27,
17
],
[
406,
1014,
59,
17
],
[
472,
1014,
42,
17
],
[
522,
1014,
13,
17
],
[
542,
1014,
37,
17
],
[
586,
1014,
50,
17
],
[
644,
1014,
44,
17
],
[
695,
1014,
25,
17
],
[
108,
1037,
73,
17
],
[
188,
1037,
11,
17
],
[
205,
1037,
12,
17
],
[
224,
1037,
61,
17
],
[
291,
1037,
8,
17
],
[
306,
1037,
30,
17
],
[
343,
1037,
41,
17
],
[
392,
1037,
14,
17
],
[
412,
1037,
28,
17
],
[
447,
1037,
42,
17
],
[
496,
1037,
20,
17
],
[
523,
1037,
64,
17
],
[
595,
1037,
14,
17
],
[
616,
1037,
59,
17
],
[
682,
1037,
38,
17
],
[
108,
1061,
85,
17
]
] | [
"Int.",
"J.",
"Mol.",
"Sci.",
"2012,",
"13,",
"9959-9970;",
"doi:10.3390/ijms13089959",
"OPEN",
"ACCESS",
"International",
"Journal",
"of",
"Molecular",
"Sciences",
"ISSN",
"1422-0067",
"www.mdpi.com/journal/ijms",
"Article",
"Chick",
"Chorioallantoic",
"Membrane",
"(CAM)",
"Assay",
"as",
"an",
"In",
"Vivo",
"Model",
"to",
"Study",
"the",
"Effect",
"of",
"Newly",
"Identified",
"Molecules",
"on",
"Ovarian",
"Cancer",
"Invasion",
"and",
"Metastasis",
"Noor",
"A.",
"Lokman",
"1,",
"Alison",
"S.",
"F.",
"Elder",
"1,",
"Carmela",
"Ricciardelli",
"1",
"and",
"Martin",
"K.",
"Oehler",
"1,2,*",
"1",
"Research",
"Centre",
"for",
"Reproductive",
"Health,",
"School",
"of",
"Paediatrics",
"and",
"Reproductive",
"Health,",
"Robinson",
"Institute,",
"University",
"of",
"Adelaide,",
"Adelaide,",
"South",
"Australia",
"5000,",
"Australia;",
"E-Mails:",
"noor.lokman@adelaide.edu.au",
"(N.A.L.);",
"alison.elder@adelaide.edu.au",
"(A.S.F.E.);",
"carmela.ricciardelli@adelaide.edu.au",
"(C.R.)",
"2",
"Department",
"of",
"Gynaecological",
"Oncology,",
"Royal",
"Adelaide",
"Hospital,",
"Adelaide,",
"South",
"Australia",
"5000,",
"Australia",
"*",
"Author",
"to",
"whom",
"correspondence",
"should",
"be",
"addressed;",
"E-Mail:",
"martin.oehler@adelaide.edu.au;",
"Tel.:",
"+61-8-8222-4816;",
"Fax:",
"+61-8-8222-5952.",
"Received:",
"2",
"July",
"2012;",
"in",
"revised",
"form:",
"27",
"July",
"2012",
"/",
"Accepted:",
"2",
"August",
"2012",
"/",
"Published:",
"10",
"August",
"2012",
"Abstract:",
"The",
"majority",
"of",
"ovarian",
"cancer",
"patients",
"present",
"with",
"advanced",
"disease",
"and",
"despite",
"aggressive",
"treatment,",
"prognosis",
"remains",
"poor.",
"Significant",
"improvement",
"in",
"ovarian",
"cancer",
"survival",
"will",
"require",
"the",
"development",
"of",
"more",
"effective",
"molecularly",
"targeted",
"therapeutics.",
"Commonly,",
"mouse",
"models",
"are",
"used",
"for",
"the",
"in",
"vivo",
"assessment",
"of",
"potential",
"new",
"therapeutic",
"targets",
"in",
"ovarian",
"cancer.",
"However,",
"animal",
"models",
"are",
"costly",
"and",
"time",
"consuming.",
"Other",
"models,",
"such",
"as",
"the",
"chick",
"embryo",
"chorioallantoic",
"membrane",
"(CAM)",
"assay,",
"are",
"therefore",
"an",
"attractive",
"alternative.",
"CAM",
"assays",
"have",
"been",
"widely",
"used",
"to",
"study",
"angiogenesis",
"and",
"tumor",
"invasion",
"of",
"colorectal,",
"prostate",
"and",
"brain",
"cancers.",
"However,",
"there",
"have",
"been",
"limited",
"studies",
"that",
"have",
"used",
"CAM",
"assays",
"to",
"assess",
"ovarian",
"cancer",
"invasion",
"and",
"metastasis.",
"We",
"have",
"therefore",
"developed",
"a",
"CAM",
"assay",
"protocol",
"to",
"monitor",
"the",
"metastatic",
"properties",
"of",
"ovarian",
"cancer",
"cells",
"(OVCAR-3,",
"SKOV-3",
"and",
"OV-90)",
"and",
"to",
"study",
"the",
"effect",
"of",
"potential",
"therapeutic",
"molecules",
"in",
"vivo.",
"The",
"results",
"from",
"the",
"CAM",
"assay",
"are",
"consistent",
"with",
"cancer",
"cell",
"motility",
"and",
"invasion",
"observed",
"in",
"in",
"vitro",
"assays.",
"Our",
"results",
"demonstrate",
"that",
"the",
"CAM",
"assay",
"is",
"a",
"robust",
"and",
"cost",
"effective",
"model",
"to",
"study",
"ovarian",
"cancer",
"cell",
"metastasis.",
"It",
"is",
"therefore",
"a",
"very",
"useful",
"in",
"vivo",
"model",
"for",
"screening",
"of",
"potential",
"novel",
"therapeutics."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
9,
9,
0,
0,
0,
0,
0,
0,
0,
0,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5
] |
3,180,774 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
34,
11
],
[
105,
75,
9,
11
],
[
117,
75,
35,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
11,
12
],
[
230,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
84,
25
],
[
160,
187,
64,
25
],
[
70,
220,
118,
25
],
[
192,
220,
35,
25
],
[
231,
220,
136,
25
],
[
371,
220,
88,
25
],
[
464,
220,
95,
25
],
[
563,
220,
40,
25
],
[
608,
220,
81,
25
],
[
70,
248,
41,
25
],
[
116,
248,
48,
25
],
[
168,
248,
22,
25
],
[
195,
248,
107,
25
],
[
306,
248,
97,
25
],
[
120,
318,
56,
17
],
[
179,
317,
76,
18
],
[
259,
318,
31,
17
],
[
292,
318,
19,
17
],
[
314,
317,
84,
18
],
[
402,
318,
27,
17
],
[
432,
318,
58,
17
],
[
492,
317,
57,
18
],
[
120,
348,
4,
9
],
[
126,
349,
35,
13
],
[
163,
349,
53,
13
],
[
217,
349,
51,
13
],
[
271,
349,
45,
13
],
[
318,
349,
29,
13
],
[
348,
349,
9,
13
],
[
360,
349,
15,
13
],
[
377,
349,
44,
13
],
[
423,
349,
43,
13
],
[
468,
349,
52,
13
],
[
522,
349,
42,
13
],
[
567,
349,
45,
13
],
[
614,
349,
41,
13
],
[
657,
349,
9,
13
],
[
669,
349,
35,
13
],
[
705,
349,
37,
13
],
[
745,
349,
19,
13
],
[
126,
364,
53,
13
],
[
182,
364,
42,
13
],
[
226,
364,
43,
13
],
[
272,
364,
35,
13
],
[
309,
364,
44,
13
],
[
355,
364,
47,
13
],
[
404,
364,
20,
13
],
[
427,
364,
33,
13
],
[
462,
364,
23,
13
],
[
120,
377,
4,
9
],
[
126,
378,
39,
13
],
[
167,
378,
37,
13
],
[
207,
378,
42,
13
],
[
252,
378,
38,
13
],
[
292,
378,
53,
13
],
[
347,
378,
42,
13
],
[
392,
378,
45,
13
],
[
439,
378,
41,
13
],
[
483,
378,
9,
13
],
[
495,
378,
35,
13
],
[
532,
378,
37,
13
],
[
571,
378,
19,
13
],
[
593,
378,
53,
13
],
[
649,
378,
42,
13
],
[
126,
393,
43,
13
],
[
172,
393,
35,
13
],
[
209,
393,
44,
13
],
[
255,
393,
47,
13
],
[
304,
393,
20,
13
],
[
327,
393,
33,
13
],
[
362,
393,
23,
13
],
[
120,
406,
4,
9
],
[
126,
407,
33,
13
],
[
162,
407,
48,
13
],
[
212,
407,
42,
13
],
[
257,
407,
38,
13
],
[
297,
407,
53,
13
],
[
352,
407,
42,
13
],
[
397,
407,
45,
13
],
[
444,
407,
41,
13
],
[
488,
407,
9,
13
],
[
500,
407,
35,
13
],
[
537,
407,
37,
13
],
[
576,
407,
19,
13
],
[
598,
407,
53,
13
],
[
654,
407,
42,
13
],
[
126,
422,
43,
13
],
[
172,
422,
35,
13
],
[
209,
422,
44,
13
],
[
255,
422,
47,
13
],
[
304,
422,
20,
13
],
[
327,
422,
33,
13
],
[
362,
422,
23,
13
],
[
120,
448,
82,
13
],
[
205,
448,
34,
13
],
[
241,
448,
12,
13
],
[
256,
448,
50,
13
],
[
308,
448,
11,
13
],
[
321,
448,
40,
13
],
[
363,
448,
50,
13
],
[
415,
448,
122,
13
],
[
120,
473,
44,
13
],
[
166,
473,
6,
13
],
[
175,
473,
22,
13
],
[
200,
473,
27,
13
],
[
230,
473,
39,
13
],
[
270,
473,
6,
13
],
[
279,
473,
20,
13
],
[
301,
473,
27,
13
],
[
331,
473,
45,
13
],
[
379,
473,
6,
13
],
[
388,
473,
20,
13
],
[
410,
473,
24,
13
],
[
120,
498,
49,
13
],
[
172,
498,
35,
13
],
[
209,
498,
30,
13
],
[
241,
498,
11,
13
],
[
254,
498,
32,
13
],
[
120,
524,
52,
13
],
[
174,
524,
9,
13
],
[
186,
524,
24,
13
],
[
213,
524,
40,
13
],
[
256,
524,
47,
13
],
[
305,
524,
10,
13
],
[
317,
524,
12,
13
],
[
333,
524,
22,
13
],
[
359,
524,
8,
13
],
[
372,
524,
13,
13
],
[
389,
524,
25,
13
],
[
418,
524,
30,
13
],
[
453,
524,
31,
13
],
[
488,
524,
55,
13
],
[
548,
524,
30,
13
],
[
582,
524,
16,
13
],
[
603,
524,
41,
13
],
[
648,
524,
53,
13
],
[
705,
524,
58,
13
],
[
120,
538,
40,
13
],
[
163,
538,
31,
13
],
[
197,
538,
39,
13
],
[
239,
538,
61,
13
],
[
303,
538,
20,
13
],
[
326,
538,
63,
13
],
[
393,
538,
19,
13
],
[
415,
538,
66,
13
],
[
485,
538,
11,
13
],
[
499,
538,
18,
13
],
[
520,
538,
46,
13
],
[
569,
538,
45,
13
],
[
617,
538,
16,
13
],
[
637,
538,
39,
13
],
[
680,
538,
26,
13
],
[
709,
538,
8,
13
],
[
720,
538,
43,
13
],
[
120,
553,
28,
13
],
[
120,
579,
45,
13
],
[
167,
579,
17,
13
],
[
186,
579,
33,
13
],
[
221,
579,
20,
13
],
[
244,
579,
37,
13
],
[
284,
579,
42,
13
],
[
327,
579,
23,
13
],
[
353,
579,
6,
13
],
[
361,
579,
28,
13
],
[
391,
579,
28,
13
],
[
421,
579,
25,
13
],
[
449,
579,
25,
13
],
[
476,
579,
28,
13
],
[
507,
579,
32,
13
],
[
541,
579,
23,
13
],
[
567,
579,
28,
13
],
[
597,
579,
19,
13
],
[
618,
579,
35,
13
],
[
656,
579,
45,
13
],
[
703,
579,
23,
13
],
[
728,
579,
35,
13
],
[
120,
594,
42,
13
],
[
164,
594,
34,
13
],
[
200,
594,
16,
13
],
[
218,
594,
36,
13
],
[
257,
594,
28,
13
],
[
287,
594,
26,
13
],
[
315,
594,
9,
13
],
[
325,
594,
40,
13
],
[
368,
594,
10,
13
],
[
380,
594,
66,
13
],
[
448,
594,
62,
13
],
[
512,
594,
23,
13
],
[
537,
594,
24,
13
],
[
564,
594,
66,
13
],
[
632,
594,
11,
13
],
[
644,
594,
37,
13
],
[
683,
594,
19,
13
],
[
704,
594,
40,
13
],
[
746,
594,
17,
13
],
[
120,
608,
18,
13
],
[
140,
608,
35,
13
],
[
177,
608,
23,
13
],
[
202,
608,
44,
13
],
[
248,
608,
16,
13
],
[
266,
608,
40,
13
],
[
308,
608,
20,
13
],
[
330,
608,
11,
13
],
[
342,
608,
53,
13
],
[
397,
608,
37,
13
],
[
436,
608,
29,
13
],
[
467,
608,
22,
13
],
[
491,
608,
25,
13
],
[
518,
608,
16,
13
],
[
536,
608,
74,
13
],
[
612,
608,
44,
13
],
[
657,
608,
34,
13
],
[
693,
608,
19,
13
],
[
714,
608,
48,
13
],
[
120,
623,
65,
13
],
[
188,
623,
34,
13
],
[
225,
623,
57,
13
],
[
285,
623,
19,
13
],
[
307,
623,
54,
13
],
[
364,
623,
28,
13
],
[
395,
623,
44,
13
],
[
441,
623,
16,
13
],
[
460,
623,
60,
13
],
[
523,
623,
35,
13
],
[
561,
623,
43,
13
],
[
608,
623,
32,
13
],
[
643,
623,
49,
13
],
[
694,
623,
46,
13
],
[
744,
623,
19,
13
],
[
120,
637,
19,
13
],
[
142,
637,
80,
13
],
[
224,
637,
47,
13
],
[
274,
637,
28,
13
],
[
304,
637,
19,
13
],
[
326,
637,
26,
13
],
[
355,
637,
71,
13
],
[
428,
637,
37,
13
],
[
468,
637,
50,
13
],
[
521,
637,
44,
13
],
[
568,
637,
19,
13
],
[
589,
637,
61,
13
],
[
653,
637,
33,
13
],
[
688,
637,
35,
13
],
[
726,
637,
37,
13
],
[
120,
652,
42,
13
],
[
166,
652,
50,
13
],
[
220,
652,
11,
13
],
[
234,
652,
28,
13
],
[
266,
652,
19,
13
],
[
289,
652,
35,
13
],
[
328,
652,
45,
13
],
[
377,
652,
35,
13
],
[
416,
652,
42,
13
],
[
461,
652,
19,
13
],
[
484,
652,
33,
13
],
[
521,
652,
27,
13
],
[
552,
652,
11,
13
],
[
566,
652,
48,
13
],
[
618,
652,
44,
13
],
[
666,
652,
50,
13
],
[
721,
652,
11,
13
],
[
735,
652,
28,
13
],
[
120,
666,
45,
13
],
[
169,
666,
20,
13
],
[
193,
666,
56,
13
],
[
252,
666,
42,
13
],
[
298,
666,
43,
13
],
[
346,
666,
29,
13
],
[
379,
666,
19,
13
],
[
402,
666,
80,
13
],
[
486,
666,
49,
13
],
[
539,
666,
19,
13
],
[
562,
666,
55,
13
],
[
620,
666,
12,
13
],
[
637,
666,
49,
13
],
[
690,
666,
46,
13
],
[
740,
666,
23,
13
],
[
120,
681,
37,
13
],
[
161,
681,
42,
13
],
[
207,
681,
55,
13
],
[
265,
681,
33,
13
],
[
301,
681,
23,
13
],
[
328,
681,
19,
13
],
[
351,
681,
20,
13
],
[
374,
681,
10,
13
],
[
388,
681,
33,
13
],
[
424,
681,
27,
13
],
[
455,
681,
10,
13
],
[
469,
681,
49,
13
],
[
521,
681,
44,
13
],
[
569,
681,
50,
13
],
[
623,
681,
11,
13
],
[
638,
681,
28,
13
],
[
669,
681,
27,
13
],
[
700,
681,
10,
13
],
[
714,
681,
49,
13
],
[
120,
695,
47,
13
],
[
170,
695,
36,
13
],
[
208,
695,
16,
13
],
[
227,
695,
47,
13
],
[
277,
695,
11,
13
],
[
291,
695,
29,
13
],
[
323,
695,
10,
13
],
[
337,
695,
24,
13
],
[
364,
695,
63,
13
],
[
429,
695,
15,
13
],
[
447,
695,
70,
13
],
[
520,
695,
58,
13
],
[
581,
695,
23,
13
],
[
607,
695,
35,
13
],
[
646,
695,
11,
13
],
[
660,
695,
67,
13
],
[
729,
695,
34,
13
],
[
120,
710,
25,
13
],
[
70,
769,
13,
17
],
[
86,
769,
87,
17
],
[
70,
798,
43,
14
],
[
120,
798,
21,
14
],
[
149,
798,
43,
14
],
[
199,
798,
19,
14
],
[
225,
798,
17,
14
],
[
249,
798,
18,
14
],
[
274,
798,
21,
14
],
[
302,
798,
41,
14
],
[
350,
798,
35,
14
],
[
392,
798,
12,
14
],
[
70,
814,
65,
14
],
[
142,
814,
31,
14
],
[
180,
814,
21,
14
],
[
209,
814,
39,
14
],
[
255,
814,
12,
14
],
[
273,
814,
18,
14
],
[
298,
814,
39,
14
],
[
344,
814,
32,
14
],
[
383,
814,
21,
14
],
[
70,
830,
42,
14
],
[
116,
830,
45,
14
],
[
165,
830,
12,
14
],
[
181,
830,
48,
14
],
[
234,
830,
59,
14
],
[
297,
830,
28,
14
],
[
329,
830,
6,
14
],
[
340,
830,
26,
14
],
[
370,
830,
12,
14
],
[
386,
830,
18,
14
],
[
70,
846,
35,
14
],
[
109,
846,
43,
14
],
[
155,
846,
19,
14
],
[
177,
846,
45,
14
],
[
225,
846,
18,
14
],
[
247,
846,
41,
14
],
[
291,
846,
30,
14
],
[
324,
846,
12,
14
],
[
339,
846,
65,
14
],
[
70,
861,
31,
14
],
[
108,
861,
21,
14
],
[
137,
861,
39,
14
],
[
183,
861,
12,
14
],
[
202,
861,
18,
14
],
[
227,
861,
26,
14
],
[
260,
861,
21,
14
],
[
288,
861,
9,
14
],
[
304,
861,
9,
14
],
[
321,
861,
54,
14
],
[
382,
861,
22,
14
],
[
70,
877,
44,
14
],
[
118,
877,
60,
14
],
[
181,
877,
17,
14
],
[
202,
877,
68,
14
],
[
274,
877,
25,
14
],
[
304,
877,
23,
14
],
[
331,
877,
11,
14
],
[
347,
877,
6,
14
],
[
357,
877,
31,
14
],
[
392,
877,
12,
14
],
[
70,
893,
43,
14
],
[
116,
893,
19,
14
],
[
138,
893,
21,
14
],
[
162,
893,
50,
14
],
[
216,
893,
21,
14
],
[
239,
893,
83,
14
],
[
325,
893,
35,
14
],
[
363,
893,
12,
14
],
[
378,
893,
26,
14
],
[
70,
909,
34,
14
],
[
108,
909,
17,
14
],
[
129,
909,
41,
14
],
[
174,
909,
50,
14
],
[
227,
909,
42,
14
],
[
273,
909,
11,
14
],
[
288,
909,
48,
14
],
[
340,
909,
11,
14
],
[
355,
909,
25,
14
],
[
384,
909,
20,
14
],
[
70,
925,
52,
14
],
[
126,
925,
38,
14
],
[
168,
925,
27,
14
],
[
199,
925,
43,
14
],
[
246,
925,
21,
14
],
[
271,
925,
30,
14
],
[
305,
925,
20,
14
],
[
329,
925,
13,
14
],
[
346,
925,
30,
14
],
[
380,
925,
25,
14
],
[
70,
940,
51,
14
],
[
125,
940,
21,
14
],
[
150,
940,
14,
14
],
[
167,
940,
48,
14
],
[
220,
940,
27,
14
],
[
250,
940,
26,
14
],
[
280,
940,
50,
14
],
[
334,
940,
40,
14
],
[
377,
940,
27,
14
],
[
70,
956,
43,
14
],
[
119,
956,
6,
14
],
[
131,
956,
28,
14
],
[
165,
956,
28,
14
],
[
198,
956,
31,
14
],
[
235,
956,
36,
14
],
[
276,
956,
12,
14
],
[
294,
956,
14,
14
],
[
313,
956,
13,
14
],
[
331,
956,
41,
14
],
[
379,
956,
26,
14
],
[
70,
972,
46,
14
],
[
120,
972,
12,
14
],
[
136,
972,
18,
14
],
[
158,
972,
26,
14
],
[
188,
972,
28,
14
],
[
220,
972,
27,
14
],
[
251,
972,
25,
14
],
[
281,
972,
35,
14
],
[
320,
972,
24,
14
],
[
348,
972,
56,
14
],
[
70,
988,
22,
14
],
[
95,
988,
30,
14
],
[
128,
988,
26,
14
],
[
156,
988,
25,
14
],
[
185,
988,
12,
14
],
[
199,
988,
26,
14
],
[
228,
988,
34,
14
],
[
265,
988,
17,
14
],
[
285,
988,
31,
14
],
[
319,
988,
21,
14
],
[
343,
988,
22,
14
],
[
368,
988,
22,
14
],
[
392,
988,
12,
14
],
[
70,
1004,
53,
14
],
[
126,
1004,
21,
14
],
[
150,
1004,
12,
14
],
[
166,
1004,
105,
14
],
[
275,
1004,
9,
14
],
[
287,
1004,
54,
14
],
[
345,
1004,
12,
14
],
[
360,
1004,
44,
14
],
[
70,
1019,
17,
14
],
[
89,
1019,
80,
14
],
[
172,
1019,
44,
14
],
[
218,
1019,
36,
14
],
[
257,
1019,
33,
14
],
[
293,
1019,
21,
14
],
[
449,
771,
49,
14
],
[
504,
771,
49,
14
],
[
559,
771,
23,
14
],
[
587,
771,
48,
14
],
[
641,
771,
21,
14
],
[
668,
771,
28,
14
],
[
702,
771,
37,
14
],
[
745,
771,
17,
14
],
[
428,
787,
68,
14
],
[
501,
787,
19,
14
],
[
526,
787,
18,
14
],
[
549,
787,
67,
14
],
[
621,
787,
9,
14
],
[
635,
787,
48,
14
],
[
688,
787,
21,
14
],
[
715,
787,
19,
14
],
[
740,
787,
23,
14
],
[
428,
804,
68,
14
],
[
502,
804,
13,
14
],
[
521,
804,
44,
14
],
[
571,
804,
47,
14
],
[
624,
804,
48,
14
],
[
678,
804,
19,
14
],
[
703,
804,
14,
14
],
[
723,
804,
39,
14
],
[
428,
820,
62,
14
],
[
495,
820,
26,
14
],
[
525,
820,
28,
14
],
[
558,
820,
37,
14
],
[
601,
820,
13,
14
],
[
618,
820,
26,
14
],
[
649,
820,
34,
14
],
[
688,
820,
21,
14
],
[
714,
820,
48,
14
],
[
428,
837,
50,
14
],
[
484,
837,
19,
14
],
[
508,
837,
27,
14
],
[
540,
837,
35,
14
],
[
580,
837,
12,
14
],
[
597,
837,
37,
14
],
[
640,
837,
24,
14
],
[
669,
837,
16,
14
],
[
690,
837,
17,
14
],
[
712,
837,
22,
14
],
[
740,
837,
23,
14
],
[
428,
854,
39,
14
],
[
473,
854,
26,
14
],
[
505,
854,
55,
14
],
[
565,
854,
18,
14
],
[
589,
854,
67,
14
],
[
662,
854,
46,
14
],
[
714,
854,
48,
14
],
[
428,
870,
21,
14
],
[
455,
870,
28,
14
],
[
488,
870,
35,
14
],
[
528,
870,
61,
14
],
[
594,
870,
39,
14
],
[
638,
870,
54,
14
],
[
696,
870,
31,
14
],
[
733,
870,
30,
14
],
[
428,
887,
15,
14
],
[
450,
887,
40,
14
],
[
497,
887,
22,
14
],
[
526,
887,
46,
14
],
[
578,
887,
26,
14
],
[
610,
887,
39,
14
],
[
656,
887,
60,
14
],
[
722,
887,
40,
14
],
[
428,
903,
56,
14
],
[
489,
903,
12,
14
],
[
506,
903,
68,
14
],
[
579,
903,
47,
14
],
[
632,
903,
71,
14
],
[
708,
903,
12,
14
],
[
725,
903,
38,
14
],
[
428,
920,
54,
14
],
[
489,
920,
38,
14
],
[
533,
920,
6,
14
],
[
547,
920,
32,
14
],
[
586,
920,
29,
14
],
[
621,
920,
79,
14
],
[
707,
920,
36,
14
],
[
750,
920,
13,
14
],
[
428,
936,
44,
14
],
[
477,
936,
28,
14
],
[
510,
936,
35,
14
],
[
550,
936,
9,
14
],
[
564,
936,
56,
14
],
[
625,
936,
25,
14
],
[
655,
936,
53,
14
],
[
712,
936,
12,
14
],
[
728,
936,
34,
14
],
[
428,
953,
19,
14
],
[
451,
953,
14,
14
],
[
469,
953,
21,
14
],
[
495,
953,
29,
14
],
[
528,
953,
21,
14
],
[
554,
953,
55,
14
],
[
613,
953,
39,
14
],
[
656,
953,
21,
14
],
[
681,
953,
48,
14
],
[
733,
953,
29,
14
],
[
428,
969,
35,
14
],
[
469,
969,
34,
14
],
[
508,
969,
26,
14
],
[
540,
969,
29,
14
],
[
574,
969,
24,
14
],
[
603,
969,
33,
14
],
[
641,
969,
41,
14
],
[
687,
969,
23,
14
],
[
716,
969,
46,
14
],
[
428,
986,
25,
14
],
[
460,
986,
6,
14
],
[
473,
986,
36,
14
],
[
516,
986,
21,
14
],
[
544,
986,
12,
14
],
[
562,
986,
55,
14
],
[
624,
986,
59,
14
],
[
689,
986,
12,
14
],
[
707,
986,
55,
14
],
[
428,
1002,
25,
14
],
[
458,
1002,
7,
14
],
[
470,
1002,
45,
14
],
[
520,
1002,
27,
14
],
[
553,
1002,
9,
14
],
[
567,
1002,
45,
14
],
[
617,
1002,
12,
14
],
[
634,
1002,
55,
14
],
[
693,
1002,
69,
14
],
[
428,
1019,
25,
14
],
[
460,
1019,
27,
14
],
[
493,
1019,
52,
14
],
[
551,
1019,
12,
14
],
[
569,
1019,
41,
14
],
[
616,
1019,
21,
14
],
[
643,
1019,
67,
14
],
[
716,
1019,
46,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Journal",
"of",
"Obesity",
"Volume",
"2012,",
"Article",
"ID",
"735465,",
"11",
"pages",
"doi:10.1155/2012/735465",
"Research",
"Article",
"Unraveling",
"the",
"Relationship",
"between",
"Smoking",
"and",
"Weight:",
"The",
"Role",
"of",
"Sedentary",
"Behavior",
"Annette",
"Kaufman,1",
"Erik",
"M.",
"Augustson,2",
"and",
"Heather",
"Patrick3",
"1",
"Cancer",
"Prevention",
"Fellowship",
"Program,",
"Office",
"of",
"the",
"Associate",
"Director,",
"Behavioral",
"Research",
"Program,",
"Division",
"of",
"Cancer",
"Control",
"and",
"Population",
"Sciences,",
"National",
"Cancer",
"Institute,",
"Bethesda,",
"MD",
"20852,",
"USA",
"2",
"Tobacco",
"Control",
"Research",
"Branch,",
"Behavioral",
"Research",
"Program,",
"Division",
"of",
"Cancer",
"Control",
"and",
"Population",
"Sciences,",
"National",
"Cancer",
"Institute,",
"Bethesda,",
"MD",
"20852,",
"USA",
"3",
"Health",
"Behaviors",
"Research",
"Branch,",
"Behavioral",
"Research",
"Program,",
"Division",
"of",
"Cancer",
"Control",
"and",
"Population",
"Sciences,",
"National",
"Cancer",
"Institute,",
"Bethesda,",
"MD",
"20852,",
"USA",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Annette",
"Kaufman,",
"kaufmana@mail.nih.gov",
"Received",
"2",
"May",
"2011;",
"Revised",
"1",
"July",
"2011;",
"Accepted",
"5",
"July",
"2011",
"Academic",
"Editor:",
"Susan",
"B.",
"Sisson",
"Copyright",
"©",
"2012",
"Annette",
"Kaufman",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Research",
"has",
"shown",
"that",
"current",
"smokers",
"have",
"a",
"lower",
"mean",
"body",
"mass",
"index",
"(BMI)",
"than",
"never",
"and",
"former",
"smokers,",
"with",
"former",
"smokers",
"having",
"the",
"highest",
"mean",
"BMI.",
"A",
"number",
"of",
"physiological",
"mechanisms",
"have",
"been",
"hypothesized",
"to",
"explain",
"this",
"pattern,",
"but",
"few",
"studies",
"have",
"explored",
"the",
"possible",
"role",
"of",
"behavioral",
"factors.",
"Using",
"data",
"from",
"the",
"cross-sectional",
"National",
"Health",
"and",
"Nutrition",
"Examination",
"Survey",
"1999–2006,",
"this",
"descriptive",
"study",
"explored",
"the",
"associations",
"among",
"smoking",
"status,",
"sedentary",
"behavior,",
"and",
"two",
"anthropometric",
"measures",
"(BMI",
"and",
"waist",
"circumference",
"(WC)).",
"Sedentary",
"behavior",
"was",
"significantly",
"higher",
"among",
"current",
"smokers",
"compared",
"to",
"never",
"and",
"former",
"smokers;",
"former",
"smokers",
"had",
"higher",
"levels",
"of",
"sedentary",
"behavior",
"compared",
"to",
"never",
"smokers.",
"The",
"association",
"between",
"smoking",
"status",
"and",
"anthropometric",
"outcomes",
"was",
"moderated",
"by",
"sedentary",
"behavior,",
"with",
"current",
"smokers",
"evidencing",
"higher",
"BMI",
"and",
"WC",
"at",
"higher",
"levels",
"of",
"sedentary",
"behavior",
"compared",
"to",
"lower",
"levels",
"of",
"sedentary",
"behavior.",
"Results",
"are",
"discussed",
"in",
"terms",
"of",
"their",
"implications",
"for",
"interventions,",
"particularly",
"with",
"respect",
"to",
"postcessation",
"weight",
"gain.",
"1.",
"Background",
"Obesity",
"and",
"tobacco",
"use",
"are",
"the",
"two",
"leading",
"causes",
"of",
"preventable",
"death",
"and",
"disease",
"in",
"the",
"United",
"States",
"[1].",
"Despite",
"declines",
"in",
"smoking",
"prevalence",
"from",
"a",
"peak",
"in",
"the",
"1960s,",
"tobacco",
"use",
"remains",
"the",
"leading",
"cause",
"of",
"preventable",
"death",
"and",
"disease",
"in",
"the",
"USA",
"[2].",
"It",
"is",
"estimated",
"that",
"440,000",
"Americans",
"die",
"prematurely",
"each",
"year",
"as",
"a",
"result",
"of",
"tobacco",
"use",
"and",
"exposure",
"[3].",
"Approximately",
"20.6%",
"of",
"USA",
"adults",
"are",
"current",
"smokers,",
"defined",
"as",
"smoking",
"at",
"least",
"100",
"cigarettes",
"during",
"their",
"lifetime",
"and",
"every",
"day",
"or",
"some",
"days",
"currently",
"[4].",
"As",
"smoking",
"rates",
"have",
"declined,",
"obesity",
"rates",
"(having",
"a",
"body",
"mass",
"index",
"(BMI)",
"of",
"30",
"or",
"higher)",
"have",
"doubled",
"in",
"the",
"USA",
"since",
"1980",
"with",
"recent",
"data",
"indicating",
"that",
"more",
"than",
"33%",
"of",
"USA",
"adults",
"are",
"obese",
"[5].",
"The",
"rate",
"of",
"mortality",
"due",
"to",
"overweight/obesity",
"is",
"estimated",
"to",
"account",
"for",
"approximately",
"365,000",
"deaths",
"yearly",
"[6].",
"Research",
"indicates",
"that",
"smoking",
"and",
"body",
"weight",
"are",
"interrelated,",
"but",
"the",
"relationship",
"is",
"complex",
"and",
"not",
"well",
"understood.",
"In",
"general,",
"cigarette",
"smoking",
"has",
"an",
"inverse",
"association",
"with",
"body",
"weight",
"or",
"BMI",
"[7–9],",
"and",
"smoking",
"cessation",
"has",
"been",
"linked",
"to",
"weight",
"gain",
"[8,",
"10,",
"11].",
"Few",
"studies",
"have",
"examined",
"the",
"relationship",
"between",
"smoking",
"and",
"body",
"shape,",
"specifically",
"central",
"adiposity.",
"Some",
"stud-",
"ies",
"suggest",
"that",
"smokers",
"have",
"greater",
"abdominal",
"obesity",
"compared",
"to",
"nonsmokers",
"[12–14].",
"Independent",
"of",
"overall",
"adiposity,",
"having",
"a",
"larger",
"waist",
"circumference",
"(WC),",
"or",
"android",
"body",
"shape,",
"is",
"associated",
"with",
"mortality",
"in",
"adults",
"age",
"50",
"and",
"older",
"and",
"metabolic",
"disease",
"risk",
"[15–17].",
"Body",
"shape,",
"rather",
"than",
"BMI,",
"may",
"better",
"explain",
"why",
"smokers",
"have",
"a",
"higher",
"risk",
"of",
"metabolic",
"syndrome,",
"in",
"particular",
"type",
"2",
"diabetes",
"[18].",
"A",
"number",
"of",
"biological",
"mechanisms",
"have",
"been",
"proposed",
"to",
"explain",
"this",
"relationship",
"between"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,945,033 | null | [
[
78,
47,
35,
12
],
[
116,
47,
9,
12
],
[
128,
47,
11,
12
],
[
142,
47,
35,
12
],
[
181,
47,
40,
12
],
[
224,
47,
7,
12
],
[
234,
47,
36,
12
],
[
273,
47,
25,
12
],
[
302,
47,
38,
12
],
[
78,
61,
219,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
74,
34
],
[
163,
169,
27,
34
],
[
200,
169,
140,
34
],
[
350,
169,
25,
34
],
[
385,
169,
106,
34
],
[
502,
169,
58,
34
],
[
570,
169,
171,
34
],
[
78,
205,
120,
34
],
[
208,
205,
140,
34
],
[
78,
252,
53,
16
],
[
136,
252,
9,
16
],
[
149,
249,
50,
18
],
[
203,
252,
39,
16
],
[
247,
249,
53,
18
],
[
304,
252,
29,
16
],
[
337,
252,
5,
16
],
[
347,
249,
46,
18
],
[
398,
252,
60,
16
],
[
462,
252,
12,
16
],
[
478,
249,
71,
18
],
[
553,
252,
27,
16
],
[
585,
252,
7,
16
],
[
596,
249,
66,
18
],
[
666,
252,
33,
16
],
[
704,
249,
42,
18
],
[
78,
271,
51,
16
],
[
133,
271,
10,
16
],
[
147,
269,
54,
19
],
[
206,
271,
40,
16
],
[
250,
269,
65,
19
],
[
87,
325,
54,
15
],
[
87,
350,
78,
14
],
[
170,
351,
22,
14
],
[
196,
351,
30,
14
],
[
231,
351,
35,
14
],
[
269,
351,
19,
14
],
[
292,
351,
60,
14
],
[
356,
351,
22,
14
],
[
383,
351,
45,
14
],
[
433,
351,
38,
14
],
[
475,
351,
11,
14
],
[
490,
351,
93,
14
],
[
587,
351,
35,
14
],
[
627,
351,
15,
14
],
[
646,
351,
57,
14
],
[
87,
367,
58,
14
],
[
149,
367,
25,
14
],
[
178,
367,
19,
14
],
[
201,
367,
42,
14
],
[
247,
367,
11,
14
],
[
262,
367,
59,
14
],
[
325,
367,
15,
14
],
[
345,
367,
53,
14
],
[
402,
367,
11,
14
],
[
417,
367,
24,
14
],
[
446,
367,
21,
14
],
[
471,
367,
56,
14
],
[
531,
367,
33,
14
],
[
569,
367,
11,
14
],
[
583,
367,
45,
14
],
[
632,
367,
25,
14
],
[
661,
367,
71,
14
],
[
87,
388,
56,
14
],
[
148,
388,
9,
14
],
[
160,
388,
25,
14
],
[
189,
388,
21,
14
],
[
215,
388,
42,
14
],
[
261,
388,
11,
14
],
[
276,
388,
40,
14
],
[
320,
388,
25,
14
],
[
349,
388,
27,
14
],
[
380,
388,
7,
14
],
[
391,
388,
74,
14
],
[
469,
388,
105,
14
],
[
579,
388,
39,
14
],
[
622,
388,
11,
14
],
[
637,
388,
59,
14
],
[
700,
388,
11,
14
],
[
87,
405,
69,
14
],
[
160,
405,
22,
14
],
[
186,
405,
61,
14
],
[
252,
405,
21,
14
],
[
277,
405,
69,
14
],
[
350,
405,
38,
14
],
[
393,
405,
76,
14
],
[
473,
405,
26,
14
],
[
503,
405,
50,
14
],
[
557,
405,
25,
14
],
[
586,
405,
30,
14
],
[
620,
405,
11,
14
],
[
635,
405,
12,
14
],
[
651,
405,
14,
14
],
[
669,
405,
31,
14
],
[
704,
405,
22,
14
],
[
87,
421,
27,
14
],
[
118,
421,
12,
14
],
[
135,
421,
35,
14
],
[
174,
421,
50,
14
],
[
228,
421,
61,
14
],
[
293,
421,
44,
14
],
[
341,
421,
28,
14
],
[
373,
421,
48,
14
],
[
425,
421,
22,
14
],
[
451,
421,
7,
14
],
[
463,
421,
61,
14
],
[
528,
421,
25,
14
],
[
557,
421,
11,
14
],
[
572,
421,
12,
14
],
[
588,
421,
13,
14
],
[
605,
421,
54,
14
],
[
664,
421,
11,
14
],
[
679,
421,
12,
14
],
[
695,
421,
13,
14
],
[
712,
421,
21,
14
],
[
87,
438,
36,
14
],
[
127,
438,
11,
14
],
[
142,
438,
12,
14
],
[
158,
438,
17,
14
],
[
180,
438,
52,
14
],
[
236,
438,
44,
14
],
[
284,
438,
11,
14
],
[
300,
438,
59,
14
],
[
363,
438,
41,
14
],
[
409,
438,
21,
14
],
[
435,
438,
39,
14
],
[
478,
438,
62,
14
],
[
544,
438,
28,
14
],
[
576,
438,
27,
14
],
[
607,
438,
12,
14
],
[
623,
438,
20,
14
],
[
648,
438,
77,
14
],
[
87,
454,
50,
14
],
[
141,
454,
54,
14
],
[
199,
454,
67,
14
],
[
87,
475,
46,
14
],
[
137,
475,
26,
14
],
[
168,
475,
27,
14
],
[
199,
475,
19,
14
],
[
221,
475,
20,
14
],
[
246,
475,
7,
14
],
[
257,
475,
43,
14
],
[
304,
475,
17,
14
],
[
326,
475,
49,
14
],
[
378,
475,
11,
14
],
[
393,
475,
20,
14
],
[
417,
475,
25,
14
],
[
446,
475,
21,
14
],
[
471,
475,
42,
14
],
[
518,
475,
63,
14
],
[
585,
475,
9,
14
],
[
598,
475,
9,
14
],
[
611,
475,
23,
14
],
[
638,
475,
45,
14
],
[
686,
475,
9,
14
],
[
700,
475,
9,
14
],
[
713,
475,
26,
14
],
[
87,
492,
13,
14
],
[
104,
492,
48,
14
],
[
156,
492,
19,
14
],
[
179,
492,
63,
14
],
[
247,
492,
11,
14
],
[
262,
492,
50,
14
],
[
316,
492,
42,
14
],
[
363,
492,
11,
14
],
[
378,
492,
19,
14
],
[
400,
492,
59,
14
],
[
464,
492,
22,
14
],
[
489,
492,
45,
14
],
[
538,
492,
39,
14
],
[
581,
492,
65,
14
],
[
651,
492,
22,
14
],
[
677,
492,
33,
14
],
[
714,
492,
21,
14
],
[
87,
508,
33,
14
],
[
124,
508,
27,
14
],
[
156,
508,
40,
14
],
[
199,
508,
22,
14
],
[
225,
508,
40,
14
],
[
269,
508,
57,
14
],
[
329,
508,
21,
14
],
[
355,
508,
39,
14
],
[
399,
508,
21,
14
],
[
424,
508,
39,
14
],
[
468,
508,
38,
14
],
[
510,
508,
30,
14
],
[
544,
508,
11,
14
],
[
559,
508,
47,
14
],
[
610,
508,
56,
14
],
[
671,
507,
36,
16
],
[
711,
508,
22,
14
],
[
87,
524,
36,
15
],
[
127,
525,
76,
14
],
[
207,
525,
11,
14
],
[
222,
525,
25,
14
],
[
251,
525,
25,
14
],
[
280,
525,
53,
14
],
[
337,
525,
24,
14
],
[
365,
525,
44,
14
],
[
413,
525,
24,
14
],
[
442,
525,
28,
14
],
[
474,
525,
35,
14
],
[
514,
525,
34,
14
],
[
552,
525,
19,
14
],
[
575,
525,
50,
14
],
[
629,
525,
61,
14
],
[
87,
542,
52,
14
],
[
143,
542,
42,
14
],
[
190,
542,
11,
14
],
[
205,
542,
45,
14
],
[
255,
542,
22,
14
],
[
280,
542,
19,
14
],
[
304,
542,
57,
14
],
[
365,
542,
58,
14
],
[
427,
542,
25,
14
],
[
456,
542,
19,
14
],
[
479,
542,
36,
14
],
[
519,
542,
11,
14
],
[
535,
542,
59,
14
],
[
598,
542,
15,
14
],
[
617,
541,
47,
15
],
[
668,
542,
39,
14
],
[
712,
542,
11,
14
],
[
87,
558,
56,
14
],
[
147,
558,
33,
14
],
[
184,
558,
31,
14
],
[
219,
558,
19,
14
],
[
242,
558,
19,
14
],
[
265,
558,
25,
14
],
[
294,
558,
32,
14
],
[
330,
558,
19,
14
],
[
353,
558,
53,
14
],
[
410,
558,
11,
14
],
[
426,
558,
45,
14
],
[
475,
558,
67,
14
],
[
546,
558,
67,
14
],
[
616,
558,
25,
14
],
[
645,
558,
30,
14
],
[
680,
558,
27,
14
],
[
87,
575,
46,
14
],
[
138,
575,
22,
14
],
[
163,
575,
60,
14
],
[
228,
575,
22,
14
],
[
254,
575,
19,
14
],
[
276,
575,
44,
14
],
[
325,
575,
56,
14
],
[
384,
575,
30,
14
],
[
419,
575,
28,
14
],
[
452,
575,
44,
14
],
[
500,
575,
40,
14
],
[
87,
595,
75,
14
],
[
167,
595,
40,
14
],
[
211,
595,
11,
14
],
[
227,
595,
59,
14
],
[
290,
595,
11,
14
],
[
305,
595,
69,
14
],
[
378,
595,
27,
14
],
[
409,
595,
78,
14
],
[
492,
595,
47,
14
],
[
543,
595,
56,
14
],
[
603,
595,
81,
14
],
[
688,
595,
11,
14
],
[
703,
595,
25,
14
],
[
87,
612,
21,
14
],
[
113,
612,
56,
14
],
[
173,
612,
33,
14
],
[
210,
612,
25,
14
],
[
239,
612,
36,
14
],
[
280,
612,
22,
14
],
[
306,
612,
25,
14
],
[
335,
612,
21,
14
],
[
360,
612,
42,
14
],
[
406,
612,
11,
14
],
[
422,
612,
25,
14
],
[
451,
612,
35,
14
],
[
490,
612,
22,
14
],
[
517,
612,
19,
14
],
[
539,
612,
42,
14
],
[
585,
612,
11,
14
],
[
601,
612,
59,
14
],
[
664,
612,
40,
14
],
[
87,
629,
45,
14
],
[
136,
629,
25,
14
],
[
165,
629,
69,
14
],
[
238,
629,
27,
14
],
[
269,
629,
19,
14
],
[
293,
629,
23,
14
],
[
320,
629,
12,
14
],
[
336,
629,
7,
14
],
[
346,
629,
47,
14
],
[
397,
629,
11,
14
],
[
413,
629,
45,
14
],
[
463,
629,
38,
14
],
[
505,
629,
11,
14
],
[
520,
629,
95,
14
],
[
78,
675,
80,
15
],
[
78,
692,
73,
14
],
[
156,
692,
9,
14
],
[
169,
692,
7,
14
],
[
179,
692,
47,
14
],
[
230,
692,
23,
14
],
[
257,
692,
9,
14
],
[
270,
692,
34,
14
],
[
307,
692,
11,
14
],
[
323,
692,
81,
14
],
[
78,
708,
17,
14
],
[
100,
708,
12,
14
],
[
117,
708,
19,
14
],
[
142,
708,
44,
14
],
[
191,
708,
66,
14
],
[
261,
708,
22,
14
],
[
289,
708,
10,
14
],
[
303,
708,
81,
14
],
[
390,
708,
14,
14
],
[
78,
725,
44,
14
],
[
127,
725,
65,
14
],
[
196,
725,
25,
14
],
[
226,
725,
21,
14
],
[
252,
725,
62,
14
],
[
318,
725,
19,
14
],
[
342,
725,
61,
14
],
[
78,
742,
59,
14
],
[
142,
742,
23,
14
],
[
169,
742,
30,
14
],
[
204,
742,
65,
14
],
[
273,
742,
72,
14
],
[
349,
742,
18,
14
],
[
371,
742,
32,
14
],
[
78,
758,
25,
14
],
[
108,
758,
13,
14
],
[
125,
758,
42,
14
],
[
171,
758,
57,
14
],
[
233,
758,
37,
14
],
[
274,
758,
29,
14
],
[
307,
758,
70,
14
],
[
382,
758,
21,
14
],
[
78,
775,
53,
14
],
[
135,
775,
29,
14
],
[
168,
775,
20,
14
],
[
192,
775,
20,
14
],
[
216,
775,
19,
14
],
[
240,
775,
18,
14
],
[
262,
775,
27,
14
],
[
293,
775,
56,
14
],
[
353,
775,
50,
14
],
[
78,
791,
20,
14
],
[
104,
791,
22,
14
],
[
131,
791,
41,
14
],
[
177,
791,
22,
14
],
[
204,
791,
12,
14
],
[
222,
791,
21,
14
],
[
247,
791,
50,
14
],
[
302,
791,
12,
14
],
[
320,
791,
20,
14
],
[
345,
791,
19,
14
],
[
369,
791,
35,
14
],
[
78,
808,
45,
14
],
[
128,
808,
40,
14
],
[
173,
808,
80,
14
],
[
258,
808,
32,
14
],
[
295,
808,
51,
14
],
[
351,
808,
52,
14
],
[
78,
825,
38,
14
],
[
121,
825,
16,
14
],
[
143,
825,
29,
14
],
[
177,
825,
67,
14
],
[
249,
825,
12,
14
],
[
266,
825,
43,
14
],
[
314,
825,
24,
14
],
[
343,
825,
28,
14
],
[
376,
825,
28,
14
],
[
78,
841,
53,
14
],
[
135,
841,
11,
14
],
[
151,
841,
47,
14
],
[
89,
858,
69,
14
],
[
163,
858,
7,
14
],
[
174,
858,
39,
14
],
[
217,
858,
52,
14
],
[
274,
858,
52,
14
],
[
330,
858,
12,
14
],
[
347,
858,
56,
14
],
[
78,
875,
22,
14
],
[
105,
875,
95,
14
],
[
204,
875,
22,
14
],
[
231,
875,
55,
14
],
[
290,
875,
12,
14
],
[
307,
875,
19,
14
],
[
330,
875,
28,
14
],
[
363,
875,
17,
14
],
[
385,
875,
19,
14
],
[
78,
891,
76,
14
],
[
160,
891,
12,
14
],
[
176,
891,
74,
14
],
[
255,
891,
12,
14
],
[
272,
891,
27,
14
],
[
304,
891,
32,
14
],
[
341,
891,
63,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
71,
11
],
[
78,
948,
20,
13
],
[
101,
950,
37,
11
],
[
141,
950,
53,
11
],
[
197,
950,
16,
11
],
[
216,
950,
42,
11
],
[
261,
950,
30,
11
],
[
294,
950,
52,
11
],
[
349,
950,
9,
11
],
[
361,
950,
27,
11
],
[
78,
962,
18,
11
],
[
423,
675,
41,
14
],
[
468,
675,
11,
14
],
[
484,
675,
39,
14
],
[
527,
675,
70,
14
],
[
602,
675,
42,
14
],
[
648,
675,
23,
14
],
[
675,
675,
60,
14
],
[
739,
675,
9,
14
],
[
423,
692,
61,
14
],
[
488,
692,
12,
14
],
[
505,
692,
19,
14
],
[
528,
692,
57,
14
],
[
589,
692,
12,
14
],
[
605,
692,
46,
14
],
[
656,
692,
26,
14
],
[
686,
692,
62,
14
],
[
423,
708,
45,
14
],
[
472,
708,
29,
14
],
[
506,
708,
13,
14
],
[
523,
708,
48,
14
],
[
576,
708,
62,
14
],
[
643,
708,
20,
14
],
[
667,
708,
81,
14
],
[
423,
725,
43,
14
],
[
471,
725,
12,
14
],
[
487,
725,
19,
14
],
[
510,
725,
50,
14
],
[
564,
725,
21,
14
],
[
590,
725,
53,
14
],
[
647,
725,
42,
14
],
[
693,
725,
12,
14
],
[
709,
725,
39,
14
],
[
423,
742,
24,
14
],
[
451,
742,
29,
14
],
[
484,
742,
12,
14
],
[
500,
742,
24,
14
],
[
528,
742,
12,
14
],
[
545,
742,
12,
14
],
[
561,
742,
19,
14
],
[
584,
742,
38,
14
],
[
626,
742,
37,
14
],
[
667,
742,
32,
14
],
[
704,
742,
44,
14
],
[
423,
758,
22,
14
],
[
449,
758,
35,
14
],
[
489,
758,
35,
14
],
[
528,
758,
32,
14
],
[
565,
758,
44,
14
],
[
614,
758,
42,
14
],
[
661,
758,
12,
14
],
[
677,
758,
71,
14
],
[
423,
775,
25,
14
],
[
453,
775,
30,
14
],
[
487,
775,
64,
14
],
[
555,
775,
10,
14
],
[
570,
775,
61,
14
],
[
635,
775,
12,
14
],
[
651,
775,
19,
14
],
[
675,
775,
57,
14
],
[
736,
775,
12,
14
],
[
423,
791,
19,
14
],
[
446,
791,
41,
14
],
[
492,
791,
47,
14
],
[
544,
791,
60,
14
],
[
609,
791,
60,
14
],
[
673,
791,
26,
14
],
[
704,
791,
44,
14
],
[
423,
808,
24,
14
],
[
451,
808,
21,
14
],
[
476,
808,
18,
14
],
[
499,
808,
25,
14
],
[
528,
808,
58,
14
],
[
589,
808,
25,
14
],
[
619,
808,
45,
14
],
[
668,
808,
65,
14
],
[
736,
808,
12,
14
],
[
423,
825,
78,
14
],
[
505,
825,
45,
14
],
[
554,
825,
29,
14
],
[
587,
825,
23,
14
],
[
614,
825,
37,
14
],
[
656,
825,
11,
14
],
[
671,
825,
24,
14
],
[
699,
825,
49,
14
],
[
423,
841,
60,
14
],
[
487,
841,
42,
14
],
[
534,
841,
29,
14
],
[
568,
841,
12,
14
],
[
584,
841,
62,
14
],
[
651,
841,
12,
14
],
[
667,
841,
19,
14
],
[
690,
841,
58,
14
],
[
423,
858,
11,
14
],
[
438,
858,
70,
14
],
[
513,
858,
26,
14
],
[
543,
858,
27,
14
],
[
574,
858,
58,
14
],
[
636,
858,
49,
14
],
[
689,
858,
37,
14
],
[
434,
875,
46,
14
],
[
484,
875,
26,
14
],
[
514,
875,
72,
14
],
[
590,
875,
59,
14
],
[
653,
875,
36,
14
],
[
693,
875,
55,
14
],
[
423,
891,
13,
14
],
[
442,
891,
39,
14
],
[
488,
891,
42,
14
],
[
537,
891,
23,
14
],
[
567,
891,
20,
14
],
[
594,
891,
66,
14
],
[
667,
891,
12,
14
],
[
686,
891,
42,
14
],
[
736,
891,
12,
14
],
[
423,
908,
45,
14
],
[
472,
908,
25,
14
],
[
501,
908,
70,
14
],
[
575,
908,
32,
14
],
[
612,
908,
9,
14
],
[
625,
908,
38,
14
],
[
667,
908,
39,
14
],
[
710,
908,
23,
14
],
[
736,
908,
12,
14
],
[
423,
924,
45,
14
],
[
472,
924,
25,
14
],
[
501,
924,
75,
14
],
[
580,
924,
13,
14
],
[
597,
924,
66,
14
],
[
667,
924,
45,
14
],
[
716,
924,
32,
14
],
[
423,
941,
45,
14
],
[
472,
941,
18,
14
],
[
495,
941,
90,
14
],
[
590,
941,
39,
14
],
[
633,
941,
12,
14
],
[
649,
941,
19,
14
],
[
673,
941,
55,
14
],
[
733,
941,
16,
14
],
[
423,
957,
47,
14
],
[
476,
957,
27,
14
],
[
509,
957,
36,
14
],
[
552,
957,
7,
14
],
[
565,
957,
38,
14
],
[
609,
957,
64,
14
],
[
679,
957,
69,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
28,
10
],
[
306,
987,
8,
10
],
[
316,
987,
10,
10
],
[
328,
987,
30,
10
],
[
360,
987,
29,
10
],
[
391,
987,
27,
10
],
[
420,
987,
14,
10
],
[
436,
987,
15,
10
],
[
453,
987,
6,
10
],
[
461,
987,
10,
10
],
[
473,
987,
20,
10
],
[
495,
987,
24,
10
],
[
521,
987,
23,
10
],
[
546,
987,
41,
10
],
[
589,
987,
23,
10
],
[
613,
987,
13,
10
],
[
628,
987,
22,
10
],
[
652,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Bradley",
"et",
"al.",
"Arthritis",
"Research",
"&",
"Therapy",
"2010,",
"12:R141",
"http://arthritis-research.com/content/12/4/R141",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Effect",
"of",
"duloxetine",
"in",
"patients",
"with",
"fibromyalgia:",
"tiredness",
"subgroups",
"Laurence",
"A",
"Bradley1,",
"Robert",
"Bennett2,",
"Irwin",
"J",
"Russell3,",
"Madelaine",
"M",
"Wohlreich4*,",
"Amy",
"S",
"Chappell5,6,",
"Fujun",
"Wang7,",
"Deborah",
"N",
"D’Souza8,",
"Harvey",
"Moldofsky9",
"Abstract",
"Introduction:",
"This",
"study",
"tested",
"the",
"hypothesis",
"that",
"baseline",
"ratings",
"of",
"fatigue/tiredness",
"would",
"be",
"negatively",
"associated",
"with",
"the",
"efficacy",
"of",
"duloxetine",
"on",
"measures",
"of",
"pain",
"and",
"functional",
"ability",
"in",
"patients",
"with",
"fibromyalgia.",
"Methods:",
"A",
"post",
"hoc",
"analysis",
"of",
"pooled",
"data",
"from",
"4",
"double-blind,",
"placebo-controlled",
"studies",
"of",
"duloxetine",
"in",
"fibromyalgia",
"was",
"performed.",
"The",
"fibromyalgia",
"impact",
"questionnaire",
"(FIQ)",
"tiredness",
"item",
"score",
"(0",
"to",
"10",
"scale)",
"was",
"used",
"to",
"define",
"tiredness",
"subgroups.",
"Patients",
"were",
"stratified",
"into",
"3",
"subgroups:",
"mild",
"(0",
"to",
"3),",
"moderate",
"(4",
"to",
"6),",
"and",
"severe",
"(7",
"to",
"10)",
"tiredness.",
"Analysis",
"of",
"covariance",
"models",
"and",
"logistic",
"regressions",
"were",
"used",
"to",
"test",
"treatment-by-",
"tiredness",
"subgroup",
"interactions.",
"Results:",
"Data",
"from",
"the",
"first",
"3",
"months",
"are",
"included",
"in",
"this",
"post",
"hoc",
"analysis",
"(duloxetine",
"N",
"=",
"797,",
"placebo",
"N",
"=",
"535).",
"At",
"baseline,",
"the",
"distribution",
"of",
"tiredness",
"severity",
"in",
"the",
"duloxetine",
"and",
"placebo",
"groups",
"respectively",
"was",
"3.64%",
"and",
"3.75%",
"mild,",
"16.71%",
"and",
"15.57%",
"moderate,",
"and",
"79.65%",
"and",
"80.68%",
"severe.",
"Rates",
"of",
"clinically",
"significant",
"(≥30%",
"and",
"≥50%)",
"improvement",
"in",
"brief",
"pain",
"inventory",
"(BPI)",
"average",
"pain",
"were",
"similar",
"across",
"the",
"tiredness",
"subgroups.",
"Tiredness",
"severity",
"at",
"baseline",
"was",
"not",
"negatively",
"associated",
"with",
"the",
"effects",
"of",
"duloxetine",
"on",
"patients’",
"reports",
"of",
"functional",
"ability",
"using",
"the",
"FIQ",
"total",
"score,",
"FIQ",
"measures",
"of",
"physical",
"impairment,",
"interference",
"with",
"work,",
"pain,",
"stiffness,",
"and",
"depression",
"and",
"the",
"medical",
"outcomes",
"study",
"short",
"form-36",
"(SF-36).",
"Conclusions:",
"Studies",
"of",
"duloxetine",
"in",
"fibromyalgia",
"have",
"demonstrated",
"clinically",
"significant",
"improvements",
"in",
"pain",
"and",
"functional",
"ability",
"(FIQ,",
"SF-36).",
"This",
"post",
"hoc",
"analysis",
"of",
"data",
"shows",
"that",
"the",
"efficacy",
"of",
"duloxetine",
"among",
"patients",
"with",
"fibromyalgia",
"does",
"not",
"vary",
"as",
"a",
"function",
"of",
"baseline",
"ratings",
"of",
"fatigue/tiredness.",
"Introduction",
"Fibromyalgia",
"is",
"a",
"disorder",
"that",
"is",
"found",
"in",
"approximately",
"2%",
"of",
"the",
"general",
"population",
"and",
"is",
"characterized",
"by",
"chronic",
"widespread",
"pain",
"and",
"tenderness",
"[1].",
"Additional",
"symptoms",
"that",
"often",
"accompany",
"fibromyalgia",
"are",
"tired-",
"ness",
"or",
"fatigue,",
"depressed",
"mood,",
"sleep",
"disturbance,",
"and",
"headache",
"[2,3].",
"We",
"will",
"use",
"the",
"term",
"‘tiredness’",
"through-",
"out",
"this",
"report,",
"due",
"to",
"our",
"decision",
"to",
"use",
"the",
"fibro-",
"myalgia",
"impact",
"questionnaire",
"(FIQ)",
"outcome",
"measure,",
"unless",
"we",
"refer",
"specifically",
"to",
"studies",
"that",
"have",
"used",
"measures",
"of",
"‘fatigue’.",
"Duloxetine,",
"a",
"potent",
"reuptake",
"inhibitor",
"of",
"serotonin",
"and",
"norepinephrine,",
"was",
"approved",
"in",
"the",
"USA",
"for",
"the",
"management",
"of",
"fibromyalgia",
"in",
"June",
"2008.",
"Preclinical",
"*",
"Correspondence:",
"mwmd@lilly.com",
"4Lilly",
"Research",
"Laboratories,",
"Lilly",
"Corporate",
"Center,",
"Indianapolis,",
"IN",
"46285,",
"USA",
"models",
"of",
"central",
"sensitization",
"suggest",
"that",
"duloxetine",
"is",
"efficacious",
"in",
"the",
"treatment",
"of",
"patients",
"with",
"persistent/",
"chronic",
"pain.",
"In",
"rodents,",
"duloxetine",
"has",
"demonstrated",
"efficacy",
"in",
"the",
"formalin",
"and",
"capsaicin",
"models",
"of",
"persis-",
"tent",
"pain,",
"as",
"well",
"as",
"in",
"the",
"partial",
"sciatic",
"nerve",
"ligation",
"and",
"L5/L6",
"spinal",
"nerve",
"ligation",
"models",
"of",
"neuropathic",
"pain",
"[4,5].",
"Duloxetine",
"is",
"efficacious",
"in",
"the",
"treatment",
"of",
"the",
"painful",
"physical",
"symptoms",
"associated",
"with",
"depres-",
"sion",
"and",
"the",
"pain",
"associated",
"with",
"diabetic",
"neuropathy",
"in",
"nondepressed",
"patients",
"[6,7].",
"The",
"results",
"of",
"four",
"placebo-",
"controlled",
"clinical",
"trials",
"of",
"duloxetine",
"in",
"the",
"treatment",
"of",
"fibromyalgia",
"have",
"been",
"previously",
"reported",
"[8-11].",
"Patients",
"with",
"fibromyalgia",
"frequently",
"report",
"moderate",
"to",
"severe",
"fatigue",
"and",
"the",
"prevalence",
"of",
"fatigue",
"in",
"patients",
"with",
"fibromyalgia",
"(76%)",
"is",
"almost",
"double",
"that",
"of",
"patients",
"with",
"osteoarthritis",
"or",
"rheumatoid",
"arthritis",
"(41%)",
"[12,13].",
"An",
"evidence-based",
"review",
"of",
"the",
"literature",
"on",
"chronic",
"pain",
"found",
"a",
"highly",
"consistent",
"association",
"©",
"2010",
"Bradley",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,135,089 | null | [
[
70,
61,
39,
11
],
[
111,
61,
48,
11
],
[
161,
61,
56,
11
],
[
70,
74,
26,
12
],
[
98,
74,
40,
12
],
[
70,
88,
35,
12
],
[
107,
88,
25,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
11,
12
],
[
230,
88,
25,
12
],
[
70,
101,
113,
12
],
[
70,
187,
70,
25
],
[
145,
187,
64,
25
],
[
70,
220,
41,
25
],
[
116,
220,
50,
25
],
[
170,
220,
32,
25
],
[
206,
220,
35,
25
],
[
245,
220,
39,
25
],
[
288,
220,
22,
25
],
[
315,
220,
73,
26
],
[
393,
220,
91,
25
],
[
489,
220,
22,
25
],
[
515,
220,
27,
25
],
[
547,
220,
115,
25
],
[
70,
248,
89,
25
],
[
163,
248,
32,
25
],
[
200,
248,
92,
25
],
[
296,
248,
83,
25
],
[
120,
316,
35,
17
],
[
157,
316,
69,
17
],
[
120,
348,
35,
13
],
[
158,
348,
11,
13
],
[
171,
348,
39,
13
],
[
212,
348,
63,
13
],
[
278,
348,
102,
13
],
[
382,
348,
33,
13
],
[
417,
348,
14,
13
],
[
433,
348,
32,
13
],
[
467,
348,
36,
13
],
[
505,
348,
38,
13
],
[
546,
348,
38,
13
],
[
586,
348,
41,
13
],
[
630,
348,
50,
13
],
[
681,
348,
33,
13
],
[
717,
348,
45,
13
],
[
120,
362,
18,
13
],
[
141,
362,
35,
13
],
[
178,
362,
31,
13
],
[
211,
362,
25,
13
],
[
239,
362,
37,
13
],
[
278,
362,
41,
13
],
[
321,
362,
22,
13
],
[
345,
362,
39,
13
],
[
387,
362,
26,
13
],
[
415,
362,
19,
13
],
[
120,
390,
82,
13
],
[
205,
390,
35,
13
],
[
241,
390,
12,
13
],
[
256,
390,
49,
13
],
[
308,
390,
11,
13
],
[
321,
390,
24,
13
],
[
348,
390,
51,
13
],
[
401,
390,
138,
13
],
[
120,
417,
44,
13
],
[
166,
417,
6,
13
],
[
175,
417,
39,
13
],
[
217,
417,
28,
13
],
[
246,
417,
45,
13
],
[
294,
417,
12,
13
],
[
309,
417,
45,
13
],
[
357,
417,
25,
13
],
[
120,
443,
49,
13
],
[
172,
443,
35,
13
],
[
209,
443,
38,
13
],
[
250,
443,
15,
13
],
[
266,
443,
28,
13
],
[
120,
468,
51,
13
],
[
174,
468,
9,
13
],
[
186,
468,
25,
13
],
[
213,
468,
24,
13
],
[
240,
468,
51,
13
],
[
295,
468,
22,
13
],
[
321,
468,
8,
13
],
[
333,
468,
13,
13
],
[
349,
468,
25,
13
],
[
378,
468,
30,
13
],
[
412,
468,
31,
13
],
[
447,
468,
55,
13
],
[
506,
468,
30,
13
],
[
540,
468,
16,
13
],
[
560,
468,
41,
13
],
[
605,
468,
53,
13
],
[
662,
468,
57,
13
],
[
723,
468,
40,
13
],
[
120,
483,
31,
13
],
[
153,
483,
39,
13
],
[
194,
483,
60,
13
],
[
258,
483,
20,
13
],
[
280,
483,
63,
13
],
[
345,
483,
19,
13
],
[
367,
483,
66,
13
],
[
436,
483,
11,
13
],
[
449,
483,
18,
13
],
[
469,
483,
46,
13
],
[
517,
483,
45,
13
],
[
565,
483,
16,
13
],
[
584,
483,
40,
13
],
[
625,
483,
26,
13
],
[
654,
483,
8,
13
],
[
664,
483,
43,
13
],
[
710,
483,
28,
13
],
[
120,
509,
43,
13
],
[
167,
509,
38,
13
],
[
208,
509,
8,
13
],
[
220,
509,
6,
13
],
[
229,
509,
30,
13
],
[
263,
509,
66,
13
],
[
333,
509,
11,
13
],
[
346,
509,
61,
13
],
[
411,
509,
53,
13
],
[
468,
509,
45,
13
],
[
517,
509,
51,
13
],
[
571,
509,
23,
13
],
[
597,
509,
23,
13
],
[
623,
509,
47,
13
],
[
674,
509,
23,
13
],
[
700,
509,
28,
13
],
[
731,
509,
32,
13
],
[
120,
524,
41,
13
],
[
164,
524,
62,
13
],
[
229,
524,
38,
13
],
[
270,
524,
8,
13
],
[
281,
524,
26,
13
],
[
311,
524,
54,
13
],
[
368,
524,
46,
13
],
[
417,
524,
20,
13
],
[
440,
524,
36,
13
],
[
479,
524,
16,
13
],
[
498,
524,
95,
13
],
[
596,
524,
46,
13
],
[
645,
524,
34,
13
],
[
682,
524,
12,
13
],
[
697,
524,
38,
13
],
[
739,
524,
15,
13
],
[
757,
524,
6,
13
],
[
120,
538,
41,
13
],
[
163,
538,
20,
13
],
[
185,
538,
11,
13
],
[
198,
538,
42,
13
],
[
243,
538,
47,
13
],
[
292,
538,
23,
13
],
[
318,
538,
33,
13
],
[
353,
538,
37,
13
],
[
392,
538,
14,
13
],
[
408,
538,
16,
13
],
[
427,
538,
30,
13
],
[
460,
538,
11,
13
],
[
473,
538,
35,
13
],
[
511,
538,
41,
13
],
[
554,
538,
10,
13
],
[
567,
538,
13,
13
],
[
582,
538,
52,
13
],
[
637,
538,
38,
13
],
[
677,
538,
15,
13
],
[
695,
538,
16,
13
],
[
714,
538,
49,
13
],
[
120,
553,
11,
13
],
[
134,
553,
40,
13
],
[
178,
553,
41,
13
],
[
222,
553,
20,
13
],
[
246,
553,
37,
13
],
[
287,
553,
54,
13
],
[
344,
553,
11,
13
],
[
358,
553,
35,
13
],
[
397,
553,
37,
13
],
[
437,
553,
17,
13
],
[
457,
553,
11,
13
],
[
471,
553,
38,
13
],
[
513,
553,
8,
13
],
[
525,
553,
65,
13
],
[
593,
553,
44,
13
],
[
641,
553,
25,
13
],
[
670,
553,
66,
13
],
[
739,
553,
24,
13
],
[
120,
567,
31,
13
],
[
153,
567,
19,
13
],
[
175,
567,
35,
13
],
[
212,
567,
37,
13
],
[
251,
567,
20,
13
],
[
274,
567,
63,
13
],
[
339,
567,
16,
13
],
[
357,
567,
45,
13
],
[
405,
567,
15,
13
],
[
422,
567,
35,
13
],
[
460,
567,
41,
13
],
[
503,
567,
10,
13
],
[
515,
567,
13,
13
],
[
530,
567,
52,
13
],
[
585,
567,
38,
13
],
[
625,
567,
15,
13
],
[
643,
567,
40,
13
],
[
685,
567,
38,
13
],
[
725,
567,
16,
13
],
[
743,
567,
20,
13
],
[
120,
581,
50,
13
],
[
70,
638,
13,
17
],
[
86,
638,
93,
17
],
[
70,
668,
23,
14
],
[
98,
668,
44,
14
],
[
146,
668,
26,
14
],
[
177,
668,
18,
14
],
[
200,
668,
34,
14
],
[
239,
668,
35,
14
],
[
279,
668,
21,
14
],
[
305,
668,
55,
14
],
[
365,
668,
39,
14
],
[
70,
684,
12,
14
],
[
87,
684,
42,
14
],
[
135,
684,
21,
14
],
[
161,
684,
13,
14
],
[
179,
684,
30,
14
],
[
215,
684,
14,
14
],
[
235,
684,
54,
14
],
[
294,
684,
20,
14
],
[
320,
684,
41,
14
],
[
367,
684,
37,
14
],
[
70,
700,
26,
14
],
[
102,
700,
45,
14
],
[
152,
700,
25,
14
],
[
183,
700,
42,
14
],
[
231,
700,
21,
14
],
[
258,
700,
28,
14
],
[
291,
700,
12,
14
],
[
308,
700,
6,
14
],
[
320,
700,
41,
14
],
[
367,
700,
37,
14
],
[
70,
715,
63,
14
],
[
137,
715,
12,
14
],
[
153,
715,
27,
14
],
[
183,
715,
50,
14
],
[
238,
715,
21,
14
],
[
262,
715,
43,
14
],
[
309,
715,
9,
14
],
[
322,
715,
38,
14
],
[
364,
715,
14,
14
],
[
381,
715,
23,
14
],
[
70,
731,
61,
14
],
[
137,
731,
48,
14
],
[
191,
731,
56,
14
],
[
253,
731,
12,
14
],
[
271,
731,
18,
14
],
[
294,
731,
32,
14
],
[
333,
731,
71,
14
],
[
70,
747,
23,
14
],
[
96,
747,
39,
14
],
[
137,
747,
32,
14
],
[
171,
747,
48,
14
],
[
223,
747,
68,
14
],
[
294,
747,
62,
14
],
[
359,
747,
10,
14
],
[
371,
747,
33,
14
],
[
70,
763,
10,
14
],
[
86,
763,
31,
14
],
[
124,
763,
10,
14
],
[
140,
763,
51,
14
],
[
199,
763,
21,
14
],
[
227,
763,
28,
14
],
[
261,
763,
47,
14
],
[
314,
763,
10,
14
],
[
331,
763,
46,
14
],
[
383,
763,
21,
14
],
[
70,
779,
22,
14
],
[
100,
779,
48,
14
],
[
156,
779,
12,
14
],
[
175,
779,
57,
14
],
[
239,
779,
21,
14
],
[
268,
779,
52,
14
],
[
328,
779,
9,
14
],
[
345,
779,
38,
14
],
[
390,
779,
14,
14
],
[
70,
794,
10,
14
],
[
86,
794,
59,
14
],
[
151,
794,
53,
14
],
[
210,
794,
25,
14
],
[
241,
794,
18,
14
],
[
265,
794,
40,
14
],
[
311,
794,
40,
14
],
[
357,
794,
28,
14
],
[
390,
794,
14,
14
],
[
70,
810,
46,
14
],
[
121,
810,
21,
14
],
[
148,
810,
50,
14
],
[
204,
810,
45,
14
],
[
254,
810,
13,
14
],
[
272,
810,
18,
14
],
[
295,
810,
43,
14
],
[
344,
810,
12,
14
],
[
361,
810,
43,
14
],
[
70,
826,
21,
14
],
[
95,
826,
46,
15
],
[
144,
826,
58,
14
],
[
205,
826,
10,
14
],
[
218,
826,
59,
14
],
[
281,
826,
50,
14
],
[
334,
826,
20,
14
],
[
357,
826,
47,
14
],
[
70,
842,
44,
14
],
[
116,
842,
40,
14
],
[
159,
842,
55,
14
],
[
217,
842,
34,
14
],
[
254,
842,
21,
14
],
[
278,
842,
28,
14
],
[
309,
842,
22,
14
],
[
334,
842,
20,
14
],
[
358,
842,
12,
14
],
[
372,
842,
32,
14
],
[
70,
857,
47,
14
],
[
119,
857,
48,
14
],
[
170,
857,
66,
14
],
[
238,
857,
18,
14
],
[
259,
857,
83,
14
],
[
344,
857,
12,
14
],
[
359,
857,
46,
15
],
[
70,
873,
58,
14
],
[
91,
892,
36,
14
],
[
134,
892,
42,
14
],
[
184,
892,
19,
14
],
[
210,
892,
47,
14
],
[
265,
892,
82,
14
],
[
354,
892,
22,
14
],
[
384,
892,
20,
14
],
[
70,
908,
32,
14
],
[
108,
908,
33,
14
],
[
147,
908,
13,
14
],
[
166,
908,
12,
14
],
[
184,
908,
75,
14
],
[
266,
908,
28,
14
],
[
301,
908,
41,
14
],
[
349,
908,
55,
14
],
[
70,
924,
49,
14
],
[
125,
924,
25,
14
],
[
156,
924,
30,
14
],
[
191,
924,
99,
14
],
[
296,
924,
30,
14
],
[
331,
924,
28,
14
],
[
365,
924,
39,
14
],
[
70,
940,
30,
14
],
[
103,
940,
62,
14
],
[
169,
940,
40,
14
],
[
212,
940,
55,
14
],
[
271,
940,
44,
14
],
[
318,
940,
21,
14
],
[
343,
940,
61,
14
],
[
70,
956,
44,
14
],
[
118,
956,
80,
14
],
[
201,
956,
44,
14
],
[
249,
956,
21,
14
],
[
274,
956,
44,
14
],
[
321,
956,
45,
14
],
[
370,
956,
34,
14
],
[
70,
972,
9,
14
],
[
83,
972,
74,
14
],
[
161,
972,
14,
14
],
[
178,
972,
31,
14
],
[
212,
972,
21,
14
],
[
237,
972,
69,
14
],
[
310,
972,
48,
14
],
[
362,
972,
42,
14
],
[
70,
988,
19,
14
],
[
92,
988,
18,
14
],
[
113,
988,
40,
14
],
[
156,
988,
52,
14
],
[
212,
988,
22,
14
],
[
236,
988,
12,
14
],
[
251,
988,
14,
14
],
[
268,
988,
18,
14
],
[
289,
988,
34,
14
],
[
326,
988,
79,
14
],
[
70,
1003,
21,
14
],
[
95,
1003,
9,
14
],
[
107,
1003,
56,
14
],
[
167,
1003,
25,
14
],
[
196,
1003,
57,
14
],
[
256,
1003,
51,
14
],
[
310,
1003,
21,
14
],
[
335,
1003,
69,
14
],
[
70,
1019,
40,
14
],
[
112,
1019,
12,
14
],
[
127,
1019,
52,
14
],
[
182,
1019,
46,
14
],
[
231,
1019,
34,
14
],
[
449,
640,
67,
14
],
[
524,
640,
57,
14
],
[
589,
640,
9,
14
],
[
606,
640,
24,
14
],
[
638,
640,
18,
14
],
[
663,
640,
49,
14
],
[
720,
640,
12,
14
],
[
739,
640,
23,
14
],
[
428,
656,
17,
14
],
[
451,
656,
34,
14
],
[
491,
656,
42,
14
],
[
539,
656,
12,
14
],
[
557,
656,
27,
14
],
[
590,
656,
34,
14
],
[
630,
656,
21,
14
],
[
657,
656,
46,
14
],
[
710,
656,
53,
14
],
[
428,
672,
18,
14
],
[
454,
672,
54,
14
],
[
515,
672,
80,
14
],
[
603,
672,
21,
14
],
[
631,
672,
66,
14
],
[
705,
672,
28,
14
],
[
740,
672,
22,
14
],
[
428,
688,
77,
14
],
[
512,
688,
18,
14
],
[
537,
688,
61,
14
],
[
605,
688,
12,
14
],
[
623,
688,
57,
14
],
[
688,
688,
25,
14
],
[
719,
688,
43,
14
],
[
428,
704,
12,
14
],
[
445,
704,
34,
14
],
[
485,
704,
21,
14
],
[
512,
704,
12,
14
],
[
530,
704,
46,
14
],
[
581,
704,
16,
14
],
[
603,
704,
16,
14
],
[
624,
704,
53,
14
],
[
682,
704,
26,
14
],
[
713,
704,
25,
14
],
[
744,
704,
18,
14
],
[
428,
719,
54,
14
],
[
485,
719,
41,
15
],
[
529,
719,
12,
14
],
[
544,
719,
61,
14
],
[
607,
719,
39,
14
],
[
649,
719,
27,
14
],
[
678,
719,
53,
14
],
[
734,
719,
29,
14
],
[
428,
735,
25,
14
],
[
457,
735,
12,
14
],
[
473,
735,
34,
14
],
[
511,
735,
21,
14
],
[
536,
735,
35,
14
],
[
575,
735,
12,
14
],
[
591,
735,
49,
14
],
[
644,
735,
60,
14
],
[
708,
735,
54,
14
],
[
428,
751,
42,
14
],
[
478,
751,
11,
14
],
[
498,
751,
51,
14
],
[
556,
751,
73,
14
],
[
638,
751,
12,
14
],
[
657,
751,
72,
14
],
[
737,
751,
25,
14
],
[
428,
767,
69,
14
],
[
500,
767,
32,
14
],
[
535,
767,
22,
14
],
[
560,
767,
40,
14
],
[
603,
767,
105,
14
],
[
710,
767,
52,
14
],
[
428,
782,
38,
14
],
[
470,
782,
14,
14
],
[
488,
782,
46,
14
],
[
538,
782,
26,
14
],
[
567,
782,
27,
14
],
[
598,
782,
46,
14
],
[
648,
782,
11,
14
],
[
663,
782,
6,
14
],
[
674,
782,
22,
14
],
[
700,
782,
12,
14
],
[
716,
782,
47,
14
],
[
428,
798,
18,
14
],
[
452,
798,
49,
14
],
[
507,
798,
12,
14
],
[
524,
798,
34,
14
],
[
564,
798,
45,
14
],
[
615,
798,
61,
14
],
[
682,
798,
51,
14
],
[
739,
798,
24,
14
],
[
428,
814,
22,
14
],
[
458,
814,
24,
14
],
[
490,
814,
38,
14
],
[
535,
814,
18,
14
],
[
561,
814,
42,
15
],
[
610,
814,
12,
14
],
[
629,
814,
69,
14
],
[
705,
814,
35,
14
],
[
748,
814,
14,
14
],
[
428,
830,
57,
14
],
[
489,
830,
76,
14
],
[
568,
830,
30,
14
],
[
600,
830,
18,
14
],
[
621,
830,
60,
14
],
[
684,
830,
12,
14
],
[
698,
830,
64,
14
],
[
428,
846,
54,
14
],
[
487,
846,
15,
14
],
[
508,
846,
22,
14
],
[
535,
846,
40,
14
],
[
579,
846,
58,
14
],
[
642,
846,
64,
14
],
[
710,
846,
52,
14
],
[
428,
861,
26,
14
],
[
457,
861,
27,
14
],
[
486,
861,
33,
14
],
[
521,
861,
12,
14
],
[
536,
861,
11,
14
],
[
550,
861,
59,
14
],
[
612,
861,
45,
14
],
[
659,
861,
21,
14
],
[
683,
861,
34,
14
],
[
720,
861,
42,
14
],
[
428,
877,
13,
14
],
[
445,
877,
18,
14
],
[
467,
877,
77,
14
],
[
548,
877,
49,
14
],
[
601,
877,
32,
14
],
[
637,
877,
40,
14
],
[
681,
877,
22,
14
],
[
707,
877,
24,
14
],
[
735,
877,
17,
14
],
[
756,
877,
6,
14
],
[
428,
893,
35,
14
],
[
468,
893,
45,
14
],
[
517,
893,
10,
14
],
[
532,
893,
45,
14
],
[
581,
893,
12,
14
],
[
598,
893,
58,
14
],
[
661,
893,
51,
14
],
[
717,
893,
46,
14
],
[
428,
909,
18,
14
],
[
451,
909,
31,
14
],
[
486,
909,
34,
14
],
[
525,
909,
50,
14
],
[
579,
909,
85,
14
],
[
668,
909,
64,
14
],
[
737,
909,
26,
14
],
[
428,
925,
77,
14
],
[
508,
925,
69,
14
],
[
579,
925,
36,
14
],
[
618,
925,
12,
14
],
[
632,
925,
73,
14
],
[
708,
925,
40,
14
],
[
750,
925,
12,
14
],
[
428,
940,
45,
14
],
[
475,
940,
42,
14
],
[
519,
940,
13,
14
],
[
534,
940,
12,
14
],
[
548,
940,
40,
14
],
[
590,
940,
28,
14
],
[
621,
940,
12,
14
],
[
635,
940,
83,
14
],
[
720,
940,
42,
14
],
[
428,
956,
21,
14
],
[
452,
956,
17,
14
],
[
472,
956,
47,
14
],
[
522,
956,
58,
14
],
[
583,
956,
12,
14
],
[
597,
956,
34,
14
],
[
634,
956,
42,
14
],
[
679,
956,
28,
14
],
[
449,
972,
25,
14
],
[
477,
972,
37,
14
],
[
516,
972,
21,
14
],
[
539,
972,
30,
14
],
[
572,
972,
15,
14
],
[
590,
972,
18,
14
],
[
610,
972,
34,
14
],
[
647,
972,
12,
14
],
[
661,
972,
39,
15
],
[
703,
972,
45,
14
],
[
751,
972,
11,
14
],
[
428,
988,
14,
14
],
[
446,
988,
58,
14
],
[
507,
988,
43,
14
],
[
553,
988,
17,
14
],
[
573,
988,
18,
14
],
[
595,
988,
55,
14
],
[
654,
988,
12,
14
],
[
669,
988,
44,
14
],
[
717,
988,
46,
14
],
[
428,
1004,
22,
14
],
[
453,
1004,
41,
14
],
[
497,
1004,
60,
14
],
[
560,
1004,
12,
14
],
[
575,
1004,
39,
15
],
[
617,
1004,
40,
14
],
[
660,
1004,
19,
14
],
[
682,
1004,
12,
14
],
[
696,
1004,
42,
14
],
[
742,
1004,
21,
14
],
[
428,
1019,
14,
14
],
[
445,
1019,
72,
14
],
[
521,
1019,
18,
14
],
[
543,
1019,
21,
14
],
[
567,
1019,
22,
14
],
[
593,
1019,
62,
14
],
[
659,
1019,
24,
14
],
[
686,
1019,
15,
14
],
[
705,
1019,
57,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"PPAR",
"Research",
"Volume",
"2012,",
"Article",
"ID",
"513865,",
"12",
"pages",
"doi:10.1155/2012/513865",
"Review",
"Article",
"The",
"Case",
"for",
"the",
"Use",
"of",
"PPARγ",
"Agonists",
"as",
"an",
"Adjunctive",
"Therapy",
"for",
"Cerebral",
"Malaria",
"Lena",
"Serghides",
"Sandra",
"A.",
"Rotman",
"Laboratories,",
"McLaughlin-Rotman",
"Centre",
"for",
"Global",
"Health,",
"Toronto",
"General",
"Hospital",
"University",
"Health",
"Network,",
"101",
"College",
"Street,",
"Suite",
"10-359,",
"Toronto,",
"ON,",
"Canada",
"M5G",
"1L7",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Lena",
"Serghides,",
"lena.serghides@utoronto.ca",
"Received",
"7",
"January",
"2011;",
"Accepted",
"28",
"February",
"2011",
"Academic",
"Editor:",
"Marion",
"M.",
"Chan",
"Copyright",
"©",
"2012",
"Lena",
"Serghides.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Cerebral",
"malaria",
"is",
"a",
"severe",
"complication",
"of",
"Plasmodium",
"falciparum",
"infection",
"associated",
"with",
"high",
"mortality",
"even",
"when",
"highly",
"effective",
"antiparasitic",
"therapy",
"is",
"used.",
"Adjunctive",
"therapies",
"that",
"modify",
"the",
"pathophysiological",
"processes",
"caused",
"by",
"malaria",
"are",
"a",
"possible",
"way",
"to",
"improve",
"outcome.",
"This",
"review",
"focuses",
"on",
"the",
"utility",
"of",
"PPARγ",
"agonists",
"as",
"an",
"adjunctive",
"therapy",
"for",
"the",
"treatment",
"of",
"cerebral",
"malaria.",
"The",
"current",
"knowledge",
"of",
"PPARγ",
"agonist",
"use",
"in",
"malaria",
"is",
"summarized.",
"Findings",
"from",
"experimental",
"CNS",
"injury",
"and",
"disease",
"models",
"that",
"demonstrate",
"the",
"potential",
"for",
"PPARγ",
"agonists",
"as",
"an",
"adjunctive",
"therapy",
"for",
"cerebral",
"malaria",
"are",
"also",
"discussed.",
"1.",
"Introduction",
"Few",
"diseases",
"have",
"the",
"global",
"health",
"and",
"economic",
"impact",
"of",
"malaria",
"[1].",
"In",
"2009,",
"an",
"estimated",
"225",
"million",
"people",
"were",
"infected",
"with",
"malaria",
"and",
"close",
"to",
"a",
"million",
"people",
"succumbed",
"to",
"their",
"infection",
"[2].",
"Malaria",
"is",
"caused",
"by",
"api-",
"complexan",
"parasites",
"belonging",
"to",
"the",
"genus",
"Plasmodium.",
"Five",
"species",
"infect",
"humans,",
"Plasmodium",
"falciparum,",
"P.",
"vivax,",
"P.",
"ovale,",
"P.",
"malariae,",
"and",
"most",
"recently,",
"P.",
"knowlesi",
"[3].",
"The",
"majority",
"of",
"morbidity",
"and",
"mortality",
"is",
"caused",
"by",
"P.",
"falciparum",
"infection,",
"with",
"the",
"highest",
"burden",
"born",
"by",
"children",
"and",
"pregnant",
"women.",
"In",
"the",
"absence",
"of",
"prompt",
"and",
"effective",
"treatment,",
"P.",
"falciparum",
"infection",
"can",
"progress",
"quickly,",
"rapidly",
"becoming",
"severe",
"and",
"fatal.",
"The",
"rise",
"in",
"drug-",
"resistant",
"parasites",
"complicates",
"the",
"administration",
"of",
"effective",
"treatment.",
"Severe",
"malaria",
"has",
"multiple",
"manifestations",
"that",
"can",
"occur",
"singly",
"or",
"in",
"combination.",
"They",
"include",
"hyperpar-",
"asitemia,",
"high",
"fever,",
"haemoglobinuria,",
"acute",
"renal",
"failure,",
"acute",
"pulmonary",
"edema,",
"metabolic",
"acidosis",
"and",
"respiratory",
"distress,",
"hypoglycemia,",
"anemia,",
"and",
"cerebral",
"malaria,",
"which",
"is",
"characterized",
"by",
"coma",
"and",
"convulsions.",
"Cerebral",
"malaria",
"has",
"the",
"highest",
"mortality",
"rate",
"of",
"all",
"the",
"severe",
"complications",
"and",
"is",
"associated",
"with",
"long-term",
"cognitive",
"and",
"neurological",
"deficits",
"in",
"surviving",
"children",
"[4–6].",
"Intravenous",
"artesunate",
"is",
"now",
"the",
"standard",
"of",
"care",
"for",
"severe",
"malaria",
"in",
"both",
"adults",
"and",
"children",
"following",
"the",
"landmark",
"SEAQUAMAT",
"and",
"AQUAMAT",
"trials",
"that",
"demonstrated",
"the",
"superiority",
"of",
"artesunate",
"over",
"quinine",
"in",
"adults",
"and",
"in",
"children",
"[7,",
"8].",
"However,",
"even",
"with",
"the",
"improved",
"efficacy",
"of",
"artesunate,",
"fatality",
"rates",
"remained",
"high,",
"15%",
"in",
"adults",
"and",
"10.9%",
"in",
"children.",
"Adjunctive",
"therapies,",
"defined",
"as",
"therapies",
"administered",
"in",
"combination",
"with",
"antiparasitic",
"drugs",
"that",
"modify",
"pathophysiological",
"processes",
"caused",
"by",
"malaria,",
"have",
"been",
"pursued",
"as",
"a",
"way",
"to",
"improve",
"the",
"outcome",
"of",
"severe",
"malaria.",
"Adjunctive",
"therapies",
"may",
"also",
"help",
"extend",
"the",
"efficacy",
"of",
"antiparasitic",
"drugs,",
"an",
"important",
"consideration",
"given",
"the",
"emergence",
"of",
"artemisinin",
"resistance",
"[9,",
"10].",
"Several",
"adjunctive",
"therapeutic",
"strategies",
"have",
"been",
"tested",
"in",
"P.",
"falciparum",
"cerebral",
"and",
"severe",
"malaria",
"so",
"far,",
"unfortunately",
"with-out",
"much",
"success",
"(see",
"[11]",
"for",
"a",
"recent",
"review).",
"A",
"number",
"of",
"adjunctive",
"therapies",
"(includ-",
"ing",
"nitric",
"oxide,",
"arginine,",
"erythropoietin,",
"levamisole)",
"have",
"demonstrated",
"encouraging",
"results",
"in",
"experimental",
"models",
"of",
"cerebral",
"malaria",
"or",
"in",
"clinical",
"trials",
"in",
"uncomplicated",
"malaria",
"and",
"are",
"awaiting",
"evaluation",
"in",
"severe",
"malaria",
"[11].",
"This",
"review",
"will",
"focus",
"on",
"the",
"utility",
"of",
"PPARγ",
"agonists",
"as",
"an",
"adjunctive",
"therapy",
"for",
"the",
"treatment",
"of",
"cerebral",
"malaria.",
"The",
"current",
"knowledge",
"of",
"PPARγ",
"agonist",
"use",
"in",
"malaria",
"will",
"be",
"summarized.",
"We",
"will",
"also",
"summarize",
"data",
"on",
"additional"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,896,615 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
39,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
46,
25
],
[
121,
187,
65,
25
],
[
70,
220,
107,
25
],
[
182,
220,
134,
25
],
[
320,
220,
85,
25
],
[
410,
220,
98,
25
],
[
512,
220,
110,
25
],
[
627,
220,
49,
25
],
[
70,
248,
12,
25
],
[
87,
248,
102,
25
],
[
194,
248,
40,
25
],
[
239,
248,
151,
25
],
[
394,
248,
102,
25
],
[
501,
248,
103,
25
],
[
608,
248,
82,
25
],
[
120,
316,
61,
17
],
[
184,
316,
54,
17
],
[
241,
316,
52,
17
],
[
296,
316,
27,
17
],
[
326,
316,
44,
17
],
[
373,
316,
35,
17
],
[
410,
316,
47,
17
],
[
120,
348,
41,
13
],
[
164,
348,
9,
13
],
[
176,
348,
58,
13
],
[
236,
348,
48,
13
],
[
286,
348,
59,
13
],
[
348,
348,
9,
13
],
[
360,
348,
49,
13
],
[
411,
348,
19,
13
],
[
432,
348,
58,
13
],
[
492,
348,
50,
13
],
[
545,
348,
9,
13
],
[
556,
348,
53,
13
],
[
612,
348,
29,
13
],
[
644,
348,
35,
13
],
[
681,
348,
9,
13
],
[
693,
348,
48,
13
],
[
120,
362,
39,
13
],
[
162,
362,
16,
13
],
[
181,
362,
33,
13
],
[
216,
362,
23,
13
],
[
120,
390,
83,
13
],
[
205,
390,
35,
13
],
[
241,
390,
12,
13
],
[
256,
390,
49,
13
],
[
308,
390,
11,
13
],
[
321,
390,
43,
13
],
[
366,
390,
38,
13
],
[
406,
390,
40,
13
],
[
449,
390,
167,
13
],
[
120,
417,
44,
13
],
[
166,
417,
6,
13
],
[
175,
417,
54,
13
],
[
231,
417,
27,
13
],
[
261,
417,
39,
13
],
[
302,
417,
12,
13
],
[
317,
417,
33,
13
],
[
352,
417,
27,
13
],
[
382,
417,
46,
13
],
[
430,
417,
6,
13
],
[
439,
417,
26,
13
],
[
467,
417,
25,
13
],
[
120,
443,
49,
13
],
[
172,
443,
35,
13
],
[
209,
443,
40,
13
],
[
252,
443,
30,
13
],
[
120,
468,
52,
13
],
[
174,
468,
9,
13
],
[
186,
468,
24,
13
],
[
213,
468,
13,
13
],
[
228,
468,
12,
13
],
[
242,
468,
37,
13
],
[
282,
468,
19,
13
],
[
304,
468,
9,
13
],
[
315,
468,
7,
13
],
[
324,
468,
36,
13
],
[
367,
468,
22,
13
],
[
396,
468,
8,
13
],
[
412,
468,
13,
13
],
[
431,
468,
26,
13
],
[
464,
468,
30,
13
],
[
501,
468,
31,
13
],
[
539,
468,
55,
13
],
[
601,
468,
30,
13
],
[
638,
468,
16,
13
],
[
661,
468,
41,
13
],
[
710,
468,
53,
13
],
[
120,
483,
58,
13
],
[
180,
483,
40,
13
],
[
222,
483,
31,
13
],
[
255,
483,
39,
13
],
[
296,
483,
61,
13
],
[
360,
483,
20,
13
],
[
382,
483,
63,
13
],
[
447,
483,
19,
13
],
[
469,
483,
66,
13
],
[
537,
483,
11,
13
],
[
550,
483,
18,
13
],
[
571,
483,
46,
13
],
[
619,
483,
45,
13
],
[
666,
483,
16,
13
],
[
685,
483,
39,
13
],
[
726,
483,
26,
13
],
[
755,
483,
8,
13
],
[
120,
497,
43,
13
],
[
165,
497,
27,
13
],
[
120,
524,
63,
13
],
[
187,
524,
39,
13
],
[
229,
524,
42,
13
],
[
274,
524,
28,
13
],
[
305,
524,
44,
13
],
[
353,
524,
45,
13
],
[
401,
524,
10,
13
],
[
415,
524,
51,
13
],
[
469,
524,
62,
13
],
[
534,
524,
39,
13
],
[
576,
524,
42,
13
],
[
621,
524,
8,
13
],
[
632,
524,
6,
13
],
[
642,
524,
20,
13
],
[
665,
524,
36,
13
],
[
705,
524,
58,
13
],
[
120,
538,
23,
13
],
[
146,
538,
6,
13
],
[
155,
538,
26,
13
],
[
183,
538,
49,
13
],
[
235,
538,
36,
13
],
[
273,
538,
6,
13
],
[
282,
538,
45,
13
],
[
330,
538,
11,
13
],
[
344,
538,
29,
13
],
[
375,
538,
41,
13
],
[
419,
538,
39,
13
],
[
461,
538,
65,
13
],
[
529,
538,
15,
13
],
[
547,
538,
19,
13
],
[
569,
538,
42,
13
],
[
614,
538,
23,
13
],
[
640,
538,
54,
13
],
[
697,
538,
66,
13
],
[
120,
553,
19,
13
],
[
142,
553,
41,
13
],
[
186,
553,
122,
13
],
[
311,
553,
40,
13
],
[
354,
553,
23,
13
],
[
380,
553,
19,
13
],
[
402,
553,
23,
13
],
[
429,
553,
22,
13
],
[
454,
553,
58,
13
],
[
515,
553,
40,
13
],
[
558,
553,
24,
13
],
[
585,
553,
28,
13
],
[
616,
553,
35,
13
],
[
654,
553,
23,
13
],
[
680,
553,
41,
13
],
[
724,
553,
39,
13
],
[
120,
567,
41,
13
],
[
163,
567,
17,
13
],
[
182,
567,
31,
13
],
[
215,
567,
20,
13
],
[
237,
567,
38,
13
],
[
277,
567,
11,
13
],
[
289,
567,
26,
13
],
[
317,
567,
40,
13
],
[
359,
567,
19,
13
],
[
379,
567,
29,
13
],
[
410,
567,
16,
13
],
[
428,
567,
37,
13
],
[
467,
567,
16,
13
],
[
485,
567,
21,
13
],
[
508,
567,
10,
13
],
[
520,
567,
6,
13
],
[
528,
567,
35,
13
],
[
565,
567,
23,
13
],
[
590,
567,
47,
13
],
[
639,
567,
19,
13
],
[
660,
567,
22,
13
],
[
684,
567,
19,
13
],
[
705,
567,
13,
13
],
[
719,
567,
44,
13
],
[
120,
582,
44,
13
],
[
166,
582,
11,
13
],
[
180,
582,
50,
13
],
[
232,
582,
38,
13
],
[
273,
582,
23,
13
],
[
298,
582,
49,
13
],
[
350,
582,
19,
13
],
[
372,
582,
54,
13
],
[
70,
657,
13,
17
],
[
86,
657,
92,
17
],
[
70,
687,
26,
14
],
[
100,
687,
48,
14
],
[
152,
687,
12,
14
],
[
168,
687,
30,
14
],
[
203,
687,
68,
14
],
[
275,
687,
43,
14
],
[
322,
687,
46,
14
],
[
372,
687,
32,
14
],
[
70,
703,
9,
14
],
[
86,
703,
6,
14
],
[
99,
703,
22,
14
],
[
128,
703,
40,
14
],
[
174,
703,
36,
14
],
[
216,
703,
39,
14
],
[
262,
703,
17,
14
],
[
285,
703,
13,
14
],
[
305,
703,
25,
14
],
[
337,
703,
40,
14
],
[
383,
703,
21,
14
],
[
70,
719,
57,
14
],
[
132,
719,
39,
14
],
[
177,
719,
11,
14
],
[
194,
719,
57,
14
],
[
257,
719,
87,
14
],
[
350,
719,
55,
14
],
[
70,
735,
35,
14
],
[
111,
735,
43,
14
],
[
159,
735,
41,
14
],
[
207,
735,
13,
14
],
[
225,
735,
56,
14
],
[
287,
735,
68,
14
],
[
361,
735,
43,
14
],
[
70,
750,
47,
14
],
[
122,
750,
21,
14
],
[
148,
750,
9,
14
],
[
163,
750,
61,
14
],
[
229,
750,
14,
14
],
[
248,
750,
13,
14
],
[
266,
750,
60,
14
],
[
332,
750,
46,
14
],
[
383,
750,
21,
14
],
[
70,
766,
20,
14
],
[
96,
766,
41,
14
],
[
142,
766,
41,
14
],
[
189,
766,
34,
14
],
[
229,
766,
70,
14
],
[
304,
766,
43,
14
],
[
353,
766,
51,
14
],
[
70,
782,
52,
14
],
[
127,
782,
29,
14
],
[
161,
782,
12,
14
],
[
179,
782,
14,
14
],
[
198,
782,
38,
14
],
[
241,
782,
26,
14
],
[
273,
782,
73,
14
],
[
351,
782,
21,
14
],
[
378,
782,
26,
14
],
[
70,
798,
58,
14
],
[
134,
798,
61,
14
],
[
202,
798,
23,
14
],
[
231,
798,
25,
14
],
[
262,
798,
13,
14
],
[
281,
798,
61,
14
],
[
349,
798,
55,
14
],
[
70,
813,
32,
14
],
[
108,
813,
30,
14
],
[
144,
813,
27,
14
],
[
177,
813,
41,
14
],
[
224,
813,
35,
14
],
[
265,
813,
64,
14
],
[
336,
813,
68,
14
],
[
70,
829,
43,
14
],
[
120,
829,
51,
14
],
[
180,
829,
17,
14
],
[
205,
829,
24,
14
],
[
237,
829,
40,
14
],
[
285,
829,
37,
14
],
[
329,
829,
75,
14
],
[
70,
845,
13,
14
],
[
88,
845,
90,
15
],
[
183,
845,
40,
14
],
[
229,
845,
51,
14
],
[
286,
845,
21,
14
],
[
313,
845,
12,
14
],
[
330,
845,
13,
14
],
[
349,
845,
55,
14
],
[
70,
861,
40,
14
],
[
113,
861,
36,
14
],
[
152,
861,
41,
14
],
[
91,
877,
50,
14
],
[
149,
877,
57,
14
],
[
214,
877,
85,
14
],
[
307,
877,
15,
14
],
[
330,
877,
74,
14
],
[
70,
893,
61,
14
],
[
134,
893,
21,
14
],
[
158,
893,
19,
14
],
[
180,
893,
14,
14
],
[
196,
893,
47,
14
],
[
246,
893,
37,
14
],
[
286,
893,
21,
14
],
[
310,
893,
52,
14
],
[
365,
893,
39,
14
],
[
70,
909,
20,
14
],
[
93,
909,
32,
14
],
[
128,
909,
15,
14
],
[
146,
909,
12,
14
],
[
161,
909,
38,
14
],
[
202,
909,
28,
14
],
[
234,
909,
26,
14
],
[
263,
909,
55,
14
],
[
321,
909,
46,
14
],
[
370,
909,
21,
14
],
[
395,
909,
9,
14
],
[
70,
925,
39,
14
],
[
113,
925,
53,
14
],
[
170,
925,
25,
14
],
[
200,
925,
6,
14
],
[
211,
925,
25,
14
],
[
240,
925,
60,
14
],
[
305,
925,
74,
14
],
[
383,
925,
21,
14
],
[
70,
940,
45,
14
],
[
119,
940,
133,
14
],
[
255,
940,
21,
14
],
[
280,
940,
41,
14
],
[
324,
940,
80,
14
],
[
70,
956,
29,
14
],
[
101,
956,
19,
14
],
[
123,
956,
19,
14
],
[
144,
956,
27,
14
],
[
174,
956,
34,
14
],
[
210,
956,
12,
14
],
[
224,
956,
47,
14
],
[
273,
956,
38,
14
],
[
313,
956,
44,
14
],
[
360,
956,
27,
14
],
[
389,
956,
15,
14
],
[
70,
972,
10,
14
],
[
84,
972,
10,
14
],
[
97,
972,
16,
14
],
[
116,
972,
56,
14
],
[
175,
972,
21,
14
],
[
200,
972,
9,
14
],
[
212,
972,
60,
14
],
[
276,
972,
39,
14
],
[
318,
972,
25,
14
],
[
347,
972,
57,
14
],
[
70,
988,
20,
14
],
[
96,
988,
30,
14
],
[
132,
988,
68,
14
],
[
206,
988,
41,
14
],
[
253,
988,
19,
14
],
[
278,
988,
29,
14
],
[
312,
988,
9,
14
],
[
327,
988,
15,
14
],
[
348,
988,
56,
14
],
[
70,
1004,
54,
14
],
[
131,
1004,
44,
14
],
[
183,
1004,
73,
14
],
[
264,
1004,
21,
14
],
[
292,
1004,
21,
14
],
[
322,
1004,
9,
14
],
[
339,
1004,
65,
14
],
[
70,
1019,
59,
14
],
[
131,
1019,
21,
14
],
[
155,
1019,
47,
14
],
[
205,
1019,
47,
14
],
[
254,
1019,
21,
14
],
[
278,
1019,
72,
14
],
[
353,
1019,
51,
14
],
[
428,
660,
15,
14
],
[
449,
660,
42,
14
],
[
496,
660,
44,
14
],
[
545,
660,
25,
14
],
[
575,
660,
46,
14
],
[
626,
660,
40,
14
],
[
670,
660,
26,
14
],
[
701,
660,
7,
14
],
[
712,
660,
50,
14
],
[
428,
675,
29,
14
],
[
462,
675,
13,
14
],
[
479,
675,
30,
14
],
[
514,
675,
25,
14
],
[
543,
675,
38,
14
],
[
585,
675,
47,
14
],
[
637,
675,
52,
14
],
[
694,
675,
69,
14
],
[
428,
691,
25,
14
],
[
458,
691,
25,
14
],
[
488,
691,
59,
14
],
[
551,
691,
30,
14
],
[
586,
691,
54,
14
],
[
644,
691,
32,
14
],
[
680,
691,
30,
14
],
[
715,
691,
47,
14
],
[
428,
707,
68,
14
],
[
503,
707,
42,
14
],
[
551,
707,
9,
14
],
[
566,
707,
20,
14
],
[
592,
707,
80,
14
],
[
678,
707,
20,
14
],
[
705,
707,
57,
14
],
[
428,
723,
47,
14
],
[
482,
723,
17,
14
],
[
506,
723,
60,
14
],
[
574,
723,
26,
14
],
[
607,
723,
12,
14
],
[
625,
723,
18,
14
],
[
650,
723,
49,
14
],
[
706,
723,
37,
14
],
[
750,
723,
12,
14
],
[
428,
738,
26,
14
],
[
458,
738,
21,
14
],
[
484,
738,
21,
14
],
[
509,
738,
22,
14
],
[
535,
738,
64,
14
],
[
604,
738,
12,
14
],
[
620,
738,
35,
14
],
[
660,
738,
12,
14
],
[
675,
738,
57,
14
],
[
737,
738,
9,
14
],
[
750,
738,
12,
14
],
[
428,
754,
26,
14
],
[
460,
754,
72,
14
],
[
537,
754,
51,
14
],
[
594,
754,
21,
14
],
[
621,
754,
30,
14
],
[
657,
754,
88,
14
],
[
751,
754,
12,
14
],
[
428,
770,
26,
14
],
[
459,
770,
73,
14
],
[
537,
770,
41,
14
],
[
582,
770,
12,
14
],
[
599,
770,
54,
14
],
[
658,
770,
68,
14
],
[
731,
770,
31,
14
],
[
428,
786,
21,
14
],
[
453,
786,
43,
14
],
[
499,
786,
71,
14
],
[
573,
786,
22,
14
],
[
599,
786,
22,
14
],
[
625,
786,
66,
14
],
[
694,
786,
68,
14
],
[
428,
802,
31,
14
],
[
464,
802,
21,
14
],
[
490,
802,
43,
14
],
[
537,
802,
71,
14
],
[
612,
802,
30,
14
],
[
647,
802,
57,
14
],
[
709,
802,
53,
14
],
[
428,
817,
17,
14
],
[
450,
817,
19,
14
],
[
474,
817,
12,
14
],
[
491,
817,
18,
14
],
[
514,
817,
49,
14
],
[
568,
817,
37,
14
],
[
610,
817,
21,
14
],
[
637,
817,
11,
14
],
[
653,
817,
18,
14
],
[
676,
817,
26,
14
],
[
706,
817,
12,
14
],
[
723,
817,
39,
14
],
[
428,
833,
63,
14
],
[
497,
833,
13,
14
],
[
516,
833,
51,
14
],
[
572,
833,
77,
14
],
[
655,
833,
49,
14
],
[
710,
833,
52,
14
],
[
428,
849,
47,
14
],
[
483,
849,
45,
14
],
[
537,
849,
76,
14
],
[
620,
849,
37,
14
],
[
665,
849,
51,
14
],
[
725,
849,
12,
14
],
[
744,
849,
18,
14
],
[
428,
865,
45,
14
],
[
476,
865,
49,
14
],
[
527,
865,
41,
14
],
[
571,
865,
12,
14
],
[
585,
865,
6,
14
],
[
594,
865,
85,
14
],
[
682,
865,
29,
14
],
[
713,
865,
31,
14
],
[
747,
865,
15,
14
],
[
428,
880,
41,
14
],
[
473,
880,
18,
14
],
[
496,
880,
56,
14
],
[
556,
880,
50,
14
],
[
610,
880,
12,
14
],
[
626,
880,
6,
14
],
[
637,
880,
39,
14
],
[
680,
880,
25,
14
],
[
710,
880,
52,
14
],
[
428,
896,
68,
14
],
[
501,
896,
43,
14
],
[
548,
896,
47,
14
],
[
599,
896,
39,
14
],
[
643,
896,
25,
14
],
[
673,
896,
7,
14
],
[
684,
896,
52,
14
],
[
741,
896,
21,
14
],
[
428,
912,
37,
14
],
[
468,
912,
40,
14
],
[
511,
912,
25,
14
],
[
539,
912,
48,
14
],
[
590,
912,
40,
14
],
[
428,
942,
13,
17
],
[
444,
942,
33,
17
],
[
480,
942,
49,
17
],
[
428,
972,
9,
14
],
[
443,
972,
64,
14
],
[
513,
972,
42,
14
],
[
560,
972,
41,
14
],
[
607,
972,
7,
14
],
[
616,
972,
25,
14
],
[
646,
972,
7,
14
],
[
658,
972,
25,
14
],
[
689,
972,
6,
14
],
[
701,
972,
28,
14
],
[
735,
972,
28,
14
],
[
428,
988,
31,
14
],
[
464,
988,
12,
14
],
[
481,
988,
14,
14
],
[
500,
988,
54,
14
],
[
559,
988,
25,
14
],
[
589,
988,
76,
14
],
[
670,
988,
33,
14
],
[
708,
988,
28,
14
],
[
741,
988,
21,
14
],
[
428,
1004,
84,
14
],
[
515,
1004,
22,
14
],
[
540,
1004,
23,
14
],
[
567,
1004,
44,
14
],
[
614,
1004,
39,
14
],
[
657,
1004,
21,
14
],
[
681,
1004,
81,
14
],
[
428,
1019,
22,
14
],
[
458,
1019,
23,
14
],
[
489,
1019,
43,
14
],
[
541,
1019,
39,
14
],
[
588,
1019,
21,
14
],
[
617,
1019,
52,
14
],
[
677,
1019,
17,
14
],
[
702,
1019,
7,
14
],
[
717,
1019,
45,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Sarcoma",
"Volume",
"2010,",
"Article",
"ID",
"353679,",
"3",
"pages",
"doi:10.1155/2010/353679",
"Case",
"Report",
"Recurrent",
"Endometrial",
"Stromal",
"Sarcoma:",
"Treatment",
"with",
"a",
"Progestin",
"and",
"Gonadotropin",
"Releasing",
"Hormone",
"Agonist",
"Nefertiti",
"Chianti",
"duPont",
"and",
"Philip",
"John",
"DiSaia",
"Division",
"of",
"Gynecologic",
"Oncology,",
"Department",
"of",
"Obstetrics",
"and",
"Gynecology,",
"University",
"of",
"California,",
"Irvine",
"College",
"of",
"Medicine,",
"Orange,",
"CA",
"92868,",
"USA",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Nefertiti",
"Chianti",
"duPont,",
"nefertiti.dupont@roswellpark.org",
"Received",
"2",
"September",
"2009;",
"Revised",
"24",
"March",
"2010;",
"Accepted",
"8",
"April",
"2010",
"Academic",
"Editor:",
"Michael",
"Leahy",
"Copyright",
"©",
"2010",
"N.",
"C.",
"duPont",
"and",
"P.",
"J.",
"DiSaia.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Endometrial",
"stromal",
"sarcoma",
"(ESS)",
"formerly",
"classified",
"as",
"low-grade",
"endometrial",
"stromal",
"sarcoma",
"is",
"a",
"rare",
"uterine",
"malignancy",
"with",
"a",
"good",
"prognosis",
"despite",
"a",
"tendency",
"to",
"recur.",
"Primary",
"surgical",
"management",
"for",
"ESS",
"includes",
"total",
"abdominal",
"hysterectomy",
"and",
"bilateral",
"salpingo-oophorectomy.",
"Patients",
"with",
"ESS",
"have",
"long",
"disease-free",
"survival",
"rates",
"when",
"treated",
"with",
"primary",
"surgical",
"therapy,",
"but",
"nearly",
"fifty",
"percent",
"of",
"these",
"patients",
"will",
"recur.",
"We",
"present",
"the",
"case",
"of",
"a",
"patient",
"with",
"recurrent",
"ESS",
"who",
"had",
"an",
"excellent",
"response",
"to",
"combined",
"therapy",
"with",
"megestrol",
"and",
"leuprolide.",
"1.",
"Introduction",
"First",
"reported",
"in",
"1908,",
"endometrial",
"stromal",
"sarcoma",
"(ESS)",
"is",
"a",
"rare",
"uterine",
"tumor",
"known",
"for",
"its",
"slow",
"growth",
"[1].",
"Originally",
"known",
"as",
"interstitial",
"endometrioma,",
"endolym-",
"phatic",
"stromal",
"myosis,",
"or",
"low-grade",
"endometrial",
"stromal",
"sarcoma",
"ESS",
"is",
"recognized",
"by",
"its",
"infiltrating",
"margins",
"and",
"low",
"mitotic",
"activity",
"[2–4].",
"Endometrial",
"stromal",
"sarcomas",
"represent",
"0.2%",
"of",
"all",
"genital",
"tract",
"malignancies",
"and",
"were",
"previously",
"subdivided",
"into",
"low-",
"or",
"high-grade",
"categories",
"based",
"upon",
"their",
"mitotic",
"index.",
"High-grade",
"endometrial",
"stromal",
"sarcomas",
"are",
"now",
"termed",
"poorly",
"differentiated",
"or",
"undifferentiated",
"uterine",
"sarcomas",
"due",
"to",
"its",
"aggressive",
"clinical",
"course",
"[5–10].",
"Typically",
"diagnosed",
"postoperatively",
"on",
"hysterectomy",
"specimens,",
"ESS",
"has",
"an",
"indolent",
"course",
"and",
"recurrent",
"disease",
"can",
"occur",
"up",
"to",
"twenty",
"years",
"after",
"diagnosis.",
"Primary",
"ESS",
"is",
"treated",
"surgically",
"with",
"a",
"total",
"abdominal",
"hysterectomy",
"and",
"bilateral",
"salpingo-oophorectomy",
"and",
"routine",
"lymphadenec-",
"tomy",
"has",
"not",
"been",
"found",
"to",
"improve",
"overall",
"survival",
"rates",
"[1,",
"3,",
"7,",
"8].",
"Recurrent",
"ESS",
"is",
"commonly",
"treated",
"with",
"progestins",
"like",
"other",
"endometrial",
"cancers",
"but",
"there",
"is",
"no",
"consensus",
"regarding",
"optimal",
"management",
"[5].",
"ESS",
"is",
"hormonally",
"responsive",
"and",
"contains",
"estrogen",
"and",
"progesterone",
"receptors",
"[5,",
"11–13].",
"Patients",
"with",
"retained",
"ovaries",
"after",
"a",
"hysterec-",
"tomy",
"or",
"those",
"who",
"receive",
"estrogen",
"hormone",
"replacement",
"have",
"high",
"recurrence",
"rates;",
"therefore,",
"single",
"agent",
"estrogen",
"replacement",
"therapy",
"is",
"not",
"recommended",
"[5].",
"Progestins",
"however",
"are",
"commonly",
"used",
"in",
"the",
"adjuvant",
"setting",
"to",
"treat",
"ESS",
"[5].",
"The",
"mechanism",
"of",
"action",
"of",
"progestins",
"is",
"to",
"bind",
"progesterone",
"receptors",
"and",
"cause",
"downregulation",
"of",
"gene",
"transcription",
"leading",
"to",
"decreased",
"endometrial",
"gland",
"and",
"stromal",
"proliferation",
"[11,",
"14].",
"Diminished",
"endometrial",
"gland",
"and",
"stromal",
"proliferation",
"make",
"progestins",
"beneficial",
"for",
"use",
"in",
"the",
"adjuvant",
"setting",
"and",
"at",
"the",
"time",
"of",
"disease",
"recurrence.",
"In",
"addition,",
"gonadotropin",
"releasing",
"hormone",
"(GnRH)",
"agonists",
"downregulate",
"GnRH",
"receptors",
"in",
"the",
"anterior",
"pituitary",
"leading",
"to",
"a",
"hypoestrogenic",
"state.",
"Here,",
"we",
"present",
"the",
"long-term",
"followup",
"of",
"a",
"patient",
"with",
"recurrent",
"endometrial",
"stromal",
"sarcoma",
"treated",
"with",
"a",
"progestin",
"and",
"GnRH",
"agonist",
"with",
"excellent",
"results.",
"2.",
"Case",
"Report",
"A",
"41-year-old",
"woman",
"gravida",
"2",
"para",
"1",
"with",
"a",
"body",
"mass",
"index",
"of",
"25",
"presented",
"with",
"menorrhagia,",
"pelvic",
"pain,",
"and",
"dysmenorrhea.",
"Her",
"past",
"medical",
"history",
"was",
"unremarkable.",
"Her",
"past",
"surgical",
"history",
"was",
"pertinent",
"for",
"a",
"bilateral"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
16,
16,
16,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,976,737 | null | [
[
78,
47,
31,
12
],
[
113,
47,
9,
12
],
[
125,
47,
11,
12
],
[
139,
47,
33,
12
],
[
175,
47,
9,
12
],
[
188,
47,
65,
12
],
[
256,
47,
34,
12
],
[
293,
47,
25,
12
],
[
322,
47,
20,
12
],
[
78,
61,
246,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
67,
34
],
[
155,
169,
101,
34
],
[
266,
169,
106,
34
],
[
382,
169,
44,
34
],
[
436,
169,
101,
34
],
[
548,
169,
118,
34
],
[
676,
169,
25,
34
],
[
78,
205,
106,
34
],
[
195,
205,
58,
34
],
[
263,
205,
91,
34
],
[
364,
205,
132,
34
],
[
78,
252,
60,
16
],
[
142,
249,
47,
18
],
[
193,
252,
75,
16
],
[
273,
249,
39,
18
],
[
316,
252,
59,
16
],
[
379,
249,
41,
18
],
[
424,
252,
48,
16
],
[
477,
249,
25,
18
],
[
506,
252,
53,
16
],
[
564,
249,
27,
18
],
[
595,
252,
68,
16
],
[
668,
249,
44,
18
],
[
87,
306,
54,
15
],
[
87,
331,
66,
14
],
[
158,
331,
28,
14
],
[
190,
331,
30,
14
],
[
223,
331,
11,
14
],
[
239,
331,
38,
14
],
[
281,
331,
56,
14
],
[
341,
331,
17,
14
],
[
363,
331,
39,
14
],
[
406,
331,
14,
14
],
[
424,
331,
60,
14
],
[
489,
331,
56,
14
],
[
549,
331,
34,
14
],
[
587,
331,
17,
14
],
[
609,
331,
38,
14
],
[
651,
331,
57,
14
],
[
712,
331,
25,
14
],
[
87,
348,
64,
14
],
[
156,
348,
12,
14
],
[
172,
348,
25,
14
],
[
201,
348,
44,
14
],
[
250,
348,
21,
14
],
[
275,
348,
50,
14
],
[
329,
348,
11,
14
],
[
344,
348,
45,
14
],
[
393,
348,
25,
14
],
[
422,
348,
38,
14
],
[
464,
348,
56,
14
],
[
524,
348,
44,
14
],
[
572,
348,
25,
14
],
[
602,
348,
19,
14
],
[
625,
348,
12,
14
],
[
641,
348,
30,
14
],
[
675,
348,
8,
14
],
[
686,
348,
22,
14
],
[
87,
365,
63,
14
],
[
154,
365,
12,
14
],
[
170,
365,
36,
14
],
[
211,
365,
44,
14
],
[
259,
365,
28,
14
],
[
291,
365,
21,
14
],
[
317,
365,
36,
14
],
[
358,
365,
44,
14
],
[
406,
365,
29,
14
],
[
439,
365,
18,
14
],
[
462,
365,
41,
14
],
[
507,
365,
38,
14
],
[
549,
365,
56,
14
],
[
609,
365,
25,
14
],
[
639,
365,
57,
14
],
[
700,
365,
25,
14
],
[
87,
381,
42,
14
],
[
133,
381,
12,
14
],
[
150,
381,
58,
14
],
[
211,
381,
7,
14
],
[
223,
381,
42,
14
],
[
269,
381,
22,
14
],
[
295,
381,
58,
14
],
[
356,
381,
25,
14
],
[
385,
381,
52,
14
],
[
87,
402,
56,
14
],
[
148,
402,
30,
14
],
[
181,
402,
42,
14
],
[
228,
402,
27,
14
],
[
259,
402,
12,
14
],
[
275,
402,
58,
14
],
[
337,
402,
29,
14
],
[
371,
402,
17,
14
],
[
392,
402,
81,
14
],
[
477,
402,
51,
14
],
[
532,
402,
20,
14
],
[
557,
402,
45,
14
],
[
606,
402,
59,
14
],
[
668,
402,
25,
14
],
[
697,
402,
38,
14
],
[
87,
418,
56,
14
],
[
147,
418,
25,
14
],
[
177,
418,
47,
14
],
[
228,
418,
71,
14
],
[
303,
418,
78,
14
],
[
385,
418,
11,
14
],
[
401,
418,
19,
14
],
[
424,
418,
35,
14
],
[
463,
418,
11,
14
],
[
478,
418,
7,
14
],
[
489,
418,
33,
14
],
[
525,
418,
44,
14
],
[
574,
418,
38,
14
],
[
615,
418,
18,
14
],
[
638,
418,
54,
14
],
[
696,
418,
26,
14
],
[
87,
435,
38,
14
],
[
129,
435,
25,
14
],
[
158,
435,
21,
14
],
[
184,
435,
49,
14
],
[
236,
435,
26,
14
],
[
266,
435,
30,
14
],
[
300,
435,
58,
14
],
[
363,
435,
69,
14
],
[
436,
435,
33,
14
],
[
473,
435,
58,
14
],
[
534,
435,
11,
14
],
[
550,
435,
38,
14
],
[
592,
435,
56,
14
],
[
652,
435,
28,
14
],
[
87,
452,
57,
14
],
[
149,
452,
49,
14
],
[
202,
452,
39,
14
],
[
245,
452,
25,
14
],
[
274,
452,
21,
14
],
[
300,
452,
44,
14
],
[
348,
452,
25,
14
],
[
377,
452,
44,
14
],
[
87,
472,
46,
14
],
[
137,
472,
67,
14
],
[
208,
472,
38,
14
],
[
250,
472,
56,
14
],
[
310,
472,
45,
14
],
[
359,
472,
21,
14
],
[
385,
472,
25,
14
],
[
414,
472,
56,
14
],
[
475,
472,
39,
14
],
[
518,
472,
25,
14
],
[
547,
472,
44,
14
],
[
595,
472,
65,
14
],
[
665,
472,
36,
14
],
[
87,
489,
59,
14
],
[
150,
489,
11,
14
],
[
165,
489,
19,
14
],
[
188,
489,
25,
14
],
[
218,
489,
42,
14
],
[
264,
489,
34,
14
],
[
302,
489,
11,
14
],
[
318,
489,
74,
14
],
[
396,
489,
69,
14
],
[
470,
489,
29,
14
],
[
502,
489,
15,
14
],
[
522,
489,
14,
14
],
[
540,
489,
50,
14
],
[
594,
489,
23,
14
],
[
622,
489,
22,
14
],
[
648,
489,
22,
14
],
[
674,
489,
22,
14
],
[
87,
506,
52,
14
],
[
87,
526,
70,
14
],
[
161,
526,
44,
14
],
[
209,
526,
25,
14
],
[
238,
526,
38,
14
],
[
280,
526,
56,
14
],
[
340,
526,
22,
14
],
[
366,
526,
25,
14
],
[
396,
526,
42,
14
],
[
442,
526,
27,
14
],
[
473,
526,
36,
14
],
[
513,
526,
50,
14
],
[
567,
526,
24,
14
],
[
595,
526,
22,
14
],
[
621,
526,
56,
14
],
[
681,
526,
24,
14
],
[
87,
543,
36,
14
],
[
128,
543,
49,
14
],
[
181,
543,
37,
14
],
[
223,
543,
14,
14
],
[
240,
543,
25,
14
],
[
270,
543,
21,
14
],
[
296,
543,
37,
14
],
[
336,
543,
50,
14
],
[
390,
543,
26,
14
],
[
420,
543,
44,
14
],
[
469,
543,
25,
14
],
[
498,
543,
38,
14
],
[
540,
543,
58,
14
],
[
602,
543,
21,
14
],
[
627,
543,
28,
14
],
[
659,
543,
25,
14
],
[
688,
543,
11,
14
],
[
704,
543,
26,
14
],
[
87,
560,
42,
14
],
[
133,
560,
8,
14
],
[
146,
560,
32,
14
],
[
182,
560,
51,
14
],
[
237,
560,
25,
14
],
[
266,
560,
20,
14
],
[
291,
560,
30,
14
],
[
325,
560,
51,
14
],
[
380,
560,
15,
14
],
[
399,
560,
25,
14
],
[
429,
560,
18,
14
],
[
451,
560,
39,
14
],
[
495,
560,
11,
14
],
[
510,
560,
25,
14
],
[
540,
560,
42,
14
],
[
586,
560,
15,
14
],
[
606,
560,
26,
14
],
[
636,
560,
53,
14
],
[
694,
560,
22,
14
],
[
87,
576,
77,
14
],
[
78,
622,
77,
15
],
[
78,
639,
41,
14
],
[
123,
639,
55,
14
],
[
183,
639,
9,
14
],
[
197,
639,
21,
14
],
[
223,
639,
12,
14
],
[
239,
639,
19,
14
],
[
261,
639,
41,
14
],
[
307,
639,
81,
14
],
[
392,
639,
12,
14
],
[
78,
656,
70,
14
],
[
152,
656,
22,
14
],
[
179,
656,
54,
14
],
[
237,
656,
19,
14
],
[
260,
656,
58,
14
],
[
323,
656,
22,
14
],
[
349,
656,
54,
14
],
[
78,
672,
22,
14
],
[
106,
672,
13,
14
],
[
124,
672,
69,
14
],
[
198,
672,
34,
14
],
[
238,
672,
39,
14
],
[
282,
672,
17,
14
],
[
304,
672,
12,
14
],
[
322,
672,
49,
14
],
[
376,
672,
27,
14
],
[
78,
689,
67,
14
],
[
150,
689,
34,
14
],
[
189,
689,
29,
14
],
[
223,
689,
42,
14
],
[
269,
689,
57,
14
],
[
331,
689,
31,
14
],
[
366,
689,
37,
14
],
[
78,
706,
37,
14
],
[
120,
706,
45,
14
],
[
168,
706,
11,
14
],
[
184,
706,
18,
14
],
[
206,
706,
39,
14
],
[
249,
706,
28,
14
],
[
281,
706,
21,
14
],
[
306,
706,
18,
14
],
[
329,
706,
39,
14
],
[
372,
706,
32,
14
],
[
78,
722,
26,
14
],
[
109,
722,
32,
14
],
[
145,
722,
48,
14
],
[
197,
722,
28,
14
],
[
229,
722,
39,
14
],
[
273,
722,
55,
14
],
[
332,
722,
13,
14
],
[
349,
722,
7,
14
],
[
359,
722,
44,
14
],
[
78,
739,
30,
14
],
[
113,
739,
89,
14
],
[
206,
739,
48,
14
],
[
259,
739,
23,
14
],
[
286,
739,
52,
14
],
[
343,
739,
12,
14
],
[
358,
739,
45,
14
],
[
78,
755,
26,
14
],
[
109,
755,
41,
14
],
[
154,
755,
56,
14
],
[
215,
755,
10,
14
],
[
229,
755,
15,
14
],
[
249,
755,
12,
14
],
[
265,
755,
24,
14
],
[
294,
755,
22,
14
],
[
320,
755,
67,
14
],
[
391,
755,
12,
14
],
[
78,
772,
39,
14
],
[
122,
772,
48,
14
],
[
175,
772,
34,
14
],
[
214,
772,
83,
14
],
[
302,
772,
74,
14
],
[
381,
772,
22,
14
],
[
78,
789,
64,
14
],
[
147,
789,
12,
14
],
[
165,
789,
19,
14
],
[
189,
789,
46,
14
],
[
240,
789,
12,
14
],
[
257,
789,
42,
14
],
[
304,
789,
67,
14
],
[
376,
789,
28,
14
],
[
78,
805,
29,
14
],
[
112,
805,
64,
14
],
[
181,
805,
12,
14
],
[
198,
805,
19,
14
],
[
222,
805,
99,
14
],
[
327,
805,
12,
14
],
[
344,
805,
60,
14
],
[
78,
822,
43,
14
],
[
126,
822,
52,
14
],
[
183,
822,
43,
14
],
[
232,
822,
58,
14
],
[
295,
822,
10,
14
],
[
310,
822,
62,
14
],
[
377,
822,
27,
14
],
[
78,
839,
32,
14
],
[
115,
839,
61,
14
],
[
179,
839,
25,
14
],
[
209,
839,
40,
14
],
[
254,
839,
47,
14
],
[
305,
839,
21,
14
],
[
330,
839,
12,
14
],
[
347,
839,
57,
14
],
[
78,
855,
11,
14
],
[
94,
855,
18,
14
],
[
116,
855,
62,
14
],
[
183,
855,
39,
14
],
[
226,
855,
29,
14
],
[
259,
855,
89,
14
],
[
353,
855,
51,
14
],
[
78,
872,
50,
14
],
[
133,
872,
47,
14
],
[
185,
872,
56,
14
],
[
246,
872,
22,
14
],
[
273,
872,
91,
14
],
[
368,
872,
35,
14
],
[
78,
888,
22,
14
],
[
104,
888,
57,
14
],
[
165,
888,
12,
14
],
[
182,
888,
56,
14
],
[
242,
888,
12,
14
],
[
258,
888,
19,
14
],
[
281,
888,
57,
14
],
[
343,
888,
33,
14
],
[
380,
888,
23,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
97,
11
],
[
78,
936,
54,
13
],
[
136,
937,
9,
11
],
[
147,
937,
34,
11
],
[
184,
937,
24,
11
],
[
211,
937,
33,
11
],
[
247,
937,
41,
11
],
[
290,
937,
36,
11
],
[
329,
937,
24,
11
],
[
356,
937,
33,
11
],
[
78,
950,
43,
11
],
[
124,
950,
6,
11
],
[
132,
950,
22,
11
],
[
157,
950,
23,
11
],
[
183,
950,
40,
11
],
[
227,
950,
17,
11
],
[
247,
950,
30,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
16,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
623,
43,
14
],
[
471,
623,
45,
14
],
[
521,
623,
12,
14
],
[
538,
623,
48,
14
],
[
590,
623,
26,
14
],
[
621,
623,
93,
14
],
[
720,
623,
28,
14
],
[
423,
639,
31,
14
],
[
458,
639,
13,
14
],
[
476,
639,
42,
14
],
[
523,
639,
57,
14
],
[
585,
639,
19,
14
],
[
609,
639,
40,
14
],
[
654,
639,
31,
14
],
[
690,
639,
44,
14
],
[
738,
639,
10,
14
],
[
423,
656,
42,
14
],
[
469,
656,
12,
14
],
[
485,
656,
7,
14
],
[
496,
656,
81,
14
],
[
581,
656,
56,
14
],
[
641,
656,
11,
14
],
[
657,
656,
20,
14
],
[
681,
656,
12,
14
],
[
697,
656,
18,
14
],
[
720,
656,
28,
14
],
[
423,
672,
35,
14
],
[
461,
672,
29,
14
],
[
495,
672,
12,
14
],
[
511,
672,
57,
14
],
[
572,
672,
11,
14
],
[
588,
672,
7,
14
],
[
598,
672,
36,
14
],
[
639,
672,
9,
14
],
[
653,
672,
49,
14
],
[
706,
672,
31,
14
],
[
741,
672,
7,
14
],
[
423,
689,
51,
14
],
[
478,
689,
24,
14
],
[
506,
689,
12,
14
],
[
522,
689,
74,
14
],
[
600,
689,
51,
14
],
[
656,
689,
50,
14
],
[
710,
689,
38,
14
],
[
423,
706,
15,
14
],
[
441,
706,
21,
14
],
[
466,
706,
26,
14
],
[
496,
706,
51,
14
],
[
552,
706,
9,
14
],
[
565,
706,
29,
14
],
[
598,
706,
60,
14
],
[
662,
706,
37,
14
],
[
703,
706,
45,
14
],
[
423,
722,
18,
14
],
[
445,
722,
12,
14
],
[
461,
722,
57,
14
],
[
523,
722,
12,
14
],
[
539,
722,
46,
14
],
[
589,
722,
26,
14
],
[
619,
722,
27,
14
],
[
651,
722,
53,
14
],
[
708,
722,
13,
14
],
[
725,
722,
12,
14
],
[
741,
722,
7,
14
],
[
423,
739,
78,
14
],
[
505,
739,
12,
14
],
[
522,
739,
67,
14
],
[
594,
739,
70,
14
],
[
669,
739,
30,
14
],
[
705,
739,
44,
14
],
[
423,
755,
20,
14
],
[
447,
755,
61,
14
],
[
513,
755,
28,
14
],
[
546,
755,
47,
14
],
[
598,
755,
12,
14
],
[
615,
755,
14,
14
],
[
634,
755,
7,
14
],
[
645,
755,
24,
14
],
[
674,
755,
57,
14
],
[
736,
755,
12,
14
],
[
423,
772,
56,
14
],
[
483,
772,
22,
14
],
[
510,
772,
92,
14
],
[
606,
772,
56,
14
],
[
666,
772,
37,
14
],
[
708,
772,
24,
14
],
[
736,
772,
12,
14
],
[
423,
789,
47,
14
],
[
475,
789,
26,
14
],
[
505,
789,
26,
14
],
[
536,
789,
55,
14
],
[
596,
789,
28,
14
],
[
629,
789,
34,
14
],
[
667,
789,
14,
14
],
[
686,
789,
62,
14
],
[
423,
805,
51,
14
],
[
478,
805,
37,
14
],
[
520,
805,
19,
14
],
[
543,
805,
45,
14
],
[
593,
805,
51,
14
],
[
648,
805,
12,
14
],
[
664,
805,
25,
14
],
[
693,
805,
41,
14
],
[
739,
805,
9,
14
],
[
423,
822,
23,
14
],
[
450,
822,
31,
14
],
[
485,
822,
44,
14
],
[
533,
822,
61,
14
],
[
598,
822,
20,
14
],
[
434,
839,
41,
14
],
[
479,
839,
56,
14
],
[
539,
839,
22,
14
],
[
565,
839,
26,
14
],
[
596,
839,
43,
14
],
[
643,
839,
18,
14
],
[
666,
839,
27,
14
],
[
697,
839,
7,
14
],
[
708,
839,
24,
14
],
[
736,
839,
12,
14
],
[
423,
855,
21,
14
],
[
448,
855,
62,
14
],
[
514,
855,
27,
14
],
[
546,
855,
54,
14
],
[
604,
855,
60,
14
],
[
668,
855,
12,
14
],
[
684,
855,
18,
14
],
[
707,
855,
41,
14
],
[
423,
872,
72,
14
],
[
499,
872,
41,
14
],
[
545,
872,
56,
14
],
[
606,
872,
22,
14
],
[
633,
872,
26,
14
],
[
664,
872,
55,
14
],
[
724,
872,
25,
14
],
[
423,
888,
43,
14
],
[
470,
888,
15,
14
],
[
490,
888,
19,
14
],
[
513,
888,
30,
14
],
[
547,
888,
44,
14
],
[
595,
888,
55,
14
],
[
654,
888,
19,
14
],
[
677,
888,
55,
14
],
[
736,
888,
12,
14
],
[
423,
905,
32,
14
],
[
460,
905,
23,
14
],
[
489,
905,
50,
14
],
[
544,
905,
19,
14
],
[
569,
905,
13,
14
],
[
587,
905,
57,
14
],
[
650,
905,
10,
14
],
[
666,
905,
10,
14
],
[
681,
905,
67,
14
],
[
423,
921,
48,
14
],
[
475,
921,
19,
14
],
[
499,
921,
46,
14
],
[
550,
921,
39,
14
],
[
594,
921,
18,
14
],
[
617,
921,
19,
14
],
[
640,
921,
30,
14
],
[
675,
921,
12,
14
],
[
692,
921,
56,
14
],
[
423,
938,
45,
14
],
[
472,
938,
25,
14
],
[
502,
938,
21,
14
],
[
527,
938,
45,
14
],
[
576,
938,
25,
14
],
[
606,
938,
56,
14
],
[
666,
938,
20,
14
],
[
691,
938,
57,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
25,
10
],
[
304,
987,
8,
10
],
[
314,
987,
8,
10
],
[
324,
987,
30,
10
],
[
357,
987,
29,
10
],
[
388,
987,
27,
10
],
[
417,
987,
14,
10
],
[
433,
987,
15,
10
],
[
450,
987,
6,
10
],
[
458,
987,
9,
10
],
[
470,
987,
21,
10
],
[
493,
987,
26,
10
],
[
520,
987,
23,
10
],
[
545,
987,
41,
10
],
[
588,
987,
23,
10
],
[
613,
987,
13,
10
],
[
628,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Huang",
"et",
"al.",
"Journal",
"of",
"Cardiothoracic",
"Surgery",
"2010,",
"5:88",
"http://www.cardiothoracicsurgery.org/content/5/1/88",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Lung",
"abscess",
"predicts",
"the",
"surgical",
"outcome",
"in",
"patients",
"with",
"pleural",
"empyema",
"Hung-Che",
"Huang1,",
"Heng-Chung",
"Chen1,",
"Hsin-Yuan",
"Fang2*,",
"Yi-Chieh",
"Lin1,",
"Chin-Yen",
"Wu1,",
"Ching-Yuan",
"Cheng1",
"Abstract",
"Objectives:",
"Most",
"cases",
"of",
"pleural",
"empyema",
"are",
"caused",
"by",
"pulmonary",
"infections,",
"which",
"are",
"usually",
"combined",
"with",
"pneumonia",
"or",
"lung",
"abscess.",
"The",
"mortality",
"of",
"patients",
"with",
"pleural",
"empyema",
"remains",
"high",
"(up",
"to",
"20%).",
"It",
"also",
"contributes",
"to",
"higher",
"hospital",
"costs",
"and",
"longer",
"hospital",
"stays.",
"We",
"studied",
"pleural",
"empyema",
"with",
"combined",
"lung",
"abscess",
"to",
"determine",
"if",
"abscess",
"was",
"associated",
"with",
"mortality.",
"Methods:",
"From",
"January",
"2004",
"to",
"December",
"2006,",
"we",
"retrospectively",
"reviewed",
"259",
"patients",
"diagnosed",
"with",
"pleural",
"empyema",
"who",
"received",
"thoracscopic",
"decortications",
"of",
"the",
"pleura",
"in",
"a",
"single",
"medical",
"center.",
"We",
"evaluated",
"their",
"clinical",
"data",
"and",
"analyzed",
"their",
"chest",
"computed",
"tomography",
"scans.",
"Outcomes",
"of",
"pleural",
"empyema",
"were",
"compared",
"between",
"groups",
"with",
"and",
"without",
"lung",
"abscess.",
"Results:",
"Twenty-two",
"pleural",
"empyema",
"patients",
"had",
"lung",
"abscesses.",
"Clinical",
"data",
"showed",
"significantly",
"higher",
"incidences",
"in",
"the",
"lung",
"abscess",
"group",
"of",
"pre-operative",
"leukocytosis,",
"need",
"for",
"an",
"intensive",
"care",
"unit",
"stay",
"and",
"mortality.",
"Conclusion:",
"Patients",
"with",
"pleural",
"empyema",
"and",
"lung",
"abscess",
"have",
"higher",
"intensive",
"care",
"unit",
"admission",
"rate,",
"higher",
"mortality",
"during",
"30",
"days",
"and",
"overall",
"mortality",
"than",
"patients",
"with",
"pleural",
"empyema.",
"The",
"odds",
"ratio",
"of",
"lung",
"abscess",
"is",
"4.685.",
"Physician",
"shall",
"pay",
"more",
"attention",
"on",
"high",
"risk",
"patient",
"of",
"lung",
"abscess",
"for",
"early",
"detection",
"and",
"management.",
"Background",
"Pleural",
"empyema",
"is",
"one",
"of",
"the",
"serious",
"complications",
"of",
"pneumonia,",
"and",
"increases",
"the",
"morbidity",
"and",
"mortality",
"due",
"to",
"pneumonia",
"[1-3].",
"About",
"5%",
"of",
"patients",
"with",
"pneumonia",
"suffer",
"from",
"pleural",
"empyema",
"[4,5].",
"About",
"65,000",
"patients",
"in",
"the",
"United",
"State",
"and",
"the",
"United",
"King-",
"dom",
"suffer",
"annually",
"from",
"pleural",
"empyema",
"or",
"a",
"compli-",
"cated",
"parapneumonic",
"effusion.",
"The",
"mortality",
"of",
"patients",
"with",
"pleural",
"empyema",
"is",
"up",
"to",
"20%",
"and",
"contributes",
"to",
"higher",
"hospital",
"costs.",
"Inflammatory",
"mechanisms",
"and",
"alterations",
"in",
"the",
"balance",
"of",
"pleural",
"fibrinolysis",
"have",
"been",
"implicated",
"in",
"the",
"pathophysiology",
"of",
"infectious",
"pleural",
"effusion.",
"Pleural",
"empyema",
"is",
"associated",
"with",
"fibrin",
"deposition",
"over",
"pleural",
"surfaces",
"due",
"to",
"inhibition",
"of",
"the",
"fibrinolysis",
"system",
"[6,7].",
"Parapneumonic",
"effusions",
"progress",
"through",
"exudative",
"and",
"fibrinopurulent",
"stages",
"and",
"terminate",
"in",
"empyema",
"in",
"the",
"organized",
"stage.",
"The",
"*",
"Correspondence:",
"d93421104@ntu.edu.tw",
"2Department",
"of",
"Surgery,",
"China",
"Medical",
"University",
"Hospital,",
"China",
"Medical",
"University,",
"2",
"Yude",
"Road,",
"Taichung,",
"404,",
"Taiwan",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"clinical",
"courses",
"of",
"patients",
"with",
"parapneumonic",
"effu-",
"sions",
"or",
"pleural",
"empyema",
"are",
"varied.",
"Lung",
"abscess",
"is",
"defined",
"as",
"a",
"circumscribed",
"collection",
"of",
"pus",
"in",
"the",
"lung,",
"which",
"leads",
"to",
"formation",
"of",
"a",
"cavity.",
"It",
"develops",
"when",
"a",
"localized",
"area",
"of",
"parenchymal",
"infection",
"becomes",
"necro-",
"tic",
"and",
"then",
"cavitates.",
"It",
"most",
"commonly",
"occurs",
"second-",
"ary",
"to",
"aspiration",
"in",
"patients",
"with",
"poor",
"dentition",
"or",
"as",
"a",
"complication",
"of",
"necrotizing",
"pneumonia.",
"Lung",
"abscess",
"has",
"previously",
"been",
"thought",
"to",
"be",
"a",
"rare",
"condition",
"of",
"empyema",
"and",
"parapneumonic",
"effusions.",
"About",
"90%",
"of",
"patients",
"with",
"lung",
"abscesses",
"been",
"cured",
"by",
"antibiotics",
"therapies",
"simply",
"[8].",
"Surgical",
"resection",
"of",
"lung",
"abscess",
"is",
"rare",
"when",
"medical",
"treatments",
"fail.",
"Pleural",
"empyema",
"and",
"lung",
"abscess",
"are",
"both",
"a",
"part",
"of",
"low",
"respiratory",
"tract",
"infection.",
"According",
"to",
"the",
"clinical",
"observation,",
"pleural",
"empyema",
"and",
"lung",
"abscesses",
"may",
"happen",
"on",
"the",
"same",
"patient.",
"However,",
"the",
"strategies",
"of",
"these",
"two",
"diseases",
"are",
"so",
"different.",
"It",
"is",
"interesting",
"whether",
"the",
"surgical",
"results",
"are",
"the",
"same",
"of",
"empyema",
"patients",
"with",
"and",
"without",
"lung",
"abscesses.",
"We",
"compared",
"©",
"2010",
"Huang",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,069,037 | null | [
[
80,
78,
124,
28
],
[
213,
78,
101,
28
],
[
324,
78,
25,
28
],
[
357,
78,
40,
28
],
[
407,
78,
112,
28
],
[
528,
78,
18,
28
],
[
555,
78,
84,
28
],
[
647,
78,
119,
28
],
[
80,
122,
44,
14
],
[
128,
122,
17,
14
],
[
149,
122,
37,
14
],
[
190,
119,
58,
17
],
[
252,
122,
37,
14
],
[
294,
122,
44,
14
],
[
342,
122,
39,
14
],
[
385,
119,
64,
17
],
[
453,
122,
54,
14
],
[
512,
122,
57,
14
],
[
572,
119,
67,
17
],
[
644,
122,
27,
14
],
[
675,
122,
42,
14
],
[
80,
139,
79,
17
],
[
164,
141,
51,
14
],
[
219,
141,
51,
14
],
[
274,
141,
55,
14
],
[
333,
141,
25,
14
],
[
362,
139,
56,
17
],
[
422,
141,
38,
14
],
[
464,
141,
25,
14
],
[
493,
141,
46,
14
],
[
543,
139,
68,
17
],
[
80,
164,
6,
10
],
[
88,
164,
60,
10
],
[
151,
164,
11,
10
],
[
165,
164,
25,
10
],
[
193,
164,
53,
10
],
[
250,
164,
35,
10
],
[
288,
164,
11,
10
],
[
303,
163,
36,
10
],
[
342,
163,
36,
10
],
[
381,
163,
30,
10
],
[
415,
164,
24,
10
],
[
442,
164,
6,
10
],
[
450,
164,
60,
10
],
[
513,
164,
11,
10
],
[
528,
163,
33,
10
],
[
565,
164,
31,
10
],
[
599,
164,
5,
10
],
[
608,
164,
52,
10
],
[
664,
164,
53,
10
],
[
721,
164,
35,
10
],
[
759,
164,
11,
10
],
[
80,
177,
36,
10
],
[
119,
177,
36,
10
],
[
157,
177,
30,
10
],
[
190,
178,
24,
10
],
[
217,
178,
6,
10
],
[
224,
178,
35,
10
],
[
262,
178,
34,
10
],
[
298,
178,
9,
10
],
[
310,
178,
31,
10
],
[
344,
178,
16,
10
],
[
362,
178,
48,
10
],
[
413,
178,
12,
10
],
[
428,
178,
36,
10
],
[
467,
178,
36,
10
],
[
506,
178,
13,
10
],
[
522,
178,
11,
10
],
[
535,
178,
32,
10
],
[
570,
178,
13,
10
],
[
586,
178,
11,
10
],
[
599,
178,
32,
10
],
[
634,
178,
22,
10
],
[
102,
216,
57,
14
],
[
102,
238,
17,
13
],
[
122,
238,
58,
13
],
[
182,
238,
18,
13
],
[
203,
238,
50,
13
],
[
255,
238,
11,
13
],
[
269,
238,
18,
13
],
[
289,
238,
26,
13
],
[
317,
238,
48,
13
],
[
368,
238,
8,
13
],
[
379,
238,
69,
13
],
[
451,
238,
52,
13
],
[
506,
238,
13,
13
],
[
522,
238,
50,
13
],
[
575,
238,
24,
13
],
[
601,
238,
48,
13
],
[
651,
238,
25,
13
],
[
679,
238,
32,
13
],
[
713,
238,
35,
13
],
[
102,
252,
68,
13
],
[
173,
252,
56,
13
],
[
233,
252,
18,
13
],
[
253,
252,
24,
13
],
[
281,
252,
42,
13
],
[
326,
252,
11,
13
],
[
340,
252,
111,
13
],
[
455,
252,
28,
13
],
[
486,
252,
11,
13
],
[
500,
252,
51,
13
],
[
555,
252,
4,
13
],
[
562,
252,
13,
13
],
[
579,
252,
41,
13
],
[
622,
252,
4,
13
],
[
630,
252,
10,
13
],
[
643,
252,
6,
13
],
[
653,
252,
35,
13
],
[
691,
252,
11,
13
],
[
705,
252,
13,
13
],
[
721,
252,
27,
13
],
[
102,
266,
25,
13
],
[
131,
266,
13,
13
],
[
147,
266,
25,
13
],
[
176,
266,
12,
13
],
[
191,
266,
7,
13
],
[
201,
266,
23,
13
],
[
228,
266,
28,
13
],
[
260,
266,
60,
13
],
[
324,
266,
16,
13
],
[
343,
266,
21,
13
],
[
367,
266,
47,
13
],
[
418,
266,
11,
13
],
[
432,
266,
62,
13
],
[
498,
266,
39,
13
],
[
540,
266,
10,
13
],
[
554,
266,
18,
13
],
[
575,
266,
25,
13
],
[
603,
266,
42,
13
],
[
648,
266,
11,
13
],
[
662,
266,
54,
13
],
[
720,
266,
28,
13
],
[
102,
280,
20,
13
],
[
126,
280,
29,
13
],
[
160,
280,
39,
13
],
[
202,
280,
10,
13
],
[
217,
280,
18,
13
],
[
239,
280,
42,
13
],
[
285,
280,
11,
13
],
[
300,
280,
49,
13
],
[
353,
280,
24,
13
],
[
380,
280,
54,
13
],
[
438,
280,
31,
13
],
[
473,
280,
17,
13
],
[
494,
280,
21,
13
],
[
519,
280,
21,
13
],
[
544,
280,
24,
13
],
[
572,
280,
7,
13
],
[
583,
280,
11,
13
],
[
598,
280,
25,
13
],
[
628,
280,
36,
13
],
[
668,
280,
18,
13
],
[
690,
280,
58,
13
],
[
102,
294,
61,
13
],
[
167,
294,
11,
13
],
[
182,
294,
28,
13
],
[
213,
294,
38,
13
],
[
255,
294,
49,
13
],
[
307,
294,
41,
13
],
[
352,
294,
29,
13
],
[
385,
294,
46,
13
],
[
435,
294,
14,
13
],
[
453,
294,
38,
13
],
[
495,
294,
29,
13
],
[
527,
294,
31,
13
],
[
561,
294,
22,
13
],
[
587,
294,
74,
13
],
[
664,
294,
14,
13
],
[
681,
294,
6,
13
],
[
692,
294,
34,
13
],
[
729,
294,
18,
13
],
[
102,
307,
34,
13
],
[
139,
307,
10,
13
],
[
151,
307,
15,
13
],
[
170,
307,
30,
13
],
[
203,
307,
32,
13
],
[
238,
307,
18,
13
],
[
259,
307,
58,
13
],
[
320,
307,
61,
13
],
[
384,
307,
45,
13
],
[
432,
307,
6,
13
],
[
441,
307,
55,
13
],
[
500,
307,
50,
13
],
[
553,
307,
14,
13
],
[
570,
307,
38,
13
],
[
611,
307,
29,
13
],
[
643,
307,
52,
13
],
[
698,
307,
6,
13
],
[
708,
307,
40,
13
],
[
102,
321,
39,
13
],
[
145,
321,
11,
13
],
[
161,
321,
54,
13
],
[
220,
321,
49,
13
],
[
273,
321,
36,
13
],
[
314,
321,
16,
13
],
[
334,
321,
47,
13
],
[
385,
321,
29,
13
],
[
418,
321,
48,
13
],
[
470,
321,
42,
13
],
[
517,
321,
24,
13
],
[
545,
321,
18,
13
],
[
567,
321,
59,
13
],
[
630,
321,
11,
13
],
[
646,
321,
6,
13
],
[
656,
321,
35,
13
],
[
695,
321,
52,
13
],
[
102,
335,
36,
13
],
[
142,
335,
20,
13
],
[
166,
335,
34,
13
],
[
204,
335,
30,
13
],
[
237,
335,
24,
13
],
[
264,
335,
11,
13
],
[
280,
335,
30,
13
],
[
314,
335,
28,
13
],
[
345,
335,
40,
13
],
[
389,
335,
39,
13
],
[
431,
335,
11,
13
],
[
446,
335,
18,
13
],
[
467,
335,
50,
13
],
[
521,
335,
11,
13
],
[
536,
335,
75,
13
],
[
614,
335,
60,
13
],
[
92,
370,
40,
10
],
[
134,
370,
22,
10
],
[
158,
370,
26,
10
],
[
185,
370,
13,
10
],
[
200,
370,
32,
10
],
[
233,
370,
15,
10
],
[
250,
370,
29,
10
],
[
281,
370,
15,
10
],
[
297,
370,
42,
10
],
[
341,
370,
13,
10
],
[
356,
370,
28,
10
],
[
385,
370,
24,
10
],
[
411,
370,
9,
10
],
[
421,
370,
9,
10
],
[
432,
370,
26,
10
],
[
460,
370,
42,
10
],
[
504,
370,
34,
10
],
[
540,
370,
9,
10
],
[
550,
370,
14,
10
],
[
566,
370,
37,
10
],
[
605,
370,
6,
10
],
[
613,
370,
28,
10
],
[
644,
370,
43,
10
],
[
688,
370,
20,
10
],
[
710,
370,
18,
10
],
[
730,
370,
18,
10
],
[
92,
381,
32,
10
],
[
127,
381,
139,
10
],
[
92,
398,
31,
10
],
[
126,
398,
23,
10
],
[
152,
398,
14,
10
],
[
169,
398,
35,
10
],
[
207,
398,
40,
10
],
[
249,
398,
22,
10
],
[
92,
416,
42,
10
],
[
137,
416,
43,
10
],
[
183,
416,
7,
10
],
[
193,
416,
22,
10
],
[
218,
416,
44,
10
],
[
265,
416,
36,
10
],
[
305,
416,
12,
10
],
[
320,
416,
22,
10
],
[
345,
416,
47,
10
],
[
394,
416,
26,
10
],
[
423,
416,
12,
10
],
[
438,
416,
20,
10
],
[
92,
433,
50,
10
],
[
156,
433,
20,
10
],
[
179,
433,
22,
10
],
[
204,
433,
25,
10
],
[
232,
433,
9,
10
],
[
243,
433,
9,
10
],
[
255,
433,
17,
10
],
[
275,
433,
7,
10
],
[
284,
433,
10,
10
],
[
297,
433,
50,
10
],
[
350,
433,
25,
10
],
[
378,
433,
45,
10
],
[
426,
433,
25,
10
],
[
453,
433,
14,
10
],
[
470,
433,
24,
10
],
[
496,
433,
9,
10
],
[
508,
433,
14,
10
],
[
525,
433,
34,
10
],
[
561,
433,
42,
10
],
[
606,
433,
45,
10
],
[
654,
433,
32,
10
],
[
689,
433,
25,
10
],
[
717,
433,
31,
10
],
[
92,
444,
49,
10
],
[
144,
444,
17,
10
],
[
163,
444,
50,
10
],
[
216,
444,
16,
10
],
[
235,
444,
54,
10
],
[
291,
444,
8,
10
],
[
302,
444,
15,
10
],
[
320,
444,
37,
10
],
[
359,
444,
37,
10
],
[
399,
444,
14,
10
],
[
416,
444,
31,
10
],
[
450,
444,
27,
10
],
[
480,
444,
16,
10
],
[
498,
444,
27,
10
],
[
529,
444,
13,
10
],
[
545,
444,
36,
10
],
[
92,
461,
42,
10
],
[
137,
461,
17,
10
],
[
157,
461,
21,
10
],
[
181,
461,
16,
10
],
[
200,
461,
43,
10
],
[
246,
461,
11,
10
],
[
259,
461,
23,
10
],
[
286,
461,
41,
10
],
[
330,
461,
36,
10
],
[
369,
461,
11,
10
],
[
383,
461,
39,
10
],
[
424,
461,
16,
10
],
[
443,
461,
27,
10
],
[
473,
461,
68,
10
],
[
544,
461,
35,
10
],
[
578,
461,
37,
10
],
[
619,
461,
11,
10
],
[
633,
461,
30,
10
],
[
666,
461,
11,
10
],
[
680,
461,
10,
10
],
[
689,
461,
12,
10
],
[
704,
461,
37,
10
],
[
745,
461,
3,
10
],
[
92,
472,
34,
10
],
[
129,
472,
38,
10
],
[
92,
490,
52,
10
],
[
147,
490,
44,
10
],
[
193,
490,
16,
10
],
[
212,
490,
31,
10
],
[
246,
490,
20,
10
],
[
268,
490,
35,
10
],
[
307,
490,
17,
10
],
[
326,
490,
11,
10
],
[
340,
490,
45,
10
],
[
388,
490,
35,
10
],
[
426,
490,
21,
10
],
[
92,
507,
5,
10
],
[
99,
507,
27,
10
],
[
129,
507,
73,
10
],
[
80,
550,
84,
14
],
[
93,
574,
21,
13
],
[
117,
574,
33,
13
],
[
154,
574,
10,
13
],
[
167,
574,
48,
13
],
[
219,
574,
39,
13
],
[
261,
574,
8,
13
],
[
272,
574,
6,
13
],
[
282,
574,
30,
13
],
[
316,
574,
10,
13
],
[
329,
574,
16,
13
],
[
349,
574,
29,
13
],
[
381,
574,
31,
13
],
[
80,
589,
31,
13
],
[
116,
589,
19,
13
],
[
139,
589,
6,
13
],
[
149,
589,
35,
13
],
[
189,
589,
10,
13
],
[
203,
589,
26,
13
],
[
232,
589,
44,
13
],
[
280,
589,
40,
13
],
[
324,
589,
48,
13
],
[
376,
589,
37,
13
],
[
80,
603,
15,
13
],
[
99,
603,
46,
13
],
[
149,
603,
43,
13
],
[
196,
603,
37,
13
],
[
237,
603,
16,
13
],
[
257,
603,
29,
13
],
[
290,
603,
27,
13
],
[
321,
603,
22,
13
],
[
348,
603,
19,
13
],
[
371,
603,
42,
13
],
[
80,
618,
46,
13
],
[
132,
618,
8,
13
],
[
145,
618,
19,
13
],
[
170,
618,
10,
13
],
[
186,
618,
16,
13
],
[
207,
618,
24,
13
],
[
237,
618,
46,
13
],
[
289,
618,
55,
13
],
[
349,
618,
48,
13
],
[
403,
618,
10,
13
],
[
80,
632,
40,
13
],
[
126,
632,
18,
13
],
[
150,
632,
28,
13
],
[
184,
632,
23,
13
],
[
212,
632,
10,
13
],
[
228,
632,
23,
13
],
[
256,
632,
21,
13
],
[
283,
632,
33,
13
],
[
321,
632,
10,
13
],
[
336,
632,
46,
13
],
[
388,
632,
24,
13
],
[
80,
647,
37,
13
],
[
120,
647,
19,
13
],
[
143,
647,
28,
13
],
[
173,
647,
53,
13
],
[
229,
647,
31,
13
],
[
263,
647,
54,
13
],
[
319,
647,
7,
13
],
[
329,
647,
23,
13
],
[
355,
647,
11,
13
],
[
368,
647,
16,
13
],
[
387,
647,
25,
13
],
[
80,
661,
46,
13
],
[
134,
661,
9,
13
],
[
150,
661,
82,
13
],
[
240,
661,
21,
13
],
[
269,
661,
48,
13
],
[
324,
661,
10,
13
],
[
341,
661,
71,
13
],
[
80,
676,
54,
13
],
[
136,
676,
17,
13
],
[
156,
676,
25,
13
],
[
183,
676,
16,
13
],
[
202,
676,
26,
13
],
[
230,
676,
10,
13
],
[
243,
676,
35,
13
],
[
280,
676,
44,
13
],
[
326,
676,
30,
13
],
[
358,
676,
31,
13
],
[
391,
676,
22,
13
],
[
80,
690,
38,
13
],
[
121,
690,
48,
13
],
[
172,
690,
60,
13
],
[
234,
690,
10,
13
],
[
247,
690,
21,
13
],
[
271,
690,
22,
13
],
[
296,
690,
30,
13
],
[
329,
690,
50,
13
],
[
381,
690,
31,
13
],
[
80,
705,
31,
13
],
[
117,
705,
49,
13
],
[
172,
705,
65,
13
],
[
243,
705,
47,
13
],
[
296,
705,
54,
13
],
[
355,
705,
16,
13
],
[
378,
705,
35,
13
],
[
80,
719,
22,
13
],
[
107,
719,
21,
13
],
[
134,
719,
10,
13
],
[
150,
719,
38,
13
],
[
193,
719,
6,
13
],
[
205,
719,
37,
13
],
[
247,
719,
21,
13
],
[
274,
719,
10,
13
],
[
289,
719,
22,
13
],
[
316,
719,
6,
13
],
[
328,
719,
50,
13
],
[
383,
719,
30,
13
],
[
80,
734,
35,
13
],
[
119,
734,
25,
13
],
[
148,
734,
34,
13
],
[
186,
734,
60,
13
],
[
249,
734,
56,
13
],
[
309,
734,
32,
13
],
[
345,
734,
56,
13
],
[
405,
734,
8,
13
],
[
80,
748,
46,
13
],
[
130,
748,
61,
13
],
[
80,
778,
59,
14
],
[
93,
803,
29,
13
],
[
125,
803,
14,
13
],
[
143,
803,
53,
13
],
[
200,
803,
16,
13
],
[
219,
803,
48,
13
],
[
270,
803,
10,
13
],
[
284,
803,
71,
13
],
[
359,
803,
54,
13
],
[
80,
817,
27,
13
],
[
110,
817,
54,
13
],
[
167,
817,
10,
13
],
[
180,
817,
46,
13
],
[
229,
817,
36,
13
],
[
268,
817,
42,
13
],
[
313,
817,
37,
13
],
[
353,
817,
10,
13
],
[
367,
817,
16,
13
],
[
386,
817,
27,
13
],
[
80,
832,
10,
13
],
[
94,
832,
43,
13
],
[
140,
832,
41,
13
],
[
185,
832,
18,
13
],
[
206,
832,
38,
13
],
[
248,
832,
6,
13
],
[
258,
832,
44,
13
],
[
305,
832,
4,
13
],
[
313,
832,
25,
13
],
[
342,
832,
33,
13
],
[
378,
832,
35,
13
],
[
80,
846,
67,
13
],
[
151,
846,
4,
13
],
[
158,
846,
53,
13
],
[
215,
846,
107,
13
],
[
325,
846,
25,
13
],
[
353,
846,
10,
13
],
[
366,
846,
46,
13
],
[
80,
861,
9,
13
],
[
93,
861,
79,
13
],
[
177,
861,
48,
13
],
[
229,
861,
37,
13
],
[
270,
861,
16,
13
],
[
290,
861,
29,
13
],
[
324,
861,
25,
13
],
[
353,
861,
60,
13
],
[
80,
875,
14,
13
],
[
99,
875,
38,
13
],
[
142,
875,
16,
13
],
[
163,
875,
23,
13
],
[
190,
875,
40,
13
],
[
235,
875,
10,
13
],
[
249,
875,
107,
13
],
[
361,
875,
25,
13
],
[
391,
875,
4,
13
],
[
400,
875,
13,
13
],
[
80,
890,
39,
13
],
[
123,
890,
4,
13
],
[
131,
890,
10,
13
],
[
145,
890,
6,
13
],
[
155,
890,
33,
13
],
[
191,
890,
10,
13
],
[
205,
890,
13,
13
],
[
222,
890,
26,
13
],
[
251,
890,
25,
13
],
[
279,
890,
13,
13
],
[
296,
890,
26,
13
],
[
326,
890,
10,
13
],
[
340,
890,
7,
13
],
[
350,
890,
23,
13
],
[
377,
890,
29,
13
],
[
93,
904,
18,
13
],
[
116,
904,
32,
13
],
[
155,
904,
15,
13
],
[
176,
904,
41,
13
],
[
222,
904,
10,
13
],
[
239,
904,
33,
13
],
[
278,
904,
15,
13
],
[
299,
904,
16,
13
],
[
321,
904,
25,
13
],
[
351,
904,
46,
13
],
[
404,
904,
9,
13
],
[
80,
919,
82,
13
],
[
167,
919,
47,
13
],
[
218,
919,
14,
13
],
[
237,
919,
53,
13
],
[
294,
919,
16,
13
],
[
315,
919,
36,
13
],
[
355,
919,
10,
13
],
[
369,
919,
16,
13
],
[
390,
919,
23,
13
],
[
80,
933,
40,
13
],
[
123,
933,
10,
13
],
[
136,
933,
52,
13
],
[
190,
933,
29,
13
],
[
222,
933,
16,
13
],
[
240,
933,
36,
13
],
[
279,
933,
10,
13
],
[
292,
933,
16,
13
],
[
311,
933,
40,
13
],
[
354,
933,
10,
13
],
[
367,
933,
46,
13
],
[
80,
948,
22,
13
],
[
109,
948,
52,
13
],
[
166,
948,
25,
13
],
[
198,
948,
19,
13
],
[
223,
948,
16,
13
],
[
245,
948,
55,
13
],
[
307,
948,
58,
13
],
[
371,
948,
10,
13
],
[
387,
948,
25,
13
],
[
80,
962,
35,
13
],
[
122,
962,
49,
13
],
[
177,
962,
18,
13
],
[
201,
962,
20,
13
],
[
228,
962,
40,
13
],
[
274,
962,
6,
13
],
[
287,
962,
33,
13
],
[
326,
962,
48,
13
],
[
381,
962,
32,
13
],
[
80,
977,
30,
13
],
[
115,
977,
56,
13
],
[
174,
977,
16,
13
],
[
195,
977,
26,
13
],
[
225,
977,
47,
13
],
[
276,
977,
40,
13
],
[
320,
977,
44,
13
],
[
368,
977,
25,
13
],
[
397,
977,
16,
13
],
[
80,
992,
39,
13
],
[
123,
992,
10,
13
],
[
137,
992,
16,
13
],
[
157,
992,
44,
13
],
[
205,
992,
13,
13
],
[
222,
992,
16,
13
],
[
242,
992,
25,
13
],
[
271,
992,
46,
13
],
[
321,
992,
9,
13
],
[
334,
992,
79,
13
],
[
80,
1006,
53,
13
],
[
437,
550,
48,
14
],
[
450,
575,
26,
13
],
[
480,
575,
14,
13
],
[
499,
575,
42,
13
],
[
546,
575,
16,
13
],
[
566,
575,
23,
13
],
[
593,
575,
47,
13
],
[
645,
575,
10,
13
],
[
659,
575,
16,
13
],
[
680,
575,
31,
13
],
[
715,
575,
40,
13
],
[
760,
575,
10,
13
],
[
437,
589,
52,
13
],
[
491,
589,
29,
13
],
[
523,
589,
20,
13
],
[
545,
589,
13,
13
],
[
560,
589,
6,
13
],
[
569,
589,
27,
13
],
[
599,
589,
23,
13
],
[
625,
589,
7,
13
],
[
634,
589,
16,
13
],
[
653,
589,
23,
13
],
[
679,
589,
40,
13
],
[
721,
589,
10,
13
],
[
734,
589,
25,
13
],
[
762,
589,
7,
13
],
[
437,
604,
8,
13
],
[
448,
604,
27,
13
],
[
478,
604,
13,
13
],
[
494,
604,
16,
13
],
[
513,
604,
21,
13
],
[
537,
604,
10,
13
],
[
551,
604,
5,
13
],
[
559,
604,
22,
13
],
[
584,
604,
12,
13
],
[
600,
604,
49,
13
],
[
652,
604,
11,
13
],
[
666,
604,
19,
13
],
[
689,
604,
15,
13
],
[
707,
604,
14,
13
],
[
725,
604,
26,
13
],
[
753,
604,
16,
13
],
[
437,
619,
10,
13
],
[
452,
619,
59,
13
],
[
515,
619,
22,
13
],
[
541,
619,
13,
13
],
[
558,
619,
59,
13
],
[
621,
619,
31,
13
],
[
657,
619,
27,
13
],
[
688,
619,
13,
13
],
[
705,
619,
16,
13
],
[
725,
619,
44,
13
],
[
437,
631,
16,
13
],
[
456,
640,
28,
13
],
[
485,
640,
4,
13
],
[
494,
640,
22,
13
],
[
522,
640,
41,
13
],
[
569,
640,
47,
13
],
[
622,
640,
22,
13
],
[
650,
640,
32,
13
],
[
688,
640,
43,
13
],
[
737,
640,
10,
13
],
[
753,
640,
17,
13
],
[
440,
648,
11,
13
],
[
437,
661,
28,
13
],
[
468,
661,
23,
13
],
[
493,
661,
28,
13
],
[
524,
661,
40,
13
],
[
567,
661,
20,
13
],
[
590,
661,
16,
13
],
[
609,
661,
23,
13
],
[
634,
661,
40,
13
],
[
677,
661,
10,
13
],
[
690,
661,
52,
13
],
[
744,
661,
25,
13
],
[
437,
676,
39,
13
],
[
480,
676,
13,
13
],
[
497,
676,
59,
13
],
[
560,
676,
39,
13
],
[
603,
676,
49,
13
],
[
657,
676,
6,
13
],
[
667,
676,
51,
13
],
[
723,
676,
47,
13
],
[
437,
691,
10,
13
],
[
450,
691,
16,
13
],
[
469,
691,
59,
13
],
[
531,
691,
45,
13
],
[
578,
691,
18,
13
],
[
600,
691,
12,
13
],
[
615,
691,
45,
13
],
[
663,
691,
15,
13
],
[
680,
691,
36,
13
],
[
720,
691,
27,
13
],
[
750,
690,
6,
13
],
[
759,
690,
11,
13
],
[
437,
705,
13,
13
],
[
453,
705,
29,
13
],
[
485,
705,
11,
13
],
[
499,
705,
45,
13
],
[
547,
705,
19,
13
],
[
570,
705,
14,
13
],
[
587,
705,
30,
13
],
[
620,
705,
16,
13
],
[
639,
705,
23,
13
],
[
665,
705,
47,
13
],
[
715,
705,
10,
13
],
[
728,
705,
16,
13
],
[
747,
705,
23,
13
],
[
437,
720,
40,
13
],
[
480,
720,
10,
13
],
[
493,
720,
46,
13
],
[
542,
720,
22,
13
],
[
567,
720,
51,
13
],
[
622,
720,
29,
13
],
[
653,
720,
24,
13
],
[
680,
720,
42,
13
],
[
726,
720,
20,
13
],
[
749,
720,
21,
13
],
[
437,
735,
39,
13
],
[
486,
735,
73,
13
],
[
569,
735,
6,
13
],
[
585,
735,
29,
13
],
[
623,
735,
36,
13
],
[
669,
735,
10,
13
],
[
689,
735,
12,
13
],
[
711,
735,
16,
13
],
[
737,
735,
33,
13
],
[
437,
750,
57,
13
],
[
450,
765,
27,
13
],
[
482,
765,
14,
13
],
[
501,
765,
50,
13
],
[
556,
765,
16,
13
],
[
577,
765,
55,
13
],
[
637,
765,
10,
13
],
[
652,
765,
49,
13
],
[
706,
765,
24,
13
],
[
736,
765,
34,
13
],
[
437,
780,
44,
13
],
[
488,
780,
19,
13
],
[
515,
780,
11,
13
],
[
533,
780,
22,
13
],
[
562,
780,
47,
13
],
[
617,
780,
11,
13
],
[
635,
780,
26,
13
],
[
669,
780,
10,
13
],
[
687,
780,
33,
13
],
[
727,
780,
43,
13
],
[
437,
794,
58,
13
],
[
500,
794,
7,
13
],
[
513,
794,
7,
13
],
[
526,
794,
43,
13
],
[
575,
794,
10,
13
],
[
590,
794,
40,
13
],
[
636,
794,
15,
13
],
[
657,
794,
53,
13
],
[
715,
794,
55,
13
],
[
437,
809,
36,
13
],
[
475,
805,
5,
13
],
[
484,
809,
44,
13
],
[
530,
809,
28,
13
],
[
560,
809,
5,
13
],
[
567,
809,
7,
13
],
[
576,
809,
16,
13
],
[
594,
809,
38,
13
],
[
634,
809,
10,
13
],
[
646,
809,
49,
13
],
[
697,
809,
24,
13
],
[
723,
809,
10,
13
],
[
735,
809,
6,
13
],
[
744,
809,
26,
13
],
[
437,
824,
37,
13
],
[
477,
824,
19,
13
],
[
499,
824,
17,
13
],
[
519,
824,
8,
13
],
[
529,
824,
16,
13
],
[
548,
824,
52,
13
],
[
602,
824,
55,
13
],
[
660,
824,
40,
13
],
[
703,
824,
29,
13
],
[
734,
824,
10,
13
],
[
747,
824,
8,
13
],
[
450,
839,
21,
13
],
[
475,
839,
47,
13
],
[
527,
839,
55,
13
],
[
587,
839,
58,
13
],
[
649,
839,
22,
13
],
[
675,
839,
15,
13
],
[
694,
839,
29,
13
],
[
728,
839,
30,
13
],
[
762,
839,
8,
13
],
[
437,
854,
33,
13
],
[
474,
854,
10,
13
],
[
488,
854,
19,
13
],
[
511,
854,
18,
13
],
[
534,
854,
11,
13
],
[
549,
854,
18,
13
],
[
571,
854,
32,
13
],
[
607,
854,
19,
13
],
[
630,
854,
41,
13
],
[
675,
854,
29,
13
],
[
708,
854,
44,
13
],
[
756,
854,
13,
13
],
[
437,
869,
34,
13
],
[
475,
869,
24,
13
],
[
503,
869,
28,
13
],
[
535,
869,
20,
13
],
[
559,
869,
48,
13
],
[
610,
869,
13,
13
],
[
627,
869,
6,
13
],
[
637,
869,
32,
13
],
[
672,
869,
18,
13
],
[
693,
869,
32,
13
],
[
574,
902,
60,
16
],
[
758,
904,
7,
13
],
[
753,
908,
5,
13
],
[
764,
908,
5,
13
],
[
437,
932,
31,
13
],
[
473,
931,
7,
13
],
[
485,
932,
8,
13
],
[
497,
932,
16,
13
],
[
519,
932,
32,
13
],
[
555,
932,
18,
13
],
[
578,
932,
50,
13
],
[
633,
932,
21,
13
],
[
659,
932,
23,
13
],
[
687,
932,
47,
13
],
[
739,
932,
10,
13
],
[
754,
932,
16,
13
],
[
437,
947,
32,
13
],
[
473,
947,
18,
13
],
[
495,
947,
47,
13
],
[
546,
946,
7,
13
],
[
556,
947,
8,
13
],
[
568,
947,
33,
13
],
[
605,
947,
10,
13
],
[
619,
947,
19,
13
],
[
643,
947,
17,
13
],
[
664,
947,
43,
13
],
[
711,
947,
20,
13
],
[
735,
946,
7,
13
],
[
746,
947,
24,
13
],
[
437,
961,
73,
13
],
[
514,
961,
46,
13
],
[
563,
961,
80,
14
],
[
647,
961,
15,
13
],
[
665,
961,
13,
13
],
[
682,
961,
26,
13
],
[
450,
976,
18,
13
],
[
473,
976,
30,
13
],
[
508,
976,
30,
13
],
[
543,
976,
19,
13
],
[
566,
976,
47,
13
],
[
619,
976,
40,
13
],
[
664,
976,
25,
13
],
[
694,
976,
16,
13
],
[
715,
976,
32,
13
],
[
752,
976,
18,
13
],
[
437,
991,
44,
13
],
[
485,
991,
80,
13
],
[
569,
991,
39,
13
],
[
612,
991,
11,
13
],
[
627,
991,
18,
13
],
[
649,
991,
32,
13
],
[
684,
991,
35,
13
],
[
723,
991,
6,
13
],
[
733,
991,
36,
13
],
[
437,
1006,
42,
13
],
[
486,
1006,
49,
13
],
[
542,
1006,
58,
13
],
[
607,
1006,
18,
13
],
[
633,
1006,
19,
13
],
[
660,
1006,
18,
13
],
[
685,
1006,
20,
13
],
[
712,
1006,
8,
13
],
[
727,
1006,
10,
13
],
[
745,
1006,
25,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
559,
1047,
29,
12
],
[
591,
1047,
23,
12
],
[
619,
1047,
3,
12
],
[
627,
1047,
36,
12
],
[
668,
1047,
6,
12
],
[
680,
1047,
3,
12
],
[
688,
1047,
24,
12
],
[
716,
1047,
6,
12
],
[
727,
1047,
3,
12
],
[
736,
1047,
34,
12
]
] | [
"Spreading",
"Patterns",
"of",
"the",
"Influenza",
"A",
"(H1N1)",
"Pandemic",
"Sergio",
"de",
"Picoli",
"Junior1*,",
"Jorge",
"Juarez",
"Vieira",
"Teixeira2,",
"Haroldo",
"Valentin",
"Ribeiro1,3,",
"Luis",
"Carlos",
"Malacarne1,",
"Ricardo",
"Paupitz",
"Barbosa",
"dos",
"Santos1,",
"Renio",
"dos",
"Santos",
"Mendes1,3",
"1",
"Departamento",
"de",
"F´ısica,",
"Universidade",
"Estadual",
"de",
"Maringa´,",
"Maringa´,",
"Parana´,",
"Brazil,",
"2",
"Departamento",
"de",
"Ana´lises",
"Cl´ınicas",
"e",
"Biomedicina,",
"Universidade",
"Estadual",
"de",
"Maringa´,",
"Maringa´,",
"Parana´,",
"Brazil,",
"3",
"National",
"Institute",
"of",
"Science",
"and",
"Technology",
"for",
"Complex",
"Systems,",
"Rio",
"de",
"Janeiro,",
"Rio",
"de",
"Janeiro,",
"Brazil",
"Abstract",
"We",
"investigate",
"the",
"dynamics",
"of",
"the",
"2009",
"influenza",
"A",
"(H1N1/S-OIV)",
"pandemic",
"by",
"analyzing",
"data",
"obtained",
"from",
"World",
"Health",
"Organization",
"containing",
"the",
"total",
"number",
"of",
"laboratory-confirmed",
"cases",
"of",
"infections",
"-",
"by",
"country",
"-",
"in",
"a",
"period",
"of",
"69",
"days,",
"from",
"26",
"April",
"to",
"3",
"July,",
"2009.",
"Specifically,",
"we",
"find",
"evidence",
"of",
"exponential",
"growth",
"in",
"the",
"total",
"number",
"of",
"confirmed",
"cases",
"and",
"linear",
"growth",
"in",
"the",
"number",
"of",
"countries",
"with",
"confirmed",
"cases.",
"We",
"also",
"find",
"that,",
"i)",
"at",
"early",
"stages,",
"the",
"cumulative",
"distribution",
"of",
"cases",
"among",
"countries",
"exhibits",
"linear",
"behavior",
"on",
"log-log",
"scale,",
"being",
"well",
"approximated",
"by",
"a",
"power",
"law",
"decay;",
"ii)",
"for",
"larger",
"times,",
"the",
"cumulative",
"distribution",
"presents",
"a",
"systematic",
"curvature",
"on",
"log-log",
"scale,",
"indicating",
"a",
"gradual",
"change",
"to",
"lognormal",
"behavior.",
"Finally,",
"we",
"compare",
"these",
"empirical",
"findings",
"with",
"the",
"predictions",
"of",
"a",
"simple",
"stochastic",
"model.",
"Our",
"results",
"could",
"help",
"to",
"select",
"more",
"realistic",
"models",
"of",
"the",
"dynamics",
"of",
"influenza-type",
"pandemics.",
"Citation:",
"Picoli",
"Junior",
"Sd,",
"Teixeira",
"JJV,",
"Ribeiro",
"HV,",
"Malacarne",
"LC,",
"Santos",
"RPBd,",
"et",
"al.",
"(2011)",
"Spreading",
"Patterns",
"of",
"the",
"Influenza",
"A",
"(H1N1)",
"Pandemic.",
"PLoS",
"ONE",
"6(3):",
"e17823.",
"doi:10.1371/journal.pone.0017823",
"Editor:",
"Paulo",
"Ho,",
"Instituto",
"Butantan,",
"Brazil",
"Received",
"November",
"8,",
"2010;",
"Accepted",
"February",
"14,",
"2011;",
"Published",
"March",
"31,",
"2011",
"Copyright:",
"2011",
"Picoli",
"Junior",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"work",
"was",
"supported",
"by",
"CNPq",
"(Conselho",
"Nacional",
"de",
"Pesquisa)",
"and",
"CAPES",
"(Coordenac¸a˜ode",
"Aperfeic¸",
"oamento",
"de",
"Pessoal",
"de",
"Nı´",
"vel",
"Superior)",
"-",
"Brazilian",
"agencies.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"junior@dfi.uem.br",
"Introduction",
"The",
"spread",
"of",
"infectious",
"diseases",
"is",
"a",
"threat",
"to",
"the",
"world",
"public",
"health",
"and",
"a",
"subject",
"of",
"great",
"scientific",
"interest.",
"Influenza",
"viruses,",
"for",
"example,",
"circulate",
"around",
"the",
"world",
"every",
"year",
"and",
"seasonal",
"influenza",
"is",
"one",
"of",
"the",
"most",
"worrying",
"respiratory",
"infections",
"of",
"humans",
"[1].",
"From",
"time",
"to",
"time",
"new",
"strains",
"of",
"influenza",
"virus",
"emerge",
"and",
"cause",
"large-scale",
"global",
"pandemics",
"–",
"such",
"as",
"the",
"2009",
"influenza",
"A",
"(H1N1/S-OIV).",
"The",
"dynamics",
"of",
"influenza-type",
"pandemics",
"has",
"been",
"the",
"focus",
"of",
"several",
"scientific",
"works",
"which",
"may",
"provide",
"necessary",
"information",
"to",
"deal",
"with",
"future",
"pandemic",
"events",
"[2–9].",
"However,",
"conventional",
"modeling",
"techniques",
"are",
"usually",
"only",
"able",
"to",
"provide",
"a",
"general",
"idea",
"of",
"how",
"a",
"pandemic",
"might",
"evolve,",
"since",
"crucial",
"information",
"concerning",
"model",
"parameters",
"is",
"generally",
"unavailable.",
"Methods",
"Here,",
"we",
"investigate",
"the",
"dynamics",
"of",
"influenza-type",
"pandemics",
"using",
"techniques",
"of",
"statistical",
"physics",
"typically",
"applied",
"in",
"the",
"study",
"of",
"complex",
"systems.",
"We",
"analyze",
"a",
"database",
"-",
"from",
"World",
"Health",
"Organization",
"-",
"containing",
"laboratory-confirmed",
"cases",
"of",
"influenza",
"A",
"(H1N1/S-OIV)",
"infections",
"around",
"the",
"world",
"[10].",
"Specifically,",
"we",
"analyze",
"the",
"total",
"number",
"of",
"laboratory-confirmed",
"cases",
"-",
"by",
"country",
"-",
"in",
"a",
"period",
"of",
"69",
"days,",
"from",
"26",
"April",
"to",
"3",
"July,",
"2009.",
"We",
"search",
"for",
"patterns",
"of",
"spread",
"for",
"the",
"virus",
"influenza",
"A",
"(H1N1/S-OIV).",
"Basically,",
"we",
"investigate",
"the",
"growth",
"in",
"the",
"total",
"number",
"of",
"confirmed",
"cases,",
"the",
"growth",
"in",
"the",
"number",
"of",
"countries",
"with",
"confirmed",
"cases",
"and",
"the",
"cumulative",
"distribution",
"of",
"cases",
"among",
"countries.",
"We",
"also",
"propose",
"a",
"simple",
"stochastic",
"model",
"which",
"reproduces",
"the",
"main",
"empirical",
"findings",
"obtained",
"from",
"the",
"analysis",
"of",
"the",
"database",
"on",
"the",
"2009",
"influenza",
"A",
"(H1N1/S-OIV)",
"pandemic.",
"Results",
"First,",
"we",
"consider",
"the",
"time",
"evolution",
"of",
"the",
"global",
"number",
"of",
"confirmed",
"cases,",
"Y(t).",
"At",
"a",
"given",
"time",
"t,",
"the",
"total",
"number",
"of",
"cases",
"Y",
"is",
"given",
"by",
"the",
"sum",
"of",
"y",
"over",
"all",
"countries.",
"In",
"Fig.",
"1A",
"we",
"show",
"Y(t)",
"in",
"comparison",
"with",
"an",
"exponential",
"curve,",
"given",
"by",
"the",
"equation",
"dY",
"~lY",
",",
"with",
"l~0:05",
"(compare",
"with",
"results",
"reported",
"in",
"ref.",
"dt",
"[11]).",
"This",
"result",
"suggests",
"that",
"the",
"total",
"number",
"of",
"confirmed",
"cases",
"exhibits",
"an",
"exponential",
"growth.",
"However,",
"a",
"systematic",
"deviation",
"of",
"the",
"exponential",
"behavior",
"can",
"be",
"observed",
"for",
"smaller",
"times",
"(t",
",",
"20",
"days).",
"In",
"addition,",
"Fig.",
"1B",
"shows",
"the",
"time",
"evolution",
"of",
"the",
"total",
"number",
"of",
"countries",
"with",
"confirmed",
"cases,",
"W(t).",
"Observe",
"that",
"W(t)",
"exhibits",
"approximately",
"a",
"linear",
"growth",
"in",
"all",
"the",
"period",
"considered.",
"Next,",
"we",
"investigate",
"the",
"distribution",
"of",
"confirmed",
"cases",
"among",
"countries",
"and",
"its",
"time",
"evolution.",
"In",
"order",
"to",
"reduce",
"statistical",
"fluctuations,",
"it",
"is",
"common",
"to",
"consider",
"the",
"cumulative",
"distribution",
"R(y)~",
"Ð",
"P(y’)dy’.",
"Here,",
"y",
"is",
"the",
"number",
"of",
"confirmed",
"cases",
"in",
"a",
"given",
"country",
"and",
"P(y)",
"is",
"the",
"probability",
"distribution",
"function",
"(PDF)",
"of",
"y.",
"The",
"empirical",
"cumulative",
"distribution",
"R(y),",
"for",
"initial",
"times,",
"is",
"shown",
"in",
"Fig.",
"2A.",
"In",
"this",
"range,",
"R(y)",
"presents",
"linear",
"behavior",
"on",
"log-log",
"scale",
"being",
"well",
"described",
"by",
"a",
"power",
"law",
"decay,",
"R(y)*y{a,",
"1",
"ð",
"Þ",
"where",
"a",
"is",
"the",
"power",
"law",
"exponent.",
"The",
"time",
"evolution",
"of",
"the",
"power",
"law",
"exponent",
"a",
"is",
"shown",
"in",
"Fig.",
"2B.",
"Observe",
"that",
"a",
"stays",
"approximately",
"constant,",
"0.35,a,0.040,",
"for",
"21",
"days.",
"For",
"larger",
"times,",
"R(y)",
"gradually",
"deviates",
"from",
"the",
"power",
"law",
"behavior",
"(Supplementary",
"Figure).",
"In",
"this",
"range,",
"R(y)has",
"a",
"modest",
"negative",
"curvature",
"everywhere",
"(see",
"Fig.",
"3A)",
"and",
"is",
"in",
"good",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"March",
"2011",
"|",
"Volume",
"6",
"|",
"Issue",
"3",
"|",
"e17823"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,649,538 | null | [
[
80,
78,
150,
28
],
[
239,
78,
25,
28
],
[
272,
78,
49,
28
],
[
330,
78,
115,
28
],
[
455,
78,
114,
28
],
[
577,
78,
23,
28
],
[
610,
78,
126,
28
],
[
80,
109,
57,
28
],
[
146,
109,
45,
28
],
[
201,
109,
151,
28
],
[
361,
109,
47,
28
],
[
416,
109,
179,
28
],
[
80,
152,
63,
14
],
[
148,
152,
38,
14
],
[
190,
152,
58,
14
],
[
252,
152,
47,
14
],
[
303,
152,
54,
14
],
[
361,
152,
49,
14
],
[
414,
152,
52,
14
],
[
470,
152,
69,
14
],
[
80,
175,
45,
10
],
[
128,
175,
9,
10
],
[
139,
175,
69,
10
],
[
210,
175,
9,
10
],
[
222,
175,
39,
10
],
[
264,
175,
19,
10
],
[
286,
175,
34,
10
],
[
323,
175,
19,
10
],
[
345,
175,
5,
10
],
[
353,
175,
43,
10
],
[
399,
175,
50,
10
],
[
451,
175,
9,
10
],
[
463,
175,
15,
10
],
[
480,
175,
33,
10
],
[
516,
175,
45,
10
],
[
564,
175,
22,
10
],
[
589,
175,
21,
10
],
[
614,
175,
27,
10
],
[
102,
214,
57,
14
],
[
101,
241,
69,
13
],
[
174,
241,
66,
13
],
[
244,
241,
39,
13
],
[
285,
241,
31,
13
],
[
319,
241,
27,
13
],
[
350,
241,
57,
13
],
[
410,
241,
8,
13
],
[
422,
241,
6,
13
],
[
431,
241,
39,
13
],
[
473,
241,
31,
13
],
[
507,
241,
24,
13
],
[
534,
241,
6,
13
],
[
544,
241,
24,
13
],
[
571,
241,
37,
13
],
[
611,
241,
11,
13
],
[
626,
241,
52,
13
],
[
681,
241,
15,
13
],
[
699,
241,
49,
13
],
[
102,
255,
25,
13
],
[
135,
255,
21,
13
],
[
164,
255,
8,
13
],
[
179,
255,
13,
13
],
[
200,
255,
53,
13
],
[
260,
255,
41,
13
],
[
309,
255,
11,
13
],
[
327,
255,
48,
13
],
[
383,
255,
39,
13
],
[
429,
255,
20,
13
],
[
456,
255,
30,
13
],
[
494,
255,
65,
13
],
[
567,
255,
10,
13
],
[
585,
255,
38,
13
],
[
630,
255,
36,
13
],
[
674,
255,
49,
13
],
[
730,
255,
18,
13
],
[
102,
269,
50,
13
],
[
164,
269,
25,
13
],
[
193,
269,
16,
13
],
[
213,
269,
65,
13
],
[
282,
269,
18,
13
],
[
304,
269,
62,
13
],
[
369,
269,
48,
13
],
[
421,
269,
50,
13
],
[
476,
269,
45,
13
],
[
525,
269,
10,
13
],
[
539,
269,
18,
13
],
[
561,
269,
54,
13
],
[
619,
269,
11,
13
],
[
634,
269,
55,
13
],
[
693,
269,
33,
13
],
[
730,
269,
18,
13
],
[
102,
282,
65,
13
],
[
170,
282,
20,
13
],
[
195,
282,
75,
13
],
[
273,
282,
43,
13
],
[
319,
282,
14,
13
],
[
336,
282,
58,
13
],
[
398,
282,
21,
13
],
[
423,
282,
35,
13
],
[
462,
282,
45,
13
],
[
511,
282,
68,
13
],
[
582,
282,
10,
13
],
[
596,
282,
42,
13
],
[
642,
282,
17,
13
],
[
101,
309,
74,
13
],
[
180,
309,
21,
13
],
[
205,
309,
42,
13
],
[
253,
309,
10,
13
],
[
268,
309,
24,
13
],
[
297,
309,
20,
13
],
[
322,
309,
10,
13
],
[
337,
309,
22,
13
],
[
364,
309,
24,
13
],
[
393,
309,
18,
13
],
[
416,
309,
65,
13
],
[
485,
309,
21,
13
],
[
510,
309,
52,
13
],
[
567,
309,
13,
13
],
[
585,
309,
26,
13
],
[
616,
309,
71,
13
],
[
693,
309,
31,
13
],
[
728,
309,
20,
13
],
[
102,
323,
59,
13
],
[
166,
323,
11,
13
],
[
182,
323,
72,
13
],
[
259,
323,
10,
13
],
[
274,
323,
18,
13
],
[
296,
323,
54,
13
],
[
355,
323,
11,
13
],
[
371,
323,
67,
13
],
[
443,
323,
18,
13
],
[
466,
323,
65,
13
],
[
536,
323,
21,
13
],
[
561,
323,
61,
13
],
[
628,
323,
13,
13
],
[
646,
323,
61,
13
],
[
713,
323,
11,
13
],
[
729,
323,
19,
13
],
[
102,
336,
48,
13
],
[
153,
336,
29,
13
],
[
185,
336,
18,
13
],
[
206,
336,
87,
13
],
[
296,
336,
45,
13
],
[
344,
336,
11,
13
],
[
358,
336,
50,
13
],
[
410,
336,
153,
13
],
[
566,
336,
38,
13
],
[
607,
336,
32,
13
],
[
642,
336,
10,
13
],
[
655,
336,
22,
13
],
[
680,
336,
67,
13
],
[
102,
350,
24,
13
],
[
130,
350,
18,
13
],
[
151,
350,
75,
13
],
[
230,
350,
20,
13
],
[
254,
350,
46,
13
],
[
303,
350,
14,
13
],
[
320,
350,
18,
13
],
[
341,
350,
104,
13
],
[
449,
350,
11,
13
],
[
463,
350,
29,
13
],
[
496,
350,
20,
13
],
[
520,
350,
29,
13
],
[
552,
350,
10,
13
],
[
566,
350,
33,
13
],
[
603,
350,
23,
13
],
[
629,
350,
20,
13
],
[
653,
350,
18,
13
],
[
674,
350,
59,
13
],
[
737,
350,
11,
13
],
[
102,
364,
48,
13
],
[
153,
364,
10,
13
],
[
166,
364,
19,
13
],
[
188,
364,
40,
13
],
[
232,
364,
20,
13
],
[
255,
364,
67,
13
],
[
334,
364,
17,
13
],
[
355,
364,
42,
13
],
[
399,
364,
22,
13
],
[
424,
364,
21,
13
],
[
448,
364,
40,
13
],
[
491,
364,
6,
13
],
[
500,
364,
36,
13
],
[
539,
364,
53,
13
],
[
595,
364,
30,
13
],
[
628,
364,
14,
13
],
[
645,
364,
33,
13
],
[
681,
364,
25,
13
],
[
710,
364,
25,
13
],
[
738,
364,
10,
13
],
[
102,
378,
24,
13
],
[
129,
378,
20,
13
],
[
152,
378,
10,
13
],
[
165,
378,
25,
13
],
[
192,
378,
12,
13
],
[
207,
378,
30,
13
],
[
239,
378,
14,
13
],
[
256,
378,
18,
13
],
[
277,
378,
65,
13
],
[
344,
378,
21,
13
],
[
367,
378,
50,
13
],
[
420,
378,
43,
13
],
[
466,
378,
18,
13
],
[
486,
378,
52,
13
],
[
540,
378,
11,
13
],
[
554,
378,
37,
13
],
[
594,
378,
11,
13
],
[
608,
378,
55,
13
],
[
665,
378,
13,
13
],
[
681,
378,
18,
13
],
[
701,
378,
47,
13
],
[
102,
392,
11,
13
],
[
116,
392,
24,
13
],
[
142,
392,
18,
13
],
[
163,
392,
65,
13
],
[
230,
392,
10,
13
],
[
243,
392,
18,
13
],
[
264,
392,
40,
13
],
[
306,
392,
11,
13
],
[
320,
392,
47,
13
],
[
370,
392,
64,
13
],
[
446,
392,
10,
13
],
[
459,
392,
25,
13
],
[
486,
392,
21,
13
],
[
510,
392,
53,
13
],
[
565,
392,
49,
13
],
[
617,
392,
33,
13
],
[
653,
392,
18,
13
],
[
673,
392,
75,
13
],
[
102,
406,
11,
13
],
[
117,
406,
45,
13
],
[
166,
406,
13,
13
],
[
183,
406,
18,
13
],
[
204,
406,
56,
13
],
[
264,
406,
11,
13
],
[
279,
406,
29,
13
],
[
311,
406,
20,
13
],
[
335,
406,
29,
13
],
[
368,
406,
10,
13
],
[
382,
406,
6,
13
],
[
392,
406,
77,
13
],
[
472,
406,
11,
13
],
[
487,
406,
33,
13
],
[
524,
406,
23,
13
],
[
550,
406,
15,
13
],
[
569,
406,
6,
13
],
[
579,
406,
85,
13
],
[
668,
406,
63,
13
],
[
101,
432,
63,
13
],
[
171,
432,
25,
13
],
[
203,
432,
16,
13
],
[
225,
432,
28,
13
],
[
259,
432,
22,
13
],
[
287,
432,
21,
13
],
[
314,
432,
51,
13
],
[
371,
432,
45,
13
],
[
423,
432,
68,
13
],
[
497,
432,
13,
13
],
[
516,
432,
59,
13
],
[
582,
432,
24,
13
],
[
612,
432,
18,
13
],
[
636,
432,
65,
13
],
[
707,
432,
10,
13
],
[
723,
432,
25,
13
],
[
102,
446,
53,
13
],
[
159,
446,
16,
13
],
[
179,
446,
74,
13
],
[
257,
446,
15,
13
],
[
275,
446,
18,
13
],
[
297,
446,
20,
13
],
[
321,
446,
24,
13
],
[
348,
446,
22,
13
],
[
374,
446,
21,
13
],
[
399,
446,
39,
13
],
[
442,
446,
41,
13
],
[
486,
446,
18,
13
],
[
508,
446,
56,
13
],
[
567,
446,
11,
13
],
[
582,
446,
29,
13
],
[
615,
446,
10,
13
],
[
629,
446,
29,
13
],
[
661,
446,
33,
13
],
[
698,
446,
23,
13
],
[
725,
446,
23,
13
],
[
102,
460,
46,
13
],
[
151,
460,
45,
13
],
[
199,
460,
62,
13
],
[
263,
460,
17,
13
],
[
283,
460,
36,
13
],
[
322,
460,
47,
13
],
[
371,
460,
18,
13
],
[
391,
460,
52,
13
],
[
446,
460,
65,
13
],
[
514,
460,
45,
13
],
[
561,
460,
10,
13
],
[
574,
460,
29,
13
],
[
605,
460,
51,
13
],
[
659,
460,
20,
13
],
[
682,
460,
41,
13
],
[
726,
460,
22,
13
],
[
102,
473,
18,
13
],
[
125,
473,
35,
13
],
[
166,
473,
11,
13
],
[
183,
473,
21,
13
],
[
210,
473,
14,
13
],
[
230,
473,
24,
13
],
[
260,
473,
18,
13
],
[
284,
473,
65,
13
],
[
354,
473,
17,
13
],
[
377,
473,
50,
13
],
[
433,
473,
13,
13
],
[
452,
473,
18,
13
],
[
475,
473,
64,
13
],
[
545,
473,
48,
13
],
[
599,
473,
28,
13
],
[
633,
473,
18,
13
],
[
657,
473,
67,
13
],
[
730,
473,
18,
13
],
[
102,
487,
75,
13
],
[
181,
487,
8,
13
],
[
194,
487,
50,
13
],
[
249,
487,
14,
13
],
[
267,
487,
18,
13
],
[
289,
487,
48,
13
],
[
342,
487,
48,
13
],
[
394,
487,
31,
13
],
[
430,
487,
42,
13
],
[
477,
487,
32,
13
],
[
513,
487,
25,
13
],
[
543,
487,
53,
13
],
[
601,
487,
64,
13
],
[
669,
487,
15,
13
],
[
689,
487,
18,
13
],
[
711,
487,
10,
13
],
[
726,
487,
22,
13
],
[
102,
501,
50,
13
],
[
156,
501,
11,
13
],
[
171,
501,
66,
13
],
[
240,
501,
18,
13
],
[
262,
501,
60,
13
],
[
325,
501,
10,
13
],
[
339,
501,
43,
13
],
[
386,
501,
24,
13
],
[
413,
501,
45,
13
],
[
462,
501,
56,
13
],
[
92,
536,
40,
10
],
[
135,
536,
21,
10
],
[
159,
536,
8,
10
],
[
169,
536,
27,
10
],
[
199,
536,
7,
10
],
[
209,
536,
27,
10
],
[
239,
536,
8,
10
],
[
250,
536,
38,
10
],
[
291,
536,
4,
10
],
[
298,
536,
26,
10
],
[
327,
536,
51,
10
],
[
381,
536,
9,
10
],
[
392,
536,
17,
10
],
[
412,
536,
39,
10
],
[
454,
536,
38,
10
],
[
495,
536,
8,
10
],
[
506,
536,
42,
10
],
[
551,
536,
20,
10
],
[
574,
536,
15,
10
],
[
592,
536,
50,
10
],
[
645,
536,
16,
10
],
[
664,
536,
61,
10
],
[
728,
536,
20,
10
],
[
92,
547,
18,
10
],
[
113,
547,
18,
10
],
[
134,
547,
27,
10
],
[
163,
547,
139,
10
],
[
92,
565,
31,
10
],
[
126,
565,
30,
10
],
[
159,
565,
36,
10
],
[
197,
565,
41,
10
],
[
240,
565,
9,
10
],
[
252,
565,
34,
10
],
[
289,
565,
37,
10
],
[
92,
582,
42,
10
],
[
137,
582,
30,
10
],
[
170,
582,
7,
10
],
[
180,
582,
22,
10
],
[
205,
582,
44,
10
],
[
252,
582,
32,
10
],
[
286,
582,
12,
10
],
[
301,
582,
22,
10
],
[
326,
582,
47,
10
],
[
376,
582,
26,
10
],
[
405,
582,
7,
10
],
[
415,
582,
20,
10
],
[
92,
599,
50,
10
],
[
158,
599,
20,
10
],
[
183,
599,
21,
10
],
[
208,
599,
9,
10
],
[
220,
599,
9,
10
],
[
234,
599,
17,
10
],
[
255,
599,
7,
10
],
[
265,
599,
10,
10
],
[
280,
599,
50,
10
],
[
334,
599,
25,
10
],
[
364,
599,
45,
10
],
[
413,
599,
25,
10
],
[
441,
599,
14,
10
],
[
459,
599,
24,
10
],
[
487,
599,
9,
10
],
[
500,
599,
14,
10
],
[
518,
599,
34,
10
],
[
555,
599,
42,
10
],
[
602,
599,
45,
10
],
[
651,
599,
33,
10
],
[
688,
599,
25,
10
],
[
717,
599,
31,
10
],
[
92,
610,
49,
10
],
[
144,
610,
17,
10
],
[
163,
610,
50,
10
],
[
216,
610,
16,
10
],
[
235,
610,
54,
10
],
[
291,
610,
8,
10
],
[
302,
610,
15,
10
],
[
320,
610,
37,
10
],
[
359,
610,
37,
10
],
[
399,
610,
14,
10
],
[
416,
610,
31,
10
],
[
450,
610,
27,
10
],
[
480,
610,
16,
10
],
[
498,
610,
27,
10
],
[
529,
610,
13,
10
],
[
545,
610,
36,
10
],
[
92,
627,
42,
10
],
[
136,
627,
16,
10
],
[
154,
627,
31,
10
],
[
188,
627,
13,
10
],
[
204,
627,
43,
10
],
[
249,
627,
11,
10
],
[
262,
627,
26,
10
],
[
291,
627,
20,
10
],
[
313,
627,
14,
10
],
[
329,
627,
28,
10
],
[
360,
627,
35,
10
],
[
396,
627,
11,
10
],
[
410,
627,
7,
10
],
[
419,
627,
43,
10
],
[
465,
627,
76,
10
],
[
543,
627,
35,
10
],
[
581,
627,
27,
10
],
[
610,
627,
7,
10
],
[
619,
627,
5,
10
],
[
626,
627,
36,
10
],
[
665,
627,
9,
10
],
[
676,
627,
5,
10
],
[
684,
627,
42,
10
],
[
728,
627,
20,
10
],
[
92,
638,
14,
10
],
[
109,
638,
38,
10
],
[
150,
638,
11,
10
],
[
164,
638,
63,
10
],
[
230,
638,
40,
10
],
[
273,
638,
9,
10
],
[
285,
638,
11,
10
],
[
299,
638,
7,
10
],
[
309,
638,
45,
10
],
[
357,
638,
15,
10
],
[
376,
638,
31,
10
],
[
410,
638,
16,
10
],
[
429,
638,
11,
10
],
[
444,
638,
16,
10
],
[
463,
638,
8,
10
],
[
474,
638,
23,
10
],
[
500,
638,
30,
10
],
[
533,
638,
18,
10
],
[
555,
638,
40,
10
],
[
598,
638,
16,
10
],
[
617,
638,
34,
10
],
[
654,
638,
34,
10
],
[
691,
638,
9,
10
],
[
704,
638,
33,
10
],
[
739,
638,
9,
10
],
[
92,
650,
48,
10
],
[
143,
650,
9,
10
],
[
154,
650,
14,
10
],
[
171,
650,
48,
10
],
[
92,
667,
52,
10
],
[
147,
667,
44,
10
],
[
193,
667,
16,
10
],
[
212,
667,
31,
10
],
[
246,
667,
20,
10
],
[
268,
667,
35,
10
],
[
307,
667,
17,
10
],
[
326,
667,
11,
10
],
[
340,
667,
45,
10
],
[
388,
667,
35,
10
],
[
426,
667,
21,
10
],
[
92,
684,
5,
10
],
[
99,
684,
27,
10
],
[
129,
684,
108,
10
],
[
80,
730,
84,
14
],
[
93,
755,
21,
13
],
[
116,
755,
42,
13
],
[
160,
755,
10,
13
],
[
172,
755,
20,
13
],
[
194,
755,
15,
13
],
[
210,
755,
75,
13
],
[
288,
755,
8,
13
],
[
298,
755,
6,
13
],
[
306,
755,
30,
13
],
[
338,
755,
40,
13
],
[
380,
755,
15,
13
],
[
397,
755,
16,
13
],
[
80,
769,
24,
13
],
[
107,
769,
56,
13
],
[
165,
769,
10,
13
],
[
177,
769,
22,
13
],
[
202,
769,
17,
13
],
[
222,
769,
62,
13
],
[
286,
769,
38,
13
],
[
327,
769,
10,
13
],
[
340,
769,
22,
13
],
[
364,
769,
7,
13
],
[
373,
769,
40,
13
],
[
80,
784,
42,
13
],
[
125,
784,
15,
13
],
[
144,
784,
27,
13
],
[
174,
784,
23,
13
],
[
200,
784,
6,
13
],
[
210,
784,
38,
13
],
[
251,
784,
34,
13
],
[
289,
784,
47,
13
],
[
339,
784,
21,
13
],
[
363,
784,
36,
13
],
[
403,
784,
10,
13
],
[
80,
799,
88,
13
],
[
174,
799,
21,
13
],
[
201,
799,
25,
13
],
[
231,
799,
12,
13
],
[
249,
799,
50,
13
],
[
305,
799,
53,
13
],
[
364,
799,
22,
13
],
[
392,
799,
21,
13
],
[
80,
814,
46,
13
],
[
129,
814,
23,
13
],
[
154,
814,
13,
13
],
[
169,
814,
53,
13
],
[
225,
814,
32,
13
],
[
259,
814,
15,
13
],
[
276,
814,
53,
13
],
[
332,
814,
10,
13
],
[
344,
814,
21,
13
],
[
368,
814,
22,
13
],
[
392,
814,
21,
13
],
[
80,
828,
10,
13
],
[
96,
828,
24,
13
],
[
124,
828,
18,
13
],
[
148,
828,
25,
13
],
[
178,
828,
68,
13
],
[
251,
828,
17,
13
],
[
273,
828,
20,
13
],
[
298,
828,
60,
13
],
[
364,
828,
10,
13
],
[
379,
828,
21,
13
],
[
406,
828,
7,
13
],
[
80,
843,
41,
13
],
[
123,
843,
34,
13
],
[
158,
843,
25,
13
],
[
185,
843,
25,
13
],
[
212,
843,
8,
13
],
[
222,
843,
50,
13
],
[
274,
843,
22,
13
],
[
298,
843,
22,
13
],
[
321,
843,
17,
13
],
[
340,
843,
21,
13
],
[
363,
843,
19,
13
],
[
385,
843,
16,
13
],
[
403,
843,
10,
13
],
[
80,
858,
18,
13
],
[
102,
858,
48,
13
],
[
154,
858,
10,
13
],
[
168,
858,
22,
13
],
[
193,
858,
17,
13
],
[
215,
858,
53,
13
],
[
272,
858,
24,
13
],
[
300,
858,
31,
13
],
[
335,
858,
53,
13
],
[
392,
858,
21,
13
],
[
80,
873,
22,
13
],
[
106,
873,
22,
13
],
[
133,
873,
10,
13
],
[
147,
873,
34,
13
],
[
186,
873,
16,
13
],
[
206,
873,
22,
13
],
[
232,
873,
17,
13
],
[
253,
873,
24,
13
],
[
282,
873,
10,
13
],
[
297,
873,
16,
13
],
[
317,
873,
44,
13
],
[
366,
873,
10,
13
],
[
380,
873,
22,
13
],
[
406,
873,
7,
13
],
[
80,
888,
40,
13
],
[
128,
888,
42,
13
],
[
179,
888,
54,
13
],
[
241,
888,
80,
13
],
[
330,
888,
10,
13
],
[
349,
888,
34,
13
],
[
391,
888,
22,
13
],
[
80,
902,
44,
13
],
[
129,
902,
10,
13
],
[
145,
902,
34,
13
],
[
184,
902,
16,
13
],
[
205,
902,
50,
13
],
[
261,
902,
10,
13
],
[
276,
902,
22,
13
],
[
304,
902,
21,
13
],
[
330,
902,
36,
13
],
[
372,
902,
10,
13
],
[
387,
902,
25,
13
],
[
80,
917,
24,
13
],
[
107,
917,
70,
13
],
[
180,
917,
20,
13
],
[
203,
917,
22,
13
],
[
227,
917,
21,
13
],
[
251,
917,
8,
13
],
[
262,
917,
10,
13
],
[
275,
917,
26,
13
],
[
304,
917,
60,
13
],
[
367,
917,
9,
13
],
[
379,
917,
34,
13
],
[
80,
932,
10,
13
],
[
97,
932,
36,
13
],
[
139,
932,
33,
13
],
[
179,
932,
24,
13
],
[
209,
932,
24,
13
],
[
240,
932,
48,
13
],
[
294,
932,
10,
13
],
[
311,
932,
34,
13
],
[
351,
932,
36,
13
],
[
393,
932,
19,
13
],
[
80,
947,
70,
13
],
[
157,
947,
10,
13
],
[
173,
947,
31,
13
],
[
210,
947,
24,
13
],
[
241,
947,
50,
13
],
[
298,
947,
35,
13
],
[
340,
947,
33,
13
],
[
379,
947,
34,
13
],
[
80,
962,
45,
13
],
[
133,
962,
6,
13
],
[
146,
962,
41,
13
],
[
195,
962,
30,
13
],
[
232,
962,
10,
13
],
[
249,
962,
56,
13
],
[
313,
962,
35,
13
],
[
354,
962,
58,
13
],
[
80,
976,
45,
13
],
[
130,
976,
22,
13
],
[
157,
976,
27,
13
],
[
189,
976,
23,
13
],
[
216,
976,
13,
13
],
[
234,
976,
49,
13
],
[
288,
976,
24,
13
],
[
317,
976,
10,
13
],
[
332,
976,
30,
13
],
[
367,
976,
45,
13
],
[
80,
991,
62,
13
],
[
146,
991,
10,
13
],
[
161,
991,
6,
13
],
[
172,
991,
34,
13
],
[
210,
991,
10,
13
],
[
225,
991,
17,
13
],
[
246,
991,
26,
13
],
[
276,
991,
27,
13
],
[
308,
991,
65,
13
],
[
377,
991,
35,
13
],
[
80,
1006,
32,
13
],
[
115,
1006,
20,
13
],
[
138,
1006,
29,
13
],
[
170,
1006,
33,
13
],
[
206,
1006,
8,
13
],
[
216,
1006,
6,
13
],
[
226,
1006,
42,
13
],
[
270,
1006,
10,
13
],
[
284,
1006,
16,
13
],
[
303,
1006,
24,
13
],
[
329,
1006,
34,
13
],
[
366,
1006,
27,
13
],
[
396,
1006,
8,
13
],
[
406,
1006,
6,
13
],
[
437,
729,
81,
13
],
[
521,
729,
41,
13
],
[
565,
729,
47,
13
],
[
615,
729,
13,
13
],
[
630,
729,
21,
13
],
[
654,
729,
10,
13
],
[
666,
729,
68,
13
],
[
737,
729,
33,
13
],
[
437,
744,
9,
13
],
[
452,
744,
19,
13
],
[
478,
744,
53,
13
],
[
537,
744,
40,
13
],
[
584,
744,
6,
13
],
[
596,
744,
31,
13
],
[
633,
744,
10,
13
],
[
650,
744,
24,
13
],
[
680,
744,
42,
13
],
[
728,
744,
42,
13
],
[
437,
758,
64,
13
],
[
509,
758,
48,
13
],
[
566,
758,
73,
13
],
[
647,
758,
13,
13
],
[
668,
758,
46,
13
],
[
721,
758,
21,
13
],
[
750,
758,
19,
13
],
[
437,
773,
45,
13
],
[
487,
773,
8,
13
],
[
499,
773,
6,
13
],
[
509,
773,
36,
13
],
[
550,
773,
41,
13
],
[
595,
773,
15,
13
],
[
614,
773,
26,
13
],
[
643,
773,
21,
13
],
[
669,
773,
18,
13
],
[
691,
773,
52,
13
],
[
748,
773,
22,
13
],
[
437,
787,
24,
13
],
[
466,
787,
34,
13
],
[
504,
787,
35,
13
],
[
542,
787,
36,
13
],
[
582,
787,
24,
13
],
[
610,
787,
68,
13
],
[
682,
787,
20,
13
],
[
706,
787,
64,
13
],
[
437,
802,
36,
13
],
[
476,
802,
27,
13
],
[
506,
802,
28,
13
],
[
537,
802,
42,
13
],
[
582,
802,
16,
13
],
[
602,
802,
61,
13
],
[
666,
802,
41,
13
],
[
711,
802,
10,
13
],
[
724,
802,
46,
13
],
[
437,
816,
31,
13
],
[
472,
816,
19,
13
],
[
494,
816,
35,
13
],
[
533,
816,
26,
13
],
[
562,
816,
25,
13
],
[
590,
816,
6,
13
],
[
600,
816,
34,
13
],
[
637,
816,
10,
13
],
[
650,
816,
25,
13
],
[
678,
816,
49,
13
],
[
730,
816,
18,
13
],
[
752,
816,
18,
13
],
[
437,
831,
19,
13
],
[
460,
831,
31,
13
],
[
495,
831,
24,
13
],
[
522,
831,
51,
13
],
[
576,
831,
43,
13
],
[
623,
831,
20,
13
],
[
647,
831,
27,
13
],
[
677,
831,
38,
13
],
[
718,
831,
31,
13
],
[
753,
831,
17,
13
],
[
437,
845,
62,
13
],
[
508,
845,
10,
13
],
[
526,
845,
16,
13
],
[
551,
845,
44,
13
],
[
604,
845,
28,
13
],
[
639,
845,
20,
13
],
[
667,
845,
47,
13
],
[
723,
845,
22,
13
],
[
753,
845,
17,
13
],
[
437,
860,
63,
13
],
[
504,
860,
10,
13
],
[
517,
860,
43,
13
],
[
564,
860,
70,
13
],
[
637,
860,
40,
13
],
[
680,
860,
19,
13
],
[
702,
860,
18,
13
],
[
724,
860,
46,
13
],
[
437,
874,
16,
13
],
[
457,
874,
50,
13
],
[
511,
874,
61,
13
],
[
576,
874,
54,
13
],
[
634,
874,
16,
13
],
[
654,
874,
56,
13
],
[
713,
874,
10,
13
],
[
727,
874,
22,
13
],
[
753,
874,
17,
13
],
[
437,
889,
63,
13
],
[
504,
889,
40,
13
],
[
547,
889,
16,
13
],
[
566,
889,
48,
13
],
[
617,
889,
10,
13
],
[
631,
889,
31,
13
],
[
665,
889,
17,
13
],
[
685,
889,
62,
13
],
[
750,
889,
19,
13
],
[
437,
903,
22,
13
],
[
462,
903,
17,
13
],
[
482,
903,
53,
13
],
[
538,
903,
13,
13
],
[
554,
903,
27,
13
],
[
584,
903,
16,
13
],
[
603,
903,
17,
13
],
[
623,
903,
37,
13
],
[
450,
918,
21,
13
],
[
476,
918,
37,
13
],
[
517,
918,
27,
13
],
[
549,
918,
19,
13
],
[
572,
918,
57,
13
],
[
634,
918,
10,
13
],
[
649,
918,
53,
13
],
[
707,
918,
16,
13
],
[
728,
918,
42,
13
],
[
437,
933,
23,
13
],
[
466,
933,
45,
13
],
[
517,
933,
47,
13
],
[
570,
933,
31,
13
],
[
606,
933,
40,
13
],
[
653,
933,
16,
13
],
[
675,
933,
36,
13
],
[
717,
933,
53,
13
],
[
437,
947,
31,
13
],
[
472,
947,
10,
13
],
[
486,
947,
27,
13
],
[
517,
947,
58,
13
],
[
579,
947,
10,
13
],
[
593,
947,
53,
13
],
[
649,
947,
26,
13
],
[
679,
947,
20,
13
],
[
703,
947,
10,
13
],
[
717,
947,
33,
13
],
[
754,
947,
16,
13
],
[
437,
962,
17,
13
],
[
458,
962,
24,
13
],
[
486,
962,
10,
13
],
[
499,
962,
61,
13
],
[
564,
962,
17,
13
],
[
585,
962,
71,
13
],
[
660,
962,
40,
13
],
[
703,
962,
13,
13
],
[
720,
962,
27,
13
],
[
750,
962,
10,
13
],
[
763,
962,
6,
13
],
[
437,
976,
32,
13
],
[
472,
976,
10,
13
],
[
486,
976,
44,
13
],
[
534,
976,
41,
13
],
[
578,
976,
10,
13
],
[
592,
976,
18,
13
],
[
450,
992,
11,
13
],
[
464,
992,
18,
13
],
[
485,
992,
30,
13
],
[
519,
992,
14,
13
],
[
536,
992,
24,
13
],
[
563,
992,
55,
13
],
[
621,
992,
20,
13
],
[
645,
992,
27,
13
],
[
675,
992,
19,
13
],
[
697,
992,
13,
13
],
[
714,
992,
31,
13
],
[
748,
992,
21,
13
],
[
437,
1006,
13,
13
],
[
452,
1006,
16,
13
],
[
471,
1006,
16,
13
],
[
490,
1006,
50,
13
],
[
541,
1006,
10,
13
],
[
554,
1006,
37,
13
],
[
593,
1006,
45,
13
],
[
640,
1006,
47,
13
],
[
690,
1006,
10,
13
],
[
702,
1006,
43,
13
],
[
748,
1006,
22,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
564,
1047,
29,
12
],
[
597,
1047,
23,
12
],
[
625,
1047,
3,
12
],
[
633,
1047,
36,
12
],
[
674,
1047,
6,
12
],
[
685,
1047,
3,
12
],
[
693,
1047,
24,
12
],
[
722,
1047,
6,
12
],
[
733,
1047,
3,
12
],
[
741,
1047,
29,
12
]
] | [
"Mechanisms",
"of",
"KGF",
"Mediated",
"Signaling",
"in",
"Pancreatic",
"Duct",
"Cell",
"Proliferation",
"and",
"Differentiation",
"Benjamin",
"Uzan,",
"Florence",
"Figeac,",
"Bernard",
"Portha,",
"Jamileh",
"Movassat*",
"Laboratory",
"of",
"Pathophysiology",
"of",
"Nutrition,",
"Paris",
"Diderot-",
"Paris",
"7",
"University,",
"Department",
"of",
"Life",
"Science,",
"CNRS/UMR",
"7059,",
"Paris,",
"France",
"Abstract",
"Background:",
"Keratinocyte",
"growth",
"factor",
"(KGF;",
"palifermin)",
"is",
"a",
"growth",
"factor",
"with",
"a",
"high",
"degree",
"of",
"specificity",
"for",
"epithelial",
"cells.",
"KGF",
"is",
"an",
"important",
"effector",
"of",
"epithelial",
"growth",
"and",
"tissue",
"homeostasis",
"in",
"various",
"organs",
"including",
"the",
"pancreas.",
"Here",
"we",
"investigated",
"the",
"intracellular",
"signaling",
"pathways",
"involved",
"in",
"the",
"mediation",
"of",
"pancreatic",
"ductal",
"cell",
"proliferation",
"and",
"differentiation",
"induced",
"by",
"exogenous",
"KGF",
"during",
"beta-cell",
"regeneration",
"in",
"diabetic",
"rat.",
"Methodology",
"and",
"Results:",
"In",
"vitro",
"and",
"in",
"vivo",
"duct",
"cell",
"proliferation",
"was",
"measured",
"by",
"BrdU",
"incorporation",
"assay.",
"The",
"implication",
"of",
"MAPK-ERK1/2",
"in",
"the",
"mediation",
"of",
"KGF-induced",
"cell",
"proliferation",
"was",
"determined",
"by",
"inactivation",
"of",
"this",
"pathway,",
"using",
"the",
"pharmacological",
"inhibitor",
"or",
"antisense",
"morpholino-oligonucleotides",
"against",
"MEK1.",
"In",
"vivo",
"KGF-induced",
"duct",
"cell",
"differentiation",
"was",
"assessed",
"by",
"the",
"immunolocalization",
"of",
"PDX1",
"and",
"Glut2",
"in",
"ductal",
"cells",
"and",
"the",
"implication",
"of",
"PI3K/AKT",
"in",
"this",
"process",
"was",
"investigated.",
"We",
"showed",
"that",
"KGF",
"exerted",
"a",
"potent",
"mitogenic",
"effect",
"on",
"ductal",
"cells.",
"Both",
"in",
"vitro",
"and",
"in",
"vivo,",
"its",
"effect",
"on",
"cell",
"proliferation",
"was",
"mediated",
"through",
"the",
"activation",
"of",
"ERK1/2",
"as",
"evidenced",
"by",
"the",
"abolition",
"of",
"duct",
"cell",
"proliferation",
"in",
"the",
"context",
"of",
"MEK/ERK",
"inactivation.",
"In",
"vivo,",
"KGF",
"treatment",
"triggered",
"ductal",
"cell",
"differentiation",
"as",
"revealed",
"by",
"the",
"expression",
"of",
"PDX1",
"and",
"Glut2",
"in",
"a",
"subpopulation",
"of",
"ductal",
"cells",
"via",
"a",
"PI3K-dependent",
"mechanism.",
"Conclusion:",
"Here",
"we",
"show",
"that",
"KGF",
"promotes",
"beta-cell",
"regeneration",
"by",
"stimulating",
"duct",
"cell",
"proliferation",
"in",
"vivo.",
"Moreover,",
"we",
"demonstrated",
"for",
"the",
"first",
"time",
"that",
"KGF",
"directly",
"induces",
"the",
"expression",
"of",
"PDX1",
"in",
"some",
"ductal",
"cells",
"thus",
"inducing",
"beta-cell",
"neogenesis.",
"We",
"further",
"explored",
"the",
"molecular",
"mechanisms",
"involved",
"in",
"these",
"processes",
"and",
"showed",
"that",
"the",
"effects",
"of",
"KGF",
"on",
"duct",
"cell",
"proliferation",
"are",
"mediated",
"by",
"the",
"MEK-ERK1/2",
"pathway,",
"while",
"the",
"KGF-induced",
"cell",
"differentiation",
"is",
"mediated",
"by",
"the",
"PI3K/AKT",
"pathway.",
"These",
"findings",
"might",
"have",
"important",
"implications",
"for",
"the",
"in",
"vivo",
"induction",
"of",
"duct-to-beta",
"cell",
"neogenesis",
"in",
"patients",
"with",
"beta-cell",
"deficiency.",
"Citation:",
"Uzan",
"B,",
"Figeac",
"F,",
"Portha",
"B,",
"Movassat",
"J",
"(2009)",
"Mechanisms",
"of",
"KGF",
"Mediated",
"Signaling",
"in",
"Pancreatic",
"Duct",
"Cell",
"Proliferation",
"and",
"Differentiation.",
"PLoS",
"ONE",
"4(3):",
"e4734.",
"doi:10.1371/journal.pone.0004734",
"Editor:",
"Kathrin",
"Maedler,",
"University",
"of",
"Bremen,",
"Germany",
"Received",
"August",
"7,",
"2008;",
"Accepted",
"January",
"13,",
"2009;",
"Published",
"March",
"6,",
"2009",
"Copyright:",
"2009",
"Uzan",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"The",
"authors",
"are",
"supported",
"by",
"grants",
"from",
"the",
"Centre",
"National",
"de",
"la",
"Recherche",
"Scientifique/CNRS.",
"Florence",
"Figeac",
"is",
"a",
"recipient",
"of",
"a",
"fellowship",
"from",
"the",
"Ministe`re",
"de",
"l’Enseignement",
"Supe´rieur",
"et",
"de",
"la",
"Recherche.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"movassat@paris7.jussieu.fr",
"Introduction",
"The",
"shortage",
"of",
"islet",
"for",
"transplantation",
"is",
"a",
"major",
"obstacle",
"for",
"the",
"wide",
"application",
"of",
"beta",
"cell",
"replacement",
"therapy",
"in",
"type",
"1",
"diabetic",
"patients.",
"To",
"make",
"such",
"a",
"therapy",
"readily",
"available,",
"new",
"sources",
"of",
"insulin-producing",
"cells",
"must",
"be",
"identified.",
"Pancreatic",
"duct",
"cells",
"represent",
"such",
"an",
"alternative",
"source",
"for",
"generation",
"of",
"new",
"beta",
"cells",
"in",
"vitro",
"[1].",
"Duct",
"compartment",
"has",
"also",
"implications",
"in",
"type",
"2",
"diabetes",
"(T2D),",
"since",
"T2D",
"is",
"associated",
"with",
"beta",
"cell",
"loss,",
"and",
"the",
"in",
"situ",
"induction",
"of",
"beta",
"cell",
"neogenesis",
"from",
"ductal",
"progenitor",
"cells",
"may",
"help",
"to",
"restore",
"the",
"beta",
"cell",
"mass",
"in",
"the",
"pancreas",
"of",
"type",
"2",
"diabetic",
"patients.",
"Therefore,",
"characterization",
"of",
"stimuli",
"with",
"potential",
"to",
"induce",
"the",
"expansion",
"of",
"duct",
"cells",
"and/or",
"to",
"drive",
"their",
"differentiation",
"into",
"beta",
"cells",
"is",
"of",
"great",
"importance.",
"A",
"variety",
"of",
"growth",
"factors",
"have",
"been",
"described",
"to",
"induce",
"growth",
"and",
"differentiation",
"of",
"ductal",
"cells.",
"Fibroblast",
"growth",
"factors",
"(FGFs)",
"comprise",
"a",
"growing",
"group",
"of",
"structurally",
"related",
"polypeptide",
"mitogens",
"with",
"more",
"than",
"20",
"members,",
"most",
"of",
"which",
"stimulate",
"proliferation",
"of",
"a",
"variety",
"of",
"cell",
"types",
"[2,3].",
"Keratinocyte",
"growth",
"factor,",
"also",
"called",
"FGF7,",
"is",
"a",
"member",
"of",
"the",
"FGF",
"family.",
"KGF",
"is",
"a",
"paracrine-acting",
"mitogen",
"produced",
"by",
"cells",
"of",
"mesenchymal",
"origin.",
"It",
"acts",
"exclusively",
"through",
"a",
"subset",
"of",
"FGF",
"receptor",
"isoforms",
"(FGFR2IIIb)",
"expressed",
"predominantly",
"by",
"epithelial",
"cells",
"and",
"therefore",
"is",
"a",
"specific",
"mitogen",
"for",
"these",
"cells",
"[4].",
"Preclinical",
"data",
"from",
"several",
"animal",
"models",
"have",
"demonstrated",
"that",
"recombinant",
"human",
"KGF",
"could",
"enhance",
"the",
"regenerative",
"capacity",
"of",
"epithelial",
"tissues",
"and",
"protect",
"them",
"from",
"a",
"variety",
"of",
"toxic",
"exposures",
"[3].",
"We",
"and",
"others",
"have",
"previously",
"reported",
"that",
"KGF",
"induces",
"ductal",
"cell",
"proliferation",
"in",
"the",
"pancreas",
"[5–8]",
"and",
"promotes",
"beta",
"cell",
"regeneration",
"in",
"neonatal",
"streptozotocin",
"diabetic",
"rats",
"[6].",
"However",
"the",
"molecular",
"mechanisms",
"underlying",
"the",
"stimulation",
"of",
"beta",
"cell",
"regeneration",
"through",
"the",
"induction",
"of",
"ductal",
"cell",
"proliferation",
"and",
"beta",
"cell",
"neogenesis",
"by",
"KGF",
"are",
"not",
"known.",
"The",
"present",
"study",
"was",
"undertaken",
"to",
"investigate",
"the",
"intracel-",
"lular",
"signaling",
"pathways",
"which",
"mediate",
"the",
"growth",
"promoting",
"effects",
"of",
"KGF",
"(palifermin)",
"in",
"pancreatic",
"ducts",
"and",
"to",
"dissect",
"the",
"key",
"steps",
"of",
"duct-to-beta",
"cell",
"differentiation",
"induced",
"by",
"KGF",
"in",
"a",
"model",
"of",
"neonatal",
"diabetes",
"in",
"rat.",
"In",
"our",
"study,",
"we",
"have",
"established",
"that",
"KGF",
"acts",
"on",
"ductal",
"cells",
"by",
"the",
"the",
"activation",
"of",
"distinct",
"signaling",
"pathways",
"to",
"promote",
"beta",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"March",
"2009",
"|",
"Volume",
"4",
"|",
"Issue",
"3",
"|",
"e4734"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,686,160 | null | [
[
80,
78,
68,
28
],
[
157,
78,
101,
28
],
[
267,
78,
164,
28
],
[
440,
78,
45,
28
],
[
494,
78,
119,
28
],
[
621,
78,
30,
28
],
[
80,
109,
133,
28
],
[
221,
109,
115,
28
],
[
345,
109,
110,
28
],
[
464,
109,
47,
28
],
[
519,
109,
107,
28
],
[
636,
109,
130,
28
],
[
80,
152,
32,
14
],
[
116,
152,
13,
14
],
[
133,
150,
56,
17
],
[
193,
152,
28,
14
],
[
226,
152,
12,
14
],
[
242,
150,
88,
17
],
[
335,
152,
38,
14
],
[
377,
152,
15,
14
],
[
396,
150,
80,
17
],
[
480,
152,
42,
14
],
[
527,
152,
15,
14
],
[
546,
150,
86,
17
],
[
80,
175,
6,
10
],
[
88,
175,
35,
10
],
[
125,
175,
37,
10
],
[
165,
175,
47,
10
],
[
214,
175,
41,
10
],
[
257,
175,
9,
10
],
[
269,
175,
26,
10
],
[
297,
175,
26,
10
],
[
325,
175,
32,
10
],
[
360,
175,
6,
10
],
[
368,
175,
34,
10
],
[
405,
175,
9,
10
],
[
416,
175,
54,
10
],
[
472,
175,
59,
10
],
[
534,
175,
16,
10
],
[
553,
175,
40,
10
],
[
595,
175,
25,
10
],
[
623,
175,
50,
10
],
[
676,
175,
9,
10
],
[
687,
175,
31,
10
],
[
720,
175,
16,
10
],
[
739,
175,
31,
10
],
[
80,
189,
16,
10
],
[
99,
189,
40,
10
],
[
142,
189,
44,
10
],
[
189,
189,
41,
10
],
[
232,
189,
9,
10
],
[
244,
189,
28,
10
],
[
274,
189,
35,
10
],
[
312,
189,
7,
10
],
[
322,
189,
30,
10
],
[
355,
189,
17,
10
],
[
102,
227,
57,
14
],
[
102,
249,
70,
13
],
[
175,
249,
18,
13
],
[
196,
249,
51,
13
],
[
251,
249,
69,
13
],
[
323,
249,
11,
13
],
[
337,
249,
46,
13
],
[
386,
249,
48,
13
],
[
436,
249,
18,
13
],
[
458,
249,
6,
13
],
[
467,
249,
23,
13
],
[
493,
249,
20,
13
],
[
517,
249,
51,
13
],
[
571,
249,
18,
13
],
[
591,
249,
30,
13
],
[
625,
249,
24,
13
],
[
651,
249,
36,
13
],
[
690,
249,
40,
13
],
[
733,
249,
15,
13
],
[
102,
263,
30,
13
],
[
138,
263,
30,
13
],
[
173,
263,
45,
13
],
[
223,
263,
79,
13
],
[
307,
263,
40,
13
],
[
353,
263,
59,
13
],
[
417,
263,
70,
13
],
[
493,
263,
58,
13
],
[
555,
263,
14,
13
],
[
575,
263,
18,
13
],
[
598,
263,
36,
13
],
[
639,
263,
20,
13
],
[
665,
263,
18,
13
],
[
687,
263,
44,
13
],
[
737,
263,
11,
13
],
[
102,
277,
51,
13
],
[
157,
277,
26,
13
],
[
186,
277,
64,
13
],
[
253,
277,
58,
13
],
[
315,
277,
54,
13
],
[
373,
277,
37,
13
],
[
413,
277,
18,
13
],
[
435,
277,
27,
13
],
[
466,
277,
35,
13
],
[
505,
277,
11,
13
],
[
520,
277,
25,
13
],
[
549,
277,
13,
13
],
[
566,
277,
94,
13
],
[
664,
277,
20,
13
],
[
688,
277,
10,
13
],
[
702,
277,
46,
13
],
[
102,
291,
38,
13
],
[
143,
291,
33,
13
],
[
180,
291,
8,
13
],
[
190,
291,
48,
13
],
[
242,
291,
18,
13
],
[
263,
291,
45,
13
],
[
311,
291,
40,
13
],
[
355,
291,
14,
13
],
[
371,
291,
52,
13
],
[
426,
291,
45,
13
],
[
475,
291,
31,
13
],
[
509,
291,
67,
13
],
[
579,
291,
20,
13
],
[
602,
291,
54,
13
],
[
659,
291,
18,
13
],
[
680,
291,
67,
13
],
[
102,
305,
50,
13
],
[
155,
305,
30,
13
],
[
187,
305,
40,
13
],
[
230,
305,
35,
13
],
[
268,
305,
14,
13
],
[
285,
305,
70,
13
],
[
358,
305,
45,
13
],
[
405,
305,
20,
13
],
[
429,
305,
48,
13
],
[
480,
305,
48,
13
],
[
531,
305,
59,
13
],
[
593,
305,
32,
13
],
[
627,
305,
33,
13
],
[
664,
305,
38,
13
],
[
705,
305,
43,
13
],
[
102,
318,
70,
13
],
[
177,
318,
10,
13
],
[
192,
318,
43,
13
],
[
240,
318,
39,
13
],
[
283,
318,
18,
13
],
[
306,
318,
18,
13
],
[
330,
318,
27,
13
],
[
362,
318,
45,
13
],
[
411,
318,
73,
13
],
[
489,
318,
10,
13
],
[
504,
318,
18,
13
],
[
527,
318,
40,
13
],
[
572,
318,
26,
13
],
[
603,
318,
18,
13
],
[
626,
318,
30,
13
],
[
660,
318,
11,
13
],
[
676,
318,
30,
13
],
[
711,
318,
14,
13
],
[
730,
318,
18,
13
],
[
102,
332,
70,
13
],
[
176,
332,
18,
13
],
[
197,
332,
70,
13
],
[
271,
332,
20,
13
],
[
295,
332,
40,
13
],
[
338,
332,
10,
13
],
[
351,
332,
21,
13
],
[
376,
332,
10,
13
],
[
390,
332,
15,
13
],
[
408,
332,
24,
13
],
[
435,
332,
24,
13
],
[
463,
332,
46,
13
],
[
512,
332,
20,
13
],
[
536,
332,
36,
13
],
[
575,
332,
53,
13
],
[
632,
332,
39,
13
],
[
674,
332,
13,
13
],
[
691,
332,
57,
13
],
[
102,
346,
18,
13
],
[
125,
346,
48,
13
],
[
177,
346,
23,
13
],
[
205,
346,
20,
13
],
[
230,
346,
50,
13
],
[
285,
346,
73,
13
],
[
362,
346,
48,
13
],
[
415,
346,
14,
13
],
[
434,
346,
70,
13
],
[
509,
346,
45,
13
],
[
558,
346,
20,
13
],
[
583,
346,
48,
13
],
[
636,
346,
48,
13
],
[
689,
346,
59,
13
],
[
102,
360,
30,
13
],
[
135,
360,
79,
13
],
[
218,
360,
63,
13
],
[
285,
360,
43,
13
],
[
332,
360,
30,
13
],
[
366,
360,
25,
13
],
[
395,
360,
18,
13
],
[
417,
360,
29,
13
],
[
449,
360,
20,
13
],
[
473,
360,
34,
13
],
[
511,
360,
45,
13
],
[
560,
360,
20,
13
],
[
584,
360,
35,
13
],
[
622,
360,
31,
13
],
[
657,
360,
53,
13
],
[
714,
360,
20,
13
],
[
738,
360,
10,
13
],
[
102,
374,
40,
13
],
[
145,
374,
48,
13
],
[
197,
374,
48,
13
],
[
248,
374,
61,
13
],
[
313,
374,
10,
13
],
[
326,
374,
37,
13
],
[
367,
374,
38,
13
],
[
408,
374,
72,
13
],
[
484,
374,
18,
13
],
[
505,
374,
70,
13
],
[
578,
374,
20,
13
],
[
602,
374,
51,
13
],
[
656,
374,
36,
13
],
[
695,
374,
53,
13
],
[
102,
388,
20,
13
],
[
125,
387,
29,
13
],
[
158,
388,
7,
13
],
[
167,
388,
18,
13
],
[
188,
388,
55,
13
],
[
246,
388,
26,
13
],
[
275,
388,
63,
13
],
[
340,
388,
54,
13
],
[
397,
388,
44,
13
],
[
444,
388,
63,
13
],
[
510,
388,
51,
13
],
[
564,
388,
20,
13
],
[
587,
388,
19,
13
],
[
610,
388,
45,
13
],
[
658,
388,
54,
13
],
[
715,
388,
11,
13
],
[
730,
388,
18,
13
],
[
102,
401,
24,
13
],
[
131,
401,
30,
13
],
[
167,
401,
18,
13
],
[
191,
401,
6,
13
],
[
203,
401,
45,
13
],
[
254,
401,
94,
13
],
[
354,
401,
20,
13
],
[
380,
401,
10,
13
],
[
396,
401,
46,
13
],
[
447,
401,
48,
13
],
[
501,
401,
58,
13
],
[
564,
401,
18,
13
],
[
588,
401,
51,
13
],
[
645,
401,
11,
13
],
[
662,
401,
41,
13
],
[
709,
401,
39,
13
],
[
102,
415,
55,
13
],
[
163,
415,
131,
13
],
[
299,
415,
32,
13
],
[
337,
415,
10,
13
],
[
353,
415,
49,
13
],
[
408,
415,
46,
13
],
[
460,
415,
30,
13
],
[
496,
415,
56,
13
],
[
558,
415,
36,
13
],
[
600,
415,
45,
13
],
[
650,
415,
18,
13
],
[
674,
415,
30,
13
],
[
710,
415,
38,
13
],
[
102,
429,
49,
13
],
[
154,
429,
58,
13
],
[
216,
429,
48,
13
],
[
268,
429,
15,
13
],
[
286,
429,
30,
13
],
[
320,
429,
10,
13
],
[
334,
429,
53,
13
],
[
390,
429,
11,
13
],
[
405,
429,
70,
13
],
[
479,
429,
51,
13
],
[
92,
464,
40,
10
],
[
135,
464,
27,
10
],
[
166,
464,
11,
10
],
[
180,
464,
47,
10
],
[
230,
464,
12,
10
],
[
245,
464,
43,
10
],
[
291,
464,
17,
10
],
[
310,
464,
44,
10
],
[
358,
464,
15,
10
],
[
376,
464,
26,
10
],
[
405,
464,
23,
10
],
[
431,
464,
34,
10
],
[
469,
464,
55,
10
],
[
527,
464,
15,
10
],
[
545,
464,
40,
10
],
[
588,
464,
10,
10
],
[
602,
464,
45,
10
],
[
650,
464,
39,
10
],
[
692,
464,
37,
10
],
[
732,
464,
16,
10
],
[
92,
475,
36,
10
],
[
131,
475,
46,
10
],
[
180,
475,
20,
10
],
[
203,
475,
18,
10
],
[
224,
475,
18,
10
],
[
244,
475,
27,
10
],
[
274,
475,
139,
10
],
[
92,
492,
31,
10
],
[
126,
492,
21,
10
],
[
150,
492,
44,
10
],
[
198,
492,
12,
10
],
[
213,
492,
18,
10
],
[
234,
492,
43,
10
],
[
279,
492,
21,
10
],
[
92,
510,
42,
10
],
[
137,
510,
20,
10
],
[
159,
510,
12,
10
],
[
175,
510,
22,
10
],
[
200,
510,
44,
10
],
[
246,
510,
17,
10
],
[
267,
510,
7,
10
],
[
277,
510,
22,
10
],
[
302,
510,
47,
10
],
[
352,
510,
20,
10
],
[
374,
510,
7,
10
],
[
384,
510,
20,
10
],
[
92,
527,
50,
10
],
[
158,
527,
20,
10
],
[
182,
527,
27,
10
],
[
213,
527,
9,
10
],
[
225,
527,
9,
10
],
[
239,
527,
17,
10
],
[
259,
527,
6,
10
],
[
269,
527,
10,
10
],
[
284,
527,
50,
10
],
[
338,
527,
25,
10
],
[
367,
527,
45,
10
],
[
416,
527,
25,
10
],
[
444,
527,
14,
10
],
[
462,
527,
24,
10
],
[
489,
527,
9,
10
],
[
501,
527,
14,
10
],
[
519,
527,
34,
10
],
[
557,
527,
42,
10
],
[
603,
527,
45,
10
],
[
652,
527,
32,
10
],
[
688,
527,
25,
10
],
[
717,
527,
31,
10
],
[
92,
538,
49,
10
],
[
144,
538,
17,
10
],
[
163,
538,
50,
10
],
[
216,
538,
16,
10
],
[
235,
538,
54,
10
],
[
291,
538,
8,
10
],
[
302,
538,
15,
10
],
[
320,
538,
37,
10
],
[
359,
538,
37,
10
],
[
399,
538,
14,
10
],
[
416,
538,
31,
10
],
[
450,
538,
27,
10
],
[
480,
538,
16,
10
],
[
498,
538,
27,
10
],
[
529,
538,
13,
10
],
[
545,
538,
36,
10
],
[
92,
555,
42,
10
],
[
136,
555,
38,
10
],
[
177,
555,
9,
10
],
[
188,
555,
32,
10
],
[
223,
555,
24,
10
],
[
250,
555,
32,
10
],
[
284,
555,
50,
10
],
[
336,
555,
23,
10
],
[
362,
555,
49,
10
],
[
414,
555,
22,
10
],
[
438,
555,
45,
10
],
[
485,
555,
29,
10
],
[
517,
555,
15,
10
],
[
535,
555,
31,
10
],
[
569,
555,
16,
10
],
[
587,
555,
11,
10
],
[
601,
555,
16,
10
],
[
619,
555,
8,
10
],
[
630,
555,
23,
10
],
[
655,
555,
30,
10
],
[
687,
555,
19,
10
],
[
708,
555,
40,
10
],
[
92,
567,
16,
10
],
[
111,
567,
34,
10
],
[
147,
567,
34,
10
],
[
184,
567,
9,
10
],
[
196,
567,
33,
10
],
[
231,
567,
9,
10
],
[
243,
567,
48,
10
],
[
294,
567,
9,
10
],
[
305,
567,
14,
10
],
[
322,
567,
48,
10
],
[
92,
584,
52,
10
],
[
147,
584,
44,
10
],
[
193,
584,
16,
10
],
[
212,
584,
31,
10
],
[
246,
584,
20,
10
],
[
268,
584,
35,
10
],
[
307,
584,
17,
10
],
[
326,
584,
11,
10
],
[
340,
584,
45,
10
],
[
388,
584,
35,
10
],
[
426,
584,
21,
10
],
[
92,
601,
5,
10
],
[
99,
601,
27,
10
],
[
129,
601,
99,
10
],
[
80,
658,
84,
14
],
[
93,
683,
21,
13
],
[
118,
683,
68,
13
],
[
191,
683,
37,
13
],
[
232,
683,
8,
13
],
[
245,
683,
41,
13
],
[
290,
683,
13,
13
],
[
308,
683,
56,
13
],
[
368,
683,
17,
13
],
[
390,
683,
23,
13
],
[
80,
697,
49,
13
],
[
139,
697,
56,
13
],
[
205,
697,
64,
13
],
[
278,
697,
10,
13
],
[
298,
697,
59,
13
],
[
366,
697,
20,
13
],
[
395,
697,
17,
13
],
[
80,
712,
45,
13
],
[
133,
712,
53,
13
],
[
194,
712,
47,
13
],
[
250,
712,
50,
13
],
[
308,
712,
20,
13
],
[
335,
712,
77,
13
],
[
80,
727,
19,
13
],
[
104,
727,
45,
13
],
[
153,
727,
10,
13
],
[
168,
727,
85,
13
],
[
258,
727,
34,
13
],
[
296,
727,
13,
13
],
[
313,
727,
52,
13
],
[
369,
727,
18,
13
],
[
391,
727,
21,
13
],
[
80,
741,
68,
13
],
[
156,
741,
41,
13
],
[
206,
741,
8,
13
],
[
222,
741,
48,
13
],
[
277,
741,
15,
13
],
[
300,
741,
27,
13
],
[
335,
741,
43,
13
],
[
387,
741,
10,
13
],
[
405,
741,
7,
13
],
[
80,
756,
43,
13
],
[
127,
756,
16,
13
],
[
147,
756,
35,
13
],
[
187,
756,
42,
13
],
[
233,
756,
33,
13
],
[
271,
756,
19,
13
],
[
294,
756,
17,
13
],
[
316,
756,
54,
13
],
[
374,
756,
10,
13
],
[
388,
756,
25,
13
],
[
80,
771,
13,
13
],
[
103,
771,
16,
13
],
[
129,
771,
17,
13
],
[
155,
771,
15,
13
],
[
180,
771,
64,
13
],
[
253,
771,
10,
13
],
[
273,
771,
16,
13
],
[
298,
771,
28,
13
],
[
335,
771,
18,
13
],
[
363,
771,
49,
13
],
[
80,
785,
64,
13
],
[
149,
785,
68,
13
],
[
221,
785,
17,
13
],
[
242,
785,
60,
13
],
[
306,
785,
31,
13
],
[
342,
785,
13,
13
],
[
360,
785,
16,
13
],
[
380,
785,
33,
13
],
[
80,
800,
10,
13
],
[
95,
800,
27,
13
],
[
126,
800,
37,
13
],
[
167,
800,
25,
13
],
[
197,
800,
16,
13
],
[
217,
800,
68,
13
],
[
290,
800,
21,
13
],
[
315,
800,
16,
13
],
[
336,
800,
20,
13
],
[
360,
800,
39,
13
],
[
403,
800,
10,
13
],
[
80,
815,
44,
13
],
[
133,
815,
27,
13
],
[
169,
815,
40,
13
],
[
217,
815,
15,
13
],
[
241,
815,
20,
13
],
[
269,
815,
46,
13
],
[
324,
815,
29,
13
],
[
361,
815,
52,
13
],
[
80,
829,
46,
13
],
[
134,
829,
71,
13
],
[
213,
829,
18,
13
],
[
239,
829,
64,
13
],
[
311,
829,
39,
13
],
[
358,
829,
19,
13
],
[
385,
829,
27,
13
],
[
80,
844,
83,
13
],
[
168,
844,
16,
13
],
[
188,
844,
35,
13
],
[
228,
844,
22,
13
],
[
255,
844,
105,
13
],
[
364,
844,
10,
13
],
[
379,
844,
34,
13
],
[
80,
859,
40,
13
],
[
125,
859,
47,
13
],
[
176,
859,
56,
13
],
[
237,
859,
38,
13
],
[
279,
859,
16,
13
],
[
299,
859,
25,
13
],
[
328,
859,
32,
13
],
[
364,
859,
28,
13
],
[
396,
859,
16,
13
],
[
80,
874,
75,
13
],
[
162,
874,
20,
13
],
[
189,
874,
68,
13
],
[
264,
874,
16,
13
],
[
286,
874,
53,
13
],
[
346,
874,
10,
13
],
[
362,
874,
50,
13
],
[
80,
888,
68,
13
],
[
153,
888,
62,
13
],
[
219,
888,
46,
13
],
[
269,
888,
19,
13
],
[
293,
888,
45,
13
],
[
342,
888,
49,
13
],
[
395,
888,
17,
13
],
[
80,
903,
14,
13
],
[
97,
903,
34,
13
],
[
133,
903,
46,
13
],
[
182,
903,
16,
13
],
[
201,
903,
17,
13
],
[
220,
903,
38,
13
],
[
261,
903,
39,
13
],
[
302,
903,
38,
13
],
[
343,
903,
31,
13
],
[
377,
903,
23,
13
],
[
402,
903,
10,
13
],
[
80,
918,
39,
13
],
[
123,
918,
56,
13
],
[
184,
918,
27,
13
],
[
215,
918,
40,
13
],
[
260,
918,
64,
13
],
[
328,
918,
19,
13
],
[
351,
918,
29,
13
],
[
384,
918,
28,
13
],
[
80,
932,
60,
13
],
[
144,
932,
31,
13
],
[
93,
947,
21,
13
],
[
124,
947,
25,
13
],
[
159,
947,
53,
13
],
[
223,
947,
44,
13
],
[
277,
947,
10,
13
],
[
297,
947,
16,
13
],
[
324,
947,
29,
13
],
[
363,
947,
29,
13
],
[
403,
947,
10,
13
],
[
80,
962,
68,
13
],
[
153,
962,
8,
13
],
[
166,
962,
16,
13
],
[
188,
962,
49,
13
],
[
242,
962,
56,
13
],
[
303,
962,
10,
13
],
[
319,
962,
50,
13
],
[
374,
962,
23,
13
],
[
402,
962,
10,
13
],
[
80,
976,
36,
13
],
[
121,
977,
20,
13
],
[
145,
977,
26,
13
],
[
176,
977,
19,
13
],
[
200,
977,
62,
13
],
[
267,
977,
23,
13
],
[
295,
977,
10,
13
],
[
311,
977,
50,
13
],
[
365,
977,
47,
13
],
[
80,
991,
39,
13
],
[
130,
991,
47,
13
],
[
187,
991,
44,
13
],
[
242,
991,
40,
13
],
[
292,
991,
30,
13
],
[
333,
991,
35,
13
],
[
379,
991,
34,
13
],
[
80,
1006,
53,
13
],
[
137,
1006,
10,
13
],
[
152,
1006,
6,
13
],
[
163,
1006,
40,
13
],
[
207,
1006,
10,
13
],
[
222,
1006,
68,
13
],
[
294,
1006,
46,
13
],
[
345,
1006,
18,
13
],
[
368,
1006,
30,
13
],
[
403,
1006,
10,
13
],
[
437,
657,
16,
13
],
[
460,
657,
82,
13
],
[
549,
657,
47,
13
],
[
604,
657,
46,
13
],
[
656,
657,
10,
13
],
[
674,
657,
16,
13
],
[
697,
657,
56,
13
],
[
760,
657,
10,
13
],
[
437,
672,
55,
13
],
[
501,
669,
29,
17
],
[
539,
672,
20,
13
],
[
567,
672,
48,
13
],
[
624,
672,
44,
13
],
[
677,
672,
36,
14
],
[
721,
672,
11,
13
],
[
741,
672,
29,
13
],
[
437,
686,
53,
13
],
[
493,
686,
31,
13
],
[
526,
686,
10,
13
],
[
539,
686,
22,
13
],
[
563,
686,
28,
13
],
[
594,
686,
10,
13
],
[
607,
686,
18,
13
],
[
627,
686,
31,
13
],
[
661,
686,
49,
13
],
[
714,
686,
56,
13
],
[
437,
701,
15,
13
],
[
455,
701,
50,
13
],
[
508,
701,
65,
13
],
[
575,
701,
46,
13
],
[
624,
701,
43,
13
],
[
670,
701,
56,
13
],
[
729,
701,
16,
13
],
[
748,
701,
21,
13
],
[
437,
715,
45,
13
],
[
488,
715,
13,
13
],
[
506,
715,
53,
13
],
[
564,
715,
10,
13
],
[
579,
715,
36,
13
],
[
621,
715,
17,
13
],
[
644,
715,
45,
13
],
[
694,
715,
53,
13
],
[
752,
715,
18,
13
],
[
437,
730,
44,
13
],
[
487,
730,
19,
13
],
[
511,
730,
60,
13
],
[
577,
730,
19,
13
],
[
601,
730,
41,
13
],
[
648,
730,
17,
13
],
[
670,
730,
45,
13
],
[
720,
730,
50,
13
],
[
437,
744,
47,
13
],
[
491,
744,
20,
13
],
[
518,
744,
52,
13
],
[
577,
744,
61,
13
],
[
645,
744,
40,
13
],
[
693,
744,
27,
13
],
[
727,
744,
43,
13
],
[
437,
759,
33,
13
],
[
475,
759,
19,
13
],
[
500,
759,
21,
13
],
[
526,
759,
45,
13
],
[
576,
759,
10,
13
],
[
591,
759,
52,
13
],
[
648,
759,
10,
13
],
[
664,
759,
56,
13
],
[
725,
759,
24,
13
],
[
754,
759,
16,
13
],
[
437,
773,
48,
13
],
[
493,
773,
59,
13
],
[
559,
773,
50,
13
],
[
616,
773,
74,
13
],
[
698,
773,
25,
13
],
[
731,
773,
16,
13
],
[
754,
773,
16,
13
],
[
437,
788,
47,
13
],
[
488,
788,
49,
13
],
[
541,
788,
16,
13
],
[
561,
788,
28,
13
],
[
592,
788,
21,
13
],
[
617,
788,
21,
13
],
[
641,
788,
36,
13
],
[
681,
788,
24,
13
],
[
708,
788,
61,
13
],
[
437,
802,
13,
13
],
[
455,
802,
47,
13
],
[
508,
802,
58,
13
],
[
571,
802,
19,
13
],
[
596,
802,
38,
13
],
[
639,
802,
42,
13
],
[
686,
802,
68,
13
],
[
760,
802,
10,
13
],
[
437,
817,
44,
13
],
[
483,
817,
10,
13
],
[
497,
817,
18,
13
],
[
517,
817,
31,
13
],
[
551,
817,
39,
13
],
[
593,
817,
10,
13
],
[
606,
817,
44,
13
],
[
653,
817,
20,
13
],
[
675,
817,
49,
13
],
[
726,
817,
43,
13
],
[
437,
831,
19,
13
],
[
460,
831,
28,
13
],
[
491,
831,
52,
13
],
[
547,
831,
13,
13
],
[
564,
828,
23,
17
],
[
591,
831,
11,
13
],
[
605,
831,
36,
13
],
[
645,
831,
40,
13
],
[
450,
846,
55,
13
],
[
511,
846,
7,
13
],
[
525,
846,
17,
13
],
[
549,
846,
25,
13
],
[
580,
846,
33,
13
],
[
619,
846,
20,
13
],
[
646,
846,
62,
13
],
[
715,
846,
55,
13
],
[
437,
861,
50,
13
],
[
490,
861,
39,
13
],
[
533,
861,
18,
13
],
[
555,
861,
47,
13
],
[
605,
861,
27,
13
],
[
636,
861,
40,
13
],
[
679,
861,
19,
13
],
[
702,
861,
68,
13
],
[
437,
875,
17,
13
],
[
457,
875,
11,
13
],
[
470,
875,
14,
13
],
[
487,
875,
11,
13
],
[
501,
875,
58,
13
],
[
562,
875,
10,
13
],
[
575,
875,
31,
13
],
[
608,
875,
17,
13
],
[
628,
875,
17,
13
],
[
648,
875,
25,
13
],
[
675,
875,
55,
13
],
[
732,
875,
37,
13
],
[
437,
890,
43,
13
],
[
487,
890,
28,
13
],
[
521,
890,
31,
13
],
[
559,
890,
68,
13
],
[
634,
890,
42,
13
],
[
683,
890,
16,
13
],
[
706,
890,
27,
13
],
[
740,
890,
30,
13
],
[
437,
904,
43,
13
],
[
485,
904,
14,
13
],
[
503,
904,
59,
13
],
[
566,
904,
10,
13
],
[
580,
904,
16,
13
],
[
600,
904,
37,
13
],
[
641,
904,
27,
13
],
[
672,
904,
16,
13
],
[
692,
904,
27,
13
],
[
723,
904,
10,
13
],
[
737,
904,
33,
13
],
[
437,
919,
75,
13
],
[
519,
919,
13,
13
],
[
539,
919,
17,
13
],
[
563,
919,
52,
13
],
[
623,
919,
18,
13
],
[
647,
919,
23,
13
],
[
677,
919,
19,
13
],
[
703,
919,
9,
13
],
[
719,
919,
17,
13
],
[
743,
919,
27,
13
],
[
437,
933,
68,
13
],
[
510,
933,
36,
13
],
[
550,
933,
10,
13
],
[
565,
933,
51,
13
],
[
621,
933,
22,
13
],
[
648,
933,
33,
13
],
[
686,
933,
32,
13
],
[
722,
933,
47,
13
],
[
437,
948,
70,
13
],
[
516,
948,
20,
13
],
[
544,
948,
51,
13
],
[
604,
948,
16,
13
],
[
629,
948,
32,
13
],
[
669,
948,
10,
13
],
[
688,
948,
38,
13
],
[
735,
948,
10,
13
],
[
754,
948,
16,
13
],
[
437,
962,
71,
13
],
[
515,
962,
101,
13
],
[
622,
962,
81,
13
],
[
709,
962,
21,
13
],
[
737,
962,
33,
13
],
[
437,
977,
50,
13
],
[
497,
977,
19,
13
],
[
525,
977,
15,
13
],
[
549,
977,
23,
13
],
[
582,
977,
23,
13
],
[
614,
977,
44,
13
],
[
667,
977,
36,
13
],
[
712,
977,
24,
13
],
[
745,
977,
25,
13
],
[
437,
992,
68,
13
],
[
510,
992,
54,
13
],
[
569,
992,
22,
13
],
[
595,
992,
34,
13
],
[
634,
992,
27,
13
],
[
666,
992,
53,
13
],
[
724,
992,
10,
13
],
[
739,
992,
31,
13
],
[
437,
1006,
25,
13
],
[
471,
1006,
10,
13
],
[
491,
1006,
16,
13
],
[
517,
1006,
51,
13
],
[
577,
1006,
30,
13
],
[
616,
1006,
20,
13
],
[
645,
1006,
25,
13
],
[
679,
1006,
39,
13
],
[
728,
1006,
42,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
571,
1047,
22,
12
],
[
597,
1047,
23,
12
],
[
625,
1047,
3,
12
],
[
633,
1047,
36,
12
],
[
674,
1047,
6,
12
],
[
685,
1047,
3,
12
],
[
693,
1047,
24,
12
],
[
722,
1047,
6,
12
],
[
733,
1047,
3,
12
],
[
741,
1047,
29,
12
]
] | [
"SOD3",
"Reduces",
"Inflammatory",
"Cell",
"Migration",
"by",
"Regulating",
"Adhesion",
"Molecule",
"and",
"Cytokine",
"Expression",
"Juha",
"P.",
"Laurila1,",
"Lilja",
"E.",
"Laatikainen1,",
"Maria",
"D.",
"Castellone2,",
"Mikko",
"O.",
"Laukkanen1*",
"1",
"Medicity",
"Research",
"Laboratory,",
"University",
"of",
"Turku,",
"Turku,",
"Finland,",
"2",
"Institute",
"of",
"Experimental",
"Endocrinology",
"and",
"Oncology",
"(CNR),",
"Department",
"of",
"Biology",
"and",
"Cellular",
"and",
"Molecular",
"Pathology,",
"University",
"of",
"Naples",
"Federico",
"II,",
"Naples,",
"Italy",
"Abstract",
"Inflammatory",
"cell",
"migration",
"characteristic",
"of",
"ischemic",
"damages",
"has",
"a",
"dual",
"role",
"providing",
"the",
"tissue",
"with",
"factors",
"needed",
"for",
"tissue",
"injury",
"recovery",
"simultaneously",
"causing",
"deleterious",
"development",
"depending",
"on",
"the",
"quality",
"and",
"the",
"quantity",
"of",
"infiltrated",
"cells.",
"Extracellular",
"superoxide",
"dismutase",
"(SOD3)",
"has",
"been",
"shown",
"to",
"have",
"an",
"anti-inflammatory",
"role",
"in",
"ischemic",
"injuries",
"where",
"it",
"increases",
"the",
"recovery",
"process",
"by",
"activating",
"mitogen",
"signal",
"transduction",
"and",
"increasing",
"cell",
"proliferation.",
"However,",
"SOD3",
"derived",
"effects",
"on",
"inflammatory",
"cytokine",
"and",
"adhesion",
"molecule",
"expression,",
"which",
"would",
"explain",
"reduced",
"inflammation",
"in",
"vascular",
"lesions,",
"has",
"not",
"been",
"properly",
"characterized.",
"In",
"the",
"present",
"work",
"the",
"effect",
"of",
"SOD3",
"on",
"the",
"inflammatory",
"cell",
"extravasation",
"was",
"studied",
"in",
"vivo",
"in",
"rat",
"hind",
"limb",
"ischemia",
"and",
"mouse",
"peritonitis",
"models",
"by",
"identifying",
"the",
"migrated",
"cells",
"and",
"analyzing",
"SOD3-derived",
"response",
"on",
"inflammatory",
"cytokine",
"and",
"adhesion",
"molecule",
"expression.",
"SOD3",
"overexpression",
"significantly",
"reduced",
"TNFa,",
"IL1a,",
"IL6,",
"MIP2,",
"and",
"MCP-1",
"cytokine",
"and",
"VCAM,",
"ICAM,",
"P-selectin,",
"and",
"E-",
"selectin",
"adhesion",
"molecule",
"expressions",
"in",
"injured",
"tissues.",
"Consequently",
"the",
"mononuclear",
"cell,",
"especially",
"CD68+",
"monocyte",
"and",
"CD3+",
"T",
"cell",
"infiltration",
"were",
"significantly",
"decreased",
"whereas",
"granulocyte",
"migration",
"was",
"less",
"affected.",
"According",
"to",
"our",
"data",
"SOD3",
"has",
"a",
"selective",
"anti-inflammatory",
"role",
"in",
"ischemic",
"damages",
"preventing",
"the",
"migration",
"of",
"reactive",
"oxygen",
"producing",
"monocyte/macrophages,",
"which",
"in",
"excessive",
"amounts",
"could",
"potentially",
"further",
"intensify",
"the",
"tissue",
"injuries",
"therefore",
"suggesting",
"potential",
"for",
"SOD3",
"in",
"treatment",
"of",
"inflammatory",
"disorders.",
"Citation:",
"Laurila",
"JP,",
"Laatikainen",
"LE,",
"Castellone",
"MD,",
"Laukkanen",
"MO",
"(2009)",
"SOD3",
"Reduces",
"Inflammatory",
"Cell",
"Migration",
"by",
"Regulating",
"Adhesion",
"Molecule",
"and",
"Cytokine",
"Expression.",
"PLoS",
"ONE",
"4(6):",
"e5786.",
"doi:10.1371/journal.pone.0005786",
"Editor:",
"Eshel",
"Ben-Jacob,",
"Tel",
"Aviv",
"University,",
"Israel",
"Received",
"April",
"15,",
"2009;",
"Accepted",
"May",
"8,",
"2009;",
"Published",
"June",
"4,",
"2009",
"Copyright:",
"2009",
"Laurila",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"Academy",
"of",
"Finland,",
"Sigrid",
"Juselius",
"Foundation,",
"Paolo",
"Foundation,",
"TUBS",
"graduation",
"school.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"Mikko.Laukkanen@utu.fi",
"Introduction",
"The",
"inflammatory",
"process",
"is",
"initiated",
"by",
"endothelial",
"cell",
"(EC)",
"activation",
"comprising",
"upregulation",
"of",
"chemokines",
"and",
"cell",
"adhesion",
"molecules,",
"leukocyte",
"activation",
"and",
"transmigration,",
"and",
"secretion",
"of",
"proinflammatory",
"factors",
"by",
"leukocytes",
"[1].",
"The",
"inflammatory",
"reaction",
"is",
"necessary",
"for",
"tissue",
"recovery",
"as",
"it",
"provides",
"the",
"correct",
"cytokine",
"signals",
"and",
"cell",
"machinery",
"to",
"clear",
"up",
"the",
"site",
"for",
"regeneration",
"of",
"the",
"tissue",
"[2].",
"However,",
"uncontrolled",
"inflammation",
"has",
"unfavorable",
"effects",
"on",
"the",
"course",
"of",
"tissue",
"healing",
"since",
"the",
"inflammatory",
"cells",
"are",
"also",
"capable",
"of",
"inducing",
"tissue",
"damage",
"[2]",
"and",
"therefore",
"many",
"conditions",
"involving",
"inflammation,",
"e.g.",
"autoimmune",
"diseases",
"and",
"tissue",
"transplantations,",
"are",
"treated",
"with",
"immunosuppressants",
"to",
"reduce",
"harmful",
"leukocyte",
"infiltration.",
"Among",
"the",
"most",
"potent",
"drugs",
"are",
"glucocorticoids",
"that",
"downregulate",
"the",
"expression",
"of",
"numerous",
"inflammatory",
"chemokines,",
"cytokines",
"and",
"adhesion",
"molecules",
"[3–",
"5],",
"which,",
"however,",
"are",
"not",
"entirely",
"without",
"adverse",
"effects",
"such",
"as",
"delayed",
"myocardial",
"tissue",
"healing,",
"osteoporosis,",
"and",
"blood",
"vessel",
"calcification",
"[6–9].",
"The",
"most",
"prominent",
"outcome",
"in",
"the",
"initial",
"phase",
"of",
"inflammation",
"is",
"the",
"enhanced",
"production",
"of",
"cytokines,",
"such",
"as",
"TNF-a",
"and",
"IL-1,",
"and",
"chemokines,",
"such",
"as",
"monocyte",
"chemoat-",
"tractant",
"protein-1",
"(MCP-1)",
"[10,11],",
"which",
"further",
"induce",
"expression",
"of",
"a",
"number",
"of",
"inflammatory",
"cytokines",
"[4].",
"Many",
"of",
"the",
"stimulus-specific",
"pathways",
"converge",
"in",
"the",
"production",
"of",
"superoxide",
"(O22)",
"and",
"hydrogen",
"peroxide",
"(H2O2)",
"as",
"signal",
"mediators,",
"which",
"in",
"turn",
"result",
"in",
"e.g.",
"NFkB",
"activation",
"responsible",
"for",
"numerous",
"stress-related",
"functions",
"[12–14].",
"Leukocytes",
"are",
"thus",
"recruited",
"by",
"expression",
"of",
"various",
"cell",
"adhesion",
"molecules,",
"e.g.",
"selectins,",
"and",
"intercellular",
"and",
"vascular",
"cell",
"adhesion",
"molecules",
"(ICAM-1",
"and",
"VCAM-1,",
"respectively)",
"[15,16].",
"They",
"promote",
"rolling",
"and",
"firm",
"adhesion",
"of",
"leukocytes",
"to",
"endothelial",
"wall,",
"the",
"necessary",
"interactions",
"preceding",
"transmigration",
"[17].",
"To",
"aid",
"leukocyte",
"migration",
"the",
"vessel",
"wall",
"cells",
"change",
"their",
"morphology",
"by",
"assuming",
"cytoskeletal",
"and",
"cell-cell",
"junction",
"modifications",
"in",
"response",
"to",
"e.g.",
"ligand",
"binding",
"to",
"ICAM-1",
"and",
"VCAM-1",
"[18–20],",
"and",
"when",
"stimulated",
"by",
"O22",
"or",
"TNF-a",
"[21,22].",
"Previously,",
"it",
"has",
"been",
"shown",
"that",
"extracellular",
"superoxide",
"dismutase",
"(SOD3)",
"can",
"attenuate",
"tissue",
"damage",
"and",
"inflammation",
"but",
"so",
"far",
"its",
"mechanism",
"of",
"action",
"has",
"not",
"been",
"completely",
"defined",
"[23–27].",
"Since",
"excess",
"inflammation",
"prevents",
"the",
"tissue",
"injury",
"recovery",
"we",
"investigated",
"in",
"the",
"present",
"study",
"the",
"effect",
"of",
"SOD3",
"overexpression",
"on",
"cell",
"migration.",
"We",
"used",
"two",
"in",
"vivo",
"acute",
"inflammation",
"models",
"to",
"determine",
"how",
"SOD3",
"affects",
"leukocyte",
"extravasation,",
"and",
"compared",
"the",
"results",
"to",
"efficacy",
"of",
"the",
"glucocorticoid",
"immunosuppressant",
"dexamethasone.",
"The",
"mouse",
"peritonitis",
"and",
"rat",
"hind",
"limb",
"ischemia",
"models",
"have",
"been",
"characterized",
"previously:",
"they",
"induce",
"rapid",
"infiltration",
"of",
"leuko-",
"cytes",
"to",
"the",
"peritoneal",
"cavity",
"and",
"large",
"femoral",
"muscles,",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"June",
"2009",
"|",
"Volume",
"4",
"|",
"Issue",
"6",
"|",
"e5786"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,902,059 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
59,
11
],
[
131,
75,
40,
11
],
[
173,
75,
17,
11
],
[
192,
75,
36,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
46,
25
],
[
121,
187,
65,
25
],
[
70,
220,
152,
25
],
[
227,
220,
116,
25
],
[
347,
220,
139,
25
],
[
120,
291,
66,
17
],
[
188,
291,
18,
17
],
[
209,
289,
51,
18
],
[
264,
291,
62,
17
],
[
329,
289,
72,
18
],
[
405,
291,
49,
17
],
[
457,
289,
91,
18
],
[
551,
291,
27,
17
],
[
581,
291,
47,
17
],
[
631,
289,
51,
18
],
[
120,
321,
4,
9
],
[
126,
322,
59,
13
],
[
188,
322,
9,
13
],
[
200,
322,
48,
13
],
[
250,
322,
59,
13
],
[
311,
322,
35,
13
],
[
348,
322,
9,
13
],
[
360,
322,
65,
13
],
[
428,
322,
50,
13
],
[
480,
322,
41,
13
],
[
523,
322,
9,
13
],
[
535,
322,
9,
13
],
[
546,
322,
36,
13
],
[
585,
322,
15,
13
],
[
602,
322,
9,
13
],
[
614,
322,
36,
13
],
[
653,
322,
9,
13
],
[
665,
322,
30,
13
],
[
697,
322,
36,
13
],
[
735,
322,
23,
13
],
[
120,
335,
4,
9
],
[
126,
336,
59,
13
],
[
188,
336,
9,
13
],
[
200,
336,
85,
13
],
[
287,
336,
19,
13
],
[
309,
336,
52,
13
],
[
364,
336,
38,
13
],
[
404,
336,
35,
13
],
[
441,
336,
9,
13
],
[
453,
336,
50,
13
],
[
506,
336,
50,
13
],
[
558,
336,
41,
13
],
[
601,
336,
9,
13
],
[
612,
336,
9,
13
],
[
624,
336,
36,
13
],
[
662,
336,
30,
13
],
[
695,
336,
36,
13
],
[
733,
336,
22,
13
],
[
120,
362,
82,
13
],
[
205,
362,
34,
13
],
[
241,
362,
12,
13
],
[
256,
362,
49,
13
],
[
308,
362,
11,
13
],
[
321,
362,
43,
13
],
[
366,
362,
47,
13
],
[
416,
362,
131,
13
],
[
120,
387,
44,
13
],
[
166,
387,
6,
13
],
[
175,
387,
33,
13
],
[
210,
387,
27,
13
],
[
240,
387,
45,
13
],
[
288,
387,
12,
13
],
[
303,
387,
26,
13
],
[
331,
387,
25,
13
],
[
120,
412,
49,
13
],
[
172,
412,
35,
13
],
[
209,
412,
29,
13
],
[
241,
412,
35,
13
],
[
278,
412,
39,
13
],
[
120,
438,
51,
13
],
[
174,
438,
9,
13
],
[
186,
438,
24,
13
],
[
213,
438,
46,
13
],
[
262,
438,
14,
13
],
[
278,
438,
29,
13
],
[
309,
438,
10,
13
],
[
321,
438,
12,
13
],
[
336,
438,
22,
13
],
[
363,
438,
8,
13
],
[
375,
438,
13,
13
],
[
391,
438,
26,
13
],
[
421,
438,
30,
13
],
[
455,
438,
31,
13
],
[
490,
438,
55,
13
],
[
549,
438,
30,
13
],
[
583,
438,
16,
13
],
[
603,
438,
41,
13
],
[
648,
438,
53,
13
],
[
705,
438,
58,
13
],
[
120,
452,
40,
13
],
[
163,
452,
31,
13
],
[
197,
452,
39,
13
],
[
239,
452,
61,
13
],
[
303,
452,
20,
13
],
[
326,
452,
63,
13
],
[
393,
452,
19,
13
],
[
415,
452,
66,
13
],
[
485,
452,
11,
13
],
[
499,
452,
18,
13
],
[
520,
452,
46,
13
],
[
569,
452,
45,
13
],
[
617,
452,
16,
13
],
[
637,
452,
39,
13
],
[
680,
452,
26,
13
],
[
709,
452,
8,
13
],
[
720,
452,
43,
13
],
[
120,
467,
27,
13
],
[
120,
493,
16,
13
],
[
139,
493,
32,
13
],
[
173,
493,
16,
13
],
[
192,
493,
21,
13
],
[
215,
493,
10,
13
],
[
228,
493,
6,
13
],
[
237,
493,
58,
13
],
[
297,
493,
23,
13
],
[
323,
493,
42,
13
],
[
368,
493,
49,
13
],
[
419,
493,
69,
13
],
[
491,
493,
44,
13
],
[
537,
493,
41,
13
],
[
581,
493,
19,
13
],
[
603,
493,
42,
13
],
[
647,
493,
48,
13
],
[
698,
493,
40,
13
],
[
740,
493,
23,
13
],
[
120,
508,
44,
13
],
[
166,
508,
42,
13
],
[
209,
508,
51,
13
],
[
262,
508,
14,
13
],
[
277,
508,
15,
13
],
[
294,
508,
23,
13
],
[
319,
508,
15,
13
],
[
336,
508,
19,
13
],
[
357,
508,
24,
13
],
[
382,
508,
37,
13
],
[
421,
508,
20,
13
],
[
443,
508,
23,
13
],
[
468,
508,
16,
13
],
[
486,
508,
36,
13
],
[
523,
508,
55,
13
],
[
580,
508,
34,
13
],
[
616,
508,
75,
13
],
[
693,
508,
70,
13
],
[
120,
522,
19,
13
],
[
142,
522,
12,
13
],
[
157,
522,
48,
13
],
[
207,
522,
16,
13
],
[
226,
522,
26,
13
],
[
254,
522,
50,
13
],
[
307,
522,
66,
13
],
[
375,
522,
13,
13
],
[
390,
522,
48,
13
],
[
441,
522,
19,
13
],
[
463,
522,
35,
13
],
[
500,
522,
50,
13
],
[
552,
522,
19,
13
],
[
574,
522,
36,
13
],
[
612,
522,
17,
13
],
[
632,
522,
40,
13
],
[
674,
522,
18,
13
],
[
695,
522,
68,
13
],
[
120,
537,
27,
13
],
[
152,
537,
16,
13
],
[
172,
537,
34,
13
],
[
211,
537,
22,
13
],
[
238,
537,
45,
13
],
[
286,
537,
31,
13
],
[
321,
537,
16,
13
],
[
342,
537,
35,
13
],
[
382,
537,
27,
13
],
[
413,
537,
11,
13
],
[
428,
537,
18,
13
],
[
451,
537,
62,
13
],
[
518,
537,
40,
13
],
[
562,
537,
63,
13
],
[
630,
537,
41,
13
],
[
676,
537,
27,
13
],
[
708,
537,
55,
13
],
[
120,
551,
64,
13
],
[
187,
551,
69,
13
],
[
260,
551,
38,
13
],
[
302,
551,
19,
13
],
[
324,
551,
20,
13
],
[
348,
551,
43,
13
],
[
394,
551,
23,
13
],
[
420,
551,
52,
13
],
[
475,
551,
66,
13
],
[
545,
551,
36,
13
],
[
584,
551,
42,
13
],
[
629,
551,
91,
13
],
[
723,
551,
19,
13
],
[
745,
551,
18,
13
],
[
120,
566,
53,
13
],
[
176,
566,
40,
13
],
[
219,
566,
53,
13
],
[
274,
566,
39,
13
],
[
315,
566,
19,
13
],
[
336,
566,
40,
13
],
[
379,
566,
32,
13
],
[
414,
566,
33,
13
],
[
449,
566,
19,
13
],
[
470,
566,
57,
13
],
[
529,
566,
19,
13
],
[
551,
566,
75,
13
],
[
628,
566,
19,
13
],
[
650,
566,
113,
13
],
[
120,
580,
35,
13
],
[
157,
580,
24,
13
],
[
183,
580,
50,
13
],
[
235,
580,
23,
13
],
[
260,
580,
51,
13
],
[
314,
580,
73,
13
],
[
388,
580,
22,
13
],
[
413,
580,
8,
13
],
[
423,
580,
16,
13
],
[
441,
580,
32,
13
],
[
475,
580,
11,
13
],
[
488,
580,
6,
13
],
[
495,
580,
20,
13
],
[
517,
580,
70,
13
],
[
589,
580,
23,
13
],
[
614,
580,
13,
13
],
[
629,
580,
40,
13
],
[
671,
580,
19,
13
],
[
692,
580,
22,
13
],
[
716,
580,
47,
13
],
[
120,
595,
36,
13
],
[
158,
595,
66,
13
],
[
70,
672,
13,
17
],
[
86,
672,
92,
17
],
[
70,
706,
80,
14
],
[
156,
706,
26,
14
],
[
189,
706,
9,
14
],
[
204,
706,
6,
14
],
[
217,
706,
22,
14
],
[
246,
706,
57,
14
],
[
309,
706,
46,
14
],
[
361,
706,
43,
14
],
[
70,
722,
22,
14
],
[
97,
722,
31,
14
],
[
132,
722,
12,
14
],
[
148,
722,
23,
14
],
[
175,
722,
13,
14
],
[
192,
722,
58,
14
],
[
254,
722,
21,
14
],
[
279,
722,
32,
14
],
[
315,
722,
12,
14
],
[
331,
722,
25,
14
],
[
360,
722,
12,
14
],
[
376,
722,
28,
14
],
[
70,
737,
21,
14
],
[
97,
737,
9,
14
],
[
113,
737,
39,
14
],
[
158,
737,
43,
14
],
[
208,
737,
15,
14
],
[
230,
737,
18,
14
],
[
254,
737,
27,
14
],
[
287,
737,
21,
14
],
[
315,
737,
26,
14
],
[
348,
737,
12,
14
],
[
366,
737,
38,
14
],
[
70,
753,
48,
14
],
[
122,
753,
43,
14
],
[
169,
753,
82,
14
],
[
255,
753,
12,
14
],
[
271,
753,
16,
14
],
[
291,
753,
17,
14
],
[
312,
753,
74,
14
],
[
390,
753,
14,
14
],
[
70,
769,
77,
14
],
[
151,
769,
46,
14
],
[
201,
769,
49,
14
],
[
254,
769,
13,
14
],
[
270,
769,
44,
14
],
[
319,
769,
21,
14
],
[
344,
769,
60,
14
],
[
70,
785,
14,
14
],
[
86,
785,
43,
14
],
[
131,
785,
37,
14
],
[
170,
785,
12,
14
],
[
184,
785,
18,
14
],
[
204,
785,
25,
14
],
[
231,
785,
55,
14
],
[
289,
785,
24,
14
],
[
315,
785,
29,
14
],
[
346,
785,
13,
14
],
[
362,
785,
42,
14
],
[
70,
801,
14,
14
],
[
86,
801,
18,
14
],
[
105,
801,
44,
14
],
[
152,
801,
70,
14
],
[
223,
801,
21,
14
],
[
247,
801,
18,
14
],
[
267,
801,
39,
14
],
[
307,
801,
63,
14
],
[
372,
801,
12,
14
],
[
386,
801,
18,
14
],
[
70,
816,
36,
14
],
[
110,
816,
54,
14
],
[
167,
816,
64,
14
],
[
235,
816,
44,
14
],
[
282,
816,
17,
14
],
[
302,
816,
71,
14
],
[
377,
816,
17,
14
],
[
398,
816,
6,
14
],
[
70,
832,
39,
14
],
[
112,
832,
56,
14
],
[
91,
851,
22,
14
],
[
117,
851,
55,
14
],
[
175,
851,
9,
14
],
[
188,
851,
27,
14
],
[
219,
851,
43,
14
],
[
267,
851,
18,
14
],
[
288,
851,
43,
14
],
[
336,
851,
9,
14
],
[
349,
851,
55,
14
],
[
70,
867,
25,
14
],
[
98,
867,
25,
14
],
[
126,
867,
26,
14
],
[
155,
867,
59,
14
],
[
217,
867,
21,
14
],
[
241,
867,
27,
14
],
[
271,
867,
60,
14
],
[
70,
908,
13,
17
],
[
86,
908,
33,
17
],
[
122,
908,
49,
17
],
[
70,
937,
10,
14
],
[
82,
937,
64,
14
],
[
150,
937,
25,
14
],
[
178,
937,
30,
14
],
[
211,
937,
12,
14
],
[
226,
937,
20,
14
],
[
249,
937,
66,
14
],
[
318,
937,
25,
14
],
[
346,
937,
58,
14
],
[
70,
953,
24,
14
],
[
98,
953,
49,
14
],
[
151,
953,
43,
14
],
[
198,
953,
21,
14
],
[
224,
953,
22,
14
],
[
250,
953,
22,
14
],
[
277,
953,
44,
14
],
[
326,
953,
25,
14
],
[
356,
953,
48,
14
],
[
70,
969,
46,
14
],
[
119,
969,
49,
14
],
[
171,
969,
15,
14
],
[
189,
969,
18,
14
],
[
210,
969,
29,
14
],
[
242,
969,
57,
14
],
[
301,
969,
17,
14
],
[
321,
969,
33,
14
],
[
357,
969,
21,
14
],
[
381,
969,
24,
14
],
[
70,
985,
41,
14
],
[
114,
985,
16,
14
],
[
91,
1004,
36,
14
],
[
130,
1004,
70,
14
],
[
203,
1004,
11,
14
],
[
217,
1004,
20,
14
],
[
240,
1004,
34,
14
],
[
277,
1004,
18,
14
],
[
298,
1004,
39,
14
],
[
340,
1004,
21,
14
],
[
364,
1004,
40,
14
],
[
70,
1019,
23,
14
],
[
97,
1019,
39,
14
],
[
139,
1019,
17,
14
],
[
159,
1019,
114,
14
],
[
277,
1019,
25,
14
],
[
306,
1019,
22,
14
],
[
332,
1019,
72,
14
],
[
428,
674,
84,
14
],
[
518,
674,
21,
14
],
[
546,
674,
43,
14
],
[
596,
674,
44,
14
],
[
646,
674,
58,
14
],
[
710,
674,
52,
14
],
[
428,
690,
33,
14
],
[
449,
706,
17,
14
],
[
469,
706,
22,
14
],
[
494,
706,
45,
15
],
[
541,
706,
12,
14
],
[
556,
706,
76,
14
],
[
636,
706,
49,
14
],
[
688,
706,
29,
14
],
[
720,
706,
42,
14
],
[
428,
721,
21,
14
],
[
452,
721,
39,
14
],
[
494,
721,
49,
14
],
[
545,
721,
67,
14
],
[
449,
737,
89,
14
],
[
542,
737,
70,
14
],
[
615,
737,
12,
14
],
[
630,
737,
23,
14
],
[
657,
737,
39,
14
],
[
700,
737,
31,
14
],
[
734,
737,
28,
14
],
[
428,
753,
6,
14
],
[
437,
753,
43,
14
],
[
482,
753,
42,
14
],
[
527,
753,
46,
14
],
[
575,
753,
71,
14
],
[
648,
753,
28,
14
],
[
679,
753,
14,
14
],
[
695,
753,
44,
14
],
[
741,
753,
21,
14
],
[
428,
769,
37,
14
],
[
470,
769,
62,
14
],
[
537,
769,
24,
14
],
[
565,
769,
12,
14
],
[
582,
769,
18,
14
],
[
604,
769,
42,
14
],
[
651,
769,
112,
14
],
[
428,
785,
25,
14
],
[
457,
785,
39,
14
],
[
499,
785,
18,
14
],
[
521,
785,
52,
14
],
[
577,
785,
12,
14
],
[
592,
785,
56,
14
],
[
652,
785,
62,
14
],
[
718,
785,
24,
14
],
[
745,
785,
17,
14
],
[
428,
800,
33,
14
],
[
464,
800,
21,
14
],
[
488,
800,
33,
14
],
[
524,
800,
46,
14
],
[
572,
800,
27,
14
],
[
602,
800,
33,
14
],
[
449,
816,
33,
14
],
[
489,
816,
15,
14
],
[
511,
816,
18,
14
],
[
535,
816,
40,
14
],
[
582,
816,
21,
14
],
[
611,
816,
96,
14
],
[
714,
816,
49,
14
],
[
428,
832,
52,
14
],
[
483,
832,
12,
14
],
[
498,
832,
77,
14
],
[
578,
832,
12,
14
],
[
593,
832,
18,
14
],
[
614,
832,
26,
14
],
[
643,
832,
21,
14
],
[
667,
832,
65,
14
],
[
734,
832,
28,
14
],
[
428,
848,
28,
14
],
[
461,
848,
20,
14
],
[
486,
848,
47,
14
],
[
538,
848,
15,
14
],
[
557,
848,
58,
14
],
[
620,
848,
49,
14
],
[
674,
848,
21,
14
],
[
699,
848,
63,
14
],
[
428,
864,
21,
14
],
[
454,
864,
29,
14
],
[
488,
864,
55,
14
],
[
547,
864,
12,
14
],
[
564,
864,
71,
14
],
[
639,
864,
71,
14
],
[
714,
864,
21,
14
],
[
740,
864,
22,
14
],
[
428,
879,
53,
14
],
[
486,
879,
16,
14
],
[
508,
879,
25,
14
],
[
538,
879,
36,
14
],
[
580,
879,
18,
14
],
[
603,
879,
39,
14
],
[
648,
879,
19,
14
],
[
672,
879,
27,
14
],
[
704,
879,
20,
14
],
[
729,
879,
34,
14
],
[
428,
895,
63,
14
],
[
494,
895,
26,
14
],
[
523,
895,
69,
14
],
[
594,
895,
16,
14
],
[
612,
895,
43,
14
],
[
657,
895,
50,
14
],
[
711,
895,
39,
14
],
[
428,
926,
13,
17
],
[
444,
926,
77,
17
],
[
428,
956,
80,
14
],
[
513,
956,
26,
14
],
[
543,
956,
9,
14
],
[
556,
956,
26,
14
],
[
586,
956,
62,
14
],
[
653,
956,
17,
14
],
[
674,
956,
20,
14
],
[
698,
956,
26,
14
],
[
728,
956,
19,
14
],
[
751,
956,
12,
14
],
[
428,
972,
14,
14
],
[
447,
972,
55,
14
],
[
507,
972,
25,
14
],
[
537,
972,
21,
14
],
[
563,
972,
58,
14
],
[
626,
972,
21,
14
],
[
652,
972,
32,
14
],
[
689,
972,
17,
14
],
[
711,
972,
18,
14
],
[
734,
972,
28,
14
],
[
428,
988,
51,
14
],
[
481,
988,
50,
14
],
[
533,
988,
30,
14
],
[
566,
988,
12,
14
],
[
580,
988,
33,
14
],
[
615,
988,
17,
14
],
[
634,
988,
25,
14
],
[
661,
988,
25,
14
],
[
689,
988,
22,
14
],
[
712,
988,
12,
14
],
[
726,
988,
36,
14
],
[
428,
1004,
28,
14
],
[
459,
1004,
21,
14
],
[
483,
1004,
47,
14
],
[
533,
1004,
57,
14
],
[
592,
1004,
21,
14
],
[
616,
1004,
48,
14
],
[
666,
1004,
35,
14
],
[
704,
1004,
44,
14
],
[
750,
1004,
12,
14
],
[
428,
1019,
25,
14
],
[
456,
1019,
12,
14
],
[
471,
1019,
25,
14
],
[
499,
1019,
21,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Dermatology",
"Research",
"and",
"Practice",
"Volume",
"2010,",
"Article",
"ID",
"365173,",
"3",
"pages",
"doi:10.1155/2010/365173",
"Case",
"Report",
"Angiosarcoma",
"Mimicking",
"Rhinophyma",
"Maurizio",
"Lo",
"Presti,1",
"Caterina",
"Mazzella,1",
"Ambra",
"Monfrecola,1",
"and",
"Jessica",
"Falleti2",
"1",
"Department",
"of",
"Pathology",
"Systematics,",
"Section",
"of",
"Dermatology,",
"University",
"Federico",
"II",
"of",
"Naples,",
"via",
"S.",
"Pansini",
"5,",
"80131",
"Naples,",
"Italy",
"2",
"Department",
"of",
"Biomorphological",
"and",
"Functional",
"Science,",
"Section",
"of",
"Pathology,",
"University",
"Federico",
"II",
"of",
"Naples,",
"80131",
"Naples,",
"Italy",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Caterina",
"Mazzella,",
"caterinamazzella@libero.it",
"Received",
"1",
"March",
"2010;",
"Accepted",
"12",
"April",
"2010",
"Academic",
"Editor:",
"Bruce",
"Robert",
"Smoller",
"Copyright",
"©",
"2010",
"Maurizio",
"Lo",
"Presti",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"We",
"report",
"the",
"case",
"of",
"a",
"61-year-old",
"man",
"showing",
"persistent",
"erythematous",
"macules,",
"plaques,",
"and",
"partially",
"confluent",
"nodules",
"with",
"irregular",
"borders,",
"developed",
"on",
"his",
"nose",
"for",
"one",
"year.",
"During",
"that",
"time",
"the",
"patient",
"underwent",
"several",
"dermatological",
"consultations,",
"and",
"all",
"produced",
"the",
"same",
"diagnosis:",
"rhinophyma.",
"So",
"antibiotic",
"and",
"steroid",
"treatment",
"was",
"carried",
"out",
"without",
"any",
"improvement",
"while",
"the",
"lesions",
"kept",
"growing.",
"When",
"the",
"patient",
"came",
"to",
"our",
"observation,",
"physical",
"examination",
"revealed",
"large,",
"infiltrative,",
"oedematous,",
"erythematous",
"plaques",
"and",
"rare",
"nodules,",
"with",
"superficial",
"telangiectatic",
"vessels.",
"Cervical",
"lymphadenopathy",
"was",
"not",
"detectable.",
"Routine",
"laboratory",
"analysis",
"was",
"normal.",
"Punch",
"biopsy",
"was",
"performed,",
"and",
"histopathology",
"and",
"immunohistochemical",
"studies",
"were",
"consistent",
"with",
"cutaneous",
"angiosarcoma.",
"This",
"is",
"the",
"report",
"of",
"a",
"face",
"angiosarcoma",
"with",
"an",
"unusual",
"and",
"very",
"deceptive",
"clinical",
"presentation.",
"1.",
"Introduction",
"Angiosarcoma",
"(AS)",
"is",
"a",
"rare",
"malignant",
"vascular",
"tumour",
"that",
"arises",
"in",
"skin",
"or",
"superficial",
"soft",
"tissue",
"in",
"60%",
"of",
"cases",
"[1].",
"It",
"mainly",
"appears",
"on",
"the",
"head",
"and",
"neck",
"of",
"elderly",
"patients.",
"Clinical",
"manifestations",
"of",
"AS",
"are",
"characterized",
"by",
"erythematous",
"plaques,",
"macules,",
"or",
"nodules",
"and",
"sometimes",
"by",
"chronic",
"edema",
"of",
"the",
"face.",
"Diagnosis",
"may",
"often",
"be",
"delayed",
"by",
"the",
"variable",
"presentation",
"and",
"the",
"benign",
"appearance",
"of",
"the",
"lesion,",
"therefore,",
"histological",
"features",
"are",
"fundamental",
"for",
"a",
"correct",
"diagnosis.",
"The",
"prognosis",
"is",
"poor",
"because",
"the",
"tumour",
"is",
"aggressive",
"with",
"high",
"local",
"recurrence",
"and",
"early",
"metastasis.",
"2.",
"Case",
"Report",
"A",
"61-year-old",
"man",
"came",
"to",
"our",
"department",
"with",
"erythema-",
"tous",
"macules,",
"plaques",
"and",
"also",
"rare",
"nodules",
"with",
"irregular",
"borders,",
"localized",
"on",
"the",
"nose,",
"developed",
"for",
"about",
"one",
"year",
"(Figure",
"1).",
"Before",
"examination",
"at",
"our",
"clinic,",
"the",
"patient",
"was",
"repeat-",
"edly",
"treated",
"for",
"rosacea/rhinophyma",
"with",
"oral",
"tetracyclines,",
"metronidazole,",
"and",
"steroids",
"without",
"significant",
"improve-",
"ment.",
"He",
"also",
"suffered",
"of",
"hypertension,",
"ischemic",
"heart",
"disease,",
"and",
"benign",
"prostatic",
"hyperplasia.",
"Histopathologic",
"examination",
"of",
"skin",
"biopsy,",
"taken",
"from",
"a",
"nodule,",
"showed",
"vascular",
"proliferation",
"lined",
"by",
"atypical",
"and",
"plump",
"endothelial",
"cells",
"in",
"the",
"dermis;",
"immunohistochem-",
"istry",
"proved",
"the",
"positivity",
"of",
"neoplastic",
"endothelial",
"cells",
"for",
"CD31",
"and",
"CD34",
"(Figures",
"2(a),",
"2(b)).",
"Based",
"on",
"the",
"clinical",
"and",
"histopathological",
"findings,",
"diagnosis",
"of",
"angiosarcoma",
"of",
"the",
"nose",
"was",
"established.",
"Total",
"body",
"CT,",
"showing",
"no",
"significant",
"findings,",
"was",
"performed,",
"and",
"then,",
"according",
"to",
"consolidated",
"cooperation,",
"and",
"also",
"following",
"his",
"own",
"desire,",
"the",
"patient",
"has",
"been",
"put",
"under",
"oncologists",
"care,",
"undertaking",
"Rx",
"therapy",
"(electron",
"beam).",
"3.",
"Discussion",
"Angiosarcoma",
"(AS)",
"is",
"rare,",
"amounting",
"for",
"less",
"than",
"2%",
"of",
"all",
"sarcomas.",
"Skin",
"and",
"superficial",
"soft",
"tissue",
"are",
"the",
"most",
"common",
"locations",
"(60%",
"of",
"cases)",
"[2]",
"with",
"high",
"rate",
"of",
"lymph",
"node",
"and",
"systemic",
"metastasis",
"and",
"reported",
"5-year",
"survival",
"of",
"10%",
"to",
"35%",
"[3]."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
16,
16,
16,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,639,697 | null | [
[
80,
78,
119,
28
],
[
208,
78,
25,
28
],
[
242,
78,
64,
28
],
[
314,
78,
130,
28
],
[
453,
78,
23,
28
],
[
485,
78,
30,
28
],
[
525,
78,
121,
28
],
[
655,
78,
45,
28
],
[
709,
78,
59,
28
],
[
80,
109,
77,
28
],
[
166,
109,
15,
28
],
[
189,
109,
45,
28
],
[
244,
109,
94,
28
],
[
346,
109,
69,
28
],
[
425,
109,
130,
28
],
[
563,
109,
99,
28
],
[
80,
152,
63,
14
],
[
147,
152,
14,
14
],
[
165,
150,
73,
17
],
[
242,
152,
51,
14
],
[
298,
152,
13,
14
],
[
315,
150,
53,
17
],
[
373,
152,
26,
14
],
[
403,
150,
121,
17
],
[
527,
152,
35,
14
],
[
567,
150,
68,
17
],
[
80,
175,
6,
10
],
[
88,
175,
50,
10
],
[
139,
175,
9,
10
],
[
150,
175,
46,
10
],
[
198,
175,
16,
10
],
[
216,
175,
41,
10
],
[
258,
175,
9,
10
],
[
269,
175,
47,
10
],
[
318,
175,
23,
10
],
[
342,
175,
41,
10
],
[
385,
175,
34,
10
],
[
421,
175,
47,
10
],
[
470,
175,
36,
10
],
[
508,
175,
33,
10
],
[
543,
175,
38,
10
],
[
582,
175,
6,
10
],
[
590,
175,
54,
10
],
[
646,
175,
6,
10
],
[
654,
175,
40,
10
],
[
696,
175,
35,
10
],
[
733,
175,
37,
10
],
[
80,
189,
28,
10
],
[
112,
189,
37,
10
],
[
153,
189,
41,
10
],
[
198,
189,
37,
10
],
[
239,
189,
36,
10
],
[
279,
189,
22,
10
],
[
305,
189,
41,
10
],
[
350,
189,
34,
10
],
[
388,
189,
47,
10
],
[
439,
189,
36,
10
],
[
479,
189,
33,
10
],
[
516,
189,
38,
10
],
[
557,
189,
6,
10
],
[
565,
189,
40,
10
],
[
609,
189,
35,
10
],
[
648,
189,
20,
10
],
[
671,
189,
50,
10
],
[
725,
189,
9,
10
],
[
738,
189,
32,
10
],
[
80,
202,
40,
10
],
[
122,
202,
23,
10
],
[
146,
202,
40,
10
],
[
189,
202,
34,
10
],
[
225,
202,
47,
10
],
[
274,
202,
36,
10
],
[
312,
202,
33,
10
],
[
347,
202,
38,
10
],
[
387,
202,
6,
10
],
[
394,
202,
59,
10
],
[
455,
202,
35,
10
],
[
492,
202,
27,
10
],
[
520,
202,
16,
10
],
[
538,
202,
18,
10
],
[
559,
202,
16,
10
],
[
577,
202,
34,
10
],
[
613,
202,
9,
10
],
[
624,
202,
32,
10
],
[
658,
202,
39,
10
],
[
698,
202,
36,
10
],
[
737,
202,
33,
10
],
[
80,
216,
38,
10
],
[
121,
216,
6,
10
],
[
128,
216,
50,
10
],
[
181,
216,
9,
10
],
[
192,
216,
54,
10
],
[
249,
216,
6,
10
],
[
258,
216,
55,
10
],
[
315,
216,
41,
10
],
[
359,
216,
9,
10
],
[
370,
216,
47,
10
],
[
420,
216,
36,
10
],
[
459,
216,
33,
10
],
[
495,
216,
36,
10
],
[
102,
255,
57,
14
],
[
101,
282,
69,
13
],
[
175,
282,
8,
13
],
[
187,
282,
36,
13
],
[
227,
282,
26,
13
],
[
257,
282,
10,
13
],
[
271,
282,
18,
13
],
[
293,
282,
35,
13
],
[
332,
282,
11,
13
],
[
347,
282,
91,
13
],
[
442,
282,
41,
13
],
[
486,
282,
11,
13
],
[
501,
282,
33,
13
],
[
538,
282,
27,
13
],
[
569,
282,
56,
13
],
[
629,
282,
8,
13
],
[
641,
282,
18,
13
],
[
663,
282,
34,
13
],
[
701,
282,
46,
13
],
[
102,
296,
29,
13
],
[
135,
296,
23,
13
],
[
161,
296,
11,
13
],
[
176,
296,
31,
13
],
[
211,
296,
24,
13
],
[
239,
296,
20,
13
],
[
263,
296,
6,
13
],
[
273,
296,
41,
13
],
[
317,
296,
11,
13
],
[
332,
296,
25,
13
],
[
361,
296,
21,
13
],
[
386,
296,
29,
13
],
[
419,
296,
54,
13
],
[
477,
296,
18,
13
],
[
498,
296,
57,
13
],
[
559,
296,
11,
13
],
[
574,
296,
98,
13
],
[
675,
296,
26,
13
],
[
705,
296,
43,
13
],
[
102,
310,
65,
13
],
[
173,
310,
53,
13
],
[
231,
310,
53,
13
],
[
290,
310,
32,
13
],
[
327,
310,
22,
13
],
[
354,
310,
30,
13
],
[
389,
310,
14,
13
],
[
409,
310,
52,
13
],
[
466,
310,
10,
13
],
[
482,
310,
54,
13
],
[
541,
310,
31,
13
],
[
578,
310,
70,
13
],
[
653,
310,
23,
13
],
[
681,
310,
41,
13
],
[
728,
310,
20,
13
],
[
102,
324,
61,
13
],
[
167,
324,
18,
13
],
[
188,
324,
34,
13
],
[
225,
324,
12,
13
],
[
240,
324,
32,
13
],
[
275,
324,
27,
13
],
[
306,
324,
56,
13
],
[
365,
324,
10,
13
],
[
379,
324,
18,
13
],
[
400,
324,
78,
13
],
[
481,
324,
18,
13
],
[
503,
324,
40,
13
],
[
546,
324,
37,
13
],
[
587,
324,
11,
13
],
[
602,
324,
49,
13
],
[
655,
324,
21,
13
],
[
679,
324,
44,
13
],
[
726,
324,
22,
13
],
[
102,
338,
30,
13
],
[
135,
338,
14,
13
],
[
153,
338,
47,
13
],
[
204,
338,
10,
13
],
[
217,
338,
18,
13
],
[
239,
338,
18,
13
],
[
260,
338,
43,
13
],
[
101,
364,
125,
13
],
[
230,
364,
50,
13
],
[
287,
364,
39,
13
],
[
329,
364,
31,
13
],
[
364,
364,
26,
13
],
[
393,
364,
56,
13
],
[
452,
364,
24,
13
],
[
479,
364,
22,
13
],
[
503,
364,
20,
13
],
[
527,
364,
58,
13
],
[
588,
364,
26,
13
],
[
618,
364,
25,
13
],
[
645,
364,
41,
13
],
[
690,
364,
13,
13
],
[
706,
364,
41,
13
],
[
102,
378,
45,
13
],
[
152,
378,
11,
13
],
[
168,
378,
46,
13
],
[
218,
378,
48,
13
],
[
271,
378,
50,
13
],
[
326,
378,
20,
13
],
[
350,
378,
78,
13
],
[
433,
378,
18,
13
],
[
455,
378,
40,
13
],
[
500,
378,
46,
13
],
[
552,
378,
53,
13
],
[
610,
378,
24,
13
],
[
639,
378,
41,
13
],
[
685,
378,
47,
13
],
[
737,
378,
11,
13
],
[
102,
392,
58,
13
],
[
163,
392,
21,
13
],
[
187,
392,
25,
13
],
[
215,
392,
12,
13
],
[
230,
392,
54,
13
],
[
287,
392,
18,
13
],
[
308,
392,
30,
13
],
[
341,
392,
11,
13
],
[
355,
392,
78,
13
],
[
435,
392,
23,
13
],
[
461,
392,
14,
13
],
[
479,
392,
35,
13
],
[
517,
392,
59,
13
],
[
579,
392,
23,
13
],
[
605,
392,
25,
13
],
[
633,
392,
78,
13
],
[
714,
392,
34,
13
],
[
102,
405,
41,
13
],
[
148,
405,
41,
13
],
[
194,
406,
20,
13
],
[
219,
406,
39,
13
],
[
264,
406,
43,
13
],
[
311,
406,
21,
13
],
[
337,
406,
71,
13
],
[
413,
406,
24,
13
],
[
442,
406,
70,
13
],
[
516,
406,
23,
13
],
[
545,
406,
15,
13
],
[
564,
406,
25,
13
],
[
595,
406,
18,
13
],
[
617,
406,
24,
13
],
[
646,
406,
14,
13
],
[
665,
406,
82,
13
],
[
102,
419,
63,
13
],
[
169,
419,
30,
13
],
[
201,
419,
20,
13
],
[
225,
419,
6,
13
],
[
234,
419,
41,
13
],
[
279,
419,
57,
13
],
[
338,
419,
10,
13
],
[
351,
419,
27,
13
],
[
381,
419,
56,
13
],
[
440,
419,
47,
13
],
[
490,
419,
31,
13
],
[
524,
419,
20,
13
],
[
547,
419,
25,
13
],
[
575,
419,
38,
13
],
[
616,
419,
29,
13
],
[
648,
419,
20,
13
],
[
672,
419,
42,
13
],
[
716,
419,
32,
13
],
[
102,
433,
26,
13
],
[
131,
433,
45,
13
],
[
180,
433,
42,
13
],
[
226,
433,
11,
13
],
[
240,
433,
52,
13
],
[
296,
433,
32,
13
],
[
331,
433,
22,
13
],
[
356,
433,
26,
13
],
[
386,
433,
65,
13
],
[
455,
433,
53,
13
],
[
511,
433,
10,
13
],
[
525,
433,
38,
13
],
[
566,
433,
20,
13
],
[
590,
433,
42,
13
],
[
635,
433,
43,
13
],
[
681,
433,
42,
13
],
[
726,
433,
22,
13
],
[
102,
447,
18,
13
],
[
123,
447,
32,
13
],
[
158,
447,
12,
13
],
[
172,
447,
34,
13
],
[
209,
447,
56,
13
],
[
268,
447,
11,
13
],
[
282,
447,
29,
13
],
[
313,
447,
32,
13
],
[
348,
447,
20,
13
],
[
371,
447,
34,
13
],
[
409,
447,
30,
13
],
[
441,
447,
50,
13
],
[
494,
447,
34,
13
],
[
530,
447,
19,
13
],
[
552,
447,
15,
13
],
[
570,
447,
36,
13
],
[
609,
447,
57,
13
],
[
668,
447,
56,
13
],
[
727,
447,
21,
13
],
[
102,
461,
31,
13
],
[
135,
461,
18,
13
],
[
156,
461,
47,
13
],
[
206,
461,
11,
13
],
[
220,
461,
46,
13
],
[
269,
461,
10,
13
],
[
282,
461,
18,
13
],
[
302,
461,
47,
13
],
[
351,
461,
50,
13
],
[
404,
461,
13,
13
],
[
419,
461,
6,
13
],
[
428,
461,
30,
13
],
[
460,
461,
11,
13
],
[
474,
461,
18,
13
],
[
495,
461,
50,
13
],
[
547,
461,
11,
13
],
[
561,
461,
53,
13
],
[
616,
461,
30,
13
],
[
649,
461,
11,
13
],
[
662,
461,
27,
13
],
[
692,
461,
56,
13
],
[
102,
475,
10,
13
],
[
118,
475,
78,
13
],
[
202,
475,
25,
13
],
[
234,
475,
35,
13
],
[
275,
475,
32,
13
],
[
313,
475,
20,
13
],
[
339,
475,
11,
13
],
[
356,
475,
18,
13
],
[
380,
475,
58,
13
],
[
444,
475,
54,
13
],
[
504,
475,
65,
13
],
[
576,
475,
44,
13
],
[
626,
475,
10,
13
],
[
642,
475,
27,
13
],
[
675,
475,
56,
13
],
[
738,
475,
10,
13
],
[
102,
489,
58,
13
],
[
165,
489,
26,
13
],
[
197,
489,
18,
13
],
[
220,
489,
47,
13
],
[
273,
489,
10,
13
],
[
288,
489,
34,
13
],
[
327,
489,
50,
13
],
[
382,
489,
23,
13
],
[
410,
489,
11,
13
],
[
426,
489,
32,
13
],
[
463,
489,
24,
13
],
[
492,
489,
6,
13
],
[
504,
489,
22,
13
],
[
531,
489,
21,
13
],
[
557,
489,
11,
13
],
[
573,
489,
38,
13
],
[
617,
489,
39,
13
],
[
661,
489,
10,
13
],
[
676,
489,
56,
13
],
[
738,
489,
10,
13
],
[
102,
502,
58,
13
],
[
164,
502,
24,
13
],
[
192,
502,
19,
13
],
[
215,
502,
62,
13
],
[
281,
502,
20,
13
],
[
305,
502,
36,
13
],
[
345,
502,
12,
13
],
[
361,
502,
55,
13
],
[
420,
502,
11,
13
],
[
435,
502,
18,
13
],
[
456,
502,
19,
13
],
[
479,
502,
20,
13
],
[
502,
502,
27,
13
],
[
533,
502,
65,
13
],
[
602,
502,
53,
13
],
[
659,
502,
53,
13
],
[
716,
502,
32,
13
],
[
102,
516,
26,
13
],
[
132,
516,
47,
13
],
[
183,
516,
10,
13
],
[
196,
516,
34,
13
],
[
101,
543,
138,
13
],
[
245,
543,
20,
13
],
[
270,
543,
30,
13
],
[
305,
543,
11,
13
],
[
321,
543,
85,
13
],
[
411,
543,
23,
13
],
[
439,
543,
10,
13
],
[
455,
543,
6,
13
],
[
466,
543,
41,
13
],
[
512,
543,
35,
13
],
[
552,
543,
11,
13
],
[
569,
543,
47,
13
],
[
621,
543,
18,
13
],
[
644,
543,
50,
13
],
[
699,
543,
11,
13
],
[
715,
543,
33,
13
],
[
102,
556,
44,
13
],
[
150,
556,
10,
13
],
[
165,
556,
27,
13
],
[
196,
556,
56,
13
],
[
257,
556,
10,
13
],
[
271,
556,
13,
13
],
[
289,
556,
52,
13
],
[
345,
556,
18,
13
],
[
367,
556,
26,
13
],
[
398,
556,
50,
13
],
[
452,
556,
15,
13
],
[
472,
556,
37,
13
],
[
514,
556,
10,
13
],
[
528,
556,
32,
13
],
[
565,
556,
23,
13
],
[
592,
556,
18,
13
],
[
614,
556,
27,
13
],
[
645,
556,
33,
13
],
[
682,
556,
65,
13
],
[
102,
570,
53,
13
],
[
159,
570,
32,
13
],
[
194,
570,
17,
13
],
[
214,
570,
11,
13
],
[
229,
570,
42,
13
],
[
275,
570,
55,
13
],
[
335,
570,
20,
13
],
[
358,
570,
50,
13
],
[
412,
570,
52,
13
],
[
467,
570,
18,
13
],
[
489,
570,
29,
13
],
[
521,
570,
23,
13
],
[
547,
570,
14,
13
],
[
565,
570,
67,
13
],
[
92,
605,
40,
10
],
[
135,
605,
27,
10
],
[
163,
605,
14,
10
],
[
179,
605,
26,
10
],
[
208,
605,
14,
10
],
[
224,
605,
62,
10
],
[
289,
605,
8,
10
],
[
299,
605,
24,
10
],
[
325,
605,
7,
10
],
[
334,
605,
26,
10
],
[
362,
605,
40,
10
],
[
405,
605,
9,
10
],
[
416,
605,
22,
10
],
[
440,
605,
44,
10
],
[
486,
605,
8,
10
],
[
496,
605,
10,
10
],
[
509,
605,
40,
10
],
[
552,
605,
15,
10
],
[
569,
605,
20,
10
],
[
592,
605,
26,
10
],
[
620,
605,
5,
10
],
[
627,
605,
15,
10
],
[
645,
605,
31,
10
],
[
679,
605,
24,
10
],
[
705,
605,
44,
10
],
[
92,
616,
35,
10
],
[
130,
616,
20,
10
],
[
153,
616,
18,
10
],
[
174,
616,
18,
10
],
[
195,
616,
27,
10
],
[
224,
616,
139,
10
],
[
92,
634,
31,
10
],
[
126,
634,
13,
10
],
[
142,
634,
30,
10
],
[
174,
634,
41,
10
],
[
218,
634,
9,
10
],
[
229,
634,
33,
10
],
[
265,
634,
31,
10
],
[
92,
651,
42,
10
],
[
137,
651,
16,
10
],
[
156,
651,
12,
10
],
[
171,
651,
22,
10
],
[
196,
651,
44,
10
],
[
243,
651,
43,
10
],
[
289,
651,
12,
10
],
[
304,
651,
22,
10
],
[
329,
651,
47,
10
],
[
378,
651,
36,
10
],
[
418,
651,
12,
10
],
[
433,
651,
20,
10
],
[
92,
668,
50,
10
],
[
158,
668,
20,
10
],
[
182,
668,
27,
10
],
[
213,
668,
9,
10
],
[
225,
668,
9,
10
],
[
238,
668,
17,
10
],
[
259,
668,
7,
10
],
[
269,
668,
10,
10
],
[
283,
668,
50,
10
],
[
337,
668,
25,
10
],
[
366,
668,
45,
10
],
[
415,
668,
25,
10
],
[
444,
668,
14,
10
],
[
461,
668,
24,
10
],
[
489,
668,
9,
10
],
[
501,
668,
14,
10
],
[
519,
668,
34,
10
],
[
557,
668,
42,
10
],
[
603,
668,
45,
10
],
[
652,
668,
32,
10
],
[
688,
668,
25,
10
],
[
717,
668,
31,
10
],
[
92,
679,
49,
10
],
[
144,
679,
17,
10
],
[
163,
679,
50,
10
],
[
216,
679,
16,
10
],
[
235,
679,
54,
10
],
[
291,
679,
8,
10
],
[
302,
679,
15,
10
],
[
320,
679,
37,
10
],
[
359,
679,
37,
10
],
[
399,
679,
14,
10
],
[
416,
679,
31,
10
],
[
450,
679,
27,
10
],
[
480,
679,
16,
10
],
[
498,
679,
27,
10
],
[
529,
679,
13,
10
],
[
545,
679,
36,
10
],
[
92,
697,
42,
10
],
[
136,
697,
17,
10
],
[
154,
697,
23,
10
],
[
179,
697,
16,
10
],
[
197,
697,
43,
10
],
[
242,
697,
11,
10
],
[
254,
697,
5,
10
],
[
261,
697,
22,
10
],
[
285,
697,
20,
10
],
[
307,
697,
14,
10
],
[
323,
697,
35,
10
],
[
359,
697,
27,
10
],
[
388,
697,
16,
10
],
[
406,
697,
32,
10
],
[
440,
697,
37,
10
],
[
479,
697,
31,
10
],
[
511,
697,
16,
10
],
[
529,
697,
34,
10
],
[
565,
697,
23,
10
],
[
590,
697,
48,
10
],
[
640,
697,
9,
10
],
[
650,
697,
38,
10
],
[
690,
697,
12,
10
],
[
704,
697,
27,
10
],
[
732,
697,
16,
10
],
[
92,
708,
14,
10
],
[
108,
708,
36,
10
],
[
147,
708,
9,
10
],
[
158,
708,
5,
10
],
[
165,
708,
40,
10
],
[
207,
708,
30,
10
],
[
239,
708,
9,
10
],
[
250,
708,
40,
10
],
[
293,
708,
40,
10
],
[
336,
708,
35,
10
],
[
373,
708,
44,
10
],
[
420,
708,
27,
10
],
[
449,
708,
16,
10
],
[
467,
708,
5,
10
],
[
475,
708,
41,
10
],
[
518,
708,
9,
10
],
[
529,
708,
45,
10
],
[
576,
708,
37,
10
],
[
615,
708,
49,
10
],
[
667,
708,
15,
10
],
[
685,
708,
31,
10
],
[
719,
708,
16,
10
],
[
737,
708,
11,
10
],
[
92,
719,
16,
10
],
[
111,
719,
8,
10
],
[
122,
719,
23,
10
],
[
147,
719,
30,
10
],
[
180,
719,
18,
10
],
[
201,
719,
40,
10
],
[
244,
719,
16,
10
],
[
262,
719,
34,
10
],
[
299,
719,
34,
10
],
[
336,
719,
9,
10
],
[
348,
719,
32,
10
],
[
383,
719,
9,
10
],
[
395,
719,
48,
10
],
[
445,
719,
9,
10
],
[
457,
719,
14,
10
],
[
474,
719,
48,
10
],
[
92,
736,
52,
10
],
[
147,
736,
44,
10
],
[
193,
736,
16,
10
],
[
212,
736,
31,
10
],
[
246,
736,
20,
10
],
[
268,
736,
35,
10
],
[
307,
736,
17,
10
],
[
326,
736,
11,
10
],
[
340,
736,
45,
10
],
[
388,
736,
35,
10
],
[
426,
736,
21,
10
],
[
92,
753,
5,
10
],
[
99,
753,
27,
10
],
[
129,
753,
93,
10
],
[
80,
818,
84,
14
],
[
93,
843,
21,
13
],
[
117,
843,
32,
13
],
[
152,
843,
42,
13
],
[
197,
843,
27,
13
],
[
226,
843,
21,
13
],
[
251,
843,
10,
13
],
[
264,
843,
6,
13
],
[
273,
843,
29,
13
],
[
304,
843,
22,
13
],
[
329,
843,
19,
13
],
[
351,
843,
6,
13
],
[
360,
843,
40,
13
],
[
403,
843,
10,
13
],
[
80,
857,
21,
13
],
[
108,
857,
10,
13
],
[
124,
857,
88,
13
],
[
218,
857,
39,
13
],
[
263,
857,
10,
13
],
[
280,
857,
31,
13
],
[
316,
857,
24,
13
],
[
346,
857,
53,
13
],
[
405,
857,
8,
13
],
[
80,
872,
41,
13
],
[
127,
872,
50,
13
],
[
182,
872,
21,
13
],
[
209,
872,
10,
13
],
[
224,
872,
19,
13
],
[
248,
872,
25,
13
],
[
278,
872,
23,
13
],
[
307,
872,
10,
13
],
[
322,
872,
90,
13
],
[
80,
887,
57,
13
],
[
142,
887,
13,
13
],
[
160,
887,
42,
13
],
[
207,
887,
20,
13
],
[
232,
887,
20,
13
],
[
257,
887,
22,
13
],
[
284,
887,
12,
13
],
[
301,
887,
54,
13
],
[
360,
887,
53,
13
],
[
80,
902,
19,
13
],
[
104,
902,
31,
13
],
[
139,
902,
22,
13
],
[
166,
902,
34,
13
],
[
204,
902,
60,
13
],
[
269,
902,
40,
13
],
[
314,
902,
10,
13
],
[
329,
902,
24,
13
],
[
357,
902,
56,
13
],
[
80,
917,
50,
13
],
[
134,
917,
6,
13
],
[
145,
917,
17,
13
],
[
167,
917,
43,
13
],
[
214,
917,
23,
13
],
[
241,
917,
10,
13
],
[
256,
917,
52,
13
],
[
313,
917,
29,
13
],
[
346,
917,
67,
13
],
[
80,
931,
21,
13
],
[
104,
931,
78,
13
],
[
185,
931,
8,
13
],
[
195,
931,
37,
13
],
[
235,
931,
17,
13
],
[
254,
931,
24,
13
],
[
281,
931,
53,
13
],
[
336,
931,
40,
13
],
[
379,
931,
10,
13
],
[
391,
931,
21,
13
],
[
80,
946,
10,
13
],
[
93,
946,
6,
13
],
[
102,
946,
37,
13
],
[
141,
946,
17,
13
],
[
161,
946,
25,
13
],
[
189,
946,
58,
13
],
[
250,
946,
7,
13
],
[
259,
946,
37,
13
],
[
299,
946,
10,
13
],
[
312,
946,
26,
13
],
[
341,
946,
47,
13
],
[
391,
946,
22,
13
],
[
80,
961,
17,
13
],
[
100,
961,
12,
13
],
[
115,
961,
45,
13
],
[
162,
961,
60,
13
],
[
225,
961,
51,
13
],
[
279,
961,
40,
13
],
[
321,
961,
10,
13
],
[
334,
961,
24,
13
],
[
360,
961,
53,
13
],
[
80,
976,
10,
13
],
[
94,
976,
16,
13
],
[
114,
976,
17,
13
],
[
135,
976,
22,
13
],
[
161,
976,
10,
13
],
[
175,
976,
37,
13
],
[
216,
976,
22,
13
],
[
242,
976,
12,
13
],
[
258,
976,
64,
13
],
[
326,
976,
10,
13
],
[
341,
976,
6,
13
],
[
351,
976,
28,
13
],
[
383,
976,
10,
13
],
[
397,
976,
16,
13
],
[
80,
991,
48,
13
],
[
132,
991,
27,
13
],
[
162,
991,
10,
13
],
[
176,
991,
6,
13
],
[
185,
991,
43,
13
],
[
231,
991,
10,
13
],
[
245,
991,
79,
13
],
[
328,
991,
21,
13
],
[
352,
991,
11,
13
],
[
367,
991,
46,
13
],
[
80,
1005,
13,
13
],
[
100,
1005,
42,
13
],
[
150,
1005,
48,
13
],
[
205,
1005,
10,
13
],
[
223,
1005,
27,
13
],
[
257,
1005,
17,
13
],
[
282,
1005,
29,
13
],
[
319,
1005,
11,
13
],
[
338,
1005,
45,
13
],
[
390,
1005,
7,
13
],
[
405,
1005,
8,
13
],
[
437,
817,
53,
13
],
[
493,
817,
10,
13
],
[
507,
817,
43,
13
],
[
554,
817,
45,
13
],
[
603,
817,
54,
13
],
[
661,
817,
53,
13
],
[
717,
817,
10,
13
],
[
731,
817,
39,
13
],
[
437,
832,
16,
13
],
[
457,
832,
17,
13
],
[
477,
832,
29,
13
],
[
450,
846,
23,
13
],
[
475,
846,
27,
13
],
[
505,
846,
51,
13
],
[
559,
846,
24,
13
],
[
585,
846,
53,
13
],
[
641,
846,
10,
13
],
[
654,
846,
36,
13
],
[
692,
846,
22,
13
],
[
717,
846,
53,
13
],
[
437,
861,
10,
13
],
[
450,
861,
54,
13
],
[
506,
861,
28,
13
],
[
536,
861,
23,
13
],
[
562,
861,
56,
13
],
[
621,
861,
22,
13
],
[
646,
861,
93,
13
],
[
742,
861,
28,
13
],
[
437,
875,
10,
13
],
[
450,
875,
6,
13
],
[
459,
875,
49,
13
],
[
510,
875,
15,
13
],
[
528,
875,
61,
13
],
[
591,
875,
16,
13
],
[
610,
875,
31,
13
],
[
644,
875,
10,
13
],
[
657,
875,
30,
13
],
[
690,
875,
40,
13
],
[
733,
875,
10,
13
],
[
746,
875,
24,
13
],
[
437,
890,
53,
13
],
[
496,
890,
10,
13
],
[
512,
890,
6,
13
],
[
525,
890,
49,
13
],
[
580,
890,
17,
13
],
[
604,
890,
22,
13
],
[
632,
890,
18,
13
],
[
656,
890,
12,
13
],
[
675,
890,
42,
13
],
[
724,
890,
10,
13
],
[
740,
890,
6,
13
],
[
753,
890,
17,
13
],
[
437,
904,
43,
13
],
[
484,
904,
9,
13
],
[
496,
904,
39,
13
],
[
539,
904,
19,
13
],
[
562,
904,
23,
13
],
[
588,
904,
20,
13
],
[
612,
904,
49,
13
],
[
665,
904,
16,
13
],
[
685,
904,
52,
13
],
[
740,
904,
10,
13
],
[
754,
904,
16,
13
],
[
437,
919,
37,
13
],
[
477,
919,
59,
13
],
[
538,
919,
10,
13
],
[
551,
919,
36,
13
],
[
589,
919,
17,
13
],
[
609,
919,
30,
13
],
[
643,
919,
39,
13
],
[
684,
919,
46,
13
],
[
733,
919,
10,
13
],
[
746,
919,
24,
13
],
[
437,
933,
53,
13
],
[
494,
933,
25,
13
],
[
523,
933,
13,
13
],
[
540,
933,
50,
13
],
[
595,
933,
17,
13
],
[
617,
933,
22,
13
],
[
643,
933,
13,
13
],
[
660,
933,
52,
13
],
[
716,
933,
54,
13
],
[
437,
948,
19,
13
],
[
462,
948,
56,
13
],
[
525,
948,
10,
13
],
[
541,
948,
36,
13
],
[
582,
948,
9,
13
],
[
598,
948,
20,
13
],
[
624,
948,
41,
13
],
[
671,
948,
19,
13
],
[
696,
948,
57,
13
],
[
760,
948,
10,
13
],
[
437,
962,
54,
13
],
[
497,
962,
38,
13
],
[
542,
962,
13,
13
],
[
561,
962,
23,
13
],
[
591,
962,
38,
13
],
[
635,
962,
20,
13
],
[
661,
962,
42,
13
],
[
710,
962,
43,
13
],
[
759,
962,
10,
13
],
[
437,
977,
36,
13
],
[
478,
977,
15,
13
],
[
497,
977,
39,
13
],
[
541,
977,
24,
13
],
[
569,
977,
53,
13
],
[
626,
977,
40,
13
],
[
671,
977,
13,
13
],
[
688,
977,
82,
13
],
[
437,
992,
50,
13
],
[
495,
992,
28,
13
],
[
531,
992,
53,
13
],
[
592,
992,
19,
13
],
[
619,
992,
20,
13
],
[
646,
992,
49,
13
],
[
703,
992,
10,
13
],
[
722,
992,
16,
13
],
[
746,
992,
24,
13
],
[
437,
1006,
50,
13
],
[
489,
1006,
17,
13
],
[
509,
1006,
39,
13
],
[
551,
1006,
52,
13
],
[
605,
1006,
23,
13
],
[
631,
1006,
38,
13
],
[
672,
1006,
43,
13
],
[
718,
1006,
10,
13
],
[
731,
1006,
39,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
552,
1047,
41,
12
],
[
597,
1047,
23,
12
],
[
625,
1047,
3,
12
],
[
633,
1047,
36,
12
],
[
674,
1047,
6,
12
],
[
685,
1047,
3,
12
],
[
693,
1047,
24,
12
],
[
722,
1047,
6,
12
],
[
733,
1047,
3,
12
],
[
741,
1047,
29,
12
]
] | [
"Detection",
"of",
"Gene",
"Expression",
"in",
"an",
"Individual",
"Cell",
"Type",
"within",
"a",
"Cell",
"Mixture",
"Using",
"Microarray",
"Analysis",
"Penelope",
"A.",
"Bryant1,2,3,",
"Gordon",
"K.",
"Smyth4,",
"Roy",
"Robins-Browne2,5,",
"Nigel",
"Curtis1,2,3*",
"1",
"Department",
"of",
"Paediatrics,",
"The",
"University",
"of",
"Melbourne,",
"Royal",
"Children’s",
"Hospital",
"Melbourne,",
"Parkville,",
"Victoria,",
"Australia,",
"2",
"Microbiology",
"&",
"Infectious",
"Diseases",
"Research",
"Group,",
"Murdoch",
"Children’s",
"Research",
"Institute,",
"Royal",
"Children’s",
"Hospital",
"Melbourne,",
"Parkville,",
"Victoria,",
"Australia,",
"3",
"Infectious",
"Diseases",
"Unit,",
"Department",
"of",
"General",
"Medicine,",
"Royal",
"Children’s",
"Hospital",
"Melbourne,",
"Parkville,",
"Victoria,",
"Australia,",
"4",
"Bioinformatics",
"Division,",
"Walter",
"and",
"Eliza",
"Hall",
"Institute",
"of",
"Medical",
"Research,",
"Parkville,",
"Victoria,",
"Australia,",
"5",
"Department",
"of",
"Microbiology",
"&",
"Immunology,",
"University",
"of",
"Melbourne,",
"Parkville,",
"Victoria,",
"Australia",
"Abstract",
"Background:",
"A",
"central",
"issue",
"in",
"the",
"design",
"of",
"microarray-based",
"analysis",
"of",
"global",
"gene",
"expression",
"is",
"the",
"choice",
"between",
"using",
"cells",
"of",
"single",
"type",
"and",
"a",
"mixture",
"of",
"cells.",
"This",
"study",
"quantified",
"the",
"proportion",
"of",
"lipopolysaccharide",
"(LPS)",
"induced",
"differentially",
"expressed",
"monocyte",
"genes",
"that",
"could",
"be",
"measured",
"in",
"peripheral",
"blood",
"mononuclear",
"cells",
"(PBMC),",
"and",
"determined",
"the",
"extent",
"to",
"which",
"gene",
"expression",
"in",
"the",
"non-monocyte",
"cell",
"fraction",
"diluted",
"or",
"obscured",
"fold",
"changes",
"that",
"could",
"be",
"detected",
"in",
"the",
"cell",
"mixture.",
"Methodology/Principal",
"Findings:",
"Human",
"PBMC",
"were",
"stimulated",
"with",
"LPS,",
"and",
"monocytes",
"were",
"then",
"isolated",
"by",
"positive",
"(Mono+)",
"or",
"negative",
"(Mono2)",
"selection.",
"The",
"non-monocyte",
"cell",
"fraction",
"(MonoD)",
"remaining",
"after",
"positive",
"selection",
"of",
"monocytes",
"was",
"used",
"to",
"determine",
"the",
"effect",
"of",
"non-monocyte",
"cells",
"on",
"overall",
"expression.",
"RNA",
"from",
"LPS-stimulated",
"PBMC,",
"Mono+,",
"Mono2",
"and",
"MonoD",
"samples",
"was",
"co-hybridised",
"with",
"unstimulated",
"RNA",
"for",
"each",
"cell",
"type",
"on",
"oligonucleotide",
"microarrays.",
"There",
"was",
"a",
"positive",
"correlation",
"in",
"gene",
"expression",
"between",
"PBMC",
"and",
"both",
"Mono+",
"(0.77)",
"and",
"Mono2",
"(0.61–",
"0.67)",
"samples.",
"Analysis",
"of",
"individual",
"genes",
"that",
"were",
"differentially",
"expressed",
"in",
"Mono+",
"and",
"Mono2",
"samples",
"showed",
"that",
"the",
"ability",
"to",
"detect",
"expression",
"of",
"some",
"genes",
"was",
"similar",
"when",
"analysing",
"PBMC,",
"but",
"for",
"others,",
"differential",
"expression",
"was",
"either",
"not",
"detected",
"or",
"changed",
"in",
"the",
"opposite",
"direction.",
"As",
"a",
"result",
"of",
"the",
"dilutional",
"or",
"obscuring",
"effect",
"of",
"gene",
"expression",
"in",
"non-monocyte",
"cells,",
"overall",
"about",
"half",
"of",
"the",
"statistically",
"significant",
"LPS-induced",
"changes",
"in",
"gene",
"expression",
"in",
"monocytes",
"were",
"not",
"detected",
"in",
"PBMC.",
"However,",
"97%",
"of",
"genes",
"with",
"a",
"four",
"fold",
"or",
"greater",
"change",
"in",
"expression",
"in",
"monocytes",
"after",
"LPS",
"stimulation,",
"and",
"almost",
"all",
"(96–100%)",
"of",
"the",
"top",
"100",
"most",
"differentially",
"expressed",
"monocyte",
"genes",
"were",
"detected",
"in",
"PBMC.",
"Conclusions/Significance:",
"The",
"effect",
"of",
"non-responding",
"cells",
"in",
"a",
"mixture",
"dilutes",
"or",
"obscures",
"the",
"detection",
"of",
"subtle",
"changes",
"in",
"gene",
"expression",
"in",
"an",
"individual",
"cell",
"type.",
"However,",
"for",
"studies",
"in",
"which",
"only",
"the",
"most",
"highly",
"differentially",
"expressed",
"genes",
"are",
"of",
"interest,",
"separating",
"and",
"analysing",
"individual",
"cell",
"types",
"may",
"be",
"unnecessary.",
"Citation:",
"Bryant",
"PA,",
"Smyth",
"GK,",
"Robins-Browne",
"R,",
"Curtis",
"N",
"(2009)",
"Detection",
"of",
"Gene",
"Expression",
"in",
"an",
"Individual",
"Cell",
"Type",
"within",
"a",
"Cell",
"Mixture",
"Using",
"Microarray",
"Analysis.",
"PLoS",
"ONE",
"4(2):",
"e4427.",
"doi:10.1371/journal.pone.0004427",
"Editor:",
"Sui",
"Huang,",
"University",
"of",
"Calgary,",
"Canada",
"Received",
"July",
"17,",
"2008;",
"Accepted",
"December",
"12,",
"2008;",
"Published",
"February",
"12,",
"2009",
"Copyright:",
"2009",
"Bryant",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"study",
"was",
"supported",
"by",
"a",
"grant",
"from",
"the",
"National",
"Health",
"and",
"Medical",
"Research",
"Council",
"and",
"National",
"Heart",
"Foundation",
"of",
"Australia.",
"Dr.",
"Bryant",
"was",
"the",
"recipient",
"of",
"a",
"European",
"Society",
"of",
"Paediatric",
"Infectious",
"Diseases",
"Fellowship",
"Award",
"and",
"a",
"University",
"of",
"Melbourne",
"Research",
"Scholarship.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"nigel.curtis@rch.org.au",
"Introduction",
"The",
"choice",
"between",
"using",
"cells",
"of",
"a",
"single",
"type",
"and",
"a",
"mixture",
"of",
"cells",
"in",
"microarray-based",
"analysis",
"of",
"global",
"gene",
"expression",
"is",
"difficult.",
"Analysing",
"cells",
"of",
"one",
"type,",
"such",
"as",
"monocytes[1,2,3],",
"necessitates",
"an",
"isolation",
"step",
"that",
"may",
"be",
"technically",
"difficult[4]",
"and",
"which",
"may",
"induce",
"non-specific",
"changes",
"in",
"gene",
"expression.",
"Analysing",
"a",
"cell",
"mixture,",
"such",
"as",
"peripheral",
"blood",
"mononuclear",
"cells",
"(PBMC)[5,6,7],",
"is",
"simpler",
"but",
"gene",
"expression",
"changes",
"in",
"cells",
"of",
"a",
"specific",
"cell",
"type,",
"particularly",
"if",
"present",
"in",
"small",
"numbers,",
"may",
"not",
"be",
"detected.",
"Specifically,",
"significant",
"changes",
"of",
"gene",
"expression",
"in",
"the",
"cell",
"type",
"of",
"interest",
"may",
"be",
"undetectable",
"as",
"a",
"result",
"of",
"the",
"dilutional",
"effect",
"of",
"a",
"majority",
"of",
"non-responding",
"cells",
"or",
"obscured",
"by",
"opposite",
"responses",
"in",
"other",
"cell",
"types.",
"In",
"addition,",
"it",
"is",
"impossible",
"to",
"attribute",
"observed",
"differential",
"expression",
"to",
"individ-",
"ual",
"cell",
"types.",
"This",
"study",
"compared",
"gene",
"expression",
"in",
"PBMC",
"with",
"expression",
"in",
"monocytes",
"alone",
"after",
"stimulation",
"with",
"lipopolysaccharide",
"(LPS)",
"as",
"a",
"paradigm",
"for",
"determining",
"the",
"extent",
"to",
"which",
"changes",
"in",
"gene",
"expression",
"in",
"a",
"particular",
"cell",
"type",
"can",
"be",
"detected",
"in",
"a",
"cell",
"mixture.",
"A",
"strategy",
"was",
"used",
"that",
"preserved",
"the",
"advantage",
"of",
"the",
"cellular",
"interactions",
"of",
"PBMC",
"but",
"which",
"allowed",
"detection",
"of",
"gene",
"expression",
"from",
"an",
"individual",
"cell",
"type",
"by",
"separating",
"monocytes",
"after",
"stimulation",
"of",
"PBMC",
"ex",
"vivo.",
"Analysis",
"was",
"undertaken",
"in",
"monocytes",
"isolated",
"by",
"both",
"positive",
"and",
"negative",
"selection",
"to",
"control",
"for",
"possible",
"gene",
"expression",
"induced",
"by",
"CD14-mediated",
"pathways.",
"Gene",
"expression",
"was",
"also",
"measured",
"in",
"the",
"non-",
"monocyte",
"cell",
"fraction",
"remaining",
"after",
"positive",
"selection",
"to",
"provide",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"February",
"2009",
"|",
"Volume",
"4",
"|",
"Issue",
"2",
"|",
"e4427"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,302,718 | null | [
[
137,
116,
138,
24
],
[
281,
116,
135,
24
],
[
423,
116,
21,
24
],
[
450,
116,
13,
24
],
[
469,
116,
111,
24
],
[
586,
116,
43,
24
],
[
635,
116,
50,
24
],
[
137,
144,
115,
24
],
[
258,
144,
56,
24
],
[
320,
144,
13,
24
],
[
340,
144,
80,
24
],
[
426,
144,
53,
24
],
[
485,
144,
39,
24
],
[
530,
144,
46,
24
],
[
582,
144,
36,
24
],
[
137,
173,
133,
24
],
[
276,
173,
102,
24
],
[
720,
17,
51,
23
],
[
137,
239,
23,
14
],
[
163,
239,
40,
14
],
[
207,
239,
25,
14
],
[
235,
239,
56,
14
],
[
294,
239,
31,
14
],
[
328,
239,
43,
14
],
[
137,
311,
26,
12
],
[
165,
311,
36,
12
],
[
203,
311,
42,
12
],
[
248,
311,
35,
12
],
[
285,
311,
26,
12
],
[
314,
311,
31,
12
],
[
137,
338,
53,
12
],
[
192,
338,
12,
12
],
[
206,
338,
35,
12
],
[
244,
338,
23,
12
],
[
137,
351,
46,
12
],
[
186,
351,
12,
12
],
[
200,
351,
35,
12
],
[
237,
351,
23,
12
],
[
137,
378,
21,
12
],
[
161,
378,
21,
12
],
[
185,
378,
14,
12
],
[
201,
378,
26,
12
],
[
229,
378,
9,
12
],
[
240,
378,
9,
12
],
[
252,
378,
38,
12
],
[
137,
391,
21,
12
],
[
160,
391,
117,
12
],
[
137,
404,
45,
12
],
[
185,
404,
9,
12
],
[
196,
404,
23,
12
],
[
221,
404,
44,
12
],
[
268,
404,
9,
12
],
[
279,
404,
35,
12
],
[
137,
444,
9,
14
],
[
148,
444,
8,
14
],
[
158,
444,
7,
14
],
[
166,
444,
5,
14
],
[
173,
444,
5,
14
],
[
181,
444,
8,
14
],
[
190,
444,
6,
14
],
[
198,
444,
6,
14
],
[
137,
469,
47,
12
],
[
187,
469,
31,
12
],
[
221,
469,
58,
12
],
[
282,
469,
12,
12
],
[
297,
469,
6,
12
],
[
307,
469,
30,
12
],
[
340,
469,
11,
12
],
[
354,
469,
70,
12
],
[
427,
469,
45,
12
],
[
476,
469,
63,
12
],
[
137,
483,
9,
12
],
[
150,
483,
6,
12
],
[
161,
483,
21,
12
],
[
186,
483,
69,
12
],
[
259,
483,
32,
12
],
[
295,
483,
22,
12
],
[
322,
483,
31,
12
],
[
357,
483,
10,
12
],
[
371,
483,
38,
12
],
[
413,
483,
64,
12
],
[
481,
483,
58,
12
],
[
137,
497,
52,
12
],
[
193,
497,
20,
12
],
[
217,
497,
34,
12
],
[
255,
497,
60,
12
],
[
318,
497,
11,
12
],
[
333,
497,
6,
12
],
[
343,
497,
58,
12
],
[
405,
497,
23,
12
],
[
431,
497,
26,
12
],
[
460,
497,
9,
12
],
[
473,
497,
42,
12
],
[
519,
497,
20,
12
],
[
137,
511,
49,
12
],
[
190,
511,
44,
12
],
[
237,
511,
42,
12
],
[
282,
511,
69,
12
],
[
355,
511,
17,
12
],
[
375,
511,
45,
12
],
[
424,
511,
6,
12
],
[
434,
511,
29,
12
],
[
466,
511,
73,
12
],
[
137,
525,
49,
12
],
[
193,
525,
22,
12
],
[
223,
525,
55,
12
],
[
284,
525,
18,
12
],
[
309,
525,
56,
12
],
[
372,
525,
71,
12
],
[
450,
525,
11,
12
],
[
468,
525,
6,
12
],
[
482,
525,
58,
12
],
[
137,
540,
64,
12
],
[
204,
540,
56,
12
],
[
262,
540,
22,
12
],
[
287,
540,
25,
12
],
[
315,
540,
29,
12
],
[
347,
540,
61,
12
],
[
137,
568,
18,
12
],
[
158,
568,
34,
12
],
[
194,
568,
21,
12
],
[
218,
568,
24,
12
],
[
245,
568,
56,
12
],
[
153,
623,
53,
14
],
[
210,
623,
35,
14
],
[
250,
623,
65,
14
],
[
320,
623,
13,
14
],
[
338,
623,
7,
14
],
[
350,
623,
33,
14
],
[
388,
623,
12,
14
],
[
404,
623,
79,
14
],
[
488,
623,
51,
14
],
[
137,
639,
71,
14
],
[
211,
639,
27,
14
],
[
242,
639,
10,
14
],
[
255,
639,
7,
14
],
[
265,
639,
23,
14
],
[
292,
639,
74,
14
],
[
369,
639,
36,
14
],
[
408,
639,
14,
14
],
[
425,
639,
35,
14
],
[
464,
639,
25,
14
],
[
491,
639,
33,
14
],
[
528,
639,
11,
14
],
[
137,
655,
39,
14
],
[
179,
655,
66,
14
],
[
248,
655,
60,
14
],
[
311,
655,
53,
14
],
[
367,
655,
21,
14
],
[
391,
655,
35,
14
],
[
429,
655,
21,
14
],
[
453,
655,
28,
14
],
[
483,
655,
56,
14
],
[
137,
670,
12,
14
],
[
152,
670,
51,
14
],
[
207,
670,
71,
14
],
[
281,
670,
19,
14
],
[
303,
670,
40,
14
],
[
346,
670,
46,
14
],
[
395,
670,
40,
14
],
[
438,
670,
48,
14
],
[
490,
670,
50,
14
],
[
137,
686,
51,
14
],
[
192,
686,
25,
14
],
[
222,
686,
12,
14
],
[
238,
686,
72,
14
],
[
314,
686,
38,
14
],
[
357,
686,
63,
14
],
[
425,
686,
75,
14
],
[
504,
686,
35,
14
],
[
137,
702,
47,
14
],
[
187,
702,
21,
14
],
[
211,
702,
45,
14
],
[
258,
702,
43,
14
],
[
303,
702,
21,
14
],
[
327,
702,
58,
14
],
[
387,
702,
26,
14
],
[
416,
702,
60,
14
],
[
478,
702,
32,
14
],
[
513,
702,
26,
14
],
[
137,
718,
11,
14
],
[
150,
718,
12,
14
],
[
165,
718,
40,
14
],
[
207,
718,
25,
14
],
[
235,
718,
11,
14
],
[
248,
718,
8,
14
],
[
259,
718,
35,
14
],
[
296,
718,
20,
14
],
[
318,
718,
11,
14
],
[
332,
718,
68,
14
],
[
402,
718,
39,
14
],
[
443,
718,
12,
14
],
[
458,
718,
13,
14
],
[
474,
718,
18,
14
],
[
494,
718,
45,
14
],
[
137,
734,
7,
14
],
[
148,
734,
31,
14
],
[
182,
734,
53,
14
],
[
239,
734,
24,
14
],
[
266,
734,
58,
14
],
[
328,
734,
19,
14
],
[
351,
734,
60,
14
],
[
414,
734,
77,
14
],
[
494,
734,
12,
14
],
[
510,
734,
7,
14
],
[
520,
734,
19,
14
],
[
137,
750,
45,
14
],
[
185,
750,
69,
14
],
[
257,
750,
61,
14
],
[
320,
750,
24,
14
],
[
347,
750,
27,
14
],
[
377,
750,
31,
14
],
[
411,
750,
65,
14
],
[
153,
766,
8,
14
],
[
164,
766,
62,
14
],
[
228,
766,
37,
14
],
[
268,
766,
40,
14
],
[
311,
766,
25,
14
],
[
338,
766,
31,
14
],
[
372,
766,
7,
14
],
[
381,
766,
30,
14
],
[
414,
766,
55,
14
],
[
471,
766,
22,
14
],
[
496,
766,
43,
14
],
[
137,
782,
15,
14
],
[
155,
782,
18,
14
],
[
175,
782,
26,
14
],
[
204,
782,
66,
14
],
[
272,
782,
76,
14
],
[
350,
782,
7,
14
],
[
360,
782,
55,
14
],
[
418,
782,
23,
14
],
[
443,
782,
12,
14
],
[
457,
782,
18,
14
],
[
478,
782,
21,
14
],
[
502,
782,
37,
14
],
[
137,
798,
50,
14
],
[
190,
798,
29,
14
],
[
222,
798,
36,
14
],
[
262,
798,
13,
14
],
[
277,
798,
18,
14
],
[
299,
798,
31,
14
],
[
333,
798,
60,
14
],
[
396,
798,
40,
14
],
[
439,
798,
8,
14
],
[
449,
798,
11,
14
],
[
463,
798,
22,
14
],
[
488,
798,
51,
14
],
[
137,
814,
40,
14
],
[
181,
814,
30,
14
],
[
214,
814,
31,
14
],
[
248,
814,
48,
14
],
[
299,
814,
40,
14
],
[
342,
814,
70,
14
],
[
416,
814,
25,
14
],
[
445,
814,
36,
14
],
[
484,
814,
32,
14
],
[
520,
814,
19,
14
],
[
137,
830,
23,
14
],
[
162,
830,
22,
14
],
[
187,
830,
32,
14
],
[
222,
830,
12,
14
],
[
236,
830,
14,
14
],
[
253,
830,
51,
14
],
[
306,
830,
8,
14
],
[
317,
830,
24,
14
],
[
344,
830,
14,
14
],
[
360,
830,
24,
14
],
[
386,
830,
41,
14
],
[
430,
830,
69,
14
],
[
501,
830,
38,
14
],
[
137,
846,
28,
14
],
[
168,
846,
43,
14
],
[
215,
846,
19,
14
],
[
237,
846,
52,
14
],
[
292,
846,
32,
14
],
[
327,
846,
22,
14
],
[
352,
846,
19,
14
],
[
374,
846,
47,
14
],
[
424,
846,
23,
14
],
[
450,
846,
61,
14
],
[
514,
846,
25,
14
],
[
137,
862,
7,
14
],
[
147,
862,
17,
14
],
[
167,
862,
22,
14
],
[
192,
862,
21,
14
],
[
216,
862,
7,
14
],
[
226,
862,
17,
14
],
[
246,
862,
22,
14
],
[
271,
862,
44,
14
],
[
318,
862,
47,
14
],
[
368,
862,
48,
14
],
[
418,
862,
16,
14
],
[
437,
862,
14,
14
],
[
454,
862,
36,
14
],
[
493,
862,
46,
14
],
[
137,
878,
82,
14
],
[
223,
878,
71,
14
],
[
297,
878,
25,
14
],
[
326,
878,
47,
14
],
[
377,
878,
22,
14
],
[
403,
878,
7,
14
],
[
414,
878,
29,
14
],
[
446,
878,
30,
14
],
[
480,
878,
32,
14
],
[
515,
878,
24,
14
],
[
137,
894,
8,
14
],
[
148,
894,
17,
14
],
[
169,
894,
7,
14
],
[
179,
894,
14,
14
],
[
196,
894,
39,
14
],
[
238,
894,
29,
14
],
[
270,
894,
44,
14
],
[
317,
894,
54,
14
],
[
375,
894,
39,
14
],
[
417,
894,
28,
14
],
[
448,
894,
23,
14
],
[
474,
894,
51,
14
],
[
528,
894,
12,
14
],
[
137,
910,
12,
14
],
[
153,
910,
73,
14
],
[
229,
910,
49,
14
],
[
281,
910,
11,
14
],
[
295,
910,
7,
14
],
[
305,
910,
27,
14
],
[
335,
910,
7,
14
],
[
345,
910,
62,
14
],
[
410,
910,
38,
14
],
[
452,
910,
21,
14
],
[
475,
910,
64,
14
],
[
137,
926,
22,
14
],
[
162,
926,
69,
14
],
[
233,
926,
18,
14
],
[
153,
942,
21,
14
],
[
178,
942,
30,
14
],
[
211,
942,
43,
14
],
[
257,
942,
23,
14
],
[
283,
942,
71,
14
],
[
358,
942,
61,
14
],
[
421,
942,
37,
14
],
[
461,
942,
19,
14
],
[
484,
942,
30,
14
],
[
517,
942,
22,
14
],
[
137,
958,
41,
14
],
[
181,
958,
12,
14
],
[
195,
958,
37,
14
],
[
235,
958,
18,
14
],
[
256,
958,
62,
14
],
[
320,
958,
63,
14
],
[
386,
958,
56,
14
],
[
444,
958,
22,
14
],
[
469,
958,
70,
14
],
[
137,
974,
21,
14
],
[
161,
974,
7,
14
],
[
170,
974,
70,
14
],
[
243,
974,
86,
14
],
[
332,
974,
43,
14
],
[
377,
974,
7,
14
],
[
386,
974,
48,
14
],
[
437,
974,
56,
14
],
[
495,
974,
44,
14
],
[
137,
990,
26,
14
],
[
167,
990,
74,
14
],
[
244,
990,
12,
14
],
[
260,
990,
20,
14
],
[
283,
990,
52,
14
],
[
338,
990,
20,
14
],
[
362,
990,
30,
14
],
[
395,
990,
24,
14
],
[
423,
990,
11,
14
],
[
438,
990,
7,
14
],
[
449,
990,
47,
14
],
[
499,
990,
40,
14
],
[
137,
1006,
59,
14
],
[
199,
1006,
12,
14
],
[
213,
1006,
27,
14
],
[
242,
1006,
25,
14
],
[
270,
1006,
75,
14
],
[
348,
1006,
99,
14
],
[
449,
1006,
38,
14
],
[
490,
1006,
20,
14
],
[
512,
1006,
27,
14
],
[
137,
1022,
19,
14
],
[
160,
1022,
45,
14
],
[
208,
1022,
43,
14
],
[
254,
1022,
62,
14
],
[
319,
1022,
19,
14
],
[
342,
1022,
65,
14
],
[
410,
1022,
7,
14
],
[
420,
1022,
41,
14
],
[
465,
1022,
7,
14
],
[
476,
1022,
38,
14
],
[
517,
1022,
22,
14
],
[
137,
1038,
31,
14
],
[
171,
1038,
47,
14
],
[
220,
1038,
23,
14
],
[
246,
1038,
60,
14
],
[
309,
1038,
27,
14
],
[
338,
1038,
19,
14
],
[
360,
1038,
43,
14
],
[
405,
1038,
33,
14
],
[
442,
1038,
22,
14
],
[
466,
1038,
59,
14
],
[
528,
1038,
12,
14
],
[
569,
311,
68,
12
],
[
639,
311,
34,
12
],
[
569,
324,
19,
12
],
[
589,
324,
33,
12
],
[
624,
324,
17,
12
],
[
569,
338,
26,
12
],
[
597,
338,
36,
12
],
[
635,
338,
39,
12
],
[
569,
351,
48,
12
],
[
619,
351,
26,
12
],
[
648,
351,
35,
12
],
[
569,
364,
22,
12
],
[
593,
364,
19,
12
],
[
569,
378,
33,
12
],
[
604,
378,
18,
12
],
[
624,
378,
18,
12
],
[
645,
378,
24,
12
],
[
671,
378,
12,
12
],
[
685,
378,
12,
12
],
[
569,
391,
32,
12
],
[
569,
404,
116,
12
]
] | [
"Percutaneous",
"management",
"of",
"a",
"saphenous",
"vein",
"graft",
"perforation",
"using",
"a",
"covered",
"stent",
"and",
"final",
"coil",
"embolization",
"technique",
"Image",
"Ben",
"Glover,",
"Paul",
"Johnston,",
"Mark",
"Spence",
"Royal",
"Victoria",
"Hospital,",
"Belfast,",
"Great",
"Britain",
"Submitted:",
"23",
"January",
"2010",
"Accepted:",
"28",
"January",
"2010",
"Arch",
"Med",
"Sci",
"2010;",
"6,",
"6:",
"991-992",
"DOI:",
"10.5114/aoms.2010.19317",
"Copyright",
"©",
"2010",
"Termedia",
"&",
"Banach",
"A",
"b",
"s",
"t",
"r",
"a",
"c",
"t",
"Coronary",
"artery",
"perforation",
"as",
"a",
"result",
"of",
"percutaneous",
"coronary",
"intervention",
"is",
"a",
"rare",
"complication",
"which",
"may",
"result",
"in",
"cardiac",
"tamponade,",
"myocardial",
"infarction",
"and",
"death.",
"Perforation",
"of",
"a",
"saphenous",
"vein",
"graft",
"is",
"unusual",
"and",
"generally",
"requires",
"surgical",
"intervention.",
"We",
"describe",
"a",
"novel",
"percutaneous",
"approach",
"that",
"facilitated",
"the",
"successful",
"management",
"of",
"a",
"potentially",
"catastrophic",
"saphenous",
"vein",
"graft",
"(SVG)",
"perforation.",
"Key",
"words:",
"vein",
"graft",
"perforation",
"Coronary",
"artery",
"perforation",
"as",
"a",
"result",
"of",
"percutaneous",
"coronary",
"intervention",
"(PCI)",
"is",
"a",
"rare",
"complication",
"(0.1%)",
"[1]",
"which",
"may",
"result",
"in",
"cardiac",
"tamponade,",
"myocardial",
"infarction",
"and",
"death.",
"The",
"main",
"predictors",
"of",
"coronary",
"perforations",
"are",
"clinical",
"(elderly,",
"female",
"gender),",
"pharma-",
"cological",
"(use",
"of",
"glycoprotein",
"IIb/IIIa",
"inhibitors),",
"angiographic",
"(small",
"tortuous",
"and",
"calcified",
"vessels)",
"and",
"procedural",
"(stiff",
"hydrophilic",
"wires,",
"arte-",
"ry",
"to",
"balloon",
"ratio",
"of",
">",
"1.2-1.3,",
"use",
"of",
"atherectomy",
"device)",
"[1,",
"2].",
"We",
"describe",
"a",
"novel",
"approach",
"that",
"facilitated",
"the",
"successful",
"management",
"of",
"a",
"po-",
"tentially",
"catastrophic",
"saphenous",
"vein",
"graft",
"(SVG)",
"perforation.",
"A",
"68-year-old",
"female",
"treated",
"with",
"CABG",
"5",
"years",
"previously",
"was",
"referred",
"for",
"PCI",
"after",
"angiography",
"demonstrated",
"a",
"significant",
"SVG",
"to",
"the",
"first",
"obtuse",
"marginal",
"(OM)",
"lesion.",
"At",
"PCI",
"(right",
"transradial",
"access,",
"6",
"Fr",
"Left",
"Coronary",
"Bypass",
"(LCB)",
"guide",
"catheter",
"(Cordis",
"Corporation,",
"New",
"Jersey,",
"USA))",
"the",
"SVG",
"was",
"found",
"to",
"be",
"occluded.",
"A",
"Pilot",
"50",
"wire",
"(Abbott",
"Laboratories,",
"Illinois,",
"USA)",
"crossed",
"the",
"occlusion",
"easily",
"and",
"the",
"stenosis",
"was",
"pre-dilated",
"with",
"a",
"2.0",
"mm",
"and",
"a",
"4.0",
"mm",
"balloon.",
"Contrast",
"injection",
"via",
"an",
"Export",
"catheter",
"demonstrated",
"intraluminal",
"wire",
"position",
"and",
"a",
"good",
"sized",
"distal",
"OM.",
"A",
"4.5",
"×",
"24",
"Liberte",
"stent",
"(Boston",
"Scientific,",
"Natick,",
"USA)",
"was",
"deployed",
"at",
"17",
"atmospheres",
"resulting",
"in",
"a",
"class",
"3",
"perforation",
"(Figure",
"1A),",
"tachycardia",
"and",
"hypotension",
"[2].",
"The",
"stent",
"balloon",
"was",
"immediately",
"positioned",
"within",
"the",
"stent",
"and",
"inflated",
"to",
"control",
"the",
"perforation.",
"Intravenous",
"protamine",
"was",
"administered",
"and",
"a",
"transthoracic",
"echocardiogram",
"showed",
"a",
"posterior",
"pericardial",
"effusion",
"with",
"compression",
"of",
"the",
"posterior",
"left",
"atrial",
"wall",
"in",
"a",
"position",
"almost",
"impossible",
"to",
"treat",
"with",
"percutaneous",
"pericardiocentesis",
"(Figure",
"1B).",
"With",
"the",
"inflated",
"balloon",
"controlling",
"the",
"perforation",
"a",
"second",
"8",
"French",
"LCB",
"guide",
"catheter",
"was",
"introduced",
"from",
"the",
"femoral",
"artery",
"and",
"positioned",
"at",
"Corresponding",
"author:",
"Ben",
"Glover,",
"MD",
"Royal",
"Victoria",
"Hospital",
"Grosvenor",
"Road,",
"Belfast,",
"BT12",
"6BA",
"Phone:",
"+44",
"028",
"9024",
"05",
"03",
"E-mail:",
"ben.glover@hotmail.com"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
16,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13
] |
3,070,687 | null | [
[
78,
47,
27,
12
],
[
109,
47,
9,
12
],
[
121,
47,
11,
12
],
[
135,
47,
21,
12
],
[
159,
47,
57,
12
],
[
219,
47,
25,
12
],
[
247,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
84,
34
],
[
172,
169,
20,
34
],
[
202,
169,
133,
34
],
[
345,
169,
35,
34
],
[
390,
169,
95,
34
],
[
496,
169,
118,
34
],
[
624,
169,
57,
34
],
[
78,
205,
100,
34
],
[
188,
205,
63,
34
],
[
262,
205,
94,
34
],
[
365,
205,
146,
34
],
[
521,
205,
51,
34
],
[
582,
205,
134,
34
],
[
78,
241,
61,
34
],
[
150,
241,
146,
34
],
[
306,
241,
51,
34
],
[
367,
241,
101,
34
],
[
478,
241,
167,
34
],
[
78,
288,
35,
16
],
[
117,
288,
8,
16
],
[
129,
285,
51,
19
],
[
184,
288,
39,
16
],
[
228,
288,
8,
16
],
[
240,
285,
34,
19
],
[
279,
288,
35,
16
],
[
317,
285,
44,
19
],
[
366,
288,
40,
16
],
[
410,
288,
8,
16
],
[
422,
285,
80,
19
],
[
506,
288,
30,
16
],
[
541,
288,
10,
16
],
[
555,
285,
20,
19
],
[
579,
288,
25,
16
],
[
609,
288,
7,
16
],
[
620,
285,
39,
19
],
[
663,
288,
24,
16
],
[
691,
288,
8,
16
],
[
703,
285,
45,
19
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
51,
14
],
[
222,
367,
24,
14
],
[
250,
367,
30,
14
],
[
284,
367,
38,
14
],
[
326,
367,
47,
14
],
[
377,
367,
55,
14
],
[
437,
367,
45,
14
],
[
486,
367,
26,
14
],
[
516,
367,
32,
14
],
[
552,
367,
60,
14
],
[
616,
367,
25,
14
],
[
645,
367,
43,
14
],
[
692,
367,
26,
14
],
[
87,
384,
52,
14
],
[
144,
384,
19,
14
],
[
166,
384,
65,
14
],
[
235,
384,
14,
14
],
[
253,
384,
34,
14
],
[
292,
384,
17,
14
],
[
313,
384,
39,
14
],
[
356,
384,
8,
14
],
[
369,
384,
53,
14
],
[
426,
384,
8,
14
],
[
439,
384,
19,
14
],
[
462,
384,
23,
14
],
[
489,
384,
45,
14
],
[
539,
384,
47,
14
],
[
590,
384,
39,
14
],
[
633,
384,
27,
14
],
[
664,
384,
38,
14
],
[
705,
384,
22,
14
],
[
87,
400,
36,
14
],
[
127,
400,
15,
14
],
[
146,
400,
7,
14
],
[
157,
400,
24,
14
],
[
185,
400,
51,
14
],
[
240,
400,
22,
14
],
[
267,
400,
47,
14
],
[
318,
400,
14,
14
],
[
336,
400,
61,
15
],
[
401,
400,
18,
14
],
[
424,
400,
68,
14
],
[
496,
400,
47,
14
],
[
547,
400,
29,
14
],
[
580,
400,
8,
14
],
[
593,
400,
14,
14
],
[
611,
400,
43,
14
],
[
658,
400,
57,
14
],
[
87,
417,
65,
14
],
[
156,
417,
11,
14
],
[
171,
417,
25,
14
],
[
200,
417,
25,
14
],
[
229,
417,
36,
14
],
[
268,
417,
12,
14
],
[
284,
417,
7,
14
],
[
295,
417,
55,
14
],
[
354,
417,
53,
14
],
[
87,
438,
46,
14
],
[
137,
438,
18,
14
],
[
160,
438,
57,
14
],
[
221,
438,
16,
14
],
[
241,
438,
39,
14
],
[
285,
438,
21,
14
],
[
311,
438,
24,
14
],
[
339,
438,
56,
14
],
[
400,
438,
19,
14
],
[
422,
438,
39,
14
],
[
465,
438,
59,
14
],
[
528,
438,
11,
14
],
[
544,
438,
35,
14
],
[
583,
438,
15,
14
],
[
603,
438,
40,
14
],
[
647,
438,
22,
14
],
[
673,
438,
42,
14
],
[
87,
454,
27,
14
],
[
118,
454,
40,
14
],
[
162,
454,
64,
14
],
[
230,
454,
81,
14
],
[
316,
454,
17,
14
],
[
337,
454,
77,
14
],
[
418,
454,
24,
14
],
[
446,
454,
41,
14
],
[
492,
454,
36,
14
],
[
531,
454,
27,
14
],
[
562,
454,
15,
14
],
[
582,
454,
39,
14
],
[
625,
454,
21,
14
],
[
651,
454,
66,
14
],
[
87,
471,
46,
14
],
[
138,
471,
24,
14
],
[
166,
471,
82,
14
],
[
252,
471,
24,
14
],
[
280,
471,
41,
14
],
[
325,
471,
35,
14
],
[
365,
471,
75,
14
],
[
444,
471,
19,
14
],
[
468,
471,
24,
14
],
[
496,
471,
59,
14
],
[
559,
471,
22,
14
],
[
585,
471,
51,
14
],
[
641,
471,
15,
14
],
[
660,
471,
19,
14
],
[
683,
471,
19,
14
],
[
87,
488,
42,
14
],
[
133,
488,
21,
14
],
[
158,
488,
69,
14
],
[
231,
488,
11,
14
],
[
246,
488,
35,
14
],
[
286,
488,
41,
14
],
[
331,
488,
22,
14
],
[
357,
488,
61,
14
],
[
423,
488,
22,
14
],
[
449,
488,
42,
14
],
[
495,
488,
70,
14
],
[
570,
488,
11,
14
],
[
584,
488,
28,
14
],
[
616,
488,
19,
14
],
[
640,
488,
27,
14
],
[
671,
488,
19,
14
],
[
694,
488,
35,
14
],
[
87,
504,
68,
14
],
[
87,
525,
75,
14
],
[
167,
525,
35,
14
],
[
206,
525,
8,
14
],
[
219,
525,
55,
14
],
[
279,
525,
14,
14
],
[
297,
525,
22,
14
],
[
323,
525,
21,
14
],
[
349,
525,
28,
14
],
[
381,
525,
14,
14
],
[
400,
525,
53,
14
],
[
457,
525,
24,
14
],
[
485,
525,
98,
14
],
[
587,
525,
22,
14
],
[
613,
525,
24,
14
],
[
641,
525,
53,
14
],
[
698,
525,
7,
14
],
[
87,
542,
34,
14
],
[
125,
542,
11,
14
],
[
141,
542,
57,
14
],
[
202,
542,
25,
14
],
[
231,
542,
45,
14
],
[
280,
542,
11,
14
],
[
296,
542,
13,
14
],
[
312,
542,
27,
14
],
[
344,
542,
64,
14
],
[
412,
542,
15,
14
],
[
431,
542,
47,
14
],
[
482,
542,
19,
14
],
[
505,
542,
32,
14
],
[
542,
542,
36,
14
],
[
581,
542,
24,
14
],
[
610,
542,
23,
14
],
[
637,
542,
7,
14
],
[
648,
542,
42,
14
],
[
693,
542,
21,
14
],
[
719,
542,
11,
14
],
[
87,
558,
57,
14
],
[
148,
558,
47,
14
],
[
200,
558,
57,
14
],
[
78,
604,
77,
15
],
[
78,
621,
55,
14
],
[
138,
621,
26,
14
],
[
168,
621,
34,
14
],
[
207,
621,
18,
14
],
[
230,
621,
46,
14
],
[
280,
621,
64,
14
],
[
349,
621,
12,
14
],
[
365,
621,
39,
14
],
[
78,
638,
21,
14
],
[
104,
638,
18,
14
],
[
126,
638,
64,
14
],
[
195,
638,
19,
14
],
[
218,
638,
25,
14
],
[
247,
638,
18,
14
],
[
269,
638,
70,
14
],
[
343,
638,
60,
14
],
[
78,
655,
30,
14
],
[
113,
655,
50,
14
],
[
168,
655,
12,
14
],
[
185,
655,
72,
14
],
[
261,
655,
112,
14
],
[
377,
655,
26,
14
],
[
78,
671,
41,
14
],
[
124,
671,
12,
14
],
[
140,
671,
43,
14
],
[
187,
671,
46,
14
],
[
238,
671,
64,
14
],
[
306,
671,
21,
14
],
[
332,
671,
72,
14
],
[
78,
688,
12,
14
],
[
95,
685,
33,
16
],
[
131,
688,
21,
14
],
[
157,
685,
32,
16
],
[
194,
688,
10,
14
],
[
208,
688,
25,
14
],
[
237,
688,
19,
14
],
[
261,
688,
25,
14
],
[
290,
688,
20,
14
],
[
315,
688,
14,
14
],
[
333,
688,
55,
14
],
[
392,
688,
12,
14
],
[
78,
704,
27,
14
],
[
110,
704,
14,
14
],
[
129,
704,
7,
14
],
[
140,
704,
46,
14
],
[
191,
704,
12,
14
],
[
207,
704,
69,
14
],
[
280,
704,
45,
14
],
[
330,
704,
29,
14
],
[
363,
702,
40,
16
],
[
78,
721,
72,
14
],
[
155,
721,
62,
14
],
[
221,
721,
26,
14
],
[
251,
721,
33,
14
],
[
289,
721,
60,
14
],
[
353,
721,
33,
14
],
[
391,
721,
13,
14
],
[
78,
737,
30,
14
],
[
113,
737,
52,
14
],
[
170,
737,
51,
14
],
[
225,
737,
26,
14
],
[
257,
737,
38,
14
],
[
300,
737,
50,
14
],
[
354,
737,
35,
14
],
[
394,
737,
9,
14
],
[
78,
754,
44,
15
],
[
127,
754,
21,
14
],
[
152,
754,
66,
14
],
[
223,
754,
181,
14
],
[
78,
771,
34,
14
],
[
116,
771,
64,
14
],
[
184,
771,
13,
14
],
[
201,
771,
28,
14
],
[
233,
771,
40,
14
],
[
278,
771,
33,
14
],
[
315,
771,
62,
14
],
[
381,
771,
23,
14
],
[
78,
787,
33,
14
],
[
117,
787,
27,
14
],
[
150,
787,
58,
14
],
[
214,
787,
69,
14
],
[
288,
787,
7,
14
],
[
301,
787,
40,
14
],
[
347,
787,
13,
14
],
[
366,
787,
37,
14
],
[
78,
804,
59,
14
],
[
142,
804,
25,
14
],
[
172,
804,
42,
14
],
[
219,
804,
35,
14
],
[
259,
804,
27,
14
],
[
291,
804,
6,
14
],
[
302,
804,
26,
14
],
[
333,
804,
48,
14
],
[
386,
804,
17,
14
],
[
78,
820,
42,
14
],
[
125,
820,
39,
14
],
[
167,
820,
21,
14
],
[
193,
820,
63,
14
],
[
260,
820,
19,
14
],
[
283,
820,
6,
14
],
[
294,
820,
20,
14
],
[
319,
820,
46,
14
],
[
369,
820,
12,
14
],
[
385,
820,
19,
14
],
[
78,
837,
40,
14
],
[
122,
837,
34,
14
],
[
161,
837,
75,
14
],
[
240,
837,
20,
14
],
[
264,
837,
14,
14
],
[
282,
837,
40,
14
],
[
327,
837,
77,
14
],
[
78,
854,
12,
14
],
[
94,
854,
26,
14
],
[
124,
854,
12,
14
],
[
140,
854,
41,
14
],
[
184,
854,
25,
14
],
[
213,
854,
48,
14
],
[
265,
854,
34,
14
],
[
303,
854,
26,
14
],
[
333,
854,
7,
14
],
[
344,
854,
25,
14
],
[
373,
854,
31,
14
],
[
78,
870,
21,
14
],
[
104,
870,
17,
14
],
[
125,
870,
43,
14
],
[
173,
870,
76,
14
],
[
254,
870,
14,
14
],
[
272,
870,
57,
14
],
[
334,
870,
26,
14
],
[
364,
870,
39,
15
],
[
78,
913,
5,
11
],
[
86,
913,
70,
11
],
[
159,
913,
100,
11
],
[
78,
925,
5,
11
],
[
87,
925,
50,
11
],
[
140,
925,
30,
11
],
[
78,
936,
48,
13
],
[
130,
937,
28,
11
],
[
161,
937,
25,
11
],
[
189,
937,
36,
11
],
[
228,
937,
39,
11
],
[
270,
937,
41,
11
],
[
314,
937,
9,
11
],
[
325,
937,
44,
11
],
[
78,
950,
33,
11
],
[
115,
950,
40,
11
],
[
158,
950,
32,
11
],
[
193,
950,
24,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
605,
109,
14
],
[
536,
605,
36,
14
],
[
577,
605,
28,
14
],
[
610,
605,
13,
14
],
[
627,
605,
45,
14
],
[
677,
605,
34,
14
],
[
715,
605,
33,
14
],
[
423,
621,
52,
14
],
[
479,
621,
39,
14
],
[
523,
621,
18,
14
],
[
545,
621,
56,
14
],
[
606,
621,
14,
14
],
[
624,
621,
25,
14
],
[
654,
621,
21,
14
],
[
679,
621,
24,
14
],
[
708,
621,
40,
14
],
[
423,
638,
25,
14
],
[
453,
638,
30,
14
],
[
490,
638,
12,
14
],
[
508,
638,
20,
14
],
[
533,
638,
97,
14
],
[
636,
638,
51,
14
],
[
693,
638,
26,
14
],
[
725,
638,
23,
14
],
[
423,
655,
110,
14
],
[
537,
655,
25,
14
],
[
566,
655,
29,
14
],
[
600,
655,
23,
14
],
[
627,
655,
54,
14
],
[
685,
655,
12,
14
],
[
701,
655,
25,
14
],
[
730,
655,
18,
14
],
[
423,
671,
23,
14
],
[
451,
671,
55,
14
],
[
510,
671,
14,
14
],
[
529,
671,
19,
14
],
[
553,
671,
42,
14
],
[
599,
671,
58,
14
],
[
661,
671,
49,
14
],
[
715,
671,
33,
14
],
[
423,
688,
55,
14
],
[
482,
688,
60,
14
],
[
547,
688,
20,
14
],
[
573,
688,
24,
14
],
[
601,
688,
61,
14
],
[
667,
688,
64,
14
],
[
736,
688,
12,
14
],
[
423,
704,
56,
14
],
[
484,
704,
80,
14
],
[
568,
704,
58,
14
],
[
630,
704,
23,
14
],
[
658,
704,
30,
14
],
[
692,
704,
19,
14
],
[
715,
704,
33,
14
],
[
423,
721,
37,
14
],
[
465,
721,
49,
14
],
[
519,
721,
25,
14
],
[
549,
721,
22,
14
],
[
576,
721,
10,
14
],
[
591,
721,
26,
14
],
[
622,
721,
42,
14
],
[
669,
721,
55,
14
],
[
729,
721,
19,
14
],
[
423,
737,
35,
14
],
[
462,
737,
12,
14
],
[
478,
737,
25,
14
],
[
507,
737,
12,
14
],
[
523,
737,
49,
14
],
[
576,
737,
58,
14
],
[
637,
737,
48,
14
],
[
689,
737,
59,
14
],
[
423,
754,
58,
14
],
[
485,
754,
78,
14
],
[
567,
754,
57,
14
],
[
628,
754,
23,
14
],
[
655,
754,
26,
14
],
[
685,
754,
27,
14
],
[
717,
754,
31,
14
],
[
423,
771,
46,
14
],
[
474,
771,
16,
14
],
[
496,
771,
26,
14
],
[
528,
771,
14,
14
],
[
548,
771,
45,
14
],
[
598,
771,
73,
14
],
[
677,
771,
46,
14
],
[
728,
771,
20,
14
],
[
423,
787,
34,
14
],
[
461,
787,
36,
14
],
[
502,
787,
51,
14
],
[
557,
787,
32,
14
],
[
594,
787,
34,
14
],
[
632,
787,
20,
14
],
[
656,
787,
44,
14
],
[
705,
787,
20,
14
],
[
729,
787,
19,
14
],
[
423,
804,
34,
14
],
[
461,
804,
35,
14
],
[
501,
804,
51,
14
],
[
557,
804,
19,
14
],
[
580,
804,
21,
14
],
[
606,
804,
19,
14
],
[
629,
804,
48,
14
],
[
682,
804,
50,
14
],
[
736,
804,
12,
14
],
[
423,
820,
23,
14
],
[
453,
820,
9,
14
],
[
465,
820,
89,
14
],
[
558,
820,
35,
14
],
[
597,
820,
54,
14
],
[
655,
820,
26,
14
],
[
434,
837,
43,
14
],
[
482,
837,
50,
14
],
[
536,
837,
9,
14
],
[
550,
837,
14,
14
],
[
568,
837,
57,
14
],
[
630,
837,
80,
14
],
[
714,
837,
34,
14
],
[
423,
854,
27,
14
],
[
454,
854,
23,
14
],
[
482,
854,
62,
14
],
[
549,
854,
22,
14
],
[
575,
854,
49,
14
],
[
628,
854,
12,
14
],
[
644,
854,
43,
14
],
[
692,
854,
12,
14
],
[
708,
854,
10,
14
],
[
722,
854,
26,
14
],
[
423,
870,
26,
14
],
[
453,
870,
27,
14
],
[
485,
870,
23,
14
],
[
512,
870,
42,
14
],
[
558,
870,
21,
14
],
[
583,
870,
18,
14
],
[
606,
870,
31,
14
],
[
641,
870,
11,
14
],
[
657,
870,
43,
14
],
[
704,
870,
15,
14
],
[
723,
870,
25,
14
],
[
423,
887,
19,
14
],
[
446,
887,
22,
14
],
[
473,
887,
27,
14
],
[
505,
887,
45,
14
],
[
554,
887,
43,
14
],
[
601,
887,
22,
14
],
[
627,
887,
12,
14
],
[
643,
887,
7,
14
],
[
654,
887,
35,
14
],
[
693,
887,
12,
14
],
[
710,
887,
39,
14
],
[
423,
903,
60,
14
],
[
487,
903,
6,
14
],
[
498,
903,
38,
15
],
[
540,
903,
66,
14
],
[
611,
903,
14,
14
],
[
630,
903,
25,
14
],
[
660,
903,
22,
14
],
[
686,
903,
12,
14
],
[
703,
903,
45,
14
],
[
423,
920,
35,
14
],
[
462,
920,
57,
14
],
[
524,
920,
17,
14
],
[
545,
920,
6,
14
],
[
556,
920,
67,
14
],
[
627,
920,
23,
14
],
[
655,
920,
47,
14
],
[
707,
920,
41,
14
],
[
423,
937,
29,
14
],
[
456,
937,
61,
14
],
[
521,
937,
26,
14
],
[
552,
937,
143,
14
],
[
699,
937,
21,
14
],
[
724,
937,
24,
14
],
[
423,
953,
40,
14
],
[
467,
953,
20,
14
],
[
492,
953,
50,
14
],
[
547,
953,
48,
14
],
[
600,
953,
19,
14
],
[
624,
953,
16,
14
],
[
644,
953,
50,
14
],
[
699,
953,
15,
14
],
[
719,
953,
29,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
22,
10
],
[
301,
987,
8,
10
],
[
311,
987,
8,
10
],
[
322,
987,
30,
10
],
[
355,
987,
29,
10
],
[
385,
987,
27,
10
],
[
415,
987,
14,
10
],
[
431,
987,
15,
10
],
[
448,
987,
6,
10
],
[
456,
987,
10,
10
],
[
468,
987,
21,
10
],
[
492,
987,
26,
10
],
[
519,
987,
23,
10
],
[
544,
987,
41,
10
],
[
588,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Wang",
"et",
"al.",
"BMC",
"Immunology",
"2011,",
"12:21",
"http://www.biomedcentral.com/1471-2172/12/21",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"CTLA4",
"is",
"expressed",
"on",
"mature",
"dendritic",
"cells",
"derived",
"from",
"human",
"monocytes",
"and",
"influences",
"their",
"maturation",
"and",
"antigen",
"presentation",
"Xiong",
"B",
"Wang1*†,",
"Zhong",
"Z",
"Fan1†,",
"Doina",
"Anton3,",
"Annika",
"V",
"Vollenhoven3,",
"Zhen",
"H",
"Ni1,",
"Xiao",
"F",
"Chen2,",
"Ann",
"K",
"Lefvert3",
"Abstract",
"Background:",
"Dendritic",
"cells",
"(DCs)",
"initiate",
"immune",
"responses",
"through",
"their",
"direct",
"interaction",
"with",
"effector",
"cells.",
"However,",
"the",
"mechanism",
"by",
"which",
"DC",
"activity",
"is",
"regulated",
"is",
"not",
"well",
"defined.",
"Previous",
"studies",
"have",
"shown",
"that",
"CTLA4",
"on",
"T",
"cells",
"regulates",
"DCs",
"function",
"by",
"“cross-talk”.",
"We",
"investigated",
"whether",
"there",
"is",
"an",
"intrinsic",
"regulatory",
"mechanism",
"in",
"DCs,",
"with",
"CTLA4",
"as",
"a",
"candidate",
"regulator.",
"Results:",
"We",
"confirmed",
"via",
"RT-PCR",
"and",
"flow",
"cytometry",
"the",
"natural",
"expression",
"of",
"CTLA4",
"on",
"mature",
"DCs",
"derived",
"from",
"human",
"monocytes.",
"Approximately",
"8%",
"CD1a-positive",
"cells",
"express",
"CTLA4",
"both",
"on",
"surface",
"and",
"intracellular,",
"whereas",
"10%",
"CD1a-negative",
"cells",
"express",
"CTLA4",
"intracellularly,",
"but",
"little",
"expression",
"was",
"observed",
"on",
"the",
"cell",
"surface.",
"The",
"cross-linking",
"of",
"CTLA4",
"inhibits",
"DCs",
"maturation",
"and",
"antigen",
"presentation",
"in",
"vitro,",
"but",
"does",
"not",
"inhibit",
"endocytosis.",
"Conclusions:",
"CTLA4",
"is",
"expressed",
"by",
"DCs",
"and",
"plays",
"an",
"inhibitory",
"role.",
"CTLA4-expressing",
"DCs",
"may",
"represent",
"a",
"group",
"of",
"regulatory",
"DCs.",
"Because",
"of",
"its",
"wide",
"distribution",
"on",
"different",
"cell",
"types,",
"CTLA4",
"may",
"play",
"a",
"general",
"role",
"in",
"regulating",
"immune",
"responses.",
"Background",
"Dendritic",
"cells",
"(DCs)",
"are",
"sparsely",
"distributed",
"in",
"tissues",
"and",
"the",
"circulation,",
"but",
"they",
"are",
"nevertheless",
"important.",
"They",
"function",
"as",
"professional",
"antigen-presenting",
"cells",
"(APCs)",
"in",
"antigen",
"capture,",
"processing,",
"and",
"presentation",
"to",
"CD4+",
"and",
"CD8+",
"T",
"cells",
"[1].",
"DCs",
"can",
"be",
"produced",
"in",
"vitro",
"by",
"a",
"number",
"of",
"procedures,",
"starting",
"from",
"CD34+",
"hemopoietic",
"progenitor",
"cells",
"(from",
"peripheral",
"blood",
"or",
"bone",
"marrow)",
"cultured",
"with",
"tumor",
"necrosis",
"factor",
"a",
"(TNFa)",
"and",
"granulocyte",
"macrophage-colony-stimulating",
"factor",
"(GM-CSF),",
"or",
"from",
"human",
"blood",
"monocytes",
"cul-",
"tured",
"with",
"GM-CSF,",
"interleukin",
"4",
"(IL-4),",
"or",
"IL-13.",
"Immature",
"DCs",
"(iDCs),",
"which",
"have",
"a",
"high",
"capacity",
"for",
"antigen",
"uptake",
"and",
"processing,",
"but",
"a",
"low",
"capacity",
"to",
"sti-",
"mulate",
"T-cell",
"proliferation,",
"can",
"be",
"further",
"differentiated",
"in",
"vitro",
"to",
"mature",
"DCs",
"(mDCs),",
"which",
"have",
"a",
"high",
"capa-",
"city",
"for",
"antigen",
"presentation,",
"by",
"treatment",
"with",
"TNFa,",
"*",
"Correspondence:",
"xiongbiao6@yahoo.com",
"†",
"Contributed",
"equally",
"1Laboratory",
"center,",
"Putuo",
"Hospital,",
"Shanghai",
"University",
"of",
"Traditional",
"Chinese",
"Medicine.",
"200062,",
"China",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"lipopolysaccharide",
"(LPS),",
"IL-1,",
"or",
"CD40L.",
"Many",
"costi-",
"mulatory",
"factors",
"are",
"expressed",
"by",
"DCs",
"and",
"play",
"impor-",
"tant",
"roles",
"in",
"the",
"communication",
"between",
"DCs",
"and",
"immunocompetent",
"cells",
"[2,3].",
"The",
"functions",
"of",
"DCs",
"are",
"also",
"regulated",
"by",
"the",
"mutual",
"cross-talk",
"between",
"costi-",
"mulatory",
"molecules",
"[3].",
"The",
"additional",
"expression",
"of",
"activating",
"costimulatory",
"molecules",
"that",
"favor",
"the",
"inter-",
"action",
"between",
"DCs",
"and",
"T",
"cells",
"further",
"enhances",
"the",
"ability",
"of",
"DCs",
"to",
"generate",
"antitumor",
"immune",
"responses.",
"Activating",
"costimulatory",
"molecules",
"that",
"have",
"been",
"upre-",
"gulated",
"on",
"DCs",
"by",
"genetic",
"engineering",
"include",
"the",
"CD40",
"ligand",
"(CD40L)",
"[4-6],",
"CD70",
"[7],",
"4-1BBL",
"[8],",
"the",
"OX40",
"ligand",
"(OX40L)",
"[9],",
"and",
"the",
"receptor",
"activator",
"of",
"NF-",
"B",
"(RANK)/RANK",
"ligand",
"(RANKL)",
"[10].",
"CTLA4",
"(CD152)",
"is",
"an",
"inhibitory",
"costimulatory",
"mole-",
"cule.",
"The",
"expression",
"and",
"function",
"of",
"CTLA4",
"in",
"T",
"cells",
"have",
"been",
"well",
"studied",
"and",
"the",
"effect",
"of",
"CTLA4",
"on",
"DCs",
"has",
"also",
"been",
"studied.",
"CTLA4",
"acts",
"as",
"a",
"ligand",
"to",
"induce",
"interferon",
"g",
"(IFNg)",
"production",
"by",
"DCs",
"and",
"to",
"prevent",
"T-cell",
"responses",
"via",
"a",
"mechanism",
"that",
"involves",
"trypto-",
"phan",
"catabolism",
"[11].",
"CTLA4-immunoglobulin",
"(Ig)",
"may",
"inhibit",
"DC",
"function",
"through",
"the",
"B7",
"receptor",
"on",
"DCs,",
"©",
"2011",
"Wang",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
1,523,198 | null | [
[
76,
47,
84,
34
],
[
172,
47,
244,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
76,
143,
104,
23
],
[
185,
143,
75,
27
],
[
264,
143,
38,
23
],
[
308,
143,
63,
27
],
[
375,
143,
101,
23
],
[
482,
143,
20,
23
],
[
507,
143,
35,
23
],
[
547,
143,
105,
23
],
[
658,
143,
68,
23
],
[
732,
143,
20,
23
],
[
76,
168,
110,
23
],
[
192,
168,
38,
23
],
[
236,
168,
76,
23
],
[
317,
168,
55,
23
],
[
378,
168,
84,
23
],
[
76,
193,
74,
21
],
[
155,
193,
12,
21
],
[
172,
193,
76,
22
],
[
253,
193,
48,
21
],
[
306,
193,
49,
22
],
[
360,
193,
35,
21
],
[
399,
193,
47,
22
],
[
451,
193,
35,
21
],
[
491,
193,
55,
21
],
[
551,
193,
12,
21
],
[
567,
193,
57,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
243,
41,
12
],
[
119,
243,
63,
12
],
[
184,
243,
10,
12
],
[
197,
243,
47,
12
],
[
247,
243,
35,
12
],
[
284,
243,
10,
12
],
[
296,
243,
45,
12
],
[
344,
243,
19,
12
],
[
365,
243,
33,
12
],
[
401,
243,
43,
12
],
[
446,
243,
22,
12
],
[
470,
243,
53,
12
],
[
525,
243,
19,
12
],
[
546,
243,
34,
12
],
[
583,
243,
11,
12
],
[
596,
243,
20,
12
],
[
619,
243,
34,
12
],
[
655,
243,
23,
12
],
[
680,
243,
45,
12
],
[
76,
256,
63,
12
],
[
141,
256,
10,
11
],
[
154,
256,
47,
11
],
[
203,
256,
39,
11
],
[
245,
256,
50,
11
],
[
296,
256,
10,
11
],
[
309,
256,
28,
11
],
[
339,
256,
29,
11
],
[
370,
256,
34,
11
],
[
406,
256,
24,
11
],
[
432,
256,
28,
11
],
[
462,
256,
26,
11
],
[
490,
256,
19,
11
],
[
511,
256,
50,
12
],
[
563,
256,
39,
11
],
[
604,
256,
40,
11
],
[
646,
256,
48,
11
],
[
696,
256,
41,
11
],
[
740,
256,
30,
11
],
[
76,
276,
31,
12
],
[
110,
276,
40,
12
],
[
152,
276,
7,
12
],
[
161,
276,
27,
12
],
[
190,
276,
4,
12
],
[
197,
276,
89,
12
],
[
288,
276,
26,
12
],
[
316,
276,
13,
12
],
[
331,
276,
4,
12
],
[
337,
276,
144,
12
],
[
484,
276,
19,
12
],
[
504,
276,
21,
12
],
[
528,
276,
4,
12
],
[
534,
276,
132,
12
],
[
76,
289,
30,
11
],
[
108,
289,
6,
11
],
[
117,
289,
26,
11
],
[
145,
289,
4,
11
],
[
152,
289,
120,
11
],
[
76,
305,
7,
12
],
[
85,
305,
73,
12
],
[
160,
305,
33,
12
],
[
76,
364,
45,
12
],
[
124,
364,
12,
12
],
[
138,
364,
23,
12
],
[
164,
364,
23,
12
],
[
76,
384,
21,
11
],
[
100,
384,
56,
11
],
[
159,
384,
25,
11
],
[
186,
384,
20,
12
],
[
218,
384,
128,
11
],
[
76,
404,
20,
11
],
[
98,
404,
28,
11
],
[
129,
404,
7,
11
],
[
139,
404,
38,
11
],
[
179,
404,
25,
11
],
[
207,
404,
215,
11
],
[
430,
364,
43,
12
],
[
476,
364,
12,
12
],
[
490,
364,
48,
12
],
[
540,
364,
23,
12
],
[
430,
377,
46,
11
],
[
478,
377,
12,
11
],
[
492,
377,
23,
11
],
[
517,
377,
23,
11
],
[
76,
423,
9,
12
],
[
87,
423,
23,
12
],
[
113,
423,
27,
12
],
[
142,
423,
10,
12
],
[
155,
423,
10,
12
],
[
167,
423,
36,
12
],
[
206,
423,
35,
12
],
[
243,
423,
35,
12
],
[
280,
423,
18,
12
],
[
76,
437,
20,
12
],
[
98,
437,
7,
12
],
[
108,
437,
11,
12
],
[
121,
437,
26,
12
],
[
150,
437,
32,
12
],
[
184,
437,
28,
12
],
[
215,
437,
49,
12
],
[
267,
437,
27,
12
],
[
296,
437,
15,
12
],
[
314,
437,
27,
12
],
[
343,
437,
10,
12
],
[
355,
437,
15,
12
],
[
373,
437,
39,
12
],
[
415,
437,
48,
12
],
[
465,
437,
51,
12
],
[
519,
437,
34,
12
],
[
555,
437,
202,
12
],
[
76,
450,
27,
12
],
[
106,
450,
35,
12
],
[
143,
450,
56,
12
],
[
201,
450,
18,
12
],
[
222,
450,
55,
12
],
[
279,
450,
16,
12
],
[
298,
450,
60,
12
],
[
361,
450,
8,
12
],
[
372,
450,
16,
12
],
[
390,
450,
39,
12
],
[
432,
450,
40,
12
],
[
475,
450,
15,
12
],
[
493,
450,
34,
12
],
[
529,
450,
24,
12
],
[
556,
450,
7,
12
],
[
565,
450,
39,
12
],
[
607,
450,
25,
12
],
[
155,
510,
62,
15
],
[
155,
531,
80,
14
],
[
238,
531,
8,
14
],
[
250,
531,
18,
14
],
[
272,
531,
27,
14
],
[
302,
531,
72,
14
],
[
378,
531,
22,
14
],
[
403,
531,
58,
14
],
[
465,
531,
11,
14
],
[
480,
531,
18,
14
],
[
502,
531,
70,
14
],
[
575,
531,
38,
14
],
[
617,
531,
58,
14
],
[
678,
531,
12,
14
],
[
155,
547,
91,
14
],
[
255,
547,
56,
14
],
[
321,
547,
10,
14
],
[
340,
547,
57,
14
],
[
405,
547,
40,
14
],
[
454,
547,
31,
14
],
[
495,
547,
43,
14
],
[
547,
547,
65,
14
],
[
621,
547,
11,
14
],
[
641,
547,
18,
14
],
[
669,
547,
22,
14
],
[
155,
564,
70,
14
],
[
241,
564,
54,
14
],
[
311,
564,
41,
16
],
[
363,
564,
20,
14
],
[
399,
564,
34,
16
],
[
444,
564,
25,
14
],
[
486,
564,
53,
14
],
[
555,
564,
27,
14
],
[
598,
564,
64,
14
],
[
678,
564,
13,
14
],
[
155,
580,
126,
14
],
[
283,
580,
10,
14
],
[
296,
580,
18,
14
],
[
317,
580,
55,
14
],
[
375,
580,
37,
14
],
[
414,
580,
11,
14
],
[
428,
580,
44,
14
],
[
474,
580,
24,
14
],
[
501,
580,
20,
14
],
[
524,
580,
31,
14
],
[
557,
580,
20,
14
],
[
580,
580,
39,
14
],
[
621,
580,
70,
14
],
[
155,
596,
46,
14
],
[
204,
596,
12,
14
],
[
219,
596,
8,
14
],
[
231,
596,
15,
14
],
[
155,
620,
49,
14
],
[
207,
620,
11,
14
],
[
220,
620,
39,
14
],
[
262,
620,
28,
14
],
[
293,
620,
46,
14
],
[
342,
620,
41,
16
],
[
384,
620,
25,
14
],
[
413,
620,
21,
14
],
[
437,
620,
35,
14
],
[
475,
620,
51,
14
],
[
529,
620,
10,
14
],
[
542,
620,
27,
14
],
[
571,
620,
53,
14
],
[
627,
620,
27,
14
],
[
657,
620,
19,
14
],
[
678,
620,
12,
14
],
[
155,
636,
6,
14
],
[
165,
636,
32,
14
],
[
202,
636,
36,
14
],
[
243,
636,
22,
14
],
[
269,
636,
10,
14
],
[
284,
636,
28,
14
],
[
316,
636,
54,
14
],
[
374,
636,
24,
14
],
[
402,
636,
20,
14
],
[
427,
636,
10,
14
],
[
441,
636,
39,
14
],
[
485,
636,
24,
14
],
[
514,
636,
11,
14
],
[
529,
636,
41,
14
],
[
575,
636,
32,
14
],
[
612,
636,
26,
14
],
[
642,
636,
11,
14
],
[
657,
636,
23,
14
],
[
685,
636,
6,
14
],
[
155,
652,
36,
14
],
[
194,
652,
64,
14
],
[
261,
652,
21,
14
],
[
286,
652,
54,
14
],
[
343,
652,
19,
14
],
[
365,
652,
39,
14
],
[
407,
652,
11,
14
],
[
422,
652,
43,
14
],
[
468,
652,
24,
14
],
[
495,
652,
21,
14
],
[
520,
652,
62,
14
],
[
586,
652,
45,
14
],
[
634,
652,
13,
14
],
[
651,
652,
26,
14
],
[
680,
652,
11,
14
],
[
155,
669,
28,
14
],
[
185,
669,
41,
14
],
[
229,
669,
46,
14
],
[
278,
669,
18,
14
],
[
299,
669,
34,
16
],
[
335,
669,
49,
14
],
[
387,
669,
21,
14
],
[
411,
669,
56,
14
],
[
470,
669,
13,
14
],
[
486,
669,
53,
14
],
[
542,
669,
24,
14
],
[
569,
669,
20,
14
],
[
592,
669,
57,
14
],
[
651,
669,
39,
14
],
[
155,
685,
27,
14
],
[
185,
685,
19,
14
],
[
207,
685,
24,
14
],
[
234,
685,
11,
14
],
[
248,
685,
32,
14
],
[
284,
685,
23,
14
],
[
310,
685,
19,
14
],
[
331,
685,
22,
14
],
[
356,
685,
11,
14
],
[
371,
685,
27,
14
],
[
401,
685,
7,
14
],
[
411,
685,
35,
14
],
[
449,
685,
6,
14
],
[
459,
685,
40,
14
],
[
502,
685,
25,
14
],
[
530,
685,
21,
14
],
[
555,
685,
51,
14
],
[
609,
685,
10,
14
],
[
622,
685,
45,
14
],
[
671,
685,
20,
14
],
[
155,
701,
67,
14
],
[
227,
701,
34,
14
],
[
266,
701,
34,
16
],
[
304,
701,
49,
14
],
[
358,
701,
60,
14
],
[
424,
701,
10,
14
],
[
440,
701,
20,
14
],
[
465,
701,
43,
14
],
[
513,
701,
20,
14
],
[
539,
701,
18,
14
],
[
563,
701,
28,
14
],
[
596,
701,
44,
14
],
[
645,
701,
19,
14
],
[
670,
701,
21,
14
],
[
155,
718,
62,
14
],
[
220,
718,
56,
14
],
[
280,
718,
13,
14
],
[
296,
718,
26,
14
],
[
155,
741,
74,
14
],
[
234,
741,
24,
14
],
[
262,
741,
37,
14
],
[
303,
741,
43,
14
],
[
351,
741,
22,
14
],
[
377,
741,
6,
14
],
[
388,
741,
39,
14
],
[
431,
741,
10,
14
],
[
446,
741,
45,
14
],
[
496,
741,
58,
14
],
[
559,
741,
44,
16
],
[
607,
741,
19,
14
],
[
630,
741,
22,
14
],
[
656,
741,
34,
16
],
[
155,
757,
54,
14
],
[
212,
757,
23,
14
],
[
238,
757,
22,
14
],
[
263,
757,
6,
14
],
[
273,
757,
23,
14
],
[
299,
757,
10,
14
],
[
312,
757,
18,
14
],
[
334,
757,
75,
14
],
[
412,
757,
11,
14
],
[
427,
757,
91,
14
],
[
521,
757,
56,
14
],
[
581,
757,
10,
14
],
[
595,
757,
23,
14
],
[
76,
825,
84,
15
],
[
76,
842,
61,
14
],
[
144,
842,
42,
14
],
[
193,
842,
34,
14
],
[
235,
842,
19,
14
],
[
261,
842,
30,
14
],
[
298,
842,
54,
14
],
[
359,
842,
32,
14
],
[
399,
842,
12,
14
],
[
76,
858,
56,
14
],
[
135,
858,
12,
14
],
[
150,
858,
19,
14
],
[
172,
858,
44,
14
],
[
219,
858,
10,
14
],
[
232,
858,
53,
14
],
[
288,
858,
77,
14
],
[
368,
858,
15,
14
],
[
386,
858,
25,
14
],
[
76,
875,
45,
14
],
[
124,
875,
54,
14
],
[
181,
875,
70,
14
],
[
254,
875,
60,
14
],
[
316,
875,
27,
14
],
[
346,
875,
36,
14
],
[
385,
875,
27,
14
],
[
76,
891,
76,
14
],
[
168,
891,
77,
14
],
[
261,
891,
34,
14
],
[
310,
891,
63,
14
],
[
389,
891,
23,
14
],
[
76,
907,
80,
14
],
[
159,
907,
61,
14
],
[
222,
907,
13,
14
],
[
237,
907,
56,
14
],
[
295,
907,
45,
14
],
[
342,
907,
44,
14
],
[
388,
907,
23,
14
],
[
76,
924,
70,
14
],
[
151,
924,
60,
14
],
[
216,
924,
58,
14
],
[
280,
924,
55,
14
],
[
340,
924,
71,
14
],
[
76,
940,
51,
14
],
[
134,
940,
23,
14
],
[
163,
940,
49,
14
],
[
218,
940,
74,
14
],
[
298,
940,
32,
14
],
[
336,
940,
50,
14
],
[
392,
940,
19,
14
],
[
76,
956,
43,
14
],
[
124,
956,
12,
14
],
[
142,
956,
54,
14
],
[
201,
956,
56,
14
],
[
262,
956,
21,
14
],
[
289,
956,
15,
14
],
[
309,
956,
39,
14
],
[
353,
956,
40,
14
],
[
399,
956,
12,
14
],
[
76,
973,
65,
14
],
[
146,
973,
70,
14
],
[
220,
973,
40,
14
],
[
264,
973,
29,
14
],
[
298,
973,
62,
14
],
[
364,
973,
13,
14
],
[
381,
973,
31,
14
],
[
76,
989,
55,
14
],
[
136,
989,
65,
14
],
[
206,
989,
55,
14
],
[
266,
989,
71,
14
],
[
342,
989,
69,
14
],
[
76,
1005,
43,
14
],
[
122,
1005,
54,
14
],
[
179,
1005,
45,
14
],
[
227,
1005,
49,
14
],
[
280,
1005,
40,
14
],
[
323,
1005,
88,
14
],
[
434,
826,
21,
14
],
[
458,
826,
20,
14
],
[
481,
826,
29,
14
],
[
512,
826,
63,
14
],
[
577,
826,
12,
14
],
[
593,
826,
19,
14
],
[
614,
826,
76,
14
],
[
693,
826,
13,
14
],
[
708,
826,
31,
14
],
[
741,
826,
28,
14
],
[
434,
842,
16,
14
],
[
454,
842,
27,
14
],
[
484,
842,
57,
14
],
[
544,
842,
41,
14
],
[
589,
842,
44,
14
],
[
636,
842,
7,
14
],
[
647,
842,
41,
14
],
[
691,
842,
23,
14
],
[
718,
842,
51,
14
],
[
434,
858,
22,
14
],
[
461,
858,
42,
14
],
[
508,
858,
12,
14
],
[
526,
858,
30,
14
],
[
561,
858,
18,
14
],
[
584,
858,
55,
14
],
[
644,
858,
48,
14
],
[
696,
858,
33,
14
],
[
734,
858,
35,
14
],
[
434,
875,
53,
14
],
[
490,
875,
42,
14
],
[
534,
875,
50,
16
],
[
586,
875,
66,
14
],
[
655,
875,
7,
14
],
[
664,
875,
27,
14
],
[
693,
875,
12,
14
],
[
708,
875,
15,
14
],
[
726,
875,
44,
14
],
[
434,
891,
72,
14
],
[
509,
891,
30,
14
],
[
541,
891,
48,
14
],
[
592,
891,
51,
14
],
[
645,
891,
23,
14
],
[
671,
891,
42,
14
],
[
715,
891,
18,
14
],
[
735,
891,
34,
14
],
[
434,
907,
22,
14
],
[
459,
907,
42,
16
],
[
502,
907,
48,
14
],
[
553,
907,
20,
14
],
[
576,
907,
51,
14
],
[
630,
907,
30,
14
],
[
662,
907,
43,
14
],
[
708,
907,
46,
14
],
[
757,
907,
13,
14
],
[
434,
924,
14,
14
],
[
452,
924,
49,
14
],
[
504,
924,
76,
14
],
[
583,
924,
13,
14
],
[
599,
924,
63,
14
],
[
665,
924,
62,
14
],
[
730,
924,
13,
14
],
[
746,
924,
23,
14
],
[
434,
940,
42,
16
],
[
481,
940,
10,
14
],
[
498,
940,
53,
14
],
[
558,
940,
13,
14
],
[
578,
940,
19,
14
],
[
604,
940,
36,
14
],
[
647,
940,
23,
14
],
[
677,
940,
45,
14
],
[
730,
940,
23,
14
],
[
760,
940,
10,
14
],
[
434,
956,
51,
14
],
[
491,
956,
13,
14
],
[
510,
956,
42,
14
],
[
558,
956,
29,
14
],
[
592,
956,
41,
17
],
[
638,
956,
53,
14
],
[
697,
956,
48,
14
],
[
750,
956,
19,
14
],
[
434,
973,
102,
14
],
[
542,
973,
37,
14
],
[
585,
973,
12,
14
],
[
604,
973,
82,
14
],
[
693,
973,
48,
14
],
[
747,
973,
23,
14
],
[
434,
989,
62,
14
],
[
500,
989,
13,
14
],
[
515,
989,
47,
14
],
[
565,
989,
82,
14
],
[
650,
989,
13,
14
],
[
665,
989,
22,
14
],
[
690,
989,
48,
14
],
[
742,
989,
28,
14
],
[
434,
1005,
29,
14
],
[
467,
1005,
53,
14
],
[
524,
1005,
12,
14
],
[
540,
1005,
19,
14
],
[
563,
1005,
59,
14
],
[
626,
1005,
36,
14
],
[
665,
1005,
13,
14
],
[
682,
1005,
47,
14
],
[
732,
1005,
37,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"BMC",
"Neuroscience",
"Research",
"article",
"Serotonin",
"5-HT2A",
"and",
"5-HT6",
"receptors",
"in",
"the",
"prefrontal",
"cortex",
"of",
"Alzheimer",
"and",
"normal",
"aging",
"patients",
"Dietrich",
"E",
"Lorke1,2,",
"Gang",
"Lu2,3,",
"Eric",
"Cho2",
"and",
"David",
"T",
"Yew*2",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Department",
"of",
"Anatomy,",
"Faculty",
"of",
"Medicine",
"and",
"Health",
"Sciences,",
"UAE",
"University,",
"Box",
"17666,",
"Al",
"Ain,",
"United",
"Arab",
"Emirates,",
"2Department",
"of",
"Anatomy,",
"Chinese",
"University",
"of",
"Hong",
"Kong,",
"Shatin,",
"N.T.,",
"Hong",
"Kong",
"and",
"3Kunming",
"Medical",
"College,",
"Kunming,",
"Yunnan,",
"China",
"Email:",
"Dietrich",
"E",
"Lorke",
"-",
"lorke@uaeu.ac.ae;",
"Gang",
"Lu",
"-",
"lugang@surgery.cuhk.edu.hk;",
"Eric",
"Cho",
"-",
"eric-cho@ana.cuhk.edu.hk;",
"David",
"T",
"Yew*",
"-",
"david-yew@cuhk.edu.hk",
"*",
"Corresponding",
"author",
"Published:",
"27",
"April",
"2006",
"BMC",
"Neuroscience",
"2006,",
"7:36",
"doi:10.1186/1471-2202-7-36",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2202/7/36",
"Received:",
"12",
"December",
"2005",
"Accepted:",
"27",
"April",
"2006",
"©",
"2006",
"Lorke",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"It",
"has",
"been",
"hypothesized",
"that",
"alterations",
"of",
"the",
"serotonergic",
"system",
"contribute",
"to",
"neuropsychiatric",
"symptoms",
"in",
"Alzheimer",
"disease",
"(AD).",
"Cellular",
"expressions",
"of",
"the",
"two",
"serotonergic",
"receptors",
"5-HT2A",
"and",
"5-HT6",
"have",
"therefore",
"been",
"determined",
"by",
"immunohistochemistry",
"in",
"the",
"prefrontal",
"cortex",
"of",
"patients",
"with",
"AD",
"(n=6)",
"and",
"normal",
"age-matched",
"controls",
"(n",
"=",
"7).",
"Results:",
"In",
"normal",
"aging",
"patients,",
"5-HT2A",
"label",
"was",
"mainly",
"observed",
"in",
"large",
"pyramidal",
"cells,",
"but",
"to",
"a",
"lesser",
"extent",
"also",
"in",
"small",
"pyramidal",
"cells",
"and",
"in",
"stellate",
"cells",
"of",
"cortical",
"layers",
"II-VI.",
"In",
"AD,",
"a",
"similar",
"distribution",
"was",
"observed,",
"but",
"density",
"of",
"positive",
"cells",
"was",
"significantly",
"reduced",
"by",
"33%.",
"In",
"aging",
"control",
"patients,",
"the",
"5-HT6",
"receptor",
"was",
"expressed",
"by",
"pyramidal",
"cells",
"and",
"occasional",
"stellate",
"cells,",
"not",
"only",
"of",
"layers",
"II-V,",
"but",
"also",
"of",
"layer",
"I,",
"where",
"a",
"distinct",
"label",
"was",
"observed",
"in",
"neurons",
"and",
"surrounding",
"fibers.",
"5-HT6",
"receptor",
"expression",
"in",
"AD",
"patients",
"had",
"the",
"same",
"pattern,",
"but",
"was",
"significantly",
"decreased",
"by",
"40%.",
"Conclusion:",
"Our",
"results",
"indicate",
"that",
"a",
"decline",
"in",
"neurons",
"expressing",
"5-HT2A,",
"but",
"also",
"5-HT6",
"receptors",
"may",
"play",
"a",
"role",
"in",
"the",
"etiopathology",
"of",
"neuropsychiatric",
"symptoms",
"in",
"AD.",
"Background",
"Alzheimer",
"disease",
"(AD),",
"the",
"most",
"common",
"cause",
"of",
"dementia",
"in",
"the",
"elderly,",
"is",
"clinically",
"characterized",
"by",
"pro-",
"gressive",
"cognitive",
"impairment",
"associated",
"with",
"severe",
"neu-",
"ropsychiatric",
"disturbances.",
"These",
"behavioral",
"and",
"psychological",
"symptoms",
"of",
"dementia",
"(BPSD)",
"include",
"hal-",
"lucinations,",
"delusions,",
"aggressive",
"behavior,",
"overactivity,",
"anxieties",
"and",
"affective",
"disturbances",
"[1,2].",
"Whereas",
"the",
"decline",
"in",
"cognitive",
"functions",
"can",
"be",
"largely",
"related",
"to",
"cholinergic",
"dysfunction",
"arising",
"from",
"disruption",
"of",
"basal",
"forebrain",
"cholinergic",
"pathways",
"(cholinergic",
"hypothesis)",
"[1,3,4],",
"impaired",
"balance",
"between",
"several",
"neurotransmit-",
"ters",
"has",
"been",
"implicated",
"in",
"the",
"pathogenesis",
"of",
"BPSP",
"[2,5-",
"7],",
"with",
"serotonin",
"(5-HT)",
"playing",
"a",
"pivotal",
"role",
"[2,8-10].",
"The",
"actions",
"of",
"5-HT",
"are",
"mediated",
"through",
"seven",
"major",
"receptors",
"classes,",
"5-HT1–7,",
"comprising",
"a",
"total",
"of",
"14",
"distinct",
"mammalian",
"5-HT",
"receptor",
"subtypes",
"(for",
"review,",
"see",
"[11]).",
"The",
"5-HT2A",
"receptor",
"has",
"attracted",
"most",
"interest",
"because",
"of",
"its",
"possible",
"participation",
"in",
"behavioral",
"alterations",
"in",
"AD.",
"5-HT2A",
"is",
"localized",
"in",
"the",
"cortex",
"and",
"caudate",
"and",
"is",
"involved",
"in",
"anxiety",
"[10].",
"5-HT2A",
"receptors",
"mediate",
"the",
"psychotomimetic",
"effects",
"of",
"hallucinogens",
"[11-13],",
"and",
"alterations",
"in",
"binding",
"characteristics",
"to",
"this",
"receptor",
"have",
"been",
"observed",
"in",
"the",
"prefrontal",
"cortex",
"of",
"patients",
"suffer-",
"Page",
"1",
"of",
"8",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,045,948 | null | [
[
78,
47,
12,
12
],
[
94,
47,
20,
12
],
[
117,
47,
40,
12
],
[
160,
47,
9,
12
],
[
172,
47,
11,
12
],
[
186,
47,
21,
12
],
[
210,
47,
27,
12
],
[
240,
47,
30,
12
],
[
273,
47,
25,
12
],
[
302,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
144,
34
],
[
232,
169,
51,
34
],
[
293,
169,
155,
34
],
[
458,
169,
27,
34
],
[
495,
169,
75,
34
],
[
580,
169,
154,
34
],
[
78,
205,
25,
34
],
[
113,
205,
107,
34
],
[
230,
205,
79,
34
],
[
319,
205,
138,
34
],
[
467,
205,
58,
34
],
[
536,
205,
90,
34
],
[
636,
205,
59,
34
],
[
705,
205,
17,
34
],
[
78,
241,
119,
34
],
[
207,
241,
16,
34
],
[
233,
241,
82,
34
],
[
325,
241,
81,
34
],
[
416,
241,
35,
34
],
[
461,
241,
73,
34
],
[
78,
288,
28,
16
],
[
110,
288,
15,
16
],
[
130,
288,
25,
16
],
[
159,
285,
61,
19
],
[
225,
288,
40,
16
],
[
269,
285,
52,
19
],
[
326,
288,
28,
16
],
[
358,
288,
24,
16
],
[
386,
285,
50,
19
],
[
440,
288,
28,
16
],
[
472,
288,
27,
16
],
[
504,
285,
48,
19
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
31,
14
],
[
202,
367,
44,
14
],
[
251,
367,
44,
14
],
[
299,
367,
21,
14
],
[
325,
367,
31,
14
],
[
360,
367,
21,
14
],
[
385,
367,
12,
14
],
[
400,
367,
19,
14
],
[
423,
367,
31,
14
],
[
458,
367,
74,
14
],
[
537,
367,
11,
14
],
[
553,
367,
49,
14
],
[
606,
367,
11,
14
],
[
621,
367,
28,
14
],
[
654,
367,
39,
14
],
[
697,
367,
19,
14
],
[
87,
384,
28,
14
],
[
120,
384,
20,
14
],
[
144,
384,
57,
14
],
[
205,
384,
8,
14
],
[
217,
384,
49,
14
],
[
270,
384,
12,
14
],
[
286,
384,
19,
14
],
[
309,
384,
32,
14
],
[
345,
384,
11,
14
],
[
360,
384,
31,
14
],
[
395,
384,
67,
14
],
[
466,
384,
22,
14
],
[
493,
384,
30,
14
],
[
527,
384,
48,
14
],
[
580,
384,
7,
14
],
[
591,
384,
33,
14
],
[
628,
384,
32,
14
],
[
664,
384,
11,
14
],
[
680,
384,
45,
14
],
[
87,
400,
34,
14
],
[
126,
400,
22,
14
],
[
151,
400,
60,
14
],
[
216,
400,
56,
14
],
[
276,
400,
11,
14
],
[
291,
400,
31,
14
],
[
326,
400,
65,
14
],
[
395,
400,
74,
14
],
[
473,
400,
11,
14
],
[
488,
400,
44,
14
],
[
537,
400,
33,
14
],
[
574,
400,
59,
14
],
[
637,
400,
25,
14
],
[
666,
400,
38,
14
],
[
708,
400,
25,
14
],
[
87,
417,
7,
14
],
[
99,
417,
49,
14
],
[
87,
438,
56,
14
],
[
148,
438,
26,
14
],
[
178,
438,
28,
14
],
[
210,
438,
27,
14
],
[
241,
438,
7,
14
],
[
251,
438,
98,
14
],
[
354,
438,
37,
14
],
[
394,
438,
11,
14
],
[
410,
438,
29,
14
],
[
444,
438,
43,
14
],
[
491,
438,
33,
14
],
[
529,
438,
59,
14
],
[
591,
438,
25,
14
],
[
620,
438,
40,
14
],
[
665,
438,
30,
14
],
[
87,
454,
72,
14
],
[
164,
454,
25,
14
],
[
193,
454,
7,
14
],
[
204,
454,
47,
14
],
[
255,
454,
28,
14
],
[
288,
453,
9,
14
],
[
301,
454,
14,
14
],
[
319,
454,
31,
14
],
[
354,
454,
27,
14
],
[
385,
454,
7,
14
],
[
396,
454,
31,
14
],
[
431,
454,
20,
14
],
[
455,
454,
45,
14
],
[
504,
454,
28,
14
],
[
536,
454,
49,
14
],
[
589,
454,
17,
14
],
[
611,
454,
50,
14
],
[
665,
454,
20,
14
],
[
87,
471,
74,
14
],
[
165,
471,
28,
14
],
[
197,
471,
29,
14
],
[
231,
471,
14,
14
],
[
249,
471,
54,
14
],
[
307,
471,
99,
14
],
[
87,
492,
46,
14
],
[
137,
492,
13,
14
],
[
154,
492,
47,
14
],
[
206,
492,
52,
14
],
[
262,
492,
42,
14
],
[
309,
492,
21,
14
],
[
334,
492,
22,
14
],
[
359,
492,
23,
14
],
[
386,
492,
31,
14
],
[
421,
492,
27,
14
],
[
452,
492,
7,
14
],
[
463,
492,
31,
14
],
[
498,
492,
19,
14
],
[
521,
492,
61,
14
],
[
586,
492,
11,
14
],
[
601,
492,
53,
14
],
[
658,
492,
34,
14
],
[
697,
492,
33,
14
],
[
87,
508,
11,
14
],
[
103,
508,
24,
14
],
[
131,
508,
36,
14
],
[
172,
508,
20,
14
],
[
195,
507,
9,
14
],
[
208,
508,
20,
14
],
[
232,
508,
24,
14
],
[
260,
508,
27,
14
],
[
291,
508,
26,
14
],
[
321,
508,
55,
14
],
[
380,
508,
12,
14
],
[
396,
508,
26,
14
],
[
426,
508,
46,
14
],
[
476,
508,
21,
14
],
[
502,
508,
19,
14
],
[
525,
508,
61,
14
],
[
590,
508,
11,
14
],
[
605,
508,
54,
14
],
[
664,
508,
31,
14
],
[
87,
525,
65,
14
],
[
156,
525,
12,
14
],
[
173,
525,
18,
14
],
[
195,
525,
9,
14
],
[
208,
525,
20,
14
],
[
232,
525,
24,
14
],
[
260,
525,
27,
14
],
[
290,
525,
26,
14
],
[
321,
525,
55,
14
],
[
379,
525,
12,
14
],
[
396,
525,
26,
14
],
[
426,
525,
48,
14
],
[
478,
525,
21,
14
],
[
503,
525,
54,
14
],
[
561,
525,
27,
14
],
[
593,
525,
62,
14
],
[
659,
525,
45,
14
],
[
707,
525,
11,
14
],
[
87,
542,
53,
14
],
[
144,
542,
22,
14
],
[
170,
542,
23,
14
],
[
197,
542,
56,
14
],
[
257,
542,
19,
14
],
[
280,
542,
36,
14
],
[
320,
542,
74,
14
],
[
398,
542,
45,
14
],
[
447,
542,
56,
14
],
[
507,
542,
11,
14
],
[
523,
542,
26,
14
],
[
553,
542,
11,
14
],
[
568,
542,
31,
14
],
[
603,
542,
33,
14
],
[
641,
542,
27,
14
],
[
672,
542,
63,
14
],
[
87,
558,
44,
14
],
[
136,
558,
75,
14
],
[
215,
558,
38,
14
],
[
257,
558,
46,
14
],
[
307,
558,
30,
14
],
[
341,
558,
33,
14
],
[
379,
558,
21,
14
],
[
403,
558,
51,
14
],
[
459,
558,
38,
14
],
[
500,
558,
21,
14
],
[
526,
558,
54,
14
],
[
584,
558,
49,
14
],
[
637,
558,
22,
14
],
[
663,
558,
34,
14
],
[
701,
558,
11,
14
],
[
87,
575,
57,
14
],
[
149,
575,
31,
14
],
[
184,
575,
21,
14
],
[
209,
575,
27,
14
],
[
239,
575,
30,
14
],
[
274,
575,
44,
14
],
[
323,
575,
64,
14
],
[
391,
575,
26,
14
],
[
421,
575,
46,
14
],
[
471,
575,
30,
14
],
[
505,
575,
33,
14
],
[
543,
575,
22,
14
],
[
569,
575,
25,
14
],
[
598,
575,
37,
14
],
[
640,
575,
70,
14
],
[
87,
591,
28,
14
],
[
119,
591,
55,
14
],
[
87,
612,
75,
14
],
[
167,
612,
11,
14
],
[
182,
612,
7,
14
],
[
193,
612,
85,
14
],
[
282,
612,
63,
14
],
[
349,
612,
11,
14
],
[
365,
612,
56,
14
],
[
425,
612,
11,
14
],
[
440,
612,
31,
14
],
[
475,
612,
67,
14
],
[
547,
612,
27,
14
],
[
578,
612,
11,
14
],
[
593,
612,
7,
14
],
[
604,
612,
35,
14
],
[
643,
612,
23,
14
],
[
671,
612,
39,
14
],
[
87,
629,
48,
14
],
[
139,
629,
61,
14
],
[
204,
629,
12,
14
],
[
220,
629,
21,
14
],
[
246,
629,
20,
14
],
[
270,
629,
76,
14
],
[
350,
629,
49,
14
],
[
403,
629,
20,
14
],
[
427,
629,
65,
14
],
[
497,
629,
26,
14
],
[
527,
629,
12,
14
],
[
543,
629,
16,
14
],
[
563,
629,
21,
14
],
[
589,
629,
44,
14
],
[
637,
629,
43,
14
],
[
684,
629,
48,
14
],
[
87,
645,
25,
14
],
[
116,
645,
21,
14
],
[
141,
645,
12,
14
],
[
157,
645,
19,
14
],
[
180,
645,
28,
14
],
[
212,
645,
43,
14
],
[
259,
645,
56,
14
],
[
319,
645,
11,
14
],
[
335,
645,
57,
14
],
[
396,
645,
31,
14
],
[
431,
645,
21,
14
],
[
456,
645,
25,
14
],
[
485,
645,
47,
14
],
[
536,
645,
55,
14
],
[
595,
645,
21,
14
],
[
620,
645,
35,
14
],
[
660,
645,
53,
14
],
[
717,
645,
19,
14
],
[
87,
662,
64,
14
],
[
155,
662,
11,
14
],
[
171,
662,
63,
14
],
[
238,
662,
41,
14
],
[
283,
662,
12,
14
],
[
299,
662,
44,
14
],
[
347,
662,
20,
14
],
[
371,
662,
23,
14
],
[
399,
662,
14,
14
],
[
417,
662,
56,
14
],
[
478,
662,
47,
15
],
[
529,
662,
22,
14
],
[
555,
662,
42,
14
],
[
601,
662,
23,
14
],
[
629,
662,
71,
15
],
[
87,
679,
58,
14
],
[
149,
679,
11,
14
],
[
165,
679,
19,
14
],
[
187,
679,
50,
14
],
[
242,
679,
11,
14
],
[
258,
679,
39,
14
],
[
301,
679,
20,
14
],
[
325,
679,
74,
14
],
[
403,
679,
21,
14
],
[
428,
679,
34,
14
],
[
467,
679,
42,
14
],
[
513,
679,
58,
14
],
[
78,
725,
77,
15
],
[
78,
742,
13,
14
],
[
96,
742,
43,
14
],
[
143,
742,
22,
14
],
[
170,
742,
19,
14
],
[
193,
742,
41,
14
],
[
239,
742,
35,
14
],
[
279,
742,
37,
14
],
[
320,
742,
34,
14
],
[
359,
742,
44,
14
],
[
78,
758,
31,
14
],
[
114,
758,
25,
14
],
[
144,
758,
14,
14
],
[
163,
758,
20,
14
],
[
187,
758,
33,
14
],
[
225,
758,
31,
14
],
[
261,
758,
53,
14
],
[
318,
758,
41,
14
],
[
364,
758,
40,
14
],
[
78,
775,
26,
14
],
[
109,
775,
48,
14
],
[
162,
775,
27,
14
],
[
193,
775,
12,
14
],
[
209,
775,
19,
14
],
[
233,
775,
43,
14
],
[
280,
775,
64,
14
],
[
349,
775,
30,
14
],
[
384,
775,
20,
14
],
[
78,
791,
21,
14
],
[
104,
791,
56,
14
],
[
164,
791,
54,
14
],
[
223,
791,
25,
14
],
[
252,
791,
19,
14
],
[
276,
791,
19,
14
],
[
299,
791,
47,
14
],
[
351,
791,
53,
14
],
[
78,
808,
19,
14
],
[
101,
808,
28,
14
],
[
133,
808,
9,
14
],
[
147,
808,
51,
14
],
[
202,
808,
12,
14
],
[
218,
808,
19,
14
],
[
241,
808,
32,
14
],
[
277,
808,
12,
14
],
[
293,
808,
54,
14
],
[
352,
808,
12,
14
],
[
368,
808,
36,
14
],
[
78,
825,
12,
14
],
[
96,
825,
20,
14
],
[
122,
825,
32,
14
],
[
159,
825,
12,
14
],
[
177,
825,
20,
14
],
[
203,
825,
45,
14
],
[
254,
825,
67,
14
],
[
327,
825,
30,
14
],
[
363,
825,
23,
14
],
[
391,
825,
12,
14
],
[
78,
841,
42,
14
],
[
125,
841,
12,
14
],
[
140,
841,
29,
14
],
[
174,
841,
24,
14
],
[
202,
841,
7,
14
],
[
214,
841,
45,
14
],
[
262,
841,
45,
14
],
[
311,
841,
29,
14
],
[
344,
841,
34,
14
],
[
383,
841,
21,
14
],
[
78,
858,
52,
14
],
[
135,
858,
28,
14
],
[
168,
858,
47,
14
],
[
220,
858,
63,
14
],
[
288,
858,
12,
14
],
[
304,
858,
58,
14
],
[
366,
858,
38,
14
],
[
78,
875,
12,
14
],
[
94,
875,
55,
14
],
[
154,
875,
36,
14
],
[
195,
875,
19,
14
],
[
218,
875,
34,
14
],
[
256,
875,
20,
14
],
[
280,
875,
19,
14
],
[
303,
875,
9,
14
],
[
317,
875,
63,
14
],
[
385,
875,
19,
14
],
[
78,
913,
5,
11
],
[
86,
913,
70,
11
],
[
159,
913,
85,
11
],
[
78,
923,
19,
13
],
[
101,
925,
37,
11
],
[
141,
925,
18,
11
],
[
162,
925,
12,
11
],
[
176,
925,
32,
11
],
[
211,
925,
33,
11
],
[
247,
925,
16,
11
],
[
266,
925,
31,
11
],
[
300,
925,
9,
11
],
[
312,
925,
32,
11
],
[
347,
925,
34,
11
],
[
78,
937,
51,
11
],
[
132,
937,
9,
11
],
[
144,
937,
26,
11
],
[
172,
937,
29,
11
],
[
204,
937,
41,
11
],
[
248,
937,
9,
11
],
[
260,
937,
56,
11
],
[
319,
937,
56,
11
],
[
78,
950,
38,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
725,
41,
14
],
[
468,
725,
31,
14
],
[
504,
725,
11,
14
],
[
519,
725,
54,
14
],
[
577,
725,
39,
14
],
[
620,
725,
38,
14
],
[
662,
725,
11,
14
],
[
678,
725,
47,
14
],
[
729,
725,
19,
14
],
[
423,
742,
12,
14
],
[
441,
742,
33,
14
],
[
480,
742,
58,
14
],
[
544,
742,
34,
14
],
[
584,
742,
33,
14
],
[
623,
742,
69,
14
],
[
698,
742,
50,
14
],
[
423,
758,
75,
14
],
[
503,
758,
42,
14
],
[
549,
758,
10,
14
],
[
563,
758,
63,
14
],
[
630,
758,
19,
14
],
[
654,
758,
42,
14
],
[
700,
758,
32,
14
],
[
736,
758,
12,
14
],
[
423,
775,
38,
14
],
[
464,
775,
25,
14
],
[
493,
775,
14,
14
],
[
511,
775,
29,
14
],
[
545,
775,
40,
14
],
[
434,
791,
53,
14
],
[
492,
791,
27,
14
],
[
524,
791,
28,
14
],
[
558,
791,
39,
14
],
[
602,
791,
13,
14
],
[
619,
791,
69,
14
],
[
693,
791,
55,
14
],
[
423,
808,
28,
14
],
[
456,
808,
20,
14
],
[
480,
808,
7,
14
],
[
491,
808,
48,
14
],
[
544,
808,
40,
14
],
[
589,
808,
15,
14
],
[
608,
808,
56,
14
],
[
669,
808,
40,
14
],
[
713,
808,
12,
14
],
[
730,
808,
18,
14
],
[
423,
825,
22,
14
],
[
450,
825,
75,
14
],
[
529,
825,
69,
14
],
[
602,
825,
36,
14
],
[
643,
825,
21,
14
],
[
669,
825,
12,
14
],
[
686,
825,
45,
14
],
[
736,
825,
12,
14
],
[
423,
841,
75,
14
],
[
502,
841,
43,
14
],
[
550,
841,
33,
14
],
[
587,
841,
19,
14
],
[
610,
841,
35,
14
],
[
650,
841,
22,
14
],
[
675,
841,
22,
14
],
[
702,
841,
12,
14
],
[
718,
841,
30,
14
],
[
423,
858,
55,
14
],
[
481,
858,
21,
14
],
[
507,
858,
47,
14
],
[
559,
858,
45,
14
],
[
607,
858,
10,
14
],
[
622,
858,
44,
14
],
[
670,
858,
62,
14
],
[
736,
858,
12,
14
],
[
423,
874,
25,
14
],
[
453,
874,
7,
14
],
[
465,
874,
47,
14
],
[
518,
874,
48,
14
],
[
570,
874,
23,
14
],
[
598,
874,
35,
14
],
[
638,
874,
23,
14
],
[
665,
874,
54,
14
],
[
724,
874,
24,
14
],
[
423,
891,
22,
14
],
[
450,
891,
51,
14
],
[
506,
891,
23,
14
],
[
533,
891,
12,
14
],
[
550,
891,
36,
14
],
[
591,
891,
19,
14
],
[
615,
891,
33,
14
],
[
653,
891,
78,
14
],
[
736,
891,
12,
14
],
[
423,
908,
47,
14
],
[
474,
908,
26,
14
],
[
504,
908,
20,
14
],
[
528,
908,
18,
14
],
[
551,
908,
36,
14
],
[
591,
908,
67,
14
],
[
663,
908,
33,
14
],
[
700,
908,
35,
14
],
[
739,
908,
9,
14
],
[
423,
924,
7,
14
],
[
434,
924,
62,
14
],
[
500,
924,
22,
14
],
[
526,
924,
35,
14
],
[
565,
924,
49,
14
],
[
618,
924,
12,
14
],
[
635,
924,
33,
14
],
[
672,
924,
52,
14
],
[
728,
924,
20,
14
],
[
423,
941,
34,
14
],
[
461,
941,
35,
14
],
[
502,
941,
10,
14
],
[
516,
941,
20,
14
],
[
541,
941,
6,
14
],
[
552,
941,
46,
14
],
[
602,
941,
49,
14
],
[
657,
941,
12,
14
],
[
673,
941,
36,
14
],
[
714,
941,
34,
14
],
[
423,
957,
23,
14
],
[
450,
957,
12,
14
],
[
467,
957,
19,
14
],
[
490,
957,
102,
14
],
[
598,
957,
19,
14
],
[
622,
957,
68,
14
],
[
694,
957,
31,
14
],
[
730,
957,
19,
14
],
[
248,
987,
7,
10
],
[
256,
987,
19,
10
],
[
277,
987,
10,
10
],
[
289,
987,
16,
10
],
[
308,
987,
32,
10
],
[
342,
987,
8,
10
],
[
352,
987,
8,
10
],
[
362,
987,
30,
10
],
[
395,
987,
29,
10
],
[
426,
987,
27,
10
],
[
455,
987,
14,
10
],
[
472,
987,
15,
10
],
[
489,
987,
6,
10
],
[
497,
987,
10,
10
],
[
509,
987,
21,
10
],
[
533,
987,
25,
10
],
[
560,
987,
23,
10
],
[
585,
987,
41,
10
],
[
629,
987,
23,
10
],
[
653,
987,
13,
10
],
[
668,
987,
22,
10
],
[
692,
987,
8,
10
],
[
702,
987,
13,
10
],
[
717,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
50,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"de",
"Fine",
"Olivarius",
"et",
"al.",
"BMC",
"Public",
"Health",
"2011,",
"11:80",
"http://www.biomedcentral.com/1471-2458/11/80",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Prevalence",
"and",
"progression",
"of",
"visual",
"impairment",
"in",
"patients",
"newly",
"diagnosed",
"with",
"clinical",
"type",
"2",
"diabetes:",
"a",
"6-year",
"follow",
"up",
"study",
"Niels",
"de",
"Fine",
"Olivarius1*,",
"Volkert",
"Siersma1,",
"Gitte",
"Juul",
"Almind1,",
"Niels",
"Vesti",
"Nielsen2",
"Abstract",
"Background:",
"Many",
"diabetic",
"patients",
"fear",
"visual",
"loss",
"as",
"the",
"worst",
"consequence",
"of",
"diabetes.",
"In",
"most",
"studies",
"the",
"main",
"eye",
"pathology",
"is",
"assigned",
"as",
"the",
"cause",
"of",
"visual",
"impairment.",
"This",
"study",
"analysed",
"a",
"broad",
"range",
"of",
"possible",
"ocular",
"and",
"non-ocular",
"predictors",
"of",
"visual",
"impairment",
"prospectively",
"in",
"patients",
"newly",
"diagnosed",
"with",
"clinical",
"type",
"2",
"diabetes.",
"Methods:",
"Data",
"were",
"from",
"a",
"population-based",
"cohort",
"of",
"1,241",
"persons",
"newly",
"diagnosed",
"with",
"clinical,",
"often",
"symptomatic",
"type",
"2",
"diabetes",
"aged",
"≥",
"40",
"years.",
"After",
"6",
"years,",
"807",
"patients",
"were",
"followed",
"up.",
"Standard",
"eye",
"examinations",
"were",
"done",
"by",
"practising",
"ophthalmologists.",
"Results:",
"At",
"diabetes",
"diagnosis",
"median",
"age",
"was",
"65.5",
"years.",
"Over",
"6",
"years,",
"the",
"prevalence",
"of",
"blindness",
"(visual",
"acuity",
"of",
"best",
"seeing",
"eye",
"≤",
"0.1)",
"rose",
"from",
"0.9%",
"(11/1,241)",
"to",
"2.4%",
"(19/807)",
"and",
"the",
"prevalence",
"of",
"moderate",
"visual",
"impairment",
"(>",
"0.1;",
"<",
"0.5)",
"rose",
"from",
"5.4%",
"(67/1,241)",
"to",
"6.7%",
"(54/807).",
"The",
"incidence",
"(95%",
"confidence",
"interval)",
"of",
"blindness",
"was",
"40.2",
"(25.3-63.8)",
"per",
"10,000",
"patient-years.",
"Baseline",
"predictors",
"of",
"level",
"of",
"visual",
"acuity",
"(age,",
"age-related",
"macular",
"degeneration",
"(AMD),",
"cataract,",
"living",
"alone,",
"low",
"self-rated",
"health,",
"and",
"sedentary",
"life-style)",
"and",
"speed",
"of",
"continued",
"visual",
"loss",
"(age,",
"AMD,",
"diabetic",
"retinopathy",
"(DR),",
"cataract,",
"living",
"alone,",
"and",
"high",
"fasting",
"triglycerides)",
"were",
"identified.",
"Conclusions:",
"In",
"a",
"comprehensive",
"assessment",
"of",
"predictors",
"of",
"visual",
"impairment,",
"even",
"in",
"a",
"health",
"care",
"system",
"allowing",
"self-referral",
"to",
"free",
"eye",
"examinations,",
"treatable",
"eye",
"pathologies",
"such",
"as",
"DR",
"and",
"cataract",
"emerge",
"together",
"with",
"age",
"as",
"the",
"most",
"notable",
"predictors",
"of",
"continued",
"visual",
"loss",
"after",
"diabetes",
"diagnosis.",
"Our",
"results",
"underline",
"the",
"importance",
"of",
"eliminating",
"barriers",
"to",
"efficient",
"eye",
"care",
"by",
"increasing",
"patients’",
"and",
"primary",
"care",
"practitioners’",
"awareness",
"of",
"the",
"necessity",
"of",
"regular",
"eye",
"examinations",
"and",
"timely",
"surgical",
"treatment.",
"Background",
"In",
"Europe",
"and",
"the",
"United",
"States",
"severe",
"visual",
"impair-",
"ment",
"may",
"be",
"2-3",
"times",
"more",
"common",
"among",
"people",
"with",
"diabetes",
"than",
"in",
"the",
"general",
"population",
"[1,2],",
"but",
"this",
"difference",
"decreases",
"with",
"age",
"[2].",
"Diabetic",
"retinopa-",
"thy",
"(DR)",
"is",
"regarded",
"as",
"the",
"cause",
"of",
"blindness",
"in",
"5-15%",
"of",
"the",
"blind",
"in",
"the",
"general",
"population",
"[3-5]",
"and",
"in",
"30-50%",
"of",
"blind",
"type",
"2",
"diabetic",
"patients",
"[6,7].",
"There",
"are,",
"however,",
"huge",
"regional",
"differences",
"in",
"presumed",
"causes",
"of",
"blindness",
"across",
"the",
"world",
"[8].",
"DR",
"is",
"considered",
"the",
"*",
"Correspondence:",
"olivarius@sund.ku.dk",
"1The",
"Research",
"Unit",
"for",
"General",
"Practice",
"and",
"Section",
"of",
"General",
"Practice,",
"Department",
"of",
"Public",
"Health,",
"University",
"of",
"Copenhagen,",
"Copenhagen,",
"Denmark",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"leading",
"cause",
"of",
"blindness",
"among",
"people",
"of",
"working",
"age",
"in",
"many",
"countries",
"[3-5],",
"while",
"age-related",
"macular",
"degeneration",
"(AMD)",
"is",
"considered",
"the",
"leading",
"cause",
"in",
"people",
"over",
"65",
"years",
"[3-5,9].",
"Diabetes",
"with",
"even",
"mildly",
"to",
"moderately",
"impaired",
"sight",
"has",
"a",
"negative",
"impact",
"on",
"perceived",
"quality",
"of",
"life",
"and",
"psychosocial",
"functioning",
"giving",
"rise",
"to",
"feelings",
"of",
"vulnerability,",
"worries",
"about",
"the",
"future",
"and",
"loss",
"of",
"inde-",
"pendence",
"and",
"mobility",
"[10-12].",
"A",
"sizeable",
"proportion",
"of",
"type",
"2",
"diabetic",
"patients",
"fear",
"visual",
"loss",
"intensely",
"[13]",
"and",
"consider",
"loss",
"of",
"vision",
"the",
"worst",
"complication",
"of",
"diabetes",
"[10].",
"For",
"the",
"health",
"practitioner",
"visual",
"acuity",
"is",
"a",
"ubiquitous",
"and",
"handy",
"measure",
"of",
"visual",
"function,",
"but",
"visual",
"acuity",
"is",
"not",
"a",
"suitable",
"measure",
"of",
"future",
"visual",
"loss",
"as",
"the",
"sight-threatening",
"eye",
"pathologies",
"often",
"are",
"©",
"2011",
"de",
"Fine",
"Olivarius",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,945,646 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
77,
11
],
[
149,
75,
40,
11
],
[
191,
75,
17,
11
],
[
210,
75,
36,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
70,
25
],
[
145,
187,
64,
25
],
[
70,
220,
106,
25
],
[
180,
220,
114,
25
],
[
299,
220,
17,
25
],
[
320,
220,
107,
25
],
[
432,
220,
77,
25
],
[
120,
289,
14,
17
],
[
136,
289,
16,
17
],
[
155,
289,
15,
17
],
[
173,
289,
43,
17
],
[
219,
289,
10,
17
],
[
233,
289,
55,
17
],
[
291,
289,
13,
17
],
[
307,
289,
43,
17
],
[
353,
289,
27,
17
],
[
383,
289,
10,
17
],
[
396,
289,
51,
17
],
[
120,
320,
19,
13
],
[
142,
320,
50,
13
],
[
195,
320,
82,
13
],
[
279,
320,
42,
13
],
[
324,
320,
26,
13
],
[
352,
320,
61,
13
],
[
415,
320,
44,
13
],
[
462,
320,
50,
13
],
[
514,
320,
31,
13
],
[
547,
320,
61,
13
],
[
610,
320,
28,
13
],
[
640,
320,
25,
13
],
[
668,
320,
17,
13
],
[
120,
347,
83,
13
],
[
205,
347,
34,
13
],
[
242,
347,
12,
13
],
[
256,
347,
49,
13
],
[
308,
347,
11,
13
],
[
321,
347,
7,
13
],
[
330,
347,
40,
13
],
[
373,
347,
104,
13
],
[
120,
374,
44,
13
],
[
166,
374,
6,
13
],
[
175,
374,
23,
13
],
[
200,
374,
27,
13
],
[
230,
374,
39,
13
],
[
271,
374,
12,
13
],
[
286,
374,
20,
13
],
[
308,
374,
27,
13
],
[
338,
374,
46,
13
],
[
386,
374,
6,
13
],
[
395,
374,
35,
13
],
[
433,
374,
24,
13
],
[
120,
399,
49,
13
],
[
172,
399,
35,
13
],
[
209,
399,
29,
13
],
[
240,
399,
30,
13
],
[
120,
425,
52,
13
],
[
174,
425,
9,
13
],
[
186,
425,
24,
13
],
[
213,
425,
10,
13
],
[
226,
425,
12,
13
],
[
240,
425,
11,
13
],
[
254,
425,
28,
13
],
[
284,
425,
10,
13
],
[
295,
425,
12,
13
],
[
310,
425,
22,
13
],
[
335,
425,
8,
13
],
[
345,
425,
13,
13
],
[
360,
425,
26,
13
],
[
388,
425,
30,
13
],
[
421,
425,
31,
13
],
[
455,
425,
55,
13
],
[
512,
425,
30,
13
],
[
545,
425,
16,
13
],
[
564,
425,
41,
13
],
[
607,
425,
53,
13
],
[
663,
425,
58,
13
],
[
723,
425,
40,
13
],
[
120,
439,
31,
13
],
[
153,
439,
39,
13
],
[
194,
439,
61,
13
],
[
258,
439,
20,
13
],
[
280,
439,
63,
13
],
[
345,
439,
19,
13
],
[
367,
439,
66,
13
],
[
436,
439,
11,
13
],
[
449,
439,
18,
13
],
[
469,
439,
46,
13
],
[
517,
439,
45,
13
],
[
565,
439,
16,
13
],
[
584,
439,
39,
13
],
[
625,
439,
26,
13
],
[
654,
439,
8,
13
],
[
664,
439,
43,
13
],
[
710,
439,
28,
13
],
[
120,
466,
50,
13
],
[
174,
466,
50,
13
],
[
228,
466,
30,
13
],
[
262,
466,
46,
13
],
[
312,
466,
16,
13
],
[
333,
466,
61,
13
],
[
398,
466,
43,
13
],
[
444,
466,
36,
13
],
[
485,
466,
77,
13
],
[
565,
466,
19,
13
],
[
589,
466,
71,
13
],
[
664,
466,
20,
13
],
[
688,
466,
18,
13
],
[
710,
466,
29,
13
],
[
743,
466,
10,
13
],
[
757,
466,
6,
13
],
[
120,
480,
64,
13
],
[
188,
480,
10,
13
],
[
202,
480,
37,
13
],
[
242,
480,
6,
13
],
[
252,
480,
70,
13
],
[
326,
480,
45,
13
],
[
374,
480,
54,
13
],
[
432,
480,
20,
13
],
[
456,
480,
17,
13
],
[
477,
480,
24,
13
],
[
505,
480,
54,
13
],
[
562,
480,
11,
13
],
[
576,
480,
16,
13
],
[
596,
480,
46,
13
],
[
646,
480,
15,
13
],
[
665,
480,
22,
13
],
[
690,
480,
21,
13
],
[
714,
480,
26,
13
],
[
744,
480,
19,
13
],
[
120,
495,
18,
13
],
[
140,
495,
28,
13
],
[
171,
495,
10,
13
],
[
183,
495,
36,
13
],
[
221,
495,
27,
13
],
[
251,
495,
19,
13
],
[
272,
495,
31,
13
],
[
305,
495,
32,
13
],
[
339,
495,
46,
13
],
[
388,
495,
11,
13
],
[
401,
495,
51,
13
],
[
454,
495,
53,
13
],
[
509,
495,
19,
13
],
[
530,
495,
47,
13
],
[
580,
495,
16,
13
],
[
598,
495,
44,
13
],
[
643,
495,
15,
13
],
[
660,
495,
37,
13
],
[
700,
495,
63,
13
],
[
120,
509,
21,
13
],
[
145,
509,
18,
13
],
[
167,
509,
28,
13
],
[
199,
509,
11,
13
],
[
214,
509,
18,
13
],
[
236,
509,
51,
13
],
[
291,
509,
17,
13
],
[
313,
509,
27,
13
],
[
344,
509,
54,
13
],
[
402,
509,
33,
13
],
[
439,
509,
11,
13
],
[
454,
509,
33,
13
],
[
491,
509,
63,
13
],
[
558,
509,
48,
13
],
[
610,
509,
50,
13
],
[
664,
509,
43,
13
],
[
711,
509,
52,
13
],
[
120,
524,
65,
13
],
[
188,
524,
8,
13
],
[
200,
524,
27,
13
],
[
230,
524,
11,
13
],
[
244,
524,
34,
13
],
[
280,
524,
51,
13
],
[
335,
524,
19,
13
],
[
357,
524,
50,
13
],
[
410,
524,
22,
13
],
[
435,
524,
33,
13
],
[
472,
524,
47,
13
],
[
522,
524,
16,
13
],
[
541,
524,
54,
13
],
[
599,
524,
11,
13
],
[
612,
524,
21,
13
],
[
636,
524,
19,
13
],
[
659,
524,
46,
13
],
[
708,
524,
16,
13
],
[
727,
524,
36,
13
],
[
120,
538,
77,
13
],
[
199,
538,
8,
13
],
[
210,
538,
65,
13
],
[
278,
538,
39,
13
],
[
320,
538,
8,
13
],
[
330,
538,
51,
13
],
[
384,
538,
20,
13
],
[
406,
538,
58,
13
],
[
467,
538,
11,
13
],
[
480,
538,
6,
13
],
[
488,
538,
86,
13
],
[
576,
538,
47,
13
],
[
626,
538,
8,
13
],
[
637,
538,
62,
13
],
[
70,
606,
13,
17
],
[
86,
606,
92,
17
],
[
70,
640,
23,
14
],
[
98,
640,
9,
14
],
[
113,
640,
23,
14
],
[
141,
640,
63,
14
],
[
210,
640,
9,
14
],
[
225,
640,
36,
14
],
[
267,
640,
26,
14
],
[
298,
640,
18,
14
],
[
322,
640,
82,
14
],
[
70,
656,
12,
14
],
[
87,
656,
41,
14
],
[
133,
656,
26,
14
],
[
164,
656,
7,
14
],
[
175,
656,
37,
14
],
[
217,
656,
12,
14
],
[
234,
656,
56,
14
],
[
295,
656,
13,
14
],
[
313,
656,
37,
14
],
[
355,
656,
21,
14
],
[
381,
656,
23,
14
],
[
70,
672,
51,
14
],
[
124,
672,
6,
14
],
[
133,
672,
31,
14
],
[
167,
672,
12,
14
],
[
182,
672,
55,
14
],
[
240,
672,
21,
14
],
[
264,
672,
68,
14
],
[
335,
672,
44,
14
],
[
382,
672,
22,
14
],
[
70,
688,
32,
14
],
[
105,
688,
11,
14
],
[
121,
688,
7,
14
],
[
131,
688,
71,
14
],
[
206,
688,
12,
14
],
[
221,
688,
82,
14
],
[
308,
688,
12,
14
],
[
323,
688,
41,
14
],
[
368,
688,
26,
14
],
[
398,
688,
6,
14
],
[
70,
703,
37,
14
],
[
111,
703,
12,
14
],
[
127,
703,
56,
14
],
[
187,
703,
13,
14
],
[
204,
703,
41,
14
],
[
249,
703,
25,
14
],
[
278,
703,
66,
14
],
[
349,
703,
55,
14
],
[
70,
719,
49,
14
],
[
125,
719,
35,
14
],
[
166,
719,
127,
14
],
[
298,
719,
30,
14
],
[
335,
719,
12,
14
],
[
352,
719,
18,
14
],
[
376,
719,
28,
14
],
[
70,
735,
21,
14
],
[
94,
735,
20,
14
],
[
116,
735,
13,
14
],
[
133,
735,
30,
14
],
[
165,
735,
57,
14
],
[
224,
735,
13,
14
],
[
239,
735,
37,
14
],
[
279,
735,
56,
14
],
[
338,
735,
18,
14
],
[
359,
735,
45,
14
],
[
70,
751,
20,
14
],
[
93,
751,
21,
14
],
[
118,
751,
92,
14
],
[
213,
751,
17,
14
],
[
233,
751,
23,
14
],
[
259,
751,
42,
14
],
[
305,
751,
18,
14
],
[
325,
751,
79,
14
],
[
70,
767,
34,
14
],
[
106,
767,
34,
14
],
[
143,
767,
23,
14
],
[
169,
767,
40,
14
],
[
211,
767,
18,
14
],
[
232,
767,
40,
14
],
[
274,
767,
85,
14
],
[
362,
767,
21,
14
],
[
386,
767,
18,
14
],
[
70,
782,
73,
14
],
[
145,
782,
12,
14
],
[
160,
782,
29,
14
],
[
191,
782,
44,
14
],
[
238,
782,
17,
14
],
[
258,
782,
20,
14
],
[
280,
782,
27,
14
],
[
310,
782,
16,
14
],
[
328,
782,
15,
14
],
[
70,
822,
20,
14
],
[
96,
822,
50,
14
],
[
152,
822,
9,
14
],
[
168,
822,
48,
14
],
[
221,
822,
35,
14
],
[
262,
822,
17,
14
],
[
285,
822,
18,
14
],
[
309,
822,
32,
14
],
[
347,
822,
57,
14
],
[
70,
838,
61,
14
],
[
134,
838,
30,
14
],
[
167,
838,
124,
14
],
[
295,
838,
54,
14
],
[
352,
838,
21,
14
],
[
376,
838,
28,
14
],
[
70,
854,
26,
14
],
[
99,
854,
21,
14
],
[
124,
854,
31,
14
],
[
158,
854,
46,
14
],
[
206,
854,
43,
14
],
[
253,
854,
33,
14
],
[
289,
854,
26,
14
],
[
318,
854,
15,
14
],
[
337,
854,
67,
14
],
[
70,
869,
57,
14
],
[
130,
869,
28,
14
],
[
161,
869,
57,
14
],
[
70,
909,
20,
14
],
[
98,
909,
60,
14
],
[
164,
909,
28,
14
],
[
200,
909,
26,
14
],
[
234,
909,
12,
14
],
[
254,
909,
64,
14
],
[
326,
909,
78,
14
],
[
70,
925,
43,
14
],
[
120,
925,
17,
14
],
[
145,
925,
28,
14
],
[
180,
925,
12,
14
],
[
199,
925,
20,
14
],
[
227,
925,
37,
14
],
[
271,
925,
77,
14
],
[
356,
925,
48,
14
],
[
70,
940,
18,
14
],
[
92,
940,
50,
14
],
[
147,
940,
45,
14
],
[
196,
940,
12,
14
],
[
212,
940,
73,
14
],
[
290,
940,
55,
14
],
[
349,
940,
9,
14
],
[
362,
940,
42,
14
],
[
70,
956,
78,
14
],
[
155,
956,
31,
14
],
[
192,
956,
25,
14
],
[
224,
956,
42,
14
],
[
272,
956,
11,
14
],
[
289,
956,
18,
14
],
[
314,
956,
52,
14
],
[
372,
956,
32,
14
],
[
70,
972,
38,
14
],
[
115,
972,
39,
14
],
[
162,
972,
7,
14
],
[
176,
972,
78,
14
],
[
261,
972,
50,
14
],
[
318,
972,
45,
14
],
[
370,
972,
34,
14
],
[
70,
988,
18,
14
],
[
95,
988,
34,
14
],
[
136,
988,
60,
14
],
[
203,
988,
14,
14
],
[
224,
988,
55,
14
],
[
286,
988,
50,
14
],
[
343,
988,
21,
14
],
[
371,
988,
33,
14
],
[
70,
1004,
30,
14
],
[
105,
1004,
30,
14
],
[
140,
1004,
23,
14
],
[
168,
1004,
25,
14
],
[
197,
1004,
56,
14
],
[
259,
1004,
18,
14
],
[
281,
1004,
37,
14
],
[
323,
1004,
12,
14
],
[
339,
1004,
18,
14
],
[
362,
1004,
42,
14
],
[
70,
1019,
52,
14
],
[
125,
1019,
39,
14
],
[
166,
1019,
28,
14
],
[
196,
1019,
58,
14
],
[
257,
1019,
23,
14
],
[
282,
1019,
27,
14
],
[
311,
1019,
40,
14
],
[
354,
1019,
50,
14
],
[
428,
609,
19,
14
],
[
451,
609,
38,
14
],
[
494,
609,
38,
15
],
[
537,
609,
9,
14
],
[
550,
609,
53,
14
],
[
608,
609,
41,
14
],
[
654,
609,
38,
14
],
[
696,
609,
21,
14
],
[
722,
609,
40,
14
],
[
428,
624,
82,
14
],
[
512,
624,
43,
14
],
[
558,
624,
18,
14
],
[
578,
624,
62,
14
],
[
643,
624,
12,
14
],
[
657,
624,
20,
14
],
[
680,
624,
59,
14
],
[
741,
624,
21,
14
],
[
428,
640,
50,
14
],
[
481,
640,
41,
14
],
[
526,
640,
38,
14
],
[
567,
640,
12,
14
],
[
582,
640,
61,
14
],
[
646,
640,
34,
14
],
[
684,
640,
49,
14
],
[
736,
640,
26,
14
],
[
428,
656,
19,
14
],
[
449,
656,
46,
14
],
[
497,
656,
9,
14
],
[
508,
656,
53,
14
],
[
564,
656,
61,
14
],
[
627,
656,
36,
14
],
[
666,
656,
25,
14
],
[
694,
656,
69,
14
],
[
428,
672,
41,
14
],
[
475,
672,
31,
14
],
[
512,
672,
55,
14
],
[
572,
672,
12,
14
],
[
590,
672,
15,
14
],
[
610,
672,
21,
14
],
[
637,
672,
35,
14
],
[
677,
672,
11,
14
],
[
694,
672,
68,
14
],
[
428,
687,
12,
14
],
[
446,
687,
43,
14
],
[
494,
687,
35,
14
],
[
535,
687,
52,
14
],
[
592,
687,
18,
14
],
[
616,
687,
71,
14
],
[
692,
687,
9,
14
],
[
707,
687,
17,
14
],
[
730,
687,
33,
14
],
[
428,
703,
41,
14
],
[
472,
703,
30,
14
],
[
505,
703,
12,
14
],
[
520,
703,
18,
14
],
[
540,
703,
25,
14
],
[
569,
703,
7,
14
],
[
578,
703,
71,
14
],
[
652,
703,
55,
14
],
[
709,
703,
12,
14
],
[
724,
703,
39,
14
],
[
428,
719,
50,
14
],
[
481,
719,
21,
14
],
[
449,
735,
28,
14
],
[
483,
735,
59,
14
],
[
548,
735,
30,
14
],
[
584,
735,
12,
14
],
[
601,
735,
41,
14
],
[
648,
735,
31,
14
],
[
685,
735,
12,
14
],
[
702,
735,
18,
14
],
[
726,
735,
37,
14
],
[
428,
751,
14,
14
],
[
447,
751,
12,
14
],
[
465,
751,
14,
14
],
[
484,
751,
36,
14
],
[
525,
751,
25,
14
],
[
555,
751,
36,
14
],
[
597,
751,
12,
14
],
[
614,
751,
18,
14
],
[
637,
751,
37,
14
],
[
680,
751,
12,
14
],
[
697,
751,
18,
14
],
[
720,
751,
42,
14
],
[
428,
766,
52,
14
],
[
487,
766,
51,
14
],
[
545,
766,
21,
14
],
[
573,
766,
7,
14
],
[
586,
766,
54,
14
],
[
648,
766,
12,
14
],
[
666,
766,
39,
14
],
[
712,
766,
50,
14
],
[
428,
782,
27,
14
],
[
461,
782,
45,
14
],
[
511,
782,
30,
14
],
[
547,
782,
17,
14
],
[
570,
782,
64,
14
],
[
639,
782,
14,
14
],
[
658,
782,
79,
14
],
[
743,
782,
19,
14
],
[
428,
798,
49,
14
],
[
480,
798,
32,
14
],
[
516,
798,
32,
14
],
[
551,
798,
19,
14
],
[
573,
798,
30,
14
],
[
606,
798,
26,
14
],
[
635,
798,
14,
14
],
[
652,
798,
32,
14
],
[
687,
798,
27,
14
],
[
718,
798,
45,
14
],
[
428,
814,
68,
14
],
[
498,
814,
9,
14
],
[
510,
814,
47,
14
],
[
559,
814,
44,
14
],
[
605,
814,
39,
14
],
[
645,
814,
40,
14
],
[
687,
814,
26,
14
],
[
715,
814,
11,
14
],
[
729,
814,
33,
14
],
[
428,
830,
72,
14
],
[
507,
830,
21,
14
],
[
535,
830,
24,
14
],
[
565,
830,
12,
14
],
[
583,
830,
18,
14
],
[
608,
830,
28,
14
],
[
642,
830,
46,
14
],
[
694,
830,
17,
14
],
[
718,
830,
44,
14
],
[
428,
845,
41,
14
],
[
474,
845,
29,
14
],
[
508,
845,
27,
14
],
[
540,
845,
33,
14
],
[
577,
845,
51,
14
],
[
633,
845,
17,
14
],
[
654,
845,
41,
14
],
[
700,
845,
17,
14
],
[
722,
845,
22,
14
],
[
749,
845,
14,
14
],
[
428,
861,
18,
14
],
[
451,
861,
41,
14
],
[
497,
861,
12,
14
],
[
514,
861,
90,
14
],
[
609,
861,
14,
14
],
[
628,
861,
34,
14
],
[
667,
861,
96,
14
],
[
428,
877,
41,
14
],
[
473,
877,
17,
14
],
[
495,
877,
68,
14
],
[
567,
877,
12,
14
],
[
582,
877,
45,
14
],
[
631,
877,
22,
14
],
[
657,
877,
28,
14
],
[
689,
877,
57,
14
],
[
751,
877,
12,
14
],
[
428,
893,
29,
14
],
[
462,
893,
9,
14
],
[
475,
893,
18,
14
],
[
498,
893,
39,
14
],
[
542,
893,
41,
14
],
[
588,
893,
44,
14
],
[
636,
893,
12,
14
],
[
653,
893,
51,
14
],
[
709,
893,
26,
14
],
[
739,
893,
23,
14
],
[
428,
909,
53,
14
],
[
484,
909,
12,
14
],
[
498,
909,
24,
14
],
[
525,
909,
65,
14
],
[
593,
909,
52,
14
],
[
647,
909,
37,
14
],
[
687,
909,
40,
14
],
[
730,
909,
33,
14
],
[
428,
924,
17,
14
],
[
450,
924,
55,
14
],
[
510,
924,
12,
14
],
[
527,
924,
107,
14
],
[
639,
924,
59,
14
],
[
703,
924,
38,
14
],
[
746,
924,
17,
14
],
[
428,
940,
18,
14
],
[
449,
940,
34,
14
],
[
486,
940,
31,
14
],
[
519,
940,
43,
14
],
[
565,
940,
38,
14
],
[
605,
940,
63,
14
],
[
671,
940,
28,
14
],
[
702,
940,
36,
14
],
[
741,
940,
21,
14
],
[
428,
956,
49,
14
],
[
480,
956,
23,
14
],
[
505,
956,
50,
14
],
[
558,
956,
12,
14
],
[
572,
956,
57,
14
],
[
632,
956,
21,
14
],
[
656,
956,
36,
14
],
[
695,
956,
28,
14
],
[
726,
956,
36,
14
],
[
428,
972,
17,
14
],
[
450,
972,
18,
14
],
[
473,
972,
25,
14
],
[
504,
972,
27,
14
],
[
537,
972,
21,
14
],
[
563,
972,
13,
14
],
[
580,
972,
56,
14
],
[
642,
972,
55,
14
],
[
702,
972,
60,
14
],
[
428,
987,
36,
14
],
[
468,
987,
12,
14
],
[
483,
987,
37,
14
],
[
523,
987,
44,
14
],
[
571,
987,
15,
14
],
[
589,
987,
15,
14
],
[
607,
987,
21,
14
],
[
632,
987,
51,
14
],
[
686,
987,
27,
14
],
[
717,
987,
33,
14
],
[
753,
987,
9,
14
],
[
428,
1003,
6,
14
],
[
437,
1003,
49,
14
],
[
489,
1003,
21,
14
],
[
512,
1003,
12,
14
],
[
526,
1003,
28,
14
],
[
557,
1003,
15,
14
],
[
574,
1003,
21,
14
],
[
598,
1003,
41,
14
],
[
641,
1003,
21,
14
],
[
665,
1003,
14,
14
],
[
682,
1003,
81,
14
],
[
428,
1019,
53,
14
],
[
483,
1019,
12,
14
],
[
497,
1019,
61,
14
],
[
561,
1019,
61,
14
],
[
624,
1019,
21,
14
],
[
648,
1019,
65,
14
],
[
715,
1019,
22,
14
],
[
740,
1019,
22,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Gastroenterology",
"Research",
"and",
"Practice",
"Volume",
"2011,",
"Article",
"ID",
"410971,",
"6",
"pages",
"doi:10.1155/2011/410971",
"Review",
"Article",
"Refeeding",
"Syndrome:",
"A",
"Literature",
"Review",
"L.",
"U.",
"R.",
"Khan,",
"J.",
"Ahmed,",
"S.",
"Khan,",
"and",
"J.",
"MacFie",
"The",
"Combined",
"Gastroenterology",
"Research",
"Unit,",
"Scarborough",
"Hospital,",
"Woodland",
"Drive,",
"Scarborough",
"YO12",
"6QL,",
"UK",
"Correspondence",
"should",
"be",
"addressed",
"to",
"J.",
"Ahmed,",
"drjag@hotmail.co.uk",
"Received",
"1",
"June",
"2010;",
"Revised",
"21",
"July",
"2010;",
"Accepted",
"3",
"August",
"2010",
"Academic",
"Editor:",
"Re´my",
"Meier",
"Copyright",
"©",
"2011",
"L.",
"U.",
"R.",
"Khan",
"et",
"al.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Refeeding",
"syndrome",
"(RFS)",
"describes",
"the",
"biochemical",
"changes,",
"clinical",
"manifestations,",
"and",
"complications",
"that",
"can",
"occur",
"as",
"a",
"consequence",
"of",
"feeding",
"a",
"malnourished",
"catabolic",
"individual.",
"RFS",
"has",
"been",
"recognised",
"in",
"the",
"literature",
"for",
"over",
"fifty",
"years",
"and",
"can",
"result",
"in",
"serious",
"harm",
"and",
"death.",
"Crude",
"estimates",
"of",
"incidence,",
"morbidity,",
"and",
"mortality",
"are",
"available",
"for",
"specific",
"populations.",
"RFS",
"can",
"occur",
"in",
"any",
"individual",
"but",
"more",
"commonly",
"occurs",
"in",
"at-risk",
"populations.",
"Increased",
"awareness",
"amongst",
"healthcare",
"professionals",
"is",
"likely",
"to",
"reduce",
"morbidity",
"and",
"mortality.",
"This",
"review",
"examines",
"the",
"physiology",
"of",
"RFS",
"and",
"describes",
"the",
"clinical",
"manifestations.",
"A",
"management",
"strategy",
"is",
"described.",
"The",
"importance",
"of",
"a",
"multidisciplinary",
"approach",
"is",
"emphasized.",
"1.",
"Introduction",
"RFS",
"is",
"well",
"recognised.",
"It",
"occurs",
"after",
"the",
"reintroduction",
"of",
"feeding",
"after",
"a",
"period",
"of",
"starvation",
"or",
"fasting",
"[1].",
"RFS",
"describes",
"a",
"series",
"of",
"metabolic",
"and",
"biochemical",
"changes",
"that",
"occur",
"as",
"a",
"consequence",
"of",
"reintroduction",
"of",
"feeding",
"after",
"a",
"period",
"of",
"starvation",
"or",
"fasting.",
"This",
"unfavorable",
"metabolic",
"response",
"causes",
"nonimmune-mediated",
"harm",
"to",
"the",
"body",
"and",
"can",
"be",
"mild,",
"moderate,",
"or",
"severe.",
"Although,",
"the",
"physiol-",
"ogy",
"and",
"pathophysiology",
"are",
"well",
"known,",
"the",
"circumstances",
"under",
"which",
"RFS",
"occurs,",
"the",
"clinical",
"manifestations,",
"and",
"the",
"management",
"of",
"these",
"patients",
"are",
"less",
"clear",
"[2,",
"3].",
"1.1.",
"Methods.",
"A",
"PubMed",
"search",
"for",
"the",
"terms",
"“refeeding",
"syndrome”",
"AND",
"“hypophosphataemia”",
"generated",
"two",
"hun-",
"dred",
"and",
"seven",
"separate",
"articles.",
"There",
"were",
"no",
"randomized",
"controlled",
"trials",
"identified.",
"1.2.",
"Physiology.",
"With",
"food",
"in",
"abundance,",
"carbohydrates",
"provide",
"for",
"most",
"of",
"our",
"energy",
"requirements.",
"Glucose,",
"the",
"principal",
"product",
"of",
"carbohydrate",
"digestion,",
"is",
"actively",
"cotransported",
"along",
"with",
"sodium",
"at",
"the",
"intestinal",
"brush",
"border",
"against",
"a",
"concentration",
"gradient.",
"Glucose",
"enters",
"the",
"portal",
"circulation",
"by",
"facilitated",
"diffusion",
"and",
"blood",
"sugar",
"levels",
"rise.",
"This",
"stimulates",
"the",
"release",
"of",
"the",
"peptide",
"hormone",
"insulin",
"from",
"pancreatic",
"islet",
"cells.",
"Insulin",
"secretion",
"has",
"several",
"effects.",
"It",
"promotes",
"glucose",
"uptake",
"and",
"storage",
"(glycogenesis),",
"inhibits",
"the",
"breakdown",
"of",
"fats",
"(lipolysis),",
"and",
"increases",
"cellular",
"uptake",
"of",
"potassium.",
"When",
"glycogen",
"stor-",
"age",
"capacity",
"is",
"exceeded,",
"lipogenesis",
"occurs",
"with",
"nonoxidised",
"glucose",
"being",
"converted",
"to",
"fat",
"and",
"stored",
"as",
"triglycerides",
"in",
"adipose",
"tissue.",
"Together,",
"the",
"consequence",
"is",
"for",
"blood",
"glucose",
"levels",
"to",
"fall",
"with",
"a",
"concomitant",
"reduction",
"in",
"insulin",
"secretion",
"[4].",
"With",
"starvation,",
"levels",
"of",
"glucose",
"begin",
"to",
"fall",
"within",
"24",
"to",
"72",
"hours.",
"This",
"results",
"in",
"the",
"release",
"of",
"the",
"peptide",
"hormone",
"glucagon",
"and",
"a",
"reduction",
"in",
"insulin",
"secretion",
"[10].",
"Glucose",
"levels",
"are",
"maintained",
"by",
"glycogenolysis",
"but",
"glycogen",
"stores",
"rarely",
"last",
"more",
"than",
"72",
"hours",
"[11].",
"Glucose",
"homeostasis",
"is",
"essential",
"because",
"certain",
"tissues,",
"such",
"as",
"brain,",
"erythrocytes,",
"and",
"cells",
"of",
"the",
"renal",
"medulla",
"are",
"obligate",
"glucose",
"users",
"[12].",
"These",
"demands",
"for",
"glucose",
"are",
"met",
"by",
"the",
"process",
"of",
"gluconeogenesis",
"by",
"which",
"noncarbohydrate",
"sources",
"are",
"metabolized",
"to",
"glucose.",
"The",
"most",
"important",
"of",
"these",
"is",
"the",
"muscle",
"protein",
"alanine.",
"In",
"addition,",
"fatty",
"acid",
"oxidation",
"in",
"liver",
"hepatocytes",
"generates",
"ketone",
"bodies.",
"These",
"are",
"converted",
"to",
"acetyl-coenzyme-A",
"generating",
"energy",
"via",
"the",
"Kreb’s",
"cycle.",
"Further",
"energy",
"production",
"from",
"lactate",
"and",
"pyruvate",
"(the",
"products",
"of",
"glycolysis)",
"and",
"amino",
"acids",
"occurs",
"via",
"the",
"Cori",
"cycle",
"[4].",
"In",
"summary,",
"metabolic",
"adaptation",
"occurs",
"to",
"ensure",
"survival",
"on",
"fat",
"fuel",
"economy",
"[13].",
"There",
"is",
"a",
"resultant",
"loss",
"of",
"body",
"fat",
"and",
"protein",
"and",
"an",
"accompanying",
"depletion",
"of",
"potassium,",
"phosphate,",
"and",
"magnesium",
"[14,",
"15]."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
3,207,882 | null | [
[
78,
47,
17,
12
],
[
99,
47,
9,
12
],
[
111,
47,
11,
12
],
[
125,
47,
21,
12
],
[
149,
47,
43,
12
],
[
195,
47,
25,
12
],
[
223,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
12,
18
],
[
109,
128,
10,
18
],
[
121,
128,
10,
18
],
[
139,
128,
11,
18
],
[
151,
128,
10,
18
],
[
162,
128,
11,
18
],
[
175,
128,
13,
18
],
[
190,
128,
11,
18
],
[
202,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
148,
34
],
[
236,
169,
103,
34
],
[
349,
169,
33,
34
],
[
392,
169,
105,
34
],
[
508,
169,
114,
34
],
[
78,
205,
141,
34
],
[
229,
205,
70,
34
],
[
310,
205,
94,
34
],
[
414,
205,
25,
34
],
[
449,
205,
86,
34
],
[
545,
205,
151,
34
],
[
78,
241,
169,
34
],
[
258,
241,
16,
34
],
[
283,
241,
58,
34
],
[
351,
241,
74,
34
],
[
436,
241,
82,
34
],
[
78,
288,
69,
16
],
[
152,
285,
33,
19
],
[
189,
288,
59,
16
],
[
252,
285,
55,
19
],
[
312,
288,
41,
16
],
[
357,
285,
48,
19
],
[
410,
288,
58,
16
],
[
472,
288,
61,
16
],
[
538,
285,
42,
19
],
[
584,
288,
33,
16
],
[
621,
285,
76,
19
],
[
702,
288,
23,
16
],
[
78,
307,
94,
16
],
[
176,
304,
38,
19
],
[
87,
361,
54,
15
],
[
87,
386,
76,
14
],
[
167,
387,
45,
14
],
[
217,
387,
48,
14
],
[
269,
387,
58,
14
],
[
331,
387,
29,
14
],
[
364,
387,
40,
14
],
[
408,
387,
8,
14
],
[
420,
387,
7,
14
],
[
431,
387,
24,
14
],
[
460,
387,
33,
14
],
[
497,
387,
11,
14
],
[
513,
387,
63,
14
],
[
580,
387,
59,
14
],
[
643,
387,
57,
14
],
[
704,
387,
14,
14
],
[
87,
403,
80,
14
],
[
172,
403,
49,
14
],
[
225,
403,
40,
14
],
[
269,
403,
21,
14
],
[
294,
403,
49,
14
],
[
347,
403,
37,
14
],
[
388,
403,
30,
14
],
[
422,
403,
88,
14
],
[
514,
403,
11,
14
],
[
530,
403,
59,
14
],
[
592,
403,
12,
14
],
[
609,
403,
72,
14
],
[
685,
403,
54,
14
],
[
87,
420,
35,
14
],
[
126,
420,
11,
14
],
[
142,
420,
7,
14
],
[
153,
420,
29,
14
],
[
186,
420,
12,
14
],
[
202,
420,
23,
14
],
[
229,
420,
12,
14
],
[
245,
420,
59,
14
],
[
308,
420,
47,
14
],
[
359,
420,
55,
14
],
[
418,
420,
69,
14
],
[
492,
420,
12,
14
],
[
508,
420,
19,
14
],
[
531,
420,
49,
14
],
[
584,
420,
35,
14
],
[
623,
420,
32,
14
],
[
659,
420,
48,
14
],
[
87,
436,
40,
14
],
[
131,
436,
21,
14
],
[
156,
436,
88,
14
],
[
248,
436,
11,
14
],
[
264,
436,
59,
14
],
[
326,
436,
43,
14
],
[
374,
436,
21,
14
],
[
400,
436,
47,
14
],
[
450,
436,
55,
14
],
[
510,
436,
41,
14
],
[
555,
436,
25,
14
],
[
584,
436,
19,
14
],
[
606,
436,
34,
14
],
[
644,
436,
11,
14
],
[
660,
436,
19,
14
],
[
683,
436,
30,
14
],
[
87,
453,
32,
14
],
[
124,
453,
19,
14
],
[
147,
453,
37,
14
],
[
188,
453,
29,
14
],
[
221,
453,
41,
14
],
[
267,
453,
11,
14
],
[
282,
453,
45,
14
],
[
331,
453,
25,
14
],
[
360,
453,
61,
14
],
[
426,
453,
39,
14
],
[
469,
453,
41,
14
],
[
515,
453,
37,
14
],
[
556,
453,
19,
14
],
[
579,
453,
36,
14
],
[
619,
453,
11,
14
],
[
635,
453,
48,
14
],
[
687,
453,
27,
14
],
[
718,
453,
7,
14
],
[
87,
470,
55,
14
],
[
87,
490,
28,
14
],
[
120,
490,
80,
14
],
[
204,
490,
18,
14
],
[
226,
490,
34,
14
],
[
265,
490,
25,
14
],
[
294,
490,
7,
14
],
[
305,
490,
31,
14
],
[
340,
490,
11,
14
],
[
355,
490,
7,
14
],
[
367,
490,
45,
14
],
[
416,
490,
11,
14
],
[
431,
490,
40,
14
],
[
475,
490,
7,
14
],
[
487,
490,
31,
14
],
[
521,
490,
22,
14
],
[
547,
490,
14,
14
],
[
565,
490,
25,
14
],
[
595,
490,
22,
14
],
[
620,
490,
25,
14
],
[
650,
490,
36,
14
],
[
87,
507,
58,
14
],
[
150,
507,
41,
14
],
[
195,
507,
22,
14
],
[
221,
507,
12,
14
],
[
237,
507,
63,
14
],
[
304,
507,
68,
14
],
[
377,
507,
50,
14
],
[
431,
507,
44,
14
],
[
479,
507,
63,
14
],
[
547,
507,
59,
14
],
[
610,
507,
25,
14
],
[
639,
507,
7,
14
],
[
650,
507,
26,
14
],
[
679,
507,
26,
14
],
[
709,
507,
11,
14
],
[
87,
524,
41,
14
],
[
133,
524,
28,
15
],
[
164,
522,
36,
15
],
[
204,
524,
15,
14
],
[
224,
524,
36,
14
],
[
265,
524,
32,
14
],
[
301,
524,
54,
14
],
[
359,
524,
59,
14
],
[
422,
524,
46,
14
],
[
471,
524,
24,
14
],
[
499,
524,
11,
14
],
[
515,
524,
30,
14
],
[
549,
524,
45,
14
],
[
599,
524,
22,
14
],
[
624,
524,
52,
14
],
[
681,
524,
37,
14
],
[
722,
524,
15,
14
],
[
87,
540,
31,
14
],
[
122,
540,
25,
14
],
[
152,
540,
33,
14
],
[
189,
540,
44,
14
],
[
237,
540,
15,
14
],
[
257,
540,
31,
14
],
[
292,
540,
59,
14
],
[
354,
540,
41,
14
],
[
399,
540,
58,
14
],
[
87,
557,
77,
14
],
[
169,
557,
11,
14
],
[
184,
557,
32,
14
],
[
221,
557,
50,
14
],
[
275,
557,
88,
14
],
[
367,
557,
11,
14
],
[
383,
557,
63,
14
],
[
450,
557,
58,
14
],
[
513,
557,
43,
14
],
[
560,
557,
25,
14
],
[
589,
557,
19,
14
],
[
612,
557,
54,
14
],
[
670,
557,
35,
14
],
[
710,
557,
11,
14
],
[
87,
573,
19,
14
],
[
110,
573,
48,
14
],
[
162,
573,
61,
14
],
[
227,
573,
21,
14
],
[
253,
573,
21,
14
],
[
279,
573,
58,
14
],
[
341,
573,
47,
14
],
[
392,
573,
45,
14
],
[
441,
573,
55,
14
],
[
500,
573,
45,
14
],
[
549,
573,
41,
14
],
[
594,
573,
11,
14
],
[
609,
573,
27,
14
],
[
640,
573,
30,
14
],
[
675,
573,
30,
14
],
[
87,
590,
45,
14
],
[
137,
590,
28,
14
],
[
169,
590,
54,
14
],
[
227,
590,
30,
14
],
[
261,
590,
22,
14
],
[
287,
590,
54,
14
],
[
345,
590,
14,
14
],
[
364,
590,
29,
14
],
[
397,
590,
45,
14
],
[
447,
590,
78,
14
],
[
529,
590,
20,
14
],
[
554,
590,
41,
14
],
[
599,
590,
74,
14
],
[
677,
590,
25,
14
],
[
87,
607,
65,
14
],
[
156,
607,
32,
14
],
[
193,
607,
17,
14
],
[
214,
607,
9,
14
],
[
227,
607,
17,
14
],
[
248,
607,
12,
14
],
[
265,
607,
14,
14
],
[
283,
607,
9,
14
],
[
295,
607,
30,
14
],
[
329,
607,
22,
14
],
[
356,
607,
76,
14
],
[
436,
607,
22,
14
],
[
461,
607,
51,
14
],
[
517,
607,
30,
14
],
[
551,
607,
27,
14
],
[
582,
607,
36,
14
],
[
622,
607,
47,
14
],
[
673,
607,
57,
14
],
[
87,
623,
17,
14
],
[
109,
623,
9,
14
],
[
122,
623,
7,
14
],
[
133,
623,
12,
14
],
[
149,
623,
14,
14
],
[
167,
623,
9,
14
],
[
180,
623,
7,
14
],
[
191,
623,
18,
14
],
[
213,
623,
29,
16
],
[
246,
623,
11,
14
],
[
261,
623,
22,
14
],
[
287,
623,
30,
14
],
[
321,
623,
32,
14
],
[
357,
623,
54,
14
],
[
415,
623,
19,
14
],
[
438,
623,
75,
14
],
[
517,
623,
11,
14
],
[
533,
623,
31,
14
],
[
568,
623,
59,
14
],
[
630,
623,
41,
14
],
[
675,
623,
56,
14
],
[
87,
640,
25,
14
],
[
116,
640,
52,
14
],
[
172,
640,
78,
14
],
[
254,
640,
71,
14
],
[
87,
660,
75,
14
],
[
167,
661,
21,
14
],
[
192,
661,
45,
14
],
[
241,
661,
50,
14
],
[
295,
661,
19,
14
],
[
318,
661,
51,
14
],
[
374,
661,
21,
14
],
[
399,
661,
39,
14
],
[
443,
661,
11,
14
],
[
458,
661,
32,
14
],
[
495,
661,
11,
14
],
[
510,
661,
45,
14
],
[
559,
661,
25,
14
],
[
588,
661,
36,
14
],
[
628,
661,
63,
14
],
[
87,
677,
71,
14
],
[
162,
677,
32,
14
],
[
199,
677,
48,
14
],
[
250,
677,
7,
14
],
[
261,
677,
20,
14
],
[
285,
677,
58,
14
],
[
348,
677,
59,
14
],
[
411,
677,
50,
14
],
[
465,
677,
31,
14
],
[
501,
677,
58,
14
],
[
563,
677,
52,
14
],
[
619,
677,
25,
14
],
[
648,
677,
30,
14
],
[
682,
677,
35,
14
],
[
722,
677,
15,
14
],
[
87,
694,
69,
14
],
[
161,
694,
21,
14
],
[
186,
694,
30,
14
],
[
220,
694,
44,
14
],
[
269,
694,
15,
14
],
[
289,
694,
19,
14
],
[
311,
694,
48,
14
],
[
78,
740,
77,
15
],
[
78,
757,
52,
14
],
[
135,
757,
51,
14
],
[
191,
757,
66,
14
],
[
261,
757,
33,
14
],
[
298,
757,
51,
14
],
[
354,
757,
10,
14
],
[
368,
757,
6,
14
],
[
379,
757,
25,
14
],
[
78,
773,
45,
14
],
[
127,
773,
12,
14
],
[
142,
773,
45,
14
],
[
191,
773,
62,
14
],
[
257,
773,
23,
14
],
[
284,
773,
20,
14
],
[
308,
773,
14,
14
],
[
325,
773,
27,
14
],
[
356,
773,
17,
14
],
[
377,
773,
27,
14
],
[
78,
790,
27,
14
],
[
108,
790,
57,
14
],
[
169,
790,
12,
14
],
[
184,
790,
38,
14
],
[
226,
790,
21,
14
],
[
251,
790,
22,
14
],
[
277,
790,
26,
14
],
[
306,
790,
61,
14
],
[
371,
790,
32,
14
],
[
78,
807,
9,
14
],
[
91,
807,
59,
14
],
[
154,
807,
14,
14
],
[
172,
807,
83,
14
],
[
258,
807,
52,
14
],
[
314,
807,
39,
14
],
[
357,
807,
46,
14
],
[
78,
823,
7,
14
],
[
88,
823,
38,
14
],
[
130,
823,
26,
14
],
[
159,
823,
25,
14
],
[
188,
823,
43,
14
],
[
235,
823,
58,
14
],
[
297,
823,
15,
14
],
[
315,
823,
14,
14
],
[
333,
823,
44,
14
],
[
380,
823,
23,
14
],
[
78,
840,
50,
14
],
[
132,
840,
51,
14
],
[
187,
840,
38,
14
],
[
228,
840,
30,
14
],
[
262,
840,
90,
14
],
[
355,
840,
11,
14
],
[
370,
840,
33,
14
],
[
78,
856,
33,
14
],
[
115,
856,
12,
14
],
[
130,
856,
72,
14
],
[
206,
856,
55,
14
],
[
264,
856,
37,
14
],
[
305,
856,
11,
14
],
[
320,
856,
7,
14
],
[
330,
856,
32,
14
],
[
365,
856,
12,
14
],
[
380,
856,
23,
14
],
[
78,
873,
12,
14
],
[
95,
873,
60,
14
],
[
160,
873,
53,
14
],
[
217,
873,
62,
14
],
[
283,
873,
79,
14
],
[
367,
873,
13,
14
],
[
384,
873,
20,
14
],
[
78,
913,
5,
11
],
[
86,
913,
70,
11
],
[
159,
913,
121,
11
],
[
78,
925,
5,
11
],
[
87,
925,
50,
11
],
[
140,
925,
30,
11
],
[
78,
936,
26,
13
],
[
108,
937,
11,
11
],
[
122,
937,
52,
11
],
[
177,
937,
49,
11
],
[
229,
937,
30,
11
],
[
263,
937,
51,
11
],
[
316,
937,
44,
11
],
[
363,
937,
19,
11
],
[
386,
937,
11,
11
],
[
78,
950,
31,
11
],
[
112,
950,
10,
11
],
[
125,
950,
42,
11
],
[
170,
950,
57,
11
],
[
230,
950,
25,
11
],
[
258,
950,
31,
11
],
[
292,
950,
28,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
740,
56,
14
],
[
483,
740,
36,
14
],
[
524,
740,
22,
14
],
[
550,
740,
26,
14
],
[
582,
740,
12,
14
],
[
599,
740,
19,
14
],
[
622,
740,
41,
14
],
[
668,
740,
12,
14
],
[
685,
740,
19,
14
],
[
709,
740,
40,
14
],
[
423,
757,
61,
14
],
[
487,
757,
44,
14
],
[
434,
773,
39,
14
],
[
477,
773,
19,
14
],
[
499,
773,
38,
14
],
[
541,
773,
27,
14
],
[
572,
773,
41,
14
],
[
616,
773,
11,
14
],
[
631,
773,
47,
14
],
[
682,
773,
24,
14
],
[
709,
773,
39,
14
],
[
423,
790,
28,
14
],
[
455,
790,
42,
14
],
[
500,
790,
43,
14
],
[
547,
790,
28,
14
],
[
579,
790,
38,
14
],
[
621,
790,
19,
14
],
[
643,
790,
37,
14
],
[
685,
790,
12,
14
],
[
700,
790,
48,
14
],
[
423,
807,
29,
14
],
[
455,
807,
7,
14
],
[
466,
807,
61,
14
],
[
530,
807,
20,
14
],
[
555,
807,
37,
14
],
[
595,
807,
26,
14
],
[
625,
807,
6,
14
],
[
636,
807,
33,
14
],
[
673,
807,
12,
14
],
[
688,
807,
7,
14
],
[
699,
807,
49,
14
],
[
423,
823,
26,
14
],
[
452,
823,
36,
14
],
[
491,
823,
63,
14
],
[
558,
823,
43,
14
],
[
604,
823,
21,
14
],
[
629,
823,
12,
14
],
[
645,
823,
63,
14
],
[
711,
823,
37,
14
],
[
423,
840,
18,
14
],
[
444,
840,
28,
14
],
[
476,
840,
34,
14
],
[
514,
840,
72,
14
],
[
589,
840,
17,
14
],
[
610,
840,
36,
14
],
[
649,
840,
40,
14
],
[
692,
840,
56,
14
],
[
423,
856,
61,
14
],
[
487,
856,
47,
14
],
[
423,
889,
30,
15
],
[
457,
889,
82,
15
],
[
423,
906,
25,
14
],
[
452,
906,
25,
14
],
[
482,
906,
10,
14
],
[
497,
906,
7,
14
],
[
508,
906,
42,
14
],
[
555,
906,
45,
14
],
[
605,
906,
25,
14
],
[
635,
906,
60,
14
],
[
700,
906,
48,
14
],
[
423,
923,
51,
14
],
[
478,
923,
52,
14
],
[
534,
923,
24,
14
],
[
562,
923,
27,
14
],
[
593,
923,
72,
14
],
[
669,
923,
9,
14
],
[
683,
923,
27,
14
],
[
714,
923,
34,
14
],
[
423,
940,
17,
14
],
[
444,
940,
22,
14
],
[
471,
940,
50,
14
],
[
525,
940,
40,
14
],
[
570,
940,
20,
14
],
[
595,
940,
28,
14
],
[
628,
940,
27,
14
],
[
660,
940,
12,
14
],
[
676,
940,
21,
14
],
[
702,
940,
24,
14
],
[
731,
940,
17,
14
],
[
423,
956,
49,
14
],
[
476,
956,
48,
14
],
[
529,
956,
29,
14
],
[
562,
956,
6,
14
],
[
573,
956,
57,
14
],
[
635,
956,
25,
14
],
[
664,
956,
28,
14
],
[
697,
956,
51,
14
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
14,
10
],
[
294,
987,
8,
10
],
[
305,
987,
8,
10
],
[
315,
987,
30,
10
],
[
348,
987,
29,
10
],
[
380,
987,
27,
10
],
[
409,
987,
14,
10
],
[
426,
987,
15,
10
],
[
444,
987,
6,
10
],
[
452,
987,
10,
10
],
[
464,
987,
21,
10
],
[
488,
987,
25,
10
],
[
516,
987,
23,
10
],
[
542,
987,
41,
10
],
[
585,
987,
23,
10
],
[
610,
987,
13,
10
],
[
626,
987,
22,
10
],
[
650,
987,
8,
10
],
[
660,
987,
13,
10
],
[
675,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Liet",
"et",
"al.",
"BMC",
"Pediatrics",
"2011,",
"11:92",
"http://www.biomedcentral.com/1471-2431/11/92",
"C",
"A",
"S",
"E",
"R",
"E",
"P",
"O",
"R",
"T",
"Open",
"Access",
"Respiratory",
"support",
"by",
"neurally",
"adjusted",
"ventilatory",
"assist",
"(NAVA)",
"in",
"severe",
"RSV-related",
"bronchiolitis:",
"a",
"case",
"series",
"report",
"Jean-Michel",
"Liet1*,",
"Jean-Marc",
"Dejode1†,",
"Nicolas",
"Joram1†,",
"Bénédicte",
"Gaillard-Le",
"Roux1†,",
"Pierre",
"Bétrémieux2†",
"and",
"Jean-Christophe",
"Rozé1†",
"Abstract",
"Background:",
"Neurally",
"adjusted",
"ventilatory",
"assist",
"(NAVA)",
"is",
"a",
"new",
"mode",
"of",
"mechanical",
"ventilation",
"controlled",
"by",
"diaphragmatic",
"electrical",
"signals.",
"The",
"electrical",
"signals",
"allow",
"synchronization",
"of",
"ventilation",
"to",
"spontaneous",
"breathing",
"efforts",
"of",
"a",
"child,",
"as",
"well",
"as",
"permitting",
"pressure",
"assistance",
"proportional",
"to",
"the",
"electrical",
"signal.",
"NAVA",
"provides",
"equally",
"fine",
"synchronization",
"of",
"respiratory",
"support",
"and",
"pressure",
"assistance",
"varying",
"with",
"the",
"needs",
"of",
"the",
"child.",
"NAVA",
"has",
"mainly",
"been",
"studied",
"in",
"children",
"who",
"underwent",
"cardiac",
"surgery",
"during",
"the",
"period",
"of",
"weaning",
"from",
"a",
"respirator.",
"Case",
"presentation:",
"We",
"report",
"here",
"a",
"series",
"of",
"3",
"children",
"(1",
"month,",
"3",
"years,",
"and",
"28",
"days",
"old)",
"with",
"severe",
"respiratory",
"distress",
"due",
"to",
"RSV-related",
"bronchiolitis",
"requiring",
"invasive",
"mechanical",
"ventilation",
"with",
"a",
"high",
"level",
"of",
"oxygen",
"(FiO2",
"≥50%)",
"for",
"whom",
"NAVA",
"facilitated",
"respiratory",
"support.",
"One",
"of",
"these",
"children",
"had",
"diagnosis",
"criteria",
"for",
"acute",
"lung",
"injury,",
"another",
"for",
"acute",
"respiratory",
"distress",
"syndrome.",
"Establishment",
"of",
"NAVA",
"provided",
"synchronization",
"of",
"mechanical",
"ventilatory",
"support",
"with",
"the",
"breathing",
"efforts",
"of",
"the",
"children.",
"Respiratory",
"rate",
"and",
"inspiratory",
"pressure",
"became",
"extremely",
"variable,",
"varying",
"at",
"each",
"cycle,",
"while",
"children",
"were",
"breathing",
"easily",
"and",
"smoothly.",
"All",
"three",
"children",
"demonstrated",
"less",
"oxygen",
"requirements",
"after",
"introducing",
"NAVA",
"(57",
"±",
"6%",
"to",
"42",
"±",
"18%).",
"This",
"improvement",
"was",
"observed",
"while",
"peak",
"airway",
"pressure",
"decreased",
"(28",
"±",
"3",
"to",
"15",
"±",
"5",
"cm",
"H2O).",
"In",
"one",
"child,",
"NAVA",
"facilitated",
"the",
"management",
"of",
"acute",
"respiratory",
"distress",
"syndrome",
"with",
"extensive",
"subcutaneous",
"emphysema.",
"Conclusions:",
"Our",
"findings",
"highlight",
"the",
"feasibility",
"and",
"benefit",
"of",
"NAVA",
"in",
"children",
"with",
"severe",
"RSV-related",
"bronchiolitis.",
"NAVA",
"provides",
"a",
"less",
"aggressive",
"ventilation",
"requiring",
"lower",
"inspiratory",
"pressures",
"with",
"good",
"results",
"for",
"oxygenation",
"and",
"more",
"comfort",
"for",
"the",
"children.",
"Background",
"Neurally",
"adjusted",
"ventilatory",
"assist",
"(NAVA)",
"is",
"a",
"new",
"method",
"of",
"assisted",
"ventilation",
"that",
"can",
"be",
"used",
"for",
"chil-",
"dren",
"regardless",
"of",
"weight",
"and",
"age.",
"This",
"ventilation",
"mode",
"is",
"controlled",
"by",
"diaphragmatic",
"electrical",
"signals",
"through",
"a",
"gastric",
"tube",
"with",
"specific",
"electrodes",
"on",
"its",
"surface.",
"The",
"collected",
"electrical",
"signals",
"allow",
"synchronization",
"of",
"venti-",
"lation",
"to",
"spontaneous",
"breathing",
"efforts",
"of",
"a",
"child,",
"as",
"well",
"as",
"providing",
"pressure",
"assistance",
"proportional",
"to",
"the",
"*",
"Correspondence:",
"jeanmichel.liet@chu-nantes.fr",
"†",
"Contributed",
"equally",
"1Unité",
"de",
"Réanimation",
"Pédiatrique,",
"Hôpital",
"Mère-Enfant",
"Faïencerie,",
"CHU",
"de",
"Nantes,",
"38",
"Boulevard",
"Jean-Monnet,",
"44093",
"Nantes,",
"France",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"electrical",
"signal",
"and",
"thus",
"to",
"the",
"output",
"of",
"the",
"child’s",
"respiratory",
"centers.",
"NAVA",
"has",
"mainly",
"been",
"studied",
"in",
"children",
"who",
"under-",
"went",
"cardiac",
"surgery",
"[1-3]",
"during",
"the",
"period",
"of",
"weaning",
"from",
"a",
"respirator.",
"We",
"report",
"here",
"a",
"series",
"of",
"3",
"children",
"with",
"severe",
"respiratory",
"distress",
"due",
"to",
"respiratory",
"syncy-",
"tial",
"virus",
"(RSV)",
"bronchiolitis",
"for",
"whom",
"NAVA",
"facilitated",
"respiratory",
"support.",
"Case",
"Presentation",
"Our",
"unit",
"is",
"a",
"12-bed",
"tertiary",
"care",
"university",
"hospital",
"pediatric",
"intensive",
"care",
"unit.",
"Recruitment",
"is",
"both",
"medi-",
"cal",
"and",
"surgical.",
"NAVA",
"has",
"been",
"used",
"in",
"our",
"unit",
"for",
"weaning",
"children",
"from",
"a",
"respirator",
"who",
"were",
"operated",
"©",
"2011",
"Liet",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,180,441 | null | [
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
47,
47,
12
],
[
129,
47,
9,
12
],
[
141,
47,
11,
12
],
[
155,
47,
21,
12
],
[
179,
47,
70,
12
],
[
252,
47,
41,
12
],
[
297,
47,
25,
12
],
[
325,
47,
32,
12
],
[
78,
61,
233,
12
],
[
83,
128,
10,
18
],
[
95,
128,
10,
18
],
[
106,
128,
13,
18
],
[
121,
128,
13,
18
],
[
135,
128,
11,
18
],
[
154,
128,
11,
18
],
[
166,
128,
11,
18
],
[
178,
128,
13,
18
],
[
193,
128,
10,
18
],
[
205,
128,
13,
18
],
[
220,
128,
11,
18
],
[
232,
128,
13,
18
],
[
247,
128,
10,
18
],
[
78,
169,
128,
34
],
[
217,
169,
106,
34
],
[
333,
169,
269,
34
],
[
612,
169,
60,
34
],
[
683,
169,
43,
34
],
[
78,
205,
164,
34
],
[
253,
205,
123,
34
],
[
386,
205,
44,
34
],
[
440,
205,
107,
34
],
[
557,
205,
27,
34
],
[
594,
205,
79,
34
],
[
683,
205,
50,
34
],
[
78,
241,
51,
34
],
[
139,
241,
134,
34
],
[
283,
241,
160,
34
],
[
454,
241,
89,
34
],
[
552,
241,
27,
34
],
[
589,
241,
15,
34
],
[
615,
241,
101,
34
],
[
78,
277,
158,
34
],
[
247,
277,
134,
34
],
[
391,
277,
50,
34
],
[
78,
324,
37,
16
],
[
120,
321,
70,
19
],
[
195,
324,
37,
16
],
[
236,
321,
53,
19
],
[
293,
324,
23,
16
],
[
320,
321,
59,
19
],
[
384,
324,
39,
16
],
[
427,
321,
58,
19
],
[
489,
324,
46,
16
],
[
539,
321,
54,
19
],
[
597,
324,
37,
16
],
[
638,
321,
38,
19
],
[
78,
343,
43,
16
],
[
126,
340,
54,
19
],
[
184,
343,
33,
16
],
[
221,
340,
60,
19
],
[
285,
343,
40,
16
],
[
329,
340,
50,
19
],
[
383,
343,
45,
16
],
[
433,
340,
58,
19
],
[
495,
343,
29,
16
],
[
528,
340,
60,
19
],
[
593,
343,
30,
16
],
[
627,
340,
57,
19
],
[
688,
343,
24,
16
],
[
716,
340,
32,
19
],
[
78,
363,
39,
16
],
[
121,
360,
74,
19
],
[
200,
363,
22,
16
],
[
227,
363,
48,
16
],
[
279,
360,
38,
19
],
[
87,
417,
54,
15
],
[
87,
442,
76,
14
],
[
167,
442,
76,
14
],
[
247,
442,
20,
14
],
[
272,
442,
15,
14
],
[
290,
442,
7,
14
],
[
301,
442,
39,
14
],
[
344,
442,
72,
14
],
[
421,
442,
25,
14
],
[
450,
442,
25,
14
],
[
480,
442,
18,
14
],
[
502,
442,
66,
14
],
[
572,
442,
33,
14
],
[
609,
442,
22,
14
],
[
635,
442,
8,
14
],
[
647,
442,
22,
14
],
[
673,
442,
11,
14
],
[
689,
442,
19,
14
],
[
87,
459,
32,
14
],
[
124,
459,
37,
14
],
[
165,
459,
11,
14
],
[
180,
459,
76,
14
],
[
260,
459,
27,
14
],
[
291,
459,
62,
14
],
[
358,
459,
39,
14
],
[
401,
459,
57,
14
],
[
463,
459,
21,
14
],
[
488,
459,
43,
14
],
[
535,
459,
53,
14
],
[
593,
459,
54,
14
],
[
650,
459,
44,
14
],
[
699,
459,
24,
14
],
[
87,
475,
21,
14
],
[
113,
475,
113,
14
],
[
231,
475,
41,
14
],
[
276,
475,
28,
14
],
[
308,
475,
61,
14
],
[
373,
475,
38,
14
],
[
415,
475,
29,
14
],
[
448,
475,
24,
14
],
[
476,
475,
18,
14
],
[
499,
475,
27,
14
],
[
530,
475,
59,
14
],
[
593,
475,
7,
14
],
[
604,
475,
33,
14
],
[
641,
475,
59,
14
],
[
87,
492,
43,
14
],
[
135,
492,
54,
14
],
[
193,
492,
45,
14
],
[
242,
492,
15,
14
],
[
261,
492,
24,
14
],
[
289,
492,
52,
14
],
[
345,
492,
19,
14
],
[
368,
492,
46,
14
],
[
418,
492,
11,
14
],
[
434,
491,
37,
15
],
[
475,
492,
90,
14
],
[
569,
491,
71,
15
],
[
644,
492,
34,
14
],
[
87,
508,
69,
14
],
[
161,
508,
39,
14
],
[
204,
508,
41,
14
],
[
250,
508,
11,
14
],
[
265,
508,
63,
14
],
[
332,
508,
7,
14
],
[
343,
508,
56,
14
],
[
403,
508,
70,
14
],
[
477,
508,
11,
14
],
[
492,
508,
19,
14
],
[
515,
508,
21,
14
],
[
541,
508,
47,
14
],
[
592,
508,
22,
14
],
[
618,
508,
94,
14
],
[
87,
525,
54,
14
],
[
146,
525,
32,
14
],
[
182,
525,
11,
14
],
[
198,
525,
41,
14
],
[
243,
525,
35,
14
],
[
281,
525,
12,
14
],
[
297,
525,
23,
14
],
[
324,
525,
12,
14
],
[
340,
525,
21,
14
],
[
365,
525,
71,
14
],
[
441,
525,
22,
14
],
[
467,
525,
57,
14
],
[
528,
525,
65,
14
],
[
596,
525,
38,
14
],
[
639,
525,
19,
14
],
[
661,
525,
46,
14
],
[
711,
525,
11,
14
],
[
87,
542,
20,
14
],
[
111,
542,
31,
14
],
[
146,
542,
8,
14
],
[
159,
542,
12,
14
],
[
175,
542,
34,
14
],
[
212,
542,
47,
14
],
[
263,
542,
19,
14
],
[
286,
542,
42,
14
],
[
332,
541,
33,
15
],
[
369,
542,
27,
14
],
[
401,
542,
20,
14
],
[
425,
542,
15,
14
],
[
444,
542,
54,
14
],
[
502,
542,
14,
14
],
[
520,
542,
20,
14
],
[
544,
542,
101,
14
],
[
650,
542,
54,
14
],
[
87,
558,
47,
14
],
[
139,
558,
44,
14
],
[
187,
558,
19,
14
],
[
209,
558,
38,
14
],
[
251,
558,
21,
14
],
[
277,
558,
64,
14
],
[
345,
558,
51,
14
],
[
400,
558,
19,
14
],
[
424,
558,
15,
14
],
[
442,
558,
56,
14
],
[
87,
579,
102,
14
],
[
194,
579,
9,
14
],
[
206,
579,
56,
14
],
[
266,
579,
43,
14
],
[
314,
579,
21,
14
],
[
340,
579,
94,
14
],
[
438,
579,
67,
14
],
[
509,
579,
57,
14
],
[
570,
579,
21,
14
],
[
595,
579,
19,
14
],
[
618,
579,
15,
14
],
[
637,
579,
63,
14
],
[
87,
596,
44,
14
],
[
135,
596,
49,
14
],
[
189,
596,
19,
14
],
[
212,
596,
26,
14
],
[
242,
596,
11,
14
],
[
257,
596,
14,
14
],
[
275,
596,
21,
14
],
[
301,
596,
14,
14
],
[
319,
596,
51,
14
],
[
374,
596,
15,
14
],
[
393,
596,
43,
14
],
[
440,
596,
51,
14
],
[
495,
596,
24,
14
],
[
523,
596,
19,
14
],
[
546,
596,
15,
14
],
[
565,
596,
51,
14
],
[
620,
596,
44,
14
],
[
668,
596,
19,
14
],
[
691,
596,
15,
14
],
[
87,
612,
53,
14
],
[
145,
612,
50,
14
],
[
199,
612,
12,
14
],
[
215,
612,
32,
14
],
[
252,
612,
40,
14
],
[
295,
612,
54,
14
],
[
354,
612,
44,
14
],
[
402,
612,
113,
14
],
[
520,
612,
37,
15
],
[
561,
612,
24,
15
],
[
589,
612,
24,
14
],
[
617,
612,
12,
14
],
[
633,
612,
19,
14
],
[
656,
612,
72,
14
],
[
87,
629,
54,
14
],
[
146,
629,
44,
14
],
[
194,
629,
24,
14
],
[
221,
629,
60,
14
],
[
285,
629,
72,
14
],
[
361,
629,
55,
14
],
[
421,
629,
32,
14
],
[
458,
629,
22,
14
],
[
483,
629,
77,
14
],
[
565,
629,
38,
14
],
[
606,
629,
11,
14
],
[
622,
629,
16,
14
],
[
643,
629,
88,
14
],
[
87,
645,
19,
14
],
[
110,
645,
15,
14
],
[
129,
645,
48,
14
],
[
181,
645,
27,
14
],
[
212,
645,
79,
14
],
[
296,
645,
21,
14
],
[
321,
645,
88,
14
],
[
413,
645,
73,
14
],
[
490,
645,
78,
14
],
[
572,
645,
19,
14
],
[
595,
645,
15,
14
],
[
614,
645,
58,
14
],
[
87,
662,
73,
14
],
[
164,
662,
58,
14
],
[
226,
662,
19,
14
],
[
249,
662,
23,
14
],
[
277,
662,
30,
14
],
[
311,
662,
15,
14
],
[
330,
662,
12,
14
],
[
346,
662,
7,
14
],
[
358,
662,
34,
14
],
[
396,
662,
85,
14
],
[
485,
662,
25,
14
],
[
515,
662,
7,
14
],
[
525,
662,
58,
14
],
[
588,
662,
69,
14
],
[
661,
662,
22,
14
],
[
687,
662,
27,
14
],
[
87,
679,
67,
14
],
[
159,
679,
45,
14
],
[
208,
679,
19,
14
],
[
231,
679,
15,
14
],
[
250,
679,
54,
14
],
[
308,
679,
14,
14
],
[
326,
679,
14,
14
],
[
345,
679,
72,
14
],
[
421,
679,
44,
14
],
[
469,
679,
45,
14
],
[
519,
679,
15,
14
],
[
538,
679,
7,
14
],
[
549,
679,
16,
14
],
[
569,
679,
80,
14
],
[
654,
679,
11,
14
],
[
669,
679,
19,
14
],
[
692,
679,
38,
14
],
[
87,
695,
32,
14
],
[
123,
695,
30,
14
],
[
158,
695,
99,
14
],
[
260,
695,
50,
14
],
[
314,
695,
76,
14
],
[
394,
695,
27,
14
],
[
426,
695,
19,
14
],
[
449,
695,
15,
14
],
[
468,
695,
56,
14
],
[
528,
695,
14,
14
],
[
546,
695,
14,
14
],
[
565,
695,
54,
14
],
[
623,
695,
34,
14
],
[
661,
695,
74,
14
],
[
87,
712,
63,
14
],
[
154,
712,
29,
14
],
[
187,
712,
21,
14
],
[
213,
712,
56,
14
],
[
273,
712,
83,
14
],
[
87,
732,
67,
14
],
[
158,
733,
11,
14
],
[
173,
733,
19,
14
],
[
196,
733,
26,
14
],
[
226,
733,
55,
14
],
[
285,
733,
59,
14
],
[
348,
733,
19,
14
],
[
371,
733,
54,
14
],
[
429,
733,
19,
14
],
[
452,
733,
48,
14
],
[
504,
733,
11,
14
],
[
520,
733,
66,
14
],
[
590,
733,
65,
14
],
[
659,
733,
14,
14
],
[
677,
733,
17,
14
],
[
698,
733,
29,
14
],
[
87,
749,
17,
14
],
[
109,
749,
24,
14
],
[
137,
749,
21,
14
],
[
162,
749,
51,
14
],
[
217,
749,
25,
14
],
[
246,
749,
63,
14
],
[
313,
749,
19,
14
],
[
336,
749,
23,
14
],
[
363,
749,
21,
14
],
[
389,
749,
44,
14
],
[
437,
749,
11,
14
],
[
453,
749,
55,
14
],
[
512,
749,
55,
14
],
[
571,
749,
26,
14
],
[
601,
749,
55,
14
],
[
661,
749,
20,
14
],
[
685,
749,
31,
14
],
[
720,
749,
19,
14
],
[
87,
766,
29,
14
],
[
120,
766,
52,
14
],
[
176,
766,
12,
14
],
[
192,
766,
49,
14
],
[
245,
766,
54,
14
],
[
304,
766,
44,
14
],
[
352,
766,
114,
14
],
[
469,
765,
37,
15
],
[
510,
765,
24,
15
],
[
539,
766,
24,
14
],
[
566,
766,
25,
14
],
[
595,
766,
7,
14
],
[
606,
766,
72,
14
],
[
683,
766,
56,
14
],
[
87,
782,
15,
14
],
[
107,
782,
54,
14
],
[
165,
782,
44,
14
],
[
213,
782,
26,
14
],
[
243,
782,
21,
14
],
[
268,
782,
35,
14
],
[
308,
782,
11,
14
],
[
324,
782,
20,
14
],
[
348,
782,
21,
14
],
[
372,
782,
19,
14
],
[
396,
782,
15,
14
],
[
415,
782,
56,
14
],
[
475,
782,
12,
14
],
[
491,
782,
28,
14
],
[
522,
782,
12,
14
],
[
538,
782,
25,
14
],
[
567,
782,
46,
14
],
[
617,
782,
50,
14
],
[
87,
803,
26,
14
],
[
118,
803,
70,
14
],
[
192,
803,
51,
14
],
[
247,
803,
83,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
109,
11
],
[
78,
936,
54,
13
],
[
136,
937,
9,
11
],
[
147,
937,
52,
11
],
[
203,
937,
33,
11
],
[
239,
937,
50,
11
],
[
292,
937,
41,
11
],
[
336,
937,
33,
11
],
[
372,
937,
30,
11
],
[
78,
950,
38,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
38,
10
],
[
319,
987,
8,
10
],
[
329,
987,
8,
10
],
[
340,
987,
30,
10
],
[
373,
987,
29,
10
],
[
405,
987,
27,
10
],
[
434,
987,
14,
10
],
[
451,
987,
15,
10
],
[
469,
987,
6,
10
],
[
478,
987,
10,
10
],
[
490,
987,
21,
10
],
[
514,
987,
25,
10
],
[
542,
987,
23,
10
],
[
567,
987,
41,
10
],
[
611,
987,
23,
10
],
[
636,
987,
13,
10
],
[
652,
987,
22,
10
],
[
676,
987,
8,
10
],
[
686,
987,
13,
10
],
[
702,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
50,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Open",
"Access",
"Renkawitz",
"et",
"al.",
"BMC",
"Musculoskeletal",
"Disorders",
"2011,",
"12:192",
"http://www.biomedcentral.com/1471-2474/12/192",
"S",
"T",
"U",
"D",
"Y",
"P",
"R",
"O",
"T",
"O",
"C",
"O",
"L",
"Minimally",
"invasive",
"computer-navigated",
"total",
"hip",
"arthroplasty,",
"following",
"the",
"concept",
"of",
"femur",
"first",
"and",
"combined",
"anteversion:",
"design",
"of",
"a",
"blinded",
"randomized",
"controlled",
"trial",
"Tobias",
"Renkawitz1*,",
"Martin",
"Haimerl2,",
"Lars",
"Dohmen2,",
"Sabine",
"Gneiting2,",
"Melanie",
"Wegner2,",
"Nicole",
"Ehret2,",
"Claudia",
"Buchele2,",
"Mario",
"Schubert2,",
"Philipp",
"Lechler1,",
"Michael",
"Woerner1,",
"Ernst",
"Sendtner1,",
"Tibor",
"Schuster3,",
"Kurt",
"Ulm3,",
"Robert",
"Springorum1",
"and",
"Joachim",
"Grifka1",
"Abstract",
"Background:",
"Impingement",
"can",
"be",
"a",
"serious",
"complication",
"after",
"total",
"hip",
"arthroplasty",
"(THA),",
"and",
"is",
"one",
"of",
"the",
"major",
"causes",
"of",
"postoperative",
"pain,",
"dislocation,",
"aseptic",
"loosening,",
"and",
"implant",
"breakage.",
"Minimally",
"invasive",
"THA",
"and",
"computer-navigated",
"surgery",
"were",
"introduced",
"several",
"years",
"ago.",
"We",
"have",
"developed",
"a",
"novel,",
"computer-",
"assisted",
"operation",
"method",
"for",
"THA",
"following",
"the",
"concept",
"of",
"“femur",
"first\"/\"combined",
"anteversion”,",
"which",
"incorporates",
"various",
"aspects",
"of",
"performing",
"a",
"functional",
"optimization",
"of",
"the",
"cup",
"position,",
"and",
"comprehensively",
"addresses",
"range",
"of",
"motion",
"(ROM)",
"as",
"well",
"as",
"cup",
"containment",
"and",
"alignment",
"parameters.",
"Hence,",
"the",
"purpose",
"of",
"this",
"study",
"is",
"to",
"assess",
"whether",
"the",
"artificial",
"joint’s",
"ROM",
"can",
"be",
"improved",
"by",
"this",
"computer-assisted",
"operation",
"method.",
"Second,",
"the",
"clinical",
"and",
"radiological",
"outcome",
"will",
"be",
"evaluated.",
"Methods/Design:",
"A",
"registered",
"patient-",
"and",
"observer-blinded",
"randomized",
"controlled",
"trial",
"will",
"be",
"conducted.",
"Patients",
"between",
"the",
"ages",
"of",
"50",
"and",
"75",
"admitted",
"for",
"primary",
"unilateral",
"THA",
"will",
"be",
"included.",
"Patients",
"will",
"be",
"randomly",
"allocated",
"to",
"either",
"receive",
"minimally",
"invasive",
"computer-navigated",
"“femur",
"first”",
"THA",
"or",
"the",
"conventional",
"minimally",
"invasive",
"THA",
"procedure.",
"Self-reported",
"functional",
"status",
"and",
"health-related",
"quality",
"of",
"life",
"(questionnaires)",
"will",
"be",
"assessed",
"both",
"preoperatively",
"and",
"postoperatively.",
"Perioperative",
"complications",
"will",
"be",
"registered.",
"Radiographic",
"evaluation",
"will",
"take",
"place",
"up",
"to",
"6",
"weeks",
"postoperatively",
"with",
"a",
"computed",
"tomography",
"(CT)",
"scan.",
"Component",
"position",
"will",
"be",
"evaluated",
"by",
"an",
"independent",
"external",
"institute",
"on",
"a",
"3D",
"reconstruction",
"of",
"the",
"femur/",
"pelvis",
"using",
"image-processing",
"software.",
"Postoperative",
"ROM",
"will",
"be",
"calculated",
"by",
"an",
"algorithm",
"which",
"automatically",
"determines",
"bony",
"and",
"prosthetic",
"impingements.",
"Discussion:",
"In",
"the",
"past,",
"computer",
"navigation",
"has",
"improved",
"the",
"accuracy",
"of",
"component",
"positioning.",
"So",
"far,",
"there",
"are",
"only",
"few",
"objective",
"data",
"quantifying",
"the",
"risks",
"and",
"benefits",
"of",
"computer",
"navigated",
"THA.",
"Therefore,",
"this",
"study",
"has",
"been",
"designed",
"to",
"compare",
"minimally",
"invasive",
"computer-navigated",
"“femur",
"first”",
"THA",
"with",
"a",
"conventional",
"technique",
"for",
"minimally",
"invasive",
"THA.",
"The",
"results",
"of",
"this",
"trial",
"will",
"be",
"presented",
"as",
"soon",
"as",
"they",
"become",
"available.",
"Trial",
"registration",
"number:",
"DRKS00000739",
"*",
"Correspondence:",
"t.renkawitz@asklepios.com",
"1Department",
"of",
"Orthopaedic",
"Surgery,",
"Regensburg",
"University",
"Medical",
"Center,",
"Germany",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"©",
"2011",
"Renkawitz",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
9,
9,
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,845,059 | null | [
[
64,
47,
86,
18
],
[
153,
47,
143,
18
],
[
63,
84,
32,
25
],
[
99,
84,
101,
25
],
[
205,
84,
59,
25
],
[
269,
84,
24,
25
],
[
297,
84,
37,
25
],
[
338,
84,
38,
25
],
[
381,
84,
54,
25
],
[
440,
84,
70,
25
],
[
515,
84,
109,
25
],
[
628,
84,
132,
25
],
[
63,
114,
14,
25
],
[
82,
114,
45,
25
],
[
131,
114,
24,
25
],
[
159,
114,
64,
25
],
[
227,
114,
153,
25
],
[
385,
114,
151,
25
],
[
540,
114,
44,
25
],
[
589,
114,
58,
25
],
[
652,
114,
101,
25
],
[
63,
160,
37,
14
],
[
102,
160,
59,
15
],
[
163,
160,
43,
14
],
[
207,
160,
33,
15
],
[
242,
160,
42,
14
],
[
286,
160,
42,
14
],
[
329,
160,
16,
15
],
[
348,
160,
47,
14
],
[
398,
160,
48,
15
],
[
448,
160,
31,
14
],
[
482,
160,
12,
14
],
[
496,
160,
37,
14
],
[
534,
160,
9,
15
],
[
545,
160,
43,
14
],
[
591,
160,
70,
15
],
[
63,
176,
30,
14
],
[
95,
176,
82,
15
],
[
180,
176,
25,
14
],
[
207,
176,
55,
14
],
[
265,
176,
73,
14
],
[
339,
176,
13,
15
],
[
63,
200,
4,
6
],
[
70,
200,
51,
10
],
[
123,
200,
9,
10
],
[
134,
200,
33,
10
],
[
169,
200,
30,
10
],
[
200,
200,
47,
10
],
[
249,
200,
77,
10
],
[
328,
200,
39,
10
],
[
369,
200,
39,
10
],
[
410,
200,
39,
10
],
[
63,
214,
4,
6
],
[
70,
214,
51,
10
],
[
123,
214,
9,
10
],
[
134,
214,
33,
10
],
[
169,
214,
30,
10
],
[
200,
214,
47,
10
],
[
249,
214,
42,
10
],
[
293,
214,
9,
10
],
[
303,
214,
48,
10
],
[
353,
214,
48,
10
],
[
402,
214,
39,
10
],
[
63,
227,
4,
6
],
[
70,
227,
51,
10
],
[
123,
227,
9,
10
],
[
134,
227,
64,
10
],
[
200,
227,
33,
10
],
[
235,
227,
160,
10
],
[
396,
227,
12,
10
],
[
410,
227,
34,
10
],
[
445,
227,
16,
10
],
[
463,
227,
44,
10
],
[
508,
227,
103,
10
],
[
613,
227,
44,
10
],
[
659,
227,
44,
10
],
[
705,
227,
39,
10
],
[
63,
240,
4,
6
],
[
70,
240,
51,
10
],
[
123,
240,
9,
10
],
[
134,
240,
58,
10
],
[
194,
240,
42,
10
],
[
238,
240,
9,
10
],
[
248,
240,
64,
10
],
[
314,
240,
34,
10
],
[
349,
240,
31,
10
],
[
381,
240,
46,
10
],
[
429,
240,
19,
10
],
[
449,
240,
19,
10
],
[
530,
32,
58,
12
],
[
591,
32,
65,
12
],
[
658,
32,
51,
12
],
[
609,
44,
40,
10
],
[
651,
44,
10,
10
],
[
663,
44,
25,
10
],
[
690,
44,
19,
10
],
[
586,
55,
15,
10
],
[
602,
55,
106,
10
],
[
63,
279,
29,
10
],
[
94,
279,
14,
10
],
[
63,
292,
32,
10
],
[
97,
292,
34,
10
],
[
132,
292,
21,
10
],
[
155,
292,
45,
10
],
[
63,
305,
27,
10
],
[
91,
305,
39,
10
],
[
63,
323,
45,
10
],
[
109,
323,
14,
10
],
[
63,
336,
32,
10
],
[
96,
336,
30,
10
],
[
127,
336,
45,
10
],
[
175,
336,
30,
10
],
[
63,
349,
39,
10
],
[
63,
366,
81,
10
],
[
63,
379,
35,
10
],
[
99,
379,
49,
10
],
[
150,
379,
51,
10
],
[
203,
379,
9,
10
],
[
63,
393,
33,
10
],
[
97,
393,
30,
10
],
[
129,
393,
47,
10
],
[
177,
393,
36,
10
],
[
63,
406,
42,
10
],
[
107,
406,
39,
10
],
[
147,
406,
77,
10
],
[
63,
419,
8,
10
],
[
73,
419,
36,
10
],
[
111,
419,
39,
10
],
[
152,
419,
41,
10
],
[
63,
432,
28,
10
],
[
92,
432,
126,
10
],
[
242,
279,
22,
14
],
[
265,
279,
19,
14
],
[
286,
279,
26,
14
],
[
314,
279,
88,
14
],
[
403,
279,
63,
14
],
[
468,
279,
10,
14
],
[
479,
279,
55,
14
],
[
536,
279,
13,
14
],
[
551,
279,
7,
14
],
[
560,
279,
39,
14
],
[
600,
279,
50,
14
],
[
651,
279,
35,
14
],
[
688,
279,
36,
14
],
[
725,
279,
38,
14
],
[
242,
296,
63,
14
],
[
306,
296,
14,
14
],
[
321,
296,
47,
14
],
[
370,
296,
10,
14
],
[
381,
296,
23,
14
],
[
405,
296,
62,
14
],
[
469,
296,
21,
14
],
[
491,
296,
7,
14
],
[
500,
296,
10,
14
],
[
511,
296,
64,
14
],
[
576,
296,
16,
14
],
[
593,
296,
41,
14
],
[
635,
296,
77,
14
],
[
714,
296,
50,
14
],
[
242,
313,
103,
14
],
[
345,
313,
20,
14
],
[
368,
313,
21,
14
],
[
391,
313,
21,
14
],
[
415,
313,
36,
14
],
[
453,
313,
12,
14
],
[
467,
313,
32,
14
],
[
501,
313,
28,
14
],
[
531,
313,
28,
14
],
[
562,
313,
75,
14
],
[
639,
313,
21,
14
],
[
662,
313,
50,
14
],
[
715,
313,
49,
14
],
[
242,
329,
25,
14
],
[
269,
329,
43,
14
],
[
314,
329,
12,
14
],
[
327,
329,
19,
14
],
[
348,
329,
50,
14
],
[
399,
329,
46,
14
],
[
447,
329,
11,
14
],
[
460,
329,
19,
14
],
[
481,
329,
41,
14
],
[
523,
329,
34,
14
],
[
559,
329,
18,
14
],
[
579,
329,
42,
14
],
[
623,
329,
17,
14
],
[
642,
329,
50,
14
],
[
693,
329,
28,
14
],
[
723,
329,
40,
14
],
[
242,
346,
12,
14
],
[
255,
346,
39,
14
],
[
295,
346,
45,
14
],
[
342,
346,
28,
14
],
[
371,
346,
39,
14
],
[
412,
346,
21,
14
],
[
435,
346,
28,
14
],
[
465,
346,
42,
14
],
[
509,
346,
49,
14
],
[
559,
346,
40,
14
],
[
601,
346,
41,
14
],
[
643,
346,
29,
14
],
[
674,
346,
35,
14
],
[
710,
346,
21,
14
],
[
733,
346,
30,
14
],
[
242,
363,
49,
14
],
[
292,
363,
52,
14
],
[
346,
363,
50,
14
],
[
398,
363,
49,
14
],
[
448,
363,
31,
14
],
[
480,
363,
33,
14
],
[
515,
363,
28,
14
],
[
545,
363,
25,
14
],
[
571,
363,
55,
14
],
[
628,
363,
62,
14
],
[
692,
363,
28,
14
],
[
721,
363,
42,
14
],
[
242,
379,
21,
14
],
[
266,
379,
59,
14
],
[
328,
379,
21,
14
],
[
352,
379,
39,
14
],
[
394,
379,
52,
14
],
[
450,
379,
19,
14
],
[
471,
379,
27,
14
],
[
501,
379,
12,
14
],
[
516,
379,
19,
14
],
[
539,
379,
23,
14
],
[
565,
379,
50,
14
],
[
617,
379,
38,
14
],
[
659,
379,
18,
14
],
[
680,
379,
52,
14
],
[
735,
379,
28,
14
],
[
242,
396,
31,
14
],
[
276,
396,
12,
14
],
[
290,
396,
15,
14
],
[
308,
396,
53,
14
],
[
364,
396,
38,
14
],
[
405,
396,
68,
14
],
[
476,
396,
18,
14
],
[
497,
396,
75,
14
],
[
575,
396,
29,
14
],
[
606,
396,
49,
14
],
[
658,
396,
50,
14
],
[
711,
396,
53,
14
],
[
242,
413,
28,
14
],
[
273,
413,
14,
14
],
[
290,
413,
16,
14
],
[
310,
413,
40,
14
],
[
354,
413,
21,
14
],
[
379,
413,
29,
14
],
[
411,
413,
43,
14
],
[
457,
413,
71,
14
],
[
532,
413,
34,
14
],
[
570,
413,
18,
14
],
[
592,
413,
31,
14
],
[
627,
413,
78,
14
],
[
708,
413,
55,
14
],
[
242,
429,
28,
14
],
[
273,
429,
53,
14
],
[
329,
429,
12,
14
],
[
345,
429,
53,
14
],
[
401,
429,
35,
14
],
[
440,
429,
12,
14
],
[
456,
429,
26,
14
],
[
485,
429,
22,
14
],
[
511,
429,
21,
14
],
[
536,
429,
37,
14
],
[
577,
429,
45,
14
],
[
625,
429,
11,
14
],
[
639,
429,
19,
14
],
[
662,
429,
26,
14
],
[
692,
429,
11,
14
],
[
706,
429,
57,
14
],
[
242,
446,
67,
14
],
[
312,
446,
12,
14
],
[
328,
446,
19,
14
],
[
350,
446,
52,
14
],
[
406,
446,
46,
14
],
[
456,
446,
49,
14
],
[
508,
446,
49,
14
],
[
560,
446,
15,
14
],
[
579,
446,
37,
14
],
[
619,
446,
68,
14
],
[
691,
446,
11,
14
],
[
705,
446,
20,
14
],
[
729,
446,
12,
14
],
[
745,
446,
19,
14
],
[
242,
463,
79,
14
],
[
324,
463,
52,
14
],
[
379,
463,
11,
14
],
[
393,
463,
16,
14
],
[
412,
463,
52,
14
],
[
467,
463,
38,
14
],
[
508,
463,
31,
14
],
[
542,
463,
19,
14
],
[
564,
463,
39,
14
],
[
606,
463,
21,
14
],
[
631,
463,
29,
14
],
[
662,
463,
17,
14
],
[
682,
463,
50,
14
],
[
735,
463,
28,
14
],
[
242,
479,
19,
14
],
[
263,
479,
23,
14
],
[
290,
479,
29,
14
],
[
321,
479,
16,
14
],
[
340,
479,
70,
14
],
[
413,
479,
77,
14
],
[
493,
479,
25,
14
],
[
521,
479,
67,
14
],
[
591,
479,
20,
14
],
[
614,
479,
32,
14
],
[
649,
479,
14,
14
],
[
666,
479,
34,
14
],
[
704,
479,
60,
14
],
[
242,
496,
61,
14
],
[
306,
496,
26,
14
],
[
336,
496,
52,
14
],
[
391,
496,
73,
14
],
[
467,
496,
56,
14
],
[
527,
496,
54,
14
],
[
584,
496,
77,
14
],
[
664,
496,
75,
14
],
[
742,
496,
21,
14
],
[
242,
513,
28,
14
],
[
272,
513,
53,
14
],
[
242,
537,
48,
10
],
[
291,
537,
26,
10
],
[
318,
537,
40,
10
],
[
360,
537,
36,
10
],
[
397,
537,
40,
10
],
[
439,
537,
23,
10
],
[
463,
537,
30,
10
],
[
494,
537,
40,
10
],
[
536,
537,
29,
10
],
[
566,
537,
68,
10
],
[
636,
537,
48,
10
],
[
63,
580,
88,
14
],
[
63,
596,
21,
14
],
[
85,
596,
18,
14
],
[
104,
596,
27,
14
],
[
133,
596,
31,
14
],
[
166,
596,
52,
14
],
[
219,
596,
55,
14
],
[
276,
596,
40,
14
],
[
317,
596,
26,
14
],
[
345,
596,
61,
14
],
[
62,
612,
35,
14
],
[
101,
612,
33,
14
],
[
139,
612,
9,
14
],
[
152,
612,
6,
14
],
[
162,
612,
33,
14
],
[
199,
612,
22,
14
],
[
226,
612,
11,
14
],
[
242,
612,
34,
14
],
[
280,
612,
37,
14
],
[
321,
612,
29,
14
],
[
354,
612,
52,
14
],
[
62,
628,
21,
14
],
[
87,
628,
30,
14
],
[
120,
628,
29,
14
],
[
153,
628,
29,
14
],
[
186,
628,
9,
14
],
[
198,
628,
52,
14
],
[
254,
628,
11,
14
],
[
269,
628,
6,
14
],
[
279,
628,
39,
14
],
[
322,
628,
48,
14
],
[
373,
628,
32,
14
],
[
62,
644,
35,
14
],
[
99,
644,
34,
14
],
[
135,
644,
62,
14
],
[
199,
644,
16,
14
],
[
217,
644,
49,
14
],
[
268,
644,
38,
14
],
[
308,
644,
44,
14
],
[
354,
644,
51,
14
],
[
62,
660,
100,
14
],
[
167,
660,
39,
14
],
[
211,
660,
10,
14
],
[
225,
660,
16,
14
],
[
245,
660,
30,
14
],
[
280,
660,
56,
14
],
[
341,
660,
21,
14
],
[
366,
660,
39,
14
],
[
62,
676,
30,
14
],
[
94,
676,
56,
14
],
[
151,
676,
10,
14
],
[
165,
676,
16,
14
],
[
182,
676,
35,
14
],
[
218,
676,
17,
14
],
[
238,
676,
43,
14
],
[
283,
676,
54,
14
],
[
338,
676,
19,
14
],
[
359,
676,
47,
14
],
[
62,
692,
50,
14
],
[
114,
692,
53,
14
],
[
170,
692,
10,
14
],
[
183,
692,
16,
14
],
[
201,
692,
31,
14
],
[
235,
692,
21,
14
],
[
257,
692,
17,
14
],
[
277,
692,
60,
14
],
[
339,
692,
66,
14
],
[
62,
708,
42,
14
],
[
108,
708,
77,
14
],
[
188,
708,
10,
14
],
[
202,
708,
16,
14
],
[
221,
708,
32,
14
],
[
257,
708,
55,
14
],
[
316,
708,
53,
14
],
[
373,
708,
23,
14
],
[
399,
708,
6,
14
],
[
62,
724,
45,
14
],
[
110,
724,
35,
14
],
[
149,
724,
40,
14
],
[
192,
724,
29,
14
],
[
224,
724,
46,
14
],
[
273,
724,
14,
14
],
[
290,
724,
59,
14
],
[
352,
724,
53,
14
],
[
62,
740,
20,
14
],
[
86,
740,
35,
14
],
[
124,
740,
47,
14
],
[
175,
740,
47,
14
],
[
226,
740,
45,
14
],
[
275,
740,
21,
14
],
[
299,
740,
50,
14
],
[
353,
740,
23,
14
],
[
380,
740,
26,
14
],
[
62,
756,
16,
14
],
[
84,
756,
18,
14
],
[
107,
756,
45,
14
],
[
157,
756,
54,
14
],
[
216,
756,
64,
14
],
[
285,
756,
120,
14
],
[
62,
772,
76,
14
],
[
140,
772,
63,
14
],
[
204,
772,
53,
14
],
[
259,
772,
18,
14
],
[
279,
772,
42,
14
],
[
323,
772,
20,
14
],
[
345,
772,
11,
14
],
[
359,
772,
17,
14
],
[
378,
772,
27,
14
],
[
62,
788,
56,
14
],
[
124,
788,
40,
14
],
[
168,
788,
11,
14
],
[
184,
788,
17,
14
],
[
206,
788,
24,
14
],
[
235,
788,
11,
14
],
[
252,
788,
52,
14
],
[
309,
788,
21,
14
],
[
334,
788,
71,
14
],
[
62,
804,
71,
14
],
[
137,
804,
43,
14
],
[
184,
804,
13,
14
],
[
201,
804,
71,
14
],
[
276,
804,
9,
14
],
[
288,
804,
29,
14
],
[
320,
804,
38,
14
],
[
362,
804,
44,
14
],
[
62,
820,
55,
14
],
[
121,
820,
11,
14
],
[
137,
820,
22,
14
],
[
163,
820,
11,
14
],
[
180,
820,
18,
14
],
[
201,
820,
44,
14
],
[
250,
820,
37,
14
],
[
291,
820,
59,
14
],
[
354,
820,
52,
14
],
[
62,
836,
35,
14
],
[
102,
836,
56,
14
],
[
163,
836,
24,
14
],
[
193,
836,
25,
14
],
[
224,
836,
67,
14
],
[
296,
836,
15,
14
],
[
316,
836,
18,
14
],
[
340,
836,
29,
14
],
[
374,
836,
12,
14
],
[
392,
836,
13,
14
],
[
62,
852,
59,
14
],
[
123,
852,
21,
14
],
[
146,
852,
74,
14
],
[
221,
852,
71,
14
],
[
294,
852,
9,
14
],
[
305,
852,
50,
14
],
[
356,
852,
27,
14
],
[
386,
852,
20,
14
],
[
62,
868,
58,
14
],
[
123,
868,
30,
14
],
[
154,
868,
15,
14
],
[
170,
868,
41,
14
],
[
214,
868,
16,
14
],
[
232,
868,
17,
14
],
[
251,
868,
21,
14
],
[
274,
868,
25,
14
],
[
300,
868,
60,
14
],
[
361,
868,
44,
14
],
[
62,
884,
28,
14
],
[
94,
884,
16,
14
],
[
114,
884,
27,
14
],
[
146,
884,
11,
14
],
[
161,
884,
17,
14
],
[
183,
884,
29,
14
],
[
216,
884,
28,
14
],
[
248,
884,
11,
14
],
[
263,
884,
29,
14
],
[
296,
884,
54,
14
],
[
353,
884,
52,
14
],
[
62,
900,
17,
14
],
[
82,
900,
86,
14
],
[
170,
900,
21,
14
],
[
193,
900,
14,
14
],
[
209,
900,
41,
14
],
[
252,
900,
30,
14
],
[
284,
900,
25,
14
],
[
312,
900,
16,
14
],
[
331,
900,
43,
14
],
[
376,
900,
29,
14
],
[
62,
916,
55,
14
],
[
121,
916,
28,
14
],
[
153,
916,
18,
14
],
[
174,
916,
32,
14
],
[
209,
916,
15,
14
],
[
228,
916,
40,
14
],
[
272,
916,
18,
14
],
[
294,
916,
22,
14
],
[
320,
916,
86,
14
],
[
62,
932,
11,
14
],
[
77,
932,
6,
14
],
[
86,
932,
65,
14
],
[
154,
932,
33,
14
],
[
78,
948,
35,
14
],
[
115,
948,
17,
14
],
[
134,
948,
46,
14
],
[
183,
948,
54,
14
],
[
238,
948,
11,
14
],
[
252,
948,
41,
14
],
[
295,
948,
55,
14
],
[
351,
948,
33,
14
],
[
386,
948,
19,
14
],
[
62,
964,
39,
14
],
[
104,
964,
13,
14
],
[
119,
964,
72,
14
],
[
194,
964,
13,
14
],
[
209,
964,
26,
14
],
[
238,
964,
35,
14
],
[
276,
964,
48,
14
],
[
325,
964,
28,
14
],
[
356,
964,
50,
14
],
[
62,
980,
21,
14
],
[
86,
980,
28,
14
],
[
116,
980,
13,
14
],
[
132,
980,
6,
14
],
[
141,
980,
38,
14
],
[
181,
980,
50,
14
],
[
233,
980,
19,
14
],
[
254,
980,
49,
14
],
[
305,
980,
17,
14
],
[
325,
980,
49,
14
],
[
376,
980,
30,
14
],
[
421,
580,
11,
14
],
[
435,
580,
59,
14
],
[
497,
580,
21,
14
],
[
521,
580,
17,
14
],
[
541,
580,
47,
14
],
[
591,
580,
28,
14
],
[
622,
580,
31,
14
],
[
656,
580,
11,
14
],
[
671,
580,
36,
14
],
[
710,
580,
25,
14
],
[
738,
580,
26,
14
],
[
421,
596,
54,
14
],
[
477,
596,
11,
14
],
[
490,
596,
13,
14
],
[
505,
596,
17,
14
],
[
524,
596,
22,
14
],
[
548,
596,
57,
14
],
[
606,
596,
38,
14
],
[
646,
596,
16,
14
],
[
665,
596,
48,
14
],
[
715,
596,
49,
14
],
[
421,
612,
22,
14
],
[
445,
612,
21,
14
],
[
467,
612,
6,
14
],
[
475,
612,
35,
14
],
[
512,
612,
16,
14
],
[
530,
612,
62,
14
],
[
594,
612,
20,
14
],
[
616,
612,
54,
14
],
[
671,
612,
34,
14
],
[
707,
612,
57,
14
],
[
421,
628,
11,
14
],
[
436,
628,
27,
14
],
[
467,
628,
55,
14
],
[
526,
628,
37,
14
],
[
567,
628,
32,
14
],
[
603,
628,
34,
14
],
[
641,
628,
17,
14
],
[
661,
628,
54,
14
],
[
719,
628,
44,
14
],
[
421,
644,
30,
14
],
[
455,
644,
46,
14
],
[
506,
644,
57,
14
],
[
568,
644,
11,
14
],
[
584,
644,
6,
14
],
[
595,
644,
30,
14
],
[
630,
644,
43,
14
],
[
678,
644,
11,
14
],
[
694,
644,
45,
14
],
[
743,
644,
21,
14
],
[
421,
660,
55,
14
],
[
478,
660,
37,
14
],
[
518,
660,
11,
14
],
[
533,
660,
17,
14
],
[
553,
660,
30,
14
],
[
587,
660,
60,
14
],
[
650,
660,
21,
14
],
[
674,
660,
38,
14
],
[
715,
660,
49,
14
],
[
421,
676,
63,
14
],
[
488,
676,
36,
14
],
[
529,
676,
25,
14
],
[
558,
676,
26,
14
],
[
589,
676,
36,
14
],
[
629,
676,
25,
14
],
[
658,
676,
11,
14
],
[
674,
676,
39,
14
],
[
718,
676,
11,
14
],
[
734,
676,
30,
14
],
[
421,
692,
49,
14
],
[
475,
692,
67,
14
],
[
546,
692,
11,
14
],
[
563,
692,
66,
14
],
[
634,
692,
57,
14
],
[
695,
692,
21,
14
],
[
720,
692,
43,
14
],
[
421,
708,
26,
14
],
[
450,
708,
11,
14
],
[
464,
708,
17,
14
],
[
485,
708,
40,
14
],
[
529,
708,
11,
14
],
[
544,
708,
41,
14
],
[
588,
708,
41,
14
],
[
632,
708,
35,
14
],
[
670,
708,
19,
14
],
[
693,
708,
21,
14
],
[
717,
708,
46,
14
],
[
421,
724,
51,
14
],
[
474,
724,
51,
14
],
[
526,
724,
44,
14
],
[
572,
724,
20,
14
],
[
594,
724,
46,
14
],
[
641,
724,
54,
14
],
[
697,
724,
23,
14
],
[
722,
724,
42,
14
],
[
421,
740,
30,
14
],
[
453,
740,
65,
14
],
[
520,
740,
35,
14
],
[
436,
756,
34,
14
],
[
473,
756,
11,
14
],
[
486,
756,
42,
14
],
[
530,
756,
11,
14
],
[
543,
756,
17,
14
],
[
562,
756,
27,
14
],
[
592,
756,
12,
14
],
[
606,
756,
11,
14
],
[
619,
756,
68,
14
],
[
689,
756,
36,
14
],
[
727,
756,
37,
14
],
[
421,
772,
45,
14
],
[
470,
772,
28,
14
],
[
502,
772,
17,
14
],
[
523,
772,
27,
14
],
[
555,
772,
48,
14
],
[
607,
772,
71,
14
],
[
681,
772,
19,
14
],
[
704,
772,
45,
14
],
[
753,
772,
11,
14
],
[
421,
788,
54,
14
],
[
478,
788,
39,
14
],
[
520,
788,
17,
14
],
[
540,
788,
37,
14
],
[
579,
788,
48,
14
],
[
630,
788,
44,
14
],
[
677,
788,
32,
14
],
[
712,
788,
11,
14
],
[
726,
788,
13,
14
],
[
742,
788,
22,
14
],
[
421,
804,
53,
14
],
[
475,
804,
57,
14
],
[
533,
804,
10,
14
],
[
546,
804,
15,
14
],
[
562,
804,
29,
14
],
[
592,
804,
58,
14
],
[
652,
804,
10,
14
],
[
664,
804,
16,
14
],
[
681,
804,
33,
14
],
[
715,
804,
49,
14
],
[
421,
820,
25,
14
],
[
449,
820,
35,
14
],
[
487,
820,
17,
14
],
[
507,
820,
27,
14
],
[
537,
820,
40,
14
],
[
580,
820,
15,
14
],
[
598,
820,
29,
14
],
[
629,
820,
9,
14
],
[
641,
820,
46,
14
],
[
690,
820,
24,
14
],
[
717,
820,
17,
14
],
[
738,
820,
27,
14
],
[
421,
836,
46,
14
],
[
470,
836,
11,
14
],
[
483,
836,
20,
14
],
[
506,
836,
20,
14
],
[
529,
836,
30,
14
],
[
562,
836,
11,
14
],
[
576,
836,
37,
14
],
[
616,
836,
29,
14
],
[
648,
836,
53,
14
],
[
703,
836,
31,
14
],
[
737,
836,
26,
14
],
[
421,
852,
33,
14
],
[
455,
852,
57,
14
],
[
514,
852,
19,
14
],
[
535,
852,
30,
14
],
[
566,
852,
27,
14
],
[
594,
852,
6,
14
],
[
602,
852,
36,
14
],
[
640,
852,
11,
14
],
[
653,
852,
59,
14
],
[
713,
852,
32,
14
],
[
747,
852,
16,
14
],
[
421,
868,
60,
14
],
[
482,
868,
28,
14
],
[
511,
868,
66,
14
],
[
579,
868,
36,
14
],
[
616,
868,
68,
14
],
[
686,
868,
18,
14
],
[
706,
868,
21,
14
],
[
728,
868,
36,
14
],
[
421,
884,
59,
14
],
[
481,
884,
12,
14
],
[
494,
884,
39,
14
],
[
535,
884,
25,
14
],
[
561,
884,
36,
14
],
[
599,
884,
40,
14
],
[
640,
884,
33,
14
],
[
674,
884,
69,
14
],
[
744,
884,
20,
14
],
[
421,
900,
21,
14
],
[
444,
900,
20,
14
],
[
466,
900,
57,
14
],
[
525,
900,
33,
14
],
[
560,
900,
10,
14
],
[
573,
900,
16,
14
],
[
590,
900,
29,
14
],
[
622,
900,
48,
14
],
[
672,
900,
29,
14
],
[
703,
900,
39,
14
],
[
743,
900,
20,
14
],
[
421,
916,
60,
14
],
[
483,
916,
34,
14
],
[
436,
932,
14,
14
],
[
453,
932,
29,
14
],
[
485,
932,
33,
14
],
[
521,
932,
29,
14
],
[
553,
932,
67,
14
],
[
622,
932,
12,
14
],
[
637,
932,
17,
14
],
[
657,
932,
49,
14
],
[
709,
932,
11,
14
],
[
724,
932,
40,
14
],
[
421,
948,
59,
14
],
[
483,
948,
46,
14
],
[
533,
948,
27,
14
],
[
563,
948,
31,
14
],
[
597,
948,
53,
14
],
[
654,
948,
11,
14
],
[
669,
948,
30,
14
],
[
702,
948,
62,
14
],
[
421,
964,
15,
14
],
[
438,
964,
29,
14
],
[
469,
964,
69,
14
],
[
541,
964,
12,
14
],
[
556,
964,
28,
14
],
[
586,
964,
50,
14
],
[
639,
964,
40,
14
],
[
681,
964,
12,
14
],
[
696,
964,
68,
14
],
[
421,
980,
33,
14
],
[
457,
980,
12,
14
],
[
472,
980,
29,
14
],
[
503,
980,
27,
14
],
[
533,
980,
16,
14
],
[
552,
980,
38,
14
],
[
593,
980,
11,
14
],
[
608,
980,
29,
14
],
[
640,
980,
54,
14
],
[
697,
980,
53,
14
],
[
753,
980,
11,
14
],
[
63,
1033,
43,
11
],
[
108,
1033,
10,
11
],
[
119,
1033,
42,
11
],
[
163,
1033,
66,
11
],
[
362,
1033,
98,
11
],
[
603,
1034,
27,
10
],
[
632,
1034,
20,
10
],
[
656,
1034,
3,
10
],
[
662,
1034,
32,
10
],
[
696,
1034,
6,
10
],
[
706,
1034,
3,
10
],
[
712,
1034,
27,
10
],
[
741,
1034,
6,
10
],
[
751,
1034,
3,
10
],
[
758,
1034,
6,
10
]
] | [
"SYSTEMS",
"NEUROSCIENCE",
"3D",
"standard",
"brain",
"of",
"the",
"red",
"flour",
"beetle",
"Tribolium",
"castaneum:",
"a",
"tool",
"to",
"study",
"metamorphic",
"development",
"and",
"adult",
"plasticity",
"David",
"Dreyer1,2,",
"Holger",
"Vitt1,",
"Stefan",
"Dippel",
"1,3,",
"Brigitte",
"Goetz1,",
"Basil",
"el",
"Jundi",
"1,",
"Martin",
"Kollmann1,",
"Wolf",
"Huetteroth1,4",
"and",
"Joachim",
"Schachtner",
"1*",
"1",
"Department",
"of",
"Biology,",
"Animal",
"Physiology,",
"Philipps-University",
"Marburg,",
"Marburg,",
"Germany",
"2",
"Department",
"of",
"Biology,",
"Animal",
"Navigation,",
"University",
"of",
"Oldenburg,",
"Oldenburg,",
"Germany",
"3",
"Department",
"of",
"Developmental",
"Biology,",
"Johann-Friedrich-Blumenbach-Institute",
"for",
"Zoology",
"and",
"Anthropol,",
"Georg-August-University",
"Göttingen,",
"Göttingen,",
"Germany",
"4",
"Department",
"of",
"Neurobiology,",
"University",
"of",
"Massachusetts",
"Medical",
"School,",
"Worcester,",
"MA,",
"USA",
"ORIGINAL",
"RESEARCH",
"ARTICLE",
"published:",
"03",
"March",
"2010",
"doi:",
"10.3389/neuro.06.003.2010",
"Edited",
"by:",
"Randolf",
"Menzel,",
"Freie",
"Universität",
"Berlin,",
"Germany",
"Reviewed",
"by:",
"Monika",
"Stengl,",
"Universität",
"Kassel,",
"Germany",
"*Correspondence:",
"Joachim",
"Schachtner,",
"Department",
"of",
"Biology,",
"Animal",
"Physiology,",
"Philipps-",
"University",
"Marburg,",
"Karl-von-Frisch-Str.",
"8,",
"D-35032",
"Marburg,",
"Germany.",
"e-mail:",
"schachtj@staff.uni-marburg.de",
"The",
"red",
"flour",
"beetleTribolium",
"castaneum",
"is",
"emerging",
"as",
"a",
"further",
"standard",
"insect",
"model",
"beside",
"Drosophila.",
"Its",
"genome",
"is",
"fully",
"sequenced",
"and",
"it",
"is",
"susceptible",
"for",
"genetic",
"manipulations",
"including",
"RNA-interference.",
"We",
"use",
"this",
"beetle",
"to",
"study",
"adult",
"brain",
"development",
"and",
"plasticity",
"primarily",
"with",
"respect",
"to",
"the",
"olfactory",
"system.",
"In",
"the",
"current",
"study,",
"we",
"provide",
"3D",
"standard",
"brain",
"atlases",
"of",
"freshly",
"eclosed",
"adult",
"female",
"and",
"male",
"beetles",
"(A0).The",
"atlases",
"include",
"eight",
"paired",
"and",
"three",
"unpaired",
"neuropils",
"including",
"antennal",
"lobes",
"(ALs),",
"optic",
"lobe",
"neuropils,",
"mushroom",
"body",
"calyces",
"and",
"pedunculi,",
"and",
"central",
"complex.",
"For",
"each",
"of",
"the",
"two",
"standard",
"brains,",
"we",
"averaged",
"brain",
"areas",
"of",
"20",
"individual",
"brains.",
"Additionally,",
"we",
"characterized",
"eight",
"selected",
"olfactory",
"glomeruli",
"from",
"10",
"A0",
"female",
"and",
"male",
"beetles",
"respectively,",
"which",
"we",
"could",
"unequivocally",
"recognize",
"from",
"individual",
"to",
"individual",
"owing",
"to",
"their",
"size",
"and",
"typical",
"position",
"in",
"the",
"ALs.",
"In",
"summary,",
"comparison",
"of",
"the",
"averaged",
"neuropil",
"volumes",
"revealed",
"no",
"sexual",
"dimorphism",
"in",
"any",
"of",
"the",
"reconstructed",
"neuropils",
"in",
"A0",
"Tribolium",
"brains.",
"Both,",
"the",
"female",
"and",
"male",
"3D",
"standard",
"brain",
"are",
"also",
"used",
"for",
"interspecies",
"comparisons,",
"and,",
"importantly,",
"will",
"serve",
"as",
"future",
"volumetric",
"references",
"after",
"genetical",
"manipulation",
"especially",
"regarding",
"metamorphic",
"development",
"and",
"adult",
"plasticity.",
"Keywords:",
"brain,",
"olfactory",
"system,",
"antennal",
"lobe,",
"insect,",
"neuropil,",
"digital",
"neuroanatomy,",
"coleoptera",
"INTRODUCTION",
"The",
"red",
"flour",
"beetle",
"Tribolium",
"castaneum",
"Herbst,",
"1797",
"(Bonneton,",
"2008),",
"which",
"is",
"a",
"major",
"pest",
"of",
"stored",
"grains,",
"grain",
"products,",
"and",
"other",
"dried",
"food,",
"is",
"emerging",
"as",
"a",
"further",
"standard",
"insect",
"model",
"beside",
"Drosophila.",
"It’s",
"powerful",
"reverse",
"genetics",
"(systemic",
"RNA-interference;",
"Bucher",
"et",
"al.,",
"2002;",
"Tomoyasu",
"and",
"Denell,",
"2004;",
"Tomoyasu",
"et",
"al.,",
"2008),",
"the",
"recently",
"published",
"full",
"genomic",
"sequence",
"(Richards",
"et",
"al.,",
"2008)",
"and",
"the",
"established",
"transgenesis",
"systems",
"(Berghammer",
"et",
"al.,",
"1999)",
"transform",
"Tribolium",
"into",
"a",
"primary",
"model",
"system.",
"Since",
"recently,",
"an",
"insertional",
"mutagen-",
"esis",
"screen",
"database",
"provides",
"mutants",
"and",
"enhancer",
"trap",
"lines",
"for",
"the",
"growing",
"Tribolium",
"community",
"(http://134.76.20.145/",
"Default.aspx).",
"Meanwhile,",
"Tribolium",
"has",
"become",
"one",
"of",
"the",
"most",
"important",
"models",
"in",
"the",
"field",
"of",
"evolution",
"and",
"development",
"(“evo-devo”)",
"because",
"its",
"development",
"is",
"more",
"“insect",
"typical”,",
"compared",
"to",
"that",
"of",
"the",
"classical",
"system",
"Drosophila",
"(Klingler,",
"2004).",
"Currently,",
"only",
"little",
"information",
"on",
"the",
"brain",
"or",
"its",
"embryonic",
"and",
"metamorphic",
"development",
"is",
"available.",
"With",
"our",
"pioneering",
"study",
"we",
"provide",
"for",
"the",
"first",
"time",
"anatomical",
"descrip-",
"tions",
"for",
"most",
"of",
"the",
"brain",
"areas",
"of",
"adult",
"Tribolium",
"including",
"3D",
"reconstructions",
"and",
"an",
"average",
"brain",
"atlas",
"for",
"selected",
"brain",
"neuropils.",
"With",
"the",
"latter,",
"we",
"present",
"the",
"first",
"standardization",
"of",
"a",
"coleopteran",
"brain.",
"Brains",
"are",
"typically",
"organized",
"in",
"defined",
"neuropils,",
"which",
"can",
"usually",
"be",
"characterized",
"by",
"their",
"spatial",
"location,",
"gross",
"anatomy,",
"and",
"often",
"by",
"a",
"certain",
"function.",
"For",
"example,",
"the",
"olfactory",
"bulbs",
"of",
"vertebrates",
"and",
"the",
"antennal",
"lobes",
"(ALs)",
"of",
"insects",
"have",
"been",
"attributed",
"to",
"be",
"the",
"first",
"processing",
"centers",
"for",
"olfactory",
"informa-",
"tion",
"(for",
"a",
"review",
"see",
"Hildebrand",
"and",
"Shepherd,",
"1997).",
"Compared",
"to",
"most",
"vertebrate",
"brains,",
"insect",
"brains",
"are",
"miniature",
"versions",
"being",
"typically",
"comprised",
"of",
"a",
"lower",
"number",
"of",
"neurons",
"and",
"neuropils.",
"Owing",
"to",
"the",
"lower",
"complexity",
"and",
"certain",
"technical",
"advantages,",
"insects",
"have",
"been",
"widely",
"used",
"as",
"models",
"to",
"study",
"principal",
"mechanisms",
"of",
"information",
"processing",
"and",
"integra-",
"tion,",
"in",
"the",
"context",
"of",
"defined",
"sensory",
"inputs",
"but",
"also",
"complex",
"behaviors",
"including",
"learning",
"and",
"memory",
"formation",
"(e.g.",
"Menzel,",
"2001;",
"Heisenberg,",
"2003).",
"Brains",
"of",
"animals",
"of",
"the",
"same",
"or",
"of",
"evolutionary",
"related",
"species",
"typically",
"share",
"the",
"same",
"principal",
"organization.",
"For",
"example",
"in",
"neopteran",
"insects,",
"the",
"central",
"olfactory",
"pathway",
"seems",
"to",
"be",
"well",
"conserved",
"(Strausfeld",
"et",
"al.,",
"1998;",
"Schachtner",
"et",
"al.,",
"2005).",
"However,",
"even",
"within",
"the",
"same",
"species,",
"no",
"brain",
"is",
"identical",
"with",
"the",
"next,",
"differing",
"in",
"size",
"and",
"shape",
"of",
"certain",
"brain",
"neuropils.",
"These",
"indi-",
"vidual",
"differences",
"can",
"result",
"from",
"a",
"variety",
"of",
"parameters",
"which",
"are",
"influencing",
"brain",
"organization",
"during",
"development",
"but",
"also",
"during",
"adulthood.",
"In",
"insects,",
"such",
"factors",
"include",
"brood",
"temperature,",
"sex,",
"age,",
"and",
"experience",
"(Groh",
"et",
"al.,",
"2004;",
"Technau,",
"2007;",
"Molina",
"and",
"O’Donnell,",
"2008).",
"To",
"study",
"sexual",
"brain",
"dimorphism",
"or",
"the",
"influence",
"of",
"defined",
"parameters",
"(ranging",
"from",
"single",
"molecules",
"to",
"social",
"experience)",
"on",
"brain",
"development",
"or",
"adult",
"plasticity,",
"average",
"or",
"standardized",
"brains",
"or",
"brain",
"areas",
"are",
"needed",
"to",
"relate",
"individual",
"variations",
"to",
"Frontiers",
"in",
"Systems",
"Neuroscience",
"www.frontiersin.org",
"March",
"2010",
"|",
"Volume",
"4",
"|",
"Article",
"3",
"|",
"1"
] | [
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
0,
0,
0,
0,
0,
0,
0,
0,
0,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,715,060 | null | [
[
29,
381,
10,
0
],
[
29,
393,
12,
0
],
[
29,
399,
7,
0
],
[
29,
409,
11,
0
],
[
29,
415,
7,
0
],
[
29,
427,
12,
0
],
[
29,
437,
10,
0
],
[
29,
456,
20,
0
],
[
29,
469,
6,
0
],
[
29,
479,
10,
0
],
[
29,
486,
8,
0
],
[
29,
498,
12,
0
],
[
29,
508,
10,
0
],
[
29,
527,
20,
0
],
[
29,
534,
7,
0
],
[
29,
542,
9,
0
],
[
29,
552,
10,
0
],
[
29,
564,
12,
0
],
[
29,
575,
12,
0
],
[
29,
588,
14,
0
],
[
29,
602,
7,
0
],
[
29,
614,
12,
0
],
[
29,
626,
6,
0
],
[
29,
636,
10,
0
],
[
29,
648,
12,
0
],
[
29,
657,
9,
0
],
[
29,
669,
12,
0
],
[
29,
680,
12,
0
],
[
29,
688,
8,
0
],
[
29,
705,
10,
0
],
[
29,
716,
12,
0
],
[
29,
731,
16,
0
],
[
75,
610,
77,
11
],
[
75,
622,
23,
11
],
[
100,
622,
28,
11
],
[
75,
635,
12,
11
],
[
75,
647,
44,
11
],
[
120,
647,
32,
11
],
[
75,
660,
98,
11
],
[
75,
1028,
13,
10
],
[
90,
1028,
41,
10
],
[
133,
1028,
38,
10
],
[
172,
1028,
20,
10
],
[
201,
1028,
26,
10
],
[
75,
1040,
5,
10
],
[
82,
1040,
15,
10
],
[
99,
1040,
19,
10
],
[
119,
1040,
14,
10
],
[
135,
1040,
15,
10
],
[
151,
1040,
13,
10
],
[
166,
1040,
5,
10
],
[
180,
1040,
42,
10
],
[
75,
1053,
164,
10
],
[
522,
48,
11,
17
],
[
535,
48,
14,
17
],
[
549,
48,
6,
17
],
[
557,
48,
10,
17
],
[
568,
48,
10,
17
],
[
586,
48,
14,
17
],
[
601,
48,
10,
17
],
[
612,
48,
10,
17
],
[
623,
48,
6,
17
],
[
630,
48,
14,
17
],
[
645,
48,
6,
17
],
[
653,
48,
12,
17
],
[
666,
48,
6,
17
],
[
673,
48,
13,
17
],
[
687,
48,
10,
17
],
[
705,
48,
14,
17
],
[
720,
48,
10,
17
],
[
731,
48,
10,
17
],
[
742,
48,
14,
17
],
[
758,
48,
25,
17
],
[
233,
112,
107,
28
],
[
349,
112,
108,
28
],
[
465,
112,
105,
28
],
[
577,
112,
13,
28
],
[
598,
112,
38,
28
],
[
637,
112,
64,
28
],
[
233,
145,
95,
28
],
[
336,
145,
34,
28
],
[
377,
145,
50,
28
],
[
435,
145,
84,
28
],
[
528,
145,
24,
28
],
[
561,
145,
164,
28
],
[
233,
199,
45,
17
],
[
283,
198,
160,
18
],
[
448,
199,
68,
17
],
[
521,
198,
79,
18
],
[
605,
199,
79,
17
],
[
688,
198,
72,
18
],
[
233,
218,
26,
17
],
[
264,
218,
42,
17
],
[
311,
217,
62,
18
],
[
233,
256,
35,
12
],
[
270,
257,
11,
12
],
[
284,
257,
54,
12
],
[
340,
257,
16,
12
],
[
359,
257,
73,
12
],
[
434,
257,
24,
12
],
[
460,
257,
36,
12
],
[
499,
257,
30,
12
],
[
530,
257,
16,
12
],
[
549,
256,
54,
12
],
[
606,
257,
9,
12
],
[
617,
257,
41,
12
],
[
660,
257,
36,
12
],
[
699,
257,
16,
12
],
[
717,
257,
39,
12
],
[
236,
270,
37,
12
],
[
276,
270,
34,
12
],
[
312,
270,
33,
12
],
[
348,
270,
31,
12
],
[
381,
270,
32,
12
],
[
415,
270,
15,
12
],
[
432,
270,
27,
12
],
[
233,
313,
32,
14
],
[
269,
313,
20,
14
],
[
292,
313,
25,
14
],
[
321,
313,
28,
14
],
[
352,
313,
63,
14
],
[
419,
313,
21,
14
],
[
445,
313,
76,
14
],
[
524,
313,
44,
14
],
[
572,
313,
20,
14
],
[
595,
313,
20,
14
],
[
619,
313,
23,
14
],
[
646,
313,
60,
14
],
[
710,
313,
16,
14
],
[
730,
313,
19,
14
],
[
233,
330,
38,
14
],
[
274,
330,
25,
14
],
[
303,
330,
19,
14
],
[
326,
330,
34,
14
],
[
364,
330,
37,
14
],
[
404,
330,
13,
14
],
[
420,
330,
19,
14
],
[
443,
330,
46,
14
],
[
493,
330,
48,
14
],
[
545,
330,
74,
14
],
[
622,
330,
9,
14
],
[
635,
330,
67,
14
],
[
705,
330,
58,
14
],
[
233,
346,
18,
14
],
[
254,
346,
19,
14
],
[
277,
346,
80,
14
],
[
361,
346,
13,
14
],
[
377,
346,
54,
14
],
[
435,
346,
13,
14
],
[
452,
346,
24,
14
],
[
480,
346,
21,
14
],
[
504,
346,
40,
14
],
[
548,
346,
13,
14
],
[
564,
346,
76,
14
],
[
644,
346,
14,
14
],
[
661,
346,
40,
14
],
[
705,
346,
54,
14
],
[
233,
363,
26,
14
],
[
262,
363,
9,
14
],
[
275,
363,
20,
14
],
[
299,
363,
13,
14
],
[
315,
363,
50,
14
],
[
368,
363,
54,
14
],
[
426,
363,
11,
14
],
[
441,
363,
19,
14
],
[
465,
363,
7,
14
],
[
475,
363,
66,
14
],
[
545,
363,
81,
14
],
[
630,
363,
7,
14
],
[
641,
363,
42,
14
],
[
687,
363,
55,
14
],
[
746,
363,
14,
14
],
[
233,
380,
19,
14
],
[
256,
380,
24,
14
],
[
284,
380,
75,
14
],
[
362,
380,
38,
14
],
[
404,
380,
32,
14
],
[
440,
380,
7,
14
],
[
450,
380,
128,
14
],
[
582,
380,
57,
14
],
[
643,
380,
13,
14
],
[
660,
380,
36,
14
],
[
699,
380,
24,
14
],
[
233,
396,
60,
14
],
[
297,
396,
13,
14
],
[
313,
396,
20,
14
],
[
336,
396,
40,
14
],
[
380,
396,
65,
14
],
[
448,
396,
89,
14
],
[
541,
396,
19,
14
],
[
564,
396,
24,
14
],
[
592,
396,
54,
14
],
[
649,
396,
11,
14
],
[
664,
396,
7,
14
],
[
675,
396,
62,
14
],
[
233,
413,
59,
14
],
[
295,
413,
46,
14
],
[
345,
413,
17,
14
],
[
366,
413,
24,
14
],
[
393,
413,
25,
14
],
[
421,
413,
24,
14
],
[
449,
413,
9,
14
],
[
462,
413,
50,
14
],
[
516,
413,
11,
14
],
[
531,
413,
19,
14
],
[
554,
413,
52,
14
],
[
610,
413,
37,
14
],
[
650,
413,
13,
14
],
[
666,
413,
44,
14
],
[
714,
413,
19,
14
],
[
233,
430,
64,
14
],
[
300,
430,
81,
14
],
[
385,
430,
25,
14
],
[
414,
430,
9,
14
],
[
426,
430,
39,
14
],
[
469,
430,
13,
14
],
[
485,
430,
24,
14
],
[
513,
430,
61,
14
],
[
578,
430,
71,
14
],
[
653,
430,
24,
14
],
[
681,
430,
32,
14
],
[
716,
430,
14,
14
],
[
734,
430,
25,
14
],
[
233,
446,
31,
14
],
[
268,
446,
27,
14
],
[
298,
446,
59,
14
],
[
361,
446,
21,
14
],
[
387,
446,
40,
14
],
[
430,
446,
18,
14
],
[
452,
446,
18,
14
],
[
473,
446,
25,
14
],
[
502,
446,
45,
14
],
[
551,
446,
26,
14
],
[
580,
446,
22,
14
],
[
606,
446,
64,
14
],
[
673,
446,
82,
14
],
[
233,
463,
21,
14
],
[
257,
463,
73,
14
],
[
334,
463,
29,
14
],
[
367,
463,
43,
14
],
[
413,
463,
11,
14
],
[
428,
463,
52,
14
],
[
484,
463,
22,
14
],
[
510,
463,
7,
14
],
[
520,
463,
36,
14
],
[
560,
463,
11,
14
],
[
575,
463,
22,
14
],
[
600,
463,
61,
14
],
[
665,
463,
46,
14
],
[
714,
463,
50,
14
],
[
233,
480,
73,
14
],
[
310,
480,
38,
14
],
[
350,
480,
24,
14
],
[
379,
480,
42,
14
],
[
425,
480,
11,
14
],
[
440,
480,
35,
14
],
[
479,
480,
55,
14
],
[
538,
480,
19,
14
],
[
561,
480,
45,
14
],
[
609,
480,
38,
14
],
[
650,
480,
63,
14
],
[
717,
480,
32,
14
],
[
752,
480,
14,
14
],
[
233,
496,
69,
14
],
[
305,
496,
14,
14
],
[
323,
496,
85,
14
],
[
411,
496,
52,
14
],
[
467,
496,
26,
14
],
[
496,
496,
30,
14
],
[
530,
496,
75,
14
],
[
609,
496,
11,
14
],
[
624,
496,
33,
14
],
[
661,
496,
24,
14
],
[
689,
496,
60,
14
],
[
233,
513,
38,
14
],
[
274,
513,
19,
14
],
[
297,
513,
52,
14
],
[
353,
513,
37,
14
],
[
393,
513,
9,
14
],
[
406,
513,
27,
14
],
[
437,
513,
55,
14
],
[
495,
513,
22,
14
],
[
521,
513,
56,
14
],
[
580,
513,
13,
14
],
[
596,
513,
38,
14
],
[
638,
513,
70,
14
],
[
712,
513,
55,
14
],
[
233,
530,
21,
14
],
[
258,
530,
31,
14
],
[
293,
530,
84,
14
],
[
380,
530,
89,
14
],
[
473,
530,
70,
14
],
[
546,
530,
13,
14
],
[
562,
530,
41,
14
],
[
607,
530,
54,
14
],
[
665,
530,
19,
14
],
[
687,
530,
39,
14
],
[
233,
546,
66,
14
],
[
303,
546,
11,
14
],
[
318,
546,
20,
14
],
[
341,
546,
34,
14
],
[
378,
546,
12,
14
],
[
394,
546,
7,
14
],
[
405,
546,
58,
14
],
[
467,
546,
50,
14
],
[
520,
546,
7,
14
],
[
531,
546,
20,
14
],
[
555,
546,
25,
14
],
[
584,
546,
21,
14
],
[
608,
546,
36,
14
],
[
649,
546,
34,
14
],
[
686,
546,
58,
14
],
[
233,
563,
73,
14
],
[
309,
563,
7,
14
],
[
320,
563,
26,
14
],
[
349,
563,
25,
14
],
[
377,
563,
34,
14
],
[
415,
563,
46,
14
],
[
233,
605,
50,
14
],
[
285,
605,
47,
14
],
[
335,
605,
41,
14
],
[
379,
605,
22,
14
],
[
403,
605,
18,
14
],
[
424,
605,
52,
14
],
[
479,
605,
11,
14
],
[
233,
621,
76,
14
],
[
312,
621,
46,
14
],
[
362,
621,
39,
14
],
[
404,
621,
47,
14
],
[
454,
621,
36,
14
],
[
233,
638,
34,
14
],
[
270,
638,
6,
14
],
[
279,
638,
46,
14
],
[
328,
638,
23,
14
],
[
355,
638,
26,
14
],
[
383,
638,
12,
14
],
[
398,
638,
13,
14
],
[
414,
638,
53,
14
],
[
470,
638,
20,
14
],
[
233,
654,
97,
14
],
[
333,
654,
36,
14
],
[
372,
654,
38,
14
],
[
413,
654,
14,
14
],
[
430,
654,
44,
14
],
[
478,
654,
13,
14
],
[
233,
671,
52,
14
],
[
288,
671,
53,
14
],
[
344,
671,
29,
14
],
[
376,
671,
17,
14
],
[
396,
671,
46,
14
],
[
445,
671,
45,
14
],
[
233,
687,
19,
14
],
[
257,
687,
49,
14
],
[
312,
687,
12,
14
],
[
329,
687,
18,
14
],
[
353,
687,
52,
14
],
[
410,
687,
11,
14
],
[
427,
687,
63,
14
],
[
233,
704,
80,
14
],
[
316,
704,
38,
14
],
[
357,
704,
20,
14
],
[
380,
704,
38,
14
],
[
422,
704,
15,
14
],
[
440,
704,
50,
14
],
[
233,
720,
10,
14
],
[
246,
720,
6,
14
],
[
255,
720,
49,
14
],
[
307,
720,
12,
14
],
[
322,
720,
18,
14
],
[
342,
720,
33,
14
],
[
378,
720,
48,
14
],
[
430,
720,
36,
14
],
[
469,
720,
21,
14
],
[
233,
736,
18,
14
],
[
254,
736,
47,
14
],
[
304,
736,
19,
14
],
[
327,
736,
14,
14
],
[
344,
736,
35,
14
],
[
382,
736,
15,
14
],
[
400,
736,
18,
14
],
[
422,
736,
25,
14
],
[
450,
736,
11,
14
],
[
465,
736,
25,
14
],
[
233,
753,
86,
14
],
[
322,
753,
20,
14
],
[
346,
753,
42,
14
],
[
392,
753,
12,
14
],
[
408,
753,
36,
14
],
[
447,
753,
18,
14
],
[
469,
753,
21,
14
],
[
233,
769,
33,
14
],
[
270,
769,
38,
14
],
[
313,
769,
9,
14
],
[
326,
769,
47,
14
],
[
377,
769,
12,
14
],
[
393,
769,
18,
14
],
[
416,
769,
25,
14
],
[
445,
769,
13,
14
],
[
463,
769,
28,
14
],
[
233,
786,
45,
14
],
[
280,
786,
30,
14
],
[
313,
786,
8,
14
],
[
323,
786,
38,
14
],
[
364,
786,
10,
14
],
[
376,
786,
17,
14
],
[
396,
786,
20,
14
],
[
418,
786,
40,
14
],
[
461,
786,
29,
14
],
[
233,
802,
25,
14
],
[
262,
802,
52,
14
],
[
318,
802,
54,
14
],
[
376,
802,
15,
14
],
[
395,
802,
49,
14
],
[
448,
802,
19,
14
],
[
470,
802,
20,
14
],
[
233,
819,
22,
14
],
[
258,
819,
14,
14
],
[
275,
819,
60,
14
],
[
339,
819,
21,
14
],
[
364,
819,
54,
14
],
[
421,
819,
70,
14
],
[
233,
835,
27,
14
],
[
263,
835,
6,
14
],
[
273,
835,
64,
14
],
[
340,
835,
57,
14
],
[
401,
835,
12,
14
],
[
417,
835,
53,
14
],
[
473,
835,
17,
14
],
[
233,
851,
44,
14
],
[
280,
851,
24,
14
],
[
307,
851,
55,
14
],
[
365,
851,
52,
14
],
[
420,
851,
20,
14
],
[
443,
851,
30,
14
],
[
477,
851,
14,
14
],
[
233,
868,
65,
14
],
[
301,
868,
40,
14
],
[
344,
868,
55,
14
],
[
402,
868,
10,
14
],
[
416,
868,
55,
14
],
[
474,
868,
16,
14
],
[
233,
884,
23,
14
],
[
260,
884,
25,
14
],
[
288,
884,
43,
14
],
[
335,
884,
8,
14
],
[
348,
884,
19,
14
],
[
370,
884,
33,
14
],
[
408,
884,
45,
14
],
[
457,
884,
12,
14
],
[
473,
884,
17,
14
],
[
233,
901,
27,
14
],
[
264,
901,
50,
14
],
[
318,
901,
14,
14
],
[
336,
901,
79,
14
],
[
419,
901,
11,
14
],
[
435,
901,
55,
14
],
[
233,
917,
27,
14
],
[
263,
917,
41,
14
],
[
306,
917,
12,
14
],
[
322,
917,
45,
14
],
[
369,
917,
12,
14
],
[
384,
917,
48,
14
],
[
435,
917,
19,
14
],
[
457,
917,
19,
14
],
[
479,
917,
11,
14
],
[
233,
934,
30,
14
],
[
265,
934,
31,
14
],
[
298,
934,
54,
14
],
[
354,
934,
44,
14
],
[
401,
934,
47,
14
],
[
450,
934,
20,
14
],
[
472,
934,
18,
14
],
[
233,
950,
35,
14
],
[
271,
950,
65,
14
],
[
338,
950,
20,
14
],
[
361,
950,
18,
14
],
[
381,
950,
48,
14
],
[
432,
950,
20,
14
],
[
455,
950,
35,
14
],
[
233,
966,
25,
14
],
[
261,
966,
58,
14
],
[
322,
966,
15,
14
],
[
341,
966,
15,
14
],
[
359,
966,
53,
14
],
[
415,
966,
37,
14
],
[
455,
966,
35,
14
],
[
233,
983,
41,
14
],
[
279,
983,
41,
14
],
[
325,
983,
40,
14
],
[
370,
983,
12,
14
],
[
387,
983,
18,
14
],
[
410,
983,
56,
14
],
[
472,
983,
19,
14
],
[
233,
999,
51,
14
],
[
288,
999,
54,
14
],
[
345,
999,
12,
14
],
[
361,
999,
18,
14
],
[
384,
999,
39,
14
],
[
426,
999,
12,
14
],
[
442,
999,
49,
14
],
[
509,
605,
51,
14
],
[
563,
605,
54,
14
],
[
620,
605,
29,
14
],
[
652,
605,
27,
14
],
[
683,
605,
6,
14
],
[
692,
605,
20,
14
],
[
715,
605,
11,
14
],
[
730,
605,
37,
14
],
[
509,
621,
53,
14
],
[
567,
621,
11,
14
],
[
583,
621,
28,
14
],
[
615,
621,
40,
14
],
[
659,
621,
35,
14
],
[
698,
621,
42,
14
],
[
745,
621,
21,
14
],
[
509,
637,
49,
14
],
[
563,
637,
72,
14
],
[
640,
637,
32,
14
],
[
678,
637,
38,
14
],
[
721,
637,
19,
14
],
[
745,
637,
21,
14
],
[
509,
654,
31,
14
],
[
542,
654,
49,
14
],
[
594,
654,
31,
14
],
[
627,
654,
17,
14
],
[
646,
654,
60,
14
],
[
708,
654,
59,
14
],
[
509,
670,
35,
14
],
[
547,
670,
11,
14
],
[
560,
670,
13,
14
],
[
576,
670,
16,
14
],
[
595,
670,
43,
14
],
[
640,
670,
19,
14
],
[
662,
670,
21,
14
],
[
687,
670,
18,
14
],
[
707,
670,
59,
14
],
[
509,
686,
34,
14
],
[
548,
686,
11,
14
],
[
563,
686,
23,
14
],
[
590,
686,
33,
14
],
[
628,
686,
28,
14
],
[
659,
686,
50,
14
],
[
713,
686,
12,
14
],
[
729,
686,
38,
14
],
[
509,
702,
23,
14
],
[
537,
702,
23,
14
],
[
565,
702,
63,
14
],
[
632,
702,
14,
14
],
[
651,
702,
18,
14
],
[
673,
702,
52,
14
],
[
730,
702,
37,
14
],
[
509,
719,
25,
14
],
[
537,
719,
6,
14
],
[
545,
719,
46,
14
],
[
594,
719,
11,
14
],
[
608,
719,
47,
14
],
[
658,
719,
54,
14
],
[
714,
719,
24,
14
],
[
741,
719,
26,
14
],
[
509,
735,
27,
14
],
[
539,
735,
21,
14
],
[
563,
735,
36,
14
],
[
602,
735,
12,
14
],
[
616,
735,
18,
14
],
[
637,
735,
27,
14
],
[
666,
735,
54,
14
],
[
723,
735,
11,
14
],
[
738,
735,
29,
14
],
[
509,
751,
45,
14
],
[
558,
751,
12,
14
],
[
574,
751,
28,
14
],
[
606,
751,
24,
14
],
[
634,
751,
70,
14
],
[
709,
751,
10,
14
],
[
723,
751,
18,
14
],
[
745,
751,
22,
14
],
[
509,
767,
35,
14
],
[
547,
767,
14,
14
],
[
564,
767,
6,
14
],
[
573,
767,
34,
14
],
[
610,
767,
18,
14
],
[
631,
767,
37,
14
],
[
671,
767,
11,
14
],
[
686,
767,
47,
14
],
[
735,
767,
31,
14
],
[
509,
784,
25,
14
],
[
538,
784,
20,
14
],
[
562,
784,
60,
14
],
[
626,
784,
11,
14
],
[
641,
784,
18,
14
],
[
662,
784,
28,
14
],
[
694,
784,
20,
14
],
[
718,
784,
29,
14
],
[
751,
784,
16,
14
],
[
509,
800,
38,
14
],
[
550,
800,
20,
14
],
[
571,
800,
29,
14
],
[
603,
800,
11,
14
],
[
616,
800,
17,
14
],
[
636,
800,
49,
14
],
[
687,
800,
11,
14
],
[
700,
800,
67,
14
],
[
509,
816,
54,
14
],
[
567,
816,
11,
14
],
[
582,
816,
18,
14
],
[
604,
816,
34,
14
],
[
642,
816,
47,
14
],
[
692,
816,
37,
14
],
[
732,
816,
14,
14
],
[
750,
816,
17,
14
],
[
509,
832,
63,
14
],
[
576,
832,
20,
14
],
[
599,
832,
52,
14
],
[
655,
832,
41,
14
],
[
529,
849,
25,
14
],
[
558,
849,
25,
14
],
[
586,
849,
25,
14
],
[
615,
849,
70,
14
],
[
688,
849,
35,
14
],
[
726,
849,
11,
14
],
[
741,
849,
26,
14
],
[
509,
865,
27,
14
],
[
540,
865,
52,
14
],
[
595,
865,
55,
14
],
[
653,
865,
18,
14
],
[
675,
865,
27,
14
],
[
705,
865,
26,
14
],
[
735,
865,
32,
14
],
[
509,
881,
25,
14
],
[
537,
881,
11,
14
],
[
550,
881,
17,
14
],
[
570,
881,
35,
14
],
[
607,
881,
71,
14
],
[
681,
881,
37,
14
],
[
720,
881,
30,
14
],
[
752,
881,
15,
14
],
[
509,
897,
18,
14
],
[
531,
897,
79,
14
],
[
613,
897,
11,
14
],
[
628,
897,
55,
14
],
[
687,
897,
12,
14
],
[
703,
897,
63,
14
],
[
509,
914,
53,
14
],
[
565,
914,
11,
14
],
[
578,
914,
17,
14
],
[
598,
914,
60,
14
],
[
661,
914,
37,
14
],
[
700,
914,
18,
14
],
[
721,
914,
25,
14
],
[
748,
914,
18,
14
],
[
509,
955,
5,
9
],
[
516,
955,
16,
9
],
[
534,
955,
64,
9
],
[
600,
955,
7,
9
],
[
609,
955,
8,
9
],
[
624,
955,
13,
9
],
[
639,
955,
20,
9
],
[
661,
955,
5,
9
],
[
669,
955,
35,
9
],
[
705,
955,
19,
9
],
[
726,
955,
11,
9
],
[
739,
955,
19,
9
],
[
760,
955,
7,
9
],
[
509,
965,
8,
9
],
[
520,
965,
111,
9
],
[
633,
965,
29,
9
],
[
664,
965,
20,
9
],
[
687,
965,
15,
9
],
[
705,
965,
22,
9
],
[
729,
965,
10,
9
],
[
740,
965,
11,
9
],
[
754,
965,
13,
9
],
[
509,
975,
9,
9
],
[
520,
975,
25,
9
],
[
546,
975,
16,
9
],
[
564,
975,
11,
9
],
[
576,
975,
36,
9
],
[
614,
975,
14,
9
],
[
630,
975,
13,
9
],
[
644,
975,
122,
9
],
[
509,
984,
16,
9
],
[
528,
984,
9,
9
],
[
539,
984,
25,
9
],
[
565,
984,
5,
9
],
[
572,
984,
5,
9
],
[
580,
984,
28,
9
],
[
610,
984,
19,
9
],
[
631,
984,
4,
9
],
[
637,
984,
26,
9
],
[
665,
984,
32,
9
],
[
700,
984,
23,
9
],
[
725,
984,
41,
9
],
[
509,
994,
72,
9
],
[
583,
994,
16,
9
],
[
600,
994,
10,
9
],
[
612,
994,
30,
9
],
[
644,
994,
24,
9
],
[
669,
994,
7,
9
],
[
678,
994,
30,
9
],
[
710,
994,
7,
9
],
[
718,
994,
49,
9
],
[
509,
1004,
119,
9
],
[
745,
1040,
22,
10
]
] | [
"e",
"n",
"i",
"c",
"i",
"d",
"e",
"M",
"l",
"a",
"t",
"n",
"e",
"m",
"i",
"r",
"e",
"p",
"x",
"E",
"f",
"o",
"l",
"a",
"n",
"r",
"u",
"o",
"J",
"e",
"h",
"T",
"CORRESPONDENCE",
"Diane",
"Mathis",
"OR",
"Christophe",
"Benoist:",
"cbdm@hms.harvard.edu",
"The",
"Rockefeller",
"University",
"Press",
"$30.00",
"J.",
"Exp.",
"Med.",
"Vol.",
"206",
"No.",
"6",
"1245-1252",
"www.jem.org/cgi/doi/10.1084/jem.20090300",
"B",
"R",
"I",
"E",
"F",
"D",
"E",
"F",
"I",
"N",
"I",
"T",
"I",
"V",
"E",
"R",
"E",
"P",
"O",
"RT",
"Neonatal",
"tolerance",
"revisited:",
"a",
"per",
"inatal",
"window",
"for",
"Aire",
"control",
"of",
"autoimmunity",
"Mireia",
"Guerau-de-Arellano,1,2",
"Marianne",
"Martinic,1,2",
"Christophe",
"Benoist,1,2",
"and",
"Diane",
"Mathis1,2",
"1Section",
"on",
"Immunology",
"and",
"Immunogenetics,",
"Joslin",
"Diabetes",
"Center,",
"and",
"2Department",
"of",
"Medicine,",
"Brigham",
"and",
"Women’s",
"Hospital,",
"Harvard",
"Medical",
"School,",
"Boston,",
"MA",
"02215",
"There",
"has",
"long",
"been",
"conceptual",
"and",
"experimental",
"support",
"for,",
"but",
"also",
"challenges",
"to,",
"the",
"notion",
"that",
"the",
"initial",
"period",
"of",
"the",
"immune",
"system’s",
"development",
"is",
"particularly",
"important",
"for",
"the",
"establishment",
"of",
"tolerance",
"to",
"self.",
"The",
"display",
"of",
"self-antigens",
"by",
"thymic",
"epithelial",
"cells",
"is",
"key",
"to",
"inducing",
"tolerance",
"in",
"the",
"T",
"lymphocyte",
"compartment,",
"a",
"process",
"enhanced",
"by",
"the",
"Aire",
"transcription",
"factor.",
"Using",
"a",
"doxycycline-regulated",
"transgene",
"to",
"target",
"Aire",
"expression",
"to",
"the",
"thymic",
"epithelium,",
"complementing",
"the",
"Aire",
"knockout",
"in",
"a",
"temporally",
"controlled",
"manner,",
"we",
"find",
"that",
"Aire",
"is",
"essential",
"in",
"the",
"perinatal",
"period",
"to",
"prevent",
"the",
"multiorgan",
"autoimmunity",
"that",
"is",
"typical",
"of",
"Aire",
"deficiency.",
"Surprisingly,",
"Aire",
"could",
"be",
"shut",
"down",
"soon",
"thereafter",
"and",
"remain",
"off",
"for",
"long",
"periods,",
"with",
"few",
"deleterious",
"consequences.",
"The",
"lymphopenic",
"state",
"present",
"in",
"neonates",
"was",
"a",
"factor",
"in",
"this",
"dichotomy",
"because",
"inducing",
"lymphopenia",
"during",
"Aire",
"turnoff",
"in",
"adults",
"recreated",
"the",
"disease,",
"which,",
"conversely,",
"could",
"be",
"ameliorated",
"by",
"supplementing",
"neonates",
"with",
"adult",
"lymphocytes.",
"In",
"short,",
"Aire",
"expression",
"during",
"the",
"perinatal",
"period",
"is",
"both",
"necessary",
"and",
"sufficient",
"to",
"induce",
"long-lasting",
"tolerance",
"and",
"avoid",
"autoimmunity.",
"Aire-controlled",
"mechanisms",
"of",
"central",
"tolerance",
"are",
"largely",
"dispensable",
"in",
"the",
"adult,",
"as",
"a",
"previously",
"tolerized",
"T",
"cell",
"pool",
"can",
"buffer",
"newly",
"generated",
"autoreactive",
"T",
"cells",
"that",
"might",
"emerge.",
"Adaptive",
"immune",
"systems",
"face",
"the",
"challenge",
"of",
"discriminating",
"between",
"foreign",
"antigens,",
"against",
"which",
"a",
"response",
"may",
"have",
"to",
"be",
"mounted,",
"and",
"self-constituents,",
"which",
"should",
"be",
"ignored",
"or",
"tolerated.",
"Although",
"there",
"are",
"multiple",
"theoret-",
"ical",
"solutions",
"to",
"the",
"challenge",
"of",
"self/nonself",
"discrimination,",
"Burnet",
"and",
"Fenner",
"(1)",
"proposed",
"as",
"a",
"corollary",
"to",
"the",
"clonal",
"selection",
"theory",
"that",
"the",
"problem",
"can",
"be",
"solved",
"on",
"the",
"basis",
"of",
"time",
"considerations;",
"any",
"antigen",
"to",
"which",
"the",
"im-",
"mune",
"system",
"is",
"exposed",
"in",
"the",
"fetal",
"or",
"early",
"neonatal",
"stages",
"is",
"flagged",
"as",
"self",
"and",
"induces",
"long-",
"term",
"tolerance.",
"Lederberg",
"(2)",
"extended",
"this",
"no-",
"tion",
"by",
"postulating",
"that",
"immature",
"lymphocytes",
"have",
"a",
"heightened",
"sensitivity",
"to",
"tolerance",
"in-",
"duction.",
"This",
"“newborn",
"privilege”",
"was",
"tested",
"by",
"introducing",
"foreign",
"molecules",
"as",
"surrogates",
"for",
"self,",
"and,",
"indeed,",
"it",
"did",
"prove",
"possible",
"to",
"in-",
"duce",
"tolerance",
"by",
"administration",
"of",
"allogeneic",
"cells,",
"viruses,",
"or",
"proteins",
"to",
"neonates",
"but",
"not",
"in",
"adults",
"(3–6).",
"However,",
"neonatal",
"exposure",
"was",
"not",
"always",
"tolerogenic,",
"and",
"the",
"outcome",
"was",
"clearly",
"dose",
"dependent",
"(7,",
"8).",
"Although",
"related",
"obser-",
"vations",
"already",
"existed",
"in",
"the",
"literature,",
"the",
"strongest",
"challenge",
"to",
"the",
"notion",
"of",
"neonatal",
"tolerance",
"induction",
"came",
"from",
"a",
"trio",
"of",
"studies",
"published",
"in",
"1996",
"(9–11),",
"which",
"showed",
"that",
"neonatal",
"lymphocytes",
"could",
"mount",
"full",
"im-",
"mune",
"responses",
"under",
"the",
"appropriate",
"conditions.",
"Ridge",
"et",
"al.",
"(9)",
"pointed",
"out",
"that",
"the",
"differential",
"effects",
"of",
"fetal",
"versus",
"adult",
"exposure",
"to",
"alloge-",
"neic",
"cells",
"highlighted",
"by",
"the",
"Medawar",
"group,",
"long",
"a",
"linchpin",
"of",
"neonatal",
"tolerance,",
"may",
"have",
"been",
"due",
"simply",
"to",
"the",
"large",
"disparities",
"in",
"doses",
"(relative",
"to",
"body",
"size)",
"administered",
"at",
"the",
"two",
"stages.",
"As",
"a",
"result,",
"the",
"notion",
"of",
"neonatal",
"toler-",
"ance",
"was",
"questioned",
"in",
"the",
"field,",
"and",
"more",
"at-",
"tention",
"was",
"given",
"to",
"the",
"influence",
"of",
"concomitant",
"triggering",
"of",
"the",
"innate",
"immune",
"system",
"by",
"in-",
"flammatory",
"and",
"microbial",
"ligands.",
"One",
"issue",
"with",
"experimental",
"testing",
"of",
"neo-",
"natal",
"tolerance",
"induction",
"has",
"been",
"that,",
"going",
"back",
"to",
"the",
"1950s,",
"investigations",
"mainly",
"relied",
"on",
"the",
"administration",
"of",
"allogeneic",
"or",
"xenogeneic",
"molecules",
"in",
"the",
"tolerization",
"and/or",
"test",
"steps",
"but",
"©",
"2009",
"Guerau-de-Arellano",
"et",
"al.",
"This",
"article",
"is",
"distributed",
"under",
"the",
"terms",
"of",
"an",
"Attribution–Noncommercial–Share",
"Alike–No",
"Mirror",
"Sites",
"license",
"for",
"the",
"first",
"six",
"months",
"after",
"the",
"publication",
"date",
"(see",
"http://www.jem.org/misc/terms.shtml).",
"After",
"six",
"months",
"it",
"is",
"available",
"under",
"a",
"Creative",
"Commons",
"License",
"(Attribution–",
"Noncommercial–Share",
"Alike",
"3.0",
"Unported",
"license,",
"as",
"described",
"at",
"http://creative-",
"commons.org/licenses/by-nc-sa/3.0/).",
"1245"
] | [
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
13,
13,
13,
13,
13,
13,
13,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
4
] |
2,857,851 | null | [
[
78,
47,
47,
12
],
[
129,
47,
9,
12
],
[
141,
47,
11,
12
],
[
155,
47,
21,
12
],
[
179,
47,
54,
12
],
[
235,
47,
25,
12
],
[
264,
47,
36,
12
],
[
303,
47,
23,
12
],
[
78,
61,
236,
12
],
[
83,
128,
11,
18
],
[
95,
128,
11,
18
],
[
108,
128,
13,
18
],
[
123,
128,
11,
18
],
[
135,
128,
10,
18
],
[
147,
128,
10,
18
],
[
158,
128,
13,
18
],
[
173,
128,
6,
18
],
[
180,
128,
13,
18
],
[
194,
128,
13,
18
],
[
208,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
179,
34
],
[
267,
169,
52,
34
],
[
330,
169,
126,
34
],
[
466,
169,
51,
34
],
[
526,
169,
116,
34
],
[
78,
205,
120,
34
],
[
208,
205,
71,
34
],
[
289,
205,
139,
34
],
[
438,
205,
72,
34
],
[
520,
205,
60,
34
],
[
590,
205,
96,
34
],
[
78,
241,
53,
34
],
[
142,
241,
70,
34
],
[
78,
288,
25,
16
],
[
108,
288,
7,
16
],
[
119,
285,
70,
19
],
[
193,
288,
28,
16
],
[
226,
288,
7,
16
],
[
237,
285,
57,
19
],
[
298,
288,
24,
16
],
[
326,
288,
9,
16
],
[
340,
285,
49,
19
],
[
393,
288,
33,
16
],
[
430,
288,
8,
16
],
[
442,
288,
7,
16
],
[
454,
285,
36,
19
],
[
78,
317,
31,
16
],
[
114,
317,
28,
16
],
[
146,
317,
58,
16
],
[
209,
317,
60,
16
],
[
274,
317,
17,
16
],
[
295,
317,
24,
16
],
[
324,
317,
56,
16
],
[
384,
317,
24,
16
],
[
412,
317,
42,
16
],
[
459,
317,
47,
16
],
[
511,
317,
54,
16
],
[
78,
335,
81,
16
],
[
163,
335,
23,
16
],
[
191,
335,
76,
16
],
[
272,
335,
34,
16
],
[
310,
335,
28,
16
],
[
343,
335,
30,
16
],
[
87,
389,
54,
15
],
[
87,
414,
76,
14
],
[
167,
414,
21,
14
],
[
192,
414,
54,
14
],
[
251,
414,
41,
14
],
[
295,
414,
11,
14
],
[
311,
414,
19,
14
],
[
334,
412,
22,
17
],
[
360,
414,
51,
14
],
[
416,
414,
55,
14
],
[
475,
414,
22,
14
],
[
501,
414,
48,
14
],
[
553,
414,
12,
14
],
[
569,
414,
7,
14
],
[
581,
414,
36,
14
],
[
620,
414,
22,
14
],
[
647,
414,
21,
14
],
[
673,
414,
10,
14
],
[
686,
414,
39,
14
],
[
87,
431,
50,
14
],
[
142,
431,
35,
14
],
[
181,
431,
16,
14
],
[
200,
431,
42,
14
],
[
247,
431,
44,
14
],
[
295,
431,
63,
14
],
[
362,
431,
67,
14
],
[
434,
431,
39,
14
],
[
477,
431,
98,
14
],
[
580,
431,
65,
14
],
[
649,
431,
12,
14
],
[
666,
431,
23,
14
],
[
87,
447,
83,
14
],
[
174,
447,
28,
14
],
[
206,
447,
42,
14
],
[
252,
447,
30,
14
],
[
286,
447,
32,
14
],
[
323,
447,
53,
14
],
[
87,
468,
46,
14
],
[
137,
468,
50,
14
],
[
192,
468,
22,
14
],
[
218,
468,
28,
14
],
[
250,
468,
50,
14
],
[
304,
468,
11,
14
],
[
319,
468,
19,
14
],
[
342,
468,
47,
14
],
[
393,
468,
25,
14
],
[
423,
468,
37,
14
],
[
464,
468,
66,
14
],
[
535,
468,
50,
14
],
[
588,
468,
55,
14
],
[
647,
468,
50,
14
],
[
702,
468,
35,
14
],
[
87,
485,
28,
14
],
[
119,
485,
26,
14
],
[
149,
485,
50,
14
],
[
202,
485,
44,
14
],
[
250,
485,
37,
14
],
[
292,
485,
32,
14
],
[
328,
485,
19,
14
],
[
350,
485,
36,
14
],
[
391,
485,
22,
14
],
[
417,
485,
27,
14
],
[
448,
485,
22,
14
],
[
474,
485,
50,
14
],
[
528,
485,
22,
14
],
[
554,
485,
12,
14
],
[
571,
485,
23,
14
],
[
598,
485,
36,
14
],
[
638,
485,
31,
14
],
[
673,
485,
27,
14
],
[
704,
485,
22,
14
],
[
87,
501,
66,
14
],
[
157,
501,
21,
14
],
[
182,
501,
36,
14
],
[
223,
501,
22,
14
],
[
249,
501,
27,
14
],
[
280,
501,
19,
14
],
[
303,
501,
46,
14
],
[
353,
501,
14,
14
],
[
371,
501,
23,
14
],
[
398,
501,
33,
14
],
[
435,
501,
58,
14
],
[
497,
501,
25,
14
],
[
526,
501,
25,
14
],
[
555,
501,
27,
14
],
[
586,
501,
28,
14
],
[
619,
501,
12,
14
],
[
635,
501,
28,
14
],
[
667,
501,
65,
14
],
[
87,
518,
25,
14
],
[
116,
518,
19,
14
],
[
139,
518,
17,
14
],
[
160,
518,
100,
14
],
[
87,
539,
75,
14
],
[
167,
539,
26,
14
],
[
197,
539,
19,
14
],
[
220,
539,
11,
14
],
[
236,
539,
14,
14
],
[
254,
539,
22,
14
],
[
280,
539,
28,
14
],
[
312,
539,
52,
14
],
[
369,
539,
49,
14
],
[
421,
539,
19,
14
],
[
444,
539,
14,
14
],
[
463,
539,
22,
14
],
[
489,
539,
15,
14
],
[
509,
539,
52,
14
],
[
565,
539,
30,
14
],
[
599,
539,
28,
14
],
[
630,
539,
41,
14
],
[
676,
539,
40,
14
],
[
721,
539,
15,
14
],
[
87,
555,
50,
14
],
[
141,
555,
50,
14
],
[
195,
555,
28,
14
],
[
227,
555,
52,
14
],
[
282,
555,
12,
14
],
[
299,
555,
15,
14
],
[
317,
555,
26,
14
],
[
348,
555,
38,
14
],
[
390,
555,
19,
14
],
[
413,
555,
25,
14
],
[
442,
555,
41,
14
],
[
487,
555,
12,
14
],
[
503,
555,
48,
14
],
[
556,
555,
11,
14
],
[
571,
555,
55,
14
],
[
631,
555,
50,
14
],
[
685,
555,
37,
14
],
[
87,
572,
22,
14
],
[
113,
572,
8,
14
],
[
125,
572,
8,
14
],
[
138,
572,
63,
14
],
[
205,
572,
12,
14
],
[
221,
572,
60,
14
],
[
285,
572,
19,
14
],
[
308,
572,
45,
14
],
[
357,
572,
22,
14
],
[
383,
572,
60,
14
],
[
447,
572,
19,
14
],
[
470,
572,
66,
14
],
[
541,
572,
29,
14
],
[
574,
572,
36,
14
],
[
615,
572,
51,
14
],
[
670,
572,
19,
14
],
[
693,
572,
36,
14
],
[
87,
589,
27,
14
],
[
118,
589,
15,
14
],
[
138,
589,
50,
14
],
[
192,
589,
52,
14
],
[
78,
635,
77,
15
],
[
78,
652,
30,
14
],
[
116,
652,
45,
14
],
[
168,
652,
27,
14
],
[
203,
652,
33,
14
],
[
243,
652,
27,
14
],
[
278,
652,
50,
14
],
[
335,
652,
33,
14
],
[
375,
652,
28,
14
],
[
78,
668,
46,
14
],
[
129,
668,
52,
14
],
[
186,
668,
17,
14
],
[
208,
668,
30,
14
],
[
242,
668,
53,
14
],
[
300,
668,
45,
14
],
[
350,
668,
53,
14
],
[
78,
685,
30,
14
],
[
113,
685,
61,
14
],
[
179,
685,
31,
14
],
[
214,
685,
14,
14
],
[
233,
685,
30,
14
],
[
267,
685,
31,
14
],
[
303,
685,
87,
14
],
[
394,
685,
10,
14
],
[
78,
701,
51,
14
],
[
133,
701,
12,
14
],
[
150,
701,
27,
14
],
[
181,
701,
18,
14
],
[
204,
701,
42,
14
],
[
250,
701,
50,
14
],
[
304,
701,
19,
14
],
[
328,
701,
41,
14
],
[
373,
701,
30,
14
],
[
78,
718,
77,
14
],
[
160,
718,
12,
14
],
[
176,
718,
18,
14
],
[
199,
718,
26,
14
],
[
229,
718,
37,
14
],
[
270,
718,
12,
14
],
[
286,
718,
19,
14
],
[
309,
718,
54,
14
],
[
367,
718,
36,
14
],
[
78,
735,
27,
14
],
[
110,
735,
28,
14
],
[
142,
735,
57,
14
],
[
203,
735,
32,
14
],
[
240,
735,
23,
14
],
[
267,
735,
58,
14
],
[
330,
735,
12,
14
],
[
346,
735,
22,
14
],
[
372,
735,
32,
14
],
[
78,
751,
28,
14
],
[
111,
751,
12,
14
],
[
129,
751,
61,
14
],
[
194,
751,
45,
14
],
[
244,
751,
29,
14
],
[
277,
751,
22,
14
],
[
304,
751,
42,
14
],
[
351,
751,
52,
14
],
[
78,
768,
38,
14
],
[
122,
768,
12,
14
],
[
140,
768,
20,
14
],
[
166,
768,
61,
14
],
[
232,
768,
26,
14
],
[
264,
768,
12,
14
],
[
282,
768,
20,
14
],
[
307,
765,
25,
16
],
[
338,
768,
66,
14
],
[
78,
785,
59,
14
],
[
142,
785,
31,
14
],
[
176,
785,
49,
14
],
[
229,
785,
101,
14
],
[
335,
785,
17,
14
],
[
355,
785,
18,
14
],
[
378,
785,
25,
14
],
[
78,
801,
39,
14
],
[
78,
834,
56,
15
],
[
78,
851,
23,
14
],
[
106,
851,
57,
14
],
[
168,
851,
25,
14
],
[
197,
851,
12,
14
],
[
213,
851,
19,
14
],
[
236,
848,
24,
17
],
[
265,
851,
63,
14
],
[
332,
851,
57,
14
],
[
394,
851,
9,
14
],
[
78,
868,
54,
14
],
[
137,
868,
38,
14
],
[
178,
868,
11,
14
],
[
194,
868,
13,
14
],
[
211,
868,
19,
14
],
[
234,
868,
57,
14
],
[
295,
868,
24,
14
],
[
324,
868,
27,
14
],
[
355,
868,
48,
14
],
[
78,
884,
20,
14
],
[
104,
884,
28,
14
],
[
138,
884,
36,
14
],
[
180,
884,
23,
14
],
[
209,
884,
18,
14
],
[
232,
884,
29,
14
],
[
267,
884,
62,
14
],
[
335,
884,
20,
14
],
[
360,
884,
43,
14
],
[
78,
901,
48,
14
],
[
130,
901,
30,
14
],
[
165,
901,
11,
14
],
[
180,
901,
65,
14
],
[
250,
901,
26,
14
],
[
280,
901,
36,
14
],
[
321,
901,
21,
14
],
[
346,
901,
23,
14
],
[
374,
901,
30,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
94,
11
],
[
78,
948,
33,
13
],
[
114,
950,
38,
11
],
[
155,
950,
16,
11
],
[
174,
950,
42,
11
],
[
219,
950,
30,
11
],
[
252,
950,
18,
11
],
[
272,
950,
53,
11
],
[
329,
950,
14,
11
],
[
346,
950,
13,
11
],
[
361,
950,
16,
11
],
[
380,
950,
12,
11
],
[
78,
962,
20,
11
],
[
102,
962,
12,
11
],
[
116,
962,
36,
11
],
[
155,
962,
16,
11
],
[
174,
962,
50,
11
],
[
423,
635,
10,
14
],
[
437,
635,
50,
14
],
[
492,
635,
33,
14
],
[
530,
635,
37,
14
],
[
571,
635,
22,
14
],
[
597,
635,
31,
14
],
[
633,
635,
31,
14
],
[
669,
635,
54,
14
],
[
728,
635,
20,
14
],
[
423,
652,
23,
14
],
[
450,
652,
34,
14
],
[
487,
652,
45,
14
],
[
537,
652,
54,
14
],
[
595,
652,
42,
14
],
[
641,
652,
14,
14
],
[
659,
652,
64,
14
],
[
727,
652,
21,
14
],
[
423,
668,
52,
14
],
[
479,
668,
16,
14
],
[
500,
668,
22,
14
],
[
526,
668,
33,
14
],
[
563,
668,
11,
14
],
[
578,
668,
13,
14
],
[
596,
668,
27,
14
],
[
627,
668,
22,
14
],
[
653,
668,
27,
14
],
[
685,
668,
17,
14
],
[
706,
668,
42,
14
],
[
423,
685,
53,
14
],
[
480,
685,
18,
14
],
[
503,
685,
25,
14
],
[
532,
685,
104,
14
],
[
640,
685,
23,
14
],
[
667,
685,
41,
14
],
[
712,
685,
36,
14
],
[
423,
701,
26,
14
],
[
453,
701,
24,
14
],
[
538,
719,
16,
10
],
[
564,
719,
6,
10
],
[
437,
734,
9,
17
],
[
450,
734,
8,
14
],
[
460,
733,
8,
14
],
[
472,
734,
8,
14
],
[
482,
734,
41,
17
],
[
526,
734,
8,
14
],
[
536,
728,
20,
28
],
[
557,
728,
20,
28
],
[
579,
734,
61,
17
],
[
643,
734,
8,
14
],
[
653,
734,
9,
17
],
[
664,
735,
3,
14
],
[
675,
735,
37,
14
],
[
720,
735,
10,
15
],
[
738,
735,
10,
14
],
[
540,
754,
14,
10
],
[
560,
754,
16,
10
],
[
423,
771,
18,
14
],
[
445,
771,
64,
14
],
[
514,
771,
37,
14
],
[
555,
771,
12,
14
],
[
571,
771,
39,
14
],
[
615,
771,
7,
14
],
[
626,
771,
8,
14
],
[
638,
771,
9,
14
],
[
651,
771,
19,
14
],
[
674,
771,
43,
14
],
[
722,
771,
26,
14
],
[
423,
787,
44,
14
],
[
472,
787,
78,
14
],
[
555,
787,
43,
15
],
[
603,
787,
10,
14
],
[
617,
787,
19,
14
],
[
640,
787,
46,
14
],
[
691,
787,
57,
14
],
[
423,
804,
32,
14
],
[
459,
804,
17,
14
],
[
481,
804,
39,
14
],
[
525,
804,
7,
14
],
[
536,
804,
68,
15
],
[
609,
804,
9,
14
],
[
622,
804,
7,
14
],
[
634,
804,
46,
14
],
[
684,
804,
32,
14
],
[
720,
804,
17,
14
],
[
741,
804,
7,
14
],
[
423,
820,
47,
14
],
[
474,
820,
12,
14
],
[
490,
820,
8,
14
],
[
502,
820,
12,
14
],
[
518,
820,
13,
14
],
[
535,
820,
51,
14
],
[
590,
820,
12,
14
],
[
606,
820,
8,
14
],
[
619,
820,
12,
14
],
[
635,
820,
56,
14
],
[
695,
820,
11,
14
],
[
710,
820,
30,
14
],
[
744,
820,
4,
14
],
[
423,
837,
16,
14
],
[
443,
837,
25,
14
],
[
472,
837,
25,
14
],
[
501,
837,
11,
14
],
[
517,
837,
39,
14
],
[
559,
837,
7,
14
],
[
570,
837,
21,
14
],
[
596,
837,
9,
15
],
[
609,
837,
9,
14
],
[
623,
837,
6,
14
],
[
634,
837,
45,
14
],
[
683,
837,
45,
14
],
[
731,
837,
16,
14
],
[
423,
854,
39,
14
],
[
466,
854,
7,
14
],
[
478,
854,
23,
14
],
[
505,
854,
23,
14
],
[
533,
854,
97,
14
],
[
635,
854,
22,
14
],
[
660,
854,
6,
14
],
[
671,
854,
38,
14
],
[
714,
854,
34,
14
],
[
423,
870,
36,
14
],
[
463,
870,
25,
14
],
[
492,
870,
18,
14
],
[
515,
870,
45,
14
],
[
564,
870,
68,
14
],
[
636,
870,
38,
14
],
[
678,
870,
47,
14
],
[
730,
870,
18,
14
],
[
423,
887,
44,
14
],
[
471,
887,
28,
14
],
[
503,
887,
34,
14
],
[
541,
887,
101,
14
],
[
647,
887,
49,
14
],
[
700,
887,
18,
14
],
[
723,
887,
25,
14
],
[
423,
904,
37,
14
],
[
465,
904,
30,
14
],
[
500,
904,
28,
14
],
[
533,
904,
22,
14
],
[
559,
904,
69,
14
],
[
632,
904,
45,
14
],
[
681,
904,
16,
14
],
[
702,
904,
46,
14
],
[
423,
920,
28,
14
],
[
455,
920,
21,
14
],
[
480,
920,
72,
14
],
[
556,
920,
36,
14
],
[
597,
920,
16,
14
],
[
617,
920,
49,
14
],
[
670,
920,
13,
14
],
[
686,
920,
28,
14
],
[
719,
920,
30,
14
],
[
423,
937,
73,
14
],
[
500,
937,
48,
14
],
[
553,
937,
17,
14
],
[
574,
937,
34,
14
],
[
612,
937,
48,
14
],
[
664,
937,
22,
14
],
[
690,
937,
28,
14
],
[
722,
937,
26,
14
],
[
423,
953,
39,
14
],
[
466,
953,
46,
14
],
[
517,
953,
10,
14
],
[
532,
953,
42,
14
],
[
579,
953,
101,
14
],
[
685,
953,
51,
14
],
[
741,
953,
7,
14
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
38,
10
],
[
318,
987,
8,
10
],
[
329,
987,
8,
10
],
[
340,
987,
30,
10
],
[
373,
987,
29,
10
],
[
404,
987,
27,
10
],
[
434,
987,
14,
10
],
[
451,
987,
15,
10
],
[
469,
987,
6,
10
],
[
477,
987,
10,
10
],
[
489,
987,
20,
10
],
[
512,
987,
24,
10
],
[
539,
987,
23,
10
],
[
565,
987,
41,
10
],
[
608,
987,
23,
10
],
[
633,
987,
13,
10
],
[
649,
987,
22,
10
],
[
673,
987,
8,
10
],
[
684,
987,
13,
10
],
[
699,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
49,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Veerkamp",
"et",
"al.",
"BMC",
"Proceedings",
"2010,",
"4(Suppl",
"1):S9",
"http://www.biomedcentral.com/1753-6561/4/S1/S9",
"P",
"R",
"O",
"C",
"E",
"E",
"D",
"I",
"N",
"G",
"S",
"Open",
"Access",
"Simultaneous",
"QTL",
"detection",
"and",
"genomic",
"breeding",
"value",
"estimation",
"using",
"high",
"density",
"SNP",
"chips",
"Roel",
"F",
"Veerkamp1*,",
"Klara",
"L",
"Verbyla1,2,",
"Han",
"A",
"Mulder1,",
"Mario",
"P",
"L",
"Calus1",
"From",
"13th",
"European",
"workshop",
"on",
"QTL",
"mapping",
"and",
"marker",
"assisted",
"selection",
"Wageningen,",
"The",
"Netherlands.",
"20-21",
"April",
"2009",
"Abstract",
"Background:",
"The",
"simulated",
"dataset",
"of",
"the",
"13th",
"QTL-MAS",
"workshop",
"was",
"analysed",
"to",
"i)",
"detect",
"QTL",
"and",
"ii)",
"predict",
"breeding",
"values",
"for",
"animals",
"without",
"phenotypic",
"information.",
"Several",
"parameterisations",
"considering",
"all",
"SNP",
"simultaneously",
"were",
"applied",
"using",
"Gibbs",
"sampling.",
"Results:",
"Fourteen",
"QTL",
"were",
"detected",
"at",
"the",
"different",
"time",
"points.",
"Correlations",
"between",
"estimated",
"breeding",
"values",
"were",
"high",
"between",
"models,",
"except",
"when",
"the",
"model",
"was",
"used",
"that",
"assumed",
"that",
"all",
"SNP",
"effects",
"came",
"from",
"one",
"distribution.",
"The",
"model",
"that",
"used",
"the",
"selected",
"14",
"SNP",
"found",
"associated",
"with",
"QTL,",
"gave",
"close",
"to",
"unity",
"correlations",
"with",
"the",
"full",
"parameterisations.",
"Conclusions:",
"Nine",
"out",
"of",
"18",
"QTL",
"were",
"detected,",
"however",
"the",
"six",
"QTL",
"for",
"inflection",
"point",
"were",
"missed.",
"Models",
"for",
"genomic",
"selection",
"were",
"indicated",
"to",
"be",
"fairly",
"robust,",
"e.g.",
"with",
"respect",
"to",
"accuracy",
"of",
"estimated",
"breeding",
"values.",
"Still,",
"it",
"is",
"worthwhile",
"to",
"investigate",
"the",
"number",
"QTL",
"underlying",
"the",
"quantitative",
"traits,",
"before",
"choosing",
"the",
"model",
"used",
"for",
"genomic",
"selection.",
"Background",
"High",
"density",
"SNP",
"chips",
"with",
"~50,000",
"SNPs",
"have",
"become",
"available",
"for",
"most",
"livestock",
"species.",
"Breeding",
"value",
"estimation",
"using",
"all",
"these",
"SNPs",
"simultaneously",
"is",
"expected",
"to",
"yield",
"the",
"highest",
"accuracy",
"[1].",
"Several",
"para-",
"meterisations",
"of",
"the",
"SNP",
"effects",
"in",
"the",
"statistical",
"model",
"have",
"been",
"suggested",
"[2-5].",
"The",
"objectives",
"of",
"this",
"study",
"were",
"to",
"accurately",
"identify",
"QTL",
"and",
"predict",
"breeding",
"values",
"in",
"the",
"simulated",
"data",
"of",
"the",
"13th",
"QTL-MAS",
"workshop,",
"using",
"different",
"parameterisations",
"for",
"the",
"SNP",
"effects.",
"Methods",
"The",
"simulated",
"data",
"of",
"the",
"13th",
"QTL-MAS",
"workshop",
"is",
"described",
"Coster",
"et",
"al.",
"[6].",
"Simulated",
"data",
"were",
"analysed",
"per",
"time",
"point,",
"and",
"for",
"QTL",
"detection,",
"the",
"change",
"between",
"traits",
"at",
"subsequent",
"time",
"points",
"was",
"also",
"used.",
"*",
"Correspondence:",
"Roel.Veerkamp@wur.nl",
"1Animal",
"Breeding",
"and",
"Genomics",
"Centre,",
"ASG",
"Wageningen",
"UR,",
"PO",
"Box",
"65,",
"8200",
"AB",
"Lelystad,",
"The",
"Netherlands",
"A",
"pedigree",
"based",
"model",
"was",
"fitted",
"using",
"ASREML",
"[7].",
"The",
"Gibbs",
"sampler",
"described",
"initially",
"by",
"Meuwissen",
"and",
"Goddard",
"[1]",
"and",
"Calus",
"et",
"al.",
"[4,5]",
"was",
"used",
"for",
"models",
"including",
"the",
"SNP",
"parameterisations.",
"The",
"general",
"model",
"used",
"was:",
"nloc",
"2",
"yi",
"",
"",
"",
"animali",
"",
"",
"",
"haplotypeijk",
"",
"ei",
",",
"where",
"yi",
"is",
"j1",
"k1",
"the",
"phenotypic",
"record",
"of",
"animal",
"i,",
"µ",
"is",
"the",
"average",
"phe-",
"notypic",
"performance,",
"animali",
"is",
"the",
"random",
"polygenic",
"effect",
"for",
"animal",
"i,",
"haplotypeijk",
"is",
"a",
"random",
"effect",
"for",
"a",
"paternal",
"(k",
"=",
"1)",
"or",
"maternal",
"(k",
"=",
"2)",
"haplotype",
"at",
"locus",
"j",
"(of",
"nloc",
"loci)",
"of",
"animal",
"i,",
"and",
"ei",
"is",
"a",
"random",
"residual",
"for",
"animal",
"i.",
"The",
"first",
"parameterisation",
"was",
"a",
"simple",
"BLUP",
"model",
"with",
"the",
"additive",
"relationship",
"matrix",
"between",
"the",
"animals",
"only.",
"Other",
"parameterisations",
"assumed",
"the",
"SNP",
"effects",
"came",
"from",
"one",
"distribution",
"(SNP1),",
"i.e.",
"BayesA,",
"from",
"two",
"distributions",
"(SNP2",
"i.e.",
"BayesC),",
"or",
"from",
"three",
"distributions",
"allowing",
"for",
"small,",
"medium",
"and",
"large",
"SNP",
"effects",
"(SNP3).",
"A",
"further",
"parameterisation",
"assumed",
"a",
"©",
"2010",
"Veerkamp",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,199,268 | null | [
[
78,
47,
25,
12
],
[
107,
47,
9,
12
],
[
119,
47,
11,
12
],
[
133,
47,
21,
12
],
[
157,
47,
40,
12
],
[
200,
47,
26,
12
],
[
229,
47,
25,
12
],
[
257,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
214,
34
],
[
303,
169,
27,
34
],
[
340,
169,
104,
34
],
[
454,
169,
47,
34
],
[
510,
169,
48,
34
],
[
569,
169,
105,
34
],
[
684,
169,
37,
34
],
[
78,
205,
101,
34
],
[
190,
205,
88,
34
],
[
288,
205,
76,
34
],
[
373,
205,
66,
34
],
[
449,
205,
30,
34
],
[
78,
252,
29,
16
],
[
112,
249,
44,
18
],
[
160,
252,
37,
16
],
[
200,
249,
35,
18
],
[
240,
252,
35,
16
],
[
279,
249,
56,
18
],
[
340,
252,
47,
16
],
[
392,
249,
60,
18
],
[
456,
252,
42,
16
],
[
502,
249,
41,
18
],
[
547,
252,
22,
16
],
[
574,
252,
51,
16
],
[
630,
252,
9,
16
],
[
643,
249,
69,
18
],
[
87,
306,
54,
15
],
[
87,
331,
76,
14
],
[
167,
331,
43,
14
],
[
214,
331,
37,
14
],
[
255,
331,
8,
14
],
[
268,
331,
36,
14
],
[
309,
331,
60,
14
],
[
373,
331,
34,
14
],
[
411,
331,
40,
14
],
[
455,
331,
21,
14
],
[
481,
331,
19,
14
],
[
504,
331,
73,
14
],
[
580,
331,
22,
14
],
[
607,
331,
11,
14
],
[
622,
331,
19,
14
],
[
645,
331,
36,
14
],
[
685,
331,
39,
14
],
[
87,
348,
22,
14
],
[
114,
348,
41,
14
],
[
159,
348,
22,
14
],
[
184,
348,
19,
14
],
[
207,
348,
20,
14
],
[
232,
348,
22,
14
],
[
259,
348,
37,
14
],
[
300,
348,
20,
14
],
[
324,
348,
15,
14
],
[
343,
348,
54,
14
],
[
401,
348,
83,
14
],
[
488,
348,
11,
14
],
[
503,
348,
49,
14
],
[
556,
348,
36,
14
],
[
596,
348,
66,
14
],
[
666,
348,
35,
14
],
[
706,
348,
13,
14
],
[
87,
365,
32,
14
],
[
124,
365,
12,
14
],
[
140,
365,
22,
14
],
[
166,
365,
11,
14
],
[
181,
365,
19,
14
],
[
204,
365,
74,
14
],
[
282,
365,
28,
14
],
[
314,
365,
55,
14
],
[
374,
365,
22,
14
],
[
400,
365,
40,
14
],
[
444,
365,
11,
14
],
[
460,
365,
50,
14
],
[
515,
365,
42,
14
],
[
560,
365,
11,
14
],
[
575,
365,
20,
14
],
[
600,
365,
33,
14
],
[
636,
365,
20,
14
],
[
660,
365,
42,
14
],
[
87,
381,
37,
14
],
[
128,
381,
54,
14
],
[
186,
381,
36,
14
],
[
226,
381,
27,
14
],
[
257,
381,
44,
14
],
[
305,
381,
28,
14
],
[
337,
381,
59,
14
],
[
400,
381,
15,
14
],
[
420,
381,
19,
14
],
[
443,
381,
63,
14
],
[
510,
381,
11,
14
],
[
525,
381,
45,
14
],
[
575,
381,
56,
14
],
[
635,
381,
46,
14
],
[
685,
381,
11,
14
],
[
87,
398,
45,
14
],
[
137,
398,
43,
14
],
[
184,
398,
37,
14
],
[
225,
398,
38,
14
],
[
87,
418,
46,
14
],
[
137,
418,
20,
14
],
[
162,
418,
59,
14
],
[
225,
418,
28,
14
],
[
256,
418,
53,
14
],
[
313,
418,
14,
14
],
[
331,
418,
52,
14
],
[
388,
418,
36,
14
],
[
428,
418,
43,
14
],
[
476,
418,
48,
14
],
[
528,
418,
20,
14
],
[
552,
418,
61,
14
],
[
617,
418,
76,
14
],
[
698,
418,
36,
14
],
[
87,
435,
35,
14
],
[
126,
435,
28,
14
],
[
158,
435,
28,
14
],
[
191,
435,
54,
14
],
[
249,
435,
11,
14
],
[
264,
435,
19,
14
],
[
286,
435,
25,
14
],
[
315,
435,
16,
14
],
[
336,
435,
49,
14
],
[
389,
435,
14,
14
],
[
407,
435,
36,
14
],
[
447,
435,
21,
14
],
[
473,
435,
89,
14
],
[
567,
435,
43,
14
],
[
614,
435,
42,
14
],
[
660,
435,
37,
14
],
[
701,
435,
26,
14
],
[
87,
452,
28,
14
],
[
119,
452,
52,
14
],
[
175,
452,
15,
14
],
[
195,
452,
25,
14
],
[
223,
452,
22,
14
],
[
249,
452,
42,
14
],
[
296,
452,
33,
14
],
[
332,
452,
14,
14
],
[
350,
452,
53,
14
],
[
407,
452,
81,
14
],
[
492,
452,
11,
14
],
[
507,
452,
7,
14
],
[
518,
452,
38,
14
],
[
560,
452,
61,
14
],
[
626,
452,
11,
14
],
[
641,
452,
14,
14
],
[
659,
452,
9,
14
],
[
673,
452,
28,
14
],
[
87,
468,
59,
14
],
[
150,
468,
48,
14
],
[
202,
468,
34,
14
],
[
241,
468,
38,
14
],
[
283,
468,
22,
14
],
[
309,
468,
11,
14
],
[
323,
468,
14,
14
],
[
342,
468,
55,
14
],
[
401,
468,
54,
14
],
[
459,
468,
61,
14
],
[
525,
468,
11,
14
],
[
540,
468,
14,
14
],
[
558,
468,
9,
14
],
[
572,
468,
28,
14
],
[
603,
468,
59,
14
],
[
667,
468,
27,
14
],
[
698,
468,
22,
14
],
[
87,
485,
82,
14
],
[
173,
485,
41,
14
],
[
218,
485,
46,
14
],
[
267,
485,
68,
14
],
[
340,
485,
30,
14
],
[
375,
485,
50,
14
],
[
428,
485,
19,
14
],
[
451,
485,
29,
14
],
[
484,
485,
40,
14
],
[
528,
485,
27,
14
],
[
559,
485,
22,
14
],
[
585,
485,
12,
14
],
[
601,
485,
14,
14
],
[
619,
485,
25,
14
],
[
648,
485,
51,
14
],
[
87,
501,
81,
14
],
[
173,
501,
43,
14
],
[
220,
501,
27,
14
],
[
251,
501,
29,
14
],
[
285,
501,
12,
14
],
[
301,
501,
25,
14
],
[
87,
522,
75,
14
],
[
167,
522,
18,
14
],
[
189,
522,
27,
14
],
[
220,
522,
74,
14
],
[
298,
522,
43,
14
],
[
345,
522,
20,
14
],
[
369,
522,
20,
14
],
[
393,
522,
44,
14
],
[
440,
522,
15,
14
],
[
460,
522,
43,
14
],
[
507,
522,
37,
14
],
[
548,
522,
50,
14
],
[
601,
522,
11,
14
],
[
616,
522,
55,
14
],
[
676,
522,
36,
14
],
[
716,
522,
23,
14
],
[
87,
539,
12,
14
],
[
103,
539,
26,
14
],
[
133,
539,
54,
14
],
[
192,
539,
12,
14
],
[
208,
539,
25,
14
],
[
238,
539,
39,
14
],
[
281,
539,
11,
14
],
[
297,
539,
52,
14
],
[
353,
539,
11,
14
],
[
368,
539,
19,
14
],
[
391,
539,
22,
14
],
[
417,
539,
35,
14
],
[
456,
539,
54,
14
],
[
514,
539,
68,
14
],
[
587,
539,
30,
14
],
[
621,
539,
33,
14
],
[
659,
539,
59,
14
],
[
87,
555,
20,
14
],
[
111,
555,
44,
14
],
[
159,
555,
17,
14
],
[
181,
555,
23,
14
],
[
208,
555,
34,
14
],
[
246,
555,
15,
14
],
[
265,
555,
19,
14
],
[
288,
555,
42,
14
],
[
335,
555,
11,
14
],
[
350,
555,
30,
14
],
[
385,
555,
39,
14
],
[
428,
555,
56,
14
],
[
487,
555,
48,
14
],
[
539,
555,
42,
14
],
[
585,
555,
11,
14
],
[
600,
555,
43,
14
],
[
647,
555,
37,
14
],
[
87,
572,
68,
14
],
[
78,
618,
77,
15
],
[
78,
635,
45,
14
],
[
128,
635,
69,
14
],
[
202,
635,
12,
14
],
[
218,
635,
31,
14
],
[
254,
635,
30,
14
],
[
289,
635,
11,
14
],
[
305,
635,
50,
14
],
[
360,
635,
44,
14
],
[
78,
652,
18,
14
],
[
101,
652,
35,
14
],
[
141,
652,
29,
14
],
[
175,
652,
85,
14
],
[
265,
652,
43,
14
],
[
312,
652,
43,
14
],
[
360,
652,
43,
14
],
[
78,
668,
27,
14
],
[
110,
668,
30,
14
],
[
144,
668,
32,
14
],
[
181,
668,
12,
14
],
[
198,
668,
52,
14
],
[
255,
668,
44,
14
],
[
303,
668,
61,
14
],
[
368,
668,
12,
14
],
[
385,
668,
19,
14
],
[
78,
685,
37,
14
],
[
120,
685,
43,
14
],
[
167,
685,
47,
14
],
[
218,
685,
21,
14
],
[
244,
685,
22,
14
],
[
270,
685,
12,
14
],
[
286,
685,
18,
14
],
[
309,
685,
25,
14
],
[
339,
685,
65,
14
],
[
78,
701,
32,
14
],
[
115,
701,
31,
14
],
[
151,
701,
10,
14
],
[
166,
701,
49,
14
],
[
220,
701,
35,
14
],
[
259,
701,
49,
14
],
[
313,
701,
12,
14
],
[
330,
701,
22,
14
],
[
357,
701,
46,
14
],
[
78,
718,
28,
14
],
[
111,
718,
12,
14
],
[
127,
718,
28,
14
],
[
158,
718,
12,
14
],
[
174,
718,
12,
14
],
[
190,
718,
18,
14
],
[
212,
718,
29,
14
],
[
245,
718,
41,
14
],
[
290,
718,
15,
14
],
[
309,
718,
40,
14
],
[
354,
718,
50,
14
],
[
78,
735,
32,
14
],
[
115,
735,
15,
14
],
[
134,
735,
56,
14
],
[
195,
735,
26,
14
],
[
225,
735,
37,
14
],
[
267,
735,
23,
14
],
[
294,
735,
31,
14
],
[
329,
735,
29,
14
],
[
362,
735,
41,
14
],
[
78,
751,
82,
14
],
[
165,
751,
40,
14
],
[
209,
751,
68,
14
],
[
281,
751,
9,
14
],
[
295,
751,
35,
14
],
[
335,
751,
21,
14
],
[
360,
751,
25,
14
],
[
390,
751,
14,
14
],
[
78,
768,
35,
14
],
[
118,
768,
69,
14
],
[
192,
768,
33,
14
],
[
229,
768,
30,
14
],
[
264,
768,
50,
14
],
[
319,
768,
41,
14
],
[
365,
768,
15,
14
],
[
385,
768,
19,
14
],
[
78,
785,
43,
14
],
[
127,
785,
55,
14
],
[
187,
785,
12,
14
],
[
204,
784,
12,
14
],
[
221,
784,
31,
14
],
[
256,
785,
33,
14
],
[
294,
785,
56,
14
],
[
355,
785,
49,
14
],
[
78,
801,
44,
14
],
[
127,
801,
71,
14
],
[
202,
801,
84,
14
],
[
290,
801,
49,
14
],
[
343,
801,
61,
14
],
[
78,
818,
36,
14
],
[
119,
818,
40,
14
],
[
162,
818,
21,
14
],
[
188,
818,
30,
14
],
[
222,
818,
12,
14
],
[
238,
818,
18,
14
],
[
261,
818,
40,
14
],
[
305,
818,
55,
14
],
[
365,
818,
39,
14
],
[
78,
834,
29,
14
],
[
112,
834,
31,
14
],
[
149,
834,
66,
14
],
[
220,
834,
19,
14
],
[
244,
834,
64,
14
],
[
313,
834,
12,
14
],
[
330,
834,
22,
14
],
[
358,
834,
46,
14
],
[
78,
851,
29,
14
],
[
111,
851,
36,
14
],
[
151,
851,
39,
14
],
[
194,
851,
12,
14
],
[
210,
851,
59,
14
],
[
273,
851,
28,
14
],
[
305,
851,
35,
14
],
[
344,
851,
24,
14
],
[
372,
851,
19,
14
],
[
89,
868,
35,
14
],
[
129,
868,
42,
14
],
[
176,
868,
15,
14
],
[
196,
868,
19,
14
],
[
220,
868,
66,
14
],
[
290,
868,
12,
14
],
[
307,
868,
29,
14
],
[
340,
868,
12,
14
],
[
356,
868,
47,
14
],
[
78,
884,
27,
14
],
[
110,
884,
12,
14
],
[
127,
884,
33,
14
],
[
165,
884,
45,
14
],
[
214,
884,
20,
14
],
[
239,
884,
33,
14
],
[
276,
884,
52,
14
],
[
333,
884,
17,
14
],
[
354,
884,
13,
14
],
[
372,
884,
32,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
80,
11
],
[
78,
936,
17,
13
],
[
98,
937,
34,
11
],
[
136,
937,
34,
11
],
[
173,
937,
9,
11
],
[
184,
937,
49,
11
],
[
236,
937,
29,
11
],
[
269,
937,
27,
11
],
[
299,
937,
6,
11
],
[
308,
937,
54,
11
],
[
78,
950,
52,
11
],
[
134,
950,
54,
11
],
[
191,
950,
20,
11
],
[
214,
950,
22,
11
],
[
239,
950,
29,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
618,
29,
14
],
[
456,
618,
16,
14
],
[
477,
618,
26,
14
],
[
507,
618,
37,
14
],
[
549,
618,
23,
14
],
[
576,
618,
41,
14
],
[
622,
618,
74,
14
],
[
700,
618,
17,
14
],
[
721,
618,
27,
14
],
[
423,
635,
50,
14
],
[
478,
635,
52,
14
],
[
535,
635,
10,
14
],
[
549,
635,
50,
14
],
[
603,
635,
64,
14
],
[
672,
635,
41,
14
],
[
717,
635,
31,
14
],
[
423,
652,
57,
14
],
[
483,
652,
12,
14
],
[
499,
652,
47,
14
],
[
550,
652,
12,
14
],
[
566,
652,
18,
14
],
[
589,
652,
50,
14
],
[
643,
652,
26,
14
],
[
673,
652,
18,
14
],
[
695,
652,
53,
14
],
[
423,
668,
31,
14
],
[
458,
668,
31,
14
],
[
494,
668,
45,
14
],
[
543,
668,
47,
14
],
[
594,
668,
47,
14
],
[
645,
668,
23,
14
],
[
672,
668,
45,
14
],
[
722,
668,
26,
14
],
[
423,
685,
21,
14
],
[
449,
685,
14,
14
],
[
467,
685,
60,
14
],
[
532,
685,
12,
14
],
[
549,
685,
19,
14
],
[
573,
685,
25,
14
],
[
603,
685,
29,
14
],
[
638,
685,
23,
14
],
[
665,
685,
12,
14
],
[
682,
685,
19,
14
],
[
706,
685,
42,
14
],
[
423,
701,
54,
14
],
[
481,
701,
26,
14
],
[
511,
701,
45,
14
],
[
561,
701,
38,
14
],
[
604,
701,
38,
14
],
[
646,
701,
38,
14
],
[
689,
701,
20,
14
],
[
713,
701,
12,
14
],
[
730,
701,
19,
14
],
[
423,
718,
40,
14
],
[
467,
718,
45,
14
],
[
516,
718,
19,
14
],
[
540,
718,
8,
14
],
[
552,
718,
18,
14
],
[
575,
718,
12,
14
],
[
591,
718,
23,
14
],
[
618,
718,
12,
14
],
[
634,
718,
18,
14
],
[
657,
718,
25,
14
],
[
686,
718,
62,
14
],
[
423,
735,
12,
14
],
[
440,
735,
58,
14
],
[
502,
735,
31,
14
],
[
539,
735,
12,
14
],
[
556,
735,
19,
14
],
[
580,
735,
43,
14
],
[
628,
735,
53,
14
],
[
686,
735,
20,
14
],
[
712,
735,
36,
14
],
[
423,
751,
57,
14
],
[
484,
751,
53,
14
],
[
543,
751,
12,
14
],
[
560,
751,
24,
14
],
[
589,
751,
12,
14
],
[
606,
751,
76,
14
],
[
687,
751,
61,
14
],
[
423,
768,
48,
14
],
[
475,
768,
50,
14
],
[
529,
768,
77,
14
],
[
610,
768,
52,
14
],
[
666,
768,
29,
14
],
[
699,
768,
49,
14
],
[
423,
784,
21,
14
],
[
448,
784,
43,
14
],
[
494,
784,
17,
14
],
[
515,
784,
56,
14
],
[
575,
784,
21,
14
],
[
600,
784,
51,
14
],
[
655,
784,
33,
14
],
[
693,
784,
11,
14
],
[
708,
784,
13,
14
],
[
725,
784,
23,
14
],
[
423,
801,
43,
14
],
[
470,
801,
23,
14
],
[
497,
801,
14,
14
],
[
515,
801,
48,
14
],
[
567,
801,
75,
14
],
[
647,
801,
28,
14
],
[
679,
801,
28,
14
],
[
711,
801,
37,
14
],
[
423,
818,
49,
14
],
[
477,
818,
12,
14
],
[
494,
818,
42,
14
],
[
541,
818,
42,
14
],
[
589,
818,
22,
14
],
[
616,
818,
50,
14
],
[
671,
818,
21,
14
],
[
697,
818,
14,
14
],
[
716,
818,
32,
14
],
[
423,
834,
32,
14
],
[
459,
834,
41,
14
],
[
505,
834,
15,
14
],
[
525,
834,
19,
14
],
[
548,
834,
22,
14
],
[
575,
834,
24,
14
],
[
603,
834,
58,
14
],
[
666,
834,
33,
14
],
[
703,
834,
18,
14
],
[
726,
834,
21,
14
],
[
423,
851,
30,
14
],
[
457,
851,
12,
14
],
[
473,
851,
14,
14
],
[
490,
851,
12,
14
],
[
506,
851,
53,
14
],
[
563,
851,
37,
14
],
[
604,
851,
11,
14
],
[
620,
851,
18,
14
],
[
642,
851,
48,
14
],
[
434,
867,
60,
14
],
[
499,
867,
23,
14
],
[
527,
867,
23,
14
],
[
555,
867,
12,
14
],
[
572,
867,
62,
14
],
[
639,
867,
19,
14
],
[
664,
867,
67,
14
],
[
736,
867,
12,
14
],
[
423,
884,
45,
14
],
[
472,
884,
49,
14
],
[
525,
884,
24,
14
],
[
553,
884,
15,
14
],
[
573,
884,
55,
14
],
[
632,
884,
57,
14
],
[
694,
884,
38,
14
],
[
736,
884,
12,
14
],
[
423,
901,
37,
14
],
[
464,
901,
16,
14
],
[
485,
901,
41,
14
],
[
530,
901,
73,
14
],
[
607,
901,
23,
14
],
[
634,
901,
12,
14
],
[
650,
901,
54,
14
],
[
708,
901,
22,
14
],
[
734,
901,
14,
14
],
[
423,
917,
40,
14
],
[
468,
917,
11,
14
],
[
483,
917,
14,
14
],
[
502,
917,
24,
14
],
[
530,
917,
17,
14
],
[
551,
917,
50,
14
],
[
606,
917,
16,
14
],
[
627,
917,
27,
14
],
[
659,
917,
46,
14
],
[
709,
917,
39,
14
],
[
423,
934,
24,
14
],
[
451,
934,
58,
14
],
[
514,
934,
28,
14
],
[
547,
934,
33,
14
],
[
584,
934,
17,
14
],
[
605,
934,
12,
14
],
[
621,
934,
30,
14
],
[
655,
934,
77,
14
],
[
736,
934,
12,
14
],
[
423,
950,
23,
14
],
[
450,
950,
41,
14
],
[
495,
950,
34,
14
],
[
533,
950,
32,
14
],
[
569,
950,
29,
14
],
[
602,
950,
17,
14
],
[
623,
950,
41,
14
],
[
668,
950,
76,
14
],
[
248,
987,
7,
10
],
[
256,
987,
19,
10
],
[
277,
987,
21,
10
],
[
300,
987,
8,
10
],
[
310,
987,
8,
10
],
[
321,
987,
30,
10
],
[
354,
987,
29,
10
],
[
385,
987,
27,
10
],
[
415,
987,
14,
10
],
[
431,
987,
15,
10
],
[
449,
987,
6,
10
],
[
457,
987,
10,
10
],
[
469,
987,
20,
10
],
[
491,
987,
24,
10
],
[
518,
987,
23,
10
],
[
543,
987,
41,
10
],
[
586,
987,
23,
10
],
[
611,
987,
13,
10
],
[
626,
987,
21,
10
],
[
650,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Fluch",
"et",
"al.",
"BMC",
"Research",
"Notes",
"2011,",
"4:401",
"http://www.biomedcentral.com/1756-0500/4/401",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Characterization",
"of",
"variable",
"EST",
"SSR",
"markers",
"for",
"Norway",
"spruce",
"(Picea",
"abies",
"L.)",
"Silvia",
"Fluch1*,",
"Agnes",
"Burg1,",
"Dieter",
"Kopecky1,",
"Andreas",
"Homolka1,",
"Nadine",
"Spiess1",
"and",
"Giovanni",
"G",
"Vendramin2",
"Abstract",
"Background:",
"Norway",
"spruce",
"is",
"widely",
"distributed",
"across",
"Europe",
"and",
"the",
"predominant",
"tree",
"of",
"the",
"Alpine",
"region.",
"Fast",
"growth",
"and",
"the",
"fact",
"that",
"timber",
"can",
"be",
"harvested",
"cost-effectively",
"in",
"relatively",
"young",
"populations",
"define",
"its",
"status",
"as",
"one",
"of",
"the",
"economically",
"most",
"important",
"tree",
"species",
"of",
"Northern",
"Europe.",
"In",
"this",
"study,",
"EST",
"derived",
"simple",
"sequence",
"repeat",
"(SSR)",
"markers",
"were",
"developed",
"for",
"the",
"assessment",
"of",
"putative",
"functional",
"diversity",
"in",
"Austrian",
"Norway",
"spruce",
"stands.",
"Results:",
"SSR",
"sequences",
"were",
"identified",
"by",
"analyzing",
"14,022",
"publicly",
"available",
"EST",
"sequences.",
"Tri-nucleotide",
"repeat",
"motifs",
"were",
"most",
"abundant",
"in",
"the",
"data",
"set",
"followed",
"by",
"penta-",
"and",
"hexa-nucleotide",
"repeats.",
"Specific",
"primer",
"pairs",
"were",
"designed",
"for",
"sixty",
"loci.",
"Among",
"these,",
"27",
"displayed",
"polymorphism",
"in",
"a",
"testing",
"population",
"of",
"16",
"P.",
"abies",
"individuals",
"sampled",
"across",
"Austria",
"and",
"in",
"an",
"additional",
"screening",
"population",
"of",
"96",
"P.",
"abies",
"individuals",
"from",
"two",
"geographically",
"distinct",
"Austrian",
"populations.",
"Allele",
"numbers",
"per",
"locus",
"ranged",
"from",
"two",
"to",
"17",
"with",
"observed",
"heterozygosity",
"ranging",
"from",
"0.075",
"to",
"0.99.",
"Conclusions:",
"We",
"have",
"characterized",
"variable",
"EST",
"SSR",
"markers",
"for",
"Norway",
"spruce",
"detected",
"in",
"expressed",
"genes.",
"Due",
"to",
"their",
"moderate",
"to",
"high",
"degree",
"of",
"variability",
"in",
"the",
"two",
"tested",
"screening",
"populations,",
"these",
"newly",
"developed",
"SSR",
"markers",
"are",
"well",
"suited",
"for",
"the",
"analysis",
"of",
"stress",
"related",
"functional",
"variation",
"present",
"in",
"Norway",
"spruce",
"populations.",
"Background",
"Natural",
"populations",
"of",
"Picea",
"abies",
"L.",
"(Norway",
"spruce)",
"are",
"found",
"from",
"north-western",
"Europe",
"outside",
"perma-",
"frost",
"areas",
"down",
"to",
"northern",
"Greece,",
"westwards",
"to",
"the",
"Massif",
"Central",
"(France)",
"and",
"east",
"to",
"the",
"Ural",
"Mountains.",
"Picea",
"abies",
"is",
"growing",
"above",
"400-500",
"m",
"and",
"ascends",
"close",
"to",
"2000",
"m",
"in",
"the",
"Alps.",
"Studies",
"on",
"genetic",
"variation",
"based",
"on",
"allozymes",
"have",
"shown",
"that",
"Picea",
"abies",
"genetic",
"differentiation",
"among",
"populations",
"is",
"rather",
"low",
"over",
"its",
"whole",
"distribution",
"range",
"[1,2].",
"Previous",
"studies",
"on",
"the",
"genetic",
"structure",
"of",
"P.",
"abies",
"using",
"organelle",
"markers",
"showed",
"pronounced",
"differentiation",
"between",
"north-east",
"boreal",
"origins",
"and",
"areas",
"in",
"the",
"central",
"European",
"moun-",
"tains",
"[3,4],",
"supporting",
"the",
"hypothesis",
"of",
"two",
"distinct",
"main",
"glacial",
"refugia",
"as",
"postulated",
"from",
"pollen",
"data",
"[5].",
"Initial",
"reports",
"on",
"the",
"occurrence",
"of",
"SSRs",
"in",
"conifers",
"such",
"as",
"Pinus",
"radiata",
"[6],",
"Pinus",
"sylvestris",
"[7]",
"or",
"Picea",
"*",
"Correspondence:",
"silvia.fluch@ait.ac.at",
"1AIT",
"Austrian",
"Institute",
"of",
"Technology",
"GmbH,",
"Health",
"&",
"Environment",
"Department,",
"Bioresources,",
"3430",
"Tulln,",
"Austria",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"abies",
"[8]",
"have",
"shown",
"that",
"marker",
"development",
"for",
"such",
"complex",
"genomes",
"is",
"difficult.",
"Frequently",
"several",
"DNA",
"fragments",
"in",
"addition",
"to",
"the",
"expected",
"ones",
"are",
"amplified",
"when",
"using",
"primers",
"flanking",
"putative",
"SSR",
"regions.",
"This",
"can",
"be",
"attributed",
"to",
"the",
"very",
"large",
"size",
"of",
"the",
"conifer",
"genomes,",
"with",
"Norway",
"spruce",
"having",
"39.140",
"Mb",
"in",
"the",
"diploid",
"genome",
"(2n",
"=",
"24)",
"as",
"well",
"as",
"the",
"high",
"proportion",
"of",
"repetitive",
"DNA",
"in",
"the",
"conifer",
"genomes",
"[9].",
"These",
"repetitive",
"elements",
"as",
"well",
"as",
"pseudogenes",
"frequently",
"produce",
"complex",
"amplification",
"products",
"from",
"multiple",
"loci",
"[10,11].",
"To",
"overcome",
"this",
"problem,",
"Scotti",
"et",
"al.",
"[12]",
"showed",
"that",
"by",
"isolating",
"di-nucleotide",
"SSRs",
"from",
"cDNA",
"libraries",
"of",
"conifer",
"species",
"this",
"problem",
"can",
"be",
"over-",
"come",
"relying",
"on",
"the",
"fact",
"that",
"expressed",
"genes",
"are",
"less",
"likely",
"to",
"be",
"of",
"repetitive",
"nature",
"in",
"the",
"genome.",
"Following",
"this",
"line",
"of",
"exploiting",
"the",
"advantages",
"of",
"publicly",
"available",
"data",
"on",
"expressed",
"sequences",
"(ESTs)",
"as",
"source",
"for",
"marker",
"development",
"[13]",
"as",
"described",
"also",
"by",
"Rungis",
"et",
"al.",
"[14]",
"for",
"conifers,",
"we",
"used",
"Norway",
"spruce",
"EST",
"sequences",
"from",
"NCBI",
"for",
"in",
"silico",
"identification",
"of",
"SSR",
"regions",
"which",
"could",
"serve",
"for",
"marker",
"development.",
"©",
"2011",
"Fluch",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,036,831 | null | [
[
70,
46,
5,
12
],
[
79,
46,
33,
12
],
[
115,
46,
32,
12
],
[
151,
46,
63,
12
],
[
70,
62,
21,
12
],
[
95,
62,
135,
12
],
[
78,
91,
10,
14
],
[
89,
91,
9,
14
],
[
99,
91,
5,
14
],
[
105,
91,
10,
14
],
[
116,
91,
5,
14
],
[
122,
91,
10,
14
],
[
132,
91,
10,
14
],
[
143,
91,
9,
14
],
[
157,
91,
9,
14
],
[
167,
91,
10,
14
],
[
178,
91,
12,
14
],
[
191,
91,
12,
14
],
[
204,
91,
10,
14
],
[
215,
91,
10,
14
],
[
226,
91,
5,
14
],
[
231,
91,
9,
14
],
[
242,
91,
10,
14
],
[
252,
91,
9,
14
],
[
262,
91,
5,
14
],
[
268,
91,
10,
14
],
[
278,
91,
10,
14
],
[
70,
147,
46,
23
],
[
123,
147,
67,
23
],
[
197,
147,
19,
23
],
[
223,
147,
97,
23
],
[
326,
147,
58,
23
],
[
391,
147,
110,
23
],
[
70,
195,
28,
14
],
[
103,
195,
14,
14
],
[
121,
195,
15,
14
],
[
140,
195,
45,
14
],
[
189,
198,
3,
9
],
[
197,
195,
59,
14
],
[
260,
195,
15,
14
],
[
279,
195,
22,
14
],
[
305,
195,
61,
14
],
[
370,
198,
3,
9
],
[
70,
212,
53,
14
],
[
128,
212,
14,
14
],
[
146,
212,
66,
14
],
[
216,
215,
4,
9
],
[
223,
212,
30,
14
],
[
257,
212,
15,
14
],
[
276,
212,
11,
14
],
[
291,
212,
43,
14
],
[
338,
215,
4,
9
],
[
70,
229,
51,
14
],
[
126,
229,
15,
14
],
[
145,
229,
22,
14
],
[
171,
229,
22,
14
],
[
197,
229,
29,
14
],
[
230,
232,
4,
9
],
[
238,
229,
38,
14
],
[
280,
229,
54,
14
],
[
70,
339,
48,
12
],
[
122,
339,
12,
12
],
[
137,
339,
22,
12
],
[
163,
339,
24,
12
],
[
188,
339,
4,
12
],
[
194,
339,
42,
12
],
[
239,
339,
6,
12
],
[
249,
339,
34,
12
],
[
286,
339,
24,
12
],
[
312,
339,
4,
12
],
[
317,
339,
48,
12
],
[
369,
339,
12,
12
],
[
385,
339,
35,
12
],
[
423,
339,
24,
12
],
[
448,
339,
4,
12
],
[
453,
339,
47,
12
],
[
504,
339,
33,
12
],
[
540,
339,
12,
12
],
[
556,
339,
34,
12
],
[
594,
339,
24,
12
],
[
84,
353,
19,
12
],
[
106,
353,
46,
12
],
[
156,
353,
27,
12
],
[
186,
353,
21,
12
],
[
211,
353,
30,
12
],
[
244,
353,
8,
12
],
[
256,
353,
46,
12
],
[
306,
353,
21,
12
],
[
331,
353,
23,
12
],
[
358,
353,
31,
12
],
[
392,
353,
9,
12
],
[
404,
353,
83,
12
],
[
70,
392,
52,
14
],
[
136,
392,
54,
14
],
[
195,
392,
54,
14
],
[
253,
392,
37,
14
],
[
295,
392,
24,
14
],
[
324,
392,
29,
14
],
[
358,
392,
44,
14
],
[
70,
409,
22,
14
],
[
97,
409,
47,
14
],
[
148,
409,
11,
14
],
[
163,
409,
34,
14
],
[
201,
409,
30,
14
],
[
235,
409,
12,
14
],
[
252,
409,
58,
14
],
[
314,
409,
34,
14
],
[
352,
409,
50,
14
],
[
70,
427,
18,
14
],
[
91,
427,
48,
14
],
[
142,
427,
25,
14
],
[
170,
427,
22,
14
],
[
195,
427,
64,
14
],
[
261,
427,
45,
14
],
[
309,
427,
80,
14
],
[
392,
427,
10,
14
],
[
70,
444,
7,
14
],
[
87,
444,
39,
14
],
[
136,
444,
12,
14
],
[
157,
444,
35,
14
],
[
202,
444,
21,
14
],
[
232,
444,
57,
14
],
[
300,
444,
12,
14
],
[
321,
444,
80,
14
],
[
70,
461,
50,
14
],
[
125,
461,
33,
14
],
[
163,
461,
24,
14
],
[
191,
461,
44,
14
],
[
240,
461,
11,
14
],
[
255,
461,
28,
14
],
[
288,
461,
9,
14
],
[
301,
461,
22,
14
],
[
328,
461,
74,
14
],
[
70,
479,
21,
14
],
[
97,
479,
24,
14
],
[
126,
479,
39,
14
],
[
170,
479,
11,
14
],
[
187,
479,
35,
14
],
[
227,
479,
26,
14
],
[
258,
479,
18,
14
],
[
281,
479,
35,
14
],
[
321,
479,
80,
14
],
[
70,
496,
29,
14
],
[
102,
496,
18,
14
],
[
124,
496,
24,
14
],
[
152,
496,
45,
14
],
[
200,
496,
17,
14
],
[
220,
496,
52,
14
],
[
276,
496,
12,
14
],
[
291,
496,
75,
14
],
[
370,
496,
31,
14
],
[
70,
513,
39,
14
],
[
114,
513,
25,
14
],
[
144,
513,
70,
14
],
[
218,
513,
65,
14
],
[
288,
513,
33,
14
],
[
325,
513,
21,
14
],
[
351,
513,
25,
14
],
[
381,
513,
21,
14
],
[
70,
530,
45,
14
],
[
119,
530,
10,
14
],
[
134,
530,
40,
14
],
[
179,
530,
70,
14
],
[
254,
530,
18,
14
],
[
276,
530,
19,
14
],
[
300,
530,
11,
14
],
[
315,
530,
32,
14
],
[
352,
530,
50,
14
],
[
70,
548,
31,
14
],
[
108,
548,
20,
14
],
[
135,
548,
68,
14
],
[
209,
548,
57,
14
],
[
273,
548,
12,
14
],
[
292,
548,
24,
14
],
[
323,
548,
39,
14
],
[
369,
548,
11,
14
],
[
387,
548,
14,
14
],
[
70,
565,
35,
14
],
[
113,
565,
47,
14
],
[
167,
565,
14,
14
],
[
189,
565,
42,
14
],
[
239,
565,
75,
14
],
[
321,
565,
80,
14
],
[
70,
582,
88,
14
],
[
167,
582,
41,
14
],
[
216,
582,
47,
14
],
[
272,
582,
14,
14
],
[
295,
582,
64,
14
],
[
368,
582,
34,
14
],
[
70,
600,
51,
14
],
[
127,
600,
43,
14
],
[
176,
600,
47,
14
],
[
229,
600,
47,
14
],
[
281,
600,
21,
14
],
[
307,
600,
14,
14
],
[
327,
600,
42,
14
],
[
375,
600,
27,
14
],
[
70,
617,
35,
14
],
[
111,
617,
38,
14
],
[
156,
617,
88,
14
],
[
250,
617,
47,
14
],
[
304,
617,
20,
14
],
[
330,
617,
23,
14
],
[
359,
617,
42,
14
],
[
70,
634,
31,
14
],
[
109,
634,
57,
14
],
[
173,
634,
12,
14
],
[
193,
634,
53,
14
],
[
253,
634,
54,
14
],
[
315,
634,
37,
14
],
[
359,
634,
43,
14
],
[
70,
652,
28,
14
],
[
103,
652,
47,
14
],
[
155,
652,
27,
14
],
[
187,
652,
39,
14
],
[
231,
652,
22,
14
],
[
258,
652,
47,
14
],
[
310,
652,
29,
14
],
[
343,
652,
29,
14
],
[
377,
652,
24,
14
],
[
70,
669,
24,
14
],
[
98,
669,
43,
14
],
[
145,
669,
27,
14
],
[
176,
669,
39,
14
],
[
220,
669,
22,
14
],
[
246,
669,
28,
14
],
[
277,
669,
58,
14
],
[
339,
669,
47,
14
],
[
390,
669,
11,
14
],
[
70,
686,
38,
14
],
[
113,
686,
69,
14
],
[
187,
686,
45,
14
],
[
237,
686,
51,
14
],
[
293,
686,
21,
14
],
[
318,
686,
35,
14
],
[
358,
686,
44,
14
],
[
70,
704,
21,
14
],
[
97,
704,
7,
14
],
[
110,
704,
12,
14
],
[
128,
704,
11,
14
],
[
146,
704,
34,
14
],
[
186,
704,
36,
14
],
[
229,
704,
21,
14
],
[
256,
704,
12,
14
],
[
274,
704,
51,
14
],
[
332,
704,
24,
14
],
[
363,
704,
39,
14
],
[
70,
721,
24,
14
],
[
99,
721,
32,
14
],
[
135,
721,
12,
14
],
[
152,
721,
38,
14
],
[
194,
721,
47,
14
],
[
246,
721,
47,
14
],
[
297,
721,
25,
14
],
[
326,
721,
39,
14
],
[
369,
721,
10,
14
],
[
383,
721,
18,
14
],
[
70,
738,
56,
14
],
[
132,
738,
25,
14
],
[
163,
738,
84,
14
],
[
252,
738,
17,
14
],
[
275,
738,
39,
14
],
[
320,
738,
11,
14
],
[
336,
738,
35,
14
],
[
377,
738,
24,
14
],
[
70,
755,
42,
14
],
[
120,
755,
29,
14
],
[
157,
755,
69,
14
],
[
234,
755,
24,
14
],
[
266,
755,
80,
14
],
[
353,
755,
29,
14
],
[
390,
755,
12,
14
],
[
70,
773,
64,
14
],
[
143,
773,
57,
14
],
[
208,
773,
12,
14
],
[
228,
773,
24,
14
],
[
260,
773,
39,
14
],
[
308,
773,
18,
14
],
[
333,
773,
49,
14
],
[
390,
773,
11,
14
],
[
70,
816,
12,
12
],
[
86,
816,
11,
12
],
[
100,
816,
12,
12
],
[
116,
816,
35,
12
],
[
161,
816,
22,
12
],
[
186,
816,
12,
12
],
[
202,
816,
18,
12
],
[
223,
816,
50,
12
],
[
70,
830,
12,
12
],
[
86,
830,
11,
12
],
[
100,
830,
52,
12
],
[
163,
830,
8,
12
],
[
175,
830,
12,
12
],
[
190,
830,
8,
12
],
[
201,
830,
35,
12
],
[
246,
830,
11,
12
],
[
260,
830,
12,
12
],
[
276,
830,
17,
12
],
[
297,
830,
17,
12
],
[
318,
830,
23,
12
],
[
70,
844,
12,
12
],
[
86,
844,
42,
12
],
[
70,
858,
73,
12
],
[
147,
858,
37,
12
],
[
188,
858,
33,
12
],
[
224,
858,
56,
12
],
[
284,
858,
10,
12
],
[
298,
858,
54,
12
],
[
70,
871,
33,
12
],
[
107,
871,
38,
12
],
[
149,
871,
39,
12
],
[
191,
871,
10,
12
],
[
205,
871,
68,
12
],
[
70,
885,
50,
12
],
[
124,
885,
39,
12
],
[
167,
885,
32,
12
],
[
202,
885,
39,
12
],
[
244,
885,
73,
12
],
[
320,
885,
21,
12
],
[
70,
899,
24,
12
],
[
98,
899,
17,
12
],
[
118,
899,
39,
12
],
[
160,
899,
19,
12
],
[
183,
899,
57,
12
],
[
70,
927,
12,
12
],
[
86,
927,
42,
12
],
[
131,
926,
22,
12
],
[
70,
940,
56,
12
],
[
130,
940,
10,
12
],
[
144,
940,
54,
12
],
[
201,
940,
42,
12
],
[
70,
954,
50,
12
],
[
124,
954,
39,
12
],
[
167,
954,
32,
12
],
[
202,
954,
39,
12
],
[
70,
968,
15,
12
],
[
89,
968,
20,
12
],
[
113,
968,
33,
12
],
[
149,
968,
24,
12
],
[
176,
968,
17,
12
],
[
197,
968,
39,
12
],
[
240,
968,
19,
12
],
[
262,
968,
57,
12
],
[
70,
982,
34,
12
],
[
108,
982,
130,
12
],
[
72,
1017,
56,
21
],
[
425,
392,
57,
14
],
[
485,
392,
44,
14
],
[
533,
392,
39,
14
],
[
576,
392,
55,
14
],
[
634,
392,
65,
14
],
[
703,
392,
11,
14
],
[
717,
392,
38,
14
],
[
425,
409,
25,
14
],
[
454,
409,
47,
14
],
[
506,
409,
17,
14
],
[
527,
409,
91,
14
],
[
623,
409,
63,
14
],
[
425,
444,
61,
14
],
[
499,
444,
59,
14
],
[
562,
444,
34,
14
],
[
600,
444,
63,
14
],
[
675,
444,
45,
14
],
[
425,
461,
75,
14
],
[
504,
461,
80,
14
],
[
589,
461,
88,
14
],
[
689,
461,
45,
14
],
[
425,
479,
56,
14
],
[
485,
479,
38,
14
],
[
527,
479,
88,
14
],
[
627,
479,
65,
14
],
[
696,
479,
34,
14
],
[
425,
496,
51,
14
],
[
480,
496,
43,
14
],
[
536,
496,
27,
14
],
[
567,
496,
39,
14
],
[
425,
539,
84,
14
],
[
425,
556,
19,
14
],
[
478,
556,
65,
14
],
[
547,
556,
31,
14
],
[
425,
574,
32,
14
],
[
478,
574,
45,
14
],
[
527,
574,
56,
14
],
[
588,
574,
37,
14
],
[
629,
574,
88,
14
],
[
425,
591,
32,
14
],
[
478,
591,
45,
14
],
[
527,
591,
75,
14
],
[
607,
591,
80,
14
],
[
478,
608,
88,
14
],
[
425,
625,
35,
14
],
[
478,
625,
59,
14
],
[
541,
625,
34,
14
],
[
579,
625,
63,
14
],
[
425,
643,
38,
14
],
[
478,
643,
65,
14
],
[
547,
643,
34,
14
],
[
585,
643,
51,
14
],
[
641,
643,
43,
14
],
[
425,
720,
76,
14
],
[
425,
755,
22,
14
],
[
453,
755,
32,
14
],
[
492,
755,
12,
14
],
[
510,
755,
67,
14
],
[
583,
755,
14,
14
],
[
604,
755,
57,
14
],
[
668,
755,
12,
14
],
[
686,
755,
70,
14
],
[
425,
773,
51,
14
],
[
481,
773,
10,
14
],
[
495,
773,
68,
14
],
[
569,
773,
20,
14
],
[
594,
773,
19,
14
],
[
617,
773,
18,
14
],
[
640,
773,
27,
14
],
[
672,
773,
27,
14
],
[
703,
773,
53,
14
],
[
425,
790,
39,
14
],
[
469,
790,
11,
14
],
[
485,
790,
47,
14
],
[
537,
790,
19,
14
],
[
560,
790,
11,
14
],
[
576,
790,
75,
14
],
[
657,
790,
50,
14
],
[
712,
790,
10,
14
],
[
727,
790,
29,
14
],
[
425,
807,
38,
14
],
[
469,
807,
32,
14
],
[
507,
807,
10,
14
],
[
523,
807,
17,
14
],
[
546,
807,
58,
14
],
[
610,
807,
12,
14
],
[
628,
807,
57,
14
],
[
692,
807,
11,
14
],
[
709,
807,
47,
14
],
[
425,
824,
48,
14
],
[
478,
824,
26,
14
],
[
509,
824,
7,
14
],
[
520,
824,
18,
14
],
[
543,
824,
24,
14
],
[
573,
824,
22,
14
],
[
600,
824,
22,
14
],
[
627,
824,
12,
14
],
[
644,
824,
57,
14
],
[
706,
824,
50,
14
],
[
425,
842,
30,
14
],
[
462,
842,
39,
14
],
[
508,
842,
37,
14
],
[
553,
842,
27,
14
],
[
588,
842,
57,
14
],
[
652,
842,
12,
14
],
[
671,
842,
7,
14
],
[
685,
842,
38,
14
],
[
731,
842,
25,
14
],
[
425,
859,
42,
14
],
[
482,
859,
75,
14
],
[
573,
859,
80,
14
],
[
668,
859,
88,
14
],
[
425,
876,
45,
14
],
[
472,
876,
57,
14
],
[
533,
876,
71,
14
],
[
607,
876,
53,
14
],
[
664,
876,
37,
14
],
[
703,
876,
29,
14
],
[
735,
876,
21,
14
],
[
425,
894,
11,
14
],
[
440,
894,
32,
14
],
[
476,
894,
44,
14
],
[
523,
894,
25,
14
],
[
552,
894,
41,
14
],
[
597,
894,
80,
14
],
[
681,
894,
75,
14
],
[
425,
911,
113,
14
],
[
544,
911,
29,
14
],
[
579,
911,
12,
14
],
[
597,
911,
62,
14
],
[
665,
911,
31,
14
],
[
703,
911,
53,
14
],
[
425,
928,
26,
14
],
[
455,
928,
50,
14
],
[
509,
928,
21,
14
],
[
534,
928,
55,
14
],
[
593,
928,
26,
14
],
[
623,
928,
42,
14
],
[
670,
928,
15,
14
],
[
689,
928,
11,
14
],
[
704,
928,
22,
14
],
[
731,
928,
25,
14
],
[
425,
945,
51,
14
],
[
481,
945,
24,
14
],
[
510,
945,
39,
14
],
[
554,
945,
24,
14
],
[
584,
945,
31,
14
],
[
621,
945,
11,
14
],
[
638,
945,
80,
14
],
[
723,
945,
33,
14
],
[
425,
963,
24,
14
],
[
453,
963,
20,
14
],
[
478,
963,
10,
14
],
[
492,
963,
38,
14
],
[
535,
963,
14,
14
],
[
553,
963,
14,
14
],
[
571,
963,
67,
14
],
[
643,
963,
70,
14
],
[
717,
963,
12,
14
],
[
734,
963,
22,
14
],
[
425,
980,
21,
14
],
[
449,
980,
21,
14
],
[
474,
980,
31,
14
],
[
508,
980,
48,
14
],
[
560,
980,
62,
14
],
[
625,
980,
47,
14
],
[
675,
980,
14,
14
],
[
691,
980,
34,
14
],
[
728,
980,
27,
14
]
] | [
"J",
"Neurol",
"(2011)",
"258:212–217",
"DOI",
"10.1007/s00415-010-5712-3",
"O",
"R",
"I",
"G",
"I",
"N",
"A",
"L",
"C",
"O",
"M",
"M",
"U",
"N",
"I",
"C",
"A",
"T",
"I",
"O",
"N",
"Cold",
"paresis",
"in",
"multifocal",
"motor",
"neuropathy",
"Dirk",
"C.",
"G.",
"Straver",
"•",
"Jan-Thies",
"H.",
"van",
"Asseldonk",
"•",
"Nicolette",
"C.",
"Notermans",
"•",
"John",
"H.",
"J.",
"Wokke",
"•",
"Leonard",
"H.",
"van",
"den",
"Berg",
"•",
"Hessel",
"Franssen",
"Received:",
"25",
"May",
"2010",
"/",
"Revised:",
"9",
"August",
"2010",
"/",
"Accepted:",
"11",
"August",
"2010",
"/",
"Published",
"online:",
"28",
"August",
"2010",
"The",
"Author(s)",
"2010.",
"This",
"article",
"is",
"published",
"with",
"open",
"access",
"at",
"Springerlink.com",
"Abstract",
"Increased",
"weakness",
"during",
"cold",
"(cold",
"paresis)",
"was",
"reported",
"in",
"single",
"cases",
"of",
"multifocal",
"motor",
"neuropa-",
"thy",
"(MMN).",
"This",
"was",
"unexpected",
"because",
"demyelination",
"is",
"a",
"feature",
"of",
"MMN",
"and",
"symptoms",
"of",
"demyelination",
"improve,",
"rather",
"than",
"worsen,",
"in",
"cold.",
"It",
"was",
"hypothesized",
"that",
"cold",
"paresis",
"in",
"MMN",
"does",
"not",
"reflect",
"demyelination",
"only,",
"but",
"may",
"indicate",
"the",
"existence",
"of",
"inflammatory",
"nerve",
"lesions",
"with",
"permanently",
"depolarized",
"axons",
"that",
"only",
"just",
"conduct",
"at",
"normal",
"temperature,",
"but",
"fail",
"at",
"lower",
"tempera-",
"tures.",
"We",
"investigated",
"symptoms",
"of",
"cold",
"paresis",
"in",
"50",
"MMN",
"patients,",
"48",
"chronic",
"inflammatory",
"demyelinating",
"polyneuropathy",
"(CIDP)",
"patients,",
"35",
"progressive",
"spinal",
"muscular",
"atrophy",
"(PSMA)",
"patients,",
"and",
"25",
"chronic",
"idio-",
"pathic",
"axonal",
"polyneuropathy",
"patients.",
"We",
"also",
"investi-",
"gated",
"symptoms",
"of",
"increased",
"weakness",
"during",
"warmth",
"(heat",
"paresis).",
"Cold",
"paresis",
"was",
"reported",
"more",
"often",
"than",
"heat",
"paresis.",
"Cold",
"paresis",
"was",
"most",
"frequently",
"reported",
"in",
"MMN.",
"Multivariate",
"analysis",
"indicated",
"that",
"MMN",
"patients",
"had",
"a",
"4-",
"to",
"6-fold",
"higher",
"risk",
"of",
"reporting",
"cold",
"paresis",
"than",
"CIDP",
"or",
"PSMA",
"patients.",
"Because",
"cold",
"paresis",
"is",
"not",
"consistent",
"with",
"demyelination,",
"the",
"lesions",
"in",
"MMN",
"may",
"involve",
"other",
"mechanisms",
"than",
"demyelination",
"only.",
"In",
"conclusion,",
"symptoms",
"of",
"cold",
"paresis",
"are",
"common",
"in",
"D.",
"C.",
"G.",
"Straver",
"J.-T.",
"H.",
"van",
"Asseldonk",
"N.",
"C.",
"Notermans",
"J.",
"H.",
"J.",
"Wokke",
"L.",
"H.",
"van",
"den",
"Berg",
"H.",
"Franssen",
"Neuromuscular",
"Disease",
"Group,",
"Department",
"of",
"Neurology,",
"Rudolf",
"Magnus",
"Institute",
"of",
"Neuroscience,",
"University",
"Medical",
"Center",
"Utrecht,",
"Heidelberglaan",
"100,",
"3584",
"CX",
"Utrecht,",
"The",
"Netherlands",
"H.",
"Franssen",
"(&)",
"Department",
"of",
"Neurology,",
"F02.230,",
"University",
"Medical",
"Center",
"Utrecht,",
"PO",
"Box",
"85500,",
"3508",
"GA",
"Utrecht,",
"The",
"Netherlands",
"e-mail:",
"H.Franssen@umcutrecht.nl",
"123",
"peripheral",
"nervous",
"system",
"disorders,",
"particularly",
"in",
"MMN.",
"This",
"supports",
"the",
"above-described",
"hypothesis.",
"Keywords",
"Multifocal",
"motor",
"neuropathy",
"Chronic",
"inflammatory",
"demyelinating",
"polyneuropathy",
"Chronic",
"idiopathic",
"axonal",
"polyneuropathy",
"Progressive",
"spinal",
"muscular",
"atrophy",
"Cold",
"paresis",
"Abbreviations",
"CB",
"Conduction",
"block",
"CIAP",
"Chronic",
"idiopathic",
"axonal",
"polyneuropathy",
"CIDP",
"Chronic",
"inflammatory",
"demyelinating",
"polyneuropathy",
"MMN",
"Multifocal",
"motor",
"neuropathy",
"PSMA",
"Progressive",
"spinal",
"muscular",
"atrophy",
"Introduction",
"The",
"effect",
"of",
"temperature",
"on",
"symptoms",
"of",
"neurological",
"disorders",
"is",
"complicated",
"and",
"has",
"not",
"been",
"fully",
"explored,",
"neither",
"in",
"patients,",
"nor",
"in",
"physiological",
"research.",
"A",
"well-",
"known",
"effect",
"is",
"the",
"worsening",
"of",
"symptoms",
"in",
"multiple",
"sclerosis",
"after",
"a",
"hot",
"bath",
"[20,",
"25].",
"In",
"peripheral",
"neuropa-",
"thies,",
"similar",
"effects",
"were",
"described.",
"In",
"a",
"patient",
"with",
"chronic",
"inflammatory",
"demyelinating",
"polyneuropathy",
"(CIDP),",
"symptoms",
"considerably",
"increased",
"during",
"fever",
"and",
"in",
"seven",
"patients",
"with",
"various",
"demyelinating",
"neuropathies,",
"electrophysiological",
"signs",
"of",
"conduction",
"block",
"increased",
"after",
"warming",
"and",
"decreased",
"after",
"cooling",
"[4,",
"8,",
"20].",
"This",
"so-called",
"heat",
"paresis",
"may",
"occur",
"in",
"demyelinating",
"disor-",
"ders",
"and",
"is",
"caused",
"by",
"an",
"unfavorable",
"combination",
"of",
"fac-",
"tors",
"that",
"block",
"saltatory",
"conduction",
"between",
"an",
"active",
"node"
] | [
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
4,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
20,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
1,479,380 | null | [
[
76,
47,
123,
34
],
[
211,
47,
66,
34
],
[
289,
47,
239,
34
],
[
607,
49,
59,
15
],
[
76,
118,
58,
20
],
[
139,
118,
65,
20
],
[
76,
143,
49,
23
],
[
131,
143,
20,
23
],
[
157,
143,
38,
23
],
[
201,
143,
85,
23
],
[
292,
143,
102,
23
],
[
399,
143,
183,
23
],
[
588,
143,
76,
23
],
[
76,
168,
124,
23
],
[
206,
168,
20,
23
],
[
231,
168,
70,
23
],
[
306,
168,
111,
23
],
[
423,
168,
99,
23
],
[
528,
168,
45,
23
],
[
76,
193,
78,
21
],
[
159,
193,
89,
22
],
[
253,
193,
99,
21
],
[
357,
193,
92,
22
],
[
454,
193,
85,
21
],
[
544,
193,
14,
21
],
[
562,
193,
105,
22
],
[
76,
218,
53,
21
],
[
134,
218,
11,
21
],
[
150,
218,
78,
22
],
[
232,
218,
35,
21
],
[
272,
218,
72,
21
],
[
349,
218,
14,
21
],
[
368,
218,
77,
22
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
268,
41,
12
],
[
119,
268,
67,
12
],
[
189,
268,
10,
12
],
[
201,
268,
52,
12
],
[
256,
268,
48,
12
],
[
305,
268,
50,
12
],
[
358,
268,
19,
12
],
[
380,
268,
55,
12
],
[
437,
268,
61,
12
],
[
500,
268,
50,
12
],
[
552,
268,
10,
12
],
[
565,
268,
27,
12
],
[
594,
268,
24,
12
],
[
620,
268,
23,
12
],
[
646,
268,
11,
12
],
[
660,
268,
34,
12
],
[
696,
268,
24,
12
],
[
76,
281,
63,
12
],
[
141,
281,
10,
11
],
[
154,
281,
55,
11
],
[
211,
281,
61,
11
],
[
275,
281,
50,
11
],
[
326,
281,
10,
11
],
[
339,
281,
27,
11
],
[
369,
281,
24,
11
],
[
395,
281,
23,
11
],
[
421,
281,
11,
11
],
[
434,
281,
34,
11
],
[
471,
281,
21,
11
],
[
495,
281,
19,
11
],
[
516,
281,
67,
12
],
[
585,
281,
10,
11
],
[
598,
281,
55,
11
],
[
655,
281,
58,
11
],
[
715,
281,
19,
11
],
[
76,
294,
52,
12
],
[
130,
294,
50,
12
],
[
182,
294,
10,
12
],
[
195,
294,
27,
12
],
[
225,
294,
24,
12
],
[
251,
294,
23,
12
],
[
277,
294,
11,
12
],
[
290,
294,
34,
12
],
[
327,
294,
21,
12
],
[
76,
314,
31,
11
],
[
110,
314,
42,
11
],
[
154,
314,
41,
11
],
[
197,
314,
4,
11
],
[
203,
314,
141,
11
],
[
347,
314,
53,
11
],
[
402,
314,
42,
11
],
[
447,
314,
4,
11
],
[
453,
314,
166,
11
],
[
76,
327,
45,
12
],
[
124,
327,
7,
12
],
[
134,
327,
49,
12
],
[
185,
327,
4,
12
],
[
191,
327,
171,
12
],
[
365,
327,
28,
12
],
[
395,
327,
6,
12
],
[
404,
327,
37,
12
],
[
444,
327,
4,
12
],
[
450,
327,
132,
12
],
[
584,
327,
39,
12
],
[
625,
327,
7,
12
],
[
635,
327,
37,
12
],
[
674,
327,
4,
12
],
[
680,
327,
42,
12
],
[
76,
341,
98,
12
],
[
76,
357,
7,
12
],
[
85,
357,
73,
12
],
[
160,
357,
33,
12
],
[
76,
415,
45,
12
],
[
124,
415,
12,
12
],
[
138,
415,
23,
12
],
[
164,
415,
23,
12
],
[
76,
435,
30,
12
],
[
108,
435,
16,
12
],
[
127,
435,
53,
12
],
[
182,
435,
25,
12
],
[
210,
435,
20,
12
],
[
242,
435,
128,
12
],
[
76,
455,
20,
12
],
[
98,
455,
28,
12
],
[
129,
455,
7,
12
],
[
139,
455,
38,
12
],
[
179,
455,
25,
12
],
[
207,
455,
183,
12
],
[
430,
415,
43,
12
],
[
476,
415,
12,
12
],
[
490,
415,
41,
12
],
[
533,
415,
23,
12
],
[
430,
429,
46,
12
],
[
478,
429,
12,
12
],
[
492,
429,
23,
12
],
[
517,
429,
23,
12
],
[
76,
475,
9,
12
],
[
87,
475,
23,
12
],
[
113,
475,
29,
12
],
[
144,
475,
10,
12
],
[
156,
475,
10,
12
],
[
169,
475,
36,
12
],
[
207,
475,
35,
12
],
[
245,
475,
35,
12
],
[
282,
475,
18,
12
],
[
76,
488,
20,
12
],
[
98,
488,
7,
12
],
[
108,
488,
11,
12
],
[
121,
488,
26,
12
],
[
150,
488,
32,
12
],
[
184,
488,
28,
12
],
[
215,
488,
49,
12
],
[
267,
488,
27,
12
],
[
296,
488,
15,
12
],
[
314,
488,
27,
12
],
[
343,
488,
10,
12
],
[
355,
488,
15,
12
],
[
373,
488,
39,
12
],
[
415,
488,
48,
12
],
[
465,
488,
51,
12
],
[
519,
488,
34,
12
],
[
555,
488,
202,
12
],
[
76,
501,
27,
12
],
[
106,
501,
35,
12
],
[
143,
501,
56,
12
],
[
201,
501,
18,
12
],
[
222,
501,
55,
12
],
[
279,
501,
16,
12
],
[
298,
501,
60,
12
],
[
361,
501,
8,
12
],
[
372,
501,
16,
12
],
[
390,
501,
39,
12
],
[
432,
501,
40,
12
],
[
475,
501,
15,
12
],
[
493,
501,
34,
12
],
[
529,
501,
24,
12
],
[
556,
501,
7,
12
],
[
565,
501,
39,
12
],
[
607,
501,
25,
12
],
[
155,
562,
62,
15
],
[
155,
582,
80,
14
],
[
238,
582,
21,
14
],
[
261,
582,
25,
14
],
[
289,
582,
77,
14
],
[
369,
582,
22,
14
],
[
394,
582,
10,
14
],
[
407,
582,
30,
14
],
[
439,
582,
37,
14
],
[
479,
582,
37,
14
],
[
518,
582,
24,
14
],
[
545,
582,
26,
14
],
[
574,
582,
42,
14
],
[
618,
582,
24,
14
],
[
644,
582,
24,
14
],
[
671,
582,
20,
14
],
[
155,
599,
42,
14
],
[
200,
599,
49,
14
],
[
253,
599,
57,
14
],
[
314,
599,
36,
14
],
[
354,
599,
6,
14
],
[
363,
599,
49,
14
],
[
416,
599,
30,
14
],
[
450,
599,
10,
14
],
[
463,
599,
7,
14
],
[
474,
599,
20,
14
],
[
497,
599,
17,
14
],
[
519,
599,
37,
14
],
[
559,
599,
11,
14
],
[
574,
599,
18,
14
],
[
596,
599,
19,
14
],
[
618,
599,
31,
14
],
[
653,
599,
38,
14
],
[
155,
615,
20,
14
],
[
180,
615,
31,
14
],
[
217,
615,
31,
14
],
[
253,
615,
15,
14
],
[
274,
615,
41,
14
],
[
320,
615,
67,
14
],
[
392,
615,
12,
14
],
[
410,
615,
69,
14
],
[
485,
615,
33,
14
],
[
524,
615,
31,
14
],
[
560,
615,
77,
14
],
[
643,
615,
34,
14
],
[
682,
615,
9,
14
],
[
155,
631,
52,
14
],
[
211,
631,
20,
14
],
[
234,
631,
59,
14
],
[
297,
631,
11,
14
],
[
312,
631,
18,
14
],
[
334,
631,
32,
14
],
[
369,
631,
60,
14
],
[
433,
631,
41,
14
],
[
478,
631,
37,
14
],
[
518,
631,
47,
14
],
[
569,
631,
10,
14
],
[
583,
631,
39,
14
],
[
626,
631,
65,
14
],
[
155,
648,
32,
14
],
[
155,
671,
49,
14
],
[
207,
671,
31,
14
],
[
240,
671,
46,
14
],
[
289,
671,
37,
14
],
[
328,
671,
59,
14
],
[
389,
671,
57,
14
],
[
448,
671,
33,
14
],
[
483,
671,
24,
14
],
[
510,
671,
51,
14
],
[
564,
671,
13,
14
],
[
579,
671,
39,
14
],
[
621,
671,
24,
14
],
[
647,
671,
17,
14
],
[
666,
671,
25,
14
],
[
155,
687,
30,
14
],
[
188,
687,
25,
14
],
[
216,
687,
29,
14
],
[
249,
687,
26,
14
],
[
279,
687,
19,
14
],
[
301,
687,
25,
14
],
[
329,
687,
38,
14
],
[
370,
687,
34,
14
],
[
407,
687,
10,
14
],
[
421,
687,
27,
14
],
[
451,
687,
31,
14
],
[
486,
687,
89,
14
],
[
578,
687,
18,
14
],
[
600,
687,
39,
14
],
[
643,
687,
21,
14
],
[
667,
687,
24,
14
],
[
155,
704,
30,
14
],
[
189,
704,
46,
14
],
[
239,
704,
30,
14
],
[
274,
704,
11,
14
],
[
290,
704,
31,
14
],
[
325,
704,
15,
14
],
[
345,
704,
48,
14
],
[
397,
704,
13,
14
],
[
415,
704,
24,
14
],
[
442,
704,
29,
14
],
[
476,
704,
18,
14
],
[
499,
704,
51,
14
],
[
554,
704,
21,
14
],
[
579,
704,
24,
14
],
[
608,
704,
42,
14
],
[
654,
704,
26,
14
],
[
685,
704,
6,
14
],
[
155,
720,
32,
14
],
[
191,
720,
72,
14
],
[
266,
720,
11,
14
],
[
281,
720,
31,
14
],
[
315,
720,
15,
14
],
[
333,
720,
20,
14
],
[
356,
720,
6,
14
],
[
366,
720,
32,
14
],
[
402,
720,
54,
14
],
[
459,
720,
11,
14
],
[
474,
720,
24,
14
],
[
155,
743,
74,
14
],
[
236,
743,
34,
14
],
[
277,
743,
37,
14
],
[
321,
743,
18,
14
],
[
347,
743,
10,
14
],
[
364,
743,
20,
14
],
[
391,
743,
25,
14
],
[
423,
743,
38,
14
],
[
469,
743,
52,
14
],
[
528,
743,
18,
14
],
[
553,
743,
23,
14
],
[
583,
743,
11,
14
],
[
602,
743,
21,
14
],
[
630,
743,
11,
14
],
[
649,
743,
6,
14
],
[
662,
743,
29,
14
],
[
155,
760,
80,
14
],
[
238,
760,
51,
14
],
[
292,
760,
11,
14
],
[
307,
760,
31,
14
],
[
341,
760,
15,
14
],
[
359,
760,
41,
14
],
[
403,
760,
20,
14
],
[
427,
760,
43,
14
],
[
473,
760,
22,
14
],
[
498,
760,
73,
14
],
[
575,
760,
11,
14
],
[
589,
760,
31,
14
],
[
624,
760,
15,
14
],
[
642,
760,
49,
14
],
[
155,
776,
96,
14
],
[
254,
776,
24,
14
],
[
281,
776,
34,
14
],
[
318,
776,
41,
14
],
[
362,
776,
31,
14
],
[
396,
776,
14,
14
],
[
413,
776,
52,
14
],
[
468,
776,
12,
14
],
[
484,
776,
35,
14
],
[
522,
776,
53,
14
],
[
578,
776,
12,
14
],
[
593,
776,
47,
14
],
[
644,
776,
18,
14
],
[
665,
776,
26,
14
],
[
155,
792,
11,
14
],
[
170,
792,
21,
14
],
[
193,
792,
10,
14
],
[
207,
792,
35,
14
],
[
245,
792,
24,
14
],
[
272,
792,
22,
14
],
[
298,
792,
18,
14
],
[
319,
792,
47,
14
],
[
370,
792,
12,
14
],
[
385,
792,
96,
14
],
[
485,
792,
56,
14
],
[
76,
861,
88,
15
],
[
76,
877,
43,
14
],
[
124,
877,
68,
14
],
[
197,
877,
33,
14
],
[
236,
877,
20,
14
],
[
262,
877,
29,
14
],
[
296,
877,
53,
14
],
[
354,
877,
57,
14
],
[
76,
894,
62,
14
],
[
141,
894,
12,
14
],
[
157,
894,
44,
14
],
[
203,
894,
44,
14
],
[
250,
894,
52,
14
],
[
305,
894,
13,
14
],
[
321,
894,
15,
14
],
[
339,
894,
57,
14
],
[
399,
894,
12,
14
],
[
76,
910,
26,
14
],
[
106,
910,
27,
14
],
[
138,
910,
62,
14
],
[
204,
910,
29,
14
],
[
237,
910,
40,
14
],
[
282,
910,
49,
14
],
[
336,
910,
54,
14
],
[
394,
910,
17,
14
],
[
76,
926,
24,
14
],
[
103,
926,
22,
14
],
[
127,
926,
10,
14
],
[
140,
926,
77,
14
],
[
220,
926,
15,
14
],
[
238,
926,
15,
14
],
[
256,
926,
49,
14
],
[
308,
926,
44,
14
],
[
354,
926,
57,
14
],
[
76,
943,
21,
14
],
[
100,
943,
53,
14
],
[
156,
943,
57,
14
],
[
216,
943,
61,
14
],
[
280,
943,
30,
14
],
[
313,
943,
25,
14
],
[
340,
943,
43,
14
],
[
386,
943,
25,
14
],
[
76,
959,
23,
14
],
[
101,
959,
31,
14
],
[
135,
959,
38,
14
],
[
175,
959,
13,
14
],
[
190,
959,
19,
14
],
[
212,
959,
63,
14
],
[
277,
959,
13,
14
],
[
292,
959,
60,
14
],
[
355,
959,
23,
14
],
[
380,
959,
31,
14
],
[
76,
975,
32,
14
],
[
114,
975,
20,
14
],
[
140,
975,
52,
14
],
[
197,
975,
22,
14
],
[
225,
975,
54,
14
],
[
285,
975,
32,
14
],
[
322,
975,
13,
14
],
[
340,
975,
22,
14
],
[
368,
975,
43,
14
],
[
76,
991,
49,
14
],
[
130,
991,
19,
14
],
[
154,
991,
61,
14
],
[
220,
991,
30,
14
],
[
256,
991,
12,
14
],
[
273,
991,
26,
14
],
[
304,
991,
25,
14
],
[
334,
991,
47,
14
],
[
385,
991,
26,
14
],
[
76,
1008,
49,
14
],
[
130,
1008,
7,
14
],
[
141,
1008,
75,
14
],
[
221,
1008,
78,
14
],
[
303,
1008,
80,
14
],
[
388,
1008,
23,
14
],
[
434,
861,
54,
14
],
[
497,
861,
78,
14
],
[
583,
861,
82,
14
],
[
674,
861,
25,
14
],
[
707,
861,
41,
14
],
[
757,
861,
13,
14
],
[
434,
877,
32,
14
],
[
470,
877,
53,
14
],
[
526,
877,
33,
14
],
[
562,
877,
63,
14
],
[
628,
877,
26,
14
],
[
657,
877,
18,
14
],
[
679,
877,
32,
14
],
[
714,
877,
27,
14
],
[
744,
877,
26,
14
],
[
434,
894,
43,
14
],
[
481,
894,
21,
14
],
[
506,
894,
13,
14
],
[
522,
894,
19,
14
],
[
544,
894,
21,
14
],
[
568,
894,
29,
14
],
[
601,
894,
29,
14
],
[
633,
894,
29,
14
],
[
665,
894,
17,
14
],
[
685,
894,
50,
14
],
[
739,
894,
30,
14
],
[
434,
910,
58,
14
],
[
495,
910,
43,
14
],
[
540,
910,
39,
14
],
[
582,
910,
12,
14
],
[
597,
910,
58,
14
],
[
658,
910,
13,
14
],
[
673,
910,
26,
14
],
[
702,
910,
68,
14
],
[
434,
926,
75,
14
],
[
523,
926,
61,
14
],
[
598,
926,
78,
14
],
[
690,
926,
80,
14
],
[
434,
943,
48,
14
],
[
489,
943,
34,
14
],
[
529,
943,
26,
14
],
[
562,
943,
49,
14
],
[
617,
943,
25,
14
],
[
648,
943,
43,
14
],
[
698,
943,
71,
14
],
[
434,
959,
31,
14
],
[
469,
959,
34,
14
],
[
507,
959,
19,
14
],
[
530,
959,
12,
14
],
[
546,
959,
44,
14
],
[
594,
959,
65,
14
],
[
662,
959,
13,
14
],
[
679,
959,
37,
14
],
[
719,
959,
23,
14
],
[
745,
959,
24,
14
],
[
434,
975,
41,
14
],
[
481,
975,
60,
14
],
[
545,
975,
23,
14
],
[
573,
975,
26,
14
],
[
605,
975,
41,
14
],
[
651,
975,
19,
14
],
[
675,
975,
46,
14
],
[
726,
975,
13,
14
],
[
744,
975,
25,
14
],
[
434,
991,
33,
14
],
[
472,
991,
26,
14
],
[
501,
991,
40,
14
],
[
545,
991,
39,
14
],
[
588,
991,
19,
14
],
[
611,
991,
21,
14
],
[
636,
991,
54,
14
],
[
693,
991,
32,
14
],
[
729,
991,
41,
14
],
[
434,
1008,
28,
14
],
[
465,
1008,
56,
14
],
[
525,
1008,
24,
14
],
[
551,
1008,
7,
14
],
[
561,
1008,
32,
14
],
[
596,
1008,
46,
14
],
[
645,
1008,
13,
14
],
[
661,
1008,
26,
14
],
[
690,
1008,
35,
14
],
[
728,
1008,
41,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"Cancer",
"Cell",
"International",
"ICNATNERCNERATCIOELNLAL",
"Primary",
"research",
"Lack",
"of",
"p53",
"function",
"promotes",
"radiation-induced",
"mitotic",
"catastrophe",
"in",
"mouse",
"embryonic",
"fibroblast",
"cells",
"Fiorenza",
"Ianzini*1,",
"Alessandro",
"Bertoldo2,",
"Elizabeth",
"A",
"Kosmacek2,",
"Stacia",
"L",
"Phillips1",
"and",
"Michael",
"A",
"Mackey3",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Departments",
"of",
"Pathology,",
"Radiation",
"Oncology,",
"and",
"Biomedical",
"Engineering,",
"University",
"of",
"Iowa,",
"Iowa",
"City,",
"IA",
"52242,",
"USA,",
"2Department",
"of",
"Biomedical",
"Engineering,",
"University",
"of",
"Iowa,",
"Iowa",
"City,",
"IA",
"52242,",
"USA",
"and",
"3Departments",
"of",
"Biomedical",
"Engineering",
"and",
"Pathology,",
"University",
"of",
"Iowa,",
"Iowa",
"City,",
"IA",
"52242,",
"USA",
"Email:",
"Fiorenza",
"Ianzini*",
"-",
"fiorenza-ianzini@uiowa.edu;",
"Alessandro",
"Bertoldo",
"-",
"alessandro_bertoldo@yahoo.com;",
"Elizabeth",
"A",
"Kosmacek",
"-",
"ekosmace@engineering.uiowa.edu;",
"Stacia",
"L",
"Phillips",
"-",
"stacia-phillips@uiowa.edu;",
"Michael",
"A",
"Mackey",
"-",
"michael-",
"mackey@uiowa.edu",
"*",
"Corresponding",
"author",
"Published:",
"26",
"April",
"2006",
"Cancer",
"Cell",
"International",
"2006,",
"6:11",
"doi:10.1186/1475-2867-6-11",
"This",
"article",
"is",
"available",
"from:",
"http://www.cancerci.com/content/6/1/11",
"Received:",
"21",
"February",
"2006",
"Accepted:",
"26",
"April",
"2006",
"©",
"2006",
"Ianzini",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"We",
"have",
"demonstrated",
"that",
"in",
"some",
"human",
"cancer",
"cells",
"both",
"chronic",
"mild",
"heat",
"and",
"ionizing",
"radiation",
"exposures",
"induce",
"a",
"transient",
"block",
"in",
"S",
"and",
"G2",
"phases",
"of",
"the",
"cell",
"cycle.",
"During",
"this",
"delay,",
"cyclin",
"B1",
"protein",
"accumulates",
"to",
"supranormal",
"levels,",
"cyclin",
"B1-dependent",
"kinase",
"is",
"activated,",
"and",
"abrogation",
"of",
"the",
"G2/M",
"checkpoint",
"control",
"occurs",
"resulting",
"in",
"mitotic",
"catastrophe",
"(MC).",
"Results:",
"Using",
"syngenic",
"mouse",
"embryonic",
"fibroblasts",
"(MEF)",
"with",
"wild-type",
"or",
"mutant",
"p53,",
"we",
"now",
"show",
"that,",
"while",
"both",
"cell",
"lines",
"exhibit",
"delays",
"in",
"S/G2",
"phase",
"post-irradiation,",
"the",
"mutant",
"p53",
"cells",
"show",
"elevated",
"levels",
"of",
"cyclin",
"B1",
"followed",
"by",
"MC,",
"while",
"the",
"wild-type",
"p53",
"cells",
"present",
"both",
"a",
"lower",
"accumulation",
"of",
"cyclin",
"B1",
"and",
"a",
"lower",
"frequency",
"of",
"MC.",
"Conclusion:",
"These",
"results",
"are",
"in",
"line",
"with",
"studies",
"reporting",
"the",
"role",
"of",
"p53",
"as",
"a",
"post-",
"transcriptional",
"regulator",
"of",
"cyclin",
"B1",
"protein",
"and",
"confirm",
"that",
"dysregulation",
"of",
"cyclin",
"B1",
"promote",
"radiation-induced",
"MC.",
"These",
"findings",
"might",
"be",
"exploited",
"to",
"design",
"strategies",
"to",
"augment",
"the",
"yield",
"of",
"MC",
"in",
"tumor",
"cells",
"that",
"are",
"resistant",
"to",
"radiation-induced",
"apoptosis.",
"Introduction",
"Mitotic",
"catastrophe",
"(MC)",
"has",
"been",
"observed",
"following",
"alterations",
"in",
"specific",
"cellular",
"proteins,",
"or",
"by",
"treatment",
"of",
"cells",
"with",
"chemicals,",
"heat,",
"and/or",
"ionizing",
"radiation",
"[1-",
"13].",
"MC",
"is",
"characterized",
"by",
"an",
"aberrant",
"nuclear",
"morphol-",
"ogy",
"observed",
"following",
"premature",
"entry",
"into",
"mitosis",
"[10]",
"and",
"often",
"results",
"in",
"the",
"generation",
"of",
"aneuploid",
"and",
"poly-",
"ploid",
"cell",
"progeny.",
"The",
"initiating",
"event",
"in",
"this",
"process",
"involves",
"the",
"premature",
"entry",
"of",
"cells",
"into",
"mitosis;",
"cells",
"undergo",
"a",
"spontaneous",
"chromosome",
"condensation",
"that",
"produces",
"chromosome",
"morphologies",
"very",
"similar",
"to",
"those",
"observed",
"when",
"metaphase",
"cells",
"are",
"fused",
"with",
"cells",
"located",
"late",
"in",
"the",
"cell",
"cycle",
"[11].",
"Thus",
"we",
"consider",
"these",
"abnormal",
"mitotic",
"figures",
"as",
"indicative",
"of",
"cells",
"undergoing",
"spontaneous",
"premature",
"chromosome",
"condensation",
"(SPCC).",
"These",
"cells",
"entering",
"into",
"mitosis",
"prematurely",
"often",
"either",
"fail",
"to",
"achieve",
"cytokinesis",
"or",
"divide",
"and",
"fuse",
"shortly",
"thereafter,",
"and",
"later",
"exhibit",
"the",
"features",
"of",
"MC.",
"These",
"cells",
"almost",
"always",
"die",
"[9];",
"however,",
"some",
"studies",
"have",
"suggested",
"that",
"a",
"small",
"fraction",
"of",
"cells",
"might",
"survive",
"Page",
"1",
"of",
"8",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,281,045 | null | [
[
80,
78,
45,
28
],
[
134,
78,
53,
28
],
[
195,
78,
25,
28
],
[
228,
78,
63,
28
],
[
300,
78,
110,
28
],
[
418,
78,
24,
28
],
[
450,
78,
136,
28
],
[
595,
78,
63,
28
],
[
666,
78,
104,
28
],
[
80,
109,
58,
28
],
[
147,
109,
24,
28
],
[
179,
109,
112,
28
],
[
300,
109,
91,
28
],
[
400,
109,
74,
28
],
[
80,
152,
40,
14
],
[
124,
152,
27,
14
],
[
155,
152,
38,
14
],
[
196,
152,
42,
14
],
[
243,
152,
52,
14
],
[
299,
152,
52,
14
],
[
355,
152,
17,
14
],
[
377,
152,
62,
14
],
[
443,
152,
30,
14
],
[
477,
152,
64,
14
],
[
80,
175,
50,
10
],
[
133,
175,
9,
10
],
[
144,
175,
42,
10
],
[
189,
175,
33,
10
],
[
225,
175,
16,
10
],
[
244,
175,
63,
10
],
[
309,
175,
33,
10
],
[
345,
175,
17,
10
],
[
365,
175,
43,
10
],
[
411,
175,
19,
10
],
[
432,
175,
28,
10
],
[
463,
175,
52,
10
],
[
518,
175,
28,
10
],
[
549,
175,
25,
10
],
[
576,
175,
9,
10
],
[
588,
175,
34,
10
],
[
102,
214,
57,
14
],
[
102,
235,
20,
13
],
[
125,
235,
41,
13
],
[
169,
235,
11,
13
],
[
183,
235,
26,
13
],
[
213,
235,
43,
13
],
[
259,
235,
79,
13
],
[
341,
235,
20,
13
],
[
365,
235,
92,
13
],
[
460,
235,
51,
13
],
[
514,
235,
6,
13
],
[
524,
235,
35,
13
],
[
562,
235,
26,
13
],
[
591,
235,
44,
13
],
[
637,
235,
47,
13
],
[
687,
235,
10,
13
],
[
701,
235,
47,
13
],
[
102,
249,
39,
13
],
[
143,
249,
31,
13
],
[
176,
249,
45,
13
],
[
224,
249,
15,
13
],
[
242,
249,
40,
13
],
[
285,
249,
20,
13
],
[
307,
249,
51,
13
],
[
361,
249,
25,
13
],
[
389,
249,
16,
13
],
[
407,
249,
25,
13
],
[
435,
249,
65,
13
],
[
502,
249,
18,
13
],
[
523,
249,
59,
13
],
[
584,
249,
46,
13
],
[
633,
249,
92,
13
],
[
728,
249,
20,
13
],
[
102,
263,
64,
13
],
[
170,
263,
52,
13
],
[
226,
263,
17,
13
],
[
248,
263,
28,
13
],
[
280,
263,
22,
13
],
[
306,
263,
140,
13
],
[
450,
263,
38,
13
],
[
492,
263,
25,
13
],
[
522,
263,
17,
13
],
[
542,
263,
70,
13
],
[
617,
263,
11,
13
],
[
631,
263,
18,
13
],
[
653,
263,
39,
13
],
[
696,
263,
27,
13
],
[
728,
263,
20,
13
],
[
102,
277,
92,
13
],
[
199,
277,
8,
13
],
[
212,
277,
58,
13
],
[
275,
277,
61,
13
],
[
341,
277,
18,
13
],
[
364,
277,
54,
13
],
[
423,
277,
43,
13
],
[
471,
277,
17,
13
],
[
494,
277,
32,
13
],
[
530,
277,
6,
13
],
[
542,
277,
61,
13
],
[
609,
277,
38,
13
],
[
652,
277,
45,
13
],
[
701,
277,
46,
13
],
[
102,
291,
54,
13
],
[
160,
291,
20,
13
],
[
184,
291,
36,
13
],
[
224,
291,
48,
13
],
[
275,
291,
51,
13
],
[
330,
291,
45,
13
],
[
379,
291,
24,
13
],
[
407,
291,
72,
13
],
[
482,
291,
50,
13
],
[
536,
291,
19,
13
],
[
559,
291,
45,
13
],
[
607,
291,
20,
13
],
[
631,
291,
43,
13
],
[
678,
291,
39,
13
],
[
721,
291,
27,
13
],
[
102,
305,
38,
13
],
[
143,
305,
21,
13
],
[
166,
305,
41,
13
],
[
210,
305,
75,
13
],
[
288,
305,
41,
13
],
[
332,
305,
42,
13
],
[
376,
305,
46,
13
],
[
425,
305,
51,
13
],
[
479,
305,
11,
13
],
[
493,
305,
39,
13
],
[
535,
305,
27,
13
],
[
565,
305,
26,
13
],
[
594,
305,
43,
13
],
[
640,
305,
38,
13
],
[
681,
305,
20,
13
],
[
705,
305,
43,
13
],
[
102,
318,
71,
13
],
[
177,
318,
10,
13
],
[
191,
318,
36,
13
],
[
231,
318,
42,
13
],
[
276,
318,
21,
13
],
[
301,
318,
18,
13
],
[
323,
318,
43,
13
],
[
370,
318,
45,
13
],
[
419,
318,
22,
13
],
[
444,
318,
18,
13
],
[
466,
318,
39,
13
],
[
509,
318,
27,
13
],
[
539,
318,
48,
13
],
[
591,
318,
26,
13
],
[
620,
318,
11,
13
],
[
635,
318,
56,
13
],
[
695,
318,
26,
13
],
[
725,
318,
23,
13
],
[
102,
332,
21,
13
],
[
127,
332,
54,
13
],
[
184,
332,
74,
13
],
[
262,
332,
51,
13
],
[
317,
332,
11,
13
],
[
332,
332,
38,
13
],
[
374,
332,
6,
13
],
[
385,
332,
38,
13
],
[
426,
332,
35,
13
],
[
465,
332,
72,
13
],
[
541,
332,
53,
13
],
[
597,
332,
43,
13
],
[
644,
332,
44,
13
],
[
692,
332,
56,
13
],
[
102,
346,
23,
13
],
[
129,
346,
26,
13
],
[
159,
346,
20,
13
],
[
184,
346,
54,
13
],
[
242,
346,
39,
13
],
[
285,
346,
27,
13
],
[
316,
346,
54,
13
],
[
374,
346,
38,
13
],
[
416,
346,
6,
13
],
[
427,
346,
38,
13
],
[
469,
346,
69,
13
],
[
542,
346,
43,
13
],
[
589,
346,
49,
13
],
[
643,
346,
37,
13
],
[
684,
346,
64,
13
],
[
102,
360,
39,
13
],
[
145,
360,
25,
13
],
[
174,
360,
18,
13
],
[
195,
360,
33,
13
],
[
232,
360,
35,
13
],
[
270,
360,
11,
13
],
[
285,
360,
72,
13
],
[
361,
360,
14,
13
],
[
379,
360,
44,
13
],
[
426,
360,
48,
13
],
[
478,
360,
17,
13
],
[
499,
360,
44,
13
],
[
546,
360,
22,
13
],
[
571,
360,
39,
13
],
[
614,
360,
26,
13
],
[
643,
360,
51,
13
],
[
698,
360,
50,
13
],
[
102,
374,
45,
13
],
[
151,
374,
51,
13
],
[
205,
374,
43,
13
],
[
251,
374,
25,
13
],
[
279,
374,
18,
13
],
[
300,
374,
60,
13
],
[
363,
374,
11,
13
],
[
378,
374,
38,
13
],
[
419,
374,
6,
13
],
[
429,
374,
62,
13
],
[
494,
374,
26,
13
],
[
523,
374,
11,
13
],
[
538,
374,
39,
13
],
[
580,
374,
27,
13
],
[
611,
374,
49,
13
],
[
663,
374,
26,
13
],
[
692,
374,
56,
13
],
[
102,
388,
20,
13
],
[
126,
388,
41,
13
],
[
172,
388,
11,
13
],
[
187,
388,
26,
13
],
[
218,
388,
48,
13
],
[
270,
388,
10,
13
],
[
285,
388,
36,
13
],
[
326,
388,
39,
13
],
[
369,
388,
53,
13
],
[
427,
388,
24,
13
],
[
455,
388,
52,
13
],
[
512,
388,
51,
13
],
[
567,
388,
20,
13
],
[
592,
388,
43,
13
],
[
639,
388,
79,
13
],
[
722,
388,
25,
13
],
[
102,
401,
38,
13
],
[
144,
401,
25,
13
],
[
174,
401,
46,
13
],
[
225,
401,
6,
13
],
[
235,
401,
60,
13
],
[
300,
401,
15,
13
],
[
319,
401,
18,
13
],
[
341,
401,
49,
13
],
[
394,
401,
62,
13
],
[
461,
401,
31,
13
],
[
496,
401,
10,
13
],
[
511,
401,
26,
13
],
[
541,
401,
56,
13
],
[
601,
401,
26,
13
],
[
631,
401,
20,
13
],
[
655,
401,
34,
13
],
[
694,
401,
28,
13
],
[
726,
401,
22,
13
],
[
102,
415,
39,
13
],
[
144,
415,
26,
13
],
[
174,
415,
40,
13
],
[
218,
415,
8,
13
],
[
230,
415,
43,
13
],
[
277,
415,
58,
13
],
[
339,
415,
14,
13
],
[
356,
415,
59,
13
],
[
419,
415,
64,
13
],
[
487,
415,
11,
13
],
[
501,
415,
18,
13
],
[
523,
415,
54,
13
],
[
580,
415,
26,
13
],
[
610,
415,
46,
13
],
[
92,
450,
40,
10
],
[
135,
450,
16,
10
],
[
153,
450,
20,
10
],
[
176,
450,
9,
10
],
[
187,
450,
29,
10
],
[
219,
450,
8,
10
],
[
229,
450,
35,
10
],
[
266,
450,
17,
10
],
[
285,
450,
35,
10
],
[
323,
450,
6,
10
],
[
331,
450,
26,
10
],
[
359,
450,
15,
10
],
[
377,
450,
18,
10
],
[
398,
450,
9,
10
],
[
409,
450,
22,
10
],
[
432,
450,
37,
10
],
[
472,
450,
8,
10
],
[
482,
450,
46,
10
],
[
530,
450,
22,
10
],
[
555,
450,
35,
10
],
[
592,
450,
20,
10
],
[
614,
450,
8,
10
],
[
625,
450,
38,
10
],
[
665,
450,
31,
10
],
[
698,
450,
27,
10
],
[
728,
450,
20,
10
],
[
92,
461,
18,
10
],
[
113,
461,
18,
10
],
[
134,
461,
32,
10
],
[
168,
461,
139,
10
],
[
92,
479,
31,
10
],
[
126,
479,
19,
10
],
[
148,
479,
36,
10
],
[
186,
479,
56,
10
],
[
245,
479,
41,
10
],
[
289,
479,
36,
10
],
[
329,
479,
28,
10
],
[
359,
479,
9,
10
],
[
370,
479,
40,
10
],
[
413,
479,
28,
10
],
[
443,
479,
25,
10
],
[
471,
479,
9,
10
],
[
483,
479,
34,
10
],
[
92,
496,
42,
10
],
[
137,
496,
34,
10
],
[
173,
496,
7,
10
],
[
184,
496,
22,
10
],
[
209,
496,
44,
10
],
[
256,
496,
43,
10
],
[
301,
496,
12,
10
],
[
316,
496,
22,
10
],
[
341,
496,
47,
10
],
[
391,
496,
36,
10
],
[
430,
496,
12,
10
],
[
445,
496,
20,
10
],
[
92,
513,
50,
10
],
[
157,
513,
20,
10
],
[
180,
513,
16,
10
],
[
199,
513,
21,
10
],
[
223,
513,
9,
10
],
[
235,
513,
9,
10
],
[
248,
513,
17,
10
],
[
268,
513,
6,
10
],
[
277,
513,
10,
10
],
[
291,
513,
50,
10
],
[
345,
513,
25,
10
],
[
373,
513,
45,
10
],
[
421,
513,
25,
10
],
[
449,
513,
14,
10
],
[
466,
513,
24,
10
],
[
493,
513,
9,
10
],
[
505,
513,
14,
10
],
[
522,
513,
34,
10
],
[
559,
513,
42,
10
],
[
604,
513,
45,
10
],
[
653,
513,
32,
10
],
[
689,
513,
25,
10
],
[
717,
513,
31,
10
],
[
92,
524,
49,
10
],
[
144,
524,
17,
10
],
[
163,
524,
50,
10
],
[
216,
524,
16,
10
],
[
235,
524,
54,
10
],
[
291,
524,
8,
10
],
[
302,
524,
15,
10
],
[
320,
524,
37,
10
],
[
359,
524,
37,
10
],
[
399,
524,
14,
10
],
[
416,
524,
31,
10
],
[
450,
524,
27,
10
],
[
480,
524,
16,
10
],
[
498,
524,
27,
10
],
[
529,
524,
13,
10
],
[
545,
524,
36,
10
],
[
92,
542,
42,
10
],
[
136,
542,
17,
10
],
[
155,
542,
21,
10
],
[
178,
542,
16,
10
],
[
197,
542,
43,
10
],
[
242,
542,
11,
10
],
[
255,
542,
35,
10
],
[
292,
542,
38,
10
],
[
332,
542,
9,
10
],
[
343,
542,
27,
10
],
[
372,
542,
26,
10
],
[
401,
542,
56,
10
],
[
459,
542,
16,
10
],
[
477,
542,
17,
10
],
[
497,
542,
36,
10
],
[
536,
542,
9,
10
],
[
547,
542,
14,
10
],
[
564,
542,
16,
10
],
[
582,
542,
14,
10
],
[
598,
542,
24,
10
],
[
625,
542,
83,
10
],
[
711,
542,
37,
10
],
[
92,
553,
16,
10
],
[
110,
553,
31,
10
],
[
144,
553,
16,
10
],
[
163,
553,
11,
10
],
[
177,
553,
16,
10
],
[
196,
553,
8,
10
],
[
206,
553,
23,
10
],
[
232,
553,
30,
10
],
[
265,
553,
18,
10
],
[
286,
553,
40,
10
],
[
329,
553,
16,
10
],
[
347,
553,
34,
10
],
[
384,
553,
34,
10
],
[
421,
553,
9,
10
],
[
432,
553,
33,
10
],
[
468,
553,
9,
10
],
[
480,
553,
48,
10
],
[
530,
553,
9,
10
],
[
542,
553,
14,
10
],
[
559,
553,
48,
10
],
[
92,
570,
52,
10
],
[
147,
570,
43,
10
],
[
193,
570,
18,
10
],
[
213,
570,
35,
10
],
[
251,
570,
16,
10
],
[
269,
570,
5,
10
],
[
277,
570,
28,
10
],
[
308,
570,
30,
10
],
[
340,
570,
8,
10
],
[
351,
570,
41,
10
],
[
394,
570,
27,
10
],
[
424,
570,
23,
10
],
[
449,
570,
9,
10
],
[
460,
570,
14,
10
],
[
477,
570,
27,
10
],
[
506,
570,
15,
10
],
[
524,
570,
35,
10
],
[
561,
570,
16,
10
],
[
580,
570,
46,
10
],
[
628,
570,
17,
10
],
[
648,
570,
36,
10
],
[
686,
570,
20,
10
],
[
709,
570,
12,
10
],
[
723,
570,
25,
10
],
[
92,
581,
26,
10
],
[
121,
581,
9,
10
],
[
133,
581,
28,
10
],
[
165,
581,
34,
10
],
[
202,
581,
45,
10
],
[
250,
581,
12,
10
],
[
265,
581,
14,
10
],
[
282,
581,
53,
10
],
[
338,
581,
24,
10
],
[
365,
581,
16,
10
],
[
384,
581,
11,
10
],
[
398,
581,
35,
10
],
[
437,
581,
59,
10
],
[
499,
581,
35,
10
],
[
537,
581,
14,
10
],
[
554,
581,
14,
10
],
[
571,
581,
14,
10
],
[
588,
581,
45,
10
],
[
636,
581,
8,
10
],
[
647,
581,
15,
10
],
[
665,
581,
17,
10
],
[
685,
581,
32,
10
],
[
720,
581,
11,
10
],
[
734,
581,
14,
10
],
[
92,
592,
35,
10
],
[
130,
592,
9,
10
],
[
142,
592,
22,
10
],
[
167,
592,
16,
10
],
[
186,
592,
31,
10
],
[
220,
592,
14,
10
],
[
237,
592,
33,
10
],
[
273,
592,
36,
10
],
[
312,
592,
29,
10
],
[
344,
592,
42,
10
],
[
389,
592,
15,
10
],
[
407,
592,
45,
10
],
[
455,
592,
20,
10
],
[
478,
592,
14,
10
],
[
495,
592,
19,
10
],
[
517,
592,
14,
10
],
[
534,
592,
33,
10
],
[
570,
592,
43,
10
],
[
617,
592,
9,
10
],
[
629,
592,
10,
10
],
[
641,
592,
14,
10
],
[
658,
592,
20,
10
],
[
682,
592,
18,
10
],
[
703,
592,
31,
10
],
[
737,
592,
11,
10
],
[
92,
603,
30,
10
],
[
125,
603,
18,
10
],
[
146,
603,
16,
10
],
[
165,
603,
39,
10
],
[
92,
620,
5,
10
],
[
99,
620,
27,
10
],
[
129,
620,
94,
10
],
[
80,
680,
84,
14
],
[
93,
709,
40,
13
],
[
137,
709,
24,
13
],
[
165,
709,
45,
13
],
[
215,
709,
19,
13
],
[
239,
709,
39,
13
],
[
282,
709,
37,
13
],
[
324,
709,
25,
13
],
[
353,
709,
16,
13
],
[
374,
709,
39,
13
],
[
80,
724,
10,
13
],
[
93,
724,
25,
13
],
[
121,
724,
41,
13
],
[
166,
724,
79,
13
],
[
247,
724,
91,
13
],
[
341,
724,
49,
13
],
[
393,
724,
19,
13
],
[
80,
738,
63,
13
],
[
151,
738,
20,
13
],
[
178,
738,
37,
13
],
[
223,
738,
41,
13
],
[
271,
738,
68,
13
],
[
347,
738,
33,
13
],
[
388,
738,
25,
13
],
[
80,
753,
49,
13
],
[
134,
753,
64,
13
],
[
203,
753,
45,
13
],
[
252,
753,
34,
13
],
[
291,
753,
19,
13
],
[
315,
753,
25,
13
],
[
345,
753,
24,
13
],
[
374,
753,
39,
13
],
[
80,
768,
30,
13
],
[
115,
768,
13,
13
],
[
133,
768,
45,
13
],
[
183,
768,
8,
13
],
[
196,
768,
64,
13
],
[
265,
768,
34,
13
],
[
304,
768,
25,
13
],
[
335,
768,
16,
13
],
[
356,
768,
34,
13
],
[
394,
768,
18,
13
],
[
80,
783,
40,
13
],
[
124,
783,
36,
13
],
[
162,
783,
10,
13
],
[
176,
783,
62,
13
],
[
241,
783,
45,
13
],
[
290,
783,
25,
13
],
[
318,
783,
26,
13
],
[
347,
783,
40,
13
],
[
390,
783,
22,
13
],
[
80,
798,
25,
13
],
[
110,
798,
25,
13
],
[
140,
798,
45,
13
],
[
189,
798,
22,
13
],
[
216,
798,
21,
13
],
[
242,
798,
10,
13
],
[
257,
798,
27,
13
],
[
288,
798,
40,
13
],
[
333,
798,
10,
13
],
[
348,
798,
36,
13
],
[
389,
798,
24,
13
],
[
80,
812,
61,
13
],
[
145,
812,
19,
13
],
[
168,
812,
48,
13
],
[
219,
812,
11,
13
],
[
234,
812,
16,
13
],
[
254,
812,
40,
13
],
[
297,
812,
10,
13
],
[
310,
812,
40,
13
],
[
354,
812,
10,
13
],
[
368,
812,
45,
13
],
[
80,
827,
11,
13
],
[
96,
827,
35,
13
],
[
136,
827,
46,
13
],
[
186,
827,
25,
13
],
[
216,
827,
25,
13
],
[
245,
827,
41,
13
],
[
292,
827,
79,
13
],
[
375,
827,
38,
13
],
[
80,
842,
57,
13
],
[
142,
842,
19,
13
],
[
165,
842,
46,
13
],
[
216,
842,
45,
13
],
[
265,
842,
6,
13
],
[
276,
842,
58,
13
],
[
339,
842,
39,
13
],
[
382,
842,
31,
13
],
[
80,
857,
26,
13
],
[
112,
857,
8,
13
],
[
125,
857,
22,
13
],
[
153,
857,
36,
13
],
[
195,
857,
10,
13
],
[
210,
857,
40,
13
],
[
256,
857,
19,
13
],
[
281,
857,
36,
13
],
[
322,
857,
24,
13
],
[
351,
857,
61,
13
],
[
80,
872,
35,
13
],
[
123,
872,
55,
13
],
[
187,
872,
53,
13
],
[
248,
872,
25,
13
],
[
281,
872,
22,
13
],
[
311,
872,
11,
13
],
[
331,
872,
23,
13
],
[
362,
872,
6,
13
],
[
376,
872,
37,
13
],
[
80,
886,
68,
13
],
[
153,
886,
10,
13
],
[
168,
886,
6,
13
],
[
179,
886,
29,
13
],
[
213,
886,
37,
13
],
[
255,
886,
18,
13
],
[
278,
886,
30,
13
],
[
313,
886,
60,
13
],
[
378,
886,
13,
13
],
[
397,
886,
16,
13
],
[
80,
901,
84,
13
],
[
167,
901,
10,
13
],
[
181,
901,
16,
13
],
[
200,
901,
27,
13
],
[
230,
901,
46,
13
],
[
280,
901,
10,
13
],
[
294,
901,
61,
13
],
[
358,
901,
16,
13
],
[
377,
901,
36,
13
],
[
80,
916,
23,
13
],
[
107,
916,
42,
13
],
[
93,
931,
28,
13
],
[
124,
931,
45,
13
],
[
173,
931,
10,
13
],
[
187,
931,
16,
13
],
[
206,
931,
37,
13
],
[
247,
931,
24,
13
],
[
275,
931,
45,
13
],
[
324,
931,
44,
13
],
[
372,
931,
19,
13
],
[
395,
931,
18,
13
],
[
80,
946,
49,
13
],
[
133,
946,
31,
13
],
[
167,
946,
16,
13
],
[
188,
946,
58,
13
],
[
250,
946,
62,
13
],
[
316,
946,
13,
13
],
[
332,
946,
6,
13
],
[
342,
946,
37,
13
],
[
383,
946,
29,
13
],
[
80,
961,
53,
13
],
[
137,
961,
25,
13
],
[
165,
961,
25,
13
],
[
193,
961,
37,
13
],
[
234,
961,
24,
13
],
[
261,
961,
76,
13
],
[
340,
961,
19,
13
],
[
364,
961,
36,
13
],
[
403,
961,
9,
13
],
[
80,
976,
60,
13
],
[
145,
976,
52,
13
],
[
203,
976,
10,
13
],
[
218,
976,
53,
13
],
[
276,
976,
25,
13
],
[
306,
976,
57,
13
],
[
368,
976,
45,
13
],
[
80,
990,
10,
13
],
[
96,
990,
25,
13
],
[
126,
990,
42,
13
],
[
173,
990,
42,
13
],
[
220,
990,
16,
13
],
[
242,
990,
62,
13
],
[
309,
990,
25,
13
],
[
340,
990,
27,
13
],
[
372,
990,
20,
13
],
[
397,
990,
16,
13
],
[
80,
1005,
37,
13
],
[
122,
1005,
24,
13
],
[
150,
1005,
55,
13
],
[
210,
1005,
34,
13
],
[
249,
1005,
16,
13
],
[
270,
1005,
29,
13
],
[
305,
1005,
41,
13
],
[
350,
1005,
62,
13
],
[
437,
679,
18,
13
],
[
461,
679,
52,
13
],
[
519,
679,
10,
13
],
[
534,
679,
16,
13
],
[
556,
679,
44,
13
],
[
605,
679,
41,
13
],
[
651,
679,
57,
13
],
[
714,
679,
31,
13
],
[
751,
679,
18,
13
],
[
437,
694,
36,
13
],
[
477,
694,
9,
13
],
[
490,
694,
44,
13
],
[
537,
694,
10,
13
],
[
551,
694,
16,
13
],
[
570,
694,
48,
13
],
[
622,
694,
24,
13
],
[
649,
694,
22,
13
],
[
675,
694,
7,
13
],
[
685,
694,
19,
13
],
[
708,
694,
19,
13
],
[
731,
694,
39,
13
],
[
437,
709,
47,
13
],
[
490,
709,
53,
13
],
[
550,
709,
28,
13
],
[
584,
709,
30,
13
],
[
620,
709,
55,
13
],
[
681,
709,
40,
13
],
[
728,
709,
16,
13
],
[
750,
709,
20,
13
],
[
437,
724,
42,
13
],
[
485,
724,
55,
13
],
[
545,
724,
10,
13
],
[
560,
724,
16,
13
],
[
582,
724,
25,
13
],
[
612,
724,
27,
13
],
[
644,
724,
19,
13
],
[
669,
724,
44,
13
],
[
719,
724,
16,
13
],
[
740,
724,
29,
13
],
[
437,
738,
44,
13
],
[
486,
738,
57,
13
],
[
549,
738,
21,
13
],
[
575,
738,
20,
13
],
[
600,
738,
8,
13
],
[
613,
738,
39,
13
],
[
657,
738,
13,
13
],
[
675,
738,
36,
13
],
[
716,
738,
9,
13
],
[
730,
738,
40,
13
],
[
437,
753,
25,
13
],
[
467,
753,
24,
13
],
[
496,
753,
43,
13
],
[
543,
753,
13,
13
],
[
561,
753,
10,
13
],
[
576,
753,
24,
13
],
[
605,
753,
10,
13
],
[
620,
753,
36,
13
],
[
660,
753,
28,
13
],
[
693,
753,
41,
13
],
[
739,
753,
10,
13
],
[
754,
753,
16,
13
],
[
437,
768,
36,
13
],
[
478,
768,
9,
13
],
[
492,
768,
40,
13
],
[
537,
768,
44,
13
],
[
585,
768,
58,
13
],
[
649,
768,
19,
13
],
[
673,
768,
39,
13
],
[
717,
768,
53,
13
],
[
437,
783,
21,
13
],
[
464,
783,
18,
13
],
[
487,
783,
34,
13
],
[
526,
783,
12,
13
],
[
543,
783,
52,
13
],
[
600,
783,
15,
13
],
[
620,
783,
13,
13
],
[
637,
783,
16,
13
],
[
659,
783,
25,
13
],
[
689,
783,
10,
13
],
[
704,
783,
37,
13
],
[
746,
783,
24,
13
],
[
437,
798,
76,
13
],
[
516,
798,
18,
13
],
[
450,
813,
48,
13
],
[
502,
813,
19,
13
],
[
525,
813,
18,
13
],
[
547,
813,
25,
13
],
[
576,
813,
16,
13
],
[
597,
813,
64,
13
],
[
665,
813,
51,
13
],
[
721,
813,
19,
13
],
[
745,
813,
25,
13
],
[
437,
828,
37,
13
],
[
478,
828,
46,
13
],
[
527,
828,
13,
13
],
[
543,
828,
53,
13
],
[
600,
828,
25,
13
],
[
627,
828,
21,
13
],
[
652,
828,
38,
13
],
[
693,
828,
10,
13
],
[
707,
828,
36,
13
],
[
746,
828,
24,
13
],
[
437,
842,
18,
13
],
[
460,
842,
25,
13
],
[
490,
842,
17,
13
],
[
512,
842,
25,
13
],
[
542,
842,
48,
13
],
[
595,
842,
10,
13
],
[
611,
842,
12,
13
],
[
628,
842,
19,
13
],
[
651,
842,
20,
13
],
[
676,
842,
41,
13
],
[
722,
842,
47,
13
],
[
437,
857,
25,
13
],
[
465,
857,
39,
13
],
[
508,
857,
16,
13
],
[
527,
857,
63,
13
],
[
594,
857,
27,
13
],
[
624,
857,
29,
13
],
[
656,
857,
15,
13
],
[
675,
857,
19,
13
],
[
697,
857,
24,
13
],
[
724,
857,
45,
13
],
[
437,
872,
41,
13
],
[
482,
872,
58,
13
],
[
543,
872,
36,
13
],
[
583,
872,
9,
13
],
[
596,
872,
18,
13
],
[
618,
872,
15,
13
],
[
637,
872,
45,
13
],
[
686,
872,
16,
13
],
[
706,
872,
36,
13
],
[
746,
872,
24,
13
],
[
437,
887,
49,
13
],
[
490,
887,
10,
13
],
[
504,
887,
6,
13
],
[
514,
887,
32,
13
],
[
550,
887,
23,
13
],
[
576,
887,
24,
13
],
[
604,
887,
10,
13
],
[
618,
887,
26,
13
],
[
647,
887,
25,
13
],
[
676,
887,
49,
13
],
[
729,
887,
25,
13
],
[
757,
887,
12,
13
],
[
437,
902,
64,
13
],
[
506,
902,
45,
13
],
[
556,
902,
38,
13
],
[
600,
902,
16,
13
],
[
621,
902,
44,
13
],
[
670,
902,
60,
13
],
[
735,
902,
35,
13
],
[
437,
916,
27,
13
],
[
468,
916,
10,
13
],
[
482,
916,
41,
13
],
[
528,
916,
45,
13
],
[
577,
916,
10,
13
],
[
591,
916,
51,
13
],
[
646,
916,
10,
13
],
[
660,
916,
36,
13
],
[
700,
916,
24,
13
],
[
728,
916,
42,
13
],
[
437,
931,
22,
13
],
[
463,
931,
22,
13
],
[
489,
931,
8,
13
],
[
501,
931,
34,
13
],
[
539,
931,
29,
13
],
[
572,
931,
16,
13
],
[
592,
931,
38,
13
],
[
633,
931,
11,
13
],
[
648,
931,
33,
13
],
[
685,
931,
71,
13
],
[
760,
931,
10,
13
],
[
437,
946,
18,
13
],
[
459,
946,
50,
13
],
[
450,
961,
11,
13
],
[
464,
961,
16,
13
],
[
484,
961,
37,
13
],
[
524,
961,
27,
13
],
[
554,
961,
14,
13
],
[
571,
961,
17,
13
],
[
591,
961,
72,
13
],
[
666,
961,
6,
13
],
[
675,
961,
28,
13
],
[
706,
961,
63,
13
],
[
437,
976,
25,
13
],
[
464,
976,
16,
13
],
[
483,
976,
36,
13
],
[
522,
976,
35,
13
],
[
560,
976,
27,
13
],
[
590,
976,
41,
13
],
[
634,
976,
10,
13
],
[
646,
976,
33,
13
],
[
682,
976,
41,
13
],
[
726,
976,
44,
13
],
[
437,
991,
19,
13
],
[
464,
991,
53,
13
],
[
524,
991,
27,
13
],
[
559,
991,
31,
13
],
[
597,
991,
13,
13
],
[
617,
991,
25,
13
],
[
650,
991,
41,
13
],
[
698,
991,
45,
13
],
[
750,
991,
19,
13
],
[
437,
1005,
44,
13
],
[
486,
1005,
48,
13
],
[
538,
1005,
70,
13
],
[
613,
1005,
67,
13
],
[
685,
1005,
27,
13
],
[
718,
1005,
19,
13
],
[
742,
1005,
28,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
546,
1047,
41,
12
],
[
591,
1047,
23,
12
],
[
619,
1047,
3,
12
],
[
627,
1047,
36,
12
],
[
668,
1047,
6,
12
],
[
680,
1047,
3,
12
],
[
688,
1047,
24,
12
],
[
716,
1047,
6,
12
],
[
727,
1047,
3,
12
],
[
736,
1047,
34,
12
]
] | [
"The",
"Role",
"of",
"Actin",
"Turnover",
"in",
"Retrograde",
"Actin",
"Network",
"Flow",
"in",
"Neuronal",
"Growth",
"Cones",
"David",
"Van",
"Goor,",
"Callen",
"Hyland,",
"Andrew",
"W.",
"Schaefer,",
"Paul",
"Forscher*",
"Department",
"of",
"Molecular,",
"Cellular,",
"and",
"Developmental",
"Biology,",
"Yale",
"University,",
"New",
"Haven,",
"Connecticut,",
"United",
"States",
"of",
"America",
"Abstract",
"The",
"balance",
"of",
"actin",
"filament",
"polymerization",
"and",
"depolymerization",
"maintains",
"a",
"steady",
"state",
"network",
"treadmill",
"in",
"neuronal",
"growth",
"cones",
"essential",
"for",
"motility",
"and",
"guidance.",
"Here",
"we",
"have",
"investigated",
"the",
"connection",
"between",
"depolymerization",
"and",
"treadmilling",
"dynamics.",
"We",
"show",
"that",
"polymerization-competent",
"barbed",
"ends",
"are",
"concentrated",
"at",
"the",
"leading",
"edge",
"and",
"depolymerization",
"is",
"distributed",
"throughout",
"the",
"peripheral",
"domain.",
"We",
"found",
"a",
"high-to-low",
"G-actin",
"gradient",
"between",
"peripheral",
"and",
"central",
"domains.",
"Inhibiting",
"turnover",
"with",
"jasplakinolide",
"collapsed",
"this",
"gradient",
"and",
"lowered",
"leading",
"edge",
"barbed",
"end",
"density.",
"Ultrastructural",
"analysis",
"showed",
"dramatic",
"reduction",
"of",
"leading",
"edge",
"actin",
"filament",
"density",
"and",
"filament",
"accumulation",
"in",
"central",
"regions.",
"Live",
"cell",
"imaging",
"revealed",
"that",
"the",
"leading",
"edge",
"retracted",
"even",
"as",
"retrograde",
"actin",
"flow",
"rate",
"decreased",
"exponentially.",
"Inhibition",
"of",
"myosin",
"II",
"activity",
"before",
"jasplakinolide",
"treatment",
"lowered",
"baseline",
"retrograde",
"flow",
"rates",
"and",
"prevented",
"leading",
"edge",
"retraction.",
"Myosin",
"II",
"activity",
"preferentially",
"affected",
"filopodial",
"bundle",
"disassembly",
"distinct",
"from",
"the",
"global",
"effects",
"of",
"jasplakinolide",
"on",
"network",
"turnover.",
"We",
"propose",
"that",
"growth",
"cone",
"retraction",
"following",
"turnover",
"inhibition",
"resulted",
"from",
"the",
"persistence",
"of",
"myosin",
"II",
"contractility",
"even",
"as",
"leading",
"edge",
"assembly",
"rates",
"decreased.",
"The",
"buildup",
"of",
"actin",
"filaments",
"in",
"central",
"regions",
"combined",
"with",
"monomer",
"depletion",
"and",
"reduced",
"polymerization",
"from",
"barbed",
"ends",
"suggests",
"a",
"mechanism",
"for",
"the",
"observed",
"exponential",
"decay",
"in",
"actin",
"retrograde",
"flow.",
"Our",
"results",
"show",
"that",
"growth",
"cone",
"motility",
"is",
"critically",
"dependent",
"on",
"continuous",
"disassembly",
"of",
"the",
"peripheral",
"actin",
"network.",
"Citation:",
"Van",
"Goor",
"D,",
"Hyland",
"C,",
"Schaefer",
"AW,",
"Forscher",
"P",
"(2012)",
"The",
"Role",
"of",
"Actin",
"Turnover",
"in",
"Retrograde",
"Actin",
"Network",
"Flow",
"in",
"Neuronal",
"Growth",
"Cones.",
"PLoS",
"ONE",
"7(2):",
"e30959.",
"doi:10.1371/journal.pone.0030959",
"Editor:",
"Cara",
"Gottardi,",
"Northwestern",
"University",
"Feinberg",
"School",
"of",
"Medicine,",
"United",
"States",
"of",
"America",
"Received",
"October",
"7,",
"2011;",
"Accepted",
"December",
"28,",
"2011;",
"Published",
"February",
"16,",
"2012",
"Copyright:",
"2012",
"Van",
"Goor",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"work",
"was",
"supported",
"by",
"National",
"Institutes",
"of",
"Health",
"grants",
"RO1-NS28695",
"and",
"RO1",
"NS51786",
"to",
"P.F.",
"and",
"the",
"Nikon",
"Partners-in-Research",
"Program.",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"Paul",
"Forscher",
"was",
"a",
"‘‘Nikon",
"Partner",
"in",
"Research’’",
"during",
"some",
"of",
"the",
"period",
"this",
"research",
"was",
"conducted.",
"This",
"program",
"gave",
"his",
"group",
"access",
"to",
"loaned",
"imaging",
"equipment",
"for",
"the",
"experiments.",
"There",
"was",
"no",
"personal",
"compensation",
"involved",
"nor",
"did",
"the",
"agreement",
"in",
"any",
"way",
"infringe",
"on",
"the",
"freedom",
"to",
"share",
"and",
"publish",
"the",
"authors’",
"scientific",
"results.",
"Moreover,",
"this",
"agreement",
"does",
"not",
"alter",
"the",
"authors’",
"adherence",
"to",
"all",
"the",
"PLoS",
"ONE",
"policies",
"on",
"sharing",
"data",
"and",
"materials.",
"*",
"E-mail:",
"paul.forscher@yale.edu",
"Introduction",
"Growth",
"cone",
"structure",
"and",
"motility",
"emerge",
"from",
"the",
"balance",
"of",
"actin",
"filament",
"polymerization,",
"depolymerization,",
"transport,",
"and",
"cross-linking",
"into",
"various",
"network",
"architectures.",
"Motile",
"actin",
"structures",
"continuously",
"consume",
"energy",
"and",
"cycle",
"their",
"compo-",
"nents.",
"As",
"structure",
"is",
"continuously",
"turned",
"over,",
"the",
"system",
"can",
"respond",
"rapidly",
"to",
"extracellular",
"guidance",
"cues;",
"small",
"changes",
"affe-",
"cting",
"actin",
"structure",
"may",
"lead",
"to",
"rapid",
"changes",
"in",
"growth",
"cone",
"morphology",
"and",
"behavior.",
"In",
"the",
"absence",
"of",
"changes",
"in",
"substrate",
"or",
"soluble",
"guidance",
"cues,",
"actin",
"filament",
"polymerization,",
"depoly-",
"merization,",
"and",
"transport",
"maintain",
"a",
"steady-state",
"balance",
"where",
"there",
"is",
"little",
"change",
"in",
"position",
"and",
"growth",
"cone",
"morphology",
"despite",
"continuous",
"retrograde",
"actin",
"flux.",
"In",
"such",
"a",
"system,",
"perturbations",
"of",
"a",
"single",
"process",
"can",
"reveal",
"information",
"on",
"the",
"interdependency",
"of",
"the",
"other",
"processes",
"in",
"maintaining",
"the",
"steady-",
"state",
"balance.",
"Actin",
"assembly",
"at",
"the",
"leading",
"edge",
"produces",
"filopodia",
"and",
"veil",
"structures",
"which",
"are",
"transported",
"centripetally",
"by",
"a",
"process",
"called",
"retrograde",
"flow.",
"Both",
"leading",
"edge",
"polymerization",
"and",
"myosin",
"II",
"contractility",
"contribute",
"to",
"retrograde",
"actin",
"movement.",
"Addition",
"of",
"actin",
"subunits",
"between",
"the",
"polymerized",
"actin",
"array",
"and",
"the",
"leading",
"edge",
"membrane",
"pushes",
"the",
"entire",
"network",
"centripetally",
"[1].",
"According",
"to",
"the",
"dynamic",
"network",
"contraction",
"model",
"[2],",
"myosin",
"II",
"localized",
"in",
"the",
"transition",
"zone",
"(Fig.",
"1",
"and",
"Fig.",
"S1D–F)",
"generates",
"contractile",
"force,",
"which",
"propagates",
"through",
"the",
"me-",
"chanical",
"continuum",
"of",
"the",
"actin",
"array",
"and",
"displaces",
"the",
"entire",
"network.",
"Retrograde",
"flow",
"rate",
"is",
"affected",
"by",
"myosin",
"II",
"activity.",
"Flow",
"rates",
"decrease",
"up",
"to",
"50%",
"in",
"growth",
"cones",
"exposed",
"to",
"the",
"myosin",
"II",
"ATPase",
"inhibitor",
"blebbistatin",
"and",
"residual",
"retrograde",
"flow",
"can",
"largely",
"be",
"accounted",
"for",
"by",
"the",
"force",
"of",
"leading",
"edge",
"polymerization",
"[3].",
"Filopodia",
"and",
"veil",
"actin",
"are",
"continuously",
"assembled",
"and",
"tran-",
"sported",
"rearward",
"by",
"retrograde",
"flow.",
"The",
"half-life",
"of",
"growth",
"cone",
"veil",
"actin",
"has",
"been",
"estimated",
"to",
"be",
"1–3",
"min",
"whereas",
"filopodial",
"actin",
"bundles",
"are",
"considerably",
"more",
"stable",
"[4]",
"and",
"their",
"recycling",
"requires",
"non-muscle",
"myosin",
"II",
"[3].",
"To",
"maintain",
"the",
"growth",
"cone",
"periphery",
"in",
"a",
"steady",
"state",
"both",
"of",
"these",
"actin",
"structures",
"must",
"be",
"continuously",
"recycled.",
"Despite",
"the",
"potential",
"mechanistic",
"impor-",
"tance",
"of",
"filament",
"recycling",
"in",
"regulation",
"of",
"growth",
"cone",
"motility,",
"very",
"little",
"is",
"known",
"about",
"the",
"kinetics",
"or",
"spatial",
"characteristics",
"of",
"this",
"processes.",
"In",
"the",
"current",
"study",
"we",
"use",
"jasplakinolide,",
"a",
"cyclic",
"depsipeptide",
"from",
"the",
"marine",
"sponge",
"Jaspis",
"johnstoni,",
"to",
"inhibit",
"network",
"turnover",
"and",
"investigate",
"acute",
"effects",
"on",
"actin",
"filament",
"structure",
"and",
"dynamic",
"behavior.",
"Jasplakinolide",
"cooperatively",
"binds",
"and",
"stabi-",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"February",
"2012",
"|",
"Volume",
"7",
"|",
"Issue",
"2",
"|",
"e30959"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,311,141 | null | [
[
78,
47,
83,
12
],
[
164,
47,
9,
12
],
[
176,
47,
11,
12
],
[
190,
47,
54,
12
],
[
248,
47,
7,
12
],
[
258,
47,
44,
12
],
[
305,
47,
45,
12
],
[
354,
47,
25,
12
],
[
382,
47,
14,
12
],
[
78,
61,
197,
12
],
[
83,
128,
10,
18
],
[
95,
128,
13,
18
],
[
109,
128,
13,
18
],
[
124,
128,
11,
18
],
[
136,
128,
10,
18
],
[
154,
128,
11,
18
],
[
166,
128,
10,
18
],
[
178,
128,
11,
18
],
[
190,
128,
13,
18
],
[
205,
128,
11,
18
],
[
217,
128,
10,
18
],
[
589,
54,
87,
14
],
[
679,
54,
10,
14
],
[
590,
70,
69,
13
],
[
661,
70,
70,
13
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
130,
34
],
[
219,
169,
132,
34
],
[
361,
169,
128,
34
],
[
500,
169,
176,
34
],
[
78,
205,
106,
34
],
[
194,
205,
118,
34
],
[
322,
205,
33,
34
],
[
365,
205,
125,
34
],
[
500,
205,
136,
34
],
[
78,
241,
164,
34
],
[
252,
241,
25,
34
],
[
287,
241,
65,
34
],
[
362,
241,
108,
34
],
[
480,
241,
58,
34
],
[
549,
241,
79,
34
],
[
78,
277,
142,
34
],
[
231,
277,
129,
34
],
[
78,
324,
48,
16
],
[
130,
321,
110,
19
],
[
245,
324,
22,
16
],
[
272,
321,
67,
19
],
[
343,
324,
51,
16
],
[
399,
321,
67,
19
],
[
470,
324,
57,
16
],
[
532,
321,
44,
19
],
[
580,
324,
31,
16
],
[
616,
321,
68,
19
],
[
78,
343,
57,
16
],
[
140,
340,
51,
19
],
[
195,
343,
21,
16
],
[
220,
340,
47,
19
],
[
272,
343,
35,
16
],
[
311,
340,
53,
19
],
[
369,
343,
34,
16
],
[
408,
340,
71,
19
],
[
483,
343,
22,
16
],
[
510,
343,
35,
16
],
[
550,
340,
72,
19
],
[
87,
397,
54,
15
],
[
87,
423,
76,
14
],
[
167,
423,
92,
14
],
[
262,
423,
53,
14
],
[
319,
423,
32,
14
],
[
353,
423,
52,
14
],
[
409,
423,
60,
14
],
[
472,
423,
29,
14
],
[
504,
423,
34,
14
],
[
541,
423,
33,
14
],
[
578,
423,
19,
14
],
[
600,
423,
47,
14
],
[
650,
423,
76,
14
],
[
87,
439,
40,
14
],
[
131,
439,
74,
14
],
[
208,
439,
68,
14
],
[
279,
439,
21,
14
],
[
304,
439,
35,
14
],
[
342,
439,
53,
14
],
[
399,
439,
33,
14
],
[
435,
439,
15,
14
],
[
453,
439,
59,
14
],
[
515,
439,
39,
14
],
[
558,
439,
12,
14
],
[
573,
439,
35,
14
],
[
611,
439,
40,
14
],
[
654,
439,
14,
14
],
[
671,
439,
35,
14
],
[
87,
456,
56,
14
],
[
147,
456,
14,
14
],
[
163,
456,
24,
14
],
[
190,
456,
8,
14
],
[
202,
456,
7,
14
],
[
212,
456,
49,
14
],
[
264,
456,
18,
14
],
[
285,
456,
31,
14
],
[
320,
456,
15,
14
],
[
338,
456,
77,
14
],
[
418,
456,
47,
14
],
[
468,
456,
21,
14
],
[
492,
456,
37,
14
],
[
532,
456,
76,
14
],
[
611,
456,
11,
14
],
[
625,
456,
50,
14
],
[
678,
456,
24,
14
],
[
87,
472,
44,
14
],
[
135,
472,
24,
14
],
[
162,
472,
24,
14
],
[
190,
472,
38,
14
],
[
231,
472,
42,
14
],
[
276,
472,
21,
14
],
[
300,
472,
41,
14
],
[
345,
472,
30,
14
],
[
378,
472,
66,
14
],
[
447,
472,
60,
14
],
[
510,
472,
21,
14
],
[
535,
472,
54,
14
],
[
592,
472,
36,
14
],
[
631,
472,
11,
14
],
[
646,
472,
72,
14
],
[
87,
489,
43,
14
],
[
134,
489,
49,
14
],
[
186,
489,
14,
14
],
[
203,
489,
51,
14
],
[
257,
489,
57,
14
],
[
318,
489,
68,
14
],
[
389,
489,
38,
14
],
[
431,
489,
11,
14
],
[
444,
489,
50,
14
],
[
498,
489,
27,
14
],
[
528,
489,
44,
14
],
[
575,
489,
25,
14
],
[
603,
489,
52,
14
],
[
87,
510,
55,
14
],
[
146,
510,
21,
14
],
[
171,
510,
30,
14
],
[
206,
510,
66,
14
],
[
275,
510,
45,
14
],
[
325,
510,
28,
14
],
[
357,
510,
14,
14
],
[
375,
510,
51,
14
],
[
430,
510,
26,
14
],
[
460,
510,
25,
14
],
[
489,
510,
51,
14
],
[
544,
510,
25,
14
],
[
573,
510,
61,
14
],
[
639,
510,
46,
14
],
[
87,
526,
92,
14
],
[
184,
526,
63,
14
],
[
251,
526,
25,
14
],
[
280,
526,
23,
14
],
[
307,
526,
51,
14
],
[
362,
526,
104,
14
],
[
470,
526,
21,
14
],
[
496,
526,
54,
14
],
[
554,
526,
27,
14
],
[
585,
526,
14,
14
],
[
603,
526,
58,
14
],
[
666,
526,
69,
14
],
[
87,
543,
22,
14
],
[
113,
543,
25,
14
],
[
143,
543,
21,
14
],
[
168,
543,
39,
14
],
[
212,
543,
32,
14
],
[
247,
543,
49,
14
],
[
300,
543,
73,
14
],
[
377,
543,
21,
14
],
[
402,
543,
61,
14
],
[
467,
543,
11,
14
],
[
483,
543,
49,
14
],
[
536,
543,
44,
14
],
[
584,
543,
11,
14
],
[
599,
543,
20,
14
],
[
623,
543,
46,
14
],
[
673,
543,
61,
14
],
[
87,
560,
25,
14
],
[
116,
560,
51,
14
],
[
172,
560,
22,
14
],
[
197,
560,
26,
14
],
[
228,
560,
43,
14
],
[
275,
560,
57,
14
],
[
336,
560,
42,
14
],
[
382,
560,
44,
14
],
[
431,
560,
7,
14
],
[
441,
560,
56,
14
],
[
502,
560,
65,
14
],
[
571,
560,
50,
14
],
[
625,
560,
72,
14
],
[
701,
560,
25,
14
],
[
87,
576,
21,
14
],
[
113,
576,
55,
14
],
[
173,
576,
56,
14
],
[
233,
576,
11,
14
],
[
248,
576,
9,
14
],
[
260,
576,
29,
14
],
[
293,
576,
19,
14
],
[
317,
576,
19,
14
],
[
340,
576,
35,
14
],
[
379,
576,
66,
14
],
[
450,
576,
31,
14
],
[
485,
576,
22,
14
],
[
510,
576,
53,
14
],
[
568,
576,
16,
14
],
[
588,
576,
11,
14
],
[
603,
576,
69,
14
],
[
676,
576,
46,
14
],
[
87,
593,
25,
14
],
[
116,
593,
19,
14
],
[
139,
593,
55,
14
],
[
199,
593,
56,
14
],
[
259,
593,
21,
14
],
[
284,
593,
65,
14
],
[
354,
593,
36,
14
],
[
394,
593,
61,
14
],
[
459,
593,
11,
14
],
[
475,
593,
25,
14
],
[
504,
593,
26,
14
],
[
535,
593,
35,
14
],
[
574,
593,
28,
14
],
[
606,
593,
7,
14
],
[
618,
593,
9,
14
],
[
630,
593,
35,
14
],
[
670,
593,
22,
14
],
[
696,
593,
31,
14
],
[
87,
609,
31,
14
],
[
122,
609,
11,
14
],
[
138,
609,
35,
14
],
[
177,
609,
66,
14
],
[
247,
609,
20,
14
],
[
271,
609,
9,
14
],
[
284,
609,
16,
14
],
[
304,
609,
35,
14
],
[
343,
609,
16,
14
],
[
363,
609,
9,
14
],
[
376,
609,
16,
14
],
[
396,
609,
40,
15
],
[
440,
609,
7,
14
],
[
452,
609,
9,
14
],
[
465,
609,
35,
14
],
[
504,
609,
57,
14
],
[
565,
609,
25,
14
],
[
594,
609,
39,
14
],
[
638,
609,
44,
14
],
[
685,
609,
19,
14
],
[
87,
626,
55,
14
],
[
147,
626,
58,
14
],
[
87,
647,
75,
14
],
[
167,
647,
21,
14
],
[
192,
647,
42,
14
],
[
238,
647,
30,
14
],
[
273,
647,
52,
14
],
[
329,
647,
22,
14
],
[
355,
647,
19,
14
],
[
378,
647,
61,
14
],
[
443,
647,
11,
14
],
[
458,
647,
40,
14
],
[
502,
647,
26,
14
],
[
532,
647,
24,
14
],
[
560,
647,
74,
14
],
[
638,
647,
44,
14
],
[
686,
647,
38,
14
],
[
87,
663,
50,
14
],
[
141,
663,
14,
14
],
[
159,
663,
32,
14
],
[
195,
663,
22,
14
],
[
221,
663,
24,
14
],
[
249,
663,
21,
14
],
[
275,
663,
19,
14
],
[
298,
663,
55,
14
],
[
357,
663,
56,
14
],
[
417,
663,
22,
14
],
[
443,
663,
56,
14
],
[
503,
663,
25,
14
],
[
532,
663,
74,
14
],
[
610,
663,
44,
14
],
[
658,
663,
50,
14
],
[
712,
663,
14,
14
],
[
87,
680,
32,
14
],
[
123,
680,
11,
14
],
[
138,
680,
51,
14
],
[
193,
680,
51,
14
],
[
248,
680,
47,
14
],
[
87,
701,
26,
14
],
[
118,
701,
76,
14
],
[
198,
701,
31,
14
],
[
234,
701,
60,
14
],
[
87,
717,
276,
14
],
[
87,
734,
466,
14
],
[
87,
757,
62,
14
],
[
154,
758,
51,
14
],
[
209,
758,
48,
14
],
[
260,
758,
30,
14
],
[
295,
758,
97,
14
],
[
396,
758,
41,
14
],
[
441,
758,
17,
14
],
[
462,
758,
68,
14
],
[
78,
803,
77,
15
],
[
78,
820,
97,
14
],
[
179,
820,
55,
14
],
[
238,
820,
38,
14
],
[
280,
820,
55,
14
],
[
340,
820,
64,
14
],
[
78,
837,
29,
14
],
[
112,
837,
34,
14
],
[
150,
837,
40,
14
],
[
195,
837,
10,
14
],
[
209,
837,
7,
14
],
[
220,
837,
51,
14
],
[
276,
837,
22,
14
],
[
302,
837,
34,
14
],
[
340,
837,
17,
14
],
[
362,
837,
41,
14
],
[
78,
854,
51,
14
],
[
134,
854,
53,
14
],
[
193,
854,
59,
14
],
[
257,
854,
55,
14
],
[
318,
854,
36,
14
],
[
360,
854,
44,
14
],
[
78,
870,
38,
14
],
[
121,
870,
21,
14
],
[
147,
870,
36,
14
],
[
187,
870,
31,
14
],
[
222,
870,
28,
14
],
[
254,
870,
9,
14
],
[
268,
870,
51,
14
],
[
324,
870,
12,
14
],
[
340,
870,
64,
14
],
[
78,
887,
27,
14
],
[
119,
887,
21,
14
],
[
154,
887,
23,
14
],
[
190,
887,
53,
14
],
[
257,
887,
87,
14
],
[
358,
887,
46,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
141,
11
],
[
78,
936,
54,
13
],
[
136,
937,
9,
11
],
[
147,
937,
41,
11
],
[
192,
937,
40,
11
],
[
235,
937,
38,
11
],
[
276,
937,
29,
11
],
[
308,
937,
9,
11
],
[
319,
937,
40,
11
],
[
362,
937,
25,
11
],
[
78,
950,
43,
11
],
[
124,
950,
22,
11
],
[
149,
950,
25,
11
],
[
177,
950,
40,
11
],
[
220,
950,
25,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
804,
79,
14
],
[
506,
804,
73,
14
],
[
583,
804,
22,
14
],
[
609,
804,
40,
14
],
[
653,
804,
57,
14
],
[
715,
804,
33,
14
],
[
423,
820,
15,
14
],
[
443,
820,
61,
14
],
[
509,
820,
41,
14
],
[
554,
820,
13,
14
],
[
572,
820,
37,
14
],
[
613,
820,
44,
14
],
[
661,
820,
15,
14
],
[
681,
820,
32,
14
],
[
717,
820,
30,
14
],
[
423,
837,
21,
14
],
[
448,
837,
15,
14
],
[
467,
837,
9,
14
],
[
481,
837,
7,
14
],
[
491,
837,
28,
14
],
[
523,
837,
57,
14
],
[
584,
837,
33,
14
],
[
621,
837,
58,
14
],
[
684,
837,
7,
14
],
[
694,
837,
38,
14
],
[
736,
837,
11,
14
],
[
423,
854,
52,
14
],
[
479,
854,
65,
14
],
[
549,
854,
87,
14
],
[
640,
854,
12,
14
],
[
656,
854,
92,
14
],
[
423,
870,
20,
14
],
[
446,
870,
24,
14
],
[
475,
870,
34,
14
],
[
513,
870,
61,
14
],
[
579,
870,
68,
14
],
[
652,
870,
12,
14
],
[
668,
870,
14,
14
],
[
687,
870,
61,
14
],
[
423,
887,
26,
14
],
[
453,
887,
12,
14
],
[
470,
887,
19,
14
],
[
495,
887,
42,
14
],
[
541,
887,
46,
14
],
[
592,
887,
38,
14
],
[
635,
887,
40,
14
],
[
679,
887,
28,
14
],
[
712,
887,
36,
14
],
[
423,
904,
19,
14
],
[
446,
904,
112,
14
],
[
563,
904,
49,
14
],
[
616,
904,
26,
14
],
[
647,
904,
20,
14
],
[
671,
904,
27,
14
],
[
702,
904,
46,
14
],
[
423,
920,
80,
14
],
[
507,
920,
26,
14
],
[
537,
920,
12,
14
],
[
553,
920,
64,
14
],
[
622,
920,
12,
14
],
[
638,
920,
68,
14
],
[
710,
920,
9,
14
],
[
724,
920,
24,
14
],
[
423,
937,
54,
14
],
[
481,
937,
12,
14
],
[
497,
937,
93,
14
],
[
595,
937,
33,
14
],
[
632,
937,
46,
14
],
[
682,
937,
26,
14
],
[
712,
937,
36,
14
],
[
423,
953,
28,
14
],
[
455,
953,
43,
14
],
[
502,
953,
21,
14
],
[
528,
953,
12,
14
],
[
544,
953,
61,
14
],
[
610,
953,
31,
14
],
[
645,
953,
12,
14
],
[
661,
953,
31,
14
],
[
697,
953,
51,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
67,
10
],
[
345,
987,
8,
10
],
[
355,
987,
8,
10
],
[
366,
987,
30,
10
],
[
398,
987,
29,
10
],
[
429,
987,
27,
10
],
[
458,
987,
14,
10
],
[
474,
987,
15,
10
],
[
491,
987,
6,
10
],
[
499,
987,
10,
10
],
[
511,
987,
21,
10
],
[
534,
987,
25,
10
],
[
562,
987,
23,
10
],
[
586,
987,
41,
10
],
[
630,
987,
23,
10
],
[
654,
987,
13,
10
],
[
669,
987,
22,
10
],
[
693,
987,
8,
10
],
[
702,
987,
13,
10
],
[
717,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
50,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Nakanishi-Minami",
"et",
"al.",
"Diabetology",
"&",
"Metabolic",
"Syndrome",
"2012,",
"4:6",
"http://www.dmsjournal.com/content/4/1/6",
"S",
"H",
"O",
"R",
"T",
"R",
"E",
"P",
"O",
"R",
"T",
"DIABETOLOGY",
"&",
"METABOLIC",
"SYNDROME",
"Open",
"Access",
"Metabolic",
"syndrome",
"correlates",
"intracoronary",
"stenosis",
"detected",
"by",
"multislice",
"computed",
"tomography",
"in",
"male",
"subjects",
"with",
"sleep-",
"disordered",
"breathing",
"Tomoko",
"Nakanishi-Minami1,",
"Ken",
"Kishida1,2,6*,",
"Yasuhiko",
"Nakagawa1,",
"Munetaka",
"Nishio3,",
"Chisa",
"Nakagawa4,",
"Yoshiharu",
"Nishida3,",
"Koji",
"Yanagi3,",
"Ryoko",
"Yoshida5,",
"Tohru",
"Funahashi1,2",
"and",
"Iichiro",
"Shimomura1",
"Abstract",
"Background:",
"Sleep-disordered",
"breathing",
"(SDB),",
"especially",
"obstructive",
"sleep",
"apnea",
"(OSA),",
"has",
"frequent",
"complications",
"include",
"hypertension,",
"dyslipidemia",
"and",
"insulin",
"resistance",
"based",
"on",
"abdominal",
"obesity",
"or",
"excess",
"visceral",
"fat",
"(called",
"Syndrome",
"Z).",
"OSA",
"is",
"a",
"potential",
"risk",
"factor",
"for",
"cardiovascular",
"diseases.",
"The",
"clinical",
"characteristics",
"of",
"Japanese",
"OSA",
"subjects",
"with",
"OSA",
"remain",
"unclear.",
"The",
"present",
"study",
"investigated",
"prevalence",
"and",
"predictive",
"factors",
"of",
"intracoronary",
"stenosis",
"detected",
"by",
"multislice",
"computed",
"tomography",
"(MSCT)",
"in",
"Japanese",
"male",
"subjects",
"with",
"SDB/OSA.",
"Findings:",
"The",
"study",
"(O-VFStudy)",
"subjects",
"were",
"39",
"Japanese",
"men",
"with",
"SDB/OSA",
"who",
"underwent",
"all-night",
"cardiorespiratory",
"monitoring",
"with",
"fully",
"attended",
"polysomnography,",
"and",
"moreover",
"both",
"fat",
"computed",
"tomography",
"(CT)",
"scan",
"and",
"64-row",
"MSCT",
"coronary",
"angiography.",
"The",
"prevalence",
"of",
"coronary",
"stenosis",
"in",
"this",
"selected",
"population",
"with",
"SDB/OSA",
"was",
"15%.",
"Logistic",
"regression",
"analysis",
"showed",
"a",
"significant",
"relationship",
"between",
"age-adjusted",
"CAD",
"and",
"metabolic",
"syndrome",
"(p",
"<",
"0.05),",
"but",
"not",
"serum",
"adiponectin",
"levels",
"and",
"nocturnal",
"fall",
"in",
"adiponectin.",
"Subjects",
"with",
"the",
"metabolic",
"syndrome",
"had",
"significantly",
"higher",
"prevalence",
"of",
"CAD",
"(31.3",
"versus",
"4.3%,",
"p",
"=",
"0.033),",
"and",
"lower",
"levels",
"of",
"serum",
"adiponectin",
"(4.5",
"±",
"0.6",
"versus",
"6.4",
"±",
"0.6",
"μg/mL,",
"p",
"=",
"0.014),",
"compared",
"with",
"groups",
"without",
"the",
"metabolic",
"syndrome.",
"Conclusions:",
"The",
"present",
"study",
"describes",
"that",
"the",
"prevalence",
"of",
"greater",
"than",
"50%",
"intracoronary",
"stenotic",
"lesions",
"detected",
"by",
"MSCT",
"was",
"15%",
"and",
"the",
"metabolic",
"syndrome",
"was",
"correlated",
"with",
"intracoronary",
"stenosis",
"detected",
"by",
"MSCT",
"in",
"Japanese",
"SDB/OSA",
"subjects.",
"Trial",
"Registration:",
"UMIN",
"000002997",
"https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?",
"function=brows&action=brows&type=summary&recptno=R000003633&language=E.",
"Keywords:",
"Coronary",
"Stenosis,",
"Sleep",
"apnea-hypopnea,",
"Visceral",
"fat,",
"Adiponectin",
"Background",
"Sleep-disordered",
"breathing",
"(SDB),",
"especially",
"obstructive",
"sleep",
"apnea",
"(OSA),",
"is",
"a",
"potential",
"risk",
"factor",
"for",
"cardio-",
"vascular",
"diseases,",
"including",
"coronary",
"artery",
"disease",
"(CAD)",
"and",
"stroke",
"[1-3].",
"OSA",
"is",
"common",
"in",
"middle-age",
"men",
"[4],",
"and",
"frequent",
"complications",
"include",
"*",
"Correspondence:",
"kkishida@imed2.med.osaka-u.ac.jp",
"1Department",
"of",
"Metabolic",
"Medicine,",
"Graduate",
"School",
"of",
"Medicine,",
"Osaka",
"University,",
"Suita,",
"Osaka",
"565-0871,",
"Japan",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"hypertension,",
"dyslipidemia",
"and",
"insulin",
"resistance",
"based",
"on",
"abdominal",
"obesity",
"or",
"excess",
"visceral",
"fat",
"[5-8].",
"Visc-",
"eral",
"fat",
"is",
"a",
"huge",
"endocrine",
"organ",
"producing",
"a",
"variety",
"of",
"bioactive",
"substances,",
"conceptualized",
"as",
"‘adipocytokines’",
"[9].",
"Our",
"group",
"discovered",
"adiponectin",
"as",
"an",
"adipocyto-",
"kine",
"in",
"the",
"human",
"adipose",
"cDNA",
"library",
"[10],",
"which",
"has",
"anti-atherosclerotic",
"property",
"[11].",
"We",
"have",
"recently",
"demonstrated",
"that,",
"1)",
"production",
"of",
"adiponectin",
"is",
"dys-",
"regulated",
"in",
"intra-abdominal",
"obese",
"patients",
"with",
"severe",
"OSA",
"[12,13],",
"and",
"2)",
"night-time",
"onset",
"of",
"acute",
"coronary",
"©",
"2012",
"Nakanishi-Minami",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,485,112 | null | [
[
78,
47,
15,
12
],
[
96,
47,
9,
12
],
[
107,
47,
11,
12
],
[
121,
47,
44,
12
],
[
168,
47,
43,
12
],
[
213,
47,
25,
12
],
[
242,
47,
26,
12
],
[
78,
61,
202,
12
],
[
84,
128,
11,
19
],
[
96,
128,
10,
19
],
[
108,
128,
10,
19
],
[
120,
128,
10,
19
],
[
131,
128,
12,
19
],
[
145,
128,
11,
19
],
[
158,
128,
11,
19
],
[
171,
128,
13,
19
],
[
640,
128,
44,
19
],
[
689,
128,
53,
19
],
[
78,
169,
141,
34
],
[
228,
169,
267,
34
],
[
505,
169,
147,
34
],
[
78,
206,
192,
34
],
[
279,
206,
37,
34
],
[
325,
206,
164,
34
],
[
498,
206,
122,
34
],
[
78,
242,
87,
34
],
[
175,
242,
87,
34
],
[
78,
289,
60,
16
],
[
142,
286,
25,
19
],
[
171,
289,
65,
16
],
[
240,
286,
32,
19
],
[
275,
289,
21,
16
],
[
300,
286,
28,
19
],
[
331,
289,
40,
16
],
[
375,
286,
39,
19
],
[
418,
289,
22,
16
],
[
443,
286,
16,
19
],
[
463,
289,
47,
16
],
[
514,
286,
46,
19
],
[
563,
289,
38,
16
],
[
605,
286,
38,
19
],
[
78,
309,
59,
16
],
[
141,
306,
47,
19
],
[
192,
309,
46,
16
],
[
242,
306,
25,
19
],
[
271,
309,
39,
16
],
[
314,
306,
18,
19
],
[
335,
309,
50,
16
],
[
389,
306,
18,
19
],
[
411,
309,
22,
16
],
[
438,
309,
47,
16
],
[
489,
306,
40,
19
],
[
87,
363,
54,
15
],
[
87,
388,
76,
14
],
[
167,
388,
73,
14
],
[
243,
388,
60,
14
],
[
306,
388,
8,
14
],
[
319,
388,
19,
14
],
[
341,
388,
36,
14
],
[
381,
388,
41,
14
],
[
425,
388,
11,
14
],
[
441,
388,
59,
14
],
[
504,
388,
11,
14
],
[
518,
388,
36,
14
],
[
558,
388,
39,
14
],
[
601,
388,
22,
14
],
[
627,
388,
39,
14
],
[
670,
388,
15,
14
],
[
688,
388,
50,
14
],
[
87,
405,
14,
14
],
[
105,
405,
41,
14
],
[
150,
405,
11,
14
],
[
164,
405,
28,
14
],
[
196,
405,
12,
14
],
[
212,
405,
19,
14
],
[
234,
405,
47,
14
],
[
285,
405,
19,
14
],
[
307,
405,
35,
14
],
[
346,
405,
12,
14
],
[
361,
405,
47,
14
],
[
412,
405,
19,
14
],
[
434,
405,
51,
14
],
[
489,
405,
22,
14
],
[
515,
405,
42,
14
],
[
560,
405,
11,
14
],
[
575,
405,
58,
14
],
[
637,
405,
70,
14
],
[
87,
421,
65,
14
],
[
156,
421,
80,
14
],
[
240,
421,
16,
14
],
[
259,
421,
45,
14
],
[
308,
421,
25,
14
],
[
336,
421,
69,
14
],
[
409,
421,
51,
14
],
[
464,
421,
36,
14
],
[
504,
421,
39,
14
],
[
87,
442,
55,
14
],
[
146,
442,
23,
14
],
[
173,
442,
57,
14
],
[
234,
442,
19,
14
],
[
256,
442,
51,
14
],
[
310,
442,
19,
14
],
[
333,
442,
25,
14
],
[
361,
442,
46,
14
],
[
411,
442,
11,
14
],
[
426,
442,
14,
14
],
[
444,
442,
45,
14
],
[
492,
442,
25,
14
],
[
521,
442,
69,
14
],
[
594,
442,
51,
14
],
[
648,
442,
36,
14
],
[
688,
442,
37,
14
],
[
87,
459,
22,
14
],
[
113,
459,
28,
14
],
[
145,
459,
46,
14
],
[
195,
459,
16,
14
],
[
214,
459,
19,
14
],
[
237,
459,
40,
14
],
[
280,
459,
80,
14
],
[
364,
459,
14,
14
],
[
382,
459,
7,
14
],
[
392,
459,
90,
14
],
[
486,
459,
31,
14
],
[
521,
459,
21,
14
],
[
546,
459,
38,
14
],
[
587,
459,
25,
14
],
[
615,
459,
11,
14
],
[
631,
459,
19,
14
],
[
653,
459,
45,
14
],
[
87,
475,
52,
14
],
[
143,
475,
40,
14
],
[
186,
475,
80,
14
],
[
270,
475,
55,
14
],
[
329,
475,
65,
14
],
[
398,
475,
59,
14
],
[
460,
475,
39,
14
],
[
503,
475,
22,
14
],
[
528,
475,
41,
14
],
[
573,
475,
25,
14
],
[
601,
475,
28,
14
],
[
633,
475,
51,
14
],
[
687,
475,
22,
14
],
[
87,
492,
51,
14
],
[
87,
513,
46,
14
],
[
137,
513,
31,
14
],
[
172,
510,
18,
17
],
[
194,
513,
31,
14
],
[
229,
513,
28,
14
],
[
261,
513,
57,
14
],
[
322,
513,
22,
14
],
[
348,
513,
27,
14
],
[
378,
513,
40,
14
],
[
421,
513,
12,
14
],
[
437,
513,
47,
14
],
[
488,
513,
7,
14
],
[
498,
513,
45,
14
],
[
547,
513,
56,
14
],
[
607,
513,
27,
14
],
[
638,
513,
34,
14
],
[
676,
513,
25,
14
],
[
87,
530,
20,
14
],
[
111,
530,
17,
14
],
[
133,
530,
42,
14
],
[
178,
530,
20,
14
],
[
202,
530,
7,
14
],
[
213,
530,
56,
14
],
[
272,
530,
22,
14
],
[
298,
530,
56,
14
],
[
358,
530,
15,
14
],
[
377,
530,
19,
14
],
[
400,
530,
55,
14
],
[
458,
530,
27,
14
],
[
489,
530,
22,
14
],
[
515,
530,
42,
14
],
[
561,
530,
40,
14
],
[
605,
530,
25,
14
],
[
634,
530,
19,
14
],
[
656,
530,
66,
14
],
[
87,
546,
31,
14
],
[
122,
546,
33,
14
],
[
158,
546,
73,
14
],
[
235,
546,
22,
14
],
[
260,
546,
23,
14
],
[
287,
546,
70,
14
],
[
360,
546,
27,
14
],
[
391,
546,
47,
14
],
[
442,
546,
14,
14
],
[
460,
546,
11,
14
],
[
475,
546,
25,
14
],
[
504,
546,
24,
14
],
[
531,
546,
11,
14
],
[
547,
546,
19,
14
],
[
569,
546,
46,
14
],
[
619,
546,
40,
14
],
[
662,
546,
73,
14
],
[
87,
563,
11,
14
],
[
102,
563,
66,
14
],
[
172,
563,
30,
14
],
[
205,
563,
17,
14
],
[
226,
563,
39,
14
],
[
268,
563,
78,
14
],
[
350,
563,
50,
14
],
[
403,
563,
37,
14
],
[
444,
563,
19,
14
],
[
466,
563,
33,
14
],
[
503,
563,
24,
14
],
[
531,
563,
43,
14
],
[
578,
563,
25,
14
],
[
607,
563,
82,
14
],
[
87,
580,
53,
14
],
[
144,
580,
53,
14
],
[
200,
580,
34,
14
],
[
239,
580,
50,
14
],
[
293,
580,
22,
14
],
[
318,
580,
64,
14
],
[
385,
580,
41,
14
],
[
430,
580,
28,
14
],
[
461,
580,
52,
14
],
[
516,
580,
11,
14
],
[
531,
580,
35,
14
],
[
570,
580,
33,
14
],
[
606,
580,
22,
14
],
[
632,
580,
33,
14
],
[
668,
580,
11,
14
],
[
683,
580,
47,
14
],
[
87,
596,
68,
14
],
[
159,
596,
21,
14
],
[
183,
596,
42,
14
],
[
230,
596,
41,
14
],
[
275,
596,
25,
14
],
[
304,
596,
22,
14
],
[
329,
596,
23,
14
],
[
354,
596,
9,
14
],
[
364,
596,
16,
14
],
[
384,
596,
45,
14
],
[
433,
596,
22,
14
],
[
459,
596,
19,
14
],
[
481,
596,
9,
14
],
[
494,
596,
31,
14
],
[
529,
596,
34,
14
],
[
566,
596,
41,
14
],
[
611,
596,
22,
14
],
[
637,
596,
22,
14
],
[
662,
596,
14,
14
],
[
678,
596,
9,
14
],
[
688,
596,
20,
14
],
[
87,
613,
14,
14
],
[
103,
613,
9,
14
],
[
114,
613,
24,
14
],
[
141,
613,
22,
14
],
[
166,
613,
14,
14
],
[
182,
613,
9,
14
],
[
193,
613,
20,
14
],
[
216,
613,
68,
14
],
[
287,
613,
9,
14
],
[
300,
613,
55,
14
],
[
358,
613,
42,
14
],
[
404,
613,
44,
14
],
[
452,
613,
22,
14
],
[
478,
613,
19,
14
],
[
501,
613,
35,
14
],
[
539,
613,
20,
14
],
[
563,
613,
22,
14
],
[
589,
613,
7,
14
],
[
599,
613,
57,
14
],
[
660,
613,
51,
14
],
[
87,
630,
11,
14
],
[
102,
630,
37,
14
],
[
143,
630,
41,
14
],
[
188,
630,
11,
14
],
[
200,
630,
9,
14
],
[
211,
630,
35,
14
],
[
250,
630,
44,
14
],
[
298,
630,
25,
14
],
[
326,
630,
40,
14
],
[
370,
630,
15,
14
],
[
389,
630,
18,
14
],
[
410,
630,
22,
14
],
[
436,
630,
49,
14
],
[
489,
630,
36,
14
],
[
529,
630,
53,
14
],
[
586,
630,
50,
14
],
[
640,
630,
22,
14
],
[
665,
630,
42,
14
],
[
87,
646,
57,
14
],
[
148,
646,
12,
14
],
[
164,
646,
31,
14
],
[
199,
646,
25,
14
],
[
227,
646,
40,
14
],
[
271,
646,
15,
14
],
[
290,
646,
18,
14
],
[
311,
646,
43,
14
],
[
358,
646,
21,
14
],
[
382,
646,
21,
14
],
[
407,
646,
53,
14
],
[
464,
646,
33,
14
],
[
501,
646,
46,
14
],
[
550,
646,
40,
14
],
[
594,
646,
26,
14
],
[
623,
646,
14,
14
],
[
640,
644,
23,
17
],
[
667,
646,
22,
14
],
[
87,
663,
65,
14
],
[
157,
663,
56,
14
],
[
216,
663,
25,
14
],
[
245,
663,
54,
14
],
[
303,
663,
53,
14
],
[
360,
663,
35,
14
],
[
398,
663,
62,
14
],
[
464,
663,
11,
14
],
[
478,
663,
19,
14
],
[
500,
663,
40,
14
],
[
544,
663,
36,
14
],
[
584,
663,
11,
14
],
[
597,
663,
9,
14
],
[
607,
663,
35,
14
],
[
87,
684,
75,
14
],
[
167,
684,
18,
14
],
[
189,
684,
46,
14
],
[
239,
684,
45,
14
],
[
287,
684,
25,
14
],
[
315,
684,
39,
14
],
[
358,
684,
69,
14
],
[
431,
684,
51,
14
],
[
486,
684,
36,
14
],
[
526,
684,
39,
14
],
[
569,
684,
58,
14
],
[
630,
684,
80,
14
],
[
87,
700,
31,
14
],
[
122,
698,
18,
17
],
[
144,
700,
31,
14
],
[
179,
700,
71,
14
],
[
253,
700,
20,
14
],
[
277,
700,
43,
14
],
[
324,
700,
7,
14
],
[
334,
700,
26,
14
],
[
364,
700,
26,
14
],
[
393,
700,
40,
14
],
[
437,
700,
24,
14
],
[
464,
700,
25,
14
],
[
493,
700,
45,
14
],
[
542,
700,
42,
14
],
[
87,
724,
62,
14
],
[
153,
724,
38,
14
],
[
195,
724,
39,
14
],
[
238,
724,
45,
14
],
[
286,
724,
72,
14
],
[
362,
724,
62,
14
],
[
428,
724,
82,
14
],
[
513,
724,
59,
14
],
[
576,
724,
26,
14
],
[
78,
766,
80,
15
],
[
78,
783,
43,
14
],
[
125,
783,
7,
14
],
[
135,
783,
64,
14
],
[
203,
783,
41,
14
],
[
248,
783,
12,
14
],
[
263,
783,
18,
14
],
[
285,
783,
54,
14
],
[
344,
783,
38,
14
],
[
385,
783,
18,
14
],
[
78,
800,
40,
14
],
[
126,
800,
21,
14
],
[
156,
800,
11,
14
],
[
176,
800,
18,
14
],
[
203,
800,
26,
14
],
[
237,
800,
46,
14
],
[
291,
800,
38,
14
],
[
337,
800,
37,
14
],
[
383,
800,
21,
14
],
[
78,
817,
45,
14
],
[
129,
817,
12,
14
],
[
146,
817,
18,
14
],
[
170,
817,
36,
14
],
[
211,
817,
29,
14
],
[
245,
817,
51,
14
],
[
301,
817,
38,
14
],
[
344,
817,
59,
14
],
[
78,
833,
21,
14
],
[
106,
833,
18,
14
],
[
130,
833,
40,
14
],
[
176,
833,
29,
14
],
[
211,
833,
51,
14
],
[
268,
833,
31,
14
],
[
305,
833,
12,
14
],
[
323,
833,
81,
14
],
[
78,
850,
32,
14
],
[
114,
850,
19,
14
],
[
136,
850,
38,
14
],
[
178,
850,
59,
14
],
[
241,
850,
12,
14
],
[
256,
850,
38,
14
],
[
297,
850,
37,
14
],
[
338,
850,
29,
14
],
[
371,
850,
32,
14
],
[
78,
867,
11,
14
],
[
94,
867,
62,
14
],
[
159,
867,
53,
14
],
[
216,
867,
21,
14
],
[
242,
867,
24,
14
],
[
269,
867,
11,
14
],
[
285,
867,
34,
14
],
[
323,
867,
31,
14
],
[
358,
867,
19,
14
],
[
381,
867,
23,
14
],
[
78,
883,
55,
14
],
[
141,
883,
11,
14
],
[
161,
883,
36,
14
],
[
206,
883,
53,
14
],
[
267,
883,
38,
14
],
[
312,
883,
38,
14
],
[
358,
883,
46,
14
],
[
78,
926,
5,
11
],
[
85,
926,
71,
11
],
[
159,
926,
70,
11
],
[
231,
926,
69,
11
],
[
78,
936,
55,
13
],
[
135,
938,
9,
11
],
[
147,
938,
43,
11
],
[
192,
938,
16,
11
],
[
211,
938,
22,
11
],
[
235,
938,
37,
11
],
[
275,
938,
36,
11
],
[
313,
938,
39,
11
],
[
355,
938,
43,
11
],
[
78,
951,
15,
11
],
[
96,
951,
28,
11
],
[
126,
951,
26,
11
],
[
155,
951,
48,
11
],
[
206,
951,
32,
11
],
[
241,
951,
31,
11
],
[
275,
951,
38,
11
],
[
316,
951,
24,
11
],
[
78,
963,
15,
11
],
[
96,
963,
12,
11
],
[
110,
963,
9,
11
],
[
122,
963,
28,
11
],
[
152,
963,
49,
11
],
[
204,
963,
6,
11
],
[
213,
963,
36,
11
],
[
252,
963,
8,
11
],
[
263,
963,
14,
11
],
[
280,
963,
17,
11
],
[
299,
963,
9,
11
],
[
310,
963,
14,
11
],
[
327,
963,
25,
11
],
[
423,
767,
38,
14
],
[
465,
767,
27,
14
],
[
495,
767,
26,
14
],
[
526,
767,
60,
14
],
[
590,
767,
45,
14
],
[
640,
767,
55,
14
],
[
699,
767,
49,
14
],
[
423,
783,
81,
14
],
[
510,
783,
21,
14
],
[
537,
783,
72,
14
],
[
615,
783,
19,
14
],
[
640,
783,
23,
14
],
[
668,
783,
36,
14
],
[
710,
783,
38,
14
],
[
423,
800,
44,
14
],
[
473,
800,
27,
14
],
[
507,
800,
27,
14
],
[
540,
800,
40,
14
],
[
587,
800,
47,
14
],
[
641,
800,
24,
14
],
[
671,
800,
12,
14
],
[
689,
800,
24,
14
],
[
719,
800,
29,
14
],
[
423,
817,
41,
14
],
[
470,
817,
61,
14
],
[
537,
817,
9,
14
],
[
553,
817,
18,
14
],
[
578,
817,
29,
14
],
[
613,
817,
31,
14
],
[
651,
817,
12,
14
],
[
669,
817,
18,
14
],
[
694,
817,
36,
14
],
[
736,
817,
11,
14
],
[
423,
833,
59,
14
],
[
491,
833,
65,
14
],
[
566,
833,
40,
14
],
[
615,
833,
26,
14
],
[
651,
833,
37,
14
],
[
697,
833,
23,
14
],
[
730,
833,
18,
14
],
[
423,
850,
61,
14
],
[
488,
850,
11,
14
],
[
502,
850,
37,
14
],
[
542,
850,
37,
14
],
[
582,
850,
21,
14
],
[
607,
850,
28,
14
],
[
638,
850,
60,
14
],
[
701,
850,
47,
14
],
[
423,
867,
25,
14
],
[
453,
867,
68,
14
],
[
527,
867,
63,
14
],
[
595,
867,
87,
14
],
[
688,
867,
60,
14
],
[
423,
883,
21,
14
],
[
450,
883,
56,
14
],
[
513,
883,
38,
14
],
[
557,
883,
30,
14
],
[
594,
883,
29,
14
],
[
630,
883,
11,
14
],
[
648,
883,
18,
14
],
[
673,
883,
44,
14
],
[
723,
883,
25,
14
],
[
423,
900,
52,
14
],
[
483,
900,
36,
14
],
[
528,
900,
36,
14
],
[
572,
900,
41,
14
],
[
621,
900,
52,
14
],
[
681,
900,
67,
14
],
[
423,
917,
26,
14
],
[
458,
917,
12,
14
],
[
478,
917,
46,
14
],
[
533,
917,
86,
14
],
[
629,
917,
60,
14
],
[
697,
917,
51,
14
],
[
423,
933,
57,
14
],
[
487,
933,
12,
14
],
[
505,
933,
26,
14
],
[
538,
933,
32,
14
],
[
576,
933,
47,
14
],
[
630,
933,
79,
14
],
[
715,
933,
9,
14
],
[
730,
933,
18,
14
],
[
423,
950,
24,
14
],
[
450,
950,
49,
14
],
[
503,
950,
54,
14
],
[
560,
950,
47,
14
],
[
611,
950,
12,
14
],
[
626,
950,
46,
14
],
[
676,
950,
52,
14
],
[
732,
950,
16,
14
],
[
250,
987,
7,
10
],
[
259,
987,
18,
10
],
[
280,
987,
12,
10
],
[
293,
987,
8,
10
],
[
303,
987,
10,
10
],
[
315,
987,
30,
10
],
[
348,
987,
28,
10
],
[
378,
987,
27,
10
],
[
407,
987,
14,
10
],
[
423,
987,
15,
10
],
[
441,
987,
6,
10
],
[
449,
987,
10,
10
],
[
460,
987,
21,
10
],
[
484,
987,
25,
10
],
[
511,
987,
22,
10
],
[
536,
987,
40,
10
],
[
579,
987,
22,
10
],
[
603,
987,
13,
10
],
[
618,
987,
21,
10
],
[
642,
987,
8,
10
],
[
652,
987,
13,
10
],
[
666,
987,
30,
10
],
[
250,
999,
39,
10
],
[
291,
999,
40,
10
],
[
334,
999,
28,
10
],
[
364,
999,
167,
10
],
[
534,
999,
23,
10
],
[
559,
999,
28,
10
],
[
589,
999,
44,
10
],
[
636,
999,
15,
10
],
[
653,
999,
44,
10
],
[
699,
999,
15,
10
],
[
250,
1010,
49,
10
],
[
301,
1010,
7,
10
],
[
311,
1010,
14,
10
],
[
326,
1010,
33,
10
],
[
362,
1010,
34,
10
],
[
398,
1010,
13,
10
],
[
413,
1010,
28,
10
],
[
443,
1010,
19,
10
],
[
464,
1010,
6,
10
],
[
472,
1010,
31,
10
],
[
505,
1010,
20,
10
]
] | [
"Shi",
"et",
"al.",
"Radiation",
"Oncology",
"2012,",
"7:114",
"http://www.ro-journal.com/content/7/1/114",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"Open",
"Access",
"Computed",
"tomography-guided",
"permanent",
"brachytherapy",
"for",
"locoregional",
"recurrent",
"gastric",
"cancer",
"Liangrong",
"Shi1,",
"Changping",
"Wu1*,",
"Jun",
"Wu1,",
"Wenjie",
"Zhou1,",
"Mei",
"Ji1,",
"Hongyu",
"Zhang1,",
"Jiemin",
"Zhao1,",
"Yuanquan",
"Huang2,",
"Honglei",
"Pei3,",
"Zhong",
"Li4,",
"Jingfang",
"Ju5",
"and",
"Jingting",
"Jiang1*",
"Abstract",
"Background:",
"Locoregional",
"recurrence",
"is",
"the",
"typical",
"pattern",
"of",
"recurrence",
"in",
"gastric",
"cancer,",
"and",
"cannot",
"be",
"removed",
"by",
"surgery",
"in",
"most",
"of",
"the",
"patients.",
"We",
"aimed",
"to",
"evaluate",
"the",
"feasibility",
"and",
"efficacy",
"of",
"computed",
"tomography",
"(CT)-guided",
"brachytherapy",
"for",
"patients",
"with",
"locoregional",
"recurrent",
"gastric",
"cancer.",
"Materials",
"and",
"methods:",
"We",
"reviewed",
"the",
"case",
"histories",
"of",
"28",
"patients",
"with",
"locoregional",
"recurrent",
"gastric",
"cancer",
"that",
"were",
"selected",
"for",
"CT-",
"guided",
"brachytherapy",
"by",
"a",
"multidisciplinary",
"team.",
"The",
"clinical",
"data",
"of",
"the",
"patients",
"including",
"patient",
"characteristics,",
"treatment",
"parameters,",
"short-term",
"effects,",
"and",
"survival",
"data",
"were",
"collected",
"and",
"analyzed.",
"Results:",
"15-75",
"125I",
"seeds",
"were",
"implanted",
"into",
"each",
"patient",
"to",
"produce",
"a",
"minimal",
"peripheral",
"dose",
"(MPD)",
"100-",
"160",
"Gy.",
"Median",
"day",
"0",
"dosimetry",
"was",
"significant",
"for",
"the",
"following:",
"V100",
"(the",
"volume",
"treated",
"with",
"the",
"prescription",
"dose)",
"95.8%",
"(90.2-120.5%)",
"and",
"D90",
"(prescription",
"dose",
"received",
"by",
"at",
"least",
"90%",
"of",
"the",
"volume)",
"105.2%",
"(98.0-124.6%)",
"of",
"prescription",
"dose.",
"No",
"serious",
"complications",
"occurred",
"during",
"the",
"study.",
"Two",
"months",
"after",
"brachytherapy,",
"complete",
"response,",
"partial",
"response",
"and",
"progressive",
"disease",
"were",
"observed",
"in",
"50.0%,",
"28.6%",
"and",
"21.4%",
"of",
"patients,",
"respectively.",
"The",
"median",
"survival",
"time",
"was",
"22.0",
"±",
"5.2",
"months,",
"and",
"the",
"1,",
"2,and",
"3-year",
"survival",
"rate",
"was",
"89",
"±",
"6%,",
"52",
"±",
"10%",
"and",
"11",
"±",
"7%,",
"respectively.",
"A",
"univariate",
"analysis",
"showed",
"that",
"the",
"tumor",
"size",
"was",
"a",
"significant",
"predictor",
"of",
"overall",
"survival",
"(P",
"=",
"0.034).",
"Patients",
"with",
"tumors",
"<3",
"cm",
"had",
"relatively",
"higher",
"complete",
"response",
"rate",
"(66.7%),",
"compared",
"to",
"those",
"with",
"tumors",
">3",
"cm",
"(30.8%).",
"The",
"PTV",
"(planning",
"target",
"volume)",
"smaller",
"than",
"45",
"cm3",
"was",
"significantly",
"correlated",
"with",
"achieving",
"complete",
"tumor",
"eradication",
"in",
"the",
"treated",
"region",
"(P",
"=",
"0.020).",
"Conclusions:",
"For",
"selected",
"patients",
"with",
"limited",
"locoregional",
"recurrent",
"gastric",
"cancer,",
"CT-guided",
"brachytherapy",
"using",
"125I",
"seeds",
"implantation",
"can",
"provide",
"a",
"high",
"local",
"control",
"rate,",
"with",
"minimal",
"trauma.",
"Keywords:",
"Gastric",
"cancer,",
"Surgery,",
"Locoregional",
"recurrence,",
"Brachytherapy,",
"Iodine-125",
"seed",
"Introduction",
"Despite",
"a",
"remarkable",
"decline",
"of",
"the",
"incidence",
"during",
"the",
"second",
"half",
"of",
"the",
"20th",
"century,",
"gastric",
"cancer",
"still",
"remains",
"as",
"the",
"fourth",
"most",
"common",
"cancer",
"worldwide",
"and",
"the",
"second",
"most",
"common",
"cause",
"of",
"cancer-related",
"death",
"[1].",
"Nearly",
"two-thirds",
"of",
"gastric",
"cancer",
"cases",
"occur",
"in",
"developing",
"countries",
"and",
"42%",
"in",
"China",
"alone",
"[2].",
"The",
"prognosis",
"of",
"locally",
"advanced",
"gastric",
"cancer",
"remains",
"*",
"Correspondence:",
"wcpjjt@163.com;",
"jjtnew@163.com",
"1Department",
"of",
"Oncology,",
"The",
"Third",
"Affiliated",
"Hospital,",
"Soochow",
"University,",
"185",
"Juqian",
"Street,",
"Changzhou",
"213003,",
"Jiangsu",
"Province,",
"China",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"dismal",
"even",
"after",
"potentially",
"curative",
"resection,",
"adjuvant",
"chemotherapy",
"and",
"radiotherapy",
"[3].",
"The",
"5-year",
"overall",
"survival",
"(OS)",
"rates",
"remain",
"between",
"30%",
"to",
"40%",
"[3,4].",
"Tumor",
"recurrence",
"is",
"the",
"main",
"cause",
"of",
"the",
"failure",
"of",
"treatment.",
"Prospective",
"studies",
"have",
"shown",
"that",
"the",
"recurrence",
"of",
"gastric",
"cancer",
"was",
"most",
"commonly",
"involved",
"with",
"locoregional",
"recurrence,",
"heamatogenous",
"metastasis,",
"and",
"peritoneal",
"lesions",
"[5-7].",
"Most",
"of",
"the",
"patients",
"with",
"recurrent",
"gastric",
"cancer",
"present",
"advanced",
"progression,",
"such",
"as",
"multiple",
"heamatogenous",
"metastasis,",
"extensive",
"lymphatic.",
"In",
"such",
"cases,",
"systemic",
"chemotherapy",
"is",
"the",
"only",
"potential",
"treatment",
"available",
"to",
"patients.",
"However,",
"for",
"©",
"2012",
"Shi",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,283,670 | null | [
[
80,
78,
45,
28
],
[
134,
78,
66,
28
],
[
208,
78,
71,
28
],
[
289,
78,
105,
28
],
[
402,
78,
105,
28
],
[
516,
78,
78,
28
],
[
602,
78,
103,
28
],
[
80,
109,
126,
28
],
[
215,
109,
24,
28
],
[
248,
109,
148,
28
],
[
405,
109,
54,
28
],
[
468,
109,
40,
28
],
[
517,
109,
59,
28
],
[
585,
109,
8,
28
],
[
601,
109,
122,
28
],
[
80,
139,
105,
28
],
[
194,
139,
24,
28
],
[
226,
139,
134,
28
],
[
80,
183,
56,
14
],
[
140,
183,
13,
14
],
[
157,
183,
46,
14
],
[
208,
183,
18,
14
],
[
231,
183,
14,
14
],
[
249,
183,
51,
14
],
[
304,
183,
40,
14
],
[
348,
183,
12,
14
],
[
364,
183,
70,
14
],
[
80,
205,
50,
10
],
[
134,
205,
9,
10
],
[
146,
205,
42,
10
],
[
192,
205,
16,
10
],
[
212,
205,
40,
10
],
[
256,
205,
40,
10
],
[
300,
205,
40,
10
],
[
344,
205,
53,
10
],
[
400,
205,
37,
10
],
[
441,
205,
30,
10
],
[
474,
205,
32,
10
],
[
510,
205,
40,
10
],
[
554,
205,
34,
10
],
[
592,
205,
12,
10
],
[
608,
205,
40,
10
],
[
652,
205,
31,
10
],
[
687,
205,
39,
10
],
[
730,
205,
40,
10
],
[
80,
219,
43,
10
],
[
126,
219,
40,
10
],
[
169,
219,
33,
10
],
[
204,
219,
31,
10
],
[
102,
258,
57,
14
],
[
102,
280,
20,
13
],
[
126,
280,
34,
13
],
[
165,
280,
23,
13
],
[
193,
280,
48,
13
],
[
245,
280,
11,
13
],
[
261,
280,
25,
13
],
[
291,
280,
46,
13
],
[
342,
280,
8,
13
],
[
355,
280,
35,
13
],
[
395,
280,
58,
13
],
[
457,
280,
13,
13
],
[
476,
280,
18,
13
],
[
498,
280,
59,
13
],
[
561,
280,
11,
13
],
[
577,
280,
24,
13
],
[
606,
280,
3,
13
],
[
614,
280,
52,
13
],
[
671,
280,
20,
13
],
[
696,
280,
52,
13
],
[
102,
294,
56,
13
],
[
161,
294,
34,
13
],
[
199,
294,
10,
13
],
[
212,
294,
52,
13
],
[
268,
294,
55,
13
],
[
326,
294,
44,
13
],
[
373,
294,
43,
13
],
[
419,
294,
11,
13
],
[
434,
294,
22,
13
],
[
460,
294,
46,
13
],
[
509,
294,
20,
13
],
[
533,
294,
11,
13
],
[
547,
294,
61,
13
],
[
611,
294,
11,
13
],
[
626,
294,
22,
13
],
[
651,
294,
54,
13
],
[
708,
294,
25,
13
],
[
736,
294,
11,
13
],
[
102,
307,
35,
13
],
[
140,
307,
24,
13
],
[
166,
307,
18,
13
],
[
186,
307,
27,
13
],
[
217,
307,
59,
13
],
[
278,
307,
11,
13
],
[
292,
307,
24,
13
],
[
318,
307,
3,
13
],
[
325,
307,
55,
13
],
[
382,
307,
73,
13
],
[
458,
307,
55,
13
],
[
515,
307,
17,
13
],
[
535,
307,
6,
13
],
[
544,
307,
18,
13
],
[
565,
307,
18,
13
],
[
586,
307,
24,
13
],
[
612,
307,
10,
13
],
[
625,
307,
42,
13
],
[
670,
307,
58,
13
],
[
731,
307,
17,
13
],
[
102,
321,
42,
13
],
[
147,
321,
34,
13
],
[
184,
321,
49,
13
],
[
235,
321,
22,
13
],
[
259,
321,
41,
13
],
[
302,
321,
55,
13
],
[
359,
321,
46,
13
],
[
408,
321,
15,
13
],
[
425,
321,
18,
13
],
[
446,
321,
59,
13
],
[
507,
321,
11,
13
],
[
520,
321,
55,
13
],
[
578,
321,
52,
13
],
[
632,
321,
56,
13
],
[
691,
321,
34,
13
],
[
728,
321,
20,
13
],
[
102,
335,
29,
13
],
[
133,
335,
50,
13
],
[
185,
335,
20,
13
],
[
208,
335,
63,
13
],
[
274,
335,
36,
13
],
[
312,
335,
6,
13
],
[
321,
335,
35,
13
],
[
358,
335,
42,
13
],
[
403,
335,
48,
13
],
[
453,
335,
38,
13
],
[
494,
335,
25,
13
],
[
522,
335,
25,
13
],
[
549,
335,
20,
13
],
[
572,
335,
23,
13
],
[
598,
335,
36,
13
],
[
636,
335,
50,
13
],
[
689,
335,
59,
13
],
[
102,
349,
24,
13
],
[
129,
349,
38,
13
],
[
170,
349,
28,
13
],
[
202,
349,
29,
13
],
[
235,
349,
8,
13
],
[
246,
349,
6,
13
],
[
256,
349,
47,
13
],
[
307,
349,
58,
13
],
[
369,
349,
24,
13
],
[
396,
349,
57,
13
],
[
456,
349,
52,
13
],
[
511,
349,
12,
13
],
[
527,
349,
59,
13
],
[
590,
349,
13,
13
],
[
607,
349,
61,
13
],
[
671,
349,
10,
13
],
[
685,
349,
48,
13
],
[
736,
349,
12,
13
],
[
102,
363,
62,
13
],
[
170,
363,
8,
13
],
[
183,
363,
55,
13
],
[
243,
363,
24,
13
],
[
272,
363,
69,
13
],
[
346,
363,
40,
13
],
[
392,
363,
25,
13
],
[
422,
363,
16,
13
],
[
443,
363,
28,
13
],
[
477,
363,
22,
13
],
[
504,
363,
10,
13
],
[
519,
363,
48,
13
],
[
572,
363,
12,
13
],
[
589,
363,
38,
13
],
[
632,
363,
27,
13
],
[
664,
363,
29,
13
],
[
698,
363,
8,
13
],
[
712,
363,
36,
13
],
[
102,
376,
51,
13
],
[
156,
376,
10,
13
],
[
169,
376,
41,
13
],
[
212,
376,
58,
13
],
[
272,
376,
10,
13
],
[
285,
376,
18,
13
],
[
306,
376,
48,
13
],
[
356,
376,
11,
13
],
[
369,
376,
13,
13
],
[
385,
376,
30,
13
],
[
418,
376,
52,
13
],
[
473,
376,
40,
13
],
[
515,
376,
27,
13
],
[
545,
376,
29,
13
],
[
576,
376,
27,
13
],
[
606,
376,
6,
13
],
[
615,
376,
31,
13
],
[
649,
376,
19,
13
],
[
671,
376,
54,
13
],
[
727,
376,
20,
13
],
[
102,
390,
10,
13
],
[
115,
390,
42,
13
],
[
159,
390,
58,
13
],
[
220,
390,
50,
13
],
[
272,
390,
10,
13
],
[
285,
390,
18,
13
],
[
305,
390,
43,
13
],
[
351,
390,
11,
13
],
[
365,
390,
13,
13
],
[
381,
390,
52,
13
],
[
436,
390,
40,
13
],
[
478,
390,
27,
13
],
[
507,
390,
29,
13
],
[
539,
390,
8,
13
],
[
550,
390,
34,
13
],
[
587,
390,
15,
13
],
[
604,
390,
18,
13
],
[
625,
390,
55,
13
],
[
682,
390,
38,
13
],
[
723,
390,
25,
13
],
[
102,
404,
39,
13
],
[
144,
404,
10,
13
],
[
157,
404,
41,
13
],
[
201,
404,
57,
13
],
[
262,
404,
32,
13
],
[
297,
404,
20,
13
],
[
320,
404,
52,
13
],
[
375,
404,
54,
13
],
[
433,
404,
31,
13
],
[
466,
404,
7,
13
],
[
476,
404,
56,
13
],
[
536,
404,
10,
13
],
[
549,
404,
18,
13
],
[
570,
404,
50,
13
],
[
623,
404,
11,
13
],
[
637,
404,
49,
13
],
[
689,
404,
27,
13
],
[
719,
404,
29,
13
],
[
102,
418,
46,
13
],
[
151,
418,
59,
13
],
[
213,
418,
32,
13
],
[
248,
418,
70,
13
],
[
321,
418,
49,
13
],
[
374,
418,
27,
13
],
[
403,
418,
32,
13
],
[
438,
418,
13,
13
],
[
454,
418,
27,
13
],
[
484,
418,
25,
13
],
[
511,
418,
36,
13
],
[
551,
418,
39,
13
],
[
593,
418,
44,
13
],
[
640,
418,
20,
13
],
[
663,
418,
38,
13
],
[
704,
418,
44,
13
],
[
102,
432,
60,
13
],
[
167,
432,
12,
13
],
[
183,
432,
37,
13
],
[
224,
432,
18,
13
],
[
246,
432,
52,
13
],
[
303,
432,
40,
13
],
[
347,
432,
8,
13
],
[
359,
432,
42,
13
],
[
405,
432,
22,
13
],
[
431,
432,
18,
13
],
[
453,
432,
27,
13
],
[
484,
432,
29,
13
],
[
518,
432,
46,
13
],
[
568,
432,
33,
13
],
[
605,
432,
11,
13
],
[
620,
432,
6,
13
],
[
631,
432,
54,
13
],
[
689,
432,
43,
13
],
[
736,
432,
12,
13
],
[
102,
446,
39,
13
],
[
144,
446,
18,
13
],
[
164,
446,
23,
13
],
[
191,
446,
38,
13
],
[
232,
446,
22,
13
],
[
257,
446,
46,
13
],
[
306,
446,
10,
13
],
[
320,
446,
18,
13
],
[
341,
446,
18,
13
],
[
362,
446,
31,
13
],
[
396,
446,
25,
13
],
[
424,
446,
11,
13
],
[
439,
446,
58,
13
],
[
499,
446,
22,
13
],
[
524,
446,
35,
13
],
[
562,
446,
19,
13
],
[
584,
446,
14,
13
],
[
602,
446,
18,
13
],
[
622,
446,
24,
13
],
[
649,
446,
3,
13
],
[
656,
446,
52,
13
],
[
711,
446,
37,
13
],
[
102,
460,
15,
13
],
[
121,
460,
42,
13
],
[
166,
460,
58,
13
],
[
92,
495,
40,
10
],
[
135,
495,
26,
10
],
[
165,
495,
14,
10
],
[
182,
495,
28,
10
],
[
213,
495,
15,
10
],
[
230,
495,
40,
10
],
[
273,
495,
10,
10
],
[
286,
495,
26,
10
],
[
315,
495,
15,
10
],
[
334,
495,
22,
10
],
[
359,
495,
24,
10
],
[
386,
495,
35,
10
],
[
425,
495,
35,
10
],
[
463,
495,
26,
10
],
[
492,
495,
34,
10
],
[
529,
495,
43,
10
],
[
575,
495,
8,
10
],
[
586,
495,
50,
10
],
[
640,
495,
19,
10
],
[
661,
495,
14,
10
],
[
678,
495,
20,
10
],
[
701,
495,
3,
10
],
[
707,
495,
41,
10
],
[
92,
506,
35,
10
],
[
130,
506,
8,
10
],
[
141,
506,
47,
10
],
[
190,
506,
20,
10
],
[
213,
506,
18,
10
],
[
234,
506,
18,
10
],
[
255,
506,
32,
10
],
[
290,
506,
139,
10
],
[
92,
523,
31,
10
],
[
126,
523,
30,
10
],
[
159,
523,
8,
10
],
[
170,
523,
32,
10
],
[
205,
523,
38,
10
],
[
246,
523,
26,
10
],
[
275,
523,
41,
10
],
[
318,
523,
28,
10
],
[
349,
523,
9,
10
],
[
360,
523,
40,
10
],
[
402,
523,
28,
10
],
[
433,
523,
25,
10
],
[
461,
523,
9,
10
],
[
472,
523,
34,
10
],
[
92,
540,
42,
10
],
[
137,
540,
32,
10
],
[
172,
540,
7,
10
],
[
182,
540,
22,
10
],
[
207,
540,
44,
10
],
[
254,
540,
32,
10
],
[
288,
540,
12,
10
],
[
304,
540,
22,
10
],
[
329,
540,
47,
10
],
[
378,
540,
36,
10
],
[
417,
540,
12,
10
],
[
433,
540,
20,
10
],
[
92,
558,
50,
10
],
[
158,
558,
20,
10
],
[
182,
558,
26,
10
],
[
212,
558,
9,
10
],
[
225,
558,
9,
10
],
[
238,
558,
17,
10
],
[
258,
558,
7,
10
],
[
269,
558,
10,
10
],
[
283,
558,
50,
10
],
[
337,
558,
25,
10
],
[
366,
558,
45,
10
],
[
415,
558,
25,
10
],
[
444,
558,
14,
10
],
[
461,
558,
24,
10
],
[
489,
558,
9,
10
],
[
501,
558,
14,
10
],
[
519,
558,
34,
10
],
[
557,
558,
42,
10
],
[
603,
558,
45,
10
],
[
652,
558,
32,
10
],
[
688,
558,
25,
10
],
[
717,
558,
31,
10
],
[
92,
569,
49,
10
],
[
144,
569,
17,
10
],
[
163,
569,
50,
10
],
[
216,
569,
16,
10
],
[
235,
569,
54,
10
],
[
291,
569,
8,
10
],
[
302,
569,
15,
10
],
[
320,
569,
37,
10
],
[
359,
569,
37,
10
],
[
399,
569,
14,
10
],
[
416,
569,
31,
10
],
[
450,
569,
27,
10
],
[
480,
569,
16,
10
],
[
498,
569,
27,
10
],
[
529,
569,
13,
10
],
[
545,
569,
36,
10
],
[
92,
586,
42,
10
],
[
136,
586,
17,
10
],
[
155,
586,
23,
10
],
[
180,
586,
16,
10
],
[
198,
586,
30,
10
],
[
230,
586,
10,
10
],
[
243,
586,
5,
10
],
[
250,
586,
38,
10
],
[
291,
586,
38,
10
],
[
331,
586,
9,
10
],
[
342,
586,
27,
10
],
[
371,
586,
37,
10
],
[
410,
586,
40,
10
],
[
453,
586,
22,
10
],
[
477,
586,
23,
10
],
[
502,
586,
28,
10
],
[
532,
586,
9,
10
],
[
543,
586,
20,
10
],
[
566,
586,
15,
10
],
[
583,
586,
27,
10
],
[
613,
586,
16,
10
],
[
631,
586,
11,
10
],
[
644,
586,
16,
10
],
[
663,
586,
8,
10
],
[
673,
586,
23,
10
],
[
698,
586,
30,
10
],
[
730,
586,
18,
10
],
[
92,
597,
40,
10
],
[
135,
597,
16,
10
],
[
153,
597,
34,
10
],
[
190,
597,
34,
10
],
[
227,
597,
9,
10
],
[
239,
597,
32,
10
],
[
274,
597,
9,
10
],
[
286,
597,
48,
10
],
[
337,
597,
9,
10
],
[
348,
597,
14,
10
],
[
365,
597,
48,
10
],
[
92,
614,
52,
10
],
[
147,
614,
44,
10
],
[
193,
614,
16,
10
],
[
212,
614,
31,
10
],
[
246,
614,
20,
10
],
[
268,
614,
35,
10
],
[
307,
614,
17,
10
],
[
326,
614,
11,
10
],
[
340,
614,
45,
10
],
[
388,
614,
35,
10
],
[
426,
614,
21,
10
],
[
92,
632,
5,
10
],
[
99,
632,
27,
10
],
[
129,
632,
85,
10
],
[
80,
672,
84,
14
],
[
93,
696,
9,
13
],
[
105,
696,
35,
13
],
[
143,
696,
32,
13
],
[
177,
696,
28,
13
],
[
209,
696,
10,
13
],
[
222,
696,
40,
13
],
[
265,
696,
42,
13
],
[
310,
696,
8,
13
],
[
321,
696,
72,
13
],
[
397,
696,
16,
13
],
[
80,
711,
39,
13
],
[
123,
711,
39,
13
],
[
166,
711,
10,
13
],
[
180,
711,
59,
13
],
[
243,
711,
42,
13
],
[
288,
711,
6,
13
],
[
299,
711,
47,
13
],
[
350,
711,
19,
13
],
[
373,
711,
11,
13
],
[
389,
711,
24,
13
],
[
80,
726,
31,
13
],
[
120,
726,
59,
13
],
[
187,
726,
34,
13
],
[
230,
726,
16,
13
],
[
255,
726,
61,
13
],
[
326,
726,
68,
13
],
[
403,
726,
10,
13
],
[
80,
741,
51,
13
],
[
135,
741,
8,
13
],
[
148,
741,
8,
13
],
[
160,
741,
20,
13
],
[
184,
741,
55,
13
],
[
243,
741,
20,
13
],
[
267,
741,
16,
13
],
[
287,
741,
32,
13
],
[
323,
741,
42,
13
],
[
369,
741,
43,
13
],
[
80,
755,
35,
13
],
[
124,
755,
51,
13
],
[
184,
755,
36,
13
],
[
228,
755,
13,
13
],
[
249,
755,
46,
13
],
[
304,
755,
10,
13
],
[
323,
755,
31,
13
],
[
362,
755,
50,
13
],
[
80,
770,
101,
13
],
[
185,
770,
50,
13
],
[
239,
770,
41,
13
],
[
284,
770,
45,
13
],
[
332,
770,
20,
13
],
[
356,
770,
16,
13
],
[
376,
770,
37,
13
],
[
80,
785,
25,
13
],
[
109,
785,
16,
13
],
[
128,
785,
24,
13
],
[
156,
785,
25,
13
],
[
185,
785,
47,
13
],
[
235,
785,
57,
13
],
[
296,
785,
46,
13
],
[
346,
785,
24,
13
],
[
374,
785,
38,
13
],
[
80,
800,
10,
13
],
[
98,
800,
48,
13
],
[
155,
800,
41,
13
],
[
203,
800,
23,
13
],
[
234,
800,
10,
13
],
[
252,
800,
36,
13
],
[
296,
800,
25,
13
],
[
329,
800,
25,
13
],
[
361,
800,
51,
13
],
[
80,
814,
47,
13
],
[
130,
814,
41,
13
],
[
174,
814,
19,
13
],
[
196,
814,
34,
13
],
[
233,
814,
18,
13
],
[
255,
814,
21,
13
],
[
279,
814,
19,
13
],
[
301,
814,
19,
13
],
[
323,
814,
10,
13
],
[
336,
814,
39,
13
],
[
377,
814,
35,
13
],
[
80,
829,
44,
13
],
[
128,
829,
51,
13
],
[
184,
829,
8,
13
],
[
196,
829,
16,
13
],
[
216,
829,
27,
13
],
[
248,
829,
19,
13
],
[
271,
829,
32,
13
],
[
308,
829,
55,
13
],
[
367,
829,
10,
13
],
[
382,
829,
22,
13
],
[
408,
829,
5,
13
],
[
80,
844,
50,
13
],
[
138,
844,
30,
13
],
[
176,
844,
6,
13
],
[
190,
844,
31,
13
],
[
229,
844,
10,
13
],
[
246,
844,
46,
13
],
[
300,
844,
22,
13
],
[
330,
844,
32,
13
],
[
371,
844,
42,
13
],
[
80,
859,
57,
13
],
[
142,
859,
19,
13
],
[
167,
859,
105,
13
],
[
277,
859,
54,
13
],
[
336,
859,
55,
13
],
[
396,
859,
16,
13
],
[
80,
873,
43,
13
],
[
126,
873,
16,
13
],
[
146,
873,
19,
13
],
[
169,
873,
17,
13
],
[
190,
873,
26,
13
],
[
219,
873,
43,
13
],
[
266,
873,
10,
13
],
[
279,
873,
16,
13
],
[
299,
873,
19,
13
],
[
321,
873,
10,
13
],
[
335,
873,
39,
13
],
[
377,
873,
35,
13
],
[
80,
888,
50,
13
],
[
140,
888,
55,
13
],
[
205,
888,
55,
13
],
[
270,
888,
16,
13
],
[
296,
888,
33,
13
],
[
339,
888,
54,
13
],
[
402,
888,
10,
13
],
[
80,
903,
51,
13
],
[
135,
903,
15,
13
],
[
155,
903,
19,
13
],
[
179,
903,
21,
13
],
[
205,
903,
13,
13
],
[
222,
903,
50,
13
],
[
277,
903,
20,
13
],
[
301,
903,
10,
13
],
[
315,
903,
16,
13
],
[
336,
903,
48,
13
],
[
388,
903,
25,
13
],
[
80,
918,
32,
13
],
[
116,
918,
10,
13
],
[
130,
918,
43,
13
],
[
177,
918,
49,
13
],
[
230,
918,
28,
13
],
[
261,
918,
23,
13
],
[
288,
918,
20,
13
],
[
312,
918,
8,
13
],
[
323,
918,
34,
13
],
[
361,
918,
6,
13
],
[
371,
918,
28,
13
],
[
403,
918,
10,
13
],
[
80,
932,
42,
13
],
[
126,
932,
56,
13
],
[
184,
932,
18,
13
],
[
206,
932,
24,
13
],
[
234,
932,
38,
13
],
[
275,
932,
31,
13
],
[
309,
932,
31,
13
],
[
343,
932,
19,
13
],
[
365,
932,
47,
13
],
[
80,
947,
36,
13
],
[
119,
947,
47,
13
],
[
170,
947,
24,
13
],
[
197,
947,
13,
13
],
[
214,
947,
26,
13
],
[
243,
947,
51,
13
],
[
298,
947,
16,
13
],
[
317,
947,
51,
13
],
[
371,
947,
42,
13
],
[
80,
962,
10,
13
],
[
95,
962,
16,
13
],
[
115,
962,
25,
13
],
[
145,
962,
32,
13
],
[
181,
962,
42,
13
],
[
227,
962,
47,
13
],
[
279,
962,
38,
13
],
[
321,
962,
10,
13
],
[
336,
962,
6,
13
],
[
347,
962,
31,
13
],
[
383,
962,
30,
13
],
[
80,
977,
95,
13
],
[
178,
977,
25,
13
],
[
206,
977,
19,
13
],
[
229,
977,
51,
13
],
[
284,
977,
10,
13
],
[
297,
977,
52,
13
],
[
353,
977,
24,
13
],
[
380,
977,
33,
13
],
[
80,
991,
10,
13
],
[
94,
991,
40,
13
],
[
138,
991,
52,
13
],
[
193,
991,
36,
13
],
[
232,
991,
13,
13
],
[
248,
991,
47,
13
],
[
299,
991,
23,
13
],
[
325,
991,
44,
13
],
[
372,
991,
41,
13
],
[
80,
1006,
6,
13
],
[
90,
1006,
22,
13
],
[
116,
1006,
5,
13
],
[
124,
1006,
21,
13
],
[
149,
1006,
44,
13
],
[
196,
1006,
18,
13
],
[
450,
671,
13,
13
],
[
470,
671,
12,
13
],
[
490,
671,
34,
13
],
[
531,
671,
16,
13
],
[
554,
671,
40,
13
],
[
601,
671,
10,
13
],
[
619,
671,
27,
13
],
[
653,
671,
82,
13
],
[
742,
671,
27,
13
],
[
437,
685,
44,
13
],
[
484,
685,
10,
13
],
[
496,
685,
6,
13
],
[
505,
685,
56,
13
],
[
564,
685,
10,
13
],
[
576,
685,
24,
13
],
[
602,
685,
54,
13
],
[
659,
685,
32,
13
],
[
694,
685,
18,
13
],
[
714,
685,
45,
13
],
[
762,
685,
8,
13
],
[
437,
700,
6,
13
],
[
446,
700,
33,
13
],
[
482,
700,
46,
13
],
[
531,
700,
10,
13
],
[
544,
700,
22,
13
],
[
569,
700,
5,
13
],
[
577,
700,
21,
13
],
[
601,
700,
19,
13
],
[
623,
700,
10,
13
],
[
637,
700,
26,
13
],
[
666,
700,
8,
13
],
[
677,
700,
54,
13
],
[
733,
700,
23,
13
],
[
759,
700,
10,
13
],
[
437,
715,
27,
13
],
[
467,
715,
32,
13
],
[
503,
715,
42,
13
],
[
548,
715,
48,
13
],
[
599,
715,
10,
13
],
[
613,
715,
25,
13
],
[
641,
715,
47,
13
],
[
691,
715,
41,
13
],
[
736,
715,
18,
13
],
[
757,
715,
12,
13
],
[
437,
729,
55,
13
],
[
498,
729,
13,
13
],
[
517,
729,
26,
13
],
[
549,
729,
43,
13
],
[
598,
729,
39,
13
],
[
643,
729,
10,
13
],
[
659,
729,
47,
13
],
[
713,
729,
57,
13
],
[
437,
744,
49,
13
],
[
489,
744,
16,
13
],
[
508,
744,
37,
13
],
[
548,
744,
46,
13
],
[
597,
744,
39,
13
],
[
639,
744,
16,
13
],
[
658,
744,
39,
13
],
[
699,
744,
21,
13
],
[
723,
744,
46,
13
],
[
437,
758,
24,
13
],
[
464,
758,
5,
13
],
[
472,
758,
59,
13
],
[
535,
758,
46,
13
],
[
584,
758,
36,
13
],
[
624,
758,
19,
13
],
[
646,
758,
16,
13
],
[
666,
758,
52,
13
],
[
721,
758,
49,
13
],
[
437,
773,
34,
13
],
[
478,
773,
60,
13
],
[
545,
773,
46,
13
],
[
597,
773,
40,
13
],
[
644,
773,
26,
13
],
[
676,
773,
23,
13
],
[
706,
773,
38,
13
],
[
750,
773,
19,
13
],
[
437,
787,
35,
13
],
[
477,
787,
37,
13
],
[
519,
787,
45,
13
],
[
569,
787,
47,
13
],
[
621,
787,
28,
13
],
[
654,
787,
21,
13
],
[
680,
787,
30,
13
],
[
715,
787,
19,
13
],
[
739,
787,
30,
13
],
[
437,
802,
24,
13
],
[
466,
802,
42,
13
],
[
513,
802,
47,
13
],
[
564,
802,
46,
13
],
[
615,
802,
22,
13
],
[
642,
802,
5,
13
],
[
651,
802,
19,
13
],
[
675,
802,
22,
13
],
[
702,
802,
14,
13
],
[
720,
802,
25,
13
],
[
750,
802,
19,
13
],
[
437,
816,
42,
13
],
[
483,
816,
59,
13
],
[
545,
816,
41,
13
],
[
589,
816,
30,
13
],
[
623,
816,
24,
13
],
[
651,
816,
38,
13
],
[
692,
816,
7,
13
],
[
702,
816,
50,
13
],
[
755,
816,
15,
13
],
[
437,
831,
29,
13
],
[
470,
831,
56,
13
],
[
529,
831,
28,
13
],
[
560,
831,
12,
13
],
[
574,
831,
55,
13
],
[
632,
831,
21,
13
],
[
656,
831,
8,
13
],
[
667,
831,
42,
13
],
[
712,
831,
28,
13
],
[
743,
831,
26,
13
],
[
437,
845,
46,
13
],
[
488,
845,
10,
13
],
[
503,
845,
23,
13
],
[
530,
845,
38,
13
],
[
573,
845,
13,
13
],
[
590,
845,
36,
13
],
[
631,
845,
19,
13
],
[
655,
845,
16,
13
],
[
676,
845,
33,
13
],
[
714,
845,
32,
13
],
[
750,
845,
19,
13
],
[
437,
860,
53,
13
],
[
500,
860,
125,
13
],
[
635,
860,
24,
13
],
[
668,
860,
7,
13
],
[
684,
860,
45,
13
],
[
739,
860,
31,
13
],
[
437,
875,
47,
13
],
[
492,
875,
46,
13
],
[
546,
875,
13,
13
],
[
567,
874,
35,
13
],
[
610,
875,
19,
13
],
[
637,
875,
21,
13
],
[
666,
875,
52,
13
],
[
726,
875,
29,
13
],
[
763,
875,
7,
13
],
[
437,
889,
36,
13
],
[
478,
889,
34,
13
],
[
517,
889,
26,
13
],
[
549,
889,
53,
13
],
[
606,
889,
16,
13
],
[
628,
889,
51,
13
],
[
683,
889,
15,
13
],
[
703,
889,
42,
13
],
[
750,
889,
19,
13
],
[
437,
903,
28,
13
],
[
469,
904,
59,
13
],
[
532,
904,
27,
13
],
[
563,
904,
5,
13
],
[
571,
904,
24,
13
],
[
600,
904,
23,
13
],
[
627,
904,
10,
13
],
[
641,
903,
31,
13
],
[
676,
904,
29,
13
],
[
709,
904,
41,
13
],
[
754,
904,
16,
13
],
[
437,
918,
60,
13
],
[
506,
918,
46,
13
],
[
561,
918,
31,
13
],
[
600,
918,
41,
13
],
[
650,
918,
27,
13
],
[
686,
918,
10,
13
],
[
706,
918,
13,
13
],
[
728,
918,
42,
13
],
[
437,
933,
60,
13
],
[
501,
933,
23,
13
],
[
528,
933,
45,
13
],
[
576,
933,
25,
13
],
[
605,
933,
10,
13
],
[
620,
933,
16,
13
],
[
640,
933,
48,
13
],
[
691,
933,
10,
13
],
[
705,
933,
30,
13
],
[
739,
933,
31,
13
],
[
437,
947,
45,
13
],
[
486,
947,
16,
13
],
[
505,
947,
37,
13
],
[
546,
947,
42,
13
],
[
591,
947,
44,
13
],
[
639,
947,
40,
13
],
[
683,
947,
16,
13
],
[
702,
947,
54,
13
],
[
760,
947,
10,
13
],
[
437,
962,
28,
13
],
[
469,
962,
35,
13
],
[
507,
962,
20,
13
],
[
530,
962,
21,
13
],
[
555,
962,
52,
13
],
[
611,
962,
28,
13
],
[
643,
962,
31,
13
],
[
677,
962,
18,
13
],
[
450,
977,
11,
13
],
[
464,
977,
16,
13
],
[
484,
977,
52,
13
],
[
539,
977,
42,
13
],
[
584,
977,
47,
13
],
[
633,
977,
27,
13
],
[
663,
977,
20,
13
],
[
686,
977,
25,
13
],
[
714,
977,
56,
13
],
[
437,
992,
10,
13
],
[
450,
992,
22,
13
],
[
475,
992,
5,
13
],
[
483,
992,
21,
13
],
[
507,
992,
19,
13
],
[
530,
992,
25,
13
],
[
558,
992,
16,
13
],
[
577,
992,
44,
13
],
[
625,
992,
16,
13
],
[
644,
992,
24,
13
],
[
671,
992,
50,
13
],
[
725,
992,
31,
13
],
[
760,
992,
10,
13
],
[
437,
1006,
54,
13
],
[
496,
1006,
47,
13
],
[
549,
1006,
12,
13
],
[
565,
1006,
43,
13
],
[
614,
1006,
34,
13
],
[
654,
1006,
30,
13
],
[
689,
1006,
20,
13
],
[
714,
1006,
34,
13
],
[
754,
1006,
16,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
21,
12
],
[
165,
1047,
3,
12
],
[
174,
1047,
83,
12
],
[
422,
1047,
6,
12
],
[
546,
1047,
41,
12
],
[
591,
1047,
23,
12
],
[
619,
1047,
3,
12
],
[
627,
1047,
36,
12
],
[
668,
1047,
6,
12
],
[
680,
1047,
3,
12
],
[
688,
1047,
24,
12
],
[
716,
1047,
6,
12
],
[
727,
1047,
3,
12
],
[
736,
1047,
34,
12
]
] | [
"The",
"Nitric",
"Oxide",
"Pathway",
"Provides",
"Innate",
"Antiviral",
"Protection",
"in",
"Conjunction",
"with",
"the",
"Type",
"I",
"Interferon",
"Pathway",
"in",
"Fibroblasts",
"Devangi",
"R.",
"Mehta,",
"Ali",
"A.",
"Ashkar,",
"Karen",
"L.",
"Mossman*",
"Department",
"of",
"Pathology",
"and",
"Molecular",
"Medicine,",
"McMaster",
"Immunology",
"Research",
"Centre,",
"Michael",
"DeGroote",
"Institute",
"for",
"Infectious",
"Disease",
"Research,",
"McMaster",
"University,",
"Hamilton,",
"Ontario,",
"Canada",
"Abstract",
"The",
"innate",
"host",
"response",
"to",
"virus",
"infection",
"is",
"largely",
"dominated",
"by",
"the",
"production",
"of",
"type",
"I",
"interferon",
"and",
"interferon",
"stimulated",
"genes.",
"In",
"particular,",
"fibroblasts",
"respond",
"robustly",
"to",
"viral",
"infection",
"and",
"to",
"recognition",
"of",
"viral",
"signatures",
"such",
"as",
"dsRNA",
"with",
"the",
"rapid",
"production",
"of",
"type",
"I",
"interferon;",
"subsequently,",
"fibroblasts",
"are",
"a",
"key",
"cell",
"type",
"in",
"antiviral",
"protection.",
"We",
"recently",
"found,",
"however,",
"that",
"primary",
"fibroblasts",
"deficient",
"for",
"the",
"production",
"of",
"interferon,",
"interferon",
"stimulated",
"genes,",
"and",
"other",
"cytokines",
"and",
"chemokines",
"mount",
"a",
"robust",
"antiviral",
"response",
"against",
"both",
"DNA",
"and",
"RNA",
"viruses",
"following",
"stimulation",
"with",
"dsRNA.",
"Nitric",
"oxide",
"is",
"a",
"chemical",
"compound",
"with",
"pleiotropic",
"functions;",
"its",
"production",
"by",
"phagocytes",
"in",
"response",
"to",
"interferon-c",
"is",
"associated",
"with",
"antimicrobial",
"activity.",
"Here",
"we",
"show",
"that",
"in",
"response",
"to",
"dsRNA,",
"nitric",
"oxide",
"is",
"rapidly",
"produced",
"in",
"primary",
"fibroblasts.",
"In",
"the",
"presence",
"of",
"an",
"intact",
"interferon",
"system,",
"nitric",
"oxide",
"plays",
"a",
"minor",
"but",
"significant",
"role",
"in",
"antiviral",
"protection.",
"However,",
"in",
"the",
"absence",
"of",
"an",
"interferon",
"system,",
"nitric",
"oxide",
"is",
"critical",
"for",
"the",
"protection",
"against",
"DNA",
"viruses.",
"In",
"primary",
"fibroblasts,",
"NF-kB",
"and",
"interferon",
"regulatory",
"factor",
"1",
"participate",
"in",
"the",
"induction",
"of",
"inducible",
"nitric",
"oxide",
"synthase",
"expression,",
"which",
"subsequently",
"produces",
"nitric",
"oxide.",
"As",
"large",
"DNA",
"viruses",
"encode",
"multiple",
"and",
"diverse",
"immune",
"modulators",
"to",
"disable",
"the",
"interferon",
"system,",
"it",
"appears",
"that",
"the",
"nitric",
"oxide",
"pathway",
"serves",
"as",
"a",
"secondary",
"strategy",
"to",
"protect",
"the",
"host",
"against",
"viral",
"infection",
"in",
"key",
"cell",
"types,",
"such",
"as",
"fibroblasts,",
"that",
"largely",
"rely",
"on",
"the",
"type",
"I",
"interferon",
"system",
"for",
"antiviral",
"protection.",
"Citation:",
"Mehta",
"DR,",
"Ashkar",
"AA,",
"Mossman",
"KL",
"(2012)",
"The",
"Nitric",
"Oxide",
"Pathway",
"Provides",
"Innate",
"Antiviral",
"Protection",
"in",
"Conjunction",
"with",
"the",
"Type",
"I",
"Interferon",
"Pathway",
"in",
"Fibroblasts.",
"PLoS",
"ONE",
"7(2):",
"e31688.",
"doi:10.1371/journal.pone.0031688",
"Editor:",
"William",
"P.",
"Halford,",
"Southern",
"Illinois",
"University",
"School",
"of",
"Medicine,",
"United",
"States",
"of",
"America",
"Received",
"January",
"4,",
"2012;",
"Accepted",
"January",
"11,",
"2012;",
"Published",
"February",
"21,",
"2012",
"Copyright:",
"2012",
"Mehta",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"study",
"was",
"funded",
"by",
"a",
"Canadian",
"Institutes",
"of",
"Health",
"Research",
"operating",
"grant",
"(MOP",
"57669)",
"to",
"KLM.",
"The",
"funder",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"mossk@mcmaster.ca",
"Introduction",
"A",
"central",
"theme",
"today",
"in",
"medical",
"research",
"is",
"understanding",
"the",
"delicate",
"balance",
"of",
"interactions",
"between",
"a",
"pathogen",
"and",
"its",
"host.",
"These",
"interactions",
"dictate",
"the",
"pathological",
"consequences",
"of",
"infections.",
"It",
"is",
"well",
"recognized",
"that",
"the",
"innate",
"immune",
"response",
"against",
"pathogens",
"focuses",
"on",
"detection",
"of",
"highly",
"conserved",
"pathogen-associated",
"molecular",
"patterns",
"(PAMPs)",
"that",
"are",
"distinct",
"from",
"the",
"host.",
"Host",
"pathogen",
"recognition",
"receptors",
"have",
"evolved",
"to",
"recognize",
"patterns",
"such",
"as",
"nucleic",
"acids",
"from",
"pathogens",
"including",
"bacteria",
"and",
"viruses",
"[1].",
"The",
"first",
"line",
"of",
"defence",
"against",
"invading",
"pathogens",
"is",
"the",
"rapid",
"and",
"robust",
"production",
"of",
"type",
"I",
"interferon",
"(IFN),",
"a",
"family",
"of",
"cytokines",
"with",
"potent",
"immune",
"stimulatory",
"and",
"pathogen-controlling",
"properties.",
"Fibroblasts",
"are",
"amongst",
"the",
"first",
"cell",
"types",
"involved",
"in",
"the",
"line",
"of",
"defence",
"against",
"numerous",
"pathogens.",
"Fibroblasts",
"are",
"widely",
"distributed",
"in",
"organisms",
"[2]",
"and",
"play",
"an",
"important",
"role",
"in",
"the",
"transition",
"from",
"innate",
"to",
"adaptive",
"immunity",
"[3,4].",
"This",
"role",
"is",
"largely",
"a",
"result",
"of",
"cytokine",
"production",
"[5],",
"most",
"notably",
"IFNb,",
"which",
"was",
"originally",
"termed",
"fibroblast",
"IFN.",
"As",
"such,",
"fibroblasts",
"are",
"important",
"effectors",
"of",
"the",
"early",
"innate",
"immune",
"response.",
"Indeed,",
"in",
"a",
"recent",
"study,",
"non-hematopoietic",
"cells,",
"and",
"fibroblasts",
"in",
"particular,",
"were",
"shown",
"to",
"mediate",
"protection",
"against",
"an",
"emerging",
"viral",
"infection",
"through",
"a",
"type",
"I",
"IFN",
"response",
"[6].",
"As",
"all",
"viruses",
"are",
"thought",
"to",
"make",
"double-stranded",
"RNA",
"(dsRNA)",
"as",
"a",
"by-product",
"of",
"their",
"replication",
"cycles,",
"this",
"molecule",
"is",
"a",
"potent",
"producer",
"of",
"type",
"I",
"IFN",
"and",
"as",
"such,",
"is",
"commonly",
"used",
"to",
"study",
"innate",
"immune",
"responses",
"to",
"virus",
"infection.",
"DsRNA",
"can",
"be",
"recognized",
"by",
"three",
"different",
"families",
"of",
"pathogen",
"recognition",
"receptors,",
"the",
"toll-like",
"receptors",
"(TLRs),",
"the",
"retinoic",
"acid",
"inducible",
"gene",
"I",
"(RIG-I)-like",
"receptors",
"(RLRs)",
"and",
"the",
"nucleotide",
"oligomer-",
"ization",
"domain-like",
"receptors",
"(NLRs);",
"these",
"bind",
"dsRNA",
"and",
"initiate",
"cellular",
"signaling",
"pathways",
"[7,8].",
"The",
"TLRs",
"and",
"RLRs",
"elicit",
"antiviral",
"pathways",
"involving",
"type",
"I",
"and",
"type",
"III",
"IFNs",
"and",
"cytokine",
"production,",
"whereas",
"NLRs",
"elicit",
"caspase",
"1",
"activation",
"for",
"IL-1b",
"maturation",
"[7,8].",
"In",
"fibroblasts,",
"IFN",
"is",
"typically",
"made",
"upon",
"detection",
"of",
"viral",
"dsRNA",
"by",
"TLR-3",
"and",
"the",
"RLRs,",
"RIG-I",
"and",
"melanoma",
"differentiation-associated",
"gene",
"5",
"(MDA5).",
"These",
"pathways",
"converge",
"on",
"NF-kB",
"and",
"IFN",
"regulatory",
"factor",
"3",
"(IRF3),",
"which,",
"upon",
"activation,",
"are",
"important",
"for",
"cytokine",
"and",
"IFNb",
"production.",
"Type",
"I",
"IFN,",
"such",
"as",
"IFNb,",
"signal",
"through",
"the",
"JAK-STAT",
"pathway,",
"which",
"includes",
"IRF9",
"as",
"an",
"essential",
"component.",
"This",
"signaling",
"leads",
"to",
"the",
"induction",
"of",
"IRF7,",
"which",
"amplifies",
"the",
"cellular",
"antiviral",
"response",
"through",
"the",
"generation",
"of",
"IFNa",
"species",
"and",
"IFN",
"stimulated",
"genes",
"(ISGs)",
"[8].",
"In",
"the",
"prototypic",
"antiviral",
"response,",
"IRF3",
"and",
"early",
"production",
"of",
"type",
"I",
"IFN",
"and",
"ISGs",
"are",
"arguably",
"the",
"most",
"important",
"events",
"in",
"combating",
"infection.",
"In",
"humans,",
"inborn",
"errors",
"that",
"impair",
"the",
"PLoS",
"ONE",
"|",
"www.plosone.org",
"1",
"February",
"2012",
"|",
"Volume",
"7",
"|",
"Issue",
"2",
"|",
"e31688"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,291,618 | null | [
[
80,
78,
226,
28
],
[
315,
78,
80,
28
],
[
404,
78,
35,
28
],
[
448,
78,
93,
28
],
[
549,
78,
25,
28
],
[
583,
78,
141,
28
],
[
80,
109,
113,
28
],
[
202,
109,
30,
28
],
[
239,
109,
160,
28
],
[
408,
109,
127,
28
],
[
80,
152,
38,
14
],
[
123,
152,
12,
14
],
[
139,
150,
45,
17
],
[
189,
152,
40,
14
],
[
233,
150,
47,
17
],
[
284,
152,
49,
14
],
[
337,
150,
22,
17
],
[
363,
152,
45,
14
],
[
412,
152,
14,
14
],
[
430,
150,
40,
17
],
[
474,
152,
46,
14
],
[
524,
152,
15,
14
],
[
543,
150,
57,
17
],
[
80,
175,
6,
10
],
[
88,
175,
50,
10
],
[
140,
175,
9,
10
],
[
151,
175,
56,
10
],
[
209,
175,
41,
10
],
[
252,
175,
9,
10
],
[
263,
175,
55,
10
],
[
321,
175,
52,
10
],
[
375,
175,
55,
10
],
[
433,
175,
28,
10
],
[
463,
175,
25,
10
],
[
490,
175,
9,
10
],
[
501,
175,
36,
10
],
[
539,
175,
6,
10
],
[
547,
175,
50,
10
],
[
599,
175,
9,
10
],
[
610,
175,
41,
10
],
[
654,
175,
16,
10
],
[
672,
175,
55,
10
],
[
729,
175,
41,
10
],
[
80,
189,
9,
10
],
[
92,
189,
14,
10
],
[
108,
189,
37,
10
],
[
148,
189,
52,
10
],
[
203,
189,
55,
10
],
[
261,
189,
28,
10
],
[
292,
189,
25,
10
],
[
320,
189,
9,
10
],
[
331,
189,
36,
10
],
[
370,
189,
6,
10
],
[
377,
189,
34,
10
],
[
414,
189,
12,
10
],
[
428,
189,
40,
10
],
[
471,
189,
37,
10
],
[
511,
189,
35,
10
],
[
548,
189,
37,
10
],
[
588,
189,
31,
10
],
[
621,
189,
33,
10
],
[
657,
189,
32,
10
],
[
692,
189,
33,
10
],
[
728,
189,
31,
10
],
[
102,
227,
57,
14
],
[
102,
249,
20,
13
],
[
125,
249,
37,
13
],
[
165,
249,
52,
13
],
[
219,
249,
67,
13
],
[
289,
249,
52,
13
],
[
343,
249,
18,
13
],
[
364,
249,
18,
13
],
[
385,
249,
32,
13
],
[
420,
249,
11,
13
],
[
434,
249,
37,
13
],
[
474,
249,
31,
13
],
[
507,
249,
11,
13
],
[
521,
249,
45,
13
],
[
569,
249,
23,
13
],
[
595,
249,
73,
13
],
[
670,
249,
43,
13
],
[
716,
249,
32,
13
],
[
102,
263,
46,
13
],
[
152,
263,
11,
13
],
[
167,
263,
44,
13
],
[
215,
263,
52,
13
],
[
272,
263,
14,
13
],
[
290,
263,
12,
13
],
[
307,
263,
102,
13
],
[
413,
263,
29,
13
],
[
445,
263,
49,
13
],
[
499,
263,
98,
13
],
[
601,
263,
38,
13
],
[
643,
263,
36,
13
],
[
683,
263,
64,
13
],
[
102,
277,
24,
13
],
[
130,
277,
11,
13
],
[
145,
277,
55,
13
],
[
203,
277,
28,
13
],
[
235,
277,
8,
13
],
[
248,
277,
6,
13
],
[
258,
277,
47,
13
],
[
309,
277,
15,
13
],
[
328,
277,
35,
13
],
[
367,
277,
32,
13
],
[
403,
277,
44,
13
],
[
450,
277,
10,
13
],
[
465,
277,
6,
13
],
[
475,
277,
38,
13
],
[
517,
277,
34,
13
],
[
555,
277,
11,
13
],
[
570,
277,
84,
13
],
[
658,
277,
67,
13
],
[
729,
277,
19,
13
],
[
102,
291,
47,
13
],
[
154,
291,
8,
13
],
[
167,
291,
19,
13
],
[
191,
291,
10,
13
],
[
207,
291,
18,
13
],
[
229,
291,
43,
13
],
[
278,
291,
11,
13
],
[
294,
291,
46,
13
],
[
344,
291,
53,
13
],
[
403,
291,
31,
13
],
[
439,
291,
14,
13
],
[
458,
291,
45,
13
],
[
509,
291,
24,
13
],
[
537,
291,
65,
13
],
[
606,
291,
18,
13
],
[
629,
291,
60,
13
],
[
695,
291,
11,
13
],
[
711,
291,
37,
13
],
[
102,
305,
47,
13
],
[
152,
305,
10,
13
],
[
164,
305,
40,
13
],
[
207,
305,
11,
13
],
[
220,
305,
52,
13
],
[
275,
305,
67,
13
],
[
344,
305,
18,
13
],
[
365,
305,
30,
13
],
[
397,
305,
11,
13
],
[
410,
305,
28,
13
],
[
441,
305,
56,
13
],
[
500,
305,
14,
13
],
[
516,
305,
47,
13
],
[
566,
305,
41,
13
],
[
609,
305,
20,
13
],
[
632,
305,
12,
13
],
[
647,
305,
61,
13
],
[
710,
305,
38,
13
],
[
102,
318,
21,
13
],
[
126,
318,
67,
13
],
[
197,
318,
26,
13
],
[
226,
318,
56,
13
],
[
286,
318,
41,
13
],
[
330,
318,
45,
13
],
[
379,
318,
22,
13
],
[
404,
318,
35,
13
],
[
443,
318,
32,
13
],
[
478,
318,
41,
13
],
[
523,
318,
20,
13
],
[
546,
318,
54,
13
],
[
604,
318,
41,
13
],
[
648,
318,
11,
13
],
[
663,
318,
47,
13
],
[
714,
318,
11,
13
],
[
729,
318,
19,
13
],
[
102,
332,
46,
13
],
[
153,
332,
54,
13
],
[
211,
332,
12,
13
],
[
227,
332,
38,
13
],
[
270,
332,
32,
13
],
[
307,
332,
44,
13
],
[
355,
332,
21,
13
],
[
381,
332,
53,
13
],
[
439,
332,
10,
13
],
[
454,
332,
47,
13
],
[
505,
332,
41,
13
],
[
551,
332,
53,
13
],
[
609,
332,
24,
13
],
[
637,
332,
50,
13
],
[
692,
332,
40,
13
],
[
737,
332,
11,
13
],
[
102,
346,
35,
13
],
[
141,
346,
32,
13
],
[
176,
346,
41,
13
],
[
222,
346,
10,
13
],
[
236,
346,
18,
13
],
[
257,
346,
48,
13
],
[
309,
346,
11,
13
],
[
324,
346,
111,
13
],
[
439,
346,
121,
13
],
[
564,
346,
34,
13
],
[
602,
346,
35,
13
],
[
641,
346,
32,
13
],
[
676,
346,
41,
13
],
[
722,
346,
26,
13
],
[
102,
360,
21,
13
],
[
127,
360,
28,
13
],
[
160,
360,
45,
13
],
[
208,
360,
11,
13
],
[
224,
360,
36,
13
],
[
265,
360,
52,
13
],
[
321,
360,
58,
13
],
[
383,
360,
6,
13
],
[
394,
360,
40,
13
],
[
438,
360,
30,
13
],
[
472,
360,
14,
13
],
[
490,
360,
18,
13
],
[
512,
360,
43,
13
],
[
559,
360,
54,
13
],
[
618,
360,
11,
13
],
[
633,
360,
18,
13
],
[
655,
360,
29,
13
],
[
688,
360,
60,
13
],
[
102,
374,
53,
13
],
[
160,
374,
82,
13
],
[
246,
374,
55,
13
],
[
306,
374,
38,
13
],
[
349,
374,
47,
13
],
[
401,
374,
41,
13
],
[
446,
374,
53,
13
],
[
505,
374,
24,
13
],
[
533,
374,
50,
13
],
[
588,
374,
49,
13
],
[
641,
374,
11,
13
],
[
657,
374,
29,
13
],
[
690,
374,
58,
13
],
[
102,
388,
47,
13
],
[
152,
388,
63,
13
],
[
217,
388,
29,
13
],
[
249,
388,
24,
13
],
[
276,
388,
42,
13
],
[
320,
388,
22,
13
],
[
345,
388,
28,
13
],
[
376,
388,
56,
13
],
[
435,
388,
46,
13
],
[
483,
388,
6,
13
],
[
492,
388,
45,
13
],
[
541,
388,
56,
13
],
[
599,
388,
35,
13
],
[
637,
388,
64,
13
],
[
705,
388,
43,
13
],
[
102,
401,
82,
13
],
[
187,
401,
35,
13
],
[
226,
401,
14,
13
],
[
244,
401,
18,
13
],
[
265,
401,
62,
13
],
[
331,
401,
11,
13
],
[
346,
401,
61,
13
],
[
410,
401,
47,
13
],
[
461,
401,
11,
13
],
[
476,
401,
18,
13
],
[
497,
401,
18,
13
],
[
519,
401,
40,
13
],
[
92,
436,
40,
10
],
[
136,
436,
21,
10
],
[
160,
436,
12,
10
],
[
176,
436,
23,
10
],
[
202,
436,
6,
10
],
[
212,
436,
7,
10
],
[
223,
436,
6,
10
],
[
233,
436,
18,
10
],
[
254,
436,
13,
10
],
[
271,
436,
27,
10
],
[
302,
436,
10,
10
],
[
317,
436,
26,
10
],
[
346,
436,
76,
10
],
[
426,
436,
27,
10
],
[
456,
436,
12,
10
],
[
472,
436,
31,
10
],
[
507,
436,
9,
10
],
[
519,
436,
47,
10
],
[
570,
436,
38,
10
],
[
611,
436,
10,
10
],
[
626,
436,
52,
10
],
[
682,
436,
43,
10
],
[
728,
436,
20,
10
],
[
92,
448,
30,
10
],
[
124,
448,
18,
10
],
[
145,
448,
42,
10
],
[
190,
448,
137,
10
],
[
92,
465,
31,
10
],
[
126,
465,
19,
10
],
[
148,
465,
31,
10
],
[
182,
465,
19,
10
],
[
204,
465,
47,
10
],
[
254,
465,
28,
10
],
[
285,
465,
37,
10
],
[
325,
465,
30,
10
],
[
357,
465,
28,
10
],
[
387,
465,
25,
10
],
[
415,
465,
9,
10
],
[
427,
465,
34,
10
],
[
92,
482,
42,
10
],
[
137,
482,
45,
10
],
[
185,
482,
12,
10
],
[
200,
482,
22,
10
],
[
225,
482,
44,
10
],
[
272,
482,
43,
10
],
[
318,
482,
12,
10
],
[
333,
482,
22,
10
],
[
358,
482,
47,
10
],
[
407,
482,
26,
10
],
[
436,
482,
8,
10
],
[
446,
482,
20,
10
],
[
92,
499,
50,
10
],
[
159,
499,
20,
10
],
[
183,
499,
21,
10
],
[
208,
499,
9,
10
],
[
220,
499,
9,
10
],
[
234,
499,
17,
10
],
[
255,
499,
7,
10
],
[
265,
499,
10,
10
],
[
280,
499,
50,
10
],
[
334,
499,
25,
10
],
[
363,
499,
45,
10
],
[
413,
499,
25,
10
],
[
441,
499,
14,
10
],
[
459,
499,
24,
10
],
[
487,
499,
9,
10
],
[
500,
499,
14,
10
],
[
518,
499,
34,
10
],
[
555,
499,
42,
10
],
[
602,
499,
45,
10
],
[
651,
499,
32,
10
],
[
688,
499,
25,
10
],
[
717,
499,
31,
10
],
[
92,
510,
49,
10
],
[
144,
510,
17,
10
],
[
163,
510,
50,
10
],
[
216,
510,
16,
10
],
[
235,
510,
54,
10
],
[
291,
510,
8,
10
],
[
302,
510,
15,
10
],
[
320,
510,
37,
10
],
[
359,
510,
37,
10
],
[
399,
510,
14,
10
],
[
416,
510,
31,
10
],
[
450,
510,
27,
10
],
[
480,
510,
16,
10
],
[
498,
510,
27,
10
],
[
529,
510,
13,
10
],
[
545,
510,
36,
10
],
[
92,
528,
42,
10
],
[
137,
528,
17,
10
],
[
156,
528,
21,
10
],
[
180,
528,
16,
10
],
[
199,
528,
43,
10
],
[
245,
528,
10,
10
],
[
258,
528,
14,
10
],
[
275,
528,
11,
10
],
[
289,
528,
25,
10
],
[
317,
528,
27,
10
],
[
347,
528,
29,
10
],
[
380,
528,
36,
10
],
[
419,
528,
16,
10
],
[
438,
528,
36,
10
],
[
477,
528,
16,
10
],
[
495,
528,
11,
10
],
[
509,
528,
14,
10
],
[
526,
528,
41,
10
],
[
569,
528,
9,
10
],
[
581,
528,
53,
10
],
[
637,
528,
15,
10
],
[
655,
528,
16,
10
],
[
674,
528,
40,
10
],
[
717,
528,
31,
10
],
[
92,
539,
34,
10
],
[
128,
539,
23,
10
],
[
154,
539,
18,
10
],
[
175,
539,
15,
10
],
[
192,
539,
38,
10
],
[
233,
539,
16,
10
],
[
251,
539,
31,
10
],
[
285,
539,
16,
10
],
[
304,
539,
11,
10
],
[
318,
539,
16,
10
],
[
337,
539,
8,
10
],
[
347,
539,
23,
10
],
[
373,
539,
30,
10
],
[
405,
539,
18,
10
],
[
427,
539,
40,
10
],
[
469,
539,
16,
10
],
[
488,
539,
34,
10
],
[
525,
539,
34,
10
],
[
562,
539,
9,
10
],
[
573,
539,
33,
10
],
[
609,
539,
9,
10
],
[
620,
539,
48,
10
],
[
671,
539,
9,
10
],
[
683,
539,
14,
10
],
[
700,
539,
48,
10
],
[
92,
556,
52,
10
],
[
147,
556,
44,
10
],
[
193,
556,
16,
10
],
[
212,
556,
31,
10
],
[
246,
556,
20,
10
],
[
268,
556,
35,
10
],
[
307,
556,
17,
10
],
[
326,
556,
11,
10
],
[
340,
556,
45,
10
],
[
388,
556,
35,
10
],
[
426,
556,
21,
10
],
[
92,
573,
5,
10
],
[
99,
573,
27,
10
],
[
129,
573,
118,
10
],
[
80,
620,
84,
14
],
[
93,
649,
57,
13
],
[
154,
649,
44,
13
],
[
202,
649,
8,
13
],
[
215,
649,
13,
13
],
[
232,
649,
66,
13
],
[
303,
649,
72,
13
],
[
380,
649,
33,
13
],
[
80,
664,
18,
13
],
[
103,
664,
20,
13
],
[
127,
664,
8,
13
],
[
140,
664,
6,
13
],
[
150,
664,
41,
13
],
[
195,
664,
46,
13
],
[
246,
664,
28,
13
],
[
278,
664,
10,
13
],
[
292,
664,
24,
13
],
[
321,
664,
31,
13
],
[
357,
664,
10,
13
],
[
371,
664,
42,
13
],
[
80,
679,
19,
13
],
[
104,
679,
8,
13
],
[
117,
679,
20,
13
],
[
141,
679,
51,
13
],
[
197,
679,
38,
13
],
[
240,
679,
25,
13
],
[
270,
679,
30,
13
],
[
304,
679,
22,
13
],
[
331,
679,
57,
13
],
[
393,
679,
19,
13
],
[
80,
694,
69,
13
],
[
154,
694,
10,
13
],
[
169,
694,
38,
13
],
[
211,
694,
55,
13
],
[
271,
694,
55,
13
],
[
331,
694,
35,
13
],
[
371,
694,
42,
13
],
[
80,
709,
31,
13
],
[
114,
709,
65,
13
],
[
182,
709,
10,
13
],
[
194,
709,
16,
13
],
[
213,
709,
30,
13
],
[
246,
709,
55,
13
],
[
303,
709,
23,
13
],
[
329,
709,
22,
13
],
[
354,
709,
13,
13
],
[
369,
709,
44,
13
],
[
80,
723,
8,
13
],
[
93,
723,
45,
13
],
[
144,
723,
19,
13
],
[
169,
723,
8,
13
],
[
182,
723,
16,
13
],
[
204,
723,
19,
13
],
[
228,
723,
20,
13
],
[
254,
723,
10,
13
],
[
270,
723,
35,
13
],
[
310,
723,
68,
13
],
[
384,
723,
10,
13
],
[
400,
723,
13,
13
],
[
80,
738,
43,
13
],
[
126,
738,
41,
13
],
[
170,
738,
8,
13
],
[
181,
738,
51,
13
],
[
234,
738,
22,
13
],
[
260,
738,
47,
13
],
[
309,
738,
24,
13
],
[
337,
738,
31,
13
],
[
371,
738,
42,
13
],
[
80,
753,
10,
13
],
[
96,
753,
42,
13
],
[
143,
753,
28,
13
],
[
176,
753,
30,
13
],
[
211,
753,
16,
13
],
[
233,
753,
20,
13
],
[
258,
753,
49,
13
],
[
313,
753,
38,
13
],
[
356,
753,
17,
13
],
[
378,
753,
34,
13
],
[
80,
768,
41,
13
],
[
124,
768,
16,
13
],
[
143,
768,
36,
13
],
[
183,
768,
10,
13
],
[
196,
768,
35,
13
],
[
234,
768,
34,
13
],
[
272,
768,
13,
13
],
[
287,
768,
22,
13
],
[
312,
768,
7,
13
],
[
322,
768,
13,
13
],
[
338,
768,
44,
13
],
[
385,
768,
28,
13
],
[
80,
783,
66,
13
],
[
151,
783,
13,
13
],
[
168,
783,
44,
13
],
[
216,
783,
38,
13
],
[
259,
783,
35,
13
],
[
299,
783,
31,
13
],
[
334,
783,
16,
13
],
[
355,
783,
58,
13
],
[
80,
797,
28,
13
],
[
114,
797,
36,
13
],
[
155,
797,
6,
13
],
[
167,
797,
45,
13
],
[
218,
797,
33,
13
],
[
256,
797,
10,
13
],
[
272,
797,
55,
13
],
[
332,
797,
23,
13
],
[
362,
797,
51,
13
],
[
80,
812,
41,
13
],
[
125,
812,
46,
13
],
[
175,
812,
45,
13
],
[
224,
812,
32,
13
],
[
259,
812,
32,
13
],
[
295,
812,
16,
13
],
[
315,
812,
61,
13
],
[
380,
812,
13,
13
],
[
397,
812,
16,
13
],
[
80,
827,
23,
13
],
[
107,
827,
50,
13
],
[
162,
827,
10,
13
],
[
176,
827,
27,
13
],
[
207,
827,
55,
13
],
[
265,
827,
42,
13
],
[
311,
827,
40,
13
],
[
355,
827,
23,
13
],
[
382,
827,
10,
13
],
[
397,
827,
16,
13
],
[
80,
842,
57,
13
],
[
140,
842,
35,
13
],
[
179,
842,
50,
13
],
[
232,
842,
13,
13
],
[
249,
842,
16,
13
],
[
269,
842,
35,
13
],
[
308,
842,
10,
13
],
[
322,
842,
13,
13
],
[
338,
842,
44,
13
],
[
385,
842,
8,
13
],
[
397,
842,
16,
13
],
[
80,
857,
93,
13
],
[
177,
857,
31,
13
],
[
93,
872,
21,
13
],
[
118,
872,
22,
13
],
[
144,
872,
10,
13
],
[
158,
872,
13,
13
],
[
175,
872,
44,
13
],
[
223,
872,
8,
13
],
[
235,
872,
48,
13
],
[
287,
872,
51,
13
],
[
342,
872,
10,
13
],
[
356,
872,
16,
13
],
[
377,
872,
22,
13
],
[
403,
872,
10,
13
],
[
80,
886,
27,
13
],
[
111,
886,
72,
13
],
[
187,
886,
44,
13
],
[
235,
886,
9,
13
],
[
247,
886,
42,
13
],
[
293,
886,
13,
13
],
[
310,
886,
47,
13
],
[
361,
886,
11,
13
],
[
375,
886,
38,
13
],
[
80,
901,
20,
13
],
[
105,
901,
32,
13
],
[
142,
901,
19,
13
],
[
167,
901,
8,
13
],
[
179,
901,
20,
13
],
[
204,
901,
40,
13
],
[
249,
901,
10,
13
],
[
265,
901,
10,
13
],
[
280,
901,
96,
13
],
[
382,
901,
31,
13
],
[
80,
916,
40,
13
],
[
124,
916,
13,
13
],
[
140,
916,
44,
13
],
[
188,
916,
22,
13
],
[
213,
916,
38,
13
],
[
255,
916,
10,
13
],
[
269,
916,
23,
13
],
[
295,
916,
9,
13
],
[
307,
916,
43,
13
],
[
354,
916,
10,
13
],
[
368,
916,
44,
13
],
[
80,
931,
123,
13
],
[
207,
931,
21,
13
],
[
232,
931,
39,
13
],
[
275,
931,
22,
13
],
[
302,
931,
26,
13
],
[
332,
931,
51,
13
],
[
386,
931,
27,
13
],
[
80,
946,
22,
13
],
[
108,
946,
43,
13
],
[
156,
946,
10,
13
],
[
172,
946,
30,
13
],
[
208,
946,
37,
13
],
[
250,
946,
78,
13
],
[
333,
946,
55,
13
],
[
393,
946,
19,
13
],
[
80,
960,
27,
13
],
[
113,
960,
90,
13
],
[
208,
960,
53,
13
],
[
266,
960,
18,
13
],
[
290,
960,
12,
13
],
[
308,
960,
43,
13
],
[
357,
960,
25,
13
],
[
387,
960,
26,
13
],
[
80,
975,
66,
13
],
[
151,
975,
25,
13
],
[
181,
975,
39,
13
],
[
225,
975,
10,
13
],
[
240,
975,
43,
13
],
[
288,
975,
13,
13
],
[
306,
975,
44,
13
],
[
355,
975,
36,
13
],
[
396,
975,
17,
13
],
[
80,
990,
42,
13
],
[
126,
990,
6,
13
],
[
136,
990,
51,
13
],
[
191,
990,
23,
13
],
[
218,
990,
10,
13
],
[
232,
990,
42,
13
],
[
278,
990,
10,
13
],
[
291,
990,
22,
13
],
[
317,
990,
49,
13
],
[
369,
990,
43,
13
],
[
80,
1005,
18,
13
],
[
101,
1005,
46,
13
],
[
150,
1005,
16,
13
],
[
169,
1005,
32,
13
],
[
204,
1005,
19,
13
],
[
226,
1005,
62,
13
],
[
291,
1005,
10,
13
],
[
304,
1005,
16,
13
],
[
324,
1005,
34,
13
],
[
361,
1005,
52,
13
],
[
437,
620,
25,
13
],
[
469,
620,
16,
13
],
[
493,
620,
27,
13
],
[
526,
620,
22,
13
],
[
556,
620,
46,
13
],
[
609,
620,
10,
13
],
[
627,
620,
20,
13
],
[
654,
620,
10,
13
],
[
672,
620,
16,
13
],
[
695,
620,
57,
13
],
[
760,
620,
10,
13
],
[
437,
635,
50,
13
],
[
492,
635,
23,
13
],
[
521,
635,
10,
13
],
[
537,
635,
25,
13
],
[
568,
635,
21,
13
],
[
595,
635,
19,
13
],
[
620,
635,
39,
13
],
[
664,
635,
29,
13
],
[
699,
635,
23,
13
],
[
728,
635,
42,
13
],
[
437,
649,
42,
13
],
[
482,
649,
33,
13
],
[
517,
649,
19,
13
],
[
539,
649,
32,
13
],
[
574,
649,
55,
13
],
[
631,
649,
10,
13
],
[
644,
649,
16,
13
],
[
662,
649,
26,
13
],
[
691,
649,
35,
13
],
[
728,
649,
9,
13
],
[
739,
649,
30,
13
],
[
437,
664,
33,
13
],
[
475,
664,
10,
13
],
[
490,
664,
22,
13
],
[
517,
664,
50,
13
],
[
573,
664,
10,
13
],
[
588,
664,
13,
13
],
[
606,
664,
44,
13
],
[
655,
664,
8,
13
],
[
668,
664,
30,
13
],
[
703,
664,
50,
13
],
[
759,
664,
11,
13
],
[
437,
679,
29,
13
],
[
469,
679,
48,
13
],
[
521,
679,
46,
13
],
[
571,
679,
22,
13
],
[
596,
679,
60,
13
],
[
659,
679,
28,
13
],
[
690,
679,
40,
13
],
[
734,
679,
23,
13
],
[
760,
679,
10,
13
],
[
437,
694,
16,
13
],
[
459,
694,
29,
13
],
[
493,
694,
40,
13
],
[
539,
694,
50,
13
],
[
594,
694,
49,
13
],
[
649,
694,
13,
13
],
[
667,
694,
13,
13
],
[
686,
694,
44,
13
],
[
735,
694,
22,
13
],
[
762,
694,
8,
13
],
[
437,
709,
96,
13
],
[
450,
724,
94,
13
],
[
550,
724,
49,
14
],
[
598,
721,
6,
9
],
[
603,
721,
85,
17
],
[
695,
724,
11,
13
],
[
712,
724,
33,
13
],
[
750,
724,
8,
13
],
[
763,
724,
6,
13
],
[
437,
738,
30,
13
],
[
470,
738,
60,
13
],
[
532,
738,
46,
13
],
[
581,
738,
20,
13
],
[
604,
738,
8,
13
],
[
615,
738,
51,
13
],
[
669,
738,
44,
13
],
[
715,
738,
10,
13
],
[
729,
738,
16,
13
],
[
748,
738,
22,
13
],
[
437,
753,
41,
13
],
[
483,
753,
11,
13
],
[
500,
753,
52,
13
],
[
558,
753,
33,
13
],
[
597,
753,
30,
13
],
[
631,
753,
8,
13
],
[
645,
753,
6,
13
],
[
656,
753,
36,
13
],
[
697,
753,
45,
13
],
[
748,
753,
10,
13
],
[
763,
753,
6,
13
],
[
437,
768,
40,
13
],
[
481,
768,
10,
13
],
[
495,
768,
41,
13
],
[
540,
768,
10,
13
],
[
553,
768,
42,
13
],
[
599,
768,
10,
13
],
[
613,
768,
13,
13
],
[
630,
768,
47,
13
],
[
681,
768,
59,
13
],
[
743,
768,
27,
13
],
[
437,
783,
30,
13
],
[
472,
783,
10,
13
],
[
488,
783,
16,
13
],
[
509,
783,
55,
13
],
[
570,
783,
27,
13
],
[
602,
783,
48,
13
],
[
655,
783,
56,
13
],
[
716,
783,
54,
13
],
[
437,
798,
57,
13
],
[
497,
798,
48,
13
],
[
549,
798,
19,
13
],
[
571,
798,
39,
13
],
[
613,
798,
35,
13
],
[
651,
798,
44,
13
],
[
698,
798,
29,
13
],
[
730,
798,
8,
13
],
[
741,
798,
20,
13
],
[
763,
798,
6,
13
],
[
437,
812,
57,
13
],
[
503,
812,
10,
13
],
[
522,
812,
53,
13
],
[
583,
812,
55,
13
],
[
647,
812,
27,
13
],
[
683,
812,
10,
13
],
[
701,
812,
16,
13
],
[
726,
812,
25,
13
],
[
760,
812,
10,
13
],
[
437,
827,
105,
13
],
[
547,
827,
13,
13
],
[
564,
827,
44,
13
],
[
612,
827,
25,
13
],
[
641,
827,
38,
13
],
[
683,
827,
37,
13
],
[
725,
827,
25,
13
],
[
753,
827,
16,
13
],
[
437,
842,
68,
13
],
[
508,
842,
20,
13
],
[
531,
842,
44,
13
],
[
578,
842,
10,
13
],
[
591,
842,
21,
13
],
[
615,
842,
27,
13
],
[
645,
842,
18,
13
],
[
666,
842,
12,
13
],
[
681,
842,
6,
13
],
[
690,
842,
30,
13
],
[
724,
842,
33,
13
],
[
760,
842,
10,
13
],
[
437,
857,
37,
13
],
[
479,
857,
34,
13
],
[
517,
857,
62,
13
],
[
584,
857,
41,
13
],
[
630,
857,
41,
13
],
[
675,
857,
38,
13
],
[
718,
857,
52,
13
],
[
437,
872,
38,
13
],
[
478,
872,
20,
13
],
[
500,
872,
58,
13
],
[
561,
872,
10,
13
],
[
574,
872,
13,
13
],
[
590,
872,
44,
13
],
[
636,
872,
22,
13
],
[
661,
872,
8,
13
],
[
672,
872,
52,
13
],
[
726,
872,
13,
13
],
[
742,
872,
28,
13
],
[
437,
886,
10,
13
],
[
455,
886,
16,
13
],
[
478,
886,
17,
13
],
[
503,
886,
29,
13
],
[
539,
886,
21,
13
],
[
568,
886,
37,
13
],
[
612,
886,
32,
13
],
[
651,
886,
24,
13
],
[
682,
886,
24,
13
],
[
714,
886,
42,
13
],
[
763,
886,
6,
13
],
[
437,
901,
76,
13
],
[
523,
901,
32,
13
],
[
564,
901,
20,
13
],
[
594,
901,
8,
13
],
[
611,
901,
57,
13
],
[
677,
901,
15,
13
],
[
702,
901,
29,
13
],
[
740,
901,
29,
13
],
[
437,
916,
49,
13
],
[
490,
916,
74,
13
],
[
569,
916,
54,
13
],
[
628,
916,
32,
13
],
[
665,
916,
16,
13
],
[
686,
916,
32,
13
],
[
722,
916,
32,
13
],
[
760,
916,
10,
13
],
[
437,
931,
24,
13
],
[
469,
931,
35,
13
],
[
513,
931,
6,
13
],
[
527,
931,
63,
13
],
[
598,
931,
30,
13
],
[
637,
931,
32,
13
],
[
677,
931,
55,
13
],
[
740,
931,
29,
13
],
[
437,
946,
53,
13
],
[
495,
946,
25,
13
],
[
524,
946,
13,
13
],
[
541,
946,
6,
13
],
[
552,
946,
31,
13
],
[
588,
946,
16,
13
],
[
608,
946,
36,
13
],
[
649,
946,
10,
13
],
[
664,
946,
29,
13
],
[
697,
946,
58,
13
],
[
759,
946,
10,
13
],
[
437,
960,
16,
13
],
[
460,
960,
22,
13
],
[
489,
960,
8,
13
],
[
504,
960,
52,
13
],
[
563,
960,
20,
13
],
[
589,
960,
29,
13
],
[
625,
960,
45,
13
],
[
677,
960,
33,
13
],
[
717,
960,
10,
13
],
[
734,
960,
6,
13
],
[
747,
960,
23,
13
],
[
437,
975,
50,
13
],
[
491,
975,
25,
13
],
[
450,
990,
30,
13
],
[
483,
990,
45,
13
],
[
532,
990,
10,
13
],
[
545,
990,
29,
13
],
[
578,
990,
53,
13
],
[
635,
990,
22,
13
],
[
660,
990,
38,
13
],
[
702,
990,
6,
13
],
[
712,
990,
58,
13
],
[
437,
1005,
15,
13
],
[
456,
1005,
57,
13
],
[
516,
1005,
10,
13
],
[
530,
1005,
35,
13
],
[
570,
1005,
6,
13
],
[
580,
1005,
35,
13
],
[
618,
1005,
10,
13
],
[
632,
1005,
60,
13
],
[
696,
1005,
42,
13
],
[
743,
1005,
27,
13
],
[
113,
1047,
23,
12
],
[
140,
1047,
50,
12
],
[
194,
1047,
3,
12
],
[
203,
1047,
115,
12
],
[
422,
1047,
6,
12
],
[
547,
1047,
29,
12
],
[
580,
1047,
23,
12
],
[
608,
1047,
3,
12
],
[
616,
1047,
36,
12
],
[
657,
1047,
6,
12
],
[
668,
1047,
3,
12
],
[
676,
1047,
24,
12
],
[
705,
1047,
6,
12
],
[
716,
1047,
3,
12
],
[
724,
1047,
45,
12
]
] | [
"Phosphorylcholine",
"Allows",
"for",
"Evasion",
"of",
"Bactericidal",
"Antibody",
"by",
"Haemophilus",
"influenzae",
"Sarah",
"E.",
"Clark1,",
"Julian",
"Snow2,",
"Jianjun",
"Li3,",
"Tracey",
"A.",
"Zola1,",
"Jeffrey",
"N.",
"Weiser1*",
"1",
"Department",
"of",
"Microbiology,",
"University",
"of",
"Pennsylvania,",
"Philadelphia,",
"Pennsylvania,",
"United",
"States",
"of",
"America,",
"2",
"Department",
"of",
"Chemistry",
"and",
"Biochemistry,",
"University",
"of",
"the",
"Sciences,",
"Philadelphia,",
"Pennsylvania,",
"United",
"States",
"of",
"America,",
"3",
"Institute",
"for",
"Biological",
"Sciences,",
"National",
"Research",
"Council",
"Canada,",
"Ottawa,",
"Ontario,",
"Canada",
"Abstract",
"The",
"human",
"pathogen",
"Haemophilus",
"influenzae",
"has",
"the",
"ability",
"to",
"quickly",
"adapt",
"to",
"different",
"host",
"environments",
"through",
"phase",
"variation",
"of",
"multiple",
"structures",
"on",
"its",
"lipooligosaccharide",
"(LPS),",
"including",
"phosphorylcholine",
"(ChoP).",
"During",
"colonization",
"with",
"H.",
"influenzae,",
"there",
"is",
"a",
"selection",
"for",
"ChoP+",
"phase",
"variants.",
"In",
"a",
"murine",
"model",
"of",
"nasopharyngeal",
"colonization,",
"this",
"selection",
"is",
"lost",
"in",
"the",
"absence",
"of",
"adaptive",
"immunity.",
"Based",
"on",
"previous",
"data",
"highlighting",
"the",
"importance",
"of",
"natural",
"antibody",
"in",
"limiting",
"H.",
"influenzae",
"colonization,",
"the",
"effect",
"of",
"ChoP",
"expression",
"on",
"antibody",
"binding",
"and",
"its",
"bactericidal",
"activity",
"was",
"investigated.",
"Flow",
"cytometric",
"analysis",
"revealed",
"that",
"ChoP+",
"phase",
"variants",
"had",
"decreased",
"binding",
"of",
"antibody",
"to",
"LPS",
"epitopes",
"compared",
"to",
"ChoP2",
"phase",
"variants.",
"This",
"difference",
"in",
"antibody",
"binding",
"correlated",
"with",
"increased",
"survival",
"of",
"ChoP+",
"phase",
"variants",
"in",
"the",
"presence",
"of",
"antibody-dependent,",
"complement-mediated",
"killing.",
"ChoP+",
"phase",
"variants",
"were",
"also",
"more",
"resistant",
"to",
"trypsin",
"digestion,",
"suggesting",
"a",
"general",
"effect",
"on",
"the",
"physical",
"properties",
"of",
"the",
"outer",
"membrane.",
"Moreover,",
"ChoP-mediated",
"protection",
"against",
"antibody",
"binding",
"correlated",
"with",
"increased",
"resilience",
"of",
"outer",
"membrane",
"integrity.",
"Collectively,",
"these",
"data",
"suggest",
"that",
"ChoP",
"expression",
"provides",
"a",
"selective",
"advantage",
"during",
"colonization",
"through",
"ChoP-mediated",
"effects",
"on",
"the",
"accessibility",
"of",
"bactericidal",
"antibody",
"to",
"the",
"cell",
"surface.",
"Citation:",
"Clark",
"SE,",
"Snow",
"J,",
"Li",
"J,",
"Zola",
"TA,",
"Weiser",
"JN",
"(2012)",
"Phosphorylcholine",
"Allows",
"for",
"Evasion",
"of",
"Bactericidal",
"Antibody",
"by",
"Haemophilus",
"influenzae.",
"PLoS",
"Pathog",
"8(3):",
"e1002521.",
"doi:10.1371/journal.ppat.1002521",
"Editor:",
"Nina",
"Salama,",
"Fred",
"Hutchinson",
"Cancer",
"Research",
"Center,",
"United",
"States",
"of",
"America",
"Received",
"September",
"20,",
"2011;",
"Accepted",
"December",
"20,",
"2011;",
"Published",
"March",
"1,",
"2012",
"Copyright:",
"2012",
"Clark",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"Funding:",
"This",
"work",
"was",
"supported",
"by",
"the",
"US",
"Public",
"Health",
"Service",
"(AI44231",
"and",
"AI38446)",
"and",
"by",
"the",
"University",
"of",
"Pennsylvania",
"Cell",
"and",
"Molecular",
"Biology",
"Training",
"Grant",
"(T32",
"GM",
"7229-35).",
"The",
"funders",
"had",
"no",
"role",
"in",
"study",
"design,",
"data",
"collection",
"and",
"analysis,",
"decision",
"to",
"publish,",
"or",
"preparation",
"of",
"the",
"manuscript.",
"Competing",
"Interests:",
"The",
"authors",
"have",
"declared",
"that",
"no",
"competing",
"interests",
"exist.",
"*",
"E-mail:",
"weiser@mail.med.upenn.edu",
"Introduction",
"Haemophilus",
"influenzae",
"is",
"an",
"extracellular,",
"gram-negative",
"patho-",
"gen",
"that",
"is",
"a",
"primary",
"causative",
"agent",
"of",
"otitis",
"media",
"in",
"children",
"and",
"is",
"also",
"frequently",
"isolated",
"from",
"adults",
"with",
"pneumonia",
"and",
"exacerbations",
"of",
"chronic",
"obstructive",
"pulmonary",
"disease",
"(COPD)",
"[1–5].",
"Colonization",
"of",
"the",
"upper",
"respiratory",
"tract",
"with",
"H.",
"influenzae",
"is",
"common",
"and",
"is",
"the",
"first",
"step",
"in",
"disease",
"development,",
"as",
"H.",
"influenzae",
"carriage",
"is",
"associated",
"with",
"recurrent",
"otitis",
"media",
"episodes",
"in",
"children",
"[6,7].",
"While",
"the",
"Hib",
"conjugate",
"vaccine",
"has",
"greatly",
"reduced",
"the",
"burden",
"of",
"disease",
"caused",
"by",
"type",
"b",
"H.",
"influenzae",
"[8,9],",
"non-typeable",
"H.",
"influenzae",
"(NTHi)",
"strains,",
"which",
"are",
"unencapsu-",
"lated,",
"remain",
"a",
"common",
"source",
"of",
"respiratory",
"tract",
"infections.",
"Vaccine",
"strategies",
"targeting",
"NTHi",
"strains",
"are",
"complicated",
"by",
"the",
"high",
"variability",
"of",
"outer",
"membrane",
"antigens",
"[10,11].",
"One",
"of",
"the",
"structurally",
"diverse",
"molecules",
"on",
"the",
"surface",
"of",
"H.",
"influenzae",
"is",
"the",
"lipopolysaccharide",
"(LPS).",
"The",
"LPS",
"of",
"H.",
"influenzae",
"is",
"truncated",
"compared",
"to",
"the",
"LPS",
"of",
"other",
"gram-negative",
"bacteria.",
"It",
"contains",
"no",
"repetitive",
"O",
"antigen",
"side",
"chains",
"and",
"is",
"also",
"referred",
"to",
"as",
"lipooligosaccharide",
"(LOS)",
"[12,13].",
"H.",
"influenzae",
"LPS",
"consists",
"of",
"lipid",
"A",
"attached",
"to",
"3-deoxy-",
"D-manno-oct-2-ulosonic",
"acid",
"(KDO),",
"with",
"three",
"conserved",
"inner",
"core",
"heptoses",
"to",
"which",
"various",
"oligosaccharide",
"extensions,",
"and",
"other",
"non-carbohydrate",
"molecules,",
"can",
"be",
"attached",
"[14].",
"Mass",
"spectrometry",
"(MS)",
"analysis",
"of",
"different",
"H.",
"influenzae",
"isolates",
"has",
"revealed",
"a",
"significant",
"level",
"of",
"diversity",
"in",
"LPS",
"structures",
"[15–21].",
"For",
"example,",
"the",
"length",
"and",
"composition",
"of",
"the",
"hexose",
"extensions",
"from",
"the",
"inner",
"core",
"heptoses,",
"as",
"well",
"as",
"the",
"attachment",
"of",
"molecules",
"such",
"as",
"sialic",
"acid",
"and",
"glycine,",
"varies",
"both",
"between",
"different",
"strains",
"and",
"within",
"glycoforms",
"of",
"the",
"same",
"isolate.",
"A",
"major",
"source",
"of",
"LPS",
"variability",
"in",
"H.",
"influenzae",
"is",
"on-off",
"switching,",
"or",
"phase",
"variation,",
"involving",
"LPS",
"biosynthesis",
"genes",
"[22,23].",
"One",
"of",
"the",
"phase",
"variable",
"molecules",
"expressed",
"on",
"H.",
"influenzae",
"LPS",
"is",
"phosphorylcholine.",
"Phosphorylcholine",
"[(CH3)3N",
"+",
"CH2CH2PO42],",
"or",
"ChoP,",
"is",
"a",
"small,",
"zwitterionic",
"molecule",
"that",
"is",
"covalently",
"attached",
"to",
"the",
"LPS",
"through",
"its",
"phosphate",
"group.",
"ChoP",
"is",
"a",
"surface",
"structure",
"of",
"a",
"number",
"of",
"bacteria",
"in",
"addition",
"to",
"H.",
"influenzae,",
"particularly",
"those",
"found",
"in",
"the",
"respiratory",
"tract,",
"including",
"Streptococcus",
"pneumoniae,",
"Pseudomonas",
"aeruginosa,",
"and",
"Neisseria",
"species",
"[24–26].",
"ChoP",
"is",
"also",
"a",
"component",
"of",
"eukaryotic",
"membrane",
"lipids",
"in",
"the",
"form",
"of",
"phosphatidylcholine.",
"H.",
"influenzae",
"must",
"acquire",
"choline",
"from",
"the",
"environment,",
"and",
"turnover",
"of",
"host",
"lipids",
"can",
"be",
"a",
"major",
"source",
"of",
"choline",
"during",
"colonization",
"[27,28].",
"Choline",
"import,",
"phosphor-",
"ylation,",
"and",
"attachment",
"to",
"H.",
"influenzae",
"LPS",
"is",
"controlled",
"by",
"genes",
"in",
"the",
"lic1",
"locus.",
"The",
"choline",
"kinase",
"gene",
"lic1A",
"contains",
"a",
"tetranucleotide",
"repeat",
"that",
"is",
"responsible",
"for",
"ChoP",
"phase",
"variation.",
"Slipped-strand",
"mispairing",
"within",
"the",
"repeat",
"region",
"of",
"lic1A",
"creates",
"a",
"translational",
"on-off",
"switch",
"controlling",
"ChoP",
"expression",
"[29].",
"As",
"a",
"result,",
"the",
"control",
"of",
"ChoP",
"attachment",
"to",
"the",
"LPS",
"is",
"stochastic,",
"and",
"phase",
"variation",
"occurs",
"at",
"a",
"high",
"frequency",
"[30].",
"Phase",
"variation",
"of",
"ChoP",
"expression",
"may",
"provide",
"a",
"mechanism",
"for",
"Haemophilus",
"to",
"display",
"a",
"variety",
"of",
"phenotypes,",
"allowing",
"rapid",
"PLoS",
"Pathogens",
"|",
"www.plospathogens.org",
"1",
"March",
"2012",
"|",
"Volume",
"8",
"|",
"Issue",
"3",
"|",
"e1002521"
] | [
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
18,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
13,
13,
13,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
4,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,971,985 | null | [
[
62,
98,
19,
10
],
[
84,
98,
72,
10
],
[
158,
98,
31,
10
],
[
192,
98,
5,
10
],
[
62,
112,
57,
14
],
[
122,
112,
46,
14
],
[
62,
128,
42,
14
],
[
62,
151,
20,
10
],
[
85,
151,
46,
10
],
[
62,
188,
288,
20
],
[
62,
210,
122,
20
],
[
62,
250,
60,
14
],
[
126,
250,
21,
14
],
[
151,
250,
53,
14
],
[
209,
250,
22,
14
],
[
235,
250,
23,
14
],
[
262,
250,
39,
14
],
[
305,
250,
23,
14
],
[
62,
280,
29,
10
],
[
93,
280,
8,
10
],
[
103,
280,
44,
10
],
[
150,
280,
35,
10
],
[
187,
280,
34,
10
],
[
223,
280,
35,
10
],
[
260,
280,
26,
10
],
[
288,
280,
36,
10
],
[
326,
280,
35,
10
],
[
363,
280,
37,
10
],
[
402,
280,
9,
10
],
[
62,
294,
25,
10
],
[
62,
308,
68,
10
],
[
133,
308,
29,
10
],
[
165,
308,
69,
10
],
[
62,
334,
38,
10
],
[
103,
334,
11,
10
],
[
116,
334,
44,
10
],
[
163,
334,
25,
10
],
[
191,
334,
38,
10
],
[
231,
334,
11,
10
],
[
245,
334,
44,
10
],
[
292,
334,
22,
10
],
[
62,
361,
16,
10
],
[
80,
361,
44,
10
],
[
127,
361,
54,
10
],
[
184,
361,
22,
10
],
[
209,
361,
25,
10
],
[
237,
361,
6,
10
],
[
245,
361,
6,
10
],
[
254,
361,
17,
10
],
[
273,
361,
9,
10
],
[
285,
361,
23,
10
],
[
316,
361,
24,
10
],
[
343,
361,
6,
10
],
[
352,
361,
25,
10
],
[
379,
359,
10,
12
],
[
62,
375,
6,
10
],
[
71,
375,
24,
10
],
[
97,
375,
6,
10
],
[
106,
375,
28,
10
],
[
137,
375,
14,
10
],
[
154,
375,
24,
10
],
[
180,
375,
6,
10
],
[
190,
375,
28,
10
],
[
220,
375,
73,
10
],
[
297,
375,
19,
10
],
[
318,
375,
6,
10
],
[
327,
375,
23,
10
],
[
62,
416,
13,
14
],
[
80,
416,
19,
14
],
[
105,
416,
23,
14
],
[
133,
416,
54,
14
],
[
194,
416,
72,
15
],
[
272,
416,
19,
14
],
[
296,
416,
47,
14
],
[
349,
416,
23,
14
],
[
378,
416,
33,
14
],
[
62,
433,
47,
14
],
[
112,
433,
36,
14
],
[
151,
433,
12,
14
],
[
166,
433,
23,
14
],
[
193,
433,
17,
14
],
[
213,
433,
21,
14
],
[
237,
433,
23,
14
],
[
263,
433,
17,
14
],
[
289,
433,
25,
14
],
[
317,
433,
19,
14
],
[
339,
433,
21,
14
],
[
363,
433,
48,
14
],
[
62,
450,
47,
14
],
[
114,
450,
30,
14
],
[
150,
450,
13,
14
],
[
168,
450,
19,
14
],
[
191,
450,
37,
14
],
[
234,
450,
54,
14
],
[
292,
450,
30,
14
],
[
328,
450,
83,
14
],
[
62,
466,
33,
14
],
[
110,
466,
11,
14
],
[
128,
466,
54,
14
],
[
188,
466,
35,
14
],
[
229,
466,
22,
14
],
[
258,
466,
18,
14
],
[
283,
466,
57,
14
],
[
346,
466,
23,
14
],
[
375,
466,
36,
14
],
[
62,
483,
68,
14
],
[
134,
483,
11,
14
],
[
149,
483,
32,
14
],
[
62,
524,
48,
15
],
[
114,
524,
59,
15
],
[
62,
546,
20,
14
],
[
91,
546,
42,
14
],
[
143,
546,
68,
14
],
[
220,
546,
12,
14
],
[
241,
546,
42,
14
],
[
292,
546,
72,
14
],
[
374,
546,
37,
14
],
[
62,
563,
55,
14
],
[
119,
563,
22,
14
],
[
144,
563,
49,
14
],
[
196,
563,
40,
14
],
[
238,
563,
49,
14
],
[
290,
563,
11,
14
],
[
305,
563,
64,
14
],
[
371,
563,
40,
14
],
[
62,
580,
20,
14
],
[
85,
580,
40,
14
],
[
129,
580,
59,
14
],
[
191,
580,
22,
14
],
[
216,
580,
35,
14
],
[
255,
580,
11,
14
],
[
270,
580,
31,
14
],
[
304,
580,
40,
14
],
[
347,
580,
50,
14
],
[
401,
579,
10,
14
],
[
62,
596,
14,
14
],
[
79,
596,
40,
14
],
[
123,
596,
48,
14
],
[
174,
596,
10,
14
],
[
188,
596,
14,
14
],
[
205,
596,
40,
14
],
[
62,
818,
83,
15
],
[
62,
842,
36,
13
],
[
101,
842,
22,
13
],
[
62,
861,
55,
12
],
[
62,
874,
13,
12
],
[
78,
874,
7,
11
],
[
87,
874,
29,
11
],
[
249,
861,
53,
12
],
[
305,
861,
26,
14
],
[
249,
874,
6,
11
],
[
257,
874,
7,
11
],
[
267,
874,
29,
11
],
[
298,
874,
14,
11
],
[
315,
871,
9,
14
],
[
435,
98,
6,
12
],
[
444,
98,
7,
12
],
[
454,
98,
29,
12
],
[
486,
98,
19,
12
],
[
507,
95,
9,
15
],
[
435,
110,
5,
12
],
[
443,
110,
7,
12
],
[
453,
110,
29,
12
],
[
485,
110,
14,
12
],
[
501,
108,
9,
15
],
[
445,
123,
7,
12
],
[
455,
123,
29,
12
],
[
486,
123,
14,
12
],
[
435,
135,
8,
12
],
[
446,
135,
7,
12
],
[
456,
135,
29,
12
],
[
487,
135,
14,
12
],
[
504,
133,
9,
14
],
[
513,
134,
4,
8
],
[
435,
148,
8,
12
],
[
446,
148,
7,
12
],
[
456,
148,
6,
12
],
[
435,
174,
25,
13
],
[
464,
174,
48,
13
],
[
435,
194,
33,
12
],
[
471,
194,
30,
12
],
[
505,
194,
24,
12
],
[
531,
194,
61,
12
],
[
446,
206,
65,
12
],
[
435,
219,
52,
12
],
[
490,
219,
49,
12
],
[
542,
219,
47,
12
],
[
446,
231,
63,
12
],
[
512,
231,
61,
12
],
[
446,
244,
25,
12
],
[
446,
256,
20,
12
],
[
469,
256,
7,
11
],
[
479,
256,
26,
11
],
[
508,
256,
21,
12
],
[
531,
256,
7,
11
],
[
541,
256,
24,
11
],
[
435,
283,
57,
13
],
[
435,
302,
18,
12
],
[
454,
300,
4,
8
],
[
461,
302,
7,
11
],
[
470,
302,
6,
11
],
[
482,
302,
11,
12
],
[
494,
300,
12,
13
],
[
508,
302,
7,
11
],
[
518,
302,
24,
11
],
[
435,
314,
26,
12
],
[
462,
313,
8,
13
],
[
473,
315,
7,
12
],
[
482,
315,
24,
12
],
[
435,
327,
6,
12
],
[
444,
327,
7,
12
],
[
454,
327,
19,
12
],
[
435,
340,
21,
11
],
[
459,
340,
47,
11
],
[
435,
385,
30,
13
],
[
469,
385,
7,
13
],
[
435,
399,
77,
12
],
[
515,
399,
46,
12
],
[
564,
395,
14,
15
],
[
578,
399,
3,
12
],
[
588,
399,
7,
12
],
[
591,
49,
73,
23
],
[
671,
49,
112,
23
],
[
622,
98,
16,
12
],
[
641,
98,
9,
12
],
[
659,
98,
41,
12
],
[
633,
110,
7,
12
],
[
643,
110,
19,
12
],
[
664,
110,
18,
12
],
[
687,
109,
4,
8
],
[
622,
123,
7,
11
],
[
632,
123,
7,
12
],
[
642,
123,
16,
12
],
[
661,
123,
9,
12
],
[
622,
135,
19,
12
],
[
655,
135,
19,
12
],
[
689,
135,
19,
12
],
[
710,
135,
18,
12
],
[
622,
194,
26,
12
],
[
651,
194,
44,
12
],
[
698,
194,
47,
12
],
[
622,
206,
21,
12
],
[
646,
206,
57,
12
],
[
706,
206,
47,
12
],
[
622,
219,
21,
12
],
[
646,
219,
47,
12
],
[
696,
219,
20,
12
],
[
719,
219,
5,
12
],
[
726,
219,
7,
12
],
[
736,
219,
6,
12
],
[
747,
219,
12,
12
],
[
622,
231,
17,
13
],
[
642,
231,
7,
12
],
[
651,
231,
24,
12
],
[
622,
302,
16,
11
],
[
641,
302,
51,
11
],
[
622,
315,
35,
12
],
[
660,
315,
51,
12
],
[
714,
315,
53,
12
],
[
637,
332,
14,
8
],
[
654,
327,
7,
12
],
[
663,
327,
19,
12
],
[
685,
327,
6,
12
],
[
693,
324,
9,
14
],
[
708,
325,
4,
8
],
[
637,
344,
13,
8
],
[
653,
340,
7,
11
],
[
671,
340,
19,
11
],
[
692,
340,
6,
11
],
[
700,
337,
9,
14
],
[
715,
338,
4,
8
],
[
435,
422,
26,
11
],
[
473,
422,
8,
11
],
[
435,
445,
45,
11
],
[
491,
444,
15,
12
],
[
539,
422,
26,
11
],
[
539,
445,
17,
11
],
[
598,
422,
9,
11
],
[
598,
445,
17,
11
],
[
618,
422,
8,
11
],
[
659,
422,
8,
11
],
[
679,
422,
8,
11
],
[
659,
445,
27,
11
],
[
689,
445,
18,
11
],
[
739,
422,
26,
11
],
[
776,
422,
8,
11
],
[
739,
445,
15,
11
],
[
435,
464,
41,
10
],
[
479,
464,
21,
10
],
[
502,
464,
10,
10
],
[
515,
464,
8,
10
],
[
532,
464,
5,
10
],
[
538,
467,
8,
10
],
[
548,
463,
7,
13
],
[
556,
464,
5,
10
],
[
572,
463,
6,
13
],
[
449,
494,
26,
13
],
[
477,
494,
53,
13
],
[
532,
494,
63,
13
],
[
597,
494,
74,
13
],
[
673,
494,
31,
13
],
[
706,
494,
18,
13
],
[
726,
494,
58,
13
],
[
435,
509,
66,
13
],
[
505,
509,
22,
13
],
[
531,
509,
52,
13
],
[
586,
509,
66,
13
],
[
656,
509,
57,
13
],
[
716,
509,
24,
13
],
[
744,
509,
11,
13
],
[
758,
509,
26,
13
],
[
435,
524,
49,
13
],
[
489,
524,
60,
13
],
[
553,
524,
56,
13
],
[
614,
524,
31,
13
],
[
649,
524,
57,
13
],
[
711,
524,
24,
13
],
[
740,
524,
11,
13
],
[
755,
524,
30,
13
],
[
435,
540,
49,
13
],
[
495,
539,
62,
13
],
[
568,
540,
56,
13
],
[
635,
540,
31,
13
],
[
677,
540,
51,
13
],
[
739,
540,
45,
13
],
[
435,
555,
56,
13
],
[
497,
555,
44,
13
],
[
547,
555,
10,
13
],
[
562,
555,
45,
13
],
[
613,
555,
31,
13
],
[
650,
555,
44,
13
],
[
699,
555,
24,
13
],
[
728,
555,
11,
13
],
[
745,
555,
40,
13
],
[
435,
570,
42,
13
],
[
481,
570,
15,
13
],
[
500,
570,
60,
13
],
[
563,
570,
62,
13
],
[
629,
570,
19,
13
],
[
651,
570,
52,
13
],
[
707,
570,
33,
13
],
[
743,
570,
31,
13
],
[
449,
602,
22,
14
],
[
474,
602,
43,
14
],
[
520,
602,
18,
14
],
[
540,
602,
45,
14
],
[
587,
602,
12,
14
],
[
602,
602,
18,
14
],
[
623,
602,
48,
14
],
[
673,
602,
46,
14
],
[
721,
602,
44,
14
],
[
767,
602,
17,
14
],
[
435,
618,
48,
14
],
[
487,
618,
44,
14
],
[
535,
618,
35,
14
],
[
573,
618,
21,
14
],
[
598,
618,
83,
14
],
[
435,
655,
73,
12
],
[
513,
655,
21,
12
],
[
539,
655,
18,
12
],
[
562,
655,
32,
12
],
[
599,
655,
15,
12
],
[
618,
655,
18,
12
],
[
640,
655,
28,
12
],
[
672,
655,
16,
12
],
[
693,
655,
43,
12
],
[
741,
655,
24,
12
],
[
769,
655,
16,
12
],
[
435,
668,
26,
12
],
[
464,
668,
48,
12
],
[
515,
668,
40,
12
],
[
558,
668,
57,
12
],
[
618,
668,
46,
12
],
[
435,
705,
70,
15
],
[
435,
727,
38,
12
],
[
475,
727,
13,
12
],
[
490,
727,
10,
12
],
[
503,
727,
9,
12
],
[
514,
727,
40,
12
],
[
556,
727,
10,
12
],
[
568,
727,
11,
12
],
[
581,
727,
32,
12
],
[
615,
727,
52,
12
],
[
669,
727,
33,
12
],
[
704,
727,
59,
12
],
[
765,
727,
20,
12
],
[
446,
739,
28,
12
],
[
477,
739,
40,
12
],
[
519,
739,
53,
12
],
[
575,
739,
49,
12
],
[
627,
739,
26,
12
],
[
435,
752,
41,
12
],
[
480,
752,
11,
12
],
[
493,
752,
11,
12
],
[
507,
752,
32,
12
],
[
542,
751,
34,
12
],
[
579,
751,
29,
12
],
[
610,
751,
16,
12
],
[
629,
751,
16,
12
],
[
648,
752,
13,
12
],
[
664,
752,
50,
12
],
[
435,
764,
30,
12
],
[
469,
764,
13,
12
],
[
484,
764,
9,
12
],
[
496,
764,
27,
12
],
[
526,
764,
10,
12
],
[
539,
764,
10,
12
],
[
551,
764,
32,
12
],
[
586,
764,
26,
12
],
[
615,
764,
37,
12
],
[
655,
764,
20,
12
],
[
678,
764,
8,
12
],
[
689,
764,
50,
12
],
[
435,
777,
42,
12
],
[
480,
777,
10,
12
],
[
493,
777,
9,
12
],
[
505,
777,
53,
12
],
[
560,
777,
13,
12
],
[
576,
777,
7,
12
],
[
585,
777,
32,
12
],
[
620,
776,
29,
12
],
[
652,
776,
20,
12
],
[
675,
777,
19,
12
],
[
696,
777,
50,
12
],
[
435,
789,
59,
11
],
[
496,
789,
32,
11
],
[
530,
789,
59,
11
],
[
591,
789,
61,
11
],
[
654,
789,
18,
11
],
[
674,
789,
53,
11
],
[
729,
789,
28,
11
],
[
759,
789,
26,
11
],
[
435,
801,
43,
12
],
[
482,
801,
9,
12
],
[
495,
801,
14,
12
],
[
512,
801,
31,
12
],
[
546,
801,
11,
12
],
[
561,
801,
14,
12
],
[
579,
801,
62,
12
],
[
645,
801,
8,
12
],
[
656,
801,
9,
12
],
[
669,
801,
53,
12
],
[
726,
801,
13,
12
],
[
742,
801,
7,
12
],
[
753,
801,
32,
12
],
[
446,
814,
26,
12
],
[
476,
814,
37,
12
],
[
516,
814,
20,
12
],
[
539,
814,
8,
12
],
[
550,
814,
50,
12
],
[
435,
826,
46,
12
],
[
484,
826,
11,
12
],
[
497,
826,
13,
12
],
[
513,
826,
32,
12
],
[
547,
826,
21,
12
],
[
571,
826,
26,
12
],
[
601,
826,
22,
12
],
[
626,
826,
39,
12
],
[
435,
839,
41,
12
],
[
479,
839,
11,
12
],
[
493,
839,
38,
12
],
[
533,
839,
20,
12
],
[
556,
839,
38,
12
],
[
596,
839,
10,
12
],
[
608,
839,
7,
12
],
[
618,
839,
15,
12
],
[
635,
839,
32,
12
],
[
669,
839,
12,
12
],
[
683,
839,
34,
12
],
[
720,
839,
7,
12
],
[
729,
839,
13,
12
],
[
744,
839,
10,
12
],
[
756,
839,
9,
12
],
[
768,
839,
17,
12
],
[
446,
851,
15,
12
],
[
465,
851,
30,
12
],
[
498,
851,
13,
12
],
[
513,
851,
10,
12
],
[
527,
851,
32,
12
],
[
561,
851,
27,
12
],
[
590,
851,
37,
12
],
[
631,
851,
20,
12
],
[
654,
851,
8,
12
],
[
665,
851,
50,
12
],
[
435,
864,
25,
11
],
[
464,
864,
12,
11
],
[
478,
864,
10,
11
],
[
491,
864,
32,
11
],
[
525,
864,
21,
11
],
[
550,
864,
26,
11
],
[
579,
864,
22,
12
],
[
604,
864,
39,
11
],
[
62,
1062,
22,
12
],
[
87,
1062,
28,
12
],
[
118,
1062,
35,
12
],
[
155,
1062,
22,
12
],
[
180,
1062,
31,
12
],
[
366,
1062,
165,
12
],
[
685,
1062,
9,
12
],
[
698,
1062,
9,
12
],
[
710,
1062,
12,
12
],
[
738,
1058,
46,
17
]
] | [
"Acta",
"Crystallographica",
"Section",
"E",
"Structure",
"Reports",
"Online",
"ISSN",
"1600-5368",
"3,5-Dimethoxy-N,N-bis(2-pyridyl-",
"methyl)aniline",
"Hongjuan",
"Li,*",
"Xianping",
"Dai",
"and",
"Jufeng",
"Sun",
"School",
"of",
"Pharmacy,",
"Binzhou",
"Medical",
"College,",
"Yantai",
"264003,",
"People’s",
"Republic",
"of",
"China",
"Correspondence",
"e-mail:",
"hjli80@163.com",
"Received",
"12",
"November",
"2009;",
"accepted",
"16",
"November",
"2009",
"Key",
"indicators:",
"single-crystal",
"X-ray",
"study;",
"T",
"=",
"113",
"K;",
"mean",
"(C–C)",
"=",
"0.002",
"A˚;",
"R",
"factor",
"=",
"0.041;",
"wR",
"factor",
"=",
"0.113;",
"data-to-parameter",
"ratio",
"=",
"18.0.",
"In",
"the",
"title",
"molecule,",
"C20H21N3O2,",
"the",
"benzene",
"ring",
"forms",
"dihedral",
"angles",
"of",
"80.8",
"(1)",
"and",
"83.5",
"(1)",
"with",
"the",
"two",
"terminal",
"pyridine",
"rings.",
"In",
"the",
"crystal",
"structure,",
"weak",
"intermolecular",
"C—H",
"O",
"hydrogen",
"bonds",
"link",
"the",
"molecules",
"into",
"chains",
"propagating",
"in",
"[001].",
"Related",
"literature",
"For",
"general",
"background",
"to",
"organic",
"ligand-based",
"crystal",
"materials,",
"see:",
"Desiraju",
"(2007);",
"Moulton",
"&",
"Zaworotko",
"(2001).",
"For",
"related",
"structures,",
"see:",
"Frisch",
"&",
"Cahil",
"(2008);",
"Shattock",
"et",
"al.",
"(2008);",
"Shirman",
"et",
"al.",
"(2008).",
"Experimental",
"Crystal",
"data",
"C20H21N3O2",
"Mr",
"=",
"335.40",
"Monoclinic,",
"P21=c",
"a",
"=",
"15.630",
"(3)",
"A˚",
"b",
"=",
"5.9562",
"(12)",
"A˚",
"c",
"=",
"20.088",
"(4)",
"A˚",
"=",
"111.55",
"(3)",
"V",
"=",
"1739.3",
"(6)",
"A˚",
"3",
"Z",
"=",
"4",
"Data",
"collection",
"Rigaku",
"Saturn",
"CCD",
"area-detector",
"diffractometer",
"Absorption",
"correction:",
"multi-scan",
"(CrystalClear;",
"Rigaku/MSC,",
"2005)",
"Tmin",
"=",
"0.978,",
"Tmax",
"=",
"0.983",
"Refinement",
"R[F",
"2",
">",
"2",
"(F",
"2)]",
"=",
"0.041",
"wR(F",
"2)",
"=",
"0.113",
"S",
"=",
"1.10",
"4106",
"reflections",
"Table",
"1",
"Hydrogen-bond",
"geometry",
"(A˚",
",",
").",
"organic",
"compounds",
"Mo",
"K",
"radiation",
"=",
"0.08",
"mm",
"1",
"T",
"=",
"113",
"K",
"0.27",
"0.25",
"0.20",
"mm",
"14749",
"measured",
"reflections",
"4106",
"independent",
"reflections",
"3258",
"reflections",
"with",
"I",
">",
"2",
"(I)",
"Rint",
"=",
"0.038",
"228",
"parameters",
"H-atom",
"parameters",
"constrained",
"max",
"=",
"0.22",
"e",
"A˚",
"3",
"min",
"=",
"0.21",
"e",
"A˚",
"3",
"D—H",
"A",
"C14—H14",
"O2i",
"D—H",
"0.95",
"H",
"2.49",
"A",
"D",
"A",
"3.3050",
"(15)",
"D—H",
"A",
"144",
"Symmetry",
"code:",
"(i)",
"x;",
"y",
"þ",
"32;",
"z",
"12.",
"Data",
"collection:",
"CrystalClear",
"(Rigaku/MSC,",
"2005);",
"cell",
"refinement:",
"CrystalClear;",
"data",
"reduction:",
"CrystalClear;",
"program(s)",
"used",
"to",
"solve",
"structure:",
"SHELXS97",
"(Sheldrick,",
"2008);",
"program(s)",
"used",
"to",
"refine",
"structure:",
"SHELXL97",
"(Sheldrick,",
"2008);",
"molecular",
"graphics:",
"ORTEPIII",
"(Burnett",
"&",
"Johnson,",
"1996);",
"software",
"used",
"to",
"prepare",
"material",
"for",
"publication:",
"SHELXL97",
"and",
"PLATON",
"(Spek,",
"2009).",
"The",
"authors",
"are",
"grateful",
"to",
"the",
"Binzhou",
"Medical",
"College",
"for",
"financial",
"support",
"(grant",
"No.",
"BY2007KJ13).",
"Supplementary",
"data",
"and",
"figures",
"for",
"this",
"paper",
"are",
"available",
"from",
"the",
"IUCr",
"electronic",
"archives",
"(Reference:",
"CV2657).",
"References",
"Burnett,",
"M.",
"N.",
"&",
"Johnson,",
"C.",
"K.",
"(1996).",
"ORTEPIII.",
"Report",
"ORNL-6895.",
"Oak",
"Ridge",
"National",
"Laboratory,",
"Tennessee,",
"USA.",
"Desiraju,",
"G.",
"R.",
"(2007).",
"Angew.",
"Chem.",
"Int.",
"Ed.",
"45,",
"8342–8356.",
"Frisch,",
"M.",
"&",
"Cahil,",
"C.",
"L.",
"(2008).",
"Cryst.",
"Growth.",
"Des.",
"8,",
"2921–2928.",
"Moulton,",
"B.",
"&",
"Zaworotko,",
"M.",
"J.",
"(2001).",
"Chem.",
"Rev.",
"101,",
"1629–1658.",
"Rigaku/MSC",
"(2005).",
"CrystalClear.",
"Rigaku/MSC,",
"The",
"Woodlands,",
"Texas,",
"USA.",
"Shattock,",
"T.",
"R.,",
"Arora,",
"K.",
"K.,",
"Vishweshwar,",
"P.",
"&",
"Zaworotko,",
"M.",
"J.",
"(2008).",
"Cryst.",
"Growth.",
"Des.",
"8,",
"4533–4545.",
"Sheldrick,",
"G.",
"M.",
"(2008).",
"Acta",
"Cryst.",
"A64,",
"112–122.",
"Shirman,",
"T.,",
"Lamere,",
"J.-F.,",
"Shimon,",
"L.",
"J.",
"W.,",
"Gupta,",
"T.,",
"Martin,",
"J.",
"M.",
"L.",
"&",
"van",
"der",
"Boom,",
"M.",
"E.",
"(2008).",
"Cryst.",
"Growth.",
"Des.",
"8,",
"3066–3072.",
"Spek,",
"A.",
"L.",
"(2009).",
"Acta",
"Cryst.",
"D65,",
"148–155.",
"Acta",
"Cryst.",
"(2009).",
"E65,",
"o3139",
"doi:10.1107/S1600536809048685",
"Li",
"et",
"al.",
"o3139"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
15,
15,
15,
15,
15,
15,
15,
16,
16,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
11,
11,
11,
11,
11,
11,
11,
11,
11,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
7,
7,
7,
7,
7,
0,
9,
9,
9,
4
] |
321,647 | null | [
[
76,
47,
84,
34
],
[
172,
47,
122,
34
],
[
306,
47,
150,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
76,
143,
42,
23
],
[
123,
143,
112,
23
],
[
241,
143,
38,
23
],
[
285,
143,
133,
23
],
[
423,
143,
20,
23
],
[
449,
143,
79,
23
],
[
534,
143,
60,
23
],
[
600,
143,
35,
23
],
[
640,
143,
42,
23
],
[
688,
143,
20,
23
],
[
76,
168,
99,
23
],
[
180,
168,
108,
23
],
[
294,
168,
20,
23
],
[
319,
168,
61,
23
],
[
386,
168,
116,
23
],
[
508,
168,
51,
23
],
[
565,
168,
91,
23
],
[
661,
168,
12,
23
],
[
678,
168,
12,
23
],
[
696,
168,
68,
23
],
[
76,
193,
72,
23
],
[
153,
193,
79,
23
],
[
237,
193,
99,
23
],
[
341,
193,
35,
23
],
[
381,
193,
84,
23
],
[
469,
193,
95,
23
],
[
569,
193,
46,
23
],
[
620,
193,
51,
23
],
[
676,
193,
39,
23
],
[
720,
193,
50,
23
],
[
76,
218,
72,
21
],
[
153,
218,
76,
21
],
[
234,
218,
32,
21
],
[
271,
218,
38,
21
],
[
313,
218,
35,
21
],
[
353,
218,
61,
21
],
[
419,
218,
43,
21
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
268,
41,
12
],
[
119,
268,
58,
12
],
[
180,
268,
10,
12
],
[
193,
268,
33,
12
],
[
229,
268,
48,
12
],
[
279,
268,
15,
12
],
[
296,
268,
21,
12
],
[
320,
268,
34,
12
],
[
356,
268,
32,
12
],
[
391,
268,
10,
12
],
[
404,
268,
48,
12
],
[
454,
268,
15,
12
],
[
471,
268,
24,
12
],
[
498,
268,
26,
12
],
[
76,
288,
31,
12
],
[
110,
288,
39,
12
],
[
151,
288,
38,
12
],
[
191,
288,
4,
12
],
[
198,
288,
107,
12
],
[
307,
288,
17,
12
],
[
326,
288,
20,
12
],
[
349,
288,
4,
12
],
[
355,
288,
130,
12
],
[
487,
288,
33,
12
],
[
522,
288,
23,
12
],
[
548,
288,
4,
12
],
[
554,
288,
115,
12
],
[
76,
304,
7,
11
],
[
85,
304,
73,
11
],
[
160,
304,
33,
11
],
[
76,
363,
45,
11
],
[
124,
363,
12,
11
],
[
138,
363,
48,
11
],
[
189,
363,
23,
11
],
[
76,
382,
21,
12
],
[
100,
382,
27,
12
],
[
130,
382,
33,
12
],
[
165,
382,
25,
12
],
[
193,
382,
20,
12
],
[
76,
402,
20,
12
],
[
98,
402,
28,
12
],
[
129,
402,
7,
12
],
[
139,
402,
38,
12
],
[
179,
402,
25,
12
],
[
207,
402,
215,
12
],
[
430,
363,
43,
11
],
[
476,
363,
11,
11
],
[
490,
363,
20,
11
],
[
512,
363,
23,
11
],
[
430,
376,
46,
12
],
[
478,
376,
12,
12
],
[
492,
376,
48,
12
],
[
543,
376,
23,
12
],
[
76,
422,
9,
12
],
[
87,
422,
23,
12
],
[
113,
422,
34,
12
],
[
150,
422,
10,
12
],
[
162,
422,
10,
12
],
[
174,
422,
36,
12
],
[
213,
422,
35,
12
],
[
251,
422,
35,
12
],
[
288,
422,
18,
12
],
[
308,
422,
19,
12
],
[
330,
422,
7,
12
],
[
340,
422,
11,
12
],
[
353,
422,
26,
12
],
[
382,
422,
31,
12
],
[
416,
422,
31,
12
],
[
450,
422,
40,
12
],
[
492,
422,
35,
12
],
[
529,
422,
16,
12
],
[
549,
422,
62,
12
],
[
613,
422,
9,
12
],
[
625,
422,
16,
12
],
[
644,
422,
28,
12
],
[
675,
422,
15,
12
],
[
693,
422,
45,
12
],
[
740,
422,
8,
12
],
[
751,
422,
10,
12
],
[
76,
435,
27,
12
],
[
106,
435,
14,
12
],
[
122,
435,
16,
12
],
[
141,
435,
40,
12
],
[
183,
435,
41,
12
],
[
226,
435,
16,
12
],
[
245,
435,
29,
12
],
[
276,
435,
7,
12
],
[
286,
435,
46,
12
],
[
334,
435,
24,
12
],
[
361,
435,
20,
12
],
[
384,
435,
15,
12
],
[
401,
435,
35,
12
],
[
439,
435,
33,
12
],
[
475,
435,
23,
12
],
[
76,
496,
32,
12
],
[
110,
496,
54,
12
],
[
166,
496,
22,
12
],
[
191,
496,
266,
12
],
[
155,
535,
62,
15
],
[
155,
556,
80,
14
],
[
240,
556,
35,
14
],
[
281,
556,
62,
14
],
[
348,
556,
27,
14
],
[
380,
556,
53,
14
],
[
439,
556,
38,
14
],
[
483,
556,
18,
14
],
[
506,
556,
52,
14
],
[
564,
556,
22,
14
],
[
591,
556,
47,
14
],
[
644,
556,
33,
14
],
[
682,
556,
9,
14
],
[
155,
572,
37,
14
],
[
195,
572,
26,
14
],
[
224,
572,
19,
14
],
[
245,
572,
29,
14
],
[
277,
572,
55,
14
],
[
335,
572,
52,
14
],
[
389,
572,
59,
14
],
[
451,
572,
21,
14
],
[
475,
572,
33,
14
],
[
511,
572,
12,
14
],
[
526,
572,
45,
14
],
[
574,
572,
44,
14
],
[
621,
572,
70,
14
],
[
155,
588,
11,
14
],
[
170,
588,
20,
14
],
[
193,
588,
60,
14
],
[
255,
588,
32,
14
],
[
291,
588,
18,
14
],
[
312,
588,
23,
14
],
[
338,
588,
11,
14
],
[
353,
588,
56,
14
],
[
412,
588,
10,
14
],
[
426,
588,
55,
14
],
[
483,
588,
33,
14
],
[
155,
612,
59,
14
],
[
217,
612,
22,
14
],
[
242,
612,
30,
14
],
[
275,
612,
21,
14
],
[
300,
612,
58,
14
],
[
361,
612,
10,
14
],
[
375,
612,
44,
14
],
[
422,
612,
43,
14
],
[
469,
612,
24,
14
],
[
496,
612,
48,
14
],
[
547,
612,
36,
14
],
[
587,
612,
42,
14
],
[
631,
612,
11,
14
],
[
646,
612,
45,
14
],
[
155,
628,
26,
14
],
[
184,
628,
7,
14
],
[
194,
628,
42,
14
],
[
239,
628,
12,
14
],
[
255,
628,
7,
14
],
[
265,
628,
29,
14
],
[
297,
628,
25,
14
],
[
325,
628,
49,
14
],
[
377,
628,
24,
14
],
[
405,
628,
30,
14
],
[
438,
628,
56,
14
],
[
497,
628,
29,
14
],
[
529,
628,
46,
14
],
[
578,
628,
30,
14
],
[
612,
628,
8,
14
],
[
623,
628,
21,
14
],
[
647,
628,
18,
14
],
[
669,
628,
22,
14
],
[
155,
644,
60,
14
],
[
218,
644,
10,
14
],
[
230,
644,
18,
14
],
[
251,
644,
42,
14
],
[
295,
644,
36,
14
],
[
334,
644,
79,
14
],
[
415,
644,
32,
14
],
[
450,
644,
18,
14
],
[
470,
644,
42,
14
],
[
515,
644,
36,
14
],
[
553,
644,
43,
14
],
[
598,
644,
17,
14
],
[
617,
644,
51,
14
],
[
671,
644,
20,
14
],
[
155,
661,
70,
14
],
[
228,
661,
27,
14
],
[
259,
661,
18,
14
],
[
280,
661,
25,
14
],
[
308,
661,
60,
14
],
[
371,
661,
32,
14
],
[
406,
661,
30,
14
],
[
439,
661,
21,
14
],
[
464,
661,
26,
14
],
[
493,
661,
36,
14
],
[
533,
661,
18,
14
],
[
554,
661,
25,
14
],
[
155,
684,
49,
14
],
[
208,
684,
11,
14
],
[
222,
684,
21,
14
],
[
246,
684,
27,
14
],
[
276,
684,
18,
14
],
[
298,
684,
42,
14
],
[
343,
684,
19,
14
],
[
365,
684,
21,
14
],
[
390,
684,
17,
14
],
[
410,
684,
8,
14
],
[
422,
684,
17,
14
],
[
442,
684,
32,
14
],
[
478,
684,
22,
14
],
[
503,
684,
26,
14
],
[
533,
684,
43,
14
],
[
579,
684,
17,
14
],
[
600,
684,
18,
14
],
[
621,
684,
22,
14
],
[
646,
684,
29,
14
],
[
678,
684,
12,
14
],
[
155,
700,
30,
14
],
[
187,
700,
75,
14
],
[
265,
700,
32,
14
],
[
300,
700,
20,
14
],
[
322,
700,
12,
14
],
[
337,
700,
14,
14
],
[
353,
700,
53,
14
],
[
409,
700,
35,
14
],
[
446,
700,
51,
14
],
[
500,
700,
55,
14
],
[
558,
700,
24,
14
],
[
585,
700,
33,
14
],
[
620,
700,
70,
14
],
[
155,
717,
35,
14
],
[
193,
717,
89,
14
],
[
285,
717,
35,
14
],
[
323,
717,
68,
14
],
[
393,
717,
35,
14
],
[
431,
717,
38,
14
],
[
472,
717,
51,
14
],
[
526,
717,
32,
14
],
[
561,
717,
20,
14
],
[
583,
717,
56,
14
],
[
642,
717,
35,
14
],
[
680,
717,
11,
14
],
[
155,
733,
23,
14
],
[
182,
733,
18,
14
],
[
204,
733,
26,
14
],
[
233,
733,
20,
14
],
[
257,
733,
47,
14
],
[
307,
733,
56,
14
],
[
367,
733,
10,
14
],
[
381,
733,
23,
14
],
[
407,
733,
33,
14
],
[
444,
733,
27,
14
],
[
475,
733,
23,
14
],
[
502,
733,
43,
14
],
[
548,
733,
22,
14
],
[
574,
733,
56,
14
],
[
634,
733,
34,
14
],
[
672,
733,
19,
14
],
[
155,
749,
24,
14
],
[
181,
749,
10,
14
],
[
193,
749,
30,
14
],
[
225,
749,
20,
14
],
[
248,
749,
23,
14
],
[
273,
749,
30,
14
],
[
305,
749,
22,
14
],
[
330,
749,
30,
14
],
[
362,
749,
9,
14
],
[
373,
749,
6,
14
],
[
381,
749,
60,
14
],
[
444,
749,
42,
14
],
[
489,
749,
23,
14
],
[
514,
749,
30,
14
],
[
546,
749,
22,
14
],
[
571,
749,
30,
14
],
[
603,
749,
9,
14
],
[
614,
749,
6,
14
],
[
623,
749,
23,
14
],
[
648,
749,
42,
14
],
[
155,
765,
47,
14
],
[
206,
765,
45,
14
],
[
256,
765,
18,
14
],
[
278,
765,
20,
14
],
[
303,
765,
35,
14
],
[
342,
765,
54,
14
],
[
400,
765,
29,
14
],
[
433,
765,
57,
14
],
[
494,
765,
24,
14
],
[
523,
765,
32,
14
],
[
560,
765,
70,
14
],
[
634,
765,
12,
14
],
[
651,
765,
40,
14
],
[
155,
782,
56,
14
],
[
214,
782,
12,
14
],
[
229,
782,
8,
14
],
[
240,
782,
27,
14
],
[
270,
782,
7,
14
],
[
280,
782,
8,
14
],
[
292,
782,
31,
14
],
[
325,
782,
73,
14
],
[
401,
782,
34,
14
],
[
438,
782,
47,
14
],
[
489,
782,
51,
14
],
[
543,
782,
55,
14
],
[
601,
782,
12,
14
],
[
616,
782,
8,
14
],
[
627,
782,
38,
14
],
[
668,
782,
23,
14
],
[
155,
798,
54,
14
],
[
212,
798,
75,
14
],
[
291,
798,
12,
14
],
[
305,
798,
8,
14
],
[
317,
798,
28,
14
],
[
348,
798,
20,
14
],
[
372,
798,
18,
14
],
[
393,
798,
43,
14
],
[
440,
798,
22,
14
],
[
465,
798,
56,
14
],
[
525,
798,
23,
14
],
[
551,
798,
10,
14
],
[
565,
798,
30,
14
],
[
598,
798,
12,
14
],
[
613,
798,
8,
14
],
[
624,
798,
35,
14
],
[
662,
798,
29,
14
],
[
155,
814,
57,
14
],
[
215,
814,
24,
14
],
[
242,
814,
6,
14
],
[
252,
814,
40,
14
],
[
295,
814,
65,
14
],
[
364,
814,
17,
14
],
[
384,
814,
59,
14
],
[
155,
838,
80,
14
],
[
239,
838,
10,
14
],
[
253,
838,
41,
14
],
[
299,
838,
11,
14
],
[
315,
838,
18,
14
],
[
337,
838,
41,
14
],
[
383,
838,
51,
14
],
[
438,
838,
18,
14
],
[
460,
838,
49,
14
],
[
514,
838,
24,
14
],
[
543,
838,
30,
14
],
[
577,
838,
18,
14
],
[
600,
838,
53,
14
],
[
657,
838,
12,
14
],
[
674,
838,
17,
14
],
[
155,
854,
59,
14
],
[
218,
854,
58,
14
],
[
280,
854,
28,
14
],
[
312,
854,
32,
14
],
[
349,
854,
57,
14
],
[
410,
854,
30,
14
],
[
444,
854,
45,
14
],
[
493,
854,
21,
14
],
[
518,
854,
49,
14
],
[
571,
854,
56,
14
],
[
632,
854,
10,
14
],
[
646,
854,
18,
14
],
[
668,
854,
23,
14
],
[
155,
870,
20,
14
],
[
178,
870,
18,
14
],
[
200,
870,
30,
14
],
[
232,
870,
22,
14
],
[
258,
870,
56,
14
],
[
317,
870,
24,
14
],
[
344,
870,
10,
14
],
[
357,
870,
33,
14
],
[
76,
939,
84,
15
],
[
76,
955,
47,
14
],
[
129,
955,
27,
14
],
[
161,
955,
37,
14
],
[
204,
955,
66,
14
],
[
276,
955,
29,
14
],
[
311,
955,
53,
14
],
[
369,
955,
42,
14
],
[
76,
972,
58,
14
],
[
140,
972,
7,
14
],
[
152,
972,
35,
14
],
[
193,
972,
24,
14
],
[
222,
972,
13,
14
],
[
240,
972,
19,
14
],
[
265,
972,
47,
14
],
[
317,
972,
24,
14
],
[
347,
972,
65,
14
],
[
76,
988,
56,
14
],
[
135,
988,
39,
14
],
[
177,
988,
19,
14
],
[
199,
988,
38,
14
],
[
239,
988,
46,
14
],
[
288,
988,
21,
14
],
[
312,
988,
13,
14
],
[
327,
988,
30,
14
],
[
360,
988,
29,
14
],
[
392,
988,
19,
14
],
[
76,
1005,
51,
14
],
[
130,
1005,
34,
14
],
[
167,
1005,
10,
14
],
[
180,
1005,
26,
14
],
[
210,
1005,
23,
14
],
[
236,
1005,
30,
14
],
[
269,
1005,
10,
14
],
[
282,
1005,
16,
14
],
[
302,
1005,
29,
14
],
[
334,
1005,
17,
14
],
[
355,
1005,
57,
14
],
[
434,
939,
57,
14
],
[
497,
939,
32,
14
],
[
535,
939,
34,
14
],
[
574,
939,
62,
14
],
[
641,
939,
52,
14
],
[
698,
939,
13,
14
],
[
716,
939,
53,
14
],
[
434,
955,
57,
14
],
[
493,
955,
57,
14
],
[
553,
955,
17,
14
],
[
572,
955,
34,
14
],
[
609,
955,
52,
14
],
[
663,
955,
24,
14
],
[
689,
955,
62,
14
],
[
753,
955,
16,
14
],
[
434,
972,
20,
14
],
[
459,
972,
26,
14
],
[
490,
972,
26,
14
],
[
521,
972,
53,
14
],
[
578,
972,
23,
14
],
[
605,
972,
42,
14
],
[
652,
972,
19,
14
],
[
675,
972,
77,
14
],
[
757,
972,
13,
14
],
[
434,
988,
49,
14
],
[
486,
988,
50,
14
],
[
540,
988,
42,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"BMC",
"Family",
"Practice",
"Research",
"article",
"The",
"knowledge",
"and",
"expectations",
"of",
"parents",
"about",
"the",
"role",
"of",
"antibiotic",
"treatment",
"in",
"upper",
"respiratory",
"tract",
"infection",
"–",
"a",
"survey",
"among",
"parents",
"attending",
"the",
"primary",
"physician",
"with",
"their",
"sick",
"child",
"Shlomo",
"Vinker*,",
"Adi",
"Ron",
"and",
"Eliezer",
"Kitai",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"Department",
"of",
"Family",
"Medicine,",
"Tel",
"Aviv",
"Sackler",
"school",
"of",
"Medicine,",
"Tel",
"Aviv,",
"Israel",
"Email:",
"Shlomo",
"Vinker*",
"-",
"vinker01@inter.net.il;",
"Adi",
"Ron",
"-",
"yoninadi@netvision.net.il;",
"Eliezer",
"Kitai",
"-",
"drkitai@netvision.net.il",
"*",
"Corresponding",
"author",
"Published:",
"30",
"December",
"2003",
"BMC",
"Family",
"Practice",
"2003,",
"4:20",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2296/4/20",
"Received:",
"25",
"June",
"2003",
"Accepted:",
"30",
"December",
"2003",
"©",
"2003",
"Shlomo",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article:",
"verbatim",
"copying",
"and",
"redistribution",
"of",
"this",
"article",
"are",
"permitted",
"in",
"all",
"media",
"for",
"any",
"purpose,",
"provided",
"this",
"notice",
"is",
"preserved",
"along",
"with",
"the",
"article's",
"original",
"URL.",
"Upper",
"respiratory",
"tract",
"infectionantibioticschildrenparentsknowledgeattitude",
"Abstract",
"Background:",
"Upper",
"respiratory",
"tract",
"infections",
"(URTI)",
"are",
"common.",
"The",
"etiologic",
"factor",
"is",
"usually",
"viral,",
"but",
"many",
"physicians",
"prescribe",
"antibiotics.",
"We",
"aimed",
"to",
"evaluate",
"parents'",
"expectations",
"of",
"and",
"knowledge",
"about",
"the",
"role",
"of",
"antibiotics",
"in",
"childhood",
"URTI.",
"Methods:",
"The",
"study",
"was",
"conducted",
"in",
"thirteen",
"primary",
"care",
"pediatric",
"clinics.",
"Parents",
"of",
"children",
"aged",
"3",
"months",
"to",
"6",
"years",
"who",
"attended",
"with",
"URTI",
"symptoms",
"were",
"included",
"when",
"it",
"was",
"the",
"first",
"attendance",
"in",
"the",
"current",
"illness.",
"Questionnaire",
"about",
"the",
"current",
"illness,",
"reasons",
"for",
"attending",
"and",
"expectations",
"from",
"the",
"visit,",
"knowledge",
"about",
"URTI",
"was",
"filled",
"before",
"the",
"visit.",
"Results:",
"In",
"122",
"visits",
"the",
"average",
"age",
"was",
"2.8",
"±",
"1.9",
"years.",
"The",
"main",
"reasons",
"for",
"the",
"visit",
"were",
"to",
"avoid",
"complications",
"(81%)",
"and",
"to",
"be",
"examined",
"(78%).",
"Expected",
"treatment",
"was:",
"cough",
"suppressants",
"(64%),",
"anti-congestants",
"(57%),",
"paracetamol",
"(56%),",
"natural",
"remedies",
"(53%)",
"and",
"antibiotics",
"(25%).",
"In",
"28%",
"the",
"child",
"had",
"received",
"antibiotics",
"in",
"past",
"URTI.",
"Only",
"37%",
"thought",
"that",
"antibiotics",
"would",
"not",
"help",
"in",
"URTI",
"and",
"27%",
"knew",
"that",
"URTI",
"is",
"a",
"self-limited",
"disease.",
"61%",
"knew",
"that",
"URTI",
"is",
"a",
"viral",
"disease.",
"Younger",
"parental",
"age",
"and",
"higher",
"education",
"were",
"associated",
"with",
"lower",
"expectations",
"to",
"receive",
"antibiotics",
"(p",
"=",
"0.01,",
"p",
"<",
"0.005",
"respectively).",
"While",
"previous",
"antibiotic",
"treatment",
"(p",
"<",
"0.001),",
"past",
"perceived",
"complications",
"(p",
"=",
"0.05)",
"and",
"the",
"thought",
"that",
"antibiotics",
"help",
"in",
"URTI",
"(p",
"<",
"0.001)",
"were",
"associated",
"with",
"a",
"greater",
"expectation",
"for",
"antibiotics.",
"Conclusions:",
"A",
"quarter",
"of",
"the",
"parents",
"attending",
"the",
"physician",
"with",
"URTI",
"are",
"expecting",
"to",
"get",
"antibiotics.",
"Predictors",
"were",
"lower",
"education,",
"older",
"parental",
"age,",
"receiving",
"antibiotics",
"in",
"the",
"past",
"and",
"the",
"belief",
"that",
"antibiotics",
"help",
"in",
"URTI.",
"Background",
"Patients",
"with",
"Upper",
"Respiratory",
"Tract",
"Infection",
"(URTI)",
"constitute",
"a",
"major",
"part",
"of",
"the",
"primary",
"care",
"physician's",
"workload",
"during",
"the",
"winter",
"months",
"[1].",
"In",
"most",
"cases",
"the",
"etiologic",
"factor",
"is",
"viral",
"and",
"there",
"is",
"no",
"need",
"for",
"antibiotic",
"treatment",
"[2,3].",
"Many",
"physicians",
"continue",
"to",
"prescribe",
"antibiotic",
"treatment",
"for",
"URTI,",
"knowing",
"that",
"antibiotics",
"do",
"not",
"help",
"viral",
"infection",
"and",
"despite",
"the",
"development",
"of",
"resistant",
"bacterial",
"strains.",
"Page",
"1",
"of",
"6",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
17,
17,
17,
17,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,125,276 | null | [
[
78,
47,
45,
12
],
[
126,
47,
9,
12
],
[
138,
47,
11,
12
],
[
152,
47,
21,
12
],
[
176,
47,
77,
12
],
[
256,
47,
25,
12
],
[
285,
47,
26,
12
],
[
78,
61,
228,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
91,
34
],
[
179,
169,
27,
34
],
[
216,
169,
16,
34
],
[
242,
169,
119,
34
],
[
371,
169,
139,
34
],
[
520,
169,
56,
34
],
[
586,
169,
25,
34
],
[
621,
169,
44,
34
],
[
675,
169,
45,
34
],
[
78,
205,
139,
34
],
[
228,
205,
51,
34
],
[
289,
205,
25,
34
],
[
324,
205,
44,
34
],
[
378,
205,
114,
34
],
[
501,
205,
127,
34
],
[
639,
205,
72,
34
],
[
78,
241,
16,
34
],
[
104,
241,
147,
34
],
[
261,
241,
369,
34
],
[
640,
241,
85,
34
],
[
78,
277,
25,
34
],
[
113,
277,
64,
34
],
[
78,
324,
47,
16
],
[
130,
324,
66,
16
],
[
200,
321,
70,
19
],
[
275,
324,
38,
16
],
[
318,
324,
50,
16
],
[
372,
321,
45,
19
],
[
421,
324,
55,
16
],
[
480,
324,
15,
16
],
[
500,
324,
46,
16
],
[
550,
324,
15,
16
],
[
570,
321,
52,
19
],
[
626,
324,
46,
16
],
[
676,
321,
68,
19
],
[
78,
343,
43,
16
],
[
126,
340,
33,
19
],
[
164,
343,
22,
16
],
[
190,
343,
47,
16
],
[
242,
340,
69,
19
],
[
87,
397,
54,
15
],
[
87,
423,
76,
14
],
[
167,
423,
68,
14
],
[
239,
423,
36,
14
],
[
279,
423,
19,
14
],
[
302,
423,
47,
14
],
[
353,
423,
52,
14
],
[
410,
423,
43,
14
],
[
457,
423,
7,
14
],
[
468,
423,
49,
14
],
[
521,
423,
11,
14
],
[
537,
423,
45,
14
],
[
586,
423,
70,
14
],
[
659,
423,
22,
14
],
[
685,
423,
41,
14
],
[
87,
439,
19,
14
],
[
110,
439,
24,
14
],
[
139,
439,
30,
14
],
[
173,
439,
62,
14
],
[
239,
439,
12,
14
],
[
255,
439,
56,
14
],
[
315,
439,
55,
14
],
[
374,
439,
20,
14
],
[
399,
439,
66,
14
],
[
469,
439,
19,
14
],
[
492,
439,
50,
14
],
[
546,
439,
44,
14
],
[
594,
439,
21,
14
],
[
620,
439,
51,
14
],
[
675,
439,
26,
14
],
[
705,
439,
21,
14
],
[
87,
456,
48,
14
],
[
139,
456,
56,
14
],
[
199,
456,
21,
14
],
[
224,
456,
21,
14
],
[
249,
456,
11,
14
],
[
265,
456,
20,
14
],
[
289,
456,
28,
14
],
[
320,
456,
22,
14
],
[
346,
456,
47,
14
],
[
397,
456,
19,
14
],
[
420,
456,
36,
14
],
[
460,
456,
11,
14
],
[
476,
456,
7,
14
],
[
487,
456,
50,
14
],
[
541,
456,
58,
14
],
[
604,
456,
23,
14
],
[
631,
456,
12,
14
],
[
647,
456,
7,
14
],
[
658,
456,
72,
14
],
[
87,
472,
11,
14
],
[
103,
472,
7,
14
],
[
114,
472,
63,
14
],
[
180,
472,
24,
14
],
[
209,
472,
15,
14
],
[
228,
472,
19,
14
],
[
251,
472,
48,
14
],
[
303,
472,
11,
14
],
[
318,
472,
19,
14
],
[
341,
472,
50,
14
],
[
395,
472,
38,
14
],
[
437,
472,
22,
14
],
[
463,
472,
46,
14
],
[
514,
472,
22,
14
],
[
540,
472,
48,
14
],
[
591,
472,
47,
14
],
[
643,
472,
52,
14
],
[
698,
472,
11,
14
],
[
713,
472,
7,
14
],
[
87,
489,
40,
14
],
[
131,
489,
36,
14
],
[
172,
489,
11,
14
],
[
187,
489,
62,
14
],
[
253,
489,
157,
14
],
[
414,
489,
13,
14
],
[
431,
489,
50,
14
],
[
485,
489,
58,
14
],
[
547,
489,
40,
14
],
[
591,
489,
59,
14
],
[
655,
489,
42,
14
],
[
87,
506,
40,
14
],
[
131,
506,
74,
14
],
[
210,
506,
12,
14
],
[
227,
506,
78,
14
],
[
309,
506,
49,
14
],
[
362,
506,
22,
14
],
[
388,
506,
22,
14
],
[
414,
506,
51,
14
],
[
87,
526,
56,
14
],
[
148,
526,
27,
14
],
[
179,
526,
28,
14
],
[
210,
526,
89,
14
],
[
303,
526,
21,
14
],
[
329,
526,
42,
14
],
[
375,
526,
22,
14
],
[
401,
526,
7,
14
],
[
412,
526,
39,
14
],
[
456,
526,
55,
14
],
[
515,
526,
12,
14
],
[
531,
526,
19,
14
],
[
554,
526,
38,
14
],
[
596,
526,
67,
14
],
[
667,
526,
47,
14
],
[
87,
543,
37,
14
],
[
128,
543,
63,
14
],
[
195,
543,
29,
14
],
[
229,
543,
50,
14
],
[
283,
543,
58,
14
],
[
345,
543,
23,
14
],
[
373,
543,
12,
14
],
[
389,
543,
13,
14
],
[
406,
543,
47,
14
],
[
457,
543,
21,
14
],
[
483,
543,
70,
14
],
[
557,
543,
21,
14
],
[
582,
543,
57,
14
],
[
644,
543,
12,
14
],
[
660,
543,
27,
14
],
[
87,
560,
56,
14
],
[
147,
560,
21,
14
],
[
173,
560,
76,
14
],
[
253,
560,
30,
14
],
[
287,
560,
27,
14
],
[
318,
560,
28,
14
],
[
350,
560,
51,
14
],
[
406,
560,
47,
14
],
[
457,
560,
12,
14
],
[
473,
560,
19,
14
],
[
496,
560,
63,
14
],
[
563,
560,
21,
14
],
[
589,
560,
7,
14
],
[
600,
560,
25,
14
],
[
630,
560,
25,
14
],
[
658,
560,
65,
14
],
[
87,
576,
21,
14
],
[
112,
576,
62,
14
],
[
178,
576,
39,
14
],
[
221,
576,
11,
14
],
[
237,
576,
76,
14
],
[
317,
576,
27,
14
],
[
348,
576,
36,
14
],
[
388,
576,
21,
14
],
[
414,
576,
65,
14
],
[
484,
576,
22,
14
],
[
510,
576,
19,
14
],
[
532,
576,
47,
14
],
[
583,
576,
11,
14
],
[
598,
576,
19,
14
],
[
621,
576,
50,
14
],
[
675,
576,
51,
14
],
[
87,
593,
21,
14
],
[
113,
593,
60,
14
],
[
177,
593,
28,
14
],
[
209,
593,
57,
14
],
[
270,
593,
48,
14
],
[
322,
593,
47,
14
],
[
374,
593,
19,
14
],
[
397,
593,
66,
14
],
[
467,
593,
21,
14
],
[
493,
593,
47,
14
],
[
544,
593,
67,
14
],
[
615,
593,
28,
14
],
[
647,
593,
49,
14
],
[
700,
593,
11,
14
],
[
714,
593,
19,
14
],
[
87,
609,
29,
14
],
[
120,
609,
48,
14
],
[
172,
609,
39,
14
],
[
215,
609,
21,
14
],
[
240,
609,
31,
14
],
[
275,
609,
11,
14
],
[
290,
609,
19,
14
],
[
313,
609,
63,
14
],
[
380,
609,
72,
14
],
[
456,
609,
15,
14
],
[
475,
609,
19,
14
],
[
498,
609,
48,
14
],
[
550,
609,
54,
14
],
[
607,
609,
30,
14
],
[
642,
609,
25,
14
],
[
671,
609,
43,
14
],
[
717,
609,
21,
14
],
[
87,
626,
40,
14
],
[
131,
626,
14,
14
],
[
149,
626,
49,
14
],
[
202,
626,
25,
14
],
[
231,
626,
9,
14
],
[
245,
626,
75,
14
],
[
323,
626,
22,
14
],
[
349,
626,
22,
14
],
[
375,
626,
44,
14
],
[
87,
647,
46,
14
],
[
137,
647,
50,
14
],
[
191,
647,
58,
14
],
[
254,
647,
23,
14
],
[
281,
647,
22,
14
],
[
307,
647,
19,
14
],
[
330,
647,
28,
14
],
[
362,
647,
47,
14
],
[
414,
647,
63,
14
],
[
480,
647,
22,
14
],
[
506,
647,
22,
14
],
[
533,
647,
54,
14
],
[
591,
647,
19,
14
],
[
614,
647,
50,
14
],
[
668,
647,
63,
14
],
[
87,
663,
13,
14
],
[
104,
663,
80,
14
],
[
188,
663,
22,
14
],
[
214,
663,
53,
14
],
[
271,
663,
19,
14
],
[
294,
663,
45,
14
],
[
343,
663,
11,
14
],
[
358,
663,
27,
14
],
[
390,
663,
26,
14
],
[
420,
663,
76,
14
],
[
500,
663,
21,
14
],
[
526,
663,
50,
14
],
[
579,
663,
26,
14
],
[
610,
663,
21,
14
],
[
635,
663,
62,
14
],
[
701,
663,
11,
14
],
[
87,
680,
47,
14
],
[
138,
680,
47,
14
],
[
189,
679,
34,
15
],
[
227,
679,
37,
15
],
[
268,
680,
31,
14
],
[
303,
680,
14,
14
],
[
321,
680,
30,
14
],
[
355,
680,
24,
14
],
[
383,
680,
22,
14
],
[
409,
680,
19,
14
],
[
432,
680,
62,
14
],
[
497,
680,
39,
14
],
[
541,
680,
11,
14
],
[
555,
680,
66,
14
],
[
625,
680,
21,
14
],
[
651,
680,
37,
14
],
[
691,
680,
22,
14
],
[
717,
680,
22,
14
],
[
87,
697,
55,
14
],
[
147,
697,
22,
14
],
[
173,
697,
63,
14
],
[
240,
697,
22,
14
],
[
266,
697,
22,
14
],
[
292,
697,
59,
14
],
[
354,
697,
19,
14
],
[
377,
697,
48,
14
],
[
429,
697,
47,
14
],
[
480,
697,
50,
14
],
[
535,
697,
40,
14
],
[
579,
697,
25,
14
],
[
607,
697,
43,
14
],
[
654,
697,
34,
14
],
[
692,
697,
22,
14
],
[
87,
713,
62,
14
],
[
153,
713,
25,
14
],
[
182,
713,
19,
14
],
[
205,
713,
68,
14
],
[
278,
713,
36,
14
],
[
318,
713,
21,
14
],
[
344,
713,
22,
14
],
[
370,
713,
54,
14
],
[
428,
713,
19,
14
],
[
451,
713,
24,
14
],
[
480,
713,
50,
14
],
[
534,
713,
40,
14
],
[
578,
713,
9,
14
],
[
591,
713,
77,
14
],
[
672,
713,
60,
14
],
[
87,
730,
19,
14
],
[
110,
730,
37,
14
],
[
152,
730,
11,
14
],
[
167,
730,
64,
14
],
[
235,
730,
44,
14
],
[
283,
730,
12,
14
],
[
300,
730,
19,
14
],
[
322,
730,
23,
14
],
[
350,
730,
21,
14
],
[
375,
730,
19,
14
],
[
398,
730,
39,
14
],
[
441,
730,
21,
14
],
[
466,
730,
64,
14
],
[
534,
730,
11,
14
],
[
550,
730,
19,
14
],
[
573,
730,
65,
14
],
[
642,
730,
46,
14
],
[
692,
730,
37,
14
],
[
87,
746,
23,
14
],
[
115,
746,
72,
14
],
[
191,
746,
22,
14
],
[
217,
746,
22,
14
],
[
243,
746,
78,
14
],
[
326,
746,
45,
14
],
[
375,
746,
19,
14
],
[
398,
746,
42,
14
],
[
444,
746,
11,
14
],
[
460,
746,
19,
14
],
[
483,
746,
47,
14
],
[
534,
746,
21,
14
],
[
560,
746,
66,
14
],
[
630,
746,
50,
14
],
[
685,
746,
27,
14
],
[
715,
746,
19,
14
],
[
87,
763,
50,
14
],
[
142,
763,
58,
14
],
[
204,
763,
25,
14
],
[
234,
763,
19,
14
],
[
257,
763,
19,
14
],
[
280,
763,
35,
14
],
[
319,
763,
44,
14
],
[
368,
763,
44,
14
],
[
416,
763,
19,
14
],
[
439,
763,
24,
14
],
[
467,
763,
36,
14
],
[
507,
763,
11,
14
],
[
522,
763,
19,
14
],
[
545,
763,
62,
14
],
[
611,
763,
54,
14
],
[
670,
763,
11,
14
],
[
685,
763,
20,
14
],
[
87,
780,
33,
14
],
[
87,
800,
75,
14
],
[
167,
800,
21,
14
],
[
192,
800,
80,
14
],
[
276,
800,
11,
14
],
[
291,
800,
50,
14
],
[
346,
800,
59,
14
],
[
408,
800,
23,
14
],
[
436,
800,
12,
14
],
[
452,
800,
7,
14
],
[
463,
800,
38,
14
],
[
505,
800,
67,
14
],
[
576,
800,
37,
14
],
[
617,
800,
19,
14
],
[
640,
800,
63,
14
],
[
87,
817,
42,
14
],
[
134,
817,
11,
14
],
[
149,
817,
7,
14
],
[
159,
817,
40,
14
],
[
203,
817,
104,
14
],
[
311,
817,
36,
14
],
[
351,
817,
14,
14
],
[
369,
817,
68,
14
],
[
442,
817,
31,
14
],
[
478,
817,
15,
14
],
[
496,
817,
7,
14
],
[
507,
817,
30,
14
],
[
542,
817,
48,
14
],
[
594,
817,
22,
14
],
[
620,
817,
12,
14
],
[
636,
817,
46,
14
],
[
686,
817,
19,
14
],
[
709,
817,
19,
14
],
[
87,
834,
21,
14
],
[
113,
834,
48,
14
],
[
165,
834,
47,
14
],
[
216,
834,
50,
14
],
[
270,
834,
15,
14
],
[
290,
834,
19,
14
],
[
313,
834,
58,
14
],
[
375,
834,
40,
14
],
[
419,
834,
59,
14
],
[
483,
834,
51,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
96,
11
],
[
78,
936,
32,
13
],
[
113,
937,
11,
11
],
[
128,
937,
43,
11
],
[
174,
937,
18,
11
],
[
195,
937,
51,
11
],
[
250,
937,
79,
11
],
[
331,
937,
47,
11
],
[
381,
937,
17,
11
],
[
78,
950,
15,
11
],
[
97,
950,
29,
11
],
[
129,
950,
11,
11
],
[
142,
950,
39,
11
],
[
185,
950,
43,
11
],
[
231,
950,
41,
11
],
[
275,
950,
41,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
248,
987,
7,
10
],
[
257,
987,
18,
10
],
[
278,
987,
36,
10
],
[
317,
987,
8,
10
],
[
327,
987,
8,
10
],
[
338,
987,
30,
10
],
[
371,
987,
29,
10
],
[
403,
987,
27,
10
],
[
432,
987,
14,
10
],
[
449,
987,
15,
10
],
[
467,
987,
6,
10
],
[
475,
987,
10,
10
],
[
488,
987,
21,
10
],
[
512,
987,
25,
10
],
[
540,
987,
23,
10
],
[
565,
987,
41,
10
],
[
609,
987,
23,
10
],
[
634,
987,
13,
10
],
[
650,
987,
22,
10
],
[
674,
987,
8,
10
],
[
685,
987,
13,
10
],
[
700,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
50,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Galdeano",
"et",
"al.",
"BMC",
"Gastroenterology",
"2011,",
"11:64",
"http://www.biomedcentral.com/1471-230X/11/64",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Impact",
"of",
"a",
"probiotic",
"fermented",
"milk",
"in",
"the",
"gut",
"ecosystem",
"and",
"in",
"the",
"systemic",
"immunity",
"using",
"a",
"non-severe",
"protein-energy-malnutrition",
"model",
"in",
"mice",
"Carolina",
"Maldonado",
"Galdeano1,2,",
"Ivanna",
"Novotny",
"Núñez1,",
"Alejandra",
"de",
"Moreno",
"de",
"LeBlanc1,",
"Esteban",
"Carmuega3,",
"Ricardo",
"Weill4",
"and",
"Gabriela",
"Perdigón1,2*",
"Abstract",
"Background:",
"Malnutrition",
"affects",
"the",
"immune",
"response,",
"causing",
"a",
"decrease",
"of",
"defence",
"mechanisms",
"and",
"making",
"the",
"host",
"more",
"susceptible",
"to",
"infections.",
"Probiotics",
"can",
"reconstitute",
"the",
"intestinal",
"mucosa",
"and",
"stimulate",
"local",
"and",
"systemic",
"immunity.",
"The",
"aim",
"of",
"this",
"work",
"was",
"evaluate",
"the",
"effects",
"of",
"a",
"probiotic",
"fermented",
"milk",
"as",
"a",
"complement",
"of",
"a",
"re-nutrition",
"diet,",
"on",
"the",
"recovery",
"of",
"the",
"intestinal",
"barrier,",
"and",
"mucosal",
"and",
"systemic",
"immune",
"functions",
"in",
"a",
"murine",
"model",
"of",
"non-severe",
"protein-energy-malnutrition.",
"Its",
"potential",
"protection",
"against",
"Salmonella",
"enterica",
"serovar",
"Typhimurium",
"(S.",
"Typhimurium)",
"infection",
"was",
"also",
"analyzed.",
"Methods:",
"Mice",
"were",
"undernourished",
"and",
"divided",
"into",
"3",
"groups",
"according",
"to",
"the",
"dietary",
"supplement",
"received",
"during",
"re-nutrition",
"(milk,",
"probiotic",
"fermented",
"milk",
"or",
"its",
"bacterial",
"free",
"supernatant)",
"and",
"compared",
"to",
"well-",
"nourished",
"and",
"malnourished",
"mice.",
"They",
"were",
"sacrificed",
"previous",
"to",
"the",
"re-nutrition",
"and",
"5",
"days",
"post",
"re-nutrition.",
"The",
"phagocytic",
"activity",
"of",
"macrophages",
"from",
"spleen",
"and",
"peritoneum",
"and",
"the",
"changes",
"in",
"the",
"intestinal",
"histology",
"and",
"microbiota",
"were",
"evaluated.",
"Different",
"immune",
"cell",
"populations",
"and",
"cytokine",
"productions",
"were",
"analyzed",
"in",
"the",
"small",
"intestine",
"tissues.",
"The",
"effect",
"of",
"the",
"re-nutrition",
"supplements",
"on",
"the",
"systemic",
"immunity",
"using",
"OVA",
"antigen",
"and",
"against",
"an",
"infection",
"with",
"S.",
"Typhimurium",
"was",
"also",
"studied.",
"Results:",
"Probiotic",
"fermented",
"milk",
"was",
"the",
"most",
"effective",
"re-nutrition",
"diet",
"that",
"improved",
"the",
"intestinal",
"microbiota.",
"Its",
"administration",
"also",
"increased",
"the",
"number",
"of",
"IgA+",
"cells,",
"macrophages",
"and",
"dendritic",
"cells.",
"The",
"production",
"of",
"different",
"cytokine",
"(IFN-g,",
"TNF-a,",
"IL-12)",
"by",
"these",
"cells",
"and",
"the",
"phagocytic",
"activity",
"in",
"peritoneum",
"and",
"spleen",
"was",
"also",
"increased.",
"This",
"re-nutrition",
"diet",
"also",
"stimulated",
"the",
"systemic",
"immune",
"response",
"against",
"OVA",
"antigen",
"which",
"was",
"diminished",
"after",
"the",
"malnutrition",
"period",
"and",
"also",
"improved",
"the",
"host",
"response",
"against",
"S.",
"Typhimurium,",
"decreasing",
"the",
"spread",
"of",
"pathogenic",
"bacteria",
"to",
"the",
"liver",
"and",
"the",
"spleen.",
"The",
"importance",
"of",
"the",
"metabolites",
"released",
"during",
"milk",
"fermentation",
"was",
"also",
"demonstrated",
"through",
"the",
"analysis",
"of",
"the",
"bacterial",
"free",
"supernatant",
"obtained",
"from",
"the",
"probiotic",
"fermented",
"milk,",
"but",
"the",
"whole",
"product",
"showed",
"the",
"best",
"effects",
"in",
"the",
"parameters",
"evaluated",
"in",
"this",
"study.",
"Conclusions:",
"The",
"administration",
"of",
"probiotic",
"fermented",
"milk",
"as",
"a",
"dietary",
"supplement",
"during",
"the",
"re-nutrition",
"process",
"in",
"a",
"murine",
"immunodeficiency",
"model",
"by",
"malnutrition",
"could",
"be",
"a",
"good",
"adjuvant",
"diet",
"to",
"improve",
"the",
"gut",
"and",
"systemic",
"immune",
"response",
"for",
"the",
"protection",
"against",
"Salmonella",
"infection.",
"*",
"Correspondence:",
"perdigon@cerela.org.ar",
"1Centro",
"de",
"Referencia",
"para",
"Lactobacilos",
"(CERELA-CONICET).",
"Chacabuco",
"145,",
"San",
"Miguel",
"de",
"Tucumán",
"(T4000ILC)",
"Tucumán.",
"Argentina",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"©",
"2011",
"Galdeano",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,880,805 | null | [
[
78,
47,
30,
12
],
[
111,
47,
9,
12
],
[
124,
47,
11,
12
],
[
138,
47,
44,
12
],
[
185,
47,
49,
12
],
[
237,
47,
32,
12
],
[
272,
47,
25,
12
],
[
300,
47,
36,
12
],
[
339,
47,
23,
12
],
[
78,
61,
257,
12
],
[
83,
128,
11,
18
],
[
95,
128,
11,
18
],
[
108,
128,
13,
18
],
[
123,
128,
11,
18
],
[
135,
128,
10,
18
],
[
147,
128,
10,
18
],
[
158,
128,
13,
18
],
[
173,
128,
6,
18
],
[
180,
128,
13,
18
],
[
194,
128,
13,
18
],
[
208,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
20,
34
],
[
108,
169,
228,
34
],
[
346,
169,
125,
34
],
[
481,
169,
25,
34
],
[
516,
169,
68,
34
],
[
595,
169,
132,
34
],
[
78,
205,
127,
34
],
[
216,
205,
107,
34
],
[
333,
205,
160,
34
],
[
503,
205,
25,
34
],
[
538,
205,
52,
34
],
[
600,
205,
93,
34
],
[
78,
252,
45,
16
],
[
128,
252,
17,
16
],
[
149,
252,
25,
16
],
[
178,
249,
51,
18
],
[
234,
252,
46,
16
],
[
284,
252,
15,
16
],
[
303,
252,
53,
16
],
[
360,
249,
40,
18
],
[
404,
252,
54,
16
],
[
463,
252,
59,
16
],
[
526,
249,
66,
18
],
[
597,
252,
32,
16
],
[
633,
249,
51,
18
],
[
78,
271,
51,
16
],
[
134,
269,
71,
19
],
[
210,
271,
32,
16
],
[
246,
269,
48,
19
],
[
299,
271,
50,
16
],
[
353,
269,
56,
19
],
[
414,
271,
30,
16
],
[
448,
269,
53,
19
],
[
505,
271,
55,
16
],
[
565,
269,
44,
19
],
[
613,
271,
52,
16
],
[
670,
269,
49,
19
],
[
78,
291,
46,
16
],
[
129,
288,
50,
18
],
[
184,
291,
32,
16
],
[
220,
288,
63,
18
],
[
78,
320,
31,
16
],
[
114,
320,
88,
16
],
[
207,
320,
24,
16
],
[
235,
320,
14,
16
],
[
253,
320,
60,
16
],
[
318,
320,
30,
16
],
[
352,
320,
62,
16
],
[
418,
320,
17,
16
],
[
440,
320,
33,
16
],
[
477,
320,
45,
16
],
[
527,
320,
69,
16
],
[
601,
320,
24,
16
],
[
629,
320,
89,
16
],
[
78,
338,
55,
16
],
[
137,
338,
44,
16
],
[
186,
338,
15,
16
],
[
206,
338,
65,
16
],
[
275,
337,
8,
16
],
[
288,
338,
8,
16
],
[
300,
338,
64,
16
],
[
369,
338,
30,
16
],
[
87,
392,
54,
15
],
[
87,
417,
76,
14
],
[
167,
417,
50,
14
],
[
221,
417,
8,
14
],
[
233,
417,
22,
14
],
[
259,
417,
43,
14
],
[
305,
417,
22,
14
],
[
332,
417,
19,
14
],
[
355,
417,
56,
14
],
[
415,
417,
68,
14
],
[
486,
417,
51,
14
],
[
541,
417,
55,
14
],
[
601,
417,
27,
14
],
[
632,
417,
33,
14
],
[
669,
417,
32,
14
],
[
87,
434,
46,
14
],
[
137,
434,
72,
14
],
[
213,
434,
32,
14
],
[
250,
434,
25,
14
],
[
278,
434,
21,
14
],
[
304,
434,
25,
14
],
[
333,
434,
20,
14
],
[
358,
434,
15,
14
],
[
376,
434,
49,
14
],
[
429,
434,
14,
14
],
[
448,
434,
37,
14
],
[
489,
434,
11,
14
],
[
504,
434,
19,
14
],
[
527,
434,
33,
14
],
[
564,
434,
38,
14
],
[
607,
434,
22,
14
],
[
634,
434,
8,
14
],
[
646,
434,
7,
14
],
[
657,
434,
76,
14
],
[
87,
450,
81,
14
],
[
172,
450,
11,
14
],
[
188,
450,
7,
14
],
[
198,
450,
48,
14
],
[
251,
450,
34,
14
],
[
289,
450,
8,
14
],
[
301,
450,
56,
14
],
[
362,
450,
46,
14
],
[
412,
450,
12,
14
],
[
428,
450,
34,
14
],
[
467,
450,
21,
14
],
[
493,
450,
68,
14
],
[
565,
450,
49,
14
],
[
619,
450,
32,
14
],
[
87,
471,
56,
14
],
[
148,
471,
18,
14
],
[
170,
471,
27,
14
],
[
201,
471,
85,
14
],
[
290,
471,
22,
14
],
[
316,
471,
63,
14
],
[
383,
471,
12,
14
],
[
399,
471,
48,
14
],
[
452,
471,
19,
14
],
[
475,
471,
27,
14
],
[
505,
471,
35,
14
],
[
545,
471,
65,
14
],
[
614,
471,
11,
14
],
[
630,
471,
19,
14
],
[
653,
471,
22,
14
],
[
678,
471,
39,
14
],
[
722,
471,
15,
14
],
[
87,
488,
19,
14
],
[
110,
488,
28,
14
],
[
142,
488,
21,
14
],
[
168,
488,
8,
14
],
[
180,
488,
29,
14
],
[
213,
488,
7,
14
],
[
224,
488,
47,
14
],
[
275,
488,
11,
14
],
[
291,
488,
19,
14
],
[
314,
488,
49,
14
],
[
367,
488,
39,
14
],
[
410,
488,
15,
14
],
[
429,
488,
19,
14
],
[
452,
488,
40,
14
],
[
496,
488,
42,
14
],
[
542,
488,
62,
14
],
[
609,
488,
17,
14
],
[
630,
488,
27,
14
],
[
661,
488,
19,
14
],
[
684,
488,
47,
14
],
[
87,
504,
44,
14
],
[
135,
504,
49,
14
],
[
189,
504,
29,
14
],
[
222,
504,
22,
14
],
[
249,
504,
8,
14
],
[
261,
504,
7,
14
],
[
272,
504,
65,
14
],
[
341,
504,
43,
14
],
[
389,
504,
47,
14
],
[
440,
504,
16,
14
],
[
460,
504,
19,
14
],
[
483,
504,
58,
14
],
[
545,
504,
11,
14
],
[
561,
504,
19,
14
],
[
584,
504,
58,
14
],
[
647,
504,
56,
14
],
[
87,
521,
49,
14
],
[
141,
521,
20,
14
],
[
165,
521,
31,
14
],
[
200,
521,
21,
14
],
[
226,
521,
11,
14
],
[
241,
521,
49,
14
],
[
295,
521,
11,
14
],
[
310,
521,
7,
14
],
[
320,
521,
65,
14
],
[
390,
521,
43,
14
],
[
437,
521,
37,
14
],
[
478,
521,
7,
14
],
[
489,
521,
33,
14
],
[
526,
521,
59,
14
],
[
590,
521,
53,
14
],
[
646,
521,
22,
14
],
[
672,
521,
27,
14
],
[
703,
521,
12,
14
],
[
87,
537,
36,
14
],
[
128,
537,
19,
14
],
[
150,
537,
29,
14
],
[
183,
537,
51,
14
],
[
238,
537,
12,
14
],
[
254,
537,
40,
14
],
[
299,
537,
32,
14
],
[
335,
537,
50,
14
],
[
389,
537,
28,
14
],
[
421,
537,
27,
14
],
[
452,
537,
12,
14
],
[
468,
537,
41,
14
],
[
514,
537,
19,
14
],
[
536,
537,
49,
14
],
[
590,
537,
11,
14
],
[
605,
537,
40,
14
],
[
650,
537,
68,
14
],
[
87,
554,
37,
14
],
[
128,
554,
19,
14
],
[
151,
554,
45,
14
],
[
200,
554,
12,
14
],
[
216,
554,
32,
14
],
[
252,
554,
7,
14
],
[
263,
554,
53,
14
],
[
320,
554,
25,
14
],
[
349,
554,
11,
14
],
[
364,
554,
7,
14
],
[
375,
554,
34,
14
],
[
413,
554,
31,
14
],
[
449,
554,
11,
14
],
[
465,
554,
32,
14
],
[
501,
554,
25,
14
],
[
531,
554,
39,
14
],
[
574,
554,
45,
14
],
[
622,
554,
21,
14
],
[
648,
554,
37,
14
],
[
689,
554,
19,
14
],
[
87,
571,
61,
14
],
[
153,
571,
55,
14
],
[
212,
571,
11,
14
],
[
227,
571,
7,
14
],
[
237,
571,
34,
14
],
[
276,
571,
31,
14
],
[
311,
571,
11,
14
],
[
327,
571,
41,
14
],
[
372,
571,
47,
14
],
[
87,
591,
46,
14
],
[
137,
591,
44,
14
],
[
186,
591,
59,
14
],
[
249,
591,
15,
14
],
[
268,
591,
19,
14
],
[
291,
591,
40,
14
],
[
335,
591,
51,
14
],
[
390,
591,
55,
14
],
[
450,
591,
27,
14
],
[
480,
591,
19,
14
],
[
503,
591,
34,
14
],
[
542,
591,
11,
14
],
[
557,
591,
39,
14
],
[
601,
591,
21,
14
],
[
627,
591,
17,
14
],
[
648,
591,
45,
14
],
[
87,
608,
47,
14
],
[
139,
608,
22,
14
],
[
165,
608,
27,
14
],
[
196,
608,
39,
14
],
[
240,
608,
42,
14
],
[
286,
608,
21,
14
],
[
310,
608,
34,
14
],
[
349,
608,
25,
14
],
[
378,
608,
7,
14
],
[
389,
608,
26,
14
],
[
419,
608,
62,
14
],
[
485,
608,
30,
14
],
[
519,
608,
18,
14
],
[
541,
608,
52,
14
],
[
597,
608,
30,
14
],
[
632,
608,
22,
14
],
[
658,
608,
48,
14
],
[
710,
608,
8,
14
],
[
87,
625,
26,
14
],
[
117,
625,
11,
14
],
[
132,
625,
19,
14
],
[
155,
625,
51,
14
],
[
210,
625,
55,
14
],
[
269,
625,
15,
14
],
[
289,
625,
12,
14
],
[
305,
625,
19,
14
],
[
328,
625,
55,
14
],
[
388,
625,
34,
14
],
[
426,
625,
70,
14
],
[
500,
625,
11,
14
],
[
515,
625,
54,
14
],
[
573,
625,
51,
14
],
[
628,
625,
35,
14
],
[
667,
625,
29,
14
],
[
700,
625,
39,
14
],
[
87,
641,
25,
14
],
[
116,
641,
17,
14
],
[
137,
641,
12,
14
],
[
153,
641,
37,
15
],
[
194,
641,
15,
14
],
[
214,
641,
19,
14
],
[
236,
638,
43,
17
],
[
284,
641,
11,
14
],
[
299,
641,
65,
14
],
[
369,
641,
11,
14
],
[
383,
641,
27,
14
],
[
414,
641,
41,
14
],
[
460,
641,
18,
14
],
[
482,
641,
22,
14
],
[
507,
641,
43,
14
],
[
555,
641,
38,
14
],
[
598,
641,
22,
14
],
[
624,
641,
44,
14
],
[
671,
641,
22,
14
],
[
698,
641,
32,
14
],
[
87,
658,
25,
14
],
[
117,
658,
39,
14
],
[
160,
658,
31,
14
],
[
195,
658,
19,
14
],
[
218,
658,
56,
14
],
[
278,
658,
66,
14
],
[
348,
658,
11,
14
],
[
364,
658,
19,
14
],
[
386,
658,
40,
14
],
[
431,
658,
46,
14
],
[
481,
658,
64,
14
],
[
549,
658,
19,
14
],
[
572,
658,
42,
14
],
[
618,
658,
11,
14
],
[
633,
658,
35,
14
],
[
672,
658,
22,
14
],
[
698,
658,
37,
14
],
[
87,
674,
11,
14
],
[
102,
674,
13,
14
],
[
119,
674,
26,
14
],
[
149,
674,
39,
14
],
[
192,
674,
50,
14
],
[
87,
691,
11,
14
],
[
102,
691,
54,
14
],
[
160,
691,
7,
14
],
[
171,
691,
36,
14
],
[
212,
691,
26,
14
],
[
242,
691,
52,
14
],
[
298,
691,
9,
16
],
[
311,
691,
20,
14
],
[
335,
691,
15,
14
],
[
354,
691,
51,
14
],
[
409,
691,
11,
14
],
[
424,
691,
19,
14
],
[
447,
691,
18,
14
],
[
469,
691,
45,
14
],
[
517,
691,
15,
14
],
[
537,
691,
29,
14
],
[
570,
691,
56,
14
],
[
630,
691,
36,
14
],
[
671,
691,
29,
14
],
[
704,
691,
21,
14
],
[
87,
708,
20,
14
],
[
112,
708,
30,
14
],
[
147,
708,
28,
14
],
[
179,
708,
18,
14
],
[
201,
708,
21,
14
],
[
227,
708,
25,
14
],
[
256,
708,
35,
14
],
[
295,
708,
20,
14
],
[
87,
724,
13,
14
],
[
105,
724,
34,
14
],
[
143,
724,
22,
14
],
[
170,
724,
45,
14
],
[
219,
724,
12,
14
],
[
235,
724,
19,
14
],
[
258,
724,
45,
14
],
[
308,
724,
53,
14
],
[
365,
724,
49,
14
],
[
419,
724,
47,
14
],
[
470,
724,
20,
14
],
[
493,
724,
45,
14
],
[
543,
724,
17,
14
],
[
564,
724,
28,
14
],
[
596,
724,
24,
14
],
[
624,
724,
12,
14
],
[
640,
724,
47,
14
],
[
691,
724,
35,
14
],
[
87,
741,
19,
14
],
[
110,
741,
46,
14
],
[
160,
741,
56,
14
],
[
220,
741,
11,
14
],
[
236,
741,
19,
14
],
[
259,
741,
18,
14
],
[
280,
741,
34,
14
],
[
319,
741,
27,
14
],
[
350,
741,
19,
14
],
[
373,
741,
28,
14
],
[
404,
741,
36,
14
],
[
445,
741,
11,
14
],
[
460,
741,
54,
14
],
[
518,
741,
17,
14
],
[
539,
741,
34,
14
],
[
578,
741,
7,
14
],
[
589,
741,
21,
14
],
[
614,
741,
11,
14
],
[
629,
741,
80,
14
],
[
87,
757,
65,
14
],
[
156,
757,
11,
14
],
[
171,
757,
19,
14
],
[
194,
757,
17,
14
],
[
215,
757,
44,
14
],
[
264,
757,
15,
14
],
[
284,
757,
19,
14
],
[
306,
757,
31,
14
],
[
342,
757,
21,
14
],
[
367,
757,
18,
14
],
[
390,
757,
56,
14
],
[
450,
757,
31,
14
],
[
485,
757,
55,
14
],
[
545,
757,
7,
14
],
[
555,
757,
36,
14
],
[
596,
757,
26,
14
],
[
626,
757,
11,
14
],
[
641,
757,
62,
15
],
[
707,
757,
10,
14
],
[
87,
774,
35,
14
],
[
126,
774,
19,
14
],
[
149,
774,
40,
14
],
[
194,
774,
46,
14
],
[
244,
774,
37,
14
],
[
285,
774,
19,
14
],
[
308,
774,
35,
14
],
[
346,
774,
24,
14
],
[
375,
774,
21,
14
],
[
400,
774,
54,
14
],
[
458,
774,
31,
14
],
[
493,
774,
8,
14
],
[
505,
774,
41,
14
],
[
550,
774,
38,
14
],
[
593,
774,
12,
14
],
[
609,
774,
50,
14
],
[
663,
774,
7,
14
],
[
674,
774,
25,
14
],
[
703,
774,
11,
14
],
[
87,
791,
53,
14
],
[
144,
791,
22,
14
],
[
171,
791,
51,
14
],
[
226,
791,
38,
14
],
[
268,
791,
54,
14
],
[
326,
791,
44,
14
],
[
374,
791,
52,
14
],
[
430,
791,
45,
14
],
[
480,
791,
55,
14
],
[
539,
791,
11,
14
],
[
555,
791,
50,
14
],
[
609,
791,
54,
14
],
[
667,
791,
34,
14
],
[
705,
791,
22,
14
],
[
87,
807,
20,
14
],
[
112,
807,
40,
14
],
[
156,
807,
44,
14
],
[
87,
828,
75,
14
],
[
167,
828,
21,
14
],
[
192,
828,
42,
14
],
[
238,
828,
30,
14
],
[
273,
828,
26,
14
],
[
303,
828,
11,
14
],
[
318,
828,
82,
14
],
[
404,
828,
19,
14
],
[
426,
828,
46,
14
],
[
476,
828,
67,
14
],
[
547,
828,
11,
14
],
[
562,
828,
33,
14
],
[
600,
828,
59,
14
],
[
663,
828,
64,
14
],
[
87,
845,
11,
14
],
[
102,
845,
19,
14
],
[
125,
845,
46,
14
],
[
175,
845,
11,
14
],
[
191,
845,
28,
14
],
[
223,
845,
56,
14
],
[
283,
845,
68,
14
],
[
355,
845,
27,
14
],
[
386,
845,
22,
14
],
[
412,
845,
40,
14
],
[
456,
845,
11,
14
],
[
470,
845,
54,
14
],
[
529,
845,
19,
14
],
[
551,
845,
88,
14
],
[
644,
845,
41,
14
],
[
689,
845,
11,
14
],
[
705,
845,
19,
14
],
[
727,
845,
7,
14
],
[
87,
861,
40,
14
],
[
132,
861,
39,
14
],
[
175,
861,
27,
14
],
[
206,
861,
28,
14
],
[
238,
861,
22,
14
],
[
264,
861,
40,
14
],
[
308,
861,
10,
14
],
[
322,
861,
56,
14
],
[
382,
861,
68,
14
],
[
454,
861,
64,
14
],
[
521,
861,
13,
14
],
[
538,
861,
33,
14
],
[
575,
861,
59,
14
],
[
639,
861,
42,
14
],
[
685,
861,
17,
14
],
[
87,
878,
67,
14
],
[
158,
878,
11,
14
],
[
173,
878,
19,
14
],
[
196,
878,
42,
14
],
[
242,
878,
32,
14
],
[
279,
878,
12,
14
],
[
295,
878,
30,
14
],
[
329,
878,
25,
14
],
[
359,
878,
39,
14
],
[
402,
878,
11,
14
],
[
416,
878,
7,
14
],
[
427,
878,
20,
14
],
[
452,
878,
64,
14
],
[
78,
950,
5,
11
],
[
86,
950,
70,
11
],
[
159,
950,
110,
11
],
[
78,
960,
28,
13
],
[
109,
962,
52,
11
],
[
164,
962,
23,
11
],
[
190,
962,
27,
11
],
[
220,
962,
26,
11
],
[
249,
962,
17,
11
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
30,
10
],
[
309,
987,
8,
10
],
[
318,
987,
8,
10
],
[
329,
987,
31,
10
],
[
361,
987,
29,
10
],
[
392,
987,
27,
10
],
[
421,
987,
14,
10
],
[
437,
987,
15,
10
],
[
454,
987,
6,
10
],
[
462,
987,
10,
10
],
[
473,
987,
20,
10
],
[
495,
987,
24,
10
],
[
521,
987,
23,
10
],
[
546,
987,
41,
10
],
[
589,
987,
23,
10
],
[
614,
987,
13,
10
],
[
628,
987,
21,
10
],
[
652,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Fallani",
"et",
"al.",
"Nonlinear",
"Biomedical",
"Physics",
"2010,",
"4(Suppl",
"1):S8",
"http://www.nonlinearbiomedphys.com/content/4/S1/S8",
"P",
"R",
"O",
"C",
"E",
"E",
"D",
"I",
"N",
"G",
"S",
"Open",
"Access",
"A",
"graph-theoretical",
"approach",
"in",
"brain",
"functional",
"networks.",
"Possible",
"implications",
"in",
"EEG",
"studies",
"Fabrizio",
"De",
"Vico",
"Fallani1,2,",
"Luciano",
"da",
"Fontoura",
"Costa5,",
"Francisco",
"Aparecido",
"Rodriguez5,",
"Laura",
"Astolfi1,3,",
"Giovanni",
"Vecchiato1,2,",
"Jlenia",
"Toppi1,3,",
"Gianluca",
"Borghini1,",
"Febo",
"Cincotti1,",
"Donatella",
"Mattia1,",
"Serenella",
"Salinari3,",
"Roberto",
"Isabella4,",
"Fabio",
"Babiloni1,2*",
"From",
"Consciousness",
"and",
"its",
"Measures:",
"Joint",
"Workshop",
"for",
"COST",
"Actions",
"NeuroMath",
"and",
"Consciousness",
"Limassol,",
"Cyprus.",
"29",
"November",
"–",
"1",
"December",
"2009",
"Abstract",
"Background:",
"Recently,",
"it",
"was",
"realized",
"that",
"the",
"functional",
"connectivity",
"networks",
"estimated",
"from",
"actual",
"brain-",
"imaging",
"technologies",
"(MEG,",
"fMRI",
"and",
"EEG)",
"can",
"be",
"analyzed",
"by",
"means",
"of",
"the",
"graph",
"theory,",
"that",
"is",
"a",
"mathematical",
"representation",
"of",
"a",
"network,",
"which",
"is",
"essentially",
"reduced",
"to",
"nodes",
"and",
"connections",
"between",
"them.",
"Methods:",
"We",
"used",
"high-resolution",
"EEG",
"technology",
"to",
"enhance",
"the",
"poor",
"spatial",
"information",
"of",
"the",
"EEG",
"activity",
"on",
"the",
"scalp",
"and",
"it",
"gives",
"a",
"measure",
"of",
"the",
"electrical",
"activity",
"on",
"the",
"cortical",
"surface.",
"Afterwards,",
"we",
"used",
"the",
"Directed",
"Transfer",
"Function",
"(DTF)",
"that",
"is",
"a",
"multivariate",
"spectral",
"measure",
"for",
"the",
"estimation",
"of",
"the",
"directional",
"influences",
"between",
"any",
"given",
"pair",
"of",
"channels",
"in",
"a",
"multivariate",
"dataset.",
"Finally,",
"a",
"graph",
"theoretical",
"approach",
"was",
"used",
"to",
"model",
"the",
"brain",
"networks",
"as",
"graphs.",
"These",
"methods",
"were",
"used",
"to",
"analyze",
"the",
"structure",
"of",
"cortical",
"connectivity",
"during",
"the",
"attempt",
"to",
"move",
"a",
"paralyzed",
"limb",
"in",
"a",
"group",
"(N=5)",
"of",
"spinal",
"cord",
"injured",
"patients",
"and",
"during",
"the",
"movement",
"execution",
"in",
"a",
"group",
"(N=5)",
"of",
"healthy",
"subjects.",
"Results:",
"Analysis",
"performed",
"on",
"the",
"cortical",
"networks",
"estimated",
"from",
"the",
"group",
"of",
"normal",
"and",
"SCI",
"patients",
"revealed",
"that",
"both",
"groups",
"present",
"few",
"nodes",
"with",
"a",
"high",
"out-degree",
"value",
"(i.e.",
"outgoing",
"links).",
"This",
"property",
"is",
"valid",
"in",
"the",
"networks",
"estimated",
"for",
"all",
"the",
"frequency",
"bands",
"investigated.",
"In",
"particular,",
"cingulate",
"motor",
"areas",
"(CMAs)",
"ROIs",
"act",
"as",
"‘‘hubs’’",
"for",
"the",
"outflow",
"of",
"information",
"in",
"both",
"groups,",
"SCI",
"and",
"healthy.",
"Results",
"also",
"suggest",
"that",
"spinal",
"cord",
"injuries",
"affect",
"the",
"functional",
"architecture",
"of",
"the",
"cortical",
"network",
"sub-serving",
"the",
"volition",
"of",
"motor",
"acts",
"mainly",
"in",
"its",
"local",
"feature",
"property.",
"In",
"particular,",
"a",
"higher",
"local",
"efficiency",
"El",
"can",
"be",
"observed",
"in",
"the",
"SCI",
"patients",
"for",
"three",
"frequency",
"bands,",
"theta",
"(3-6",
"Hz),",
"alpha",
"(7-12",
"Hz)",
"and",
"beta",
"(13-29",
"Hz).",
"By",
"taking",
"into",
"account",
"all",
"the",
"possible",
"pathways",
"between",
"different",
"ROI",
"couples,",
"we",
"were",
"able",
"to",
"separate",
"clearly",
"the",
"network",
"properties",
"of",
"the",
"SCI",
"group",
"from",
"the",
"CTRL",
"group.",
"In",
"particular,",
"we",
"report",
"a",
"sort",
"of",
"compensatory",
"mechanism",
"in",
"the",
"SCI",
"patients",
"for",
"the",
"Theta",
"(3-6",
"Hz)",
"frequency",
"band,",
"indicating",
"a",
"higher",
"level",
"of",
"“activation”",
"Ω",
"within",
"the",
"cortical",
"network",
"during",
"the",
"motor",
"task.",
"The",
"activation",
"index",
"is",
"directly",
"related",
"to",
"diffusion,",
"a",
"type",
"of",
"dynamics",
"that",
"underlies",
"several",
"biological",
"systems",
"including",
"possible",
"spreading",
"of",
"neuronal",
"activation",
"across",
"sev-",
"eral",
"cortical",
"regions.",
"Conclusions:",
"The",
"present",
"study",
"aims",
"at",
"demonstrating",
"the",
"possible",
"applications",
"of",
"graph",
"theoretical",
"approaches",
"in",
"the",
"analyses",
"of",
"brain",
"functional",
"connectivity",
"from",
"EEG",
"signals.",
"In",
"particular,",
"the",
"methodological",
"aspects",
"of",
"the",
"i)",
"cortical",
"activity",
"from",
"scalp",
"EEG",
"signals,",
"ii)",
"functional",
"connectivity",
"estimations",
"iii)",
"graph",
"theoretical",
"indexes",
"are",
"emphasized",
"in",
"the",
"present",
"paper",
"to",
"show",
"their",
"impact",
"in",
"a",
"real",
"application.",
"*",
"Correspondence:",
"fabio.babiloni@uniroma1.it",
"1IRCCS",
"“Fondazione",
"Santa",
"Lucia”,",
"Rome,",
"Italy",
"©",
"2010",
"Babiloni",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,297,832 | null | [
[
608,
32,
47,
12
],
[
657,
32,
51,
12
],
[
605,
44,
41,
10
],
[
649,
44,
10,
10
],
[
661,
44,
25,
10
],
[
689,
44,
19,
10
],
[
587,
54,
15,
10
],
[
604,
54,
104,
10
],
[
63,
85,
127,
25
],
[
196,
85,
24,
25
],
[
227,
85,
115,
25
],
[
348,
85,
128,
25
],
[
482,
85,
23,
25
],
[
511,
85,
84,
25
],
[
601,
85,
101,
25
],
[
61,
131,
65,
14
],
[
130,
131,
34,
14
],
[
168,
131,
25,
14
],
[
194,
131,
52,
14
],
[
250,
131,
51,
14
],
[
63,
155,
52,
10
],
[
117,
155,
9,
10
],
[
128,
155,
46,
10
],
[
176,
155,
34,
10
],
[
213,
155,
42,
10
],
[
257,
155,
43,
10
],
[
302,
155,
21,
10
],
[
325,
155,
34,
10
],
[
362,
155,
45,
10
],
[
410,
155,
50,
10
],
[
462,
155,
18,
10
],
[
482,
155,
20,
10
],
[
63,
194,
30,
10
],
[
95,
194,
14,
10
],
[
61,
207,
8,
10
],
[
72,
207,
15,
10
],
[
89,
207,
44,
10
],
[
135,
207,
9,
10
],
[
146,
207,
58,
10
],
[
206,
207,
20,
10
],
[
63,
225,
45,
10
],
[
110,
225,
14,
10
],
[
62,
238,
20,
10
],
[
85,
238,
17,
10
],
[
103,
238,
44,
10
],
[
149,
238,
9,
10
],
[
160,
238,
47,
10
],
[
63,
251,
20,
10
],
[
63,
264,
52,
10
],
[
117,
264,
16,
10
],
[
135,
264,
54,
10
],
[
63,
277,
45,
10
],
[
109,
277,
30,
10
],
[
63,
295,
83,
10
],
[
61,
308,
33,
10
],
[
97,
308,
30,
10
],
[
129,
308,
52,
10
],
[
184,
308,
9,
10
],
[
63,
321,
46,
10
],
[
111,
321,
34,
10
],
[
147,
321,
42,
10
],
[
63,
334,
43,
10
],
[
108,
334,
21,
10
],
[
131,
334,
34,
10
],
[
167,
334,
46,
10
],
[
63,
347,
22,
10
],
[
87,
347,
23,
10
],
[
112,
347,
26,
10
],
[
141,
347,
14,
10
],
[
157,
347,
50,
10
],
[
209,
347,
15,
10
],
[
63,
360,
30,
10
],
[
95,
360,
22,
10
],
[
63,
374,
29,
10
],
[
94,
374,
93,
10
],
[
243,
194,
22,
14
],
[
270,
194,
56,
14
],
[
330,
194,
65,
14
],
[
400,
194,
40,
14
],
[
444,
194,
19,
14
],
[
468,
194,
7,
14
],
[
479,
194,
68,
14
],
[
552,
194,
12,
14
],
[
569,
194,
91,
14
],
[
664,
194,
100,
14
],
[
244,
211,
35,
14
],
[
283,
211,
41,
14
],
[
327,
211,
59,
14
],
[
389,
211,
22,
14
],
[
414,
211,
47,
14
],
[
465,
211,
12,
14
],
[
480,
211,
27,
14
],
[
510,
211,
61,
14
],
[
575,
211,
45,
14
],
[
623,
211,
22,
14
],
[
648,
211,
61,
14
],
[
712,
211,
52,
14
],
[
244,
227,
26,
14
],
[
274,
227,
53,
14
],
[
331,
227,
19,
14
],
[
353,
227,
69,
14
],
[
426,
227,
33,
14
],
[
462,
227,
64,
14
],
[
530,
227,
12,
14
],
[
546,
227,
24,
14
],
[
573,
227,
14,
14
],
[
591,
227,
57,
14
],
[
652,
227,
22,
14
],
[
678,
227,
11,
14
],
[
693,
227,
20,
14
],
[
716,
227,
48,
14
],
[
244,
244,
41,
14
],
[
289,
244,
22,
14
],
[
314,
244,
78,
14
],
[
396,
244,
12,
14
],
[
412,
244,
59,
14
],
[
475,
244,
22,
14
],
[
500,
244,
47,
14
],
[
551,
244,
60,
14
],
[
615,
244,
37,
14
],
[
655,
244,
26,
14
],
[
685,
244,
78,
14
],
[
244,
261,
22,
14
],
[
268,
261,
60,
14
],
[
331,
261,
73,
14
],
[
406,
261,
33,
14
],
[
442,
261,
73,
14
],
[
517,
261,
40,
14
],
[
560,
261,
28,
14
],
[
590,
261,
30,
14
],
[
622,
261,
55,
14
],
[
679,
261,
12,
14
],
[
694,
261,
48,
14
],
[
744,
261,
20,
14
],
[
244,
277,
64,
14
],
[
311,
277,
12,
14
],
[
325,
277,
41,
14
],
[
368,
277,
26,
14
],
[
397,
277,
40,
14
],
[
440,
277,
35,
14
],
[
477,
277,
32,
14
],
[
511,
277,
28,
14
],
[
542,
277,
53,
14
],
[
597,
277,
40,
14
],
[
640,
277,
15,
14
],
[
658,
277,
20,
14
],
[
680,
277,
69,
14
],
[
752,
277,
12,
14
],
[
244,
294,
73,
14
],
[
320,
294,
59,
14
],
[
381,
294,
22,
14
],
[
406,
294,
71,
14
],
[
479,
294,
12,
14
],
[
494,
294,
52,
14
],
[
548,
294,
74,
14
],
[
624,
294,
24,
14
],
[
651,
294,
40,
14
],
[
693,
294,
71,
14
],
[
244,
310,
20,
14
],
[
268,
310,
42,
14
],
[
313,
310,
65,
14
],
[
381,
310,
15,
14
],
[
400,
310,
26,
14
],
[
430,
310,
58,
14
],
[
492,
310,
14,
14
],
[
510,
310,
73,
14
],
[
586,
310,
40,
14
],
[
630,
310,
22,
14
],
[
655,
310,
31,
14
],
[
690,
310,
59,
14
],
[
753,
310,
11,
14
],
[
244,
327,
41,
14
],
[
288,
327,
55,
14
],
[
244,
352,
49,
10
],
[
295,
352,
45,
10
],
[
342,
352,
48,
10
],
[
393,
352,
50,
10
],
[
445,
352,
42,
10
],
[
489,
352,
41,
10
],
[
532,
352,
59,
10
],
[
593,
352,
29,
10
],
[
624,
352,
33,
10
],
[
659,
352,
35,
10
],
[
63,
410,
90,
14
],
[
63,
427,
21,
14
],
[
86,
427,
52,
14
],
[
140,
427,
55,
14
],
[
197,
427,
40,
14
],
[
240,
427,
16,
14
],
[
259,
427,
6,
14
],
[
267,
427,
63,
14
],
[
332,
427,
11,
14
],
[
346,
427,
60,
14
],
[
63,
443,
33,
14
],
[
98,
443,
88,
14
],
[
188,
443,
32,
14
],
[
223,
443,
50,
14
],
[
276,
443,
41,
14
],
[
320,
443,
17,
14
],
[
340,
443,
52,
14
],
[
394,
443,
11,
14
],
[
63,
459,
51,
14
],
[
116,
459,
20,
14
],
[
139,
459,
40,
14
],
[
181,
459,
11,
14
],
[
195,
459,
44,
14
],
[
240,
459,
20,
14
],
[
263,
459,
54,
14
],
[
319,
459,
47,
14
],
[
367,
459,
38,
14
],
[
63,
475,
28,
14
],
[
96,
475,
49,
14
],
[
150,
475,
20,
14
],
[
175,
475,
36,
14
],
[
216,
475,
34,
14
],
[
255,
475,
30,
14
],
[
290,
475,
16,
14
],
[
312,
475,
48,
14
],
[
365,
475,
41,
14
],
[
63,
491,
46,
14
],
[
113,
491,
62,
14
],
[
179,
491,
18,
14
],
[
199,
491,
27,
14
],
[
229,
491,
46,
14
],
[
279,
491,
20,
14
],
[
303,
491,
16,
14
],
[
323,
491,
39,
14
],
[
365,
491,
11,
14
],
[
380,
491,
25,
14
],
[
63,
506,
63,
14
],
[
127,
506,
20,
14
],
[
150,
506,
60,
14
],
[
212,
506,
31,
14
],
[
245,
506,
46,
14
],
[
293,
506,
28,
14
],
[
323,
506,
6,
14
],
[
331,
506,
48,
14
],
[
382,
506,
24,
14
],
[
63,
522,
21,
14
],
[
87,
522,
25,
14
],
[
115,
522,
6,
14
],
[
124,
522,
35,
14
],
[
163,
522,
12,
14
],
[
178,
522,
6,
14
],
[
188,
522,
85,
14
],
[
276,
522,
53,
14
],
[
332,
522,
74,
14
],
[
63,
538,
20,
14
],
[
86,
538,
24,
14
],
[
114,
538,
13,
14
],
[
130,
538,
30,
14
],
[
164,
538,
18,
14
],
[
185,
538,
11,
14
],
[
200,
538,
17,
14
],
[
220,
538,
59,
14
],
[
282,
538,
21,
14
],
[
306,
538,
20,
14
],
[
330,
538,
10,
14
],
[
343,
538,
16,
14
],
[
361,
538,
44,
14
],
[
63,
554,
33,
14
],
[
99,
554,
10,
14
],
[
112,
554,
16,
14
],
[
131,
554,
34,
14
],
[
168,
554,
27,
14
],
[
198,
554,
31,
14
],
[
231,
554,
18,
14
],
[
252,
554,
45,
14
],
[
300,
554,
56,
14
],
[
359,
554,
11,
14
],
[
373,
554,
32,
14
],
[
63,
570,
21,
14
],
[
87,
570,
20,
14
],
[
111,
570,
42,
14
],
[
157,
570,
35,
14
],
[
196,
570,
109,
14
],
[
308,
570,
48,
14
],
[
360,
570,
45,
14
],
[
63,
586,
11,
14
],
[
78,
586,
17,
14
],
[
100,
586,
63,
14
],
[
168,
586,
11,
14
],
[
184,
586,
29,
14
],
[
217,
586,
55,
14
],
[
276,
586,
41,
14
],
[
322,
586,
25,
14
],
[
351,
586,
55,
14
],
[
63,
602,
103,
14
],
[
168,
602,
20,
14
],
[
191,
602,
67,
14
],
[
78,
618,
55,
14
],
[
141,
618,
55,
14
],
[
205,
618,
37,
14
],
[
250,
618,
11,
14
],
[
269,
618,
13,
14
],
[
291,
618,
41,
14
],
[
340,
618,
32,
14
],
[
381,
618,
24,
14
],
[
63,
634,
28,
14
],
[
97,
634,
24,
14
],
[
128,
634,
20,
14
],
[
154,
634,
49,
14
],
[
209,
634,
38,
14
],
[
254,
634,
10,
14
],
[
270,
634,
16,
14
],
[
292,
634,
34,
14
],
[
332,
634,
31,
14
],
[
370,
634,
16,
14
],
[
392,
634,
13,
14
],
[
63,
650,
38,
14
],
[
107,
650,
26,
14
],
[
139,
650,
44,
14
],
[
189,
650,
21,
14
],
[
217,
650,
17,
14
],
[
240,
650,
22,
14
],
[
269,
650,
7,
14
],
[
282,
650,
41,
14
],
[
330,
650,
35,
14
],
[
371,
650,
35,
14
],
[
63,
666,
20,
14
],
[
88,
666,
32,
14
],
[
125,
665,
35,
14
],
[
165,
665,
15,
14
],
[
186,
666,
21,
14
],
[
212,
666,
42,
14
],
[
260,
666,
65,
14
],
[
330,
666,
9,
14
],
[
344,
666,
46,
14
],
[
395,
666,
10,
14
],
[
63,
681,
171,
14
],
[
236,
681,
13,
14
],
[
253,
681,
26,
14
],
[
282,
681,
63,
14
],
[
348,
681,
58,
14
],
[
63,
697,
61,
14
],
[
127,
697,
13,
14
],
[
143,
697,
17,
14
],
[
164,
697,
10,
14
],
[
178,
697,
44,
14
],
[
226,
697,
10,
14
],
[
239,
697,
17,
14
],
[
260,
697,
55,
14
],
[
318,
697,
11,
14
],
[
333,
697,
72,
14
],
[
63,
713,
21,
14
],
[
86,
713,
38,
14
],
[
126,
713,
26,
14
],
[
155,
713,
46,
14
],
[
203,
713,
40,
14
],
[
244,
713,
47,
14
],
[
294,
713,
52,
14
],
[
348,
713,
58,
14
],
[
62,
729,
46,
14
],
[
110,
729,
20,
14
],
[
131,
729,
52,
14
],
[
185,
729,
38,
14
],
[
225,
729,
63,
14
],
[
289,
729,
69,
14
],
[
359,
729,
47,
14
],
[
63,
745,
42,
14
],
[
110,
745,
91,
14
],
[
206,
745,
48,
14
],
[
260,
745,
41,
14
],
[
307,
745,
76,
14
],
[
388,
745,
17,
14
],
[
62,
761,
32,
14
],
[
101,
761,
34,
14
],
[
141,
761,
55,
14
],
[
201,
761,
19,
14
],
[
226,
761,
20,
14
],
[
252,
761,
18,
14
],
[
277,
761,
21,
14
],
[
304,
761,
52,
14
],
[
362,
761,
20,
14
],
[
388,
761,
17,
14
],
[
62,
777,
32,
14
],
[
98,
777,
34,
14
],
[
136,
777,
52,
14
],
[
192,
777,
20,
14
],
[
216,
777,
50,
14
],
[
269,
777,
46,
14
],
[
320,
777,
47,
14
],
[
370,
777,
35,
14
],
[
63,
793,
33,
14
],
[
102,
793,
31,
14
],
[
139,
793,
38,
14
],
[
183,
793,
26,
14
],
[
214,
793,
46,
14
],
[
266,
793,
19,
14
],
[
291,
793,
42,
14
],
[
338,
793,
30,
14
],
[
374,
793,
31,
14
],
[
63,
809,
26,
14
],
[
95,
809,
109,
14
],
[
209,
809,
48,
14
],
[
264,
809,
11,
14
],
[
281,
809,
54,
14
],
[
341,
809,
64,
14
],
[
63,
825,
20,
14
],
[
88,
825,
56,
14
],
[
149,
825,
56,
14
],
[
209,
825,
51,
14
],
[
265,
825,
42,
14
],
[
312,
825,
44,
14
],
[
361,
825,
44,
14
],
[
63,
840,
27,
14
],
[
95,
840,
41,
14
],
[
141,
840,
55,
14
],
[
201,
840,
20,
14
],
[
227,
840,
6,
14
],
[
239,
840,
36,
14
],
[
281,
840,
11,
14
],
[
298,
840,
108,
14
],
[
63,
856,
33,
14
],
[
99,
856,
14,
14
],
[
115,
856,
26,
14
],
[
143,
856,
17,
14
],
[
162,
856,
26,
14
],
[
190,
856,
46,
14
],
[
239,
856,
24,
14
],
[
266,
856,
25,
14
],
[
294,
856,
56,
14
],
[
353,
856,
11,
14
],
[
366,
856,
6,
14
],
[
375,
856,
30,
14
],
[
63,
872,
18,
14
],
[
86,
872,
11,
14
],
[
103,
872,
38,
14
],
[
147,
872,
45,
14
],
[
197,
872,
9,
14
],
[
212,
872,
9,
14
],
[
226,
872,
37,
14
],
[
269,
872,
21,
14
],
[
295,
872,
50,
14
],
[
350,
872,
56,
14
],
[
63,
888,
20,
14
],
[
88,
888,
69,
14
],
[
161,
888,
16,
14
],
[
183,
888,
45,
14
],
[
233,
888,
11,
14
],
[
249,
888,
89,
14
],
[
343,
888,
63,
14
],
[
63,
904,
19,
14
],
[
87,
904,
27,
14
],
[
120,
904,
10,
14
],
[
135,
904,
16,
14
],
[
157,
904,
29,
14
],
[
191,
904,
47,
14
],
[
243,
904,
29,
14
],
[
278,
904,
15,
14
],
[
299,
904,
20,
14
],
[
325,
904,
47,
14
],
[
377,
904,
29,
14
],
[
63,
920,
34,
14
],
[
101,
920,
10,
14
],
[
116,
920,
16,
14
],
[
136,
920,
29,
14
],
[
170,
920,
18,
14
],
[
192,
920,
10,
14
],
[
207,
920,
16,
14
],
[
227,
920,
40,
14
],
[
271,
920,
54,
14
],
[
330,
920,
11,
14
],
[
346,
920,
46,
14
],
[
397,
920,
9,
14
],
[
63,
936,
22,
14
],
[
86,
936,
11,
14
],
[
99,
936,
43,
14
],
[
144,
936,
42,
14
],
[
188,
936,
78,
14
],
[
267,
936,
47,
14
],
[
316,
936,
54,
14
],
[
371,
936,
34,
14
],
[
63,
952,
19,
14
],
[
85,
952,
76,
14
],
[
164,
952,
73,
14
],
[
241,
952,
39,
14
],
[
282,
952,
46,
14
],
[
331,
952,
27,
14
],
[
361,
952,
6,
14
],
[
370,
952,
21,
14
],
[
394,
952,
11,
14
],
[
63,
968,
113,
14
],
[
181,
968,
42,
14
],
[
228,
968,
25,
14
],
[
258,
968,
11,
14
],
[
274,
968,
30,
14
],
[
310,
968,
20,
14
],
[
336,
968,
30,
14
],
[
371,
968,
35,
14
],
[
421,
411,
52,
14
],
[
477,
411,
34,
14
],
[
515,
411,
46,
14
],
[
566,
411,
20,
14
],
[
591,
411,
52,
14
],
[
649,
411,
42,
14
],
[
696,
411,
17,
14
],
[
717,
411,
46,
14
],
[
421,
427,
28,
14
],
[
453,
427,
20,
14
],
[
478,
427,
62,
14
],
[
544,
427,
11,
14
],
[
560,
427,
38,
14
],
[
603,
427,
26,
14
],
[
632,
427,
35,
14
],
[
671,
427,
20,
14
],
[
696,
427,
24,
14
],
[
725,
427,
39,
14
],
[
421,
443,
43,
14
],
[
467,
443,
60,
14
],
[
529,
443,
41,
14
],
[
573,
443,
54,
14
],
[
630,
443,
41,
14
],
[
674,
443,
22,
14
],
[
699,
443,
65,
14
],
[
421,
459,
58,
14
],
[
483,
459,
20,
14
],
[
507,
459,
25,
14
],
[
537,
459,
62,
14
],
[
604,
459,
23,
14
],
[
631,
459,
10,
14
],
[
646,
459,
16,
14
],
[
666,
459,
35,
14
],
[
705,
459,
59,
14
],
[
421,
475,
10,
14
],
[
435,
475,
16,
14
],
[
454,
475,
34,
14
],
[
491,
475,
69,
14
],
[
564,
475,
46,
14
],
[
613,
475,
16,
14
],
[
633,
475,
45,
14
],
[
682,
475,
11,
14
],
[
697,
475,
43,
14
],
[
743,
475,
20,
14
],
[
421,
490,
32,
14
],
[
457,
490,
76,
14
],
[
538,
490,
49,
14
],
[
592,
490,
20,
14
],
[
617,
490,
34,
14
],
[
655,
490,
34,
14
],
[
693,
490,
55,
14
],
[
753,
490,
11,
14
],
[
421,
506,
48,
14
],
[
472,
506,
25,
14
],
[
501,
506,
11,
14
],
[
516,
506,
42,
14
],
[
562,
506,
22,
14
],
[
588,
506,
11,
14
],
[
603,
506,
46,
14
],
[
653,
506,
59,
14
],
[
715,
506,
49,
14
],
[
421,
522,
20,
14
],
[
443,
522,
23,
14
],
[
469,
522,
34,
14
],
[
505,
522,
55,
14
],
[
562,
522,
10,
14
],
[
574,
522,
16,
14
],
[
592,
522,
29,
14
],
[
622,
522,
33,
14
],
[
658,
522,
10,
14
],
[
670,
522,
16,
14
],
[
688,
522,
34,
14
],
[
723,
522,
41,
14
],
[
421,
538,
44,
14
],
[
468,
538,
38,
14
],
[
509,
538,
23,
14
],
[
535,
538,
27,
14
],
[
565,
538,
129,
14
],
[
697,
538,
67,
14
],
[
421,
554,
14,
14
],
[
437,
554,
13,
14
],
[
452,
554,
55,
14
],
[
509,
554,
75,
14
],
[
586,
554,
61,
14
],
[
649,
554,
40,
14
],
[
690,
554,
44,
14
],
[
736,
554,
10,
14
],
[
748,
554,
16,
14
],
[
421,
570,
34,
14
],
[
459,
570,
42,
14
],
[
505,
570,
26,
14
],
[
535,
570,
46,
14
],
[
585,
570,
16,
14
],
[
605,
570,
63,
14
],
[
673,
570,
29,
14
],
[
706,
570,
57,
14
],
[
421,
586,
11,
14
],
[
436,
586,
22,
14
],
[
463,
586,
6,
14
],
[
473,
586,
21,
14
],
[
499,
586,
11,
14
],
[
514,
586,
39,
14
],
[
558,
586,
45,
14
],
[
606,
586,
77,
14
],
[
688,
586,
17,
14
],
[
709,
586,
54,
14
],
[
421,
602,
11,
14
],
[
438,
602,
38,
14
],
[
481,
602,
26,
14
],
[
513,
602,
29,
14
],
[
547,
602,
23,
14
],
[
576,
602,
23,
14
],
[
604,
602,
12,
14
],
[
622,
602,
41,
14
],
[
669,
602,
29,
14
],
[
704,
602,
60,
14
],
[
421,
618,
63,
14
],
[
487,
618,
12,
14
],
[
501,
618,
20,
14
],
[
524,
618,
38,
14
],
[
563,
618,
15,
14
],
[
581,
618,
59,
14
],
[
642,
618,
17,
14
],
[
662,
618,
54,
14
],
[
719,
618,
11,
14
],
[
733,
618,
31,
14
],
[
421,
634,
13,
14
],
[
436,
634,
70,
14
],
[
509,
634,
39,
14
],
[
550,
634,
56,
14
],
[
608,
634,
20,
14
],
[
631,
634,
65,
14
],
[
699,
634,
60,
14
],
[
421,
665,
23,
14
],
[
446,
665,
74,
14
],
[
523,
665,
15,
14
],
[
541,
665,
30,
14
],
[
421,
681,
31,
14
],
[
456,
681,
70,
14
],
[
530,
681,
36,
14
],
[
570,
681,
24,
14
],
[
599,
681,
25,
14
],
[
629,
681,
51,
14
],
[
684,
681,
11,
14
],
[
700,
681,
42,
14
],
[
747,
681,
17,
14
],
[
421,
697,
56,
14
],
[
482,
697,
11,
14
],
[
499,
697,
38,
14
],
[
542,
697,
26,
14
],
[
573,
697,
32,
14
],
[
611,
697,
32,
14
],
[
648,
697,
30,
14
],
[
683,
697,
24,
14
],
[
713,
697,
51,
14
],
[
421,
713,
33,
14
],
[
458,
713,
15,
14
],
[
477,
713,
17,
14
],
[
498,
713,
62,
14
],
[
564,
713,
11,
14
],
[
580,
713,
64,
14
],
[
648,
713,
53,
14
],
[
705,
713,
20,
14
],
[
729,
713,
34,
14
],
[
421,
729,
37,
14
],
[
462,
729,
11,
14
],
[
477,
729,
47,
14
],
[
529,
729,
66,
14
],
[
598,
729,
38,
14
],
[
640,
729,
34,
14
],
[
679,
729,
11,
14
],
[
694,
729,
70,
14
],
[
421,
745,
49,
14
],
[
475,
745,
47,
14
],
[
528,
745,
24,
14
],
[
558,
745,
25,
14
],
[
589,
745,
51,
14
],
[
645,
745,
11,
14
],
[
662,
745,
17,
14
],
[
684,
745,
50,
14
],
[
740,
745,
24,
14
],
[
421,
761,
32,
14
],
[
455,
761,
34,
14
],
[
492,
761,
11,
14
],
[
505,
761,
26,
14
],
[
533,
761,
29,
14
],
[
565,
761,
21,
14
],
[
588,
761,
40,
14
],
[
630,
761,
40,
14
],
[
671,
761,
44,
14
],
[
717,
761,
46,
14
],
[
421,
777,
50,
14
],
[
475,
777,
27,
14
],
[
507,
777,
41,
14
],
[
553,
777,
26,
14
],
[
583,
777,
17,
14
],
[
605,
777,
56,
14
],
[
665,
777,
46,
14
],
[
717,
777,
47,
14
],
[
421,
793,
37,
14
],
[
461,
793,
43,
14
],
[
506,
793,
46,
14
],
[
556,
793,
47,
14
],
[
606,
793,
39,
14
],
[
647,
793,
45,
14
],
[
695,
793,
46,
14
],
[
744,
793,
20,
14
],
[
421,
809,
33,
14
],
[
457,
809,
36,
14
],
[
495,
809,
20,
14
],
[
518,
809,
61,
14
],
[
582,
809,
46,
14
],
[
632,
809,
47,
14
],
[
682,
809,
32,
14
],
[
717,
809,
15,
14
],
[
735,
809,
10,
14
],
[
748,
809,
16,
14
],
[
421,
825,
29,
14
],
[
452,
825,
58,
14
],
[
513,
825,
10,
14
],
[
525,
825,
16,
14
],
[
543,
825,
29,
14
],
[
574,
825,
21,
14
],
[
598,
825,
10,
14
],
[
610,
825,
16,
14
],
[
628,
825,
29,
14
],
[
659,
825,
44,
14
],
[
705,
825,
20,
14
],
[
728,
825,
36,
14
],
[
421,
841,
34,
14
],
[
421,
873,
38,
12
],
[
421,
888,
50,
14
],
[
477,
888,
6,
14
],
[
490,
888,
67,
14
],
[
564,
888,
51,
14
],
[
622,
888,
44,
14
],
[
672,
888,
9,
14
],
[
688,
888,
6,
14
],
[
701,
888,
63,
14
],
[
421,
904,
50,
14
],
[
476,
904,
106,
14
],
[
587,
904,
20,
14
],
[
613,
904,
62,
14
],
[
681,
904,
83,
14
],
[
421,
920,
47,
14
],
[
470,
920,
62,
14
],
[
534,
920,
11,
14
],
[
547,
920,
46,
14
],
[
595,
920,
56,
14
],
[
654,
920,
11,
14
],
[
668,
920,
96,
14
],
[
421,
936,
33,
14
],
[
456,
936,
39,
14
],
[
496,
936,
20,
14
],
[
518,
936,
37,
14
],
[
557,
936,
29,
14
],
[
587,
936,
11,
14
],
[
600,
936,
47,
14
],
[
648,
936,
11,
14
],
[
661,
936,
103,
14
],
[
421,
952,
28,
14
],
[
452,
952,
23,
14
],
[
477,
952,
16,
14
],
[
495,
952,
35,
14
],
[
532,
952,
25,
14
],
[
559,
952,
11,
14
],
[
572,
952,
38,
14
],
[
613,
952,
30,
14
],
[
645,
952,
88,
14
],
[
735,
952,
28,
14
],
[
421,
968,
23,
14
],
[
446,
968,
31,
14
],
[
479,
968,
10,
14
],
[
491,
968,
16,
14
],
[
508,
968,
34,
14
],
[
544,
968,
36,
14
],
[
582,
968,
37,
14
],
[
621,
968,
38,
14
],
[
662,
968,
21,
14
],
[
685,
968,
79,
14
],
[
63,
1033,
101,
11
],
[
605,
1033,
27,
10
],
[
635,
1033,
21,
10
],
[
658,
1033,
3,
10
],
[
662,
1033,
33,
10
],
[
697,
1033,
6,
10
],
[
705,
1033,
3,
10
],
[
709,
1033,
28,
10
],
[
739,
1033,
11,
10
],
[
753,
1033,
3,
10
],
[
758,
1033,
6,
10
]
] | [
"REVIEW",
"ARTICLE",
"published:",
"09",
"March",
"2012",
"doi:",
"10.3389/fphar.2012.00035",
"Regulation",
"of",
"aldo–keto",
"reductases",
"in",
"human",
"diseases",
"Wei-Dong",
"Chen",
"and",
"Yanqiao",
"Zhang*",
"Department",
"of",
"Integrative",
"Medical",
"Sciences,",
"Northeast",
"Ohio",
"Medical",
"University,",
"Rootstown,",
"OH,",
"USA",
"Edited",
"by:",
"Yi",
"Jin,",
"University",
"of",
"Pennsylvania,",
"USA",
"Reviewed",
"by:",
"Wen",
"Xie,",
"University",
"of",
"Pittsburgh,",
"USA",
"Kwang-Huei",
"Lin,",
"Chang-Gung",
"University,",
"Taiwan",
"*Correspondence:",
"Yanqiao",
"Zhang,",
"Department",
"of",
"Integrative",
"Medical",
"Sciences,",
"Northeast",
"Ohio",
"Medical",
"University,",
"4209",
"State",
"Route",
"44,",
"Rootstown,",
"OH",
"44272,",
"USA.",
"e-mail:",
"yzhang@neomed.edu",
"The",
"aldo–keto",
"reductases",
"(AKRs)",
"are",
"a",
"superfamily",
"of",
"NAD(P)H-linked",
"oxidoreductases,",
"which",
"reduce",
"aldehydes",
"and",
"ketones",
"to",
"their",
"respective",
"primary",
"and",
"secondary",
"alcohols.",
"AKR",
"enzymes",
"are",
"increasingly",
"being",
"recognized",
"to",
"play",
"an",
"important",
"role",
"in",
"the",
"transfor-",
"mation",
"and",
"detoxification",
"of",
"aldehydes",
"and",
"ketones",
"generated",
"during",
"drug",
"detoxification",
"and",
"xenobiotic",
"metabolism.",
"Many",
"transcription",
"factors",
"have",
"been",
"identified",
"to",
"regulate",
"the",
"expression",
"of",
"human",
"AKR",
"genes,",
"which",
"could",
"have",
"profound",
"effects",
"on",
"the",
"metabolism",
"of",
"endogenous",
"mediators",
"and",
"detoxication",
"of",
"chemical",
"carcinogens.",
"This",
"review",
"summarizes",
"the",
"current",
"knowledge",
"on",
"AKR",
"regulation",
"by",
"transcription",
"factors",
"and",
"other",
"mediators",
"in",
"human",
"diseases.",
"Keywords:",
"aldo–keto",
"reductase,",
"regulation,",
"response",
"element,",
"transcription",
"factor,",
"human",
"disease",
"INTRODUCTION",
"The",
"aldo–keto",
"reductases",
"(AKRs)",
"are",
"a",
"superfamily",
"of",
"NAD(P)H-",
"linked",
"oxidoreductases,",
"which",
"primarily",
"catalyze",
"the",
"reduction",
"of",
"aldehydes",
"and",
"ketones",
"to",
"primary",
"and",
"secondary",
"alcohols,",
"respec-",
"tively",
"(Penning",
"and",
"Drury,",
"2007).",
"AKRs",
"are",
"generally",
"soluble,",
"cytosolic",
"monomeric",
"(37",
"kDa)",
"enzymes",
"and",
"are",
"present",
"in",
"both",
"prokaryotes",
"and",
"eukaryotes.",
"These",
"enzymes",
"share",
"a",
"common",
"pro-",
"tein",
"fold,",
"a",
"(β/α)8",
"or",
"a",
"triosephosphate",
"isomerase",
"(TIM)-barrel,",
"and",
"have",
"an",
"active",
"site",
"in",
"the",
"C-terminal",
"face",
"(Jez",
"et",
"al.,",
"1997a,b;",
"Barski",
"et",
"al.,",
"2008).",
"Most",
"AKRs",
"use",
"pyridine",
"nucleotide",
"as",
"cofac-",
"tors",
"and",
"catalyze",
"simple",
"oxidation–reduction",
"reactions",
"involved",
"in",
"the",
"metabolism",
"of",
"sugar",
"aldehydes,",
"reactive",
"lipid",
"aldehydes,",
"ketoprostaglandins,",
"and",
"ketosteroids.",
"Aldo–keto",
"reductases",
"consist",
"of",
"15",
"families",
"which",
"have",
"more",
"than",
"100",
"members",
"(Barski",
"et",
"al.,",
"2008).",
"There",
"are",
"13",
"human",
"AKR",
"proteins",
"that",
"fall",
"into",
"3",
"families",
"AKR1,",
"AKR6,",
"and",
"AKR7",
"(Table",
"1).",
"The",
"detailed",
"information",
"is",
"available",
"at",
"http://www.med.upenn.edu/akr,",
"an",
"AKR",
"superfamily",
"homepage,",
"maintained",
"by",
"Dr.",
"T.",
"Penning",
"at",
"the",
"University",
"of",
"Pennsylvania.",
"The",
"human",
"AKR",
"enzymes",
"include",
"AKR1A1",
"(aldehyde",
"reductase),",
"AKR1B1",
"and",
"AKR1B10",
"(aldose",
"reductases),",
"AKR1C1–C4",
"(hydrox-",
"ysteroid",
"dehydrogenases),",
"AKR1D1",
"(steroid",
"5β-reductase),",
"the",
"AKR6",
"family",
"(AKR6A3,",
"A5,",
"and",
"A9;",
"Kvβ",
"proteins),",
"and",
"the",
"AKR7",
"family",
"(AKR7A2",
"and",
"AKR7A3;",
"aflatoxin",
"aldehyde",
"reduc-",
"tases).",
"These",
"human",
"AKR",
"enzymes",
"can",
"catalyze",
"many",
"meta-",
"bolic",
"oxidation–reduction",
"reactions",
"of",
"numerous",
"endogenous",
"and",
"exogenous",
"substrates,",
"including",
"glucose,",
"steroids,",
"carcino-",
"gens,",
"reactive",
"aldehydes,",
"and",
"a",
"variety",
"of",
"carbonyl-containing",
"drugs.",
"To",
"date,",
"the",
"AKR",
"enzymes",
"have",
"been",
"implicated",
"in",
"a",
"num-",
"ber",
"of",
"human",
"diseases.",
"It",
"is",
"known",
"that",
"AKR1A1,",
"AKR1B10,",
"and",
"AKR1C1–C3",
"are",
"involved",
"in",
"tobacco-induced",
"carcinogen-",
"esis",
"(Hsu",
"et",
"al.,",
"2001;",
"Penning,",
"2005;",
"Jin",
"and",
"Penning,",
"2007;",
"Zhang",
"et",
"al.,",
"2008;",
"Liu",
"et",
"al.,",
"2009a).",
"Inhibition",
"of",
"AKR1B1",
"is",
"able",
"to",
"alleviate",
"diabetic",
"complications.",
"Through",
"mediating",
"oxida-",
"tive",
"stress-induced",
"inflammatory",
"signals,",
"AKR1B1",
"plays",
"a",
"role",
"in",
"inflammation-related",
"diseases",
"such",
"as",
"sepsis",
"and",
"colon",
"cancer",
"(Ramana,",
"2011).",
"AKR1B1",
"and",
"AKR1B10",
"regulate",
"the",
"develop-",
"ment",
"and",
"progression",
"of",
"human",
"liver,",
"breast,",
"and",
"lung",
"cancers",
"through",
"detoxifying",
"reactive",
"carbonyls,",
"retinoic",
"acid",
"homeostatic",
"regulation,",
"and",
"lipid",
"metabolism",
"(Liu",
"et",
"al.,",
"2009a;",
"Diez-Dacal",
"et",
"al.,",
"2011).",
"AKR1C1–C3",
"enzymes",
"are",
"involved",
"in",
"prostate",
"and",
"breast",
"carcinogenesis",
"(Penning",
"and",
"Byrns,",
"2009).",
"Mutations",
"in",
"AKR1D1",
"gene",
"in",
"patients",
"lead",
"to",
"neonatal",
"cholestasis,",
"hepatitis,",
"and",
"liver",
"failure",
"(Lemonde",
"et",
"al.,",
"2003;",
"Barski",
"et",
"al.,",
"2008).",
"AKR7A",
"proteins",
"protect",
"liver",
"from",
"acetaminophen-induced",
"hepatotoxic-",
"ity",
"by",
"enhancing",
"hepatocellular",
"antioxidant",
"defense",
"(Ahmed",
"et",
"al.,",
"2011).",
"Because",
"AKR",
"enzymes",
"are",
"increasingly",
"being",
"recognized",
"to",
"play",
"a",
"role",
"in",
"various",
"diseases,",
"understanding",
"the",
"regulation",
"of",
"human",
"AKR",
"genes",
"may",
"help",
"us",
"develop",
"novel",
"therapeutic",
"approaches.",
"In",
"this",
"review,",
"we",
"summarize",
"the",
"regulation",
"of",
"AKRs",
"by",
"transcription",
"factors,",
"mediators,",
"and",
"pathological",
"conditions.",
"THE",
"REGULATION",
"OF",
"AKRs",
"Many",
"transcription",
"factors",
"have",
"been",
"identified",
"to",
"regulate",
"the",
"expression",
"of",
"human",
"AKR",
"genes,",
"which",
"could",
"have",
"profound",
"effects",
"on",
"the",
"metabolism",
"of",
"endogenous",
"mediators",
"and",
"detox-",
"ication",
"of",
"chemical",
"carcinogens.",
"Several",
"classes",
"of",
"transcription",
"enhancer",
"elements",
"have",
"been",
"identified",
"in",
"the",
"upstream",
"pro-",
"moter",
"region",
"of",
"AKR",
"genes",
"that",
"include",
"nuclear",
"receptor",
"response",
"elements,",
"AP-1",
"binding",
"sites,",
"the",
"xenobiotic",
"response",
"elements",
"(XRE),",
"osmotic",
"response",
"elements",
"(ORE),",
"estrogen",
"response",
"ele-",
"ments",
"(ERE),",
"and",
"antioxidant",
"response",
"elements",
"(ARE;",
"Ko",
"et",
"al.,",
"1997;",
"Burczynski",
"et",
"al.,",
"1999;",
"Lou",
"et",
"al.,",
"2006;",
"Penning",
"and",
"Drury,",
"2007).",
"AKR1A1",
"AKR1A1,",
"a",
"ubiquitously",
"expressed",
"enzyme,",
"is",
"a",
"well-known",
"cytosolic,",
"NADPH-dependent",
"and",
"monomeric",
"oxidoreductase.",
"AKR1A1",
"participates",
"in",
"carbonyl",
"reductions",
"of",
"chemotherapeutic",
"drugs.",
"Protein",
"and",
"mRNA",
"levels",
"of",
"AKR1A1",
"in",
"irinotecan-resistant",
"LoVo",
"cells",
"are",
"higher",
"than",
"in",
"human",
"colon",
"adenocarcinoma",
"LoVo",
"cells",
"(Peng",
"et",
"al.,",
"2010).",
"Recent",
"studies",
"suggest",
"that",
"overexpression",
"www.frontiersin.org",
"March",
"2012",
"|",
"Volume",
"3",
"|",
"Article",
"35",
"|",
"1"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
11,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
2,952,456 | null | [
[
98,
61,
73,
17
],
[
174,
61,
56,
17
],
[
234,
61,
31,
17
],
[
268,
61,
36,
17
],
[
308,
61,
108,
17
],
[
113,
115,
20,
9
],
[
134,
115,
24,
9
],
[
160,
115,
12,
9
],
[
173,
115,
15,
9
],
[
189,
115,
24,
9
],
[
689,
61,
86,
17
],
[
588,
84,
21,
9
],
[
610,
84,
26,
9
],
[
638,
84,
9,
9
],
[
649,
84,
35,
9
],
[
685,
84,
16,
9
],
[
702,
84,
33,
9
],
[
737,
84,
36,
9
],
[
594,
115,
12,
14
],
[
609,
115,
9,
14
],
[
620,
115,
4,
14
],
[
626,
115,
6,
14
],
[
635,
115,
4,
14
],
[
641,
115,
11,
14
],
[
654,
115,
10,
14
],
[
667,
115,
7,
14
],
[
688,
115,
9,
14
],
[
700,
115,
7,
14
],
[
709,
115,
6,
14
],
[
718,
115,
7,
14
],
[
727,
115,
10,
14
],
[
739,
115,
9,
14
],
[
751,
115,
7,
14
],
[
760,
115,
11,
14
],
[
98,
137,
70,
34
],
[
177,
137,
48,
34
],
[
234,
137,
134,
34
],
[
377,
137,
27,
34
],
[
413,
137,
242,
34
],
[
98,
176,
116,
34
],
[
222,
176,
86,
34
],
[
317,
176,
25,
34
],
[
350,
176,
15,
34
],
[
374,
176,
119,
34
],
[
501,
176,
58,
34
],
[
568,
176,
144,
34
],
[
98,
344,
45,
16
],
[
148,
344,
12,
16
],
[
165,
344,
75,
16
],
[
98,
364,
53,
16
],
[
156,
364,
12,
16
],
[
174,
364,
45,
16
],
[
220,
364,
5,
10
],
[
98,
383,
49,
16
],
[
152,
383,
45,
16
],
[
201,
383,
5,
10
],
[
98,
403,
45,
16
],
[
153,
403,
43,
16
],
[
201,
403,
25,
16
],
[
231,
402,
5,
10
],
[
98,
422,
43,
16
],
[
146,
422,
30,
16
],
[
177,
422,
5,
10
],
[
98,
448,
36,
12
],
[
138,
448,
48,
12
],
[
189,
448,
17,
12
],
[
210,
448,
51,
12
],
[
98,
461,
48,
12
],
[
148,
461,
9,
12
],
[
160,
461,
40,
12
],
[
203,
461,
24,
12
],
[
231,
461,
36,
12
],
[
98,
475,
21,
12
],
[
121,
475,
24,
12
],
[
149,
475,
36,
12
],
[
188,
475,
48,
12
],
[
240,
475,
17,
12
],
[
98,
488,
51,
12
],
[
153,
488,
48,
12
],
[
203,
488,
55,
12
],
[
98,
501,
46,
12
],
[
148,
501,
82,
12
],
[
233,
501,
20,
12
],
[
98,
514,
51,
12
],
[
151,
514,
14,
12
],
[
168,
514,
24,
12
],
[
198,
514,
36,
12
],
[
238,
514,
48,
12
],
[
98,
527,
17,
12
],
[
119,
527,
51,
12
],
[
174,
527,
47,
12
],
[
224,
527,
9,
12
],
[
236,
527,
40,
12
],
[
98,
541,
21,
12
],
[
121,
541,
24,
12
],
[
148,
541,
5,
12
],
[
156,
541,
11,
12
],
[
170,
541,
21,
12
],
[
98,
904,
76,
12
],
[
175,
904,
30,
12
],
[
208,
904,
9,
12
],
[
220,
904,
47,
12
],
[
98,
918,
9,
12
],
[
109,
918,
37,
12
],
[
148,
918,
30,
12
],
[
181,
918,
45,
12
],
[
228,
918,
16,
12
],
[
98,
931,
48,
12
],
[
148,
931,
43,
12
],
[
193,
931,
13,
12
],
[
209,
931,
32,
12
],
[
243,
931,
42,
12
],
[
98,
944,
28,
12
],
[
127,
944,
51,
12
],
[
181,
944,
28,
12
],
[
211,
944,
23,
12
],
[
236,
944,
33,
12
],
[
98,
957,
18,
12
],
[
118,
957,
31,
12
],
[
150,
957,
20,
12
],
[
98,
970,
13,
12
],
[
114,
970,
12,
12
],
[
129,
970,
17,
12
],
[
148,
970,
17,
12
],
[
168,
970,
23,
12
],
[
98,
984,
16,
12
],
[
116,
983,
12,
12
],
[
131,
984,
17,
12
],
[
151,
984,
17,
12
],
[
171,
984,
23,
12
],
[
98,
997,
24,
12
],
[
125,
997,
149,
12
],
[
98,
1045,
23,
7
],
[
122,
1045,
15,
7
],
[
139,
1045,
37,
7
],
[
177,
1045,
2,
7
],
[
181,
1045,
59,
7
],
[
98,
1058,
43,
9
],
[
98,
1073,
16,
7
],
[
115,
1073,
74,
7
],
[
307,
347,
51,
13
],
[
359,
346,
13,
13
],
[
374,
346,
41,
13
],
[
417,
346,
16,
13
],
[
434,
346,
37,
13
],
[
473,
346,
48,
13
],
[
523,
346,
18,
13
],
[
543,
346,
59,
13
],
[
604,
346,
31,
13
],
[
636,
346,
21,
13
],
[
659,
346,
25,
13
],
[
686,
346,
11,
13
],
[
698,
346,
44,
13
],
[
745,
346,
31,
13
],
[
307,
364,
10,
13
],
[
320,
364,
6,
13
],
[
328,
364,
17,
13
],
[
347,
364,
46,
13
],
[
395,
364,
21,
13
],
[
419,
364,
57,
13
],
[
307,
383,
48,
13
],
[
356,
383,
22,
13
],
[
380,
383,
55,
13
],
[
436,
382,
10,
13
],
[
447,
382,
64,
13
],
[
513,
382,
33,
13
],
[
548,
382,
40,
13
],
[
590,
382,
20,
13
],
[
611,
382,
25,
13
],
[
637,
382,
13,
13
],
[
652,
382,
39,
13
],
[
693,
382,
28,
13
],
[
723,
382,
20,
13
],
[
745,
382,
30,
13
],
[
307,
400,
61,
13
],
[
370,
400,
23,
13
],
[
395,
400,
91,
13
],
[
488,
400,
45,
13
],
[
536,
400,
31,
13
],
[
569,
400,
25,
13
],
[
596,
400,
40,
13
],
[
638,
400,
10,
13
],
[
650,
400,
29,
13
],
[
682,
400,
39,
13
],
[
723,
400,
52,
13
],
[
307,
418,
16,
13
],
[
325,
418,
29,
13
],
[
355,
418,
48,
13
],
[
405,
418,
25,
13
],
[
431,
418,
59,
13
],
[
492,
418,
31,
13
],
[
525,
418,
22,
13
],
[
549,
418,
71,
13
],
[
622,
418,
36,
13
],
[
660,
418,
24,
13
],
[
685,
418,
11,
13
],
[
698,
418,
46,
13
],
[
745,
418,
31,
13
],
[
307,
436,
19,
13
],
[
328,
436,
29,
13
],
[
358,
436,
13,
13
],
[
373,
436,
35,
13
],
[
410,
436,
10,
13
],
[
422,
436,
16,
13
],
[
439,
436,
43,
13
],
[
484,
436,
13,
13
],
[
498,
436,
40,
13
],
[
540,
436,
23,
13
],
[
565,
436,
28,
13
],
[
594,
436,
21,
13
],
[
617,
436,
38,
13
],
[
656,
436,
11,
13
],
[
669,
436,
20,
13
],
[
691,
436,
21,
13
],
[
714,
436,
61,
13
],
[
307,
454,
11,
13
],
[
320,
454,
34,
13
],
[
356,
454,
10,
13
],
[
367,
454,
36,
13
],
[
406,
454,
30,
13
],
[
438,
454,
39,
13
],
[
479,
454,
31,
13
],
[
512,
454,
11,
13
],
[
525,
454,
44,
13
],
[
571,
454,
45,
13
],
[
619,
454,
30,
13
],
[
651,
454,
30,
13
],
[
683,
454,
20,
13
],
[
705,
454,
43,
13
],
[
750,
454,
25,
13
],
[
307,
472,
13,
13
],
[
322,
472,
21,
13
],
[
345,
472,
20,
13
],
[
367,
472,
19,
13
],
[
388,
472,
56,
13
],
[
446,
472,
35,
13
],
[
484,
472,
23,
13
],
[
509,
472,
12,
13
],
[
523,
472,
28,
13
],
[
553,
472,
21,
13
],
[
577,
472,
38,
13
],
[
617,
472,
11,
13
],
[
630,
472,
16,
13
],
[
648,
472,
21,
13
],
[
669,
472,
40,
13
],
[
712,
472,
28,
13
],
[
742,
472,
33,
13
],
[
307,
490,
16,
13
],
[
326,
490,
35,
13
],
[
364,
490,
67,
13
],
[
434,
490,
36,
13
],
[
473,
490,
40,
13
],
[
516,
490,
23,
13
],
[
542,
490,
26,
13
],
[
572,
490,
54,
13
],
[
629,
490,
11,
13
],
[
643,
490,
30,
13
],
[
677,
490,
27,
13
],
[
708,
490,
69,
13
],
[
307,
509,
24,
13
],
[
333,
509,
49,
13
],
[
383,
509,
46,
13
],
[
431,
509,
31,
13
],
[
464,
509,
19,
13
],
[
484,
509,
36,
13
],
[
522,
509,
38,
13
],
[
561,
509,
24,
13
],
[
587,
509,
50,
13
],
[
639,
509,
13,
13
],
[
654,
509,
32,
13
],
[
688,
509,
37,
13
],
[
727,
509,
48,
13
],
[
307,
527,
19,
13
],
[
328,
527,
32,
13
],
[
363,
527,
29,
13
],
[
307,
545,
46,
13
],
[
356,
545,
14,
13
],
[
374,
545,
25,
13
],
[
403,
545,
45,
13
],
[
452,
545,
31,
13
],
[
486,
545,
43,
13
],
[
533,
545,
25,
13
],
[
562,
545,
41,
13
],
[
607,
545,
19,
13
],
[
629,
545,
21,
13
],
[
654,
545,
31,
13
],
[
689,
545,
19,
13
],
[
711,
545,
19,
13
],
[
734,
545,
41,
13
],
[
307,
563,
19,
13
],
[
329,
563,
6,
13
],
[
338,
563,
46,
13
],
[
387,
563,
34,
13
],
[
424,
563,
33,
13
],
[
461,
563,
39,
13
],
[
503,
563,
19,
13
],
[
525,
563,
32,
13
],
[
561,
563,
55,
13
],
[
619,
563,
24,
13
],
[
646,
563,
11,
13
],
[
660,
563,
50,
13
],
[
714,
563,
34,
13
],
[
751,
563,
24,
13
],
[
307,
581,
19,
13
],
[
329,
581,
23,
13
],
[
355,
581,
48,
13
],
[
406,
581,
50,
13
],
[
459,
581,
23,
13
],
[
485,
581,
16,
13
],
[
504,
581,
25,
13
],
[
533,
581,
43,
13
],
[
579,
581,
44,
13
],
[
626,
581,
50,
13
],
[
680,
581,
31,
13
],
[
714,
581,
39,
13
],
[
757,
581,
18,
13
],
[
307,
599,
32,
13
],
[
341,
599,
24,
13
],
[
367,
599,
11,
13
],
[
380,
599,
39,
13
],
[
420,
599,
37,
13
],
[
460,
599,
48,
13
],
[
510,
599,
50,
13
],
[
562,
599,
23,
13
],
[
586,
599,
21,
13
],
[
609,
599,
31,
13
],
[
642,
599,
43,
13
],
[
687,
599,
25,
13
],
[
714,
599,
49,
13
],
[
765,
599,
10,
13
],
[
307,
617,
46,
13
],
[
355,
617,
31,
13
],
[
388,
617,
24,
13
],
[
415,
617,
21,
13
],
[
438,
617,
35,
13
],
[
475,
617,
33,
13
],
[
511,
617,
39,
13
],
[
552,
617,
24,
13
],
[
579,
617,
16,
13
],
[
598,
617,
28,
13
],
[
628,
617,
26,
13
],
[
656,
617,
29,
13
],
[
687,
617,
10,
13
],
[
700,
617,
12,
13
],
[
714,
617,
61,
13
],
[
307,
635,
10,
13
],
[
319,
635,
49,
13
],
[
370,
635,
50,
13
],
[
422,
635,
23,
13
],
[
447,
635,
41,
13
],
[
490,
635,
38,
13
],
[
530,
635,
23,
13
],
[
556,
635,
26,
13
],
[
584,
635,
19,
13
],
[
606,
635,
23,
13
],
[
631,
635,
55,
13
],
[
689,
635,
39,
13
],
[
730,
635,
25,
13
],
[
757,
635,
19,
13
],
[
307,
653,
23,
13
],
[
333,
653,
59,
13
],
[
394,
653,
11,
13
],
[
408,
653,
31,
13
],
[
442,
653,
49,
13
],
[
493,
653,
48,
13
],
[
544,
653,
20,
13
],
[
566,
653,
13,
13
],
[
582,
653,
28,
13
],
[
613,
653,
26,
13
],
[
642,
653,
29,
13
],
[
673,
653,
35,
13
],
[
710,
653,
39,
13
],
[
752,
653,
23,
13
],
[
307,
671,
28,
13
],
[
337,
671,
31,
13
],
[
370,
671,
50,
13
],
[
422,
671,
23,
13
],
[
447,
671,
41,
13
],
[
490,
671,
22,
13
],
[
514,
671,
25,
13
],
[
542,
671,
23,
13
],
[
567,
671,
16,
13
],
[
586,
671,
25,
13
],
[
614,
671,
30,
13
],
[
645,
671,
33,
13
],
[
681,
671,
20,
13
],
[
702,
671,
21,
13
],
[
725,
671,
50,
13
],
[
307,
689,
11,
13
],
[
320,
689,
28,
13
],
[
349,
689,
22,
13
],
[
373,
689,
19,
13
],
[
395,
689,
23,
13
],
[
420,
689,
16,
13
],
[
439,
689,
19,
13
],
[
460,
689,
23,
13
],
[
485,
689,
58,
13
],
[
546,
689,
15,
13
],
[
563,
689,
53,
13
],
[
618,
689,
31,
13
],
[
651,
689,
39,
13
],
[
693,
689,
19,
13
],
[
713,
689,
63,
13
],
[
307,
707,
32,
13
],
[
342,
707,
25,
13
],
[
370,
707,
50,
13
],
[
422,
707,
23,
13
],
[
448,
707,
36,
13
],
[
486,
707,
39,
13
],
[
528,
707,
10,
13
],
[
541,
707,
16,
13
],
[
559,
707,
22,
13
],
[
584,
707,
49,
13
],
[
635,
707,
16,
13
],
[
653,
707,
28,
13
],
[
684,
707,
30,
13
],
[
307,
726,
69,
13
],
[
379,
725,
94,
13
],
[
476,
725,
45,
13
],
[
525,
725,
31,
13
],
[
559,
725,
39,
13
],
[
602,
725,
19,
13
],
[
624,
725,
63,
13
],
[
691,
725,
33,
13
],
[
728,
725,
48,
13
],
[
307,
743,
19,
13
],
[
328,
743,
32,
13
],
[
363,
743,
25,
13
],
[
392,
743,
50,
13
],
[
444,
743,
23,
13
],
[
470,
743,
44,
13
],
[
517,
743,
50,
13
],
[
570,
743,
31,
13
],
[
603,
743,
39,
13
],
[
645,
743,
10,
13
],
[
658,
743,
51,
13
],
[
712,
743,
63,
13
],
[
307,
761,
10,
13
],
[
320,
761,
26,
13
],
[
348,
761,
32,
13
],
[
383,
761,
24,
13
],
[
410,
761,
11,
13
],
[
424,
761,
38,
13
],
[
465,
761,
48,
13
],
[
516,
761,
19,
13
],
[
537,
761,
29,
13
],
[
307,
780,
60,
13
],
[
370,
779,
35,
13
],
[
408,
779,
11,
13
],
[
422,
779,
36,
13
],
[
460,
779,
113,
13
],
[
576,
779,
45,
13
],
[
624,
779,
73,
13
],
[
699,
779,
40,
13
],
[
742,
779,
33,
13
],
[
307,
797,
44,
13
],
[
353,
797,
25,
13
],
[
381,
797,
11,
13
],
[
394,
797,
25,
13
],
[
422,
797,
31,
13
],
[
455,
797,
21,
13
],
[
479,
797,
48,
13
],
[
307,
835,
109,
20
],
[
307,
858,
36,
14
],
[
344,
858,
10,
14
],
[
355,
858,
7,
14
],
[
363,
858,
32,
14
],
[
397,
858,
30,
14
],
[
429,
858,
12,
14
],
[
443,
858,
42,
14
],
[
486,
858,
54,
14
],
[
542,
858,
53,
14
],
[
596,
858,
52,
14
],
[
650,
858,
20,
14
],
[
671,
858,
104,
14
],
[
307,
878,
21,
14
],
[
332,
878,
8,
14
],
[
346,
878,
50,
14
],
[
401,
878,
17,
14
],
[
423,
878,
61,
14
],
[
489,
878,
19,
14
],
[
513,
878,
12,
14
],
[
531,
878,
35,
14
],
[
571,
878,
24,
14
],
[
600,
878,
70,
14
],
[
674,
878,
34,
14
],
[
713,
878,
62,
14
],
[
307,
897,
56,
14
],
[
366,
897,
28,
14
],
[
396,
897,
29,
14
],
[
429,
897,
81,
14
],
[
512,
897,
49,
14
],
[
564,
897,
34,
14
],
[
602,
897,
31,
14
],
[
635,
897,
27,
14
],
[
665,
897,
38,
14
],
[
706,
897,
14,
14
],
[
723,
897,
37,
14
],
[
763,
897,
12,
14
],
[
307,
916,
34,
14
],
[
344,
916,
54,
14
],
[
400,
916,
46,
14
],
[
450,
916,
12,
14
],
[
465,
916,
17,
14
],
[
485,
916,
29,
14
],
[
516,
916,
21,
14
],
[
540,
916,
44,
14
],
[
585,
916,
42,
14
],
[
631,
916,
55,
14
],
[
689,
916,
66,
15
],
[
758,
916,
18,
14
],
[
307,
936,
70,
14
],
[
380,
936,
47,
14
],
[
430,
936,
21,
14
],
[
454,
936,
26,
14
],
[
483,
936,
40,
14
],
[
527,
936,
67,
14
],
[
597,
936,
24,
14
],
[
624,
936,
7,
14
],
[
635,
936,
41,
14
],
[
680,
936,
26,
14
],
[
709,
936,
37,
14
],
[
749,
936,
16,
14
],
[
769,
936,
7,
14
],
[
307,
955,
35,
14
],
[
344,
955,
34,
14
],
[
380,
955,
46,
14
],
[
428,
955,
7,
14
],
[
437,
955,
59,
14
],
[
498,
955,
54,
14
],
[
554,
955,
42,
14
],
[
598,
955,
25,
14
],
[
625,
955,
77,
14
],
[
704,
955,
28,
14
],
[
733,
955,
42,
14
],
[
307,
975,
14,
14
],
[
326,
975,
12,
14
],
[
342,
975,
31,
14
],
[
378,
975,
12,
14
],
[
395,
975,
45,
14
],
[
444,
975,
12,
14
],
[
460,
975,
17,
14
],
[
482,
975,
38,
14
],
[
524,
975,
45,
14
],
[
574,
975,
34,
14
],
[
613,
975,
24,
14
],
[
641,
975,
52,
14
],
[
698,
975,
19,
14
],
[
721,
975,
32,
14
],
[
758,
975,
18,
14
],
[
307,
994,
54,
14
],
[
363,
994,
32,
14
],
[
398,
994,
21,
14
],
[
422,
994,
43,
14
],
[
468,
994,
23,
14
],
[
494,
994,
12,
14
],
[
509,
994,
34,
14
],
[
546,
994,
11,
14
],
[
560,
994,
17,
14
],
[
581,
994,
38,
14
],
[
622,
994,
34,
14
],
[
659,
994,
22,
14
],
[
683,
994,
32,
14
],
[
718,
994,
44,
14
],
[
307,
1044,
37,
12
],
[
347,
1044,
30,
12
],
[
380,
1044,
16,
12
],
[
399,
1044,
19,
12
],
[
421,
1044,
57,
12
],
[
481,
1044,
31,
12
],
[
514,
1044,
39,
12
],
[
752,
1044,
24,
14
],
[
307,
1059,
9,
12
],
[
318,
1059,
23,
12
],
[
343,
1059,
47,
12
],
[
393,
1059,
10,
12
],
[
405,
1059,
10,
12
],
[
417,
1059,
42,
12
],
[
461,
1059,
16,
12
],
[
480,
1059,
36,
12
],
[
519,
1059,
25,
12
],
[
546,
1059,
35,
12
],
[
583,
1059,
24,
12
],
[
610,
1059,
37,
12
],
[
650,
1059,
7,
12
],
[
660,
1059,
11,
12
],
[
673,
1059,
26,
12
],
[
701,
1059,
31,
12
],
[
735,
1059,
29,
12
],
[
307,
1072,
27,
12
],
[
336,
1072,
35,
12
],
[
374,
1072,
55,
12
],
[
432,
1072,
70,
12
],
[
504,
1072,
18,
12
],
[
524,
1072,
40,
12
],
[
566,
1072,
15,
12
],
[
584,
1072,
33,
12
],
[
620,
1072,
24,
12
],
[
647,
1072,
7,
12
],
[
657,
1072,
39,
12
],
[
698,
1072,
25,
12
]
] | [
"Vascular",
"Health",
"and",
"Risk",
"Management",
"Open",
"Access",
"Full",
"Text",
"Article",
"Dovepress",
"open",
"access",
"to",
"scientific",
"and",
"medical",
"research",
"O",
"R",
"i",
"g",
"i",
"N",
"A",
"L",
"R",
"E",
"s",
"E",
"A",
"R",
"c",
"H",
"costs",
"and",
"outcomes",
"of",
"noncardioembolic",
"ischemic",
"stroke",
"in",
"a",
"managed",
"care",
"population",
"Nicole",
"M",
"Engel-Nitz1",
"stephen",
"D",
"sander",
"2",
"carolyn",
"Harley",
"3",
"gabriel",
"gomez",
"Rey",
"1",
"Hemal",
"shah",
"2",
"1Health",
"Economic",
"and",
"Outcomes",
"Research,",
"i3",
"innovus,",
"Eden",
"Prairie,",
"MN,",
"UsA;",
"2Health",
"Economic",
"and",
"Outcomes",
"Research,",
"Boehringer",
"ingelheim",
"Pharmaceuticals,",
"inc.,",
"Ridgefield,",
"cT,",
"UsA;",
"3Health",
"Economic",
"and",
"Outcomes",
"Research,",
"i3",
"innovus,",
"Palo",
"Alto,",
"c",
"A,",
"UsA",
"correspondence:",
"Nicole",
"M",
"Engel-Nitz",
"i3",
"innovus,",
"Health",
"Economic",
"and",
"Outcomes",
"Research,",
"An",
"ingenix",
"company,",
"12125",
"Technology",
"Drive,",
"Eden",
"Prairie,",
"MN",
"55344,",
"UsA",
"Tel",
"+1",
"952",
"833",
"8048",
"Fax",
"+1",
"952",
"833",
"6045",
"Email",
"nicole.engel-nitz@i3innovus.com",
"submit",
"your",
"manuscript",
"|",
"www.dovepress.com",
"Dovepress",
"DOI:",
"10.2147/VHRM.S10851",
"Purpose:",
"To",
"evaluate",
"the",
"clinical",
"outcomes",
"and",
"incremental",
"health",
"care",
"costs",
"of",
"ischemic",
"stroke",
"in",
"a",
"US",
"managed",
"care",
"population.",
"Patients",
"and",
"methods:",
"A",
"retrospective",
"cohort",
"analysis",
"was",
"done",
"on",
"patients",
"(aged",
"18+",
"years)",
"hospitalized",
"with",
"noncardioembolic",
"ischemic",
"stroke",
"from",
"January",
"1,",
"2002,",
"through",
"December",
"31,",
"2003,",
"identified",
"from",
"commercial",
"health",
"plan",
"administrative",
"claims.",
"New",
"or",
"recurrent",
"stroke",
"was",
"based",
"on",
"history",
"in",
"the",
"previous",
"12",
"months,",
"with",
"index",
"date",
"defined",
"as",
"first",
"date",
"ofindication",
"of",
"stroke.",
"A",
"control",
"group",
"without",
"stroke",
"or",
"transient",
"ischemic",
"attack",
"(TIA)",
"was",
"matched",
"(1:3)",
"on",
"age,",
"sex,",
"and",
"geographic",
"region,",
"with",
"an",
"index",
"date",
"defined",
"as",
"the",
"first",
"medical",
"claim",
"during",
"the",
"patient",
"identification",
"period.",
"Patients",
"with",
"atrial",
"fibrillation",
"or",
"mitral",
"value",
"abnormalities",
"were",
"excluded.",
"Ischemic",
"stroke",
"and",
"control",
"cohorts",
"were",
"compared",
"on",
"4-year",
"clinical",
"outcomes",
"and",
"1-year",
"costs.",
"Results:",
"Of",
"2180",
"ischemic",
"stroke",
"patients,",
"1808",
"(82.9%)",
"had",
"new",
"stroke",
"and",
"372",
"(17.1%)",
"had",
"a",
"recurrent",
"stroke.",
"Stroke",
"patients",
"had",
"higher",
"unadjusted",
"rates",
"of",
"additional",
"stroke,",
"TIA,",
"and",
"fatal",
"outcomes",
"compared",
"with",
"the",
"6540",
"matched",
"controls.",
"Recurrent",
"stroke",
"patients",
"had",
"higher",
"rates",
"of",
"adverse",
"clinical",
"outcomes",
"compared",
"with",
"new",
"stroke",
"patients;",
"costs",
"attributed",
"to",
"recurrent",
"stroke",
"were",
"also",
"higher.",
"Stroke",
"patients",
"were",
"2.4",
"times",
"more",
"likely",
"to",
"be",
"hospitalized",
"in",
"follow-up",
"compared",
"with",
"controls",
"(hazard",
"ratio",
"[HR]",
"2.4,",
"95%",
"confidence",
"interval",
"[CI]:",
"2.2,",
"2.6).",
"Occurrence",
"of",
"stroke",
"following",
"discharge",
"was",
"21",
"times",
"more",
"likely",
"among",
"patients",
"with",
"index",
"stroke",
"compared",
"with",
"controls",
"(HR",
"21.0,",
"95%",
"CI:",
"16.1,",
"27.3).",
"Stroke",
"was",
"also",
"predictive",
"of",
"death",
"(HR",
"1.8,",
"95%",
"CI:",
"1.3,",
"2.5).",
"Controlling",
"for",
"covariates,",
"stroke",
"patients",
"had",
"significantly",
"higher",
"costs",
"compared",
"with",
"control",
"patients",
"in",
"the",
"year",
"following",
"the",
"index",
"event.",
"Conclusion:",
"Noncardioembolic",
"ischemic",
"stroke",
"patients",
"had",
"significantly",
"poorer",
"outcomes",
"and",
"higher",
"costs",
"compared",
"with",
"controls.",
"Recurrent",
"stroke",
"appears",
"to",
"contribute",
"substantially",
"to",
"these",
"higher",
"rates",
"of",
"adverse",
"outcomes",
"and",
"costs.",
"Keywords:",
"burden",
"of",
"illness,",
"stroke/cerebrovascular",
"accident,",
"cardiovascular",
"disease,",
"claims",
"analysis,",
"costs",
"of",
"care,",
"health",
"care",
"outcomes",
"Background",
"Stroke",
"is",
"a",
"major",
"cause",
"of",
"serious,",
"long-term",
"disability,",
"mortality,",
"and",
"institutionalization,",
"and",
"it",
"accounts",
"for",
"substantial",
"use",
"of",
"health",
"care",
"resources.1–4",
"When",
"considered",
"separately",
"from",
"other",
"cardiovascular",
"diseases,",
"stroke",
"ranks",
"third",
"among",
"all",
"causes",
"of",
"death,",
"following",
"diseases",
"of",
"the",
"heart",
"and",
"cancer.5",
"Among",
"survivors,",
"∼15%–30%",
"are",
"permanently",
"disabled",
"and",
"20%",
"require",
"institutional",
"care",
"3",
"months",
"after",
"onset.6",
"As",
"a",
"result,",
"stroke",
"imposes",
"a",
"significant",
"economic",
"impact,",
"with",
"stroke-related",
"costs",
"making",
"up",
"as",
"much",
"as",
"3%–4%",
"of",
"the",
"annual",
"national",
"health",
"care",
"budget.1,2",
"For",
"2009,",
"the",
"estimated",
"direct",
"and",
"indirect",
"cost",
"of",
"stroke",
"in",
"the",
"United",
"States",
"was",
"$68.9",
"billion.6",
"Vascular",
"Health",
"and",
"Risk",
"Management",
"2010:6",
"905–913",
"905",
"©",
"2010",
"Engel-Nitz",
"et",
"al,",
"publisher",
"and",
"licensee",
"Dove",
"Medical",
"Press",
"Ltd.This",
"is",
"an",
"Open",
"Access",
"article",
"which",
"permits",
"unrestricted",
"noncommercial",
"use,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
11,
15,
15,
15,
15,
15,
15,
15,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
11,
11,
11,
11,
11,
11,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,920,239 | null | [
[
78,
47,
75,
12
],
[
156,
47,
9,
12
],
[
168,
47,
11,
12
],
[
182,
47,
33,
12
],
[
218,
47,
35,
12
],
[
256,
47,
7,
12
],
[
266,
47,
32,
12
],
[
302,
47,
57,
12
],
[
362,
47,
25,
12
],
[
390,
47,
20,
12
],
[
78,
61,
201,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
571,
59,
53,
14
],
[
627,
59,
50,
14
],
[
680,
59,
9,
14
],
[
692,
59,
52,
14
],
[
571,
76,
84,
14
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
40,
34
],
[
128,
169,
110,
34
],
[
249,
169,
131,
34
],
[
390,
169,
51,
34
],
[
451,
169,
77,
34
],
[
538,
169,
102,
34
],
[
650,
169,
27,
34
],
[
78,
205,
135,
34
],
[
223,
205,
165,
34
],
[
399,
205,
25,
34
],
[
434,
205,
120,
34
],
[
564,
205,
10,
34
],
[
584,
205,
44,
34
],
[
78,
241,
120,
34
],
[
208,
241,
145,
34
],
[
78,
288,
29,
16
],
[
111,
285,
100,
19
],
[
216,
288,
67,
16
],
[
287,
288,
96,
16
],
[
388,
288,
20,
16
],
[
412,
288,
45,
16
],
[
462,
288,
46,
16
],
[
512,
288,
59,
16
],
[
576,
288,
49,
16
],
[
630,
288,
32,
16
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
75,
14
],
[
246,
367,
11,
14
],
[
262,
367,
31,
14
],
[
297,
367,
39,
14
],
[
340,
367,
11,
14
],
[
355,
367,
56,
14
],
[
415,
367,
70,
14
],
[
489,
367,
31,
14
],
[
524,
367,
8,
14
],
[
537,
367,
74,
14
],
[
615,
367,
14,
14
],
[
633,
367,
79,
14
],
[
716,
367,
21,
14
],
[
87,
384,
79,
14
],
[
170,
384,
52,
14
],
[
227,
384,
11,
14
],
[
242,
384,
53,
14
],
[
299,
384,
59,
14
],
[
362,
384,
25,
14
],
[
391,
384,
28,
14
],
[
423,
384,
42,
14
],
[
469,
384,
43,
14
],
[
516,
384,
42,
14
],
[
562,
384,
17,
14
],
[
584,
384,
45,
14
],
[
87,
405,
56,
14
],
[
148,
405,
18,
14
],
[
170,
405,
47,
14
],
[
221,
405,
22,
14
],
[
247,
405,
34,
14
],
[
285,
405,
15,
14
],
[
305,
405,
19,
14
],
[
327,
405,
56,
14
],
[
387,
405,
11,
14
],
[
403,
405,
19,
14
],
[
425,
405,
35,
14
],
[
464,
405,
76,
14
],
[
545,
405,
53,
14
],
[
602,
405,
12,
14
],
[
618,
405,
24,
14
],
[
646,
405,
42,
14
],
[
87,
421,
52,
14
],
[
143,
421,
11,
14
],
[
158,
421,
19,
14
],
[
181,
421,
24,
14
],
[
209,
421,
35,
14
],
[
249,
421,
11,
14
],
[
263,
421,
49,
14
],
[
317,
421,
60,
14
],
[
87,
442,
46,
14
],
[
137,
442,
21,
14
],
[
163,
442,
24,
14
],
[
190,
442,
35,
14
],
[
230,
442,
11,
14
],
[
245,
442,
19,
14
],
[
268,
442,
49,
14
],
[
321,
442,
54,
14
],
[
380,
442,
45,
14
],
[
429,
442,
49,
14
],
[
482,
442,
31,
14
],
[
517,
442,
20,
14
],
[
542,
442,
34,
14
],
[
579,
442,
25,
14
],
[
608,
442,
24,
14
],
[
636,
442,
12,
14
],
[
652,
442,
23,
14
],
[
679,
442,
21,
14
],
[
705,
442,
20,
14
],
[
87,
459,
48,
14
],
[
140,
459,
24,
14
],
[
168,
459,
44,
14
],
[
216,
459,
25,
14
],
[
245,
459,
34,
14
],
[
284,
459,
76,
14
],
[
365,
459,
63,
14
],
[
432,
459,
67,
14
],
[
503,
459,
33,
14
],
[
540,
459,
11,
14
],
[
556,
459,
19,
14
],
[
578,
459,
29,
14
],
[
611,
459,
45,
14
],
[
660,
459,
26,
14
],
[
690,
459,
23,
14
],
[
87,
475,
38,
14
],
[
130,
475,
14,
14
],
[
148,
475,
66,
14
],
[
218,
475,
43,
14
],
[
264,
475,
25,
14
],
[
293,
475,
64,
14
],
[
361,
475,
15,
14
],
[
381,
475,
39,
14
],
[
424,
475,
69,
14
],
[
497,
475,
26,
14
],
[
528,
475,
19,
14
],
[
551,
475,
55,
14
],
[
611,
475,
63,
14
],
[
678,
475,
25,
14
],
[
87,
492,
61,
14
],
[
152,
492,
62,
14
],
[
218,
492,
17,
14
],
[
240,
492,
11,
14
],
[
255,
492,
19,
14
],
[
278,
492,
25,
14
],
[
307,
492,
39,
14
],
[
351,
492,
61,
14
],
[
416,
492,
11,
14
],
[
431,
492,
49,
14
],
[
485,
492,
19,
14
],
[
508,
492,
29,
14
],
[
540,
492,
40,
14
],
[
585,
492,
25,
14
],
[
614,
492,
48,
14
],
[
666,
492,
15,
14
],
[
685,
492,
12,
14
],
[
701,
492,
27,
14
],
[
87,
508,
11,
14
],
[
102,
508,
46,
14
],
[
153,
508,
28,
14
],
[
185,
508,
22,
14
],
[
211,
508,
46,
14
],
[
261,
508,
49,
14
],
[
314,
508,
45,
14
],
[
362,
508,
25,
14
],
[
391,
508,
7,
14
],
[
402,
508,
25,
14
],
[
432,
508,
56,
14
],
[
492,
508,
11,
14
],
[
507,
508,
36,
14
],
[
547,
508,
38,
14
],
[
590,
508,
17,
14
],
[
611,
508,
55,
14
],
[
671,
508,
12,
14
],
[
687,
508,
30,
14
],
[
87,
525,
54,
14
],
[
145,
525,
70,
14
],
[
219,
525,
42,
14
],
[
266,
525,
24,
14
],
[
294,
525,
25,
14
],
[
323,
525,
64,
14
],
[
391,
525,
15,
14
],
[
410,
525,
39,
14
],
[
454,
525,
69,
14
],
[
527,
525,
76,
14
],
[
607,
525,
15,
14
],
[
626,
525,
39,
14
],
[
669,
525,
11,
14
],
[
685,
525,
20,
14
],
[
709,
525,
30,
14
],
[
87,
542,
22,
14
],
[
113,
542,
38,
14
],
[
155,
542,
15,
14
],
[
175,
542,
30,
14
],
[
209,
542,
44,
14
],
[
258,
542,
57,
14
],
[
319,
542,
12,
14
],
[
335,
542,
47,
14
],
[
386,
542,
56,
14
],
[
446,
542,
44,
14
],
[
494,
542,
66,
14
],
[
564,
542,
35,
14
],
[
602,
542,
55,
14
],
[
662,
542,
11,
14
],
[
677,
542,
24,
14
],
[
87,
558,
45,
14
],
[
136,
558,
22,
14
],
[
162,
558,
59,
14
],
[
225,
558,
11,
14
],
[
240,
558,
19,
14
],
[
263,
558,
49,
14
],
[
316,
558,
24,
14
],
[
344,
558,
35,
14
],
[
384,
558,
11,
14
],
[
399,
558,
20,
14
],
[
423,
558,
25,
14
],
[
452,
558,
66,
14
],
[
522,
558,
11,
14
],
[
537,
558,
63,
14
],
[
604,
558,
42,
14
],
[
650,
558,
21,
14
],
[
676,
558,
19,
14
],
[
699,
558,
13,
14
],
[
716,
558,
14,
14
],
[
87,
575,
29,
14
],
[
120,
575,
75,
14
],
[
199,
575,
25,
14
],
[
228,
575,
7,
14
],
[
239,
575,
36,
14
],
[
280,
575,
11,
14
],
[
295,
575,
14,
14
],
[
313,
575,
31,
14
],
[
348,
575,
13,
14
],
[
365,
575,
42,
14
],
[
411,
575,
20,
14
],
[
436,
575,
31,
14
],
[
471,
575,
11,
14
],
[
486,
575,
19,
14
],
[
509,
575,
29,
14
],
[
542,
575,
44,
14
],
[
590,
575,
22,
14
],
[
616,
575,
14,
14
],
[
634,
575,
31,
14
],
[
669,
575,
11,
14
],
[
685,
575,
19,
14
],
[
87,
591,
48,
14
],
[
140,
591,
44,
14
],
[
189,
591,
17,
14
],
[
210,
591,
55,
14
],
[
269,
591,
33,
14
],
[
307,
591,
55,
14
],
[
366,
591,
32,
14
],
[
402,
591,
12,
14
],
[
418,
591,
15,
14
],
[
438,
591,
47,
14
],
[
489,
591,
12,
14
],
[
505,
591,
17,
14
],
[
525,
591,
58,
14
],
[
87,
612,
75,
14
],
[
167,
612,
11,
14
],
[
182,
612,
62,
14
],
[
248,
612,
19,
14
],
[
271,
612,
77,
14
],
[
352,
612,
33,
14
],
[
389,
612,
51,
14
],
[
444,
612,
50,
14
],
[
499,
612,
14,
14
],
[
517,
612,
19,
14
],
[
540,
612,
24,
14
],
[
568,
612,
38,
14
],
[
610,
612,
21,
14
],
[
635,
612,
12,
14
],
[
651,
612,
25,
14
],
[
679,
612,
19,
14
],
[
87,
629,
56,
14
],
[
148,
629,
12,
14
],
[
164,
629,
40,
14
],
[
208,
629,
26,
14
],
[
238,
629,
48,
14
],
[
290,
629,
22,
14
],
[
316,
629,
36,
14
],
[
357,
629,
15,
14
],
[
376,
629,
31,
14
],
[
412,
629,
24,
14
],
[
440,
629,
47,
14
],
[
491,
629,
72,
14
],
[
567,
629,
17,
14
],
[
588,
629,
25,
14
],
[
617,
629,
12,
14
],
[
633,
629,
49,
14
],
[
686,
629,
19,
14
],
[
87,
645,
55,
14
],
[
147,
645,
41,
14
],
[
192,
645,
11,
14
],
[
207,
645,
19,
14
],
[
230,
645,
40,
14
],
[
275,
645,
30,
14
],
[
309,
645,
44,
14
],
[
357,
645,
7,
14
],
[
368,
645,
57,
14
],
[
428,
645,
37,
14
],
[
470,
645,
11,
14
],
[
485,
645,
17,
14
],
[
506,
645,
12,
14
],
[
522,
645,
19,
14
],
[
545,
645,
47,
14
],
[
78,
691,
80,
15
],
[
78,
709,
16,
13
],
[
99,
709,
46,
13
],
[
148,
709,
55,
13
],
[
207,
709,
12,
13
],
[
222,
709,
30,
13
],
[
256,
709,
69,
13
],
[
329,
709,
11,
13
],
[
344,
709,
24,
13
],
[
371,
709,
25,
13
],
[
400,
709,
4,
13
],
[
78,
726,
21,
13
],
[
103,
726,
7,
13
],
[
78,
742,
62,
14
],
[
145,
742,
69,
14
],
[
218,
742,
38,
14
],
[
260,
742,
9,
14
],
[
274,
742,
33,
14
],
[
311,
742,
15,
14
],
[
330,
742,
7,
14
],
[
341,
742,
62,
14
],
[
78,
758,
49,
14
],
[
132,
758,
59,
14
],
[
196,
758,
12,
14
],
[
213,
758,
126,
14
],
[
343,
758,
61,
14
],
[
78,
775,
50,
14
],
[
134,
775,
27,
14
],
[
166,
775,
30,
14
],
[
201,
775,
35,
14
],
[
242,
775,
30,
14
],
[
277,
775,
62,
14
],
[
345,
775,
59,
14
],
[
78,
791,
31,
14
],
[
114,
791,
38,
14
],
[
157,
791,
41,
14
],
[
203,
791,
24,
14
],
[
231,
791,
21,
14
],
[
257,
791,
32,
14
],
[
294,
791,
21,
14
],
[
319,
791,
29,
14
],
[
353,
791,
51,
14
],
[
78,
808,
42,
14
],
[
126,
808,
48,
14
],
[
179,
808,
19,
14
],
[
203,
808,
83,
14
],
[
292,
808,
41,
14
],
[
337,
808,
13,
14
],
[
356,
808,
48,
14
],
[
78,
825,
73,
14
],
[
156,
825,
19,
14
],
[
180,
825,
92,
14
],
[
277,
825,
31,
14
],
[
313,
825,
22,
14
],
[
340,
825,
19,
14
],
[
363,
825,
40,
14
],
[
78,
841,
18,
14
],
[
101,
841,
30,
14
],
[
135,
841,
41,
14
],
[
180,
841,
12,
14
],
[
196,
841,
60,
14
],
[
261,
841,
87,
14
],
[
352,
841,
51,
14
],
[
78,
858,
44,
14
],
[
128,
858,
86,
14
],
[
220,
858,
12,
14
],
[
238,
858,
33,
14
],
[
276,
858,
40,
14
],
[
322,
858,
12,
14
],
[
340,
858,
63,
14
],
[
78,
875,
74,
14
],
[
158,
875,
10,
14
],
[
174,
875,
84,
14
],
[
263,
875,
14,
14
],
[
283,
875,
92,
14
],
[
381,
875,
23,
14
],
[
78,
891,
87,
14
],
[
170,
891,
59,
14
],
[
234,
891,
12,
14
],
[
250,
891,
55,
14
],
[
310,
891,
63,
14
],
[
378,
891,
26,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
101,
11
],
[
78,
937,
28,
11
],
[
109,
937,
9,
11
],
[
121,
937,
40,
11
],
[
164,
937,
9,
11
],
[
175,
937,
51,
11
],
[
229,
937,
9,
11
],
[
241,
937,
53,
11
],
[
297,
937,
41,
11
],
[
341,
937,
16,
11
],
[
78,
950,
49,
11
],
[
130,
950,
65,
11
],
[
199,
950,
19,
11
],
[
221,
950,
28,
11
],
[
252,
950,
12,
11
],
[
266,
950,
49,
11
],
[
318,
950,
16,
11
],
[
337,
950,
49,
11
],
[
78,
962,
31,
11
],
[
112,
962,
41,
11
],
[
156,
962,
31,
11
],
[
190,
962,
41,
11
],
[
234,
962,
36,
11
],
[
272,
962,
37,
11
],
[
312,
962,
14,
11
],
[
329,
962,
22,
11
],
[
355,
962,
38,
11
],
[
423,
692,
30,
14
],
[
457,
692,
24,
14
],
[
485,
692,
32,
14
],
[
522,
692,
12,
14
],
[
539,
692,
19,
14
],
[
562,
692,
26,
14
],
[
593,
692,
39,
14
],
[
636,
692,
14,
14
],
[
655,
692,
48,
14
],
[
707,
692,
22,
14
],
[
734,
692,
14,
14
],
[
423,
708,
45,
14
],
[
473,
708,
18,
14
],
[
496,
708,
85,
14
],
[
585,
708,
63,
14
],
[
653,
708,
44,
14
],
[
701,
708,
47,
14
],
[
423,
725,
15,
14
],
[
443,
725,
19,
14
],
[
466,
725,
44,
14
],
[
515,
725,
34,
14
],
[
554,
725,
12,
14
],
[
570,
725,
19,
14
],
[
594,
725,
59,
14
],
[
657,
725,
41,
14
],
[
703,
725,
28,
14
],
[
736,
725,
12,
14
],
[
423,
742,
14,
14
],
[
442,
742,
80,
14
],
[
527,
742,
34,
14
],
[
567,
742,
15,
14
],
[
588,
742,
19,
14
],
[
612,
742,
26,
14
],
[
643,
742,
22,
14
],
[
671,
742,
60,
14
],
[
736,
742,
12,
14
],
[
423,
758,
29,
14
],
[
456,
758,
41,
14
],
[
503,
758,
22,
14
],
[
529,
758,
40,
14
],
[
574,
758,
14,
14
],
[
593,
758,
73,
14
],
[
671,
758,
29,
14
],
[
704,
758,
27,
14
],
[
736,
758,
12,
14
],
[
423,
775,
26,
14
],
[
453,
775,
29,
14
],
[
434,
791,
72,
14
],
[
513,
791,
22,
14
],
[
542,
791,
54,
14
],
[
602,
791,
47,
14
],
[
655,
791,
46,
14
],
[
708,
791,
18,
14
],
[
732,
791,
16,
14
],
[
423,
808,
46,
14
],
[
473,
808,
43,
14
],
[
520,
808,
12,
14
],
[
536,
808,
31,
14
],
[
571,
808,
40,
14
],
[
615,
808,
32,
14
],
[
652,
808,
15,
14
],
[
671,
808,
30,
14
],
[
705,
808,
43,
14
],
[
423,
825,
106,
14
],
[
533,
825,
64,
14
],
[
602,
825,
18,
14
],
[
624,
825,
52,
14
],
[
680,
825,
34,
14
],
[
718,
825,
30,
14
],
[
423,
841,
17,
14
],
[
444,
841,
74,
14
],
[
522,
841,
13,
14
],
[
540,
841,
42,
14
],
[
585,
841,
54,
14
],
[
644,
841,
12,
14
],
[
660,
841,
50,
14
],
[
714,
841,
34,
14
],
[
423,
858,
31,
14
],
[
461,
858,
21,
14
],
[
489,
858,
77,
14
],
[
573,
858,
12,
14
],
[
592,
858,
45,
14
],
[
644,
858,
13,
14
],
[
664,
858,
84,
14
],
[
423,
875,
53,
14
],
[
481,
875,
32,
14
],
[
518,
875,
53,
14
],
[
576,
875,
50,
14
],
[
631,
875,
78,
14
],
[
715,
875,
6,
14
],
[
726,
875,
22,
14
],
[
423,
891,
92,
14
],
[
520,
891,
25,
14
],
[
550,
891,
22,
14
],
[
577,
891,
22,
14
],
[
604,
891,
59,
14
],
[
668,
891,
12,
14
],
[
685,
891,
63,
14
],
[
423,
908,
40,
14
],
[
467,
908,
5,
14
],
[
477,
908,
18,
14
],
[
500,
908,
50,
14
],
[
555,
908,
13,
14
],
[
572,
908,
35,
14
],
[
611,
908,
78,
14
],
[
693,
908,
55,
14
],
[
423,
924,
21,
14
],
[
448,
924,
12,
14
],
[
463,
924,
18,
14
],
[
486,
924,
61,
14
],
[
551,
924,
71,
14
],
[
626,
924,
35,
14
],
[
665,
924,
9,
14
],
[
679,
924,
53,
14
],
[
736,
924,
12,
14
],
[
423,
941,
37,
14
],
[
464,
941,
39,
14
],
[
507,
941,
18,
14
],
[
530,
941,
46,
14
],
[
580,
941,
12,
14
],
[
595,
941,
46,
14
],
[
645,
941,
70,
14
],
[
720,
941,
28,
14
],
[
423,
957,
19,
14
],
[
446,
957,
12,
14
],
[
464,
957,
32,
14
],
[
501,
957,
71,
14
],
[
577,
957,
12,
14
],
[
594,
957,
32,
14
],
[
631,
957,
17,
14
],
[
653,
957,
19,
14
],
[
677,
957,
71,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
61,
10
],
[
340,
987,
8,
10
],
[
350,
987,
8,
10
],
[
361,
987,
30,
10
],
[
394,
987,
29,
10
],
[
425,
987,
27,
10
],
[
454,
987,
14,
10
],
[
471,
987,
15,
10
],
[
488,
987,
6,
10
],
[
496,
987,
10,
10
],
[
508,
987,
21,
10
],
[
532,
987,
25,
10
],
[
560,
987,
23,
10
],
[
585,
987,
41,
10
],
[
628,
987,
23,
10
],
[
653,
987,
13,
10
],
[
668,
987,
22,
10
],
[
692,
987,
8,
10
],
[
702,
987,
13,
10
],
[
717,
987,
31,
10
],
[
248,
998,
39,
10
],
[
289,
998,
41,
10
],
[
333,
998,
28,
10
],
[
364,
998,
171,
10
],
[
538,
998,
23,
10
],
[
564,
998,
29,
10
],
[
595,
998,
45,
10
],
[
643,
998,
15,
10
],
[
660,
998,
45,
10
],
[
708,
998,
15,
10
],
[
248,
1009,
49,
10
],
[
300,
1009,
7,
10
],
[
310,
1009,
14,
10
],
[
326,
1009,
34,
10
],
[
362,
1009,
34,
10
],
[
399,
1009,
13,
10
],
[
415,
1009,
28,
10
],
[
446,
1009,
19,
10
],
[
467,
1009,
6,
10
],
[
476,
1009,
32,
10
],
[
510,
1009,
20,
10
]
] | [
"Aygören-Pürsün",
"et",
"al.",
"Allergy,",
"Asthma",
"&",
"Clinical",
"Immunology",
"2010,",
"6:21",
"http://www.aacijournal.com/content/6/1/21",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"ALLERGY,",
"ASTHMA",
"&",
"CLINICAL",
"IMMUNOLOGY",
"Open",
"Access",
"On",
"demand",
"treatment",
"and",
"home",
"therapy",
"of",
"hereditary",
"angioedema",
"in",
"Germany",
"-",
"the",
"Frankfurt",
"experience",
"Emel",
"Aygören-Pürsün*,",
"Inmaculada",
"Martinez-Saguer,",
"Eva",
"Rusicke,",
"Thomas",
"Klingebiel,",
"Wolfhart",
"Kreuz",
"Abstract",
"Background:",
"Manifestation",
"of",
"acute",
"edema",
"in",
"hereditary",
"angioedema",
"(HAE)",
"is",
"characterized",
"by",
"interindividual",
"and",
"intraindividual",
"variability",
"in",
"symptom",
"expression",
"over",
"time.",
"Flexible",
"therapy",
"options",
"are",
"needed.",
"Methods:",
"We",
"describe",
"and",
"report",
"on",
"the",
"outcomes",
"of",
"the",
"highly",
"individualized",
"approach",
"to",
"HAE",
"therapy",
"practiced",
"at",
"our",
"HAE",
"center",
"in",
"Frankfurt",
"(Germany).",
"Results:",
"The",
"HAE",
"center",
"at",
"the",
"Frankfurt",
"University",
"Hospital",
"currently",
"treats",
"450",
"adults",
"with",
"HAE",
"or",
"AAE",
"and",
"107",
"pediatric",
"HAE",
"patients",
"with",
"highly",
"individualized",
"therapeutic",
"approaches.",
"73.9%",
"of",
"the",
"adult",
"patients",
"treat",
"HAE",
"attacks",
"by",
"on-demand",
"therapy",
"with",
"pasteurized",
"pd",
"C1-INH",
"concentrate,",
"9.8%",
"use",
"additional",
"prophylaxis",
"with",
"attenuated",
"androgens,",
"1%",
"of",
"the",
"total",
"patient",
"population",
"in",
"Frankfurt",
"has",
"been",
"treated",
"with",
"Icatibant",
"up",
"to",
"now.",
"In",
"addition",
"adult",
"and",
"selected",
"pediatric",
"patients",
"with",
"a",
"high",
"frequency",
"of",
"severe",
"attacks",
"are",
"instructed",
"to",
"apply",
"individual",
"replacement",
"therapy",
"(IRT)",
"with",
"pasteurized",
"pd",
"C1-INH",
"concentrate.",
"Improvement",
"on",
"Quality",
"of",
"Life",
"items",
"was",
"shown",
"for",
"these",
"patients",
"compared",
"to",
"previous",
"long-term",
"danazol",
"prophylaxis.",
"Home",
"treatment",
"of",
"HAE",
"patients",
"was",
"developed",
"in",
"the",
"Frankfurt",
"HAE",
"center",
"in",
"line",
"with",
"experiences",
"in",
"hemophilia",
"therapy",
"and",
"has",
"so",
"far",
"been",
"implemented",
"over",
"a",
"period",
"of",
"28",
"years.",
"At",
"present",
"248",
"(55%)",
"of",
"the",
"adult",
"patients",
"and",
"26",
"(24%)",
"of",
"the",
"pediatric",
"patients",
"are",
"practicing",
"home",
"treatment",
"either",
"as",
"on",
"demand",
"or",
"IRT",
"treatment.",
"Conclusions:",
"In",
"conclusion,",
"the",
"individualized",
"home",
"therapies",
"provided",
"by",
"our",
"HAE",
"center,",
"aim",
"to",
"limit",
"the",
"disruption",
"to",
"normal",
"daily",
"activities",
"that",
"occurs",
"for",
"many",
"HAE",
"patients.",
"Furthermore,",
"we",
"seek",
"to",
"optimize",
"the",
"economic",
"burden",
"of",
"the",
"disease",
"while",
"offering",
"a",
"maximum",
"quality",
"of",
"life",
"to",
"our",
"patients.",
"Introduction",
"On",
"demand",
"treatment",
"of",
"acute",
"angioedema",
"in",
"HAE",
"type",
"I",
"and",
"II",
"Hereditary",
"angioedema",
"(HAE)",
"is",
"based",
"on",
"a",
"hereditary,",
"life-long",
"deficiency",
"of",
"C1-esterase-inhibitor",
"(C1-INH).",
"Patients",
"with",
"HAE",
"suffer",
"from",
"recurrent,",
"localized,",
"acute",
"edema",
"attacks",
"that",
"can",
"affect",
"any",
"body",
"location.",
"Mainly",
"affected",
"are",
"subcutaneous",
"tissues",
"or",
"mucous",
"membranes,",
"the",
"gastrointestinal",
"tract,",
"and",
"the",
"throat,",
"the",
"latter",
"leading",
"to",
"potentially",
"life-threatening",
"laryngeal",
"edema.",
"Manifestation",
"of",
"acute",
"edema",
"in",
"hereditary",
"angioedema",
"is",
"characterized",
"by",
"interindividual",
"and",
"intraindividual",
"variability",
"in",
"symptom",
"expression",
"over",
"*",
"Correspondence:",
"eap@em.uni-frankfurt.de",
"Centre",
"of",
"Pediatrics",
"III,",
"Department",
"of",
"Hematology,",
"Oncology",
"and",
"Hemostasis,",
"Comprehensive",
"Care",
"Centre",
"for",
"Thrombosis",
"and",
"Hemostasis,",
"Johann",
"Wolfgang",
"Goethe",
"University",
"Hospital,",
"Frankfurt",
"am",
"Main,",
"Germany",
"time.",
"The",
"onset",
"of",
"the",
"next",
"attack,",
"its",
"location",
"and",
"its",
"severity",
"are",
"unpredictable.",
"Treatment",
"options",
"adapted",
"on",
"the",
"specific",
"needs",
"of",
"the",
"individual",
"patient",
"need",
"to",
"be",
"implemented",
"based",
"on",
"the",
"type",
"and",
"frequency",
"of",
"HAE",
"attacks",
"and",
"should",
"be",
"re-evaluated",
"from",
"time",
"to",
"time",
"[1,2].",
"Worldwide,",
"five",
"different",
"therapy",
"options",
"for",
"on",
"demand",
"therapy",
"of",
"acute",
"attacks",
"based",
"on",
"three",
"distinct",
"pathophysiological",
"approaches",
"are",
"currently",
"under",
"clini-",
"cal",
"investigation",
"or",
"already",
"approved",
"in",
"different",
"coun-",
"tries.",
"For",
"replacement",
"of",
"lacking",
"or",
"dysfunctional",
"C1-INH,",
"three",
"different",
"C1-INH",
"concentrates",
"-",
"two",
"plasma-derived",
"(pd)",
"and",
"one",
"expressed",
"in",
"transgenic",
"rabbits",
"-",
"are",
"available",
"or",
"under",
"investigation.",
"Antagon-",
"ism",
"of",
"the",
"bradykinin",
"B2-receptor,",
"which",
"is",
"supposed",
"to",
"largely",
"convey",
"the",
"increase",
"in",
"vascular",
"permeability",
"lead-",
"ing",
"to",
"acute",
"angioedema",
"in",
"HAE,",
"via",
"the",
"B2-receptor",
"©",
"2010",
"Aygören-Pürsün",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
0,
0,
0,
0,
0,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,919,482 | null | [
[
78,
47,
24,
12
],
[
105,
47,
9,
12
],
[
118,
47,
11,
12
],
[
132,
47,
21,
12
],
[
156,
47,
58,
12
],
[
217,
47,
25,
12
],
[
245,
47,
32,
12
],
[
78,
61,
233,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
189,
128,
12,
18
],
[
203,
128,
11,
18
],
[
215,
128,
10,
18
],
[
227,
128,
5,
18
],
[
234,
128,
11,
18
],
[
247,
128,
10,
18
],
[
258,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
81,
34
],
[
169,
169,
129,
34
],
[
308,
169,
58,
34
],
[
376,
169,
137,
34
],
[
523,
169,
51,
34
],
[
584,
169,
100,
34
],
[
78,
205,
122,
34
],
[
211,
205,
109,
34
],
[
330,
205,
63,
34
],
[
403,
205,
10,
34
],
[
423,
205,
15,
34
],
[
448,
205,
57,
34
],
[
515,
205,
24,
34
],
[
549,
205,
58,
34
],
[
617,
205,
85,
34
],
[
711,
205,
27,
34
],
[
78,
241,
143,
34
],
[
231,
241,
150,
34
],
[
78,
288,
37,
16
],
[
119,
285,
41,
19
],
[
165,
288,
43,
16
],
[
212,
285,
60,
19
],
[
277,
288,
19,
16
],
[
300,
285,
48,
19
],
[
352,
288,
42,
16
],
[
399,
285,
56,
19
],
[
459,
288,
46,
16
],
[
510,
285,
41,
19
],
[
555,
288,
47,
16
],
[
607,
285,
62,
19
],
[
87,
342,
54,
15
],
[
87,
367,
76,
14
],
[
167,
367,
65,
14
],
[
237,
367,
38,
14
],
[
279,
367,
54,
14
],
[
337,
367,
56,
14
],
[
398,
367,
34,
14
],
[
436,
367,
27,
14
],
[
467,
367,
29,
14
],
[
500,
367,
58,
14
],
[
561,
367,
25,
14
],
[
590,
367,
7,
14
],
[
601,
367,
27,
14
],
[
633,
367,
32,
14
],
[
669,
367,
11,
14
],
[
685,
367,
41,
14
],
[
87,
384,
45,
14
],
[
137,
384,
11,
14
],
[
152,
384,
45,
14
],
[
201,
384,
21,
14
],
[
227,
384,
45,
14
],
[
275,
384,
34,
14
],
[
314,
384,
54,
14
],
[
372,
384,
25,
14
],
[
401,
384,
58,
14
],
[
463,
384,
21,
14
],
[
488,
384,
42,
14
],
[
535,
384,
52,
14
],
[
591,
384,
45,
14
],
[
640,
384,
26,
14
],
[
670,
384,
37,
14
],
[
711,
384,
24,
14
],
[
87,
400,
30,
14
],
[
122,
400,
11,
14
],
[
137,
400,
61,
14
],
[
202,
400,
11,
14
],
[
217,
400,
54,
14
],
[
275,
400,
60,
14
],
[
339,
400,
56,
14
],
[
400,
400,
14,
14
],
[
418,
400,
20,
14
],
[
443,
400,
20,
14
],
[
467,
400,
62,
14
],
[
533,
400,
14,
14
],
[
551,
400,
10,
14
],
[
566,
400,
24,
14
],
[
594,
400,
36,
14
],
[
634,
400,
11,
14
],
[
650,
400,
24,
14
],
[
678,
400,
49,
14
],
[
87,
417,
25,
14
],
[
116,
417,
19,
14
],
[
139,
417,
88,
14
],
[
232,
417,
30,
14
],
[
266,
417,
22,
14
],
[
292,
417,
57,
14
],
[
353,
417,
41,
14
],
[
398,
417,
12,
14
],
[
414,
417,
58,
14
],
[
476,
417,
48,
14
],
[
528,
417,
11,
14
],
[
543,
417,
25,
14
],
[
572,
417,
24,
14
],
[
600,
417,
22,
14
],
[
626,
417,
65,
14
],
[
87,
438,
46,
14
],
[
137,
438,
45,
14
],
[
187,
438,
44,
14
],
[
235,
438,
28,
14
],
[
267,
438,
68,
14
],
[
339,
438,
14,
14
],
[
357,
438,
117,
14
],
[
479,
438,
19,
14
],
[
502,
438,
69,
14
],
[
575,
438,
46,
14
],
[
625,
438,
64,
14
],
[
693,
438,
31,
14
],
[
87,
454,
21,
14
],
[
113,
454,
64,
14
],
[
181,
454,
71,
14
],
[
256,
454,
13,
14
],
[
273,
454,
12,
14
],
[
290,
454,
107,
14
],
[
400,
454,
24,
14
],
[
428,
454,
44,
14
],
[
477,
454,
40,
14
],
[
521,
454,
55,
14
],
[
579,
454,
25,
14
],
[
609,
454,
14,
14
],
[
627,
454,
20,
14
],
[
651,
454,
26,
14
],
[
681,
454,
54,
14
],
[
87,
471,
25,
14
],
[
116,
471,
57,
14
],
[
178,
471,
41,
14
],
[
223,
471,
47,
14
],
[
275,
471,
7,
14
],
[
285,
471,
78,
14
],
[
367,
471,
21,
14
],
[
392,
471,
11,
14
],
[
408,
471,
50,
14
],
[
461,
471,
30,
14
],
[
495,
471,
52,
14
],
[
552,
471,
29,
14
],
[
585,
471,
55,
14
],
[
643,
471,
56,
14
],
[
704,
471,
11,
14
],
[
87,
488,
47,
14
],
[
138,
488,
37,
14
],
[
180,
488,
30,
14
],
[
214,
488,
79,
14
],
[
297,
488,
55,
14
],
[
356,
488,
56,
14
],
[
416,
488,
11,
14
],
[
432,
488,
20,
14
],
[
456,
488,
21,
14
],
[
482,
488,
51,
14
],
[
538,
488,
37,
14
],
[
579,
488,
21,
14
],
[
605,
488,
40,
14
],
[
649,
488,
57,
14
],
[
710,
488,
26,
14
],
[
87,
504,
47,
14
],
[
138,
504,
55,
14
],
[
197,
504,
28,
14
],
[
229,
504,
61,
14
],
[
293,
504,
11,
14
],
[
308,
504,
24,
14
],
[
337,
504,
49,
14
],
[
390,
504,
69,
14
],
[
463,
504,
25,
14
],
[
491,
504,
58,
14
],
[
553,
504,
48,
14
],
[
605,
504,
21,
14
],
[
631,
504,
32,
14
],
[
667,
504,
24,
14
],
[
87,
521,
74,
14
],
[
165,
521,
11,
14
],
[
181,
521,
35,
14
],
[
220,
521,
54,
14
],
[
278,
521,
25,
14
],
[
307,
521,
58,
14
],
[
369,
521,
41,
14
],
[
414,
521,
21,
14
],
[
439,
521,
58,
14
],
[
501,
521,
47,
14
],
[
553,
521,
47,
14
],
[
604,
521,
47,
14
],
[
655,
521,
60,
14
],
[
87,
537,
55,
14
],
[
146,
537,
60,
14
],
[
210,
537,
76,
14
],
[
290,
537,
71,
14
],
[
365,
537,
23,
14
],
[
393,
537,
34,
14
],
[
431,
537,
28,
14
],
[
463,
537,
15,
14
],
[
482,
537,
12,
14
],
[
498,
537,
7,
14
],
[
509,
537,
19,
15
],
[
533,
537,
11,
14
],
[
548,
537,
52,
14
],
[
604,
537,
17,
14
],
[
625,
537,
92,
14
],
[
87,
554,
22,
14
],
[
114,
554,
62,
14
],
[
180,
554,
37,
14
],
[
222,
554,
26,
14
],
[
252,
554,
22,
14
],
[
278,
554,
52,
14
],
[
334,
554,
11,
14
],
[
349,
554,
63,
14
],
[
417,
554,
71,
14
],
[
492,
554,
63,
14
],
[
559,
554,
24,
14
],
[
587,
554,
54,
14
],
[
645,
554,
31,
14
],
[
681,
554,
19,
14
],
[
704,
554,
26,
14
],
[
87,
571,
79,
14
],
[
170,
571,
26,
14
],
[
87,
591,
75,
14
],
[
167,
591,
11,
14
],
[
182,
591,
19,
14
],
[
205,
591,
42,
14
],
[
250,
591,
31,
14
],
[
285,
591,
17,
14
],
[
306,
591,
43,
14
],
[
354,
591,
22,
14
],
[
380,
591,
30,
14
],
[
414,
591,
66,
14
],
[
485,
591,
29,
14
],
[
518,
591,
19,
14
],
[
541,
591,
84,
14
],
[
629,
591,
28,
14
],
[
661,
591,
11,
14
],
[
677,
591,
48,
14
],
[
87,
608,
40,
14
],
[
132,
608,
11,
14
],
[
147,
608,
19,
14
],
[
170,
608,
33,
14
],
[
208,
608,
84,
14
],
[
296,
608,
11,
14
],
[
311,
608,
7,
14
],
[
322,
608,
36,
14
],
[
361,
608,
43,
14
],
[
409,
608,
12,
14
],
[
425,
608,
30,
14
],
[
459,
608,
81,
14
],
[
544,
608,
63,
14
],
[
611,
608,
53,
14
],
[
668,
608,
52,
14
],
[
87,
625,
70,
14
],
[
162,
625,
20,
14
],
[
186,
625,
31,
14
],
[
221,
625,
43,
14
],
[
269,
625,
12,
14
],
[
285,
625,
15,
14
],
[
304,
625,
43,
14
],
[
352,
625,
85,
14
],
[
441,
625,
12,
14
],
[
457,
625,
58,
14
],
[
519,
625,
48,
14
],
[
570,
625,
44,
14
],
[
618,
625,
30,
14
],
[
652,
625,
47,
14
],
[
703,
625,
12,
14
],
[
87,
641,
30,
14
],
[
121,
641,
66,
14
],
[
191,
641,
26,
14
],
[
221,
641,
58,
14
],
[
283,
641,
43,
14
],
[
330,
641,
12,
14
],
[
346,
641,
58,
14
],
[
408,
641,
14,
14
],
[
426,
641,
24,
14
],
[
455,
641,
22,
14
],
[
480,
641,
10,
14
],
[
494,
641,
70,
14
],
[
569,
641,
11,
14
],
[
584,
641,
7,
14
],
[
595,
641,
75,
14
],
[
674,
641,
61,
14
],
[
87,
658,
11,
14
],
[
103,
658,
47,
14
],
[
154,
658,
55,
14
],
[
212,
658,
11,
14
],
[
227,
658,
30,
14
],
[
261,
658,
5,
14
],
[
270,
658,
57,
14
],
[
332,
658,
47,
14
],
[
383,
658,
74,
14
],
[
78,
704,
77,
15
],
[
78,
721,
69,
14
],
[
151,
721,
18,
14
],
[
174,
721,
61,
14
],
[
239,
721,
12,
14
],
[
255,
721,
7,
14
],
[
266,
721,
27,
14
],
[
298,
721,
39,
14
],
[
341,
721,
12,
14
],
[
357,
721,
46,
14
],
[
78,
737,
12,
14
],
[
94,
737,
27,
14
],
[
125,
737,
44,
14
],
[
174,
737,
21,
14
],
[
200,
737,
49,
14
],
[
253,
737,
55,
14
],
[
312,
737,
31,
14
],
[
347,
737,
56,
14
],
[
78,
754,
12,
14
],
[
100,
754,
42,
14
],
[
150,
754,
83,
14
],
[
242,
754,
19,
14
],
[
270,
754,
20,
14
],
[
299,
754,
30,
14
],
[
338,
754,
65,
14
],
[
78,
771,
55,
14
],
[
138,
771,
45,
14
],
[
188,
771,
65,
14
],
[
258,
771,
59,
14
],
[
321,
771,
19,
14
],
[
345,
771,
24,
14
],
[
373,
771,
31,
14
],
[
78,
787,
34,
14
],
[
117,
787,
26,
14
],
[
146,
787,
6,
14
],
[
157,
787,
38,
14
],
[
200,
787,
11,
14
],
[
215,
787,
46,
14
],
[
265,
787,
12,
14
],
[
281,
787,
46,
14
],
[
331,
787,
21,
14
],
[
356,
787,
47,
14
],
[
78,
804,
36,
14
],
[
118,
804,
32,
14
],
[
155,
804,
58,
14
],
[
217,
804,
18,
14
],
[
240,
804,
79,
14
],
[
324,
804,
14,
14
],
[
342,
804,
61,
14
],
[
78,
820,
24,
14
],
[
106,
820,
22,
14
],
[
132,
820,
47,
14
],
[
184,
820,
51,
14
],
[
239,
820,
12,
14
],
[
255,
820,
60,
14
],
[
320,
820,
45,
14
],
[
369,
820,
12,
14
],
[
385,
820,
19,
14
],
[
78,
837,
28,
14
],
[
111,
837,
10,
14
],
[
126,
837,
53,
14
],
[
184,
837,
23,
14
],
[
211,
837,
12,
14
],
[
227,
837,
45,
14
],
[
277,
837,
47,
14
],
[
328,
837,
48,
14
],
[
380,
837,
23,
14
],
[
78,
854,
67,
14
],
[
150,
854,
39,
14
],
[
194,
854,
38,
14
],
[
236,
854,
48,
14
],
[
289,
854,
34,
14
],
[
327,
854,
17,
14
],
[
349,
854,
54,
14
],
[
78,
870,
43,
14
],
[
125,
870,
12,
14
],
[
141,
870,
29,
14
],
[
175,
870,
46,
14
],
[
225,
870,
49,
14
],
[
278,
870,
33,
14
],
[
315,
870,
53,
14
],
[
372,
870,
15,
14
],
[
392,
870,
12,
14
],
[
78,
887,
27,
14
],
[
110,
887,
28,
14
],
[
143,
887,
43,
14
],
[
190,
887,
23,
14
],
[
218,
887,
63,
14
],
[
286,
887,
68,
14
],
[
359,
887,
22,
14
],
[
385,
887,
19,
14
],
[
78,
904,
55,
14
],
[
148,
904,
47,
14
],
[
210,
904,
87,
14
],
[
313,
904,
10,
14
],
[
338,
904,
38,
14
],
[
391,
904,
13,
14
],
[
78,
937,
5,
11
],
[
86,
937,
70,
11
],
[
159,
937,
91,
11
],
[
78,
948,
38,
13
],
[
119,
950,
9,
11
],
[
130,
950,
42,
11
],
[
175,
950,
44,
11
],
[
222,
950,
38,
11
],
[
263,
950,
31,
11
],
[
297,
950,
41,
11
],
[
341,
950,
9,
11
],
[
353,
950,
28,
11
],
[
78,
962,
28,
11
],
[
110,
962,
48,
11
],
[
423,
704,
84,
14
],
[
511,
704,
21,
14
],
[
537,
704,
57,
14
],
[
598,
704,
63,
14
],
[
665,
704,
12,
14
],
[
682,
704,
19,
14
],
[
705,
704,
44,
14
],
[
423,
721,
61,
14
],
[
488,
721,
21,
14
],
[
513,
721,
69,
14
],
[
586,
721,
54,
14
],
[
644,
721,
28,
14
],
[
676,
721,
26,
14
],
[
707,
721,
23,
14
],
[
734,
721,
14,
14
],
[
423,
737,
65,
14
],
[
492,
737,
89,
14
],
[
585,
737,
29,
14
],
[
619,
737,
40,
14
],
[
663,
737,
12,
14
],
[
680,
737,
14,
14
],
[
698,
737,
50,
14
],
[
423,
754,
28,
14
],
[
455,
754,
27,
14
],
[
487,
754,
20,
14
],
[
511,
754,
12,
14
],
[
528,
754,
30,
14
],
[
562,
754,
61,
14
],
[
628,
754,
12,
14
],
[
644,
754,
19,
14
],
[
666,
754,
42,
14
],
[
713,
754,
35,
14
],
[
423,
771,
55,
14
],
[
482,
771,
29,
14
],
[
515,
771,
12,
14
],
[
531,
771,
64,
14
],
[
599,
771,
69,
14
],
[
672,
771,
21,
14
],
[
698,
771,
50,
14
],
[
423,
787,
19,
14
],
[
446,
787,
70,
14
],
[
520,
787,
20,
14
],
[
544,
787,
14,
14
],
[
562,
787,
46,
14
],
[
612,
787,
14,
14
],
[
630,
787,
69,
15
],
[
703,
787,
45,
15
],
[
423,
804,
36,
14
],
[
463,
804,
47,
14
],
[
514,
803,
47,
15
],
[
565,
803,
50,
15
],
[
618,
804,
21,
14
],
[
644,
804,
53,
14
],
[
701,
804,
10,
14
],
[
715,
804,
32,
14
],
[
423,
820,
26,
14
],
[
455,
820,
12,
14
],
[
473,
820,
25,
14
],
[
504,
820,
12,
14
],
[
522,
820,
39,
14
],
[
567,
820,
25,
14
],
[
598,
820,
13,
14
],
[
617,
820,
26,
14
],
[
649,
820,
71,
14
],
[
725,
820,
22,
14
],
[
423,
837,
58,
14
],
[
486,
837,
53,
14
],
[
544,
837,
30,
14
],
[
579,
837,
17,
14
],
[
600,
837,
29,
14
],
[
634,
837,
12,
14
],
[
650,
837,
28,
14
],
[
683,
837,
43,
14
],
[
731,
837,
17,
14
],
[
423,
854,
40,
14
],
[
468,
854,
64,
14
],
[
536,
854,
65,
14
],
[
606,
854,
45,
14
],
[
656,
854,
22,
14
],
[
682,
854,
66,
14
],
[
423,
870,
50,
14
],
[
477,
870,
27,
14
],
[
508,
870,
20,
14
],
[
532,
870,
28,
14
],
[
564,
870,
55,
14
],
[
623,
870,
51,
14
],
[
679,
870,
27,
14
],
[
710,
870,
38,
14
],
[
423,
887,
27,
14
],
[
454,
887,
18,
14
],
[
477,
887,
60,
14
],
[
542,
887,
26,
14
],
[
572,
887,
45,
14
],
[
622,
887,
42,
14
],
[
668,
887,
12,
14
],
[
685,
887,
37,
14
],
[
726,
887,
22,
14
],
[
423,
904,
30,
14
],
[
457,
904,
58,
14
],
[
519,
904,
19,
14
],
[
434,
920,
13,
14
],
[
451,
920,
26,
14
],
[
481,
920,
40,
14
],
[
525,
920,
62,
14
],
[
592,
920,
44,
14
],
[
640,
920,
54,
14
],
[
698,
920,
50,
14
],
[
423,
937,
20,
14
],
[
447,
937,
49,
14
],
[
501,
937,
67,
14
],
[
572,
937,
48,
14
],
[
625,
937,
67,
14
],
[
697,
937,
51,
14
],
[
423,
953,
21,
14
],
[
448,
953,
63,
14
],
[
515,
953,
24,
14
],
[
544,
953,
26,
14
],
[
574,
953,
27,
14
],
[
605,
953,
59,
14
],
[
668,
953,
11,
14
],
[
684,
953,
7,
14
],
[
695,
953,
38,
14
],
[
736,
953,
12,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
19,
10
],
[
299,
987,
8,
10
],
[
309,
987,
8,
10
],
[
320,
987,
30,
10
],
[
352,
987,
29,
10
],
[
383,
987,
27,
10
],
[
413,
987,
14,
10
],
[
429,
987,
15,
10
],
[
447,
987,
6,
10
],
[
455,
987,
10,
10
],
[
467,
987,
21,
10
],
[
490,
987,
26,
10
],
[
518,
987,
23,
10
],
[
543,
987,
41,
10
],
[
587,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
21,
10
],
[
650,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Borel",
"et",
"al.",
"BMC",
"Microbiology",
"2010,",
"10:201",
"http://www.biomedcentral.com/1471-2180/10/201",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Mixed",
"infections",
"with",
"Chlamydia",
"and",
"porcine",
"epidemic",
"diarrhea",
"virus",
"-",
"a",
"new",
"in",
"vitro",
"model",
"of",
"chlamydial",
"persistence",
"Nicole",
"Borel1*,",
"Claudia",
"Dumrese2,",
"Urs",
"Ziegler2,",
"Andrea",
"Schifferli1,",
"Carmen",
"Kaiser1,",
"Andreas",
"Pospischil1",
"Abstract",
"Background:",
"Chlamydiae",
"induce",
"persistent",
"infections,",
"which",
"have",
"been",
"associated",
"with",
"a",
"wide",
"range",
"of",
"chronic",
"diseases",
"in",
"humans",
"and",
"animals.",
"Mixed",
"infections",
"with",
"Chlamydia",
"and",
"porcine",
"epidemic",
"diarrhea",
"virus",
"(PEDV)",
"may",
"result",
"in",
"generation",
"of",
"persistent",
"chlamydial",
"infections.",
"To",
"test",
"this",
"hypothesis,",
"an",
"in",
"vitro",
"model",
"of",
"dual",
"infection",
"with",
"cell",
"culture-adapted",
"PEDV",
"and",
"Chlamydia",
"abortus",
"or",
"Chlamydia",
"pecorum",
"in",
"Vero",
"cells",
"was",
"established.",
"Results:",
"Infected",
"cultures",
"were",
"investigated",
"by",
"immunofluorescence",
"(IF),",
"transmission",
"electron",
"microscopy",
"(TEM)",
"and",
"re-infection",
"experiments.",
"By",
"IF,",
"Chlamydia-infected",
"cells",
"showed",
"normal",
"inclusions",
"after",
"39",
"hpi.",
"Dual",
"infections",
"with",
"Chlamydia",
"abortus",
"revealed",
"a",
"heterogenous",
"mix",
"of",
"inclusion",
"types",
"including",
"small",
"inclusions",
"consisting",
"of",
"aberrant",
"bodies",
"(ABs),",
"medium-sized",
"inclusions",
"consisting",
"of",
"ABs",
"and",
"reticulate",
"bodies",
"and",
"normal",
"inclusions.",
"Only",
"aberrant",
"inclusions",
"were",
"observable",
"in",
"dual",
"infection",
"experiments",
"with",
"Chlamydia",
"pecorum",
"and",
"PEDV.",
"TEM",
"examinations",
"of",
"mixed",
"infections",
"with",
"Chlamydia",
"abortus",
"and",
"Chlamydia",
"pecorum",
"revealed",
"aberrant",
"chlamydial",
"inclusions",
"containing",
"reticulate-like,",
"pleomorphic",
"ABs,",
"which",
"were",
"up",
"to",
"2",
"μm",
"in",
"diameter.",
"No",
"re-differentiation",
"into",
"elementary",
"bodies",
"(EBs)",
"was",
"detected.",
"In",
"re-infection",
"experiments,",
"co-infected",
"cells",
"produced",
"fewer",
"EBs",
"than",
"monoinfected",
"cells.",
"Conclusions:",
"In",
"the",
"present",
"study",
"we",
"confirm",
"that",
"PEDV",
"co-infection",
"alters",
"the",
"developmental",
"cycle",
"of",
"member",
"species",
"of",
"the",
"family",
"Chlamydiaceae,",
"in",
"a",
"similar",
"manner",
"to",
"other",
"well-described",
"persistence",
"induction",
"methods.",
"Interestingly,",
"this",
"effect",
"appears",
"to",
"be",
"partially",
"species-specific",
"as",
"Chlamydia",
"pecorum",
"appears",
"more",
"sensitive",
"to",
"PEDV",
"co-infection",
"than",
"Chlamydia",
"abortus,",
"as",
"evidenced",
"by",
"TEM",
"and",
"IF",
"observations",
"of",
"a",
"homogenous",
"population",
"of",
"aberrant",
"inclusions",
"in",
"PEDV",
"-",
"Chlamydia",
"pecorum",
"co-infections.",
"Background",
"Chlamydiae",
"are",
"implicated",
"in",
"a",
"wide",
"variety",
"of",
"diseases",
"in",
"both",
"animals",
"and",
"humans.",
"Although",
"acute",
"infections",
"in",
"animal",
"chlamydioses",
"are",
"the",
"most",
"commonly",
"reported,",
"chronic",
"chlamydial",
"infections",
"are",
"also",
"asso-",
"ciated",
"with",
"a",
"variety",
"of",
"diseases",
"in",
"humans",
"and",
"animals.",
"These",
"latter",
"infections",
"are",
"characterized",
"by",
"inflamma-",
"tion",
"and",
"scarring",
"resulting",
"in",
"significant",
"damage",
"of",
"the",
"host.",
"A",
"causative",
"role",
"in",
"chronic",
"diseases",
"requires",
"that",
"chlamydiae",
"persist",
"within",
"infected",
"tissue",
"for",
"extended",
"periods",
"of",
"time.",
"Current",
"theories,",
"based",
"primarily",
"on",
"in",
"vitro",
"data,",
"suggest",
"that",
"chlamydial",
"persistence,",
"and",
"the",
"resulting",
"chronic",
"inflammation,",
"is",
"linked",
"to",
"*",
"Correspondence:",
"n.borel@access.uzh.ch",
"1Institute",
"of",
"Veterinary",
"Pathology,",
"Vetsuisse",
"Faculty,",
"University",
"of",
"Zurich,",
"Zurich,",
"Switzerland",
"morphological",
"and",
"metabolic",
"conversion",
"of",
"the",
"actively",
"replicating",
"and",
"intracellular",
"reticulate",
"body",
"(RB)",
"into",
"an",
"alternative,",
"non-replicative",
"form",
"known",
"as",
"an",
"aberrant",
"body",
"(AB)",
"[1].",
"In",
"vitro,",
"alterations",
"of",
"the",
"normal",
"devel-",
"opmental",
"cycle",
"of",
"Chlamydia",
"trachomatis",
"and",
"Chlamy-",
"dia",
"pneumoniae",
"can",
"be",
"induced",
"by",
"Interferon-g",
"(IFN-g),",
"tumor",
"necrosis",
"factor-a",
"(TNF-a)",
"and",
"penicillin",
"G",
"expo-",
"sure",
"as",
"well",
"as",
"amino",
"acid",
"or",
"iron",
"deprivation",
"and",
"monocyte",
"infection",
"[2,3].",
"To",
"date,",
"in",
"vitro",
"models",
"for",
"animal",
"pathogens,",
"Chlamydia",
"abortus",
"and",
"Chlamydia",
"pecorum",
"have",
"not",
"been",
"described",
"although",
"both",
"organ-",
"isms",
"are",
"associated",
"with",
"chronic",
"disease",
"in",
"koalas",
"and",
"small",
"ruminants",
"[1].",
"In",
"pigs,",
"several",
"chlamydial",
"species,",
"including",
"Chlamy-",
"dia",
"abortus,",
"Chlamydia",
"psittaci,",
"Chlamydia",
"pecorum",
"and",
"Chlamydia",
"suis,",
"have",
"been",
"implicated",
"in",
"a",
"variety",
"of",
"©",
"2010",
"Borel",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
139,980 | null | [
[
76,
47,
84,
34
],
[
172,
47,
194,
34
],
[
378,
47,
68,
34
],
[
458,
47,
182,
34
],
[
76,
119,
101,
23
],
[
180,
119,
53,
12
],
[
434,
119,
6,
12
],
[
76,
147,
127,
23
],
[
209,
147,
108,
23
],
[
322,
147,
94,
23
],
[
422,
147,
92,
23
],
[
520,
147,
141,
23
],
[
666,
147,
97,
23
],
[
76,
172,
98,
23
],
[
179,
172,
38,
23
],
[
223,
172,
62,
23
],
[
291,
172,
157,
23
],
[
453,
172,
134,
23
],
[
593,
172,
30,
23
],
[
629,
172,
68,
23
],
[
76,
197,
80,
23
],
[
162,
197,
82,
23
],
[
76,
222,
12,
21
],
[
93,
222,
45,
21
],
[
143,
220,
72,
23
],
[
220,
222,
35,
21
],
[
259,
222,
91,
21
],
[
356,
222,
17,
21
],
[
377,
220,
85,
23
],
[
76,
272,
41,
12
],
[
119,
271,
43,
13
],
[
165,
272,
64,
12
],
[
231,
272,
50,
12
],
[
283,
272,
22,
12
],
[
308,
272,
38,
12
],
[
348,
272,
38,
12
],
[
389,
272,
24,
12
],
[
415,
271,
46,
13
],
[
464,
272,
10,
12
],
[
477,
272,
64,
12
],
[
543,
272,
71,
12
],
[
617,
272,
19,
12
],
[
638,
272,
48,
12
],
[
689,
272,
58,
12
],
[
750,
272,
10,
12
],
[
76,
285,
49,
11
],
[
126,
285,
19,
11
],
[
147,
285,
60,
11
],
[
209,
285,
35,
11
],
[
246,
285,
38,
11
],
[
286,
285,
35,
11
],
[
323,
285,
38,
11
],
[
363,
285,
38,
11
],
[
402,
285,
21,
11
],
[
426,
285,
19,
11
],
[
446,
284,
42,
13
],
[
490,
285,
40,
11
],
[
532,
285,
14,
11
],
[
548,
285,
64,
11
],
[
613,
285,
48,
11
],
[
663,
285,
26,
11
],
[
690,
285,
39,
11
],
[
730,
285,
37,
11
],
[
76,
298,
10,
12
],
[
89,
298,
37,
12
],
[
128,
298,
53,
12
],
[
183,
298,
22,
12
],
[
208,
298,
26,
12
],
[
236,
298,
22,
12
],
[
261,
298,
23,
12
],
[
286,
298,
21,
12
],
[
76,
319,
35,
11
],
[
113,
319,
7,
11
],
[
122,
319,
26,
11
],
[
151,
319,
4,
11
],
[
158,
319,
82,
11
],
[
242,
319,
49,
11
],
[
293,
319,
9,
11
],
[
305,
319,
41,
11
],
[
348,
319,
4,
11
],
[
355,
319,
136,
11
],
[
76,
335,
79,
12
],
[
157,
335,
33,
12
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
387,
45,
12
],
[
124,
387,
12,
12
],
[
138,
387,
49,
12
],
[
190,
387,
23,
12
],
[
76,
407,
21,
12
],
[
100,
407,
43,
12
],
[
145,
407,
16,
12
],
[
164,
407,
40,
12
],
[
207,
407,
25,
12
],
[
235,
407,
15,
12
],
[
76,
427,
20,
12
],
[
98,
427,
28,
12
],
[
129,
427,
7,
12
],
[
139,
427,
38,
12
],
[
179,
427,
25,
12
],
[
206,
427,
209,
12
],
[
430,
387,
43,
12
],
[
476,
387,
11,
12
],
[
490,
387,
49,
12
],
[
542,
387,
23,
12
],
[
430,
400,
46,
12
],
[
478,
400,
12,
12
],
[
492,
400,
49,
12
],
[
544,
400,
23,
12
],
[
76,
446,
9,
11
],
[
87,
446,
23,
11
],
[
113,
446,
17,
11
],
[
132,
446,
16,
11
],
[
151,
446,
40,
11
],
[
194,
446,
36,
11
],
[
232,
446,
35,
11
],
[
270,
446,
34,
11
],
[
307,
446,
18,
11
],
[
327,
446,
20,
11
],
[
349,
446,
7,
11
],
[
359,
446,
11,
11
],
[
372,
446,
26,
11
],
[
401,
446,
32,
11
],
[
435,
446,
31,
11
],
[
468,
446,
40,
11
],
[
511,
446,
35,
11
],
[
548,
446,
16,
11
],
[
567,
446,
62,
11
],
[
631,
446,
10,
11
],
[
643,
446,
17,
11
],
[
662,
446,
28,
11
],
[
693,
446,
15,
11
],
[
710,
446,
45,
11
],
[
758,
446,
8,
11
],
[
76,
460,
10,
12
],
[
89,
460,
27,
12
],
[
119,
460,
14,
12
],
[
135,
460,
16,
12
],
[
153,
460,
40,
12
],
[
195,
460,
41,
12
],
[
239,
460,
16,
12
],
[
258,
460,
29,
12
],
[
289,
460,
7,
12
],
[
299,
460,
46,
12
],
[
347,
460,
24,
12
],
[
374,
460,
20,
12
],
[
396,
460,
15,
12
],
[
414,
460,
35,
12
],
[
451,
460,
33,
12
],
[
487,
460,
23,
12
],
[
155,
512,
63,
14
],
[
221,
512,
44,
14
],
[
268,
512,
34,
14
],
[
305,
512,
58,
14
],
[
367,
512,
88,
14
],
[
457,
512,
82,
14
],
[
542,
512,
57,
14
],
[
602,
512,
58,
14
],
[
155,
568,
62,
15
],
[
155,
589,
80,
14
],
[
240,
589,
21,
14
],
[
266,
589,
42,
14
],
[
313,
589,
6,
14
],
[
324,
589,
24,
14
],
[
353,
589,
11,
14
],
[
370,
589,
43,
14
],
[
418,
589,
49,
14
],
[
472,
589,
39,
14
],
[
516,
589,
12,
14
],
[
533,
589,
47,
14
],
[
585,
589,
42,
14
],
[
632,
589,
47,
14
],
[
685,
589,
6,
14
],
[
155,
605,
35,
14
],
[
195,
605,
11,
14
],
[
211,
605,
42,
14
],
[
258,
605,
33,
14
],
[
296,
605,
49,
14
],
[
350,
605,
33,
14
],
[
387,
605,
49,
14
],
[
441,
605,
17,
14
],
[
462,
605,
78,
14
],
[
546,
605,
16,
14
],
[
567,
605,
11,
14
],
[
583,
605,
12,
14
],
[
600,
605,
37,
14
],
[
642,
605,
49,
14
],
[
155,
621,
50,
14
],
[
155,
644,
31,
14
],
[
190,
644,
84,
14
],
[
277,
644,
10,
14
],
[
290,
644,
14,
14
],
[
308,
644,
46,
14
],
[
357,
644,
61,
14
],
[
422,
644,
21,
14
],
[
446,
644,
63,
14
],
[
513,
644,
40,
14
],
[
557,
644,
24,
14
],
[
585,
644,
51,
14
],
[
639,
644,
52,
14
],
[
155,
661,
15,
14
],
[
175,
661,
70,
14
],
[
249,
661,
35,
14
],
[
289,
661,
59,
14
],
[
352,
661,
51,
14
],
[
408,
661,
32,
14
],
[
444,
661,
20,
14
],
[
468,
661,
32,
14
],
[
505,
661,
81,
14
],
[
591,
661,
70,
14
],
[
665,
661,
26,
14
],
[
155,
677,
65,
14
],
[
224,
677,
57,
14
],
[
286,
677,
40,
14
],
[
330,
677,
92,
14
],
[
427,
677,
25,
14
],
[
455,
677,
10,
14
],
[
470,
677,
27,
14
],
[
501,
677,
108,
14
],
[
613,
677,
43,
14
],
[
661,
677,
30,
14
],
[
155,
693,
18,
14
],
[
177,
693,
38,
14
],
[
220,
693,
60,
14
],
[
284,
693,
73,
14
],
[
361,
693,
20,
14
],
[
385,
693,
42,
14
],
[
431,
693,
79,
14
],
[
514,
693,
18,
14
],
[
536,
693,
21,
14
],
[
561,
693,
65,
14
],
[
631,
693,
35,
14
],
[
670,
693,
21,
14
],
[
155,
710,
19,
14
],
[
178,
710,
44,
14
],
[
226,
710,
21,
14
],
[
251,
710,
12,
14
],
[
268,
710,
36,
14
],
[
308,
710,
49,
14
],
[
361,
710,
42,
14
],
[
407,
710,
50,
14
],
[
462,
710,
116,
14
],
[
582,
710,
60,
14
],
[
647,
710,
44,
14
],
[
155,
726,
27,
14
],
[
186,
726,
43,
14
],
[
233,
726,
20,
14
],
[
258,
726,
56,
14
],
[
318,
726,
13,
14
],
[
335,
726,
47,
14
],
[
387,
726,
42,
14
],
[
433,
726,
48,
14
],
[
485,
726,
29,
14
],
[
518,
726,
18,
14
],
[
541,
726,
42,
14
],
[
587,
726,
28,
14
],
[
619,
726,
30,
14
],
[
654,
726,
19,
14
],
[
677,
726,
14,
14
],
[
155,
742,
55,
14
],
[
214,
742,
40,
14
],
[
258,
742,
48,
14
],
[
309,
742,
65,
14
],
[
378,
742,
69,
14
],
[
452,
742,
20,
14
],
[
475,
742,
70,
14
],
[
549,
742,
43,
14
],
[
595,
742,
43,
14
],
[
643,
742,
30,
14
],
[
677,
742,
14,
14
],
[
155,
759,
43,
14
],
[
200,
759,
50,
14
],
[
254,
759,
71,
14
],
[
328,
759,
29,
14
],
[
359,
759,
53,
14
],
[
414,
759,
35,
14
],
[
452,
759,
90,
14
],
[
545,
759,
11,
14
],
[
559,
759,
26,
14
],
[
587,
759,
27,
14
],
[
617,
759,
38,
14
],
[
658,
759,
33,
14
],
[
155,
775,
50,
14
],
[
207,
775,
64,
14
],
[
274,
775,
67,
14
],
[
343,
775,
48,
14
],
[
393,
775,
28,
14
],
[
424,
775,
6,
14
],
[
432,
775,
14,
14
],
[
449,
775,
24,
14
],
[
476,
775,
68,
14
],
[
546,
775,
18,
14
],
[
567,
775,
40,
14
],
[
609,
775,
82,
14
],
[
155,
791,
75,
14
],
[
234,
791,
21,
14
],
[
259,
791,
71,
14
],
[
335,
791,
11,
14
],
[
351,
791,
21,
14
],
[
376,
791,
27,
14
],
[
407,
791,
42,
14
],
[
454,
791,
46,
14
],
[
504,
791,
22,
14
],
[
530,
791,
21,
14
],
[
555,
791,
27,
14
],
[
587,
791,
31,
14
],
[
623,
791,
68,
14
],
[
155,
808,
60,
14
],
[
221,
808,
27,
14
],
[
255,
808,
18,
14
],
[
280,
808,
19,
14
],
[
306,
808,
50,
14
],
[
362,
808,
14,
14
],
[
383,
808,
12,
14
],
[
402,
808,
18,
14
],
[
427,
806,
16,
15
],
[
449,
808,
59,
14
],
[
514,
808,
33,
14
],
[
553,
808,
10,
14
],
[
570,
808,
49,
14
],
[
625,
808,
65,
14
],
[
155,
824,
56,
14
],
[
214,
824,
21,
14
],
[
239,
824,
48,
14
],
[
290,
824,
26,
14
],
[
319,
824,
18,
14
],
[
340,
824,
39,
14
],
[
383,
824,
51,
14
],
[
437,
824,
51,
14
],
[
492,
824,
46,
14
],
[
155,
847,
80,
14
],
[
238,
847,
11,
14
],
[
252,
847,
20,
14
],
[
275,
847,
39,
14
],
[
317,
847,
17,
14
],
[
337,
847,
38,
14
],
[
379,
847,
18,
14
],
[
400,
847,
53,
14
],
[
456,
847,
11,
14
],
[
470,
847,
42,
14
],
[
515,
847,
33,
14
],
[
551,
847,
49,
14
],
[
604,
847,
12,
14
],
[
620,
847,
71,
14
],
[
155,
864,
49,
14
],
[
214,
864,
47,
14
],
[
271,
864,
69,
14
],
[
350,
864,
20,
14
],
[
380,
864,
55,
14
],
[
445,
864,
59,
14
],
[
514,
864,
51,
14
],
[
575,
864,
51,
14
],
[
637,
864,
54,
14
],
[
155,
880,
71,
14
],
[
230,
880,
67,
14
],
[
300,
880,
20,
14
],
[
323,
880,
70,
14
],
[
396,
880,
54,
14
],
[
453,
880,
10,
14
],
[
467,
880,
25,
14
],
[
495,
880,
29,
14
],
[
528,
880,
18,
14
],
[
549,
880,
56,
14
],
[
76,
946,
84,
15
],
[
76,
963,
48,
14
],
[
128,
963,
34,
14
],
[
166,
963,
55,
14
],
[
225,
963,
52,
14
],
[
280,
963,
17,
14
],
[
302,
963,
27,
14
],
[
333,
963,
12,
14
],
[
350,
963,
15,
14
],
[
369,
963,
42,
14
],
[
76,
979,
55,
14
],
[
136,
979,
51,
14
],
[
191,
979,
23,
14
],
[
219,
979,
54,
14
],
[
278,
979,
62,
14
],
[
345,
979,
17,
14
],
[
367,
979,
44,
14
],
[
76,
995,
47,
14
],
[
126,
995,
44,
14
],
[
174,
995,
42,
14
],
[
220,
995,
13,
14
],
[
237,
995,
38,
14
],
[
279,
995,
81,
14
],
[
363,
995,
48,
14
],
[
76,
1012,
23,
14
],
[
103,
1012,
57,
14
],
[
164,
1012,
45,
14
],
[
213,
1012,
65,
14
],
[
282,
1012,
52,
14
],
[
339,
1012,
13,
14
],
[
356,
1012,
23,
14
],
[
383,
1012,
29,
14
],
[
434,
947,
29,
14
],
[
468,
947,
68,
14
],
[
540,
947,
17,
14
],
[
563,
947,
50,
14
],
[
617,
947,
56,
14
],
[
679,
947,
69,
14
],
[
753,
947,
17,
14
],
[
434,
963,
67,
14
],
[
511,
963,
31,
14
],
[
553,
963,
10,
14
],
[
573,
963,
42,
14
],
[
626,
963,
56,
14
],
[
693,
963,
29,
14
],
[
732,
963,
12,
14
],
[
755,
963,
15,
14
],
[
434,
979,
69,
14
],
[
509,
979,
66,
14
],
[
581,
979,
81,
14
],
[
667,
979,
33,
14
],
[
706,
979,
38,
14
],
[
750,
979,
19,
14
],
[
434,
995,
50,
14
],
[
487,
995,
18,
14
],
[
507,
995,
44,
14
],
[
553,
995,
23,
14
],
[
578,
995,
19,
14
],
[
599,
995,
56,
14
],
[
658,
995,
17,
14
],
[
677,
995,
31,
14
],
[
710,
995,
60,
14
],
[
434,
1012,
10,
14
],
[
447,
1012,
26,
14
],
[
477,
1012,
56,
14
],
[
536,
1012,
41,
14
],
[
581,
1012,
19,
14
],
[
603,
1012,
44,
14
],
[
650,
1012,
31,
14
],
[
685,
1012,
15,
14
],
[
703,
1012,
50,
14
],
[
756,
1012,
13,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1069,
25,
10
],
[
627,
1069,
33,
10
],
[
662,
1069,
14,
10
],
[
678,
1069,
12,
10
],
[
692,
1069,
31,
10
],
[
726,
1069,
44,
10
]
] | [
"BMC",
"Pregnancy",
"and",
"Childbirth",
"2BC2M0a0Cs2Pe,rergneapncoyratnd",
"Childbirth",
"x",
"Intrauterine",
"pregnancy",
"following",
"low-dose",
"gonadotropin",
"ovulation",
"induction",
"and",
"direct",
"intraperitoneal",
"insemination",
"for",
"severe",
"cervical",
"stenosis",
"E",
"Scott",
"Sills*1,2",
"and",
"Gianpiero",
"D",
"Palermo3",
"Address:",
"1Georgia",
"Reproductive",
"Specialists",
"LLC;",
"Atlanta,",
"Georgia",
"USA,",
"2Division",
"of",
"Reproductive",
"Endocrinology",
"and",
"Infertility,",
"Department",
"of",
"Obstetrics",
"and",
"Gynecology,",
"Atlanta",
"Medical",
"Center;",
"Atlanta,",
"Georgia",
"USA",
"and",
"3Cornell",
"Institute",
"for",
"Reproductive",
"Medicine,",
"Weill",
"Medical",
"College",
"of",
"Cornell",
"University;",
"New",
"York,",
"New",
"York",
"USA",
"E-mail:",
"E",
"Sills*",
"-",
"dr.sills@ivf.com;",
"Gianpiero",
"D",
"Palermo",
"-",
"gdpalerm@med.cornell.edu",
"*Corresponding",
"author",
"BioMed",
"Central",
"Open",
"Access",
"Published:",
"26",
"November",
"2002",
"BMC",
"Pregnancy",
"and",
"Childbirth",
"2002,",
"2:9",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2393/2/9",
"Received:",
"25",
"September",
"2002",
"Accepted:",
"26",
"November",
"2002",
"©",
"2002",
"Sills",
"and",
"Palermo;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article:",
"verbatim",
"copying",
"and",
"redistribution",
"of",
"this",
"article",
"are",
"permitted",
"in",
"all",
"media",
"for",
"any",
"purpose,",
"provided",
"this",
"notice",
"is",
"preserved",
"along",
"with",
"the",
"article's",
"original",
"URL.",
"Keywords:",
"cervical",
"factor",
"infertility,",
"intraperitoneal",
"insemination,",
"ovulation",
"induction",
"Abstract",
"Background:",
"We",
"present",
"a",
"case",
"of",
"primary",
"infertility",
"related",
"to",
"extreme",
"cervical",
"stenosis,",
"a",
"subset",
"of",
"cervical",
"factor",
"infertility",
"which",
"accounts",
"for",
"approximately",
"5%",
"of",
"all",
"clinical",
"infertility",
"referrals.",
"Case",
"presentation:",
"A",
"37",
"year-old",
"nulligravida",
"was",
"successfully",
"treated",
"with",
"ovulation",
"induction",
"via",
"recombinant",
"follicle",
"stimulating",
"hormone",
"(FSH)",
"and",
"direct",
"intraperitoneal",
"insemination",
"(IPI).",
"Anticipating",
"controlled",
"ovarian",
"hyperstimulation",
"with",
"in",
"vitro",
"fertilization/embryo",
"transfer",
"(IVF),",
"the",
"patient",
"underwent",
"hysteroscopy",
"and",
"cervical",
"recanalization,",
"but",
"safe",
"intrauterine",
"access",
"was",
"not",
"possible",
"due",
"to",
"severe",
"proximal",
"cervical",
"stricture.",
"Hysterosalpingogram",
"established",
"bilateral",
"tubal",
"patency",
"and",
"confirmed",
"an",
"irregular",
"cervical",
"contour.",
"Since",
"the",
"cervical",
"canal",
"could",
"not",
"be",
"traversed,",
"neither",
"standard",
"intrauterine",
"insemination",
"nor",
"transcervical",
"embryo",
"transfer",
"could",
"be",
"offered.",
"Prepared",
"spermatozoa",
"were",
"therefore",
"placed",
"intraperitoneally",
"at",
"both",
"tubal",
"fimbria",
"under",
"real-time",
"transvaginal",
"sonographic",
"guidance",
"using",
"a",
"17",
"gage",
"single-lumen",
"IVF",
"needle.",
"Supplementary",
"progesterone",
"was",
"administered",
"as",
"200",
"mg/d",
"lozenge",
"(troche)",
"plus",
"200",
"mg/d",
"rectal",
"suppository,",
"maintained",
"from",
"the",
"day",
"following",
"IPI",
"to",
"the",
"8th",
"gestational",
"week.",
"A",
"singleton",
"intrauterine",
"pregnancy",
"was",
"achieved",
"after",
"the",
"second",
"ovulation",
"induction",
"attempt.",
"Conclusions:",
"In",
"this",
"report,",
"we",
"outline",
"the",
"relevance",
"of",
"cervical",
"factor",
"infertility",
"to",
"reproductive",
"medicine",
"practice.",
"Additionally,",
"our",
"andrology",
"evaluation,",
"ovulation",
"induction",
"approach,",
"spermatozoa",
"preparation,",
"and",
"insemination",
"technique",
"in",
"such",
"cases",
"are",
"described.",
"Background",
"Cervical",
"factor",
"infertility",
"accounts",
"for",
"~5%",
"of",
"all",
"clinical",
"infertility",
"referrals,",
"and",
"common",
"treatments",
"for",
"cervical",
"stenosis",
"include",
"gamete",
"or",
"zygote",
"intrafallopian",
"transfer,",
"and",
"corrective",
"surgical",
"procedures",
"designed",
"to",
"lyse",
"stric-",
"tures",
"responsible",
"for",
"stenosis.",
"However,",
"intrauterine",
"in-",
"semination",
"(IUI)",
"is",
"usually",
"suggested",
"early",
"as",
"an",
"appropriate",
"therapeutic",
"consideration",
"when",
"semen",
"pa-",
"rameters",
"are",
"normal",
"and",
"the",
"suspicion",
"for",
"tubal",
"pathology",
"is",
"low.",
"However,",
"should",
"the",
"cervical",
"canal",
"be",
"tortuous",
"or",
"Page",
"1",
"of",
"5",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
0,
0,
9,
9,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
17,
17,
17,
17,
17,
17,
17,
17,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,176,241 | null | [
[
78,
47,
39,
12
],
[
120,
47,
9,
12
],
[
132,
47,
11,
12
],
[
146,
47,
21,
12
],
[
170,
47,
31,
12
],
[
205,
47,
25,
12
],
[
233,
47,
32,
12
],
[
78,
61,
233,
12
],
[
83,
128,
10,
18
],
[
95,
128,
10,
18
],
[
106,
128,
13,
18
],
[
121,
128,
13,
18
],
[
135,
128,
11,
18
],
[
154,
128,
11,
18
],
[
166,
128,
11,
18
],
[
178,
128,
13,
18
],
[
193,
128,
10,
18
],
[
205,
128,
13,
18
],
[
220,
128,
11,
18
],
[
232,
128,
13,
18
],
[
247,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
120,
34
],
[
208,
169,
165,
34
],
[
383,
169,
84,
34
],
[
476,
169,
174,
34
],
[
78,
205,
311,
34
],
[
400,
205,
55,
34
],
[
465,
205,
116,
34
],
[
78,
241,
165,
34
],
[
253,
241,
25,
34
],
[
288,
241,
135,
34
],
[
433,
241,
137,
34
],
[
581,
241,
93,
34
],
[
78,
277,
16,
34
],
[
104,
277,
158,
34
],
[
272,
277,
152,
34
],
[
435,
277,
79,
34
],
[
524,
277,
22,
34
],
[
556,
277,
73,
34
],
[
78,
313,
121,
34
],
[
209,
313,
81,
34
],
[
78,
360,
36,
16
],
[
119,
357,
56,
19
],
[
179,
360,
53,
16
],
[
236,
357,
64,
19
],
[
304,
360,
43,
16
],
[
352,
357,
53,
19
],
[
409,
360,
46,
16
],
[
460,
357,
63,
19
],
[
528,
360,
58,
16
],
[
590,
357,
52,
19
],
[
78,
379,
69,
16
],
[
152,
376,
54,
19
],
[
210,
379,
51,
16
],
[
266,
376,
40,
19
],
[
310,
379,
50,
16
],
[
364,
376,
63,
19
],
[
432,
379,
38,
16
],
[
474,
376,
48,
19
],
[
527,
379,
41,
16
],
[
572,
376,
61,
19
],
[
638,
379,
38,
16
],
[
680,
376,
51,
19
],
[
78,
399,
36,
16
],
[
119,
396,
37,
19
],
[
160,
399,
35,
16
],
[
200,
396,
48,
19
],
[
252,
399,
22,
16
],
[
279,
399,
66,
16
],
[
349,
396,
52,
19
],
[
87,
453,
54,
15
],
[
87,
478,
76,
14
],
[
167,
478,
42,
14
],
[
214,
478,
32,
14
],
[
250,
478,
81,
14
],
[
335,
478,
11,
14
],
[
350,
478,
19,
14
],
[
373,
478,
73,
14
],
[
450,
478,
51,
14
],
[
505,
478,
11,
14
],
[
520,
478,
50,
14
],
[
574,
478,
43,
14
],
[
622,
478,
19,
14
],
[
645,
478,
55,
14
],
[
703,
478,
11,
14
],
[
87,
495,
58,
14
],
[
149,
495,
37,
14
],
[
190,
495,
25,
14
],
[
219,
495,
44,
14
],
[
267,
495,
51,
14
],
[
322,
495,
44,
14
],
[
370,
495,
29,
14
],
[
404,
495,
50,
14
],
[
458,
495,
81,
14
],
[
543,
495,
50,
14
],
[
598,
495,
65,
14
],
[
667,
495,
21,
14
],
[
693,
495,
37,
14
],
[
87,
511,
43,
14
],
[
135,
511,
19,
14
],
[
158,
511,
20,
14
],
[
182,
511,
55,
14
],
[
242,
511,
39,
14
],
[
285,
511,
15,
14
],
[
304,
511,
40,
14
],
[
348,
511,
12,
14
],
[
364,
511,
7,
14
],
[
375,
511,
56,
14
],
[
435,
511,
60,
14
],
[
500,
511,
11,
14
],
[
515,
511,
44,
14
],
[
564,
511,
22,
14
],
[
590,
511,
12,
14
],
[
606,
511,
19,
14
],
[
629,
511,
42,
14
],
[
675,
511,
56,
14
],
[
87,
528,
11,
14
],
[
102,
528,
47,
14
],
[
154,
528,
37,
14
],
[
195,
528,
12,
14
],
[
212,
528,
44,
14
],
[
260,
528,
20,
14
],
[
285,
528,
40,
14
],
[
328,
528,
77,
14
],
[
409,
528,
81,
14
],
[
495,
528,
36,
14
],
[
535,
528,
43,
14
],
[
583,
528,
22,
14
],
[
609,
528,
55,
14
],
[
668,
528,
8,
14
],
[
681,
528,
22,
14
],
[
707,
528,
22,
14
],
[
87,
544,
49,
14
],
[
141,
544,
21,
14
],
[
166,
544,
19,
14
],
[
190,
544,
45,
14
],
[
238,
544,
11,
14
],
[
253,
544,
7,
14
],
[
264,
544,
42,
14
],
[
311,
544,
41,
14
],
[
356,
544,
11,
14
],
[
371,
544,
23,
14
],
[
398,
544,
43,
14
],
[
446,
544,
11,
14
],
[
460,
544,
7,
14
],
[
471,
544,
35,
14
],
[
511,
544,
33,
14
],
[
548,
544,
6,
14
],
[
559,
544,
23,
14
],
[
586,
544,
56,
14
],
[
646,
544,
70,
14
],
[
87,
561,
81,
14
],
[
173,
561,
51,
14
],
[
228,
561,
19,
14
],
[
251,
561,
57,
14
],
[
312,
561,
32,
14
],
[
349,
561,
11,
14
],
[
364,
561,
45,
14
],
[
413,
561,
25,
14
],
[
442,
561,
58,
14
],
[
504,
561,
39,
14
],
[
547,
561,
22,
14
],
[
573,
561,
64,
14
],
[
641,
561,
33,
14
],
[
679,
561,
9,
14
],
[
692,
561,
21,
14
],
[
87,
578,
55,
14
],
[
146,
578,
19,
14
],
[
170,
578,
29,
14
],
[
202,
578,
51,
14
],
[
258,
578,
12,
14
],
[
274,
578,
41,
14
],
[
320,
578,
19,
14
],
[
343,
578,
41,
14
],
[
388,
578,
11,
14
],
[
404,
578,
70,
14
],
[
478,
578,
83,
14
],
[
87,
598,
102,
14
],
[
194,
598,
22,
14
],
[
220,
598,
8,
14
],
[
233,
598,
7,
14
],
[
243,
598,
65,
14
],
[
312,
598,
67,
14
],
[
383,
598,
33,
14
],
[
420,
598,
9,
14
],
[
434,
598,
23,
14
],
[
461,
598,
44,
14
],
[
509,
598,
25,
14
],
[
538,
598,
56,
14
],
[
598,
598,
69,
14
],
[
671,
598,
40,
14
],
[
87,
615,
93,
14
],
[
184,
615,
11,
14
],
[
200,
615,
19,
14
],
[
223,
615,
58,
14
],
[
285,
615,
28,
14
],
[
317,
615,
17,
14
],
[
339,
615,
40,
14
],
[
383,
615,
15,
14
],
[
403,
615,
20,
14
],
[
427,
615,
33,
14
],
[
464,
615,
14,
14
],
[
482,
615,
44,
14
],
[
531,
615,
28,
14
],
[
563,
615,
15,
14
],
[
582,
615,
11,
14
],
[
597,
615,
25,
14
],
[
626,
615,
14,
14
],
[
644,
615,
28,
14
],
[
677,
615,
18,
14
],
[
699,
615,
21,
14
],
[
87,
632,
28,
14
],
[
120,
632,
42,
14
],
[
166,
632,
40,
14
],
[
210,
632,
51,
14
],
[
266,
632,
47,
14
],
[
316,
632,
16,
14
],
[
337,
632,
56,
14
],
[
397,
632,
11,
14
],
[
413,
632,
19,
14
],
[
435,
632,
45,
14
],
[
485,
632,
61,
14
],
[
550,
632,
23,
14
],
[
578,
632,
9,
14
],
[
591,
632,
24,
14
],
[
619,
632,
12,
14
],
[
635,
632,
32,
14
],
[
672,
632,
40,
14
],
[
87,
648,
40,
14
],
[
132,
648,
17,
14
],
[
153,
648,
62,
14
],
[
219,
648,
52,
14
],
[
275,
648,
40,
14
],
[
319,
648,
40,
14
],
[
363,
648,
44,
14
],
[
412,
648,
19,
14
],
[
435,
648,
15,
14
],
[
454,
648,
67,
14
],
[
525,
648,
12,
14
],
[
541,
648,
41,
14
],
[
586,
648,
49,
14
],
[
639,
648,
14,
14
],
[
657,
648,
48,
14
],
[
87,
665,
70,
14
],
[
161,
665,
31,
14
],
[
196,
662,
44,
17
],
[
244,
665,
15,
14
],
[
263,
665,
7,
14
],
[
275,
665,
43,
14
],
[
322,
665,
12,
14
],
[
338,
665,
70,
14
],
[
412,
665,
81,
14
],
[
497,
665,
73,
14
],
[
575,
665,
27,
14
],
[
606,
662,
43,
17
],
[
652,
665,
57,
14
],
[
713,
665,
20,
14
],
[
87,
679,
44,
17
],
[
135,
681,
49,
14
],
[
188,
681,
14,
14
],
[
206,
681,
41,
14
],
[
251,
681,
21,
14
],
[
277,
681,
19,
14
],
[
300,
681,
30,
14
],
[
334,
681,
48,
14
],
[
386,
681,
57,
14
],
[
448,
681,
71,
14
],
[
523,
681,
81,
14
],
[
608,
681,
8,
14
],
[
621,
681,
31,
14
],
[
656,
681,
23,
14
],
[
683,
681,
31,
14
],
[
87,
698,
30,
14
],
[
121,
698,
22,
14
],
[
147,
698,
37,
14
],
[
189,
698,
21,
14
],
[
213,
698,
41,
14
],
[
259,
698,
12,
14
],
[
275,
698,
23,
14
],
[
301,
698,
12,
14
],
[
317,
698,
19,
14
],
[
340,
698,
52,
14
],
[
396,
698,
47,
14
],
[
447,
698,
25,
14
],
[
477,
698,
70,
14
],
[
550,
698,
81,
14
],
[
636,
698,
41,
14
],
[
681,
698,
58,
14
],
[
87,
714,
69,
14
],
[
161,
714,
11,
14
],
[
176,
714,
30,
14
],
[
210,
714,
21,
14
],
[
236,
714,
54,
14
],
[
294,
714,
21,
14
],
[
320,
714,
57,
14
],
[
382,
714,
69,
14
],
[
455,
714,
21,
14
],
[
480,
714,
42,
14
],
[
527,
714,
30,
14
],
[
561,
714,
51,
14
],
[
617,
714,
8,
14
],
[
629,
714,
90,
14
],
[
87,
731,
43,
14
],
[
135,
731,
57,
14
],
[
196,
731,
12,
14
],
[
213,
731,
19,
14
],
[
235,
731,
40,
14
],
[
280,
731,
20,
14
],
[
304,
731,
62,
14
],
[
370,
731,
20,
14
],
[
395,
731,
45,
14
],
[
444,
731,
29,
14
],
[
477,
731,
12,
14
],
[
493,
731,
15,
14
],
[
511,
731,
67,
14
],
[
582,
731,
12,
14
],
[
599,
731,
27,
14
],
[
629,
731,
55,
14
],
[
689,
731,
24,
14
],
[
87,
748,
42,
14
],
[
133,
748,
59,
14
],
[
197,
748,
19,
14
],
[
220,
748,
15,
14
],
[
239,
748,
72,
14
],
[
315,
748,
14,
14
],
[
333,
748,
57,
14
],
[
395,
748,
58,
14
],
[
457,
748,
69,
14
],
[
531,
748,
30,
14
],
[
565,
748,
9,
14
],
[
579,
748,
16,
14
],
[
599,
748,
16,
14
],
[
619,
748,
14,
14
],
[
637,
748,
22,
14
],
[
663,
748,
54,
14
],
[
87,
764,
30,
14
],
[
121,
764,
7,
14
],
[
133,
764,
43,
14
],
[
180,
764,
25,
14
],
[
209,
764,
40,
14
],
[
254,
764,
68,
14
],
[
325,
764,
18,
14
],
[
348,
764,
37,
14
],
[
389,
764,
42,
14
],
[
436,
764,
82,
14
],
[
522,
764,
51,
14
],
[
577,
764,
45,
14
],
[
626,
764,
17,
14
],
[
648,
764,
42,
14
],
[
87,
781,
88,
14
],
[
180,
781,
21,
14
],
[
205,
781,
79,
14
],
[
288,
781,
63,
14
],
[
355,
781,
45,
14
],
[
405,
781,
19,
14
],
[
428,
781,
15,
14
],
[
447,
781,
47,
14
],
[
498,
781,
51,
14
],
[
553,
781,
14,
14
],
[
571,
781,
7,
14
],
[
582,
781,
55,
14
],
[
641,
781,
65,
14
],
[
87,
802,
67,
14
],
[
158,
802,
21,
14
],
[
183,
802,
48,
14
],
[
235,
802,
30,
14
],
[
270,
802,
19,
14
],
[
293,
802,
58,
14
],
[
355,
802,
19,
14
],
[
378,
802,
42,
14
],
[
423,
802,
11,
14
],
[
439,
802,
70,
14
],
[
513,
802,
81,
14
],
[
598,
802,
11,
14
],
[
613,
802,
57,
14
],
[
675,
802,
37,
14
],
[
716,
802,
15,
14
],
[
87,
818,
19,
14
],
[
110,
818,
20,
14
],
[
135,
818,
25,
14
],
[
164,
818,
21,
14
],
[
190,
818,
31,
14
],
[
225,
818,
7,
14
],
[
235,
818,
39,
14
],
[
279,
818,
50,
14
],
[
333,
818,
15,
14
],
[
352,
818,
67,
14
],
[
424,
818,
49,
14
],
[
477,
818,
72,
14
],
[
553,
818,
20,
14
],
[
577,
818,
21,
14
],
[
602,
818,
19,
14
],
[
625,
818,
42,
14
],
[
672,
818,
19,
14
],
[
87,
835,
51,
14
],
[
142,
835,
37,
14
],
[
183,
835,
41,
14
],
[
229,
835,
11,
14
],
[
244,
835,
12,
14
],
[
261,
835,
45,
14
],
[
309,
835,
66,
14
],
[
379,
835,
41,
14
],
[
425,
835,
15,
14
],
[
444,
835,
56,
14
],
[
505,
835,
37,
14
],
[
546,
835,
11,
14
],
[
561,
835,
19,
14
],
[
584,
835,
57,
14
],
[
646,
835,
31,
14
],
[
87,
856,
26,
14
],
[
118,
856,
73,
14
],
[
195,
856,
89,
14
],
[
288,
856,
76,
14
],
[
78,
925,
5,
11
],
[
86,
925,
70,
11
],
[
159,
925,
91,
11
],
[
78,
936,
35,
13
],
[
116,
937,
16,
11
],
[
135,
937,
64,
11
],
[
203,
937,
33,
11
],
[
239,
937,
41,
11
],
[
283,
937,
34,
11
],
[
320,
937,
9,
11
],
[
332,
937,
28,
11
],
[
78,
950,
53,
11
],
[
134,
950,
17,
11
],
[
154,
950,
20,
11
],
[
178,
950,
33,
11
],
[
214,
950,
48,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
276,
987,
32,
10
],
[
309,
987,
8,
10
],
[
319,
987,
8,
10
],
[
329,
987,
30,
10
],
[
361,
987,
29,
10
],
[
392,
987,
27,
10
],
[
421,
987,
14,
10
],
[
436,
987,
15,
10
],
[
453,
987,
6,
10
],
[
461,
987,
10,
10
],
[
472,
987,
21,
10
],
[
495,
987,
26,
10
],
[
523,
987,
23,
10
],
[
547,
987,
41,
10
],
[
590,
987,
23,
10
],
[
614,
987,
13,
10
],
[
629,
987,
22,
10
],
[
652,
987,
8,
10
],
[
662,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Heinrich",
"et",
"al.",
"BMC",
"Cancer",
"2011,",
"11:346",
"http://www.biomedcentral.com/1471-2407/11/346",
"S",
"T",
"U",
"D",
"Y",
"P",
"R",
"O",
"T",
"O",
"C",
"O",
"L",
"Open",
"Access",
"Adjuvant",
"gemcitabine",
"versus",
"NEOadjuvant",
"gemcitabine/oxaliplatin",
"plus",
"adjuvant",
"gemcitabine",
"in",
"resectable",
"pancreatic",
"cancer:",
"a",
"randomized",
"multicenter",
"phase",
"III",
"study",
"(NEOPAC",
"study)",
"Stefan",
"Heinrich1,",
"Bernhard",
"Pestalozzi2,",
"Mickael",
"Lesurtel3,",
"Frederik",
"Berrevoet4,",
"Stéphanie",
"Laurent5,",
"Jean-Robert",
"Delpero6,",
"Jean-Luc",
"Raoul7,",
"Phillippe",
"Bachellier8,",
"Patrick",
"Dufour9,",
"Markus",
"Moehler10,",
"Achim",
"Weber11,",
"Hauke",
"Lang1,",
"Xavier",
"Rogiers4",
"and",
"Pierre-Alain",
"Clavien3*",
"Abstract",
"Background:",
"Despite",
"major",
"improvements",
"in",
"the",
"perioperative",
"outcome",
"of",
"pancreas",
"surgery,",
"the",
"prognosis",
"of",
"pancreatic",
"cancer",
"after",
"curative",
"resection",
"remains",
"poor.",
"Adjuvant",
"chemotherapy",
"increases",
"disease-free",
"and",
"overall",
"survival,",
"but",
"this",
"treatment",
"cannot",
"be",
"offered",
"to",
"a",
"significant",
"proportion",
"of",
"patients",
"due",
"to",
"the",
"surgical",
"morbidity.",
"In",
"contrast,",
"almost",
"all",
"patients",
"can",
"receive",
"(neo)adjuvant",
"chemotherapy",
"before",
"surgery.",
"This",
"treatment",
"is",
"safe",
"and",
"effective,",
"and",
"has",
"resulted",
"in",
"a",
"median",
"survival",
"of",
"26.5",
"months",
"in",
"a",
"recent",
"phase",
"II",
"trial.",
"Moreover,",
"neoadjuvant",
"chemotherapy",
"improves",
"the",
"nutritional",
"status",
"of",
"patients",
"with",
"pancreatic",
"cancer.",
"This",
"multicenter",
"phase",
"III",
"trial",
"(NEOPAC)",
"has",
"been",
"designed",
"to",
"explore",
"the",
"efficacy",
"of",
"neoadjuvant",
"chemotherapy.",
"Methods/Design:",
"This",
"is",
"a",
"prospective",
"randomized",
"phase",
"III",
"trial.",
"Patients",
"with",
"resectable",
"cytologically",
"proven",
"adenocarcinoma",
"of",
"the",
"pancreatic",
"head",
"are",
"eligible",
"for",
"this",
"study.",
"All",
"patients",
"must",
"be",
"at",
"least",
"18",
"years",
"old",
"and",
"must",
"provide",
"written",
"informed",
"consent.",
"An",
"infiltration",
"of",
"the",
"superior",
"mesenteric",
"vein",
">",
"180°",
"or",
"major",
"visceral",
"arteries",
"are",
"considered",
"exclusion",
"criteria.",
"Eligible",
"patients",
"will",
"be",
"randomized",
"to",
"surgery",
"followed",
"by",
"adjuvant",
"gemcitabine",
"(1000",
"mg/m2)",
"for",
"6",
"months",
"or",
"neoadjuvant",
"chemotherapy",
"(gemcitabine",
"1000",
"mg/m2,",
"oxaliplatin",
"100",
"mg/m2)",
"followed",
"by",
"surgery",
"and",
"the",
"same",
"adjuvant",
"treatment.",
"Neoadjuvant",
"chemotherapy",
"is",
"given",
"four",
"times",
"every",
"two",
"weeks.",
"The",
"staging",
"as",
"well",
"as",
"the",
"restaging",
"protocol",
"after",
"neoadjuvant",
"chemotherapy",
"include",
"computed",
"tomography",
"of",
"chest",
"and",
"abdomen",
"and",
"diagnostic",
"laparoscopy.",
"The",
"primary",
"study",
"endpoint",
"is",
"progression-free",
"survival.",
"According",
"to",
"the",
"sample",
"size",
"calculation,",
"155",
"patients",
"need",
"to",
"be",
"randomized",
"to",
"each",
"treatment",
"arm.",
"Disease",
"recurrence",
"will",
"be",
"documented",
"by",
"scheduled",
"computed",
"tomography",
"scans",
"9,",
"12,",
"15,",
"21",
"and",
"thereafter",
"every",
"6",
"months",
"until",
"disease",
"progression.",
"For",
"quality",
"control,",
"circumferential",
"resection",
"margins",
"are",
"marked",
"intraoperatively,",
"and",
"representative",
"histological",
"sections",
"will",
"be",
"centrally",
"reviewed",
"by",
"a",
"dedicated",
"pathologist.",
"Discussion:",
"The",
"NEOPAC",
"study",
"will",
"determine",
"the",
"efficacy",
"of",
"neoadjuvant",
"chemotherapy",
"in",
"pancreatic",
"cancer",
"for",
"the",
"first",
"time",
"and",
"offers",
"a",
"unique",
"potential",
"for",
"translational",
"research.",
"Furthermore,",
"this",
"trial",
"will",
"provide",
"the",
"unbiased",
"overall",
"survival",
"of",
"all",
"patients",
"undergoing",
"surgery",
"for",
"resectable",
"cancer",
"of",
"the",
"pancreatic",
"head.",
"Trial",
"registration:",
"clinicalTrials.gov",
"NCT01314027",
"*",
"Correspondence:",
"clavien@access.uzh.ch",
"3Visceral",
"and",
"Transplantation",
"Surgery,",
"University",
"Hospital",
"of",
"Zurich,",
"Raemistrasse",
"100,",
"8091",
"Zuerich,",
"Switzerland",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"©",
"2011",
"Heinrich",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,176,157 | null | [
[
78,
47,
31,
12
],
[
113,
47,
9,
12
],
[
125,
47,
11,
12
],
[
139,
47,
21,
12
],
[
163,
47,
30,
12
],
[
196,
47,
35,
12
],
[
234,
47,
25,
12
],
[
262,
47,
26,
12
],
[
78,
61,
227,
12
],
[
83,
128,
11,
18
],
[
96,
128,
13,
18
],
[
110,
128,
11,
18
],
[
123,
128,
11,
18
],
[
135,
128,
10,
18
],
[
147,
128,
10,
18
],
[
159,
128,
11,
18
],
[
171,
128,
13,
18
],
[
186,
128,
13,
18
],
[
200,
128,
13,
18
],
[
214,
128,
10,
18
],
[
226,
128,
13,
18
],
[
240,
128,
11,
18
],
[
253,
128,
10,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
107,
34
],
[
193,
169,
33,
34
],
[
234,
169,
164,
34
],
[
406,
169,
107,
34
],
[
521,
169,
36,
34
],
[
565,
169,
16,
34
],
[
589,
169,
100,
34
],
[
78,
205,
55,
34
],
[
141,
205,
109,
34
],
[
258,
205,
119,
34
],
[
385,
205,
134,
34
],
[
527,
205,
35,
34
],
[
570,
205,
138,
34
],
[
78,
241,
50,
34
],
[
136,
241,
116,
34
],
[
261,
241,
25,
34
],
[
293,
241,
43,
34
],
[
345,
241,
82,
34
],
[
435,
241,
50,
34
],
[
493,
241,
102,
34
],
[
603,
241,
26,
34
],
[
637,
241,
16,
34
],
[
78,
277,
151,
34
],
[
237,
277,
175,
34
],
[
419,
277,
72,
34
],
[
499,
277,
26,
34
],
[
534,
277,
72,
34
],
[
613,
277,
82,
34
],
[
704,
277,
25,
34
],
[
78,
313,
32,
34
],
[
119,
313,
124,
34
],
[
251,
313,
120,
34
],
[
78,
360,
61,
16
],
[
144,
357,
50,
19
],
[
198,
360,
46,
16
],
[
248,
357,
40,
19
],
[
293,
360,
29,
16
],
[
327,
360,
17,
16
],
[
348,
357,
47,
19
],
[
399,
360,
25,
16
],
[
428,
357,
36,
19
],
[
469,
360,
25,
16
],
[
498,
357,
61,
19
],
[
563,
360,
39,
16
],
[
606,
360,
14,
16
],
[
625,
357,
37,
19
],
[
78,
379,
46,
16
],
[
129,
376,
60,
19
],
[
194,
379,
22,
16
],
[
221,
379,
68,
16
],
[
293,
379,
9,
16
],
[
306,
376,
39,
19
],
[
87,
433,
54,
15
],
[
87,
459,
76,
14
],
[
167,
459,
79,
14
],
[
250,
459,
7,
14
],
[
261,
459,
43,
14
],
[
308,
459,
24,
14
],
[
335,
459,
38,
14
],
[
377,
459,
47,
14
],
[
428,
459,
31,
14
],
[
463,
459,
11,
14
],
[
477,
459,
38,
14
],
[
520,
459,
51,
14
],
[
575,
459,
20,
14
],
[
599,
459,
30,
14
],
[
634,
459,
8,
14
],
[
646,
459,
45,
14
],
[
695,
459,
12,
14
],
[
87,
475,
35,
14
],
[
127,
475,
50,
14
],
[
181,
475,
45,
14
],
[
230,
475,
11,
14
],
[
245,
475,
7,
14
],
[
255,
475,
29,
14
],
[
288,
475,
36,
14
],
[
329,
475,
11,
14
],
[
344,
475,
25,
14
],
[
374,
475,
22,
14
],
[
400,
475,
35,
14
],
[
439,
475,
55,
14
],
[
499,
475,
38,
14
],
[
541,
475,
54,
14
],
[
599,
475,
12,
14
],
[
615,
475,
15,
14
],
[
634,
475,
56,
14
],
[
694,
475,
31,
14
],
[
87,
492,
75,
14
],
[
167,
492,
39,
14
],
[
210,
492,
11,
14
],
[
225,
492,
43,
14
],
[
271,
492,
23,
14
],
[
299,
492,
17,
14
],
[
320,
492,
44,
14
],
[
368,
492,
22,
14
],
[
394,
492,
17,
14
],
[
415,
492,
45,
14
],
[
465,
492,
58,
14
],
[
527,
492,
25,
14
],
[
555,
492,
59,
14
],
[
619,
492,
50,
14
],
[
674,
492,
58,
14
],
[
87,
508,
52,
14
],
[
144,
508,
18,
14
],
[
166,
508,
60,
14
],
[
231,
508,
7,
14
],
[
241,
508,
75,
14
],
[
321,
508,
30,
14
],
[
355,
508,
21,
14
],
[
381,
508,
45,
14
],
[
431,
508,
20,
14
],
[
455,
508,
35,
14
],
[
494,
508,
17,
14
],
[
515,
508,
30,
14
],
[
549,
508,
57,
14
],
[
610,
508,
15,
14
],
[
630,
508,
19,
14
],
[
652,
508,
59,
14
],
[
716,
508,
17,
14
],
[
87,
525,
30,
14
],
[
122,
525,
21,
14
],
[
148,
525,
31,
14
],
[
183,
525,
11,
14
],
[
198,
525,
19,
14
],
[
221,
525,
50,
14
],
[
275,
525,
17,
14
],
[
296,
525,
59,
14
],
[
360,
525,
25,
14
],
[
389,
525,
7,
14
],
[
400,
525,
38,
14
],
[
441,
525,
30,
14
],
[
475,
525,
15,
14
],
[
495,
525,
19,
14
],
[
517,
525,
30,
14
],
[
552,
525,
16,
14
],
[
573,
525,
17,
14
],
[
594,
525,
49,
14
],
[
648,
525,
21,
14
],
[
87,
542,
75,
14
],
[
166,
542,
11,
14
],
[
182,
542,
42,
14
],
[
228,
542,
25,
14
],
[
257,
542,
52,
14
],
[
314,
542,
39,
14
],
[
87,
562,
50,
14
],
[
142,
562,
55,
14
],
[
201,
562,
22,
14
],
[
227,
562,
7,
14
],
[
238,
562,
86,
14
],
[
328,
562,
45,
14
],
[
377,
562,
104,
14
],
[
485,
562,
65,
14
],
[
554,
562,
74,
14
],
[
632,
562,
30,
14
],
[
87,
579,
75,
14
],
[
167,
579,
14,
14
],
[
185,
579,
14,
14
],
[
203,
579,
42,
14
],
[
249,
579,
25,
14
],
[
278,
579,
52,
14
],
[
335,
579,
36,
14
],
[
375,
579,
35,
14
],
[
414,
579,
14,
14
],
[
432,
579,
53,
14
],
[
490,
579,
55,
14
],
[
549,
579,
43,
14
],
[
596,
579,
68,
14
],
[
668,
579,
28,
14
],
[
87,
596,
50,
14
],
[
141,
596,
66,
14
],
[
211,
596,
45,
14
],
[
260,
596,
25,
14
],
[
289,
596,
14,
14
],
[
307,
596,
31,
14
],
[
342,
596,
38,
14
],
[
385,
596,
21,
14
],
[
410,
596,
61,
14
],
[
475,
596,
7,
14
],
[
485,
596,
24,
14
],
[
514,
596,
34,
14
],
[
552,
596,
27,
14
],
[
583,
596,
29,
14
],
[
616,
596,
22,
14
],
[
642,
596,
19,
14
],
[
665,
596,
39,
14
],
[
87,
612,
60,
14
],
[
152,
612,
7,
14
],
[
163,
612,
26,
14
],
[
193,
612,
53,
14
],
[
250,
612,
30,
14
],
[
284,
612,
27,
14
],
[
315,
612,
30,
14
],
[
350,
612,
66,
14
],
[
420,
612,
19,
14
],
[
443,
612,
71,
14
],
[
518,
612,
29,
14
],
[
551,
612,
53,
14
],
[
609,
612,
19,
14
],
[
632,
612,
38,
14
],
[
674,
612,
11,
14
],
[
690,
612,
19,
14
],
[
87,
629,
30,
14
],
[
122,
629,
21,
14
],
[
148,
629,
53,
14
],
[
204,
629,
59,
14
],
[
268,
629,
21,
14
],
[
293,
629,
50,
14
],
[
347,
629,
22,
14
],
[
374,
629,
25,
14
],
[
403,
629,
62,
14
],
[
468,
629,
34,
14
],
[
506,
629,
15,
14
],
[
525,
629,
59,
14
],
[
588,
629,
21,
14
],
[
614,
629,
39,
14
],
[
657,
629,
12,
14
],
[
673,
629,
62,
14
],
[
87,
645,
38,
14
],
[
130,
645,
15,
14
],
[
149,
645,
7,
14
],
[
160,
645,
66,
14
],
[
230,
645,
33,
14
],
[
87,
666,
46,
14
],
[
137,
666,
21,
14
],
[
163,
666,
28,
14
],
[
195,
666,
59,
14
],
[
258,
666,
17,
14
],
[
279,
666,
35,
14
],
[
318,
666,
29,
14
],
[
351,
666,
48,
14
],
[
404,
666,
12,
14
],
[
420,
666,
42,
14
],
[
87,
699,
7,
14
],
[
98,
699,
52,
14
],
[
155,
699,
38,
14
],
[
197,
699,
15,
14
],
[
216,
699,
21,
14
],
[
242,
699,
67,
14
],
[
313,
699,
31,
14
],
[
87,
716,
10,
14
],
[
101,
716,
55,
14
],
[
161,
716,
26,
14
],
[
191,
716,
110,
14
],
[
305,
716,
25,
14
],
[
334,
716,
54,
14
],
[
392,
716,
27,
14
],
[
424,
716,
21,
14
],
[
449,
716,
44,
14
],
[
498,
716,
25,
14
],
[
527,
716,
75,
14
],
[
606,
716,
46,
14
],
[
656,
716,
21,
14
],
[
87,
733,
13,
14
],
[
104,
733,
42,
14
],
[
150,
733,
73,
14
],
[
228,
733,
22,
14
],
[
253,
733,
25,
14
],
[
283,
733,
27,
14
],
[
313,
733,
12,
14
],
[
330,
733,
48,
14
],
[
382,
733,
22,
14
],
[
407,
733,
67,
14
],
[
478,
733,
66,
14
],
[
87,
749,
21,
14
],
[
112,
749,
28,
14
],
[
145,
749,
50,
14
],
[
199,
749,
15,
14
],
[
218,
749,
27,
14
],
[
249,
749,
43,
14
],
[
296,
749,
30,
14
],
[
87,
782,
7,
14
],
[
98,
782,
61,
14
],
[
164,
782,
19,
14
],
[
187,
782,
59,
14
],
[
250,
782,
50,
14
],
[
304,
782,
47,
14
],
[
356,
782,
54,
14
],
[
414,
782,
21,
14
],
[
439,
782,
70,
14
],
[
514,
782,
25,
14
],
[
543,
782,
35,
14
],
[
582,
782,
43,
14
],
[
629,
782,
29,
14
],
[
662,
782,
51,
14
],
[
87,
799,
29,
14
],
[
120,
799,
26,
14
],
[
151,
799,
11,
14
],
[
166,
799,
19,
14
],
[
189,
799,
75,
14
],
[
267,
799,
11,
14
],
[
283,
799,
30,
14
],
[
318,
799,
50,
14
],
[
372,
799,
21,
14
],
[
397,
799,
65,
14
],
[
87,
816,
10,
14
],
[
101,
816,
46,
14
],
[
151,
816,
26,
14
],
[
181,
816,
63,
14
],
[
248,
816,
11,
14
],
[
264,
816,
12,
14
],
[
280,
816,
30,
14
],
[
315,
816,
50,
14
],
[
369,
816,
21,
14
],
[
394,
816,
19,
14
],
[
417,
816,
19,
14
],
[
440,
816,
11,
14
],
[
456,
816,
65,
14
],
[
525,
816,
44,
14
],
[
573,
816,
12,
14
],
[
589,
816,
37,
14
],
[
630,
816,
45,
14
],
[
679,
816,
27,
14
],
[
710,
816,
29,
14
],
[
87,
832,
50,
14
],
[
78,
913,
5,
11
],
[
86,
913,
70,
11
],
[
159,
913,
67,
11
],
[
78,
923,
29,
13
],
[
110,
925,
17,
11
],
[
130,
925,
24,
11
],
[
157,
925,
21,
11
],
[
181,
925,
18,
11
],
[
202,
925,
37,
11
],
[
242,
925,
51,
11
],
[
295,
925,
9,
11
],
[
307,
925,
32,
11
],
[
342,
925,
19,
11
],
[
364,
925,
16,
11
],
[
78,
937,
25,
11
],
[
107,
937,
29,
11
],
[
139,
937,
28,
11
],
[
170,
937,
9,
11
],
[
182,
937,
40,
11
],
[
225,
937,
27,
11
],
[
255,
937,
43,
11
],
[
301,
937,
33,
11
],
[
337,
937,
55,
11
],
[
78,
950,
25,
11
],
[
106,
950,
19,
11
],
[
129,
950,
29,
11
],
[
161,
950,
12,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
25,
10
],
[
304,
987,
8,
10
],
[
314,
987,
8,
10
],
[
324,
987,
30,
10
],
[
356,
987,
29,
10
],
[
387,
987,
27,
10
],
[
416,
987,
14,
10
],
[
433,
987,
15,
10
],
[
450,
987,
6,
10
],
[
458,
987,
10,
10
],
[
469,
987,
21,
10
],
[
493,
987,
25,
10
],
[
520,
987,
23,
10
],
[
545,
987,
41,
10
],
[
588,
987,
23,
10
],
[
613,
987,
13,
10
],
[
628,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Nuttall",
"et",
"al.",
"BMC",
"Family",
"Practice",
"2011,",
"12:78",
"http://www.biomedcentral.com/1471-2296/12/78",
"C",
"O",
"R",
"R",
"E",
"S",
"P",
"O",
"N",
"D",
"E",
"N",
"C",
"E",
"Open",
"Access",
"Building",
"an",
"international",
"network",
"for",
"a",
"primary",
"care",
"research",
"program:",
"reflections",
"on",
"challenges",
"and",
"solutions",
"in",
"the",
"set-up",
"and",
"delivery",
"of",
"a",
"prospective",
"observational",
"study",
"of",
"acute",
"cough",
"in",
"13",
"European",
"countries",
"Jacqueline",
"Nuttall1*,",
"Kerenza",
"Hood1,",
"Theo",
"JM",
"Verheij2,",
"Paul",
"Little3,",
"Curt",
"Brugman2,",
"Robert",
"ER",
"Veen2,",
"Herman",
"Goossens4",
"and",
"Christopher",
"C",
"Butler1",
"Abstract",
"Background:",
"Implementing",
"a",
"primary",
"care",
"clinical",
"research",
"study",
"in",
"several",
"countries",
"can",
"make",
"it",
"possible",
"to",
"recruit",
"sufficient",
"patients",
"in",
"a",
"short",
"period",
"of",
"time",
"that",
"allows",
"important",
"clinical",
"questions",
"to",
"be",
"answered.",
"Large",
"multi-country",
"studies",
"in",
"primary",
"care",
"are",
"unusual",
"and",
"are",
"typically",
"associated",
"with",
"challenges",
"requiring",
"innovative",
"solutions.",
"We",
"conducted",
"a",
"multi-country",
"study",
"and",
"through",
"this",
"paper,",
"we",
"share",
"reflections",
"on",
"the",
"challenges",
"we",
"faced",
"and",
"some",
"of",
"the",
"solutions",
"we",
"developed",
"with",
"a",
"special",
"focus",
"on",
"the",
"study",
"set",
"up,",
"structure",
"and",
"development",
"of",
"Primary",
"Care",
"Networks",
"(PCNs).",
"Method:",
"GRACE-01",
"was",
"a",
"multi-European",
"country,",
"investigator-driven",
"prospective",
"observational",
"study",
"implemented",
"by",
"14",
"Primary",
"Care",
"Networks",
"(PCNs)",
"within",
"13",
"European",
"Countries.",
"General",
"Practitioners",
"(GPs)",
"recruited",
"consecutive",
"patients",
"with",
"an",
"acute",
"cough.",
"GPs",
"completed",
"a",
"case",
"report",
"form",
"(CRF)",
"and",
"the",
"patient",
"completed",
"a",
"daily",
"symptom",
"diary.",
"After",
"study",
"completion,",
"the",
"coordinating",
"team",
"discussed",
"the",
"phases",
"of",
"the",
"study",
"and",
"identified",
"challenges",
"and",
"solutions",
"that",
"they",
"considered",
"might",
"be",
"interesting",
"and",
"helpful",
"to",
"researchers",
"setting",
"up",
"a",
"comparable",
"study.",
"Results:",
"The",
"main",
"challenges",
"fell",
"within",
"three",
"domains",
"as",
"follows:",
"i)",
"selecting,",
"setting",
"up",
"and",
"maintaining",
"PCNs;",
"ii)",
"designing",
"local",
"context-appropriate",
"data",
"collection",
"tools",
"and",
"efficient",
"data",
"management",
"systems;",
"and",
"iii)",
"gaining",
"commitment",
"and",
"trust",
"from",
"all",
"involved",
"and",
"maintaining",
"enthusiasm.",
"The",
"main",
"solutions",
"for",
"each",
"domain",
"were:",
"i)",
"appointing",
"key",
"individuals",
"(National",
"Network",
"Facilitator",
"and",
"Coordinator)",
"with",
"clearly",
"defined",
"tasks,",
"involving",
"PCNs",
"early",
"in",
"the",
"development",
"of",
"study",
"materials",
"and",
"procedures.",
"ii)",
"rigorous",
"back",
"translations",
"of",
"all",
"study",
"materials",
"and",
"the",
"use",
"of",
"information",
"systems",
"to",
"closely",
"monitor",
"each",
"PCNs",
"progress;",
"*",
"Correspondence:",
"Nuttallj@cf.ac.uk",
"1South",
"East",
"Wales",
"Trials",
"Unit",
"(SEWTU),",
"Department",
"of",
"Primary",
"Care",
"and",
"Public",
"Health,",
"School",
"of",
"Medicine,",
"Cardiff",
"University,",
"Neuadd",
"Meirionnydd,",
"Heath",
"Park,",
"Cardiff,",
"UK",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"©",
"2011",
"Nuttall",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,961,354 | null | [
[
62,
98,
19,
10
],
[
84,
98,
72,
10
],
[
158,
98,
31,
10
],
[
192,
98,
5,
10
],
[
62,
112,
57,
14
],
[
122,
112,
46,
14
],
[
62,
128,
42,
14
],
[
62,
151,
20,
10
],
[
85,
151,
46,
10
],
[
62,
188,
59,
20
],
[
127,
188,
271,
20
],
[
62,
210,
327,
20
],
[
62,
232,
295,
20
],
[
62,
255,
216,
20
],
[
62,
294,
11,
14
],
[
77,
292,
59,
17
],
[
140,
294,
11,
14
],
[
155,
294,
54,
14
],
[
214,
294,
26,
14
],
[
244,
292,
54,
17
],
[
302,
294,
11,
14
],
[
317,
292,
53,
17
],
[
62,
312,
15,
14
],
[
81,
310,
72,
17
],
[
157,
312,
23,
14
],
[
184,
312,
13,
14
],
[
201,
310,
85,
17
],
[
62,
341,
53,
12
],
[
117,
343,
9,
10
],
[
129,
343,
34,
10
],
[
165,
343,
32,
10
],
[
200,
343,
49,
10
],
[
251,
343,
35,
10
],
[
289,
343,
54,
10
],
[
345,
343,
35,
10
],
[
383,
343,
17,
10
],
[
62,
356,
20,
10
],
[
84,
356,
24,
10
],
[
111,
355,
53,
12
],
[
166,
356,
9,
10
],
[
177,
356,
34,
10
],
[
214,
356,
20,
10
],
[
236,
356,
45,
10
],
[
284,
356,
50,
10
],
[
336,
356,
37,
10
],
[
376,
356,
35,
10
],
[
62,
370,
17,
10
],
[
81,
370,
20,
10
],
[
104,
370,
24,
10
],
[
131,
370,
16,
10
],
[
149,
369,
53,
12
],
[
205,
370,
8,
10
],
[
216,
370,
34,
10
],
[
253,
370,
45,
10
],
[
300,
370,
42,
10
],
[
345,
370,
8,
10
],
[
357,
370,
34,
10
],
[
62,
384,
31,
10
],
[
96,
384,
37,
10
],
[
136,
384,
35,
10
],
[
174,
384,
17,
10
],
[
193,
384,
20,
10
],
[
215,
384,
21,
10
],
[
62,
398,
68,
10
],
[
133,
398,
29,
10
],
[
165,
398,
104,
10
],
[
62,
424,
38,
10
],
[
103,
424,
11,
10
],
[
116,
424,
21,
10
],
[
140,
424,
25,
10
],
[
168,
424,
38,
10
],
[
208,
424,
11,
10
],
[
222,
424,
19,
10
],
[
243,
424,
22,
10
],
[
62,
450,
16,
10
],
[
80,
450,
44,
10
],
[
127,
450,
54,
10
],
[
184,
450,
22,
10
],
[
209,
450,
25,
10
],
[
237,
450,
6,
10
],
[
245,
450,
6,
10
],
[
254,
450,
17,
10
],
[
273,
450,
9,
10
],
[
285,
450,
23,
10
],
[
316,
450,
24,
10
],
[
343,
450,
6,
10
],
[
352,
450,
25,
10
],
[
379,
449,
10,
12
],
[
62,
464,
6,
10
],
[
71,
464,
24,
10
],
[
97,
464,
6,
10
],
[
106,
464,
28,
10
],
[
137,
464,
14,
10
],
[
154,
464,
24,
10
],
[
180,
464,
6,
10
],
[
190,
464,
28,
10
],
[
220,
464,
73,
10
],
[
297,
464,
19,
10
],
[
318,
464,
6,
10
],
[
327,
464,
23,
10
],
[
62,
506,
13,
14
],
[
80,
506,
18,
14
],
[
104,
506,
23,
14
],
[
133,
506,
63,
14
],
[
202,
506,
87,
15
],
[
295,
506,
18,
14
],
[
319,
506,
63,
14
],
[
388,
506,
23,
14
],
[
62,
523,
38,
14
],
[
103,
523,
14,
14
],
[
120,
523,
52,
14
],
[
175,
523,
80,
14
],
[
258,
523,
22,
14
],
[
291,
523,
42,
14
],
[
336,
523,
23,
14
],
[
362,
523,
9,
14
],
[
374,
523,
36,
14
],
[
62,
540,
21,
14
],
[
87,
540,
36,
14
],
[
128,
540,
47,
14
],
[
179,
540,
36,
14
],
[
219,
540,
12,
14
],
[
235,
540,
30,
14
],
[
268,
540,
24,
14
],
[
295,
540,
21,
14
],
[
321,
540,
30,
14
],
[
353,
540,
23,
14
],
[
386,
540,
25,
14
],
[
62,
556,
19,
14
],
[
89,
556,
39,
14
],
[
136,
556,
21,
14
],
[
165,
556,
99,
14
],
[
272,
556,
30,
14
],
[
311,
556,
70,
14
],
[
389,
556,
22,
14
],
[
62,
573,
57,
14
],
[
123,
573,
44,
14
],
[
172,
573,
9,
14
],
[
186,
573,
54,
14
],
[
244,
573,
14,
14
],
[
263,
573,
83,
14
],
[
351,
573,
33,
14
],
[
400,
573,
11,
14
],
[
62,
589,
67,
14
],
[
134,
589,
21,
14
],
[
160,
589,
19,
14
],
[
184,
589,
37,
14
],
[
226,
589,
45,
14
],
[
276,
589,
9,
14
],
[
290,
589,
65,
14
],
[
361,
589,
14,
14
],
[
380,
589,
31,
14
],
[
62,
606,
57,
14
],
[
125,
606,
34,
14
],
[
174,
606,
11,
14
],
[
192,
606,
54,
14
],
[
252,
606,
37,
14
],
[
295,
606,
21,
14
],
[
323,
606,
33,
14
],
[
372,
606,
11,
14
],
[
390,
606,
21,
14
],
[
62,
622,
33,
14
],
[
123,
622,
69,
14
],
[
62,
664,
48,
15
],
[
114,
664,
59,
15
],
[
62,
686,
20,
14
],
[
87,
686,
40,
14
],
[
133,
686,
56,
14
],
[
195,
686,
22,
14
],
[
223,
686,
44,
14
],
[
273,
686,
10,
14
],
[
288,
686,
14,
14
],
[
308,
686,
40,
14
],
[
353,
686,
41,
14
],
[
400,
686,
11,
14
],
[
62,
703,
33,
14
],
[
100,
703,
40,
14
],
[
144,
703,
45,
14
],
[
194,
703,
61,
14
],
[
260,
703,
10,
14
],
[
275,
703,
14,
14
],
[
294,
703,
40,
14
],
[
339,
703,
39,
14
],
[
382,
703,
10,
14
],
[
397,
703,
14,
14
],
[
62,
719,
40,
14
],
[
106,
719,
30,
14
],
[
139,
719,
10,
14
],
[
153,
719,
14,
14
],
[
171,
719,
40,
14
],
[
215,
719,
32,
14
],
[
251,
719,
21,
14
],
[
276,
719,
10,
14
],
[
290,
719,
14,
14
],
[
308,
719,
40,
14
],
[
352,
719,
44,
14
],
[
400,
719,
11,
14
],
[
62,
736,
32,
14
],
[
98,
736,
40,
14
],
[
141,
736,
47,
14
],
[
192,
736,
40,
14
],
[
235,
733,
11,
17
],
[
246,
736,
18,
15
],
[
268,
736,
10,
14
],
[
281,
736,
14,
14
],
[
299,
736,
40,
14
],
[
62,
967,
83,
15
],
[
62,
990,
36,
13
],
[
101,
990,
22,
13
],
[
62,
1010,
67,
12
],
[
62,
1022,
13,
12
],
[
78,
1022,
7,
12
],
[
87,
1022,
29,
12
],
[
249,
1010,
53,
12
],
[
305,
1010,
12,
12
],
[
249,
1022,
6,
12
],
[
257,
1022,
7,
12
],
[
267,
1022,
34,
12
],
[
304,
1022,
14,
12
],
[
320,
1019,
9,
15
],
[
591,
49,
73,
23
],
[
671,
49,
112,
23
],
[
435,
98,
6,
12
],
[
444,
98,
7,
12
],
[
454,
98,
34,
12
],
[
491,
98,
19,
12
],
[
513,
95,
9,
15
],
[
435,
110,
5,
12
],
[
443,
110,
7,
12
],
[
453,
110,
29,
12
],
[
485,
110,
14,
12
],
[
501,
108,
9,
15
],
[
445,
123,
7,
12
],
[
455,
123,
34,
12
],
[
491,
123,
14,
12
],
[
435,
135,
8,
12
],
[
446,
135,
7,
12
],
[
456,
135,
29,
12
],
[
487,
135,
14,
12
],
[
504,
133,
9,
14
],
[
513,
134,
4,
8
],
[
435,
148,
8,
12
],
[
446,
148,
7,
12
],
[
456,
148,
6,
12
],
[
435,
174,
25,
13
],
[
464,
174,
48,
13
],
[
435,
194,
33,
12
],
[
471,
194,
30,
12
],
[
504,
194,
36,
12
],
[
446,
206,
65,
12
],
[
435,
219,
52,
12
],
[
490,
219,
49,
12
],
[
542,
219,
47,
12
],
[
446,
231,
44,
12
],
[
493,
231,
25,
12
],
[
446,
244,
20,
13
],
[
469,
244,
7,
12
],
[
479,
244,
26,
12
],
[
508,
244,
21,
13
],
[
531,
244,
7,
12
],
[
541,
244,
24,
12
],
[
435,
270,
57,
13
],
[
435,
290,
18,
12
],
[
454,
288,
4,
8
],
[
461,
290,
7,
12
],
[
470,
290,
6,
12
],
[
482,
290,
11,
12
],
[
494,
288,
12,
13
],
[
508,
290,
7,
12
],
[
518,
290,
24,
12
],
[
435,
302,
26,
12
],
[
462,
300,
8,
13
],
[
473,
302,
7,
11
],
[
482,
302,
24,
11
],
[
435,
314,
6,
12
],
[
444,
315,
7,
12
],
[
454,
315,
19,
12
],
[
435,
327,
21,
12
],
[
459,
327,
47,
12
],
[
435,
340,
16,
11
],
[
454,
340,
51,
11
],
[
435,
352,
6,
11
],
[
444,
352,
43,
11
],
[
435,
397,
30,
13
],
[
469,
397,
7,
13
],
[
435,
411,
77,
12
],
[
515,
411,
46,
12
],
[
564,
408,
14,
15
],
[
578,
411,
3,
12
],
[
588,
411,
7,
12
],
[
435,
434,
26,
11
],
[
473,
434,
8,
11
],
[
435,
458,
45,
11
],
[
491,
458,
13,
11
],
[
435,
469,
35,
11
],
[
482,
468,
15,
12
],
[
435,
481,
45,
11
],
[
491,
480,
17,
12
],
[
435,
493,
43,
11
],
[
490,
491,
19,
12
],
[
435,
505,
45,
11
],
[
491,
503,
18,
12
],
[
544,
434,
26,
11
],
[
544,
458,
17,
11
],
[
544,
469,
17,
11
],
[
544,
481,
17,
11
],
[
544,
493,
17,
11
],
[
544,
505,
17,
11
],
[
622,
98,
16,
12
],
[
641,
98,
9,
12
],
[
659,
98,
41,
12
],
[
633,
110,
7,
12
],
[
643,
110,
19,
12
],
[
664,
110,
18,
12
],
[
687,
109,
4,
8
],
[
622,
123,
7,
11
],
[
632,
123,
7,
12
],
[
642,
123,
16,
12
],
[
661,
123,
14,
12
],
[
677,
123,
9,
12
],
[
622,
135,
19,
12
],
[
655,
135,
19,
12
],
[
689,
135,
19,
12
],
[
710,
135,
18,
12
],
[
622,
194,
26,
12
],
[
651,
194,
44,
12
],
[
698,
194,
47,
12
],
[
622,
206,
21,
12
],
[
646,
206,
57,
12
],
[
706,
206,
47,
12
],
[
622,
219,
21,
12
],
[
646,
219,
47,
12
],
[
696,
219,
20,
12
],
[
719,
219,
5,
11
],
[
726,
219,
7,
12
],
[
736,
219,
6,
12
],
[
747,
219,
12,
12
],
[
622,
231,
17,
13
],
[
642,
231,
7,
12
],
[
651,
231,
24,
12
],
[
622,
290,
35,
12
],
[
660,
290,
51,
12
],
[
714,
290,
53,
12
],
[
637,
307,
14,
8
],
[
654,
302,
7,
11
],
[
663,
302,
19,
11
],
[
685,
302,
6,
11
],
[
693,
299,
9,
14
],
[
708,
300,
4,
8
],
[
671,
315,
19,
12
],
[
692,
315,
6,
12
],
[
700,
312,
9,
14
],
[
715,
313,
4,
8
],
[
637,
319,
13,
8
],
[
653,
315,
7,
12
],
[
622,
327,
42,
12
],
[
667,
327,
43,
12
],
[
713,
327,
25,
12
],
[
741,
327,
32,
12
],
[
633,
340,
21,
11
],
[
657,
340,
32,
11
],
[
692,
340,
22,
11
],
[
622,
352,
25,
11
],
[
650,
352,
50,
11
],
[
703,
352,
24,
11
],
[
729,
352,
14,
11
],
[
604,
435,
9,
11
],
[
604,
458,
17,
11
],
[
604,
469,
17,
11
],
[
604,
481,
17,
11
],
[
604,
493,
17,
11
],
[
604,
505,
17,
11
],
[
624,
434,
8,
11
],
[
667,
434,
9,
11
],
[
686,
434,
8,
11
],
[
667,
458,
22,
11
],
[
692,
458,
13,
11
],
[
667,
469,
22,
11
],
[
692,
469,
13,
11
],
[
667,
481,
22,
11
],
[
692,
481,
13,
11
],
[
667,
493,
22,
11
],
[
692,
493,
13,
11
],
[
667,
505,
22,
11
],
[
692,
505,
13,
11
],
[
739,
434,
26,
11
],
[
776,
434,
8,
11
],
[
739,
458,
15,
11
],
[
739,
469,
15,
11
],
[
739,
481,
15,
11
],
[
739,
493,
15,
11
],
[
739,
505,
15,
11
],
[
435,
524,
41,
10
],
[
482,
524,
25,
10
],
[
513,
524,
10,
10
],
[
529,
523,
8,
10
],
[
538,
523,
8,
10
],
[
547,
523,
5,
10
],
[
564,
524,
7,
10
],
[
577,
524,
13,
10
],
[
595,
523,
8,
10
],
[
612,
523,
5,
10
],
[
619,
527,
8,
10
],
[
628,
523,
8,
10
],
[
638,
523,
5,
10
],
[
654,
523,
6,
13
],
[
665,
524,
15,
10
],
[
686,
523,
5,
10
],
[
693,
527,
8,
10
],
[
703,
523,
7,
13
],
[
718,
523,
5,
10
],
[
725,
527,
8,
10
],
[
734,
523,
7,
13
],
[
742,
523,
5,
10
],
[
758,
523,
6,
13
],
[
770,
524,
15,
10
],
[
435,
535,
8,
10
],
[
445,
535,
8,
10
],
[
454,
535,
5,
10
],
[
461,
538,
8,
10
],
[
470,
535,
7,
10
],
[
480,
535,
11,
10
],
[
494,
535,
6,
10
],
[
503,
535,
13,
10
],
[
518,
535,
33,
10
],
[
554,
535,
9,
10
],
[
565,
535,
13,
10
],
[
581,
535,
25,
10
],
[
608,
535,
33,
10
],
[
644,
535,
18,
10
],
[
449,
564,
26,
13
],
[
478,
564,
53,
13
],
[
535,
564,
40,
13
],
[
579,
564,
44,
13
],
[
626,
564,
31,
13
],
[
661,
564,
18,
13
],
[
682,
564,
58,
13
],
[
744,
564,
41,
13
],
[
435,
580,
19,
13
],
[
460,
579,
37,
13
],
[
503,
580,
44,
13
],
[
553,
580,
31,
13
],
[
589,
580,
23,
13
],
[
617,
580,
52,
13
],
[
675,
579,
37,
13
],
[
718,
580,
19,
13
],
[
743,
579,
42,
13
],
[
435,
595,
44,
13
],
[
486,
595,
31,
13
],
[
524,
595,
57,
13
],
[
588,
595,
24,
13
],
[
618,
595,
11,
13
],
[
636,
595,
26,
13
],
[
669,
595,
49,
13
],
[
724,
595,
60,
13
],
[
435,
610,
56,
13
],
[
495,
610,
31,
13
],
[
531,
610,
57,
13
],
[
593,
610,
24,
13
],
[
620,
610,
11,
13
],
[
636,
610,
30,
13
],
[
669,
610,
49,
13
],
[
722,
610,
62,
13
],
[
435,
625,
56,
13
],
[
497,
625,
31,
13
],
[
533,
625,
51,
13
],
[
589,
625,
45,
13
],
[
640,
625,
52,
13
],
[
698,
625,
50,
13
],
[
753,
625,
31,
13
],
[
435,
640,
44,
13
],
[
483,
640,
24,
13
],
[
510,
640,
11,
13
],
[
524,
640,
40,
13
],
[
567,
640,
42,
13
],
[
613,
640,
15,
13
],
[
632,
640,
60,
13
],
[
696,
640,
52,
13
],
[
751,
640,
33,
13
],
[
435,
656,
31,
13
],
[
449,
687,
18,
14
],
[
473,
687,
38,
14
],
[
516,
687,
54,
14
],
[
576,
687,
16,
14
],
[
597,
687,
13,
14
],
[
615,
687,
77,
14
],
[
697,
687,
70,
14
],
[
773,
687,
12,
14
],
[
435,
704,
91,
14
],
[
530,
704,
21,
14
],
[
555,
704,
63,
14
],
[
623,
704,
60,
14
],
[
686,
704,
12,
14
],
[
702,
704,
45,
14
],
[
751,
704,
33,
14
],
[
435,
721,
17,
14
],
[
458,
721,
16,
14
],
[
479,
721,
51,
14
],
[
536,
721,
21,
14
],
[
562,
721,
48,
14
],
[
616,
721,
67,
14
],
[
688,
721,
18,
14
],
[
711,
721,
38,
14
],
[
755,
721,
30,
14
],
[
435,
737,
76,
14
],
[
515,
737,
33,
14
],
[
552,
737,
17,
14
],
[
573,
737,
27,
14
],
[
604,
737,
47,
14
],
[
435,
774,
73,
12
],
[
513,
774,
21,
12
],
[
539,
774,
18,
12
],
[
562,
774,
32,
12
],
[
599,
774,
15,
12
],
[
618,
774,
18,
12
],
[
640,
774,
28,
12
],
[
672,
774,
16,
12
],
[
693,
774,
43,
12
],
[
741,
774,
24,
12
],
[
769,
774,
16,
12
],
[
435,
787,
26,
12
],
[
464,
787,
48,
12
],
[
515,
787,
40,
12
],
[
558,
787,
57,
12
],
[
618,
787,
47,
12
],
[
435,
824,
70,
15
],
[
435,
846,
26,
12
],
[
464,
846,
19,
12
],
[
486,
846,
14,
12
],
[
503,
846,
64,
12
],
[
569,
846,
14,
12
],
[
586,
846,
32,
12
],
[
621,
846,
37,
12
],
[
660,
846,
13,
12
],
[
676,
846,
11,
12
],
[
690,
846,
9,
12
],
[
701,
846,
36,
12
],
[
740,
846,
10,
12
],
[
753,
846,
32,
12
],
[
446,
858,
34,
11
],
[
483,
858,
23,
11
],
[
509,
858,
29,
11
],
[
541,
858,
13,
12
],
[
557,
858,
39,
12
],
[
435,
871,
40,
11
],
[
478,
871,
11,
11
],
[
492,
871,
11,
11
],
[
507,
871,
32,
11
],
[
541,
871,
21,
11
],
[
565,
871,
27,
11
],
[
595,
871,
22,
11
],
[
619,
871,
29,
11
],
[
435,
883,
33,
12
],
[
472,
883,
32,
12
],
[
508,
883,
39,
12
],
[
551,
883,
33,
12
],
[
589,
883,
17,
12
],
[
610,
883,
40,
12
],
[
654,
883,
33,
12
],
[
691,
883,
23,
12
],
[
718,
883,
20,
12
],
[
743,
883,
42,
12
],
[
446,
896,
49,
11
],
[
498,
896,
26,
11
],
[
435,
908,
37,
12
],
[
475,
908,
11,
12
],
[
489,
908,
9,
12
],
[
501,
908,
28,
12
],
[
532,
908,
7,
12
],
[
541,
908,
12,
12
],
[
556,
908,
32,
12
],
[
590,
908,
8,
12
],
[
601,
908,
20,
12
],
[
623,
908,
29,
12
],
[
655,
908,
19,
12
],
[
677,
908,
13,
12
],
[
693,
908,
50,
12
],
[
435,
920,
41,
12
],
[
479,
920,
10,
12
],
[
492,
920,
7,
12
],
[
501,
920,
32,
12
],
[
536,
920,
8,
12
],
[
546,
920,
25,
12
],
[
575,
920,
27,
12
],
[
604,
920,
13,
12
],
[
620,
920,
19,
12
],
[
435,
933,
28,
12
],
[
466,
933,
12,
12
],
[
480,
933,
11,
12
],
[
494,
933,
32,
12
],
[
529,
933,
21,
11
],
[
553,
933,
26,
11
],
[
582,
933,
22,
12
],
[
607,
933,
39,
12
],
[
435,
945,
38,
12
],
[
477,
945,
10,
12
],
[
490,
945,
9,
12
],
[
502,
945,
11,
12
],
[
516,
945,
40,
12
],
[
559,
945,
11,
12
],
[
573,
945,
31,
12
],
[
608,
945,
12,
12
],
[
623,
945,
55,
12
],
[
681,
945,
10,
12
],
[
695,
945,
9,
12
],
[
707,
945,
63,
12
],
[
773,
945,
11,
12
],
[
446,
958,
32,
12
],
[
481,
958,
21,
12
],
[
505,
958,
26,
12
],
[
534,
958,
21,
12
],
[
558,
958,
51,
12
],
[
435,
970,
35,
11
],
[
475,
970,
11,
11
],
[
490,
970,
9,
11
],
[
504,
970,
28,
11
],
[
537,
970,
13,
11
],
[
555,
970,
32,
11
],
[
591,
970,
36,
11
],
[
631,
970,
30,
12
],
[
666,
970,
39,
12
],
[
710,
970,
9,
12
],
[
724,
970,
14,
12
],
[
742,
970,
42,
12
],
[
446,
983,
41,
12
],
[
491,
983,
10,
12
],
[
503,
983,
51,
12
],
[
557,
983,
31,
12
],
[
591,
983,
41,
12
],
[
435,
995,
40,
12
],
[
478,
995,
13,
12
],
[
494,
995,
32,
12
],
[
528,
995,
8,
12
],
[
539,
995,
25,
12
],
[
567,
995,
26,
12
],
[
596,
995,
13,
12
],
[
612,
995,
19,
12
],
[
435,
1008,
46,
12
],
[
484,
1008,
11,
12
],
[
497,
1008,
13,
12
],
[
513,
1008,
32,
12
],
[
547,
1008,
21,
11
],
[
571,
1008,
27,
11
],
[
601,
1008,
22,
12
],
[
626,
1008,
39,
12
],
[
435,
1020,
25,
12
],
[
464,
1020,
12,
12
],
[
478,
1020,
10,
12
],
[
491,
1020,
32,
12
],
[
525,
1020,
8,
12
],
[
536,
1020,
25,
12
],
[
564,
1020,
27,
12
],
[
594,
1020,
13,
12
],
[
610,
1020,
24,
12
],
[
62,
1062,
22,
12
],
[
87,
1062,
28,
12
],
[
118,
1062,
35,
12
],
[
155,
1062,
22,
12
],
[
180,
1062,
68,
12
],
[
369,
1062,
165,
12
],
[
656,
1062,
38,
12
],
[
698,
1062,
9,
12
],
[
710,
1062,
12,
12
],
[
738,
1058,
46,
17
]
] | [
"Acta",
"Crystallographica",
"Section",
"E",
"Structure",
"Reports",
"Online",
"ISSN",
"1600-5368",
"Methyl",
"3-(4-bromophenyl)-2-(1H-indol-",
"3-ylmethyl)-5-[1-(4-methoxyphenyl)-4-",
"oxo-2-phenylazetidin-2-yl]-4-nitro-",
"pyrrolidine-2-carboxylate",
"S.",
"Nirmala,a",
"E.",
"Theboral",
"Sugi",
"Kamala,a",
"L.",
"Sudha,b*",
"N.",
"Arumugamc",
"and",
"R.",
"Raghunathanc",
"aDepartment",
"of",
"Physics,",
"Easwari",
"Engineering",
"College,",
"Ramapuram,",
"Chennai",
"600",
"089,",
"India,",
"bDepartment",
"of",
"Physics,",
"SRM",
"University,",
"Ramapuram",
"Campus,",
"Chennai",
"600",
"089,",
"India,",
"and",
"cDepartment",
"of",
"Organic",
"Chemistry,",
"University",
"of",
"Madras,",
"Guindy",
"Campus,",
"Chennai",
"600",
"025,",
"India",
"Correspondence",
"e-mail:",
"sudharose18@gmail.com",
"Received",
"10",
"April",
"2008;",
"accepted",
"12",
"May",
"2008",
"Key",
"indicators:",
"single-crystal",
"X-ray",
"study;",
"T",
"=",
"293",
"K;",
"mean",
"(C–C)",
"=",
"0.004",
"A˚;",
"R",
"factor",
"=",
"0.040;",
"wR",
"factor",
"=",
"0.120;",
"data-to-parameter",
"ratio",
"=",
"19.7.",
"In",
"the",
"title",
"compound,",
"C37H33BrN4O6,",
"the",
"pyrrolidine",
"ring",
"adopts",
"an",
"envelope",
"conformation.",
"The",
"-lactam",
"ring",
"is",
"planar",
"and",
"makes",
"dihedral",
"angles",
"of",
"70.16",
"(13)",
"and",
"28.32",
"(13)",
"with",
"the",
"phenyl",
"and",
"4-methoxyphenyl",
"rings,",
"respectively.",
"The",
"molecular",
"packing",
"is",
"stabilized",
"by",
"intramolecular",
"C—H",
"O",
"interactions",
"and",
"the",
"crystal",
"packing",
"is",
"determined",
"by",
"inter-",
"molecular",
"N—H",
"O",
"hydrogen",
"bonds,",
"and",
"C—H",
"O",
"and",
"C—H",
"interactions.",
"Related",
"literature",
"For",
"related",
"literature,",
"see:",
"Kamala",
"et",
"al.",
"(2008);",
"Lukacs",
"&",
"Ohno",
"(1990);",
"Sundari",
"Bhaskaran",
"et",
"al.",
"(2006);",
"Suzuki",
"et",
"al.",
"(1994);",
"Yang",
"et",
"al.",
"(1987);",
"Amal",
"Raj",
"et",
"al.",
"(2003);",
"Cremer",
"&",
"Pople",
"(1975);",
"Nardelli",
"(1995);",
"U¨",
"lku¨",
"et",
"al.",
"(1997).",
"Experimental",
"Crystal",
"data",
"C37H33BrN4O6",
"Mr",
"=",
"709.58",
"Monoclinic,",
"Cc",
"a",
"=",
"11.3988",
"(4)",
"A˚",
"organic",
"compounds",
"b",
"=",
"34.8587",
"(13)",
"A˚",
"c",
"=",
"8.7039",
"(3)",
"A˚",
"=",
"100.982",
"(2)",
"V",
"=",
"3395.1",
"(2)",
"A˚",
"3",
"Z",
"=",
"4",
"Data",
"collection",
"Bruker",
"Kappa",
"APEX2",
"diffractometer",
"Absorption",
"correction:",
"multi-scan",
"(Blessing,",
"1995)",
"Tmin",
"=",
"0.703,",
"Tmax",
"=",
"0.769",
"Refinement",
"R[F",
"2",
">",
"2",
"(F",
"2)]",
"=",
"0.040",
"wR(F",
"2)",
"=",
"0.120",
"S",
"=",
"1.04",
"8532",
"reflections",
"433",
"parameters",
"2",
"restraints",
"Table",
"1",
"Hydrogen-bond",
"geometry",
"(A˚",
",",
").",
"D—H",
"A",
"C11—H11",
"O4",
"C4—H4",
"O4i",
"C31—H31",
"O4ii",
"N1—H1A",
"O5iii",
"C18—H18",
"Cgiv",
"D—H",
"0.98",
"0.93",
"0.93",
"0.86",
"0.93",
"Mo",
"K",
"radiation",
"=",
"1.26",
"mm",
"1",
"T",
"=",
"293",
"(2)",
"K",
"0.30",
"0.22",
"0.22",
"mm",
"37282",
"measured",
"reflections",
"8532",
"independent",
"reflections",
"6397",
"reflections",
"with",
"I",
">",
"2",
"(I)",
"Rint",
"=",
"0.028",
"H-atom",
"parameters",
"constrained",
"max",
"=",
"0.43",
"e",
"A˚",
"3",
"0.37",
"e",
"A˚",
"3",
"min",
"=",
"Absolute",
"structure:",
"Flack",
"(1983),",
"4142",
"Friedel",
"pairs",
"Flack",
"parameter:",
"0.008",
"(6)",
"H",
"2.27",
"2.57",
"2.55",
"2.02",
"2.80",
"A",
"D",
"A",
"2.717",
"(3)",
"3.186",
"(3)",
"3.399",
"(3)",
"2.820",
"(3)",
"3.641",
"(4)",
"D—H",
"A",
"107",
"124",
"152",
"155",
"151",
"Symmetry",
"codes:",
"(i)",
"x;",
"y;",
"z",
"1;",
"(ii)",
"x;",
"y",
"þ",
"2;",
"z",
"12;",
"(iii)",
"x",
"þ",
"12;",
"y",
"þ",
"32;",
"z",
"12;",
"(iv)",
"x;",
"y;",
"z",
"þ",
"1.",
"Cg",
"is",
"the",
"centroid",
"of",
"the",
"indole",
"benzene",
"ring.",
"Data",
"collection:",
"APEX2",
"(Bruker,",
"2004);",
"cell",
"refinement:",
"APEX2",
"and",
"SAINT",
"(Bruker,",
"2004);",
"data",
"reduction:",
"SAINT",
"and",
"XPREP",
"(Bruker,",
"2004);",
"program(s)",
"used",
"to",
"solve",
"structure:",
"SHELXS97",
"(Sheldrick,",
"2008);",
"program(s)",
"used",
"to",
"refine",
"structure:",
"SHELXL97",
"(Sheldrick,",
"2008);",
"molecular",
"graphics:",
"ORTEP-3",
"(Farrugia,",
"1997);",
"software",
"used",
"to",
"prepare",
"material",
"for",
"publication:",
"PLATON",
"(Spek,",
"2003).",
"SN",
"thanks",
"Professor",
"M.",
"N.",
"Ponnuswamy,",
"Department",
"of",
"Crystallography",
"and",
"Biophysics,",
"University",
"of",
"Madras,",
"India,",
"for",
"his",
"guidance",
"and",
"valuable",
"suggestions.",
"SN",
"thanks",
"SRM",
"management,",
"India,",
"for",
"their",
"support.",
"Supplementary",
"data",
"and",
"figures",
"for",
"this",
"paper",
"are",
"available",
"from",
"the",
"IUCr",
"electronic",
"archives",
"(Reference:",
"RK2086).",
"References",
"Amal",
"Raj,",
"A.,",
"Raghunathan,",
"R.,",
"Sridevi",
"Kumari,",
"M.",
"R.",
"&",
"Raman,",
"N.",
"(2003).",
"Bioorg.",
"Med.",
"Chem.",
"11,",
"407–409.",
"Blessing,",
"R.",
"H.",
"(1995).",
"Acta",
"Cryst.",
"A51,",
"33–38.",
"Bruker",
"(2004).",
"APEX2,",
"SAINT",
"and",
"XPREP.",
"Bruker",
"AXS",
"Inc.,",
"Madison,",
"Wisconsin,",
"USA.",
"Cremer,",
"D.",
"&",
"Pople,",
"J.",
"A.",
"(1975).",
"J.",
"Am.",
"Chem.",
"Soc.",
"97,",
"1354–1358.",
"Farrugia,",
"L.",
"J.",
"(1997).",
"J.",
"Appl.",
"Cryst.",
"30,",
"565.",
"Flack,",
"H.",
"D.",
"(1983).",
"Acta",
"Cryst.",
"A39,",
"876–881.",
"Kamala,",
"E.",
"T.",
"S.,",
"Nirmala,",
"S.,",
"Sudha,",
"L.,",
"Arumugam,",
"N.",
"&",
"Raghanathan,",
"R.",
"(2008).",
"Acta",
"Cryst.",
"E64,",
"o716–o717.",
"Lukacs,",
"G.",
"&",
"Ohno,",
"M.",
"(1990).",
"Editors.",
"Recent",
"Progress",
"in",
"the",
"Chemical",
"Synthesis",
"of",
"Antibiotics.",
"Berlin:",
"Springer.",
"Nardelli,",
"M.",
"(1995).",
"J.",
"Appl.",
"Cryst.",
"28,",
"659.",
"Sheldrick,",
"G.",
"M.",
"(2008).",
"Acta",
"Cryst.",
"A64,",
"112–122.",
"Spek,",
"A.",
"L.",
"(2003).",
"J.",
"Appl.",
"Cryst.",
"36,",
"7–13.",
"Acta",
"Cryst.",
"(2008).",
"E64,",
"o1095–o1096",
"doi:10.1107/S1600536808014190",
"Nirmala",
"et",
"al.",
"o1095"
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
16,
16,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
11,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
15,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
10,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
0,
0,
0,
0,
0,
0,
9,
9,
9,
0
] |
3,198,933 | null | [
[
78,
47,
27,
12
],
[
109,
47,
9,
12
],
[
121,
47,
11,
12
],
[
135,
47,
33,
12
],
[
171,
47,
9,
12
],
[
184,
47,
88,
12
],
[
275,
47,
25,
12
],
[
303,
47,
26,
12
],
[
78,
61,
248,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
12,
18
],
[
121,
128,
5,
18
],
[
128,
128,
10,
18
],
[
139,
128,
16,
18
],
[
78,
169,
102,
34
],
[
190,
169,
124,
34
],
[
324,
169,
25,
34
],
[
360,
169,
106,
34
],
[
476,
169,
115,
34
],
[
78,
205,
176,
34
],
[
265,
205,
75,
34
],
[
78,
252,
57,
16
],
[
140,
249,
47,
19
],
[
191,
252,
22,
16
],
[
217,
249,
28,
19
],
[
250,
252,
22,
16
],
[
276,
252,
52,
16
],
[
333,
249,
39,
18
],
[
598,
49,
62,
15
],
[
663,
49,
19,
15
],
[
598,
65,
150,
15
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
87,
306,
54,
15
],
[
87,
327,
45,
14
],
[
136,
327,
48,
14
],
[
187,
327,
42,
14
],
[
232,
327,
30,
14
],
[
265,
327,
75,
14
],
[
343,
327,
34,
14
],
[
380,
327,
19,
14
],
[
402,
327,
28,
14
],
[
433,
327,
56,
14
],
[
493,
327,
25,
14
],
[
521,
327,
14,
14
],
[
538,
327,
45,
14
],
[
586,
327,
11,
14
],
[
600,
327,
28,
14
],
[
631,
327,
47,
14
],
[
681,
327,
20,
14
],
[
87,
344,
68,
14
],
[
159,
344,
22,
14
],
[
184,
344,
45,
14
],
[
232,
344,
18,
14
],
[
254,
344,
72,
14
],
[
330,
344,
49,
14
],
[
382,
344,
25,
14
],
[
410,
344,
44,
14
],
[
457,
344,
48,
14
],
[
508,
344,
17,
14
],
[
528,
344,
70,
14
],
[
602,
344,
16,
14
],
[
621,
344,
55,
14
],
[
87,
360,
65,
14
],
[
155,
360,
11,
14
],
[
170,
360,
20,
14
],
[
192,
360,
49,
14
],
[
245,
360,
8,
14
],
[
256,
360,
18,
14
],
[
278,
360,
53,
14
],
[
334,
360,
11,
14
],
[
349,
360,
18,
14
],
[
370,
360,
34,
14
],
[
408,
360,
47,
14
],
[
458,
360,
40,
14
],
[
501,
360,
51,
14
],
[
556,
360,
35,
14
],
[
594,
360,
11,
14
],
[
609,
360,
18,
14
],
[
630,
360,
21,
14
],
[
655,
360,
11,
14
],
[
669,
360,
19,
14
],
[
691,
360,
35,
14
],
[
87,
377,
46,
14
],
[
137,
377,
38,
14
],
[
178,
377,
34,
14
],
[
216,
377,
19,
14
],
[
238,
377,
47,
14
],
[
288,
377,
27,
14
],
[
318,
377,
11,
14
],
[
332,
377,
69,
14
],
[
404,
377,
11,
14
],
[
418,
377,
44,
14
],
[
465,
377,
48,
14
],
[
516,
377,
38,
14
],
[
557,
377,
42,
14
],
[
603,
377,
31,
14
],
[
637,
377,
27,
14
],
[
667,
377,
28,
14
],
[
698,
377,
35,
14
],
[
87,
394,
28,
14
],
[
119,
394,
35,
14
],
[
157,
394,
11,
14
],
[
171,
394,
19,
14
],
[
193,
394,
80,
14
],
[
276,
394,
11,
14
],
[
291,
394,
19,
14
],
[
312,
394,
35,
14
],
[
350,
394,
46,
14
],
[
400,
394,
40,
14
],
[
443,
394,
59,
14
],
[
506,
394,
11,
14
],
[
520,
394,
36,
14
],
[
559,
394,
12,
14
],
[
574,
394,
18,
14
],
[
595,
394,
49,
14
],
[
648,
394,
69,
14
],
[
719,
394,
11,
14
],
[
87,
410,
41,
14
],
[
132,
410,
51,
14
],
[
186,
410,
34,
14
],
[
223,
410,
36,
14
],
[
262,
410,
42,
14
],
[
307,
410,
21,
14
],
[
332,
410,
8,
14
],
[
343,
410,
19,
14
],
[
365,
410,
29,
14
],
[
397,
410,
53,
14
],
[
453,
410,
11,
14
],
[
468,
410,
46,
14
],
[
517,
410,
19,
14
],
[
539,
410,
56,
14
],
[
599,
410,
14,
14
],
[
616,
410,
16,
14
],
[
635,
410,
20,
14
],
[
659,
410,
38,
14
],
[
701,
410,
27,
14
],
[
87,
427,
54,
14
],
[
145,
427,
18,
14
],
[
166,
427,
21,
14
],
[
190,
427,
11,
14
],
[
205,
427,
25,
14
],
[
233,
427,
11,
14
],
[
247,
427,
44,
14
],
[
293,
427,
50,
14
],
[
347,
427,
51,
14
],
[
401,
427,
27,
14
],
[
432,
427,
25,
14
],
[
460,
427,
71,
14
],
[
534,
427,
41,
14
],
[
578,
427,
11,
14
],
[
592,
427,
48,
14
],
[
644,
427,
48,
14
],
[
695,
427,
22,
14
],
[
87,
443,
25,
14
],
[
115,
443,
17,
14
],
[
135,
443,
47,
14
],
[
185,
443,
11,
14
],
[
199,
443,
18,
14
],
[
221,
443,
76,
14
],
[
300,
443,
11,
14
],
[
315,
443,
19,
14
],
[
337,
443,
45,
14
],
[
385,
443,
51,
14
],
[
440,
443,
50,
14
],
[
493,
443,
21,
14
],
[
517,
443,
25,
14
],
[
546,
443,
45,
14
],
[
594,
443,
8,
14
],
[
606,
443,
56,
14
],
[
665,
443,
24,
14
],
[
693,
443,
31,
14
],
[
87,
460,
34,
14
],
[
125,
460,
49,
14
],
[
176,
460,
7,
14
],
[
187,
460,
24,
14
],
[
214,
460,
15,
14
],
[
232,
460,
45,
14
],
[
279,
460,
22,
14
],
[
305,
460,
62,
14
],
[
370,
460,
37,
14
],
[
411,
460,
31,
14
],
[
445,
460,
14,
14
],
[
463,
460,
51,
14
],
[
516,
460,
12,
14
],
[
532,
460,
53,
14
],
[
588,
460,
46,
14
],
[
637,
460,
11,
14
],
[
652,
460,
18,
14
],
[
674,
460,
34,
14
],
[
87,
476,
46,
14
],
[
137,
476,
38,
14
],
[
178,
476,
22,
14
],
[
203,
476,
35,
14
],
[
242,
476,
52,
14
],
[
297,
476,
44,
14
],
[
344,
476,
28,
14
],
[
375,
476,
47,
14
],
[
425,
476,
48,
14
],
[
477,
476,
51,
14
],
[
531,
476,
8,
14
],
[
542,
476,
7,
14
],
[
552,
476,
55,
14
],
[
610,
476,
64,
14
],
[
677,
476,
45,
14
],
[
725,
476,
14,
14
],
[
87,
493,
7,
14
],
[
97,
493,
36,
14
],
[
136,
493,
11,
14
],
[
151,
493,
88,
14
],
[
242,
493,
38,
14
],
[
283,
493,
64,
14
],
[
351,
493,
18,
14
],
[
372,
493,
54,
14
],
[
430,
493,
63,
14
],
[
496,
493,
11,
14
],
[
511,
493,
48,
14
],
[
562,
493,
51,
14
],
[
616,
493,
19,
14
],
[
638,
493,
29,
14
],
[
670,
493,
68,
14
],
[
87,
510,
45,
14
],
[
135,
510,
22,
14
],
[
161,
510,
18,
14
],
[
182,
510,
54,
14
],
[
240,
510,
11,
14
],
[
254,
510,
44,
14
],
[
301,
510,
50,
14
],
[
354,
510,
11,
14
],
[
368,
510,
20,
14
],
[
391,
510,
38,
14
],
[
433,
510,
17,
14
],
[
453,
510,
39,
14
],
[
495,
510,
18,
14
],
[
516,
510,
35,
14
],
[
554,
510,
21,
14
],
[
578,
510,
11,
14
],
[
593,
510,
25,
14
],
[
621,
510,
11,
14
],
[
635,
510,
56,
14
],
[
694,
510,
44,
14
],
[
87,
526,
48,
14
],
[
138,
526,
33,
14
],
[
174,
526,
18,
14
],
[
195,
526,
22,
14
],
[
220,
526,
59,
14
],
[
283,
526,
50,
14
],
[
336,
526,
80,
14
],
[
419,
526,
22,
14
],
[
445,
526,
44,
14
],
[
491,
526,
88,
14
],
[
582,
526,
81,
14
],
[
667,
526,
23,
14
],
[
87,
543,
72,
14
],
[
163,
543,
20,
14
],
[
186,
543,
51,
14
],
[
240,
543,
24,
14
],
[
267,
543,
49,
14
],
[
319,
543,
19,
14
],
[
341,
543,
73,
14
],
[
417,
543,
22,
14
],
[
442,
543,
64,
14
],
[
510,
543,
48,
14
],
[
560,
543,
28,
14
],
[
592,
543,
33,
14
],
[
87,
566,
62,
14
],
[
154,
567,
45,
14
],
[
202,
567,
51,
14
],
[
258,
567,
42,
14
],
[
304,
567,
52,
14
],
[
360,
567,
35,
14
],
[
399,
567,
76,
14
],
[
479,
567,
35,
14
],
[
519,
567,
54,
14
],
[
78,
612,
80,
15
],
[
78,
630,
51,
14
],
[
134,
630,
56,
14
],
[
195,
630,
19,
14
],
[
218,
630,
29,
14
],
[
253,
630,
53,
14
],
[
310,
630,
94,
14
],
[
78,
646,
45,
14
],
[
129,
646,
10,
14
],
[
143,
646,
22,
14
],
[
170,
646,
12,
14
],
[
186,
646,
19,
14
],
[
210,
646,
43,
14
],
[
258,
646,
38,
14
],
[
301,
646,
12,
14
],
[
318,
646,
59,
14
],
[
382,
646,
22,
14
],
[
78,
663,
55,
14
],
[
138,
663,
42,
14
],
[
185,
663,
19,
14
],
[
208,
663,
37,
14
],
[
250,
663,
56,
14
],
[
311,
663,
32,
14
],
[
348,
663,
39,
14
],
[
392,
663,
12,
14
],
[
78,
679,
20,
14
],
[
104,
679,
80,
14
],
[
190,
679,
12,
14
],
[
208,
679,
50,
14
],
[
264,
679,
55,
14
],
[
325,
679,
19,
14
],
[
349,
679,
21,
14
],
[
376,
679,
28,
14
],
[
78,
696,
45,
14
],
[
128,
696,
52,
14
],
[
185,
696,
53,
14
],
[
244,
696,
10,
14
],
[
259,
696,
7,
14
],
[
271,
696,
59,
14
],
[
335,
696,
12,
14
],
[
352,
696,
52,
14
],
[
78,
713,
60,
14
],
[
143,
713,
24,
14
],
[
172,
713,
50,
14
],
[
228,
713,
42,
14
],
[
275,
713,
82,
14
],
[
362,
713,
42,
14
],
[
78,
729,
27,
14
],
[
109,
729,
12,
14
],
[
125,
729,
67,
14
],
[
196,
729,
11,
14
],
[
212,
729,
77,
14
],
[
293,
729,
25,
14
],
[
323,
729,
21,
14
],
[
348,
729,
55,
14
],
[
78,
746,
24,
14
],
[
107,
746,
12,
14
],
[
124,
746,
60,
14
],
[
189,
746,
72,
14
],
[
266,
746,
80,
14
],
[
351,
746,
52,
14
],
[
78,
762,
49,
14
],
[
132,
762,
24,
14
],
[
160,
762,
51,
14
],
[
216,
762,
55,
14
],
[
275,
762,
41,
14
],
[
321,
762,
18,
14
],
[
344,
762,
59,
14
],
[
78,
779,
57,
14
],
[
139,
779,
12,
14
],
[
155,
779,
46,
14
],
[
205,
779,
50,
14
],
[
260,
779,
37,
14
],
[
300,
779,
60,
14
],
[
365,
779,
39,
14
],
[
78,
796,
49,
14
],
[
132,
796,
31,
14
],
[
167,
796,
21,
14
],
[
193,
796,
27,
14
],
[
225,
796,
68,
14
],
[
297,
796,
12,
14
],
[
313,
796,
90,
14
],
[
78,
812,
41,
14
],
[
123,
812,
10,
14
],
[
137,
812,
56,
14
],
[
197,
812,
68,
14
],
[
270,
812,
58,
14
],
[
333,
812,
12,
14
],
[
349,
812,
29,
14
],
[
382,
812,
21,
14
],
[
78,
829,
40,
14
],
[
123,
829,
55,
14
],
[
89,
845,
33,
14
],
[
128,
845,
19,
14
],
[
153,
845,
21,
14
],
[
179,
845,
58,
14
],
[
243,
845,
12,
14
],
[
261,
845,
20,
14
],
[
286,
845,
73,
14
],
[
365,
845,
39,
14
],
[
78,
862,
48,
14
],
[
130,
862,
51,
14
],
[
185,
862,
12,
14
],
[
202,
862,
56,
14
],
[
262,
862,
95,
14
],
[
362,
862,
19,
14
],
[
385,
862,
18,
14
],
[
78,
900,
5,
11
],
[
86,
900,
70,
11
],
[
159,
900,
112,
11
],
[
78,
912,
5,
11
],
[
87,
913,
50,
11
],
[
140,
913,
30,
11
],
[
78,
923,
54,
13
],
[
136,
925,
9,
11
],
[
147,
925,
46,
11
],
[
196,
925,
31,
11
],
[
230,
925,
36,
11
],
[
268,
925,
22,
11
],
[
293,
925,
30,
11
],
[
326,
925,
33,
11
],
[
78,
937,
43,
11
],
[
124,
937,
48,
11
],
[
175,
937,
29,
11
],
[
207,
937,
21,
11
],
[
231,
937,
14,
11
],
[
248,
937,
12,
11
],
[
263,
937,
37,
11
],
[
304,
937,
31,
11
],
[
338,
937,
47,
11
],
[
78,
950,
32,
11
],
[
113,
950,
11,
11
],
[
127,
950,
24,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
613,
23,
14
],
[
451,
613,
53,
14
],
[
508,
613,
14,
14
],
[
527,
613,
74,
14
],
[
606,
613,
62,
14
],
[
673,
613,
24,
14
],
[
701,
613,
47,
14
],
[
423,
630,
25,
14
],
[
452,
630,
50,
14
],
[
507,
630,
32,
14
],
[
545,
630,
22,
14
],
[
572,
630,
19,
14
],
[
596,
630,
60,
14
],
[
661,
630,
12,
14
],
[
678,
630,
7,
14
],
[
690,
630,
41,
14
],
[
736,
630,
12,
14
],
[
423,
646,
70,
14
],
[
497,
646,
77,
14
],
[
578,
646,
49,
14
],
[
631,
646,
19,
14
],
[
654,
646,
27,
14
],
[
685,
646,
62,
14
],
[
423,
663,
12,
14
],
[
441,
663,
50,
14
],
[
498,
663,
58,
14
],
[
562,
663,
12,
14
],
[
581,
663,
25,
14
],
[
613,
663,
12,
14
],
[
632,
663,
15,
14
],
[
653,
663,
77,
14
],
[
736,
663,
12,
14
],
[
423,
679,
78,
14
],
[
506,
679,
37,
14
],
[
547,
679,
75,
14
],
[
627,
679,
32,
14
],
[
663,
679,
41,
14
],
[
709,
679,
39,
14
],
[
423,
696,
59,
14
],
[
486,
696,
54,
14
],
[
544,
696,
24,
14
],
[
573,
696,
45,
14
],
[
623,
696,
26,
14
],
[
653,
696,
52,
14
],
[
710,
696,
12,
14
],
[
726,
696,
22,
14
],
[
423,
713,
65,
14
],
[
492,
713,
11,
14
],
[
507,
713,
68,
14
],
[
579,
713,
62,
14
],
[
434,
729,
24,
14
],
[
462,
729,
48,
14
],
[
515,
729,
12,
14
],
[
531,
729,
22,
14
],
[
558,
729,
38,
14
],
[
601,
729,
10,
14
],
[
615,
729,
12,
14
],
[
632,
729,
17,
14
],
[
653,
729,
65,
14
],
[
723,
729,
25,
14
],
[
423,
746,
24,
14
],
[
451,
746,
62,
14
],
[
518,
746,
15,
14
],
[
538,
746,
26,
14
],
[
569,
746,
55,
14
],
[
628,
746,
16,
14
],
[
649,
746,
49,
14
],
[
703,
746,
19,
14
],
[
726,
746,
22,
14
],
[
423,
762,
34,
14
],
[
461,
762,
65,
14
],
[
531,
762,
31,
14
],
[
567,
762,
12,
14
],
[
583,
762,
47,
14
],
[
634,
762,
51,
14
],
[
690,
762,
37,
14
],
[
732,
762,
16,
14
],
[
423,
779,
41,
14
],
[
469,
779,
40,
14
],
[
513,
779,
72,
14
],
[
590,
779,
12,
14
],
[
606,
779,
85,
14
],
[
696,
779,
52,
14
],
[
423,
795,
49,
14
],
[
477,
795,
22,
14
],
[
504,
795,
17,
14
],
[
525,
795,
65,
14
],
[
596,
795,
19,
14
],
[
620,
795,
71,
14
],
[
696,
795,
15,
14
],
[
716,
795,
32,
14
],
[
423,
812,
61,
14
],
[
489,
812,
51,
14
],
[
545,
812,
12,
14
],
[
562,
812,
26,
14
],
[
594,
812,
58,
14
],
[
657,
812,
24,
14
],
[
686,
812,
32,
14
],
[
723,
812,
25,
14
],
[
423,
829,
26,
14
],
[
454,
829,
46,
14
],
[
505,
829,
54,
14
],
[
565,
829,
44,
14
],
[
614,
829,
41,
14
],
[
660,
829,
18,
14
],
[
683,
829,
65,
14
],
[
423,
845,
82,
14
],
[
509,
845,
46,
14
],
[
559,
845,
50,
14
],
[
612,
845,
36,
14
],
[
423,
879,
21,
13
],
[
447,
879,
35,
13
],
[
486,
879,
46,
13
],
[
536,
879,
50,
13
],
[
590,
879,
11,
13
],
[
605,
879,
19,
13
],
[
627,
879,
38,
13
],
[
669,
879,
45,
13
],
[
423,
896,
39,
13
],
[
465,
896,
30,
13
],
[
423,
912,
10,
14
],
[
438,
912,
22,
14
],
[
465,
912,
46,
14
],
[
516,
912,
50,
14
],
[
570,
912,
24,
14
],
[
600,
912,
38,
14
],
[
643,
912,
59,
14
],
[
706,
912,
22,
14
],
[
734,
912,
15,
14
],
[
423,
928,
89,
14
],
[
516,
928,
51,
14
],
[
571,
928,
48,
14
],
[
625,
928,
14,
14
],
[
643,
928,
61,
14
],
[
708,
928,
40,
14
],
[
423,
945,
12,
14
],
[
440,
945,
54,
14
],
[
499,
945,
74,
14
],
[
578,
945,
28,
14
],
[
612,
945,
69,
14
],
[
686,
945,
34,
14
],
[
725,
945,
22,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
22,
10
],
[
301,
987,
8,
10
],
[
311,
987,
8,
10
],
[
322,
987,
30,
10
],
[
355,
987,
29,
10
],
[
385,
987,
27,
10
],
[
415,
987,
14,
10
],
[
431,
987,
15,
10
],
[
448,
987,
6,
10
],
[
456,
987,
10,
10
],
[
468,
987,
21,
10
],
[
492,
987,
26,
10
],
[
519,
987,
23,
10
],
[
544,
987,
41,
10
],
[
588,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Wang",
"et",
"al.",
"Journal",
"of",
"Neuroinflammation",
"2011,",
"8:134",
"http://www.jneuroinflammation.com/content/8/1/134",
"R",
"E",
"V",
"I",
"E",
"W",
"Toll-like",
"receptors",
"in",
"cerebral",
"ischemic",
"inflammatory",
"injury",
"Yan-Chun",
"Wang1†,",
"Sen",
"Lin2†",
"and",
"Qing-Wu",
"Yang1*",
"JOURNAL",
"OF",
"NEUROINFLAMMATION",
"Open",
"Access",
"Abstract",
"Cerebral",
"ischemia",
"triggers",
"acute",
"inflammation,",
"which",
"has",
"been",
"associated",
"with",
"an",
"increase",
"in",
"brain",
"damage.",
"The",
"mechanisms",
"that",
"regulate",
"the",
"inflammatory",
"response",
"after",
"cerebral",
"ischemia",
"are",
"multifaceted.",
"An",
"important",
"component",
"of",
"this",
"response",
"is",
"the",
"activation",
"of",
"the",
"innate",
"immune",
"system.",
"However,",
"details",
"of",
"the",
"role",
"of",
"the",
"innate",
"immune",
"system",
"within",
"the",
"complex",
"array",
"of",
"mechanisms",
"in",
"cerebral",
"ischemia",
"remain",
"unclear.",
"There",
"have",
"been",
"recent",
"great",
"strides",
"in",
"our",
"understanding",
"of",
"the",
"innate",
"immune",
"system,",
"particularly",
"in",
"regard",
"to",
"the",
"signaling",
"mechanisms",
"of",
"Toll-like",
"receptors",
"(TLRs),",
"whose",
"primary",
"role",
"is",
"the",
"initial",
"activation",
"of",
"immune",
"cell",
"responses.",
"So",
"far,",
"few",
"studies",
"have",
"examined",
"the",
"role",
"of",
"TLRs",
"in",
"cerebral",
"ischemia.",
"However,",
"work",
"with",
"experimental",
"models",
"of",
"ischemia",
"suggests",
"that",
"TLRs",
"are",
"involved",
"in",
"the",
"enhancement",
"of",
"cell",
"damage",
"following",
"ischemia,",
"and",
"their",
"absence",
"is",
"associated",
"with",
"lower",
"infarct",
"volumes.",
"It",
"may",
"be",
"possible",
"that",
"therapeutic",
"targets",
"could",
"be",
"designed",
"to",
"modulate",
"activities",
"of",
"the",
"innate",
"immune",
"system",
"that",
"would",
"attenuate",
"cerebral",
"brain",
"damage.",
"Ischemic",
"tolerance",
"is",
"a",
"protective",
"mechanism",
"induced",
"by",
"a",
"variety",
"of",
"preconditioning",
"stimuli.",
"Interpreting",
"the",
"molecular",
"mechanism",
"of",
"ischemic",
"tolerance",
"will",
"open",
"investigative",
"avenues",
"into",
"the",
"treatment",
"of",
"cerebral",
"ischemia.",
"In",
"this",
"review,",
"we",
"discuss",
"the",
"critical",
"role",
"of",
"TLRs",
"in",
"mediating",
"cerebral",
"ischemic",
"injury.",
"We",
"also",
"summarize",
"evidence",
"demonstrating",
"that",
"cerebral",
"preconditioning",
"downregulates",
"pro-",
"inflammatory",
"TLR",
"signaling,",
"thus",
"reducing",
"the",
"inflammation",
"that",
"exacerbates",
"ischemic",
"brain",
"injury.",
"Keywords:",
"cerebral",
"ischemia,",
"Toll-like",
"receptors",
"(TLRs),",
"inflammation,",
"innate",
"immunity",
"Introduction",
"Cerebral",
"ischemia,",
"the",
"most",
"common",
"cerebrovascular",
"disease,",
"is",
"one",
"of",
"the",
"leading",
"causes",
"of",
"morbidity",
"and",
"mortality",
"around",
"the",
"world.",
"However,",
"many",
"details",
"of",
"the",
"pathogenesis",
"of",
"cerebral",
"ischemia",
"are",
"not",
"fully",
"known.",
"Cerebral",
"ischemia",
"is",
"a",
"condition",
"of",
"complex",
"pathology",
"that",
"includes",
"several",
"inflammatory",
"events,",
"such",
"as",
"aggregation",
"of",
"inflammatory",
"cells",
"and",
"upregula-",
"tion",
"of",
"cytokines.",
"Particularly,",
"accumulating",
"evidence",
"suggests",
"that",
"Toll-like",
"receptors",
"(TLRs)",
"are",
"important",
"mediators",
"of",
"cerebral",
"ischemic",
"injury.",
"Therefore,",
"under-",
"standing",
"TLRs",
"and",
"their",
"relationship",
"to",
"cerebrovascular",
"disease",
"is",
"becoming",
"increasingly",
"important",
"to",
"basic",
"and",
"clinical",
"scientists.",
"TLRs",
"are",
"key",
"receptors",
"in",
"the",
"mammalian",
"innate",
"immune",
"response",
"to",
"infectious",
"microorganisms,",
"but",
"are",
"*",
"Correspondence:",
"yangqwmlys@hotmail.com",
"†",
"Contributed",
"equally",
"1Department",
"of",
"Neurology,",
"Daping",
"Hospital,",
"Third",
"Military",
"Medical",
"University,",
"Changjiang",
"Branch",
"Road",
"No.",
"10,",
"Yuzhong",
"District,",
"Chongqing",
"400042,",
"PR",
"China",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"also",
"activated",
"by",
"host-derived",
"molecules.",
"The",
"associa-",
"tion",
"between",
"TLRs",
"and",
"the",
"activation",
"of",
"a",
"variety",
"of",
"downstream",
"inflammatory",
"cascades",
"has",
"been",
"established",
"in",
"cerebral",
"ischemia,",
"as",
"well",
"as",
"an",
"involvement",
"in",
"inflammatory",
"injury.",
"Additionally,",
"many",
"diverse",
"neuro-",
"protective",
"networks",
"may",
"redirect",
"TLR",
"signaling",
"as",
"one",
"mechanism",
"of",
"endogenous",
"protection.",
"The",
"purpose",
"of",
"this",
"review",
"is",
"to",
"(1)",
"summarize",
"cur-",
"rent",
"knowledge",
"on",
"TLR",
"signaling;",
"(2)",
"examine",
"the",
"evi-",
"dence",
"implicating",
"TLRs",
"in",
"cerebral",
"ischemia",
"injury,",
"(3)",
"outline",
"known",
"mechanisms",
"of",
"TLR-mediated",
"neuronal",
"damage,",
"and",
"(4)",
"summarize",
"the",
"information",
"on",
"other",
"molecules",
"involved",
"in",
"TLR",
"signaling.",
"The",
"latter",
"may",
"help",
"identify",
"potential",
"clinical",
"targets",
"for",
"preventing",
"TLR-mediated",
"cerebral",
"ischemic",
"injury.",
"The",
"innate",
"immune",
"response",
"in",
"the",
"central",
"nervous",
"system",
"(CNS)",
"It",
"was",
"initially",
"believed",
"that",
"innate",
"immunity",
"was",
"an",
"immunological",
"program",
"engaged",
"by",
"peripheral",
"organs",
"to",
"maintain",
"homeostasis",
"after",
"nonspecific",
"stress",
"and",
"©",
"2011",
"Wang",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
0,
0,
0,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,225,418 | null | [
[
76,
47,
135,
34
],
[
223,
47,
39,
34
],
[
274,
47,
144,
34
],
[
430,
47,
83,
34
],
[
525,
47,
144,
34
],
[
76,
118,
38,
20
],
[
119,
118,
49,
20
],
[
76,
143,
151,
23
],
[
231,
143,
89,
23
],
[
324,
143,
22,
23
],
[
349,
143,
12,
23
],
[
365,
143,
58,
23
],
[
427,
143,
20,
23
],
[
452,
143,
105,
23
],
[
561,
143,
142,
23
],
[
706,
143,
20,
23
],
[
730,
143,
35,
23
],
[
76,
168,
32,
23
],
[
114,
168,
54,
23
],
[
174,
168,
18,
23
],
[
197,
168,
45,
23
],
[
248,
168,
68,
23
],
[
321,
168,
38,
23
],
[
365,
168,
70,
23
],
[
441,
168,
20,
23
],
[
467,
168,
100,
23
],
[
76,
193,
112,
21
],
[
193,
193,
14,
21
],
[
212,
193,
90,
22
],
[
306,
193,
73,
21
],
[
384,
193,
65,
22
],
[
455,
193,
44,
21
],
[
503,
193,
7,
21
],
[
515,
193,
75,
22
],
[
595,
193,
35,
21
],
[
76,
218,
112,
21
],
[
193,
218,
14,
21
],
[
212,
218,
62,
22
],
[
706,
60,
54,
14
],
[
761,
60,
38,
14
],
[
697,
118,
44,
17
],
[
745,
118,
62,
17
],
[
76,
268,
41,
12
],
[
119,
268,
46,
12
],
[
168,
268,
36,
12
],
[
206,
268,
10,
12
],
[
218,
268,
63,
12
],
[
284,
268,
59,
12
],
[
345,
268,
10,
12
],
[
357,
268,
36,
12
],
[
396,
268,
18,
12
],
[
416,
268,
26,
12
],
[
445,
268,
50,
12
],
[
497,
268,
45,
12
],
[
544,
268,
74,
12
],
[
620,
268,
44,
12
],
[
666,
268,
47,
12
],
[
716,
268,
45,
12
],
[
76,
281,
36,
11
],
[
113,
281,
10,
11
],
[
125,
281,
63,
11
],
[
190,
281,
58,
11
],
[
250,
281,
10,
11
],
[
262,
281,
36,
11
],
[
300,
281,
18,
11
],
[
320,
281,
26,
11
],
[
348,
281,
50,
11
],
[
399,
281,
45,
11
],
[
445,
281,
74,
11
],
[
521,
281,
41,
11
],
[
564,
281,
19,
11
],
[
584,
281,
63,
12
],
[
648,
281,
10,
11
],
[
660,
281,
36,
11
],
[
698,
281,
69,
11
],
[
76,
294,
18,
12
],
[
97,
294,
26,
12
],
[
125,
294,
50,
12
],
[
177,
294,
38,
12
],
[
218,
294,
40,
12
],
[
260,
294,
74,
12
],
[
336,
294,
41,
12
],
[
76,
314,
31,
11
],
[
110,
314,
60,
11
],
[
172,
314,
7,
11
],
[
182,
314,
41,
11
],
[
225,
314,
4,
11
],
[
232,
314,
121,
11
],
[
355,
314,
39,
11
],
[
396,
314,
28,
11
],
[
427,
314,
4,
11
],
[
433,
314,
120,
11
],
[
555,
314,
24,
11
],
[
581,
314,
4,
11
],
[
587,
314,
36,
11
],
[
626,
314,
4,
11
],
[
632,
314,
115,
11
],
[
76,
327,
60,
12
],
[
139,
327,
7,
12
],
[
149,
327,
29,
12
],
[
180,
327,
4,
12
],
[
186,
327,
139,
12
],
[
76,
344,
7,
11
],
[
85,
344,
73,
11
],
[
160,
344,
33,
11
],
[
76,
402,
45,
11
],
[
124,
402,
6,
11
],
[
133,
402,
48,
11
],
[
184,
402,
23,
11
],
[
76,
422,
29,
12
],
[
108,
422,
9,
12
],
[
119,
422,
33,
12
],
[
155,
422,
21,
12
],
[
178,
422,
32,
12
],
[
213,
422,
25,
12
],
[
241,
422,
26,
12
],
[
278,
422,
133,
12
],
[
436,
402,
43,
11
],
[
482,
402,
12,
11
],
[
497,
402,
19,
11
],
[
518,
402,
23,
11
],
[
436,
415,
46,
12
],
[
485,
415,
6,
12
],
[
493,
415,
48,
12
],
[
544,
415,
23,
12
],
[
76,
442,
20,
12
],
[
98,
442,
28,
12
],
[
129,
442,
7,
12
],
[
139,
442,
38,
12
],
[
179,
442,
25,
12
],
[
207,
442,
241,
12
],
[
76,
462,
9,
12
],
[
87,
462,
23,
12
],
[
113,
462,
37,
12
],
[
152,
462,
10,
12
],
[
164,
462,
10,
12
],
[
177,
462,
36,
12
],
[
216,
462,
35,
12
],
[
253,
462,
34,
12
],
[
290,
462,
18,
12
],
[
76,
475,
20,
12
],
[
98,
475,
7,
12
],
[
108,
475,
11,
12
],
[
121,
475,
26,
12
],
[
150,
475,
32,
12
],
[
184,
475,
28,
12
],
[
215,
475,
49,
12
],
[
267,
475,
27,
12
],
[
296,
475,
15,
12
],
[
314,
475,
27,
12
],
[
343,
475,
10,
12
],
[
355,
475,
15,
12
],
[
373,
475,
39,
12
],
[
415,
475,
48,
12
],
[
465,
475,
51,
12
],
[
519,
475,
34,
12
],
[
555,
475,
202,
12
],
[
76,
488,
27,
12
],
[
106,
488,
35,
12
],
[
143,
488,
56,
12
],
[
201,
488,
18,
12
],
[
222,
488,
55,
12
],
[
279,
488,
16,
12
],
[
298,
488,
60,
12
],
[
361,
488,
8,
12
],
[
372,
488,
16,
12
],
[
390,
488,
39,
12
],
[
432,
488,
40,
12
],
[
475,
488,
15,
12
],
[
493,
488,
34,
12
],
[
529,
488,
24,
12
],
[
556,
488,
7,
12
],
[
565,
488,
39,
12
],
[
607,
488,
25,
12
],
[
155,
548,
62,
15
],
[
155,
569,
80,
14
],
[
239,
569,
29,
14
],
[
272,
569,
55,
14
],
[
331,
569,
59,
14
],
[
395,
569,
11,
14
],
[
410,
569,
44,
14
],
[
458,
569,
40,
14
],
[
502,
569,
17,
14
],
[
523,
569,
18,
14
],
[
546,
569,
34,
14
],
[
584,
569,
30,
14
],
[
619,
569,
44,
14
],
[
666,
569,
24,
14
],
[
155,
585,
46,
14
],
[
203,
585,
31,
14
],
[
237,
585,
54,
14
],
[
293,
585,
37,
14
],
[
333,
585,
10,
14
],
[
346,
585,
26,
14
],
[
375,
585,
39,
14
],
[
416,
585,
58,
14
],
[
477,
585,
23,
14
],
[
502,
585,
36,
14
],
[
541,
585,
18,
14
],
[
561,
585,
37,
14
],
[
601,
585,
61,
14
],
[
664,
585,
27,
14
],
[
155,
602,
26,
14
],
[
187,
602,
27,
14
],
[
221,
602,
36,
14
],
[
264,
602,
37,
14
],
[
308,
602,
18,
14
],
[
333,
602,
54,
14
],
[
394,
602,
33,
14
],
[
433,
602,
30,
14
],
[
470,
602,
18,
14
],
[
495,
602,
19,
14
],
[
521,
602,
49,
14
],
[
577,
602,
53,
14
],
[
636,
602,
55,
14
],
[
155,
618,
52,
14
],
[
210,
618,
11,
14
],
[
226,
618,
19,
14
],
[
249,
618,
39,
14
],
[
291,
618,
28,
14
],
[
323,
618,
12,
14
],
[
339,
618,
44,
14
],
[
386,
618,
23,
14
],
[
414,
618,
23,
14
],
[
440,
618,
23,
14
],
[
467,
618,
12,
14
],
[
483,
618,
28,
14
],
[
515,
618,
65,
14
],
[
584,
618,
20,
14
],
[
608,
618,
33,
14
],
[
645,
618,
32,
14
],
[
681,
618,
10,
14
],
[
155,
635,
47,
14
],
[
205,
635,
63,
14
],
[
270,
635,
40,
14
],
[
312,
635,
26,
14
],
[
340,
635,
20,
14
],
[
363,
635,
47,
14
],
[
413,
635,
59,
14
],
[
475,
635,
21,
14
],
[
498,
635,
42,
14
],
[
543,
635,
18,
14
],
[
564,
635,
24,
14
],
[
590,
635,
11,
14
],
[
604,
635,
6,
14
],
[
613,
635,
31,
14
],
[
646,
635,
24,
14
],
[
673,
635,
18,
14
],
[
155,
651,
24,
14
],
[
182,
651,
25,
14
],
[
211,
651,
29,
14
],
[
244,
651,
12,
14
],
[
260,
651,
20,
14
],
[
284,
651,
19,
14
],
[
307,
651,
38,
14
],
[
349,
651,
64,
14
],
[
418,
651,
24,
14
],
[
446,
651,
6,
14
],
[
456,
651,
39,
14
],
[
499,
651,
11,
14
],
[
514,
651,
66,
14
],
[
585,
651,
36,
14
],
[
625,
651,
17,
14
],
[
646,
651,
23,
14
],
[
673,
651,
18,
14
],
[
155,
667,
29,
14
],
[
187,
667,
26,
14
],
[
217,
667,
6,
14
],
[
226,
667,
20,
14
],
[
249,
667,
24,
14
],
[
277,
667,
31,
14
],
[
311,
667,
12,
14
],
[
327,
667,
15,
14
],
[
346,
667,
26,
14
],
[
375,
667,
20,
14
],
[
155,
690,
74,
14
],
[
232,
690,
22,
14
],
[
257,
690,
49,
14
],
[
310,
690,
30,
14
],
[
342,
690,
22,
14
],
[
368,
690,
71,
14
],
[
442,
690,
36,
14
],
[
481,
690,
37,
14
],
[
521,
690,
19,
14
],
[
544,
690,
14,
14
],
[
561,
690,
50,
14
],
[
614,
690,
18,
14
],
[
635,
690,
15,
14
],
[
653,
690,
38,
14
],
[
155,
707,
20,
14
],
[
178,
707,
23,
14
],
[
204,
707,
32,
14
],
[
239,
707,
10,
14
],
[
252,
707,
54,
14
],
[
310,
707,
23,
14
],
[
336,
707,
27,
14
],
[
367,
707,
79,
14
],
[
76,
775,
88,
15
],
[
76,
792,
29,
14
],
[
108,
792,
60,
14
],
[
170,
792,
63,
14
],
[
236,
792,
13,
14
],
[
251,
792,
48,
14
],
[
302,
792,
44,
14
],
[
349,
792,
17,
14
],
[
368,
792,
18,
14
],
[
389,
792,
22,
14
],
[
76,
808,
19,
14
],
[
101,
808,
31,
14
],
[
138,
808,
23,
14
],
[
167,
808,
31,
14
],
[
204,
808,
47,
14
],
[
257,
808,
27,
14
],
[
290,
808,
48,
14
],
[
344,
808,
35,
14
],
[
385,
808,
27,
14
],
[
76,
825,
36,
14
],
[
115,
825,
41,
14
],
[
158,
825,
13,
14
],
[
173,
825,
28,
14
],
[
203,
825,
39,
14
],
[
245,
825,
21,
14
],
[
269,
825,
64,
14
],
[
335,
825,
25,
14
],
[
362,
825,
49,
14
],
[
76,
841,
18,
14
],
[
98,
841,
42,
14
],
[
144,
841,
64,
14
],
[
212,
841,
28,
14
],
[
243,
841,
27,
14
],
[
273,
841,
28,
14
],
[
305,
841,
40,
14
],
[
349,
841,
39,
14
],
[
391,
841,
20,
14
],
[
76,
857,
59,
14
],
[
146,
857,
35,
14
],
[
191,
857,
31,
14
],
[
232,
857,
18,
14
],
[
261,
857,
20,
14
],
[
292,
857,
52,
14
],
[
354,
857,
57,
14
],
[
76,
873,
52,
14
],
[
131,
873,
10,
14
],
[
143,
873,
55,
14
],
[
200,
873,
9,
14
],
[
212,
873,
25,
14
],
[
240,
873,
49,
14
],
[
292,
873,
16,
14
],
[
311,
873,
26,
14
],
[
339,
873,
57,
14
],
[
398,
873,
13,
14
],
[
76,
890,
18,
14
],
[
97,
890,
33,
14
],
[
132,
890,
57,
14
],
[
192,
890,
39,
14
],
[
234,
890,
58,
14
],
[
294,
890,
17,
14
],
[
313,
890,
32,
14
],
[
347,
890,
44,
14
],
[
394,
890,
17,
14
],
[
76,
906,
16,
14
],
[
96,
906,
9,
14
],
[
108,
906,
38,
14
],
[
150,
906,
13,
14
],
[
166,
906,
53,
14
],
[
223,
906,
37,
14
],
[
263,
906,
24,
14
],
[
290,
906,
48,
14
],
[
342,
906,
70,
14
],
[
76,
922,
16,
14
],
[
94,
922,
40,
14
],
[
136,
922,
28,
14
],
[
166,
922,
29,
14
],
[
197,
922,
60,
14
],
[
260,
922,
27,
14
],
[
289,
922,
61,
14
],
[
352,
922,
59,
14
],
[
76,
939,
33,
14
],
[
112,
939,
28,
14
],
[
144,
939,
77,
14
],
[
224,
939,
23,
14
],
[
250,
939,
60,
14
],
[
313,
939,
51,
14
],
[
367,
939,
13,
14
],
[
383,
939,
28,
14
],
[
76,
955,
76,
14
],
[
76,
988,
81,
14
],
[
161,
988,
35,
14
],
[
200,
988,
58,
14
],
[
262,
988,
42,
14
],
[
308,
988,
61,
14
],
[
372,
988,
22,
14
],
[
399,
988,
13,
14
],
[
76,
1004,
33,
14
],
[
114,
1004,
43,
14
],
[
161,
1004,
27,
14
],
[
192,
1004,
49,
14
],
[
245,
1004,
32,
14
],
[
281,
1004,
28,
14
],
[
314,
1004,
33,
14
],
[
351,
1004,
43,
14
],
[
399,
1004,
12,
14
],
[
434,
775,
49,
14
],
[
488,
775,
28,
14
],
[
521,
775,
36,
14
],
[
563,
775,
21,
14
],
[
588,
775,
32,
14
],
[
625,
775,
28,
14
],
[
659,
775,
28,
14
],
[
692,
775,
23,
14
],
[
720,
775,
50,
14
],
[
434,
792,
40,
14
],
[
479,
792,
28,
14
],
[
511,
792,
60,
14
],
[
575,
792,
29,
14
],
[
608,
792,
48,
14
],
[
660,
792,
28,
14
],
[
692,
792,
49,
14
],
[
745,
792,
24,
14
],
[
434,
808,
20,
14
],
[
457,
808,
20,
14
],
[
480,
808,
29,
14
],
[
511,
808,
64,
14
],
[
577,
808,
13,
14
],
[
592,
808,
19,
14
],
[
613,
808,
53,
14
],
[
669,
808,
30,
14
],
[
701,
808,
30,
14
],
[
734,
808,
36,
14
],
[
434,
825,
24,
14
],
[
462,
825,
55,
14
],
[
520,
825,
12,
14
],
[
536,
825,
30,
14
],
[
569,
825,
13,
14
],
[
585,
825,
19,
14
],
[
608,
825,
30,
14
],
[
641,
825,
19,
14
],
[
663,
825,
32,
14
],
[
699,
825,
13,
14
],
[
714,
825,
55,
14
],
[
434,
841,
19,
14
],
[
457,
841,
10,
14
],
[
469,
841,
21,
14
],
[
493,
841,
41,
14
],
[
537,
841,
20,
14
],
[
561,
841,
17,
14
],
[
581,
841,
58,
14
],
[
642,
841,
41,
14
],
[
687,
841,
12,
14
],
[
702,
841,
67,
14
],
[
434,
857,
35,
14
],
[
480,
857,
33,
14
],
[
525,
857,
27,
14
],
[
562,
857,
29,
14
],
[
602,
857,
37,
14
],
[
650,
857,
13,
14
],
[
674,
857,
25,
14
],
[
710,
857,
60,
14
],
[
434,
873,
91,
14
],
[
531,
873,
9,
14
],
[
545,
873,
48,
14
],
[
598,
873,
35,
14
],
[
638,
873,
21,
14
],
[
664,
873,
20,
14
],
[
689,
873,
27,
14
],
[
721,
873,
48,
14
],
[
434,
890,
42,
14
],
[
479,
890,
30,
14
],
[
512,
890,
51,
14
],
[
566,
890,
67,
14
],
[
635,
890,
49,
14
],
[
687,
890,
49,
14
],
[
738,
890,
31,
14
],
[
434,
906,
20,
14
],
[
462,
906,
23,
14
],
[
492,
906,
72,
14
],
[
571,
906,
56,
14
],
[
635,
906,
43,
14
],
[
686,
906,
13,
14
],
[
706,
906,
63,
14
],
[
434,
922,
46,
14
],
[
484,
922,
20,
14
],
[
508,
922,
21,
14
],
[
532,
922,
24,
14
],
[
560,
922,
25,
14
],
[
588,
922,
13,
14
],
[
604,
922,
50,
14
],
[
657,
922,
64,
14
],
[
725,
922,
12,
14
],
[
741,
922,
29,
14
],
[
434,
939,
56,
14
],
[
494,
939,
30,
14
],
[
527,
939,
10,
14
],
[
540,
939,
75,
14
],
[
618,
939,
53,
14
],
[
674,
939,
12,
14
],
[
690,
939,
36,
14
],
[
729,
939,
12,
14
],
[
745,
939,
25,
14
],
[
434,
955,
68,
14
],
[
505,
955,
32,
14
],
[
540,
955,
13,
14
],
[
556,
955,
27,
14
],
[
586,
955,
12,
14
],
[
602,
955,
65,
14
],
[
670,
955,
44,
14
],
[
718,
955,
12,
14
],
[
733,
955,
36,
14
],
[
434,
971,
30,
14
],
[
469,
971,
23,
14
],
[
496,
971,
43,
14
],
[
544,
971,
29,
14
],
[
577,
971,
63,
14
],
[
644,
971,
13,
14
],
[
661,
971,
50,
14
],
[
716,
971,
25,
14
],
[
745,
971,
24,
14
],
[
434,
988,
40,
14
],
[
479,
988,
18,
14
],
[
501,
988,
42,
14
],
[
548,
988,
38,
14
],
[
590,
988,
59,
14
],
[
654,
988,
44,
14
],
[
702,
988,
40,
14
],
[
747,
988,
23,
14
],
[
434,
1004,
65,
14
],
[
502,
1004,
27,
14
],
[
532,
1004,
29,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"Journal",
"of",
"Medical",
"Case",
"Reports",
"Case",
"report",
"Bullet-induced",
"synovitis",
"as",
"a",
"cause",
"of",
"secondary",
"osteoarthritis",
"of",
"the",
"hip",
"joint:",
"A",
"case",
"report",
"and",
"review",
"of",
"literature",
"Muhammad",
"A",
"Rehman1,",
"Masood",
"Umer2,",
"Yasir",
"J",
"Sepah*3",
"and",
"Muhammad",
"A",
"Wajid2",
"BioMed",
"Central",
"Open",
"Access",
"Address:",
"1Resident",
"Section",
"of",
"Orthopedics,",
"Department",
"of",
"Surgery",
"Aga",
"Khan",
"University",
"Hospital,",
"Karachi-74800,",
"Pakistan,",
"2Assistant",
"Professor",
"Section",
"of",
"Orthopedics,",
"Department",
"of",
"Surgery",
"Aga",
"Khan",
"University",
"Hospital,",
"Karachi-74800,",
"Pakistan",
"and",
"3Department",
"of",
"Surgery",
"(Orthopedics)",
"Aga",
"Khan",
"University",
"Medical",
"College,",
"Karachi-74800,",
"Pakistan",
"Email:",
"Muhammad",
"A",
"Rehman",
"-",
"aamir.rehman@aku.edu;",
"Masood",
"Umer",
"-",
"masood.umer@aku.edu;",
"Yasir",
"J",
"Sepah*",
"-",
"jamalyasir@gmail.com;",
"Muhammad",
"A",
"Wajid",
"-",
"muhammad.wajid@aku.edu",
"*",
"Corresponding",
"author",
"Published:",
"5",
"December",
"2007",
"Journal",
"of",
"Medical",
"Case",
"Reports",
"2007,",
"1:171",
"doi:10.1186/1752-1947-1-171",
"Received:",
"17",
"May",
"2007",
"Accepted:",
"5",
"December",
"2007",
"This",
"article",
"is",
"available",
"from:",
"http://www.jmedicalcasereports.com/content/1/1/171",
"©",
"2007",
"Rehman",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"With",
"increasing",
"prevalence",
"of",
"gunshot",
"injuries",
"we",
"are",
"seeing",
"more",
"patients",
"with",
"retained",
"bullet",
"fragments",
"lodged",
"in",
"their",
"bodies.",
"Embedded",
"lead",
"bullets",
"are",
"usually",
"considered",
"inert",
"after",
"their",
"kinetic",
"energy",
"has",
"dissipated",
"hence",
"these",
"are",
"not",
"removed",
"routinely.",
"However,",
"exposure",
"of",
"any",
"foreign",
"body",
"to",
"synovial",
"fluid",
"may",
"lead",
"to",
"rapid",
"degradation",
"and",
"hence",
"result",
"in",
"systemic",
"absorption,",
"causing",
"local",
"and",
"systemic",
"symptoms.",
"We",
"present",
"the",
"case",
"of",
"a",
"thirty",
"year",
"old",
"man",
"who",
"came",
"to",
"our",
"out",
"patient",
"department",
"with",
"a",
"history",
"of",
"progressive,",
"severe",
"hip",
"pain",
"ten",
"years",
"after",
"a",
"gun",
"shot",
"injury",
"to",
"his",
"right",
"hip.",
"Conclusion:",
"The",
"common",
"belief",
"that",
"intraarticular",
"bullets",
"should",
"not",
"be",
"removed",
"has",
"no",
"benefit",
"and",
"may",
"result",
"in",
"unwanted",
"long",
"term",
"complications.",
"Introduction",
"With",
"increasing",
"prevalence",
"of",
"gunshot",
"injuries",
"we",
"are",
"see-",
"ing",
"more",
"and",
"more",
"patients",
"with",
"retained",
"bullet",
"frag-",
"ments",
"lodged",
"in",
"their",
"bodies",
"[1].",
"Embedded",
"lead",
"particles",
"are",
"usually",
"considered",
"inert",
"after",
"their",
"kinetic",
"energy",
"has",
"dissipated",
"hence",
"these",
"are",
"not",
"removed",
"routinely.",
"Removal",
"is",
"indicated",
"if",
"they",
"impinge",
"on",
"vital",
"structures",
"or",
"are",
"easily",
"accessible",
"during",
"operation",
"for",
"other",
"reasons",
"[2-",
"5].",
"A",
"review",
"of",
"literature",
"shows",
"that",
"retained",
"intra-articu-",
"lar",
"bullets",
"have",
"been",
"associated",
"with",
"significant",
"morbidity",
"[6-9],",
"joint",
"degeneration",
"and",
"ultimately",
"resulting",
"in",
"joint",
"replacement.",
"Intra-articular",
"bullet",
"fragments",
"behave",
"differently",
"due",
"to",
"direct",
"contact",
"with",
"synovial",
"fluid.",
"Lead",
"being",
"soluble",
"in",
"synovial",
"fluid",
"[3,10]",
"can",
"cause",
"both",
"local",
"and",
"systemic",
"effects.",
"Lead",
"poisoning",
"from",
"retained",
"intra",
"articular",
"bul-",
"lets",
"has",
"been",
"recognized",
"in",
"the",
"literature",
"since",
"1867",
"[3,11-",
"13].",
"Although",
"in",
"most",
"of",
"the",
"cases",
"the",
"cause",
"of",
"arthropa-",
"thy",
"is",
"not",
"known",
"but",
"it's",
"attributed",
"mainly",
"to",
"mechanical",
"forces",
"along",
"with",
"local",
"effects",
"of",
"lead",
"poisoning",
"[3,4,6,7,10,14].",
"A",
"retained",
"bullet",
"can",
"not",
"only",
"produce",
"foreign",
"body",
"reaction,",
"mechanical",
"articular",
"cartilage",
"dam-",
"age",
"and",
"proliferative",
"synovitis,",
"leading",
"to",
"destructive",
"arthritis",
"but",
"can",
"also",
"lead",
"to",
"systemic",
"absorption",
"of",
"lead.",
"However,",
"there",
"is",
"considerable",
"variation",
"in",
"extent",
"of",
"lead",
"absorption,",
"onset",
"of",
"time",
"to",
"symptoms,",
"severity",
"of",
"symp-",
"toms",
"and",
"toxicity",
"[13].",
"Symptoms",
"of",
"systemic",
"lead",
"poi-",
"soning",
"are",
"usually",
"vague;",
"headache,",
"nausea,",
"fatigue",
"and",
"abdominal",
"pain",
"[15].",
"Page",
"1",
"of",
"4",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
0,
0,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
19,
0,
0,
9,
9,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
2,709,714 | null | [
[
62,
36,
92,
16
],
[
57,
213,
4,
8
],
[
62,
215,
29,
12
],
[
95,
215,
27,
12
],
[
125,
215,
8,
12
],
[
136,
215,
32,
12
],
[
171,
215,
6,
12
],
[
57,
228,
31,
12
],
[
91,
228,
39,
12
],
[
134,
228,
32,
12
],
[
168,
228,
15,
12
],
[
57,
238,
4,
8
],
[
62,
240,
33,
12
],
[
99,
240,
33,
12
],
[
135,
240,
11,
12
],
[
149,
240,
32,
12
],
[
57,
252,
37,
12
],
[
97,
252,
32,
12
],
[
132,
252,
37,
12
],
[
57,
265,
37,
11
],
[
97,
263,
4,
8
],
[
103,
265,
28,
11
],
[
135,
265,
32,
11
],
[
170,
265,
15,
11
],
[
57,
277,
37,
11
],
[
97,
277,
44,
11
],
[
144,
277,
38,
11
],
[
57,
290,
37,
12
],
[
97,
290,
37,
12
],
[
137,
288,
4,
8
],
[
143,
290,
9,
12
],
[
57,
302,
35,
12
],
[
95,
302,
35,
12
],
[
133,
302,
32,
12
],
[
168,
302,
12,
12
],
[
57,
328,
65,
12
],
[
125,
328,
11,
12
],
[
57,
339,
23,
12
],
[
83,
339,
31,
12
],
[
117,
339,
47,
12
],
[
167,
339,
8,
12
],
[
57,
351,
52,
12
],
[
112,
351,
5,
12
],
[
121,
351,
41,
12
],
[
57,
363,
29,
12
],
[
88,
363,
28,
12
],
[
119,
363,
27,
12
],
[
150,
363,
32,
12
],
[
57,
375,
25,
12
],
[
85,
375,
19,
12
],
[
107,
375,
15,
12
],
[
125,
375,
63,
12
],
[
57,
386,
46,
12
],
[
57,
416,
39,
12
],
[
98,
416,
11,
12
],
[
112,
416,
18,
12
],
[
133,
416,
21,
12
],
[
57,
428,
38,
11
],
[
98,
428,
25,
11
],
[
126,
428,
17,
11
],
[
57,
441,
11,
12
],
[
70,
441,
18,
12
],
[
92,
441,
21,
12
],
[
57,
1005,
16,
11
],
[
76,
1005,
23,
11
],
[
102,
1005,
7,
11
],
[
112,
1005,
22,
11
],
[
138,
1005,
35,
11
],
[
57,
1017,
24,
12
],
[
84,
1017,
23,
12
],
[
110,
1017,
13,
12
],
[
126,
1017,
19,
12
],
[
149,
1017,
34,
12
],
[
57,
1029,
36,
12
],
[
95,
1029,
34,
12
],
[
133,
1029,
15,
12
],
[
150,
1029,
25,
12
],
[
57,
1042,
115,
12
],
[
57,
1074,
16,
12
],
[
202,
76,
92,
28
],
[
303,
76,
99,
28
],
[
411,
76,
19,
28
],
[
438,
76,
70,
28
],
[
518,
76,
70,
28
],
[
596,
76,
85,
28
],
[
691,
76,
19,
28
],
[
202,
107,
148,
28
],
[
358,
107,
98,
28
],
[
465,
107,
114,
28
],
[
588,
107,
38,
28
],
[
635,
107,
38,
28
],
[
682,
107,
73,
28
],
[
202,
150,
10,
19
],
[
217,
150,
63,
19
],
[
285,
150,
9,
19
],
[
299,
150,
92,
19
],
[
397,
150,
10,
19
],
[
412,
150,
10,
19
],
[
428,
150,
50,
19
],
[
484,
150,
9,
19
],
[
499,
150,
62,
19
],
[
566,
150,
10,
19
],
[
582,
150,
63,
19
],
[
651,
150,
4,
19
],
[
660,
150,
87,
19
],
[
202,
171,
9,
18
],
[
216,
170,
34,
19
],
[
256,
171,
10,
18
],
[
271,
170,
41,
19
],
[
318,
171,
10,
18
],
[
333,
170,
62,
19
],
[
400,
171,
8,
18
],
[
414,
170,
62,
19
],
[
481,
171,
9,
18
],
[
496,
170,
49,
19
],
[
551,
171,
10,
18
],
[
567,
170,
108,
19
],
[
203,
214,
60,
14
],
[
203,
230,
60,
14
],
[
266,
230,
12,
14
],
[
282,
230,
48,
14
],
[
333,
230,
51,
14
],
[
388,
230,
12,
14
],
[
404,
230,
18,
14
],
[
425,
230,
17,
14
],
[
445,
230,
33,
14
],
[
203,
245,
16,
14
],
[
223,
245,
41,
14
],
[
268,
245,
44,
14
],
[
315,
245,
21,
14
],
[
340,
245,
33,
14
],
[
377,
245,
32,
14
],
[
413,
245,
36,
14
],
[
453,
245,
23,
14
],
[
203,
260,
28,
14
],
[
235,
260,
6,
14
],
[
245,
260,
57,
14
],
[
305,
260,
47,
14
],
[
356,
260,
36,
14
],
[
395,
260,
10,
14
],
[
409,
260,
48,
14
],
[
460,
260,
18,
14
],
[
203,
275,
6,
14
],
[
213,
275,
58,
14
],
[
274,
275,
87,
14
],
[
365,
275,
18,
14
],
[
386,
275,
10,
14
],
[
398,
275,
21,
14
],
[
422,
275,
56,
14
],
[
203,
291,
50,
14
],
[
203,
306,
51,
14
],
[
257,
306,
25,
14
],
[
286,
306,
30,
14
],
[
320,
306,
57,
14
],
[
380,
306,
36,
14
],
[
420,
306,
24,
14
],
[
447,
306,
31,
14
],
[
203,
322,
26,
14
],
[
233,
322,
38,
14
],
[
275,
322,
9,
14
],
[
287,
322,
24,
14
],
[
315,
322,
60,
14
],
[
379,
322,
18,
14
],
[
400,
322,
31,
14
],
[
435,
322,
39,
14
],
[
203,
337,
25,
14
],
[
232,
337,
58,
14
],
[
294,
337,
46,
14
],
[
344,
337,
18,
14
],
[
365,
337,
31,
14
],
[
400,
337,
13,
14
],
[
417,
337,
20,
14
],
[
440,
337,
38,
14
],
[
203,
352,
44,
14
],
[
251,
352,
62,
14
],
[
318,
352,
49,
14
],
[
370,
352,
58,
14
],
[
432,
352,
16,
14
],
[
203,
367,
52,
14
],
[
259,
367,
18,
14
],
[
281,
367,
71,
14
],
[
356,
367,
35,
14
],
[
395,
367,
51,
14
],
[
450,
367,
21,
14
],
[
203,
383,
14,
14
],
[
221,
383,
24,
14
],
[
249,
383,
42,
14
],
[
295,
383,
25,
14
],
[
324,
383,
34,
14
],
[
361,
383,
49,
14
],
[
415,
383,
10,
14
],
[
428,
383,
42,
14
],
[
203,
398,
23,
14
],
[
230,
398,
27,
14
],
[
261,
398,
18,
14
],
[
283,
398,
21,
14
],
[
308,
398,
52,
14
],
[
363,
398,
43,
14
],
[
203,
414,
43,
14
],
[
250,
414,
14,
14
],
[
268,
414,
52,
14
],
[
323,
414,
20,
14
],
[
347,
414,
34,
14
],
[
385,
414,
51,
14
],
[
440,
414,
10,
14
],
[
203,
429,
35,
14
],
[
242,
429,
26,
14
],
[
272,
429,
25,
14
],
[
301,
429,
20,
14
],
[
325,
429,
33,
14
],
[
362,
429,
59,
14
],
[
425,
429,
17,
14
],
[
445,
429,
33,
14
],
[
203,
444,
13,
14
],
[
220,
444,
14,
14
],
[
238,
444,
25,
14
],
[
266,
444,
24,
14
],
[
294,
444,
31,
14
],
[
328,
444,
24,
14
],
[
356,
444,
28,
14
],
[
388,
444,
59,
14
],
[
203,
460,
48,
14
],
[
255,
460,
34,
14
],
[
293,
460,
64,
14
],
[
360,
460,
17,
14
],
[
381,
460,
9,
14
],
[
394,
460,
16,
14
],
[
413,
460,
17,
14
],
[
434,
460,
26,
14
],
[
203,
475,
44,
14
],
[
251,
475,
14,
14
],
[
269,
475,
25,
14
],
[
298,
475,
21,
14
],
[
323,
475,
10,
14
],
[
336,
475,
21,
14
],
[
362,
475,
10,
14
],
[
375,
475,
28,
14
],
[
407,
475,
25,
14
],
[
436,
475,
29,
14
],
[
469,
475,
10,
14
],
[
203,
490,
31,
14
],
[
236,
490,
23,
14
],
[
262,
490,
13,
14
],
[
278,
490,
47,
14
],
[
328,
490,
40,
14
],
[
370,
490,
17,
14
],
[
390,
490,
44,
14
],
[
437,
490,
14,
14
],
[
454,
490,
25,
14
],
[
203,
505,
21,
14
],
[
228,
505,
10,
14
],
[
241,
505,
22,
14
],
[
265,
505,
10,
14
],
[
278,
505,
25,
14
],
[
307,
505,
18,
14
],
[
328,
505,
60,
14
],
[
391,
505,
41,
14
],
[
435,
505,
44,
14
],
[
203,
521,
27,
14
],
[
234,
521,
20,
14
],
[
257,
521,
12,
14
],
[
273,
521,
53,
14
],
[
329,
521,
42,
14
],
[
375,
521,
13,
14
],
[
391,
521,
18,
14
],
[
412,
521,
16,
14
],
[
432,
521,
47,
14
],
[
203,
536,
10,
14
],
[
217,
536,
36,
14
],
[
257,
536,
10,
14
],
[
271,
536,
33,
14
],
[
308,
536,
48,
14
],
[
359,
536,
45,
14
],
[
409,
536,
14,
14
],
[
426,
536,
20,
14
],
[
450,
536,
19,
14
],
[
203,
551,
44,
14
],
[
251,
551,
33,
14
],
[
288,
551,
36,
14
],
[
327,
551,
21,
14
],
[
352,
551,
40,
14
],
[
396,
551,
41,
14
],
[
441,
551,
21,
14
],
[
203,
566,
37,
14
],
[
244,
566,
10,
14
],
[
257,
566,
15,
14
],
[
275,
566,
16,
14
],
[
294,
566,
31,
14
],
[
328,
566,
13,
14
],
[
344,
566,
17,
14
],
[
364,
566,
44,
14
],
[
412,
566,
14,
14
],
[
429,
566,
25,
14
],
[
457,
566,
21,
14
],
[
203,
582,
10,
14
],
[
217,
582,
22,
14
],
[
242,
582,
10,
14
],
[
256,
582,
28,
14
],
[
203,
597,
62,
14
],
[
269,
597,
13,
14
],
[
287,
597,
20,
14
],
[
311,
597,
47,
14
],
[
361,
597,
44,
14
],
[
409,
597,
33,
14
],
[
446,
597,
16,
14
],
[
203,
613,
26,
14
],
[
233,
613,
49,
14
],
[
285,
613,
10,
14
],
[
298,
613,
30,
14
],
[
331,
613,
37,
14
],
[
371,
613,
32,
14
],
[
406,
613,
31,
14
],
[
440,
613,
38,
14
],
[
203,
628,
9,
14
],
[
216,
628,
69,
14
],
[
289,
628,
44,
14
],
[
337,
628,
43,
14
],
[
384,
628,
31,
14
],
[
418,
628,
17,
14
],
[
439,
628,
20,
14
],
[
203,
643,
51,
14
],
[
258,
643,
21,
14
],
[
283,
643,
46,
14
],
[
333,
643,
14,
14
],
[
350,
643,
55,
14
],
[
409,
643,
33,
14
],
[
446,
643,
29,
14
],
[
203,
658,
20,
14
],
[
226,
658,
51,
14
],
[
280,
658,
21,
14
],
[
304,
658,
27,
14
],
[
334,
658,
13,
14
],
[
350,
658,
54,
14
],
[
408,
658,
34,
14
],
[
444,
658,
34,
14
],
[
203,
674,
10,
14
],
[
217,
674,
16,
14
],
[
236,
674,
33,
14
],
[
273,
674,
10,
14
],
[
286,
674,
36,
14
],
[
327,
674,
43,
14
],
[
374,
674,
12,
14
],
[
390,
674,
33,
14
],
[
427,
674,
21,
14
],
[
452,
674,
15,
14
],
[
203,
689,
52,
14
],
[
203,
735,
47,
13
],
[
260,
735,
49,
13
],
[
319,
735,
26,
13
],
[
354,
735,
9,
13
],
[
373,
735,
20,
13
],
[
402,
735,
11,
13
],
[
423,
735,
18,
13
],
[
451,
735,
28,
13
],
[
203,
750,
48,
13
],
[
256,
750,
39,
13
],
[
299,
750,
53,
13
],
[
357,
750,
61,
13
],
[
423,
750,
10,
13
],
[
437,
750,
9,
13
],
[
451,
750,
28,
13
],
[
203,
765,
47,
13
],
[
258,
765,
14,
13
],
[
280,
765,
39,
13
],
[
327,
765,
25,
13
],
[
360,
765,
46,
13
],
[
414,
765,
50,
13
],
[
472,
765,
6,
13
],
[
203,
781,
45,
13
],
[
256,
781,
11,
13
],
[
276,
781,
61,
13
],
[
346,
781,
62,
13
],
[
417,
781,
29,
13
],
[
455,
781,
23,
13
],
[
203,
796,
43,
13
],
[
254,
796,
51,
13
],
[
312,
796,
50,
13
],
[
369,
796,
20,
13
],
[
396,
796,
14,
13
],
[
417,
796,
43,
13
],
[
467,
796,
11,
13
],
[
203,
811,
52,
13
],
[
261,
811,
20,
13
],
[
288,
811,
57,
13
],
[
351,
811,
52,
13
],
[
409,
811,
46,
13
],
[
462,
811,
17,
13
],
[
203,
827,
19,
13
],
[
224,
827,
26,
13
],
[
252,
827,
55,
13
],
[
310,
827,
26,
13
],
[
338,
827,
6,
13
],
[
347,
827,
38,
13
],
[
387,
827,
11,
13
],
[
401,
827,
40,
13
],
[
444,
827,
34,
13
],
[
203,
842,
56,
13
],
[
262,
842,
50,
13
],
[
315,
842,
43,
13
],
[
361,
841,
50,
13
],
[
414,
842,
65,
13
],
[
203,
857,
55,
13
],
[
263,
857,
31,
13
],
[
299,
857,
75,
13
],
[
378,
857,
38,
13
],
[
420,
857,
33,
13
],
[
458,
857,
20,
13
],
[
203,
872,
29,
13
],
[
236,
872,
78,
13
],
[
318,
872,
82,
13
],
[
216,
888,
17,
13
],
[
237,
888,
24,
13
],
[
265,
888,
21,
13
],
[
290,
888,
43,
13
],
[
338,
888,
72,
13
],
[
414,
888,
12,
13
],
[
430,
888,
24,
13
],
[
458,
888,
20,
13
],
[
203,
903,
29,
13
],
[
236,
903,
44,
13
],
[
283,
903,
64,
13
],
[
350,
903,
53,
13
],
[
407,
903,
48,
13
],
[
458,
903,
20,
13
],
[
203,
919,
11,
13
],
[
218,
919,
61,
13
],
[
282,
919,
38,
13
],
[
324,
919,
17,
13
],
[
344,
919,
19,
13
],
[
365,
919,
26,
13
],
[
394,
919,
55,
13
],
[
452,
919,
26,
13
],
[
203,
934,
18,
13
],
[
227,
934,
59,
13
],
[
292,
934,
11,
13
],
[
308,
934,
24,
13
],
[
338,
934,
20,
13
],
[
364,
934,
35,
13
],
[
404,
934,
42,
13
],
[
452,
934,
27,
13
],
[
203,
949,
35,
13
],
[
243,
949,
25,
13
],
[
272,
949,
24,
13
],
[
301,
949,
17,
13
],
[
323,
949,
24,
13
],
[
351,
949,
21,
13
],
[
377,
949,
47,
13
],
[
429,
949,
24,
13
],
[
458,
949,
20,
13
],
[
203,
964,
37,
13
],
[
243,
964,
69,
13
],
[
315,
964,
14,
13
],
[
332,
964,
54,
13
],
[
389,
964,
18,
13
],
[
410,
964,
54,
13
],
[
467,
964,
11,
13
],
[
203,
980,
37,
13
],
[
244,
980,
48,
13
],
[
296,
980,
11,
13
],
[
311,
980,
18,
13
],
[
333,
979,
37,
13
],
[
216,
995,
22,
13
],
[
241,
995,
50,
13
],
[
294,
995,
11,
13
],
[
309,
995,
17,
13
],
[
329,
995,
43,
13
],
[
375,
995,
35,
13
],
[
414,
995,
65,
13
],
[
203,
1011,
49,
13
],
[
262,
1011,
34,
13
],
[
306,
1011,
41,
13
],
[
357,
1011,
21,
13
],
[
387,
1011,
39,
13
],
[
436,
1011,
42,
13
],
[
203,
1026,
47,
13
],
[
261,
1026,
25,
13
],
[
296,
1026,
26,
13
],
[
332,
1026,
55,
13
],
[
397,
1026,
26,
13
],
[
433,
1026,
24,
13
],
[
460,
1026,
18,
7
],
[
203,
1041,
72,
13
],
[
280,
1041,
54,
13
],
[
340,
1041,
17,
13
],
[
362,
1041,
21,
13
],
[
388,
1041,
44,
13
],
[
438,
1041,
12,
13
],
[
455,
1041,
23,
13
],
[
495,
215,
6,
13
],
[
505,
215,
21,
13
],
[
529,
215,
11,
13
],
[
543,
215,
18,
13
],
[
565,
215,
55,
13
],
[
624,
215,
11,
13
],
[
639,
215,
39,
13
],
[
681,
215,
36,
13
],
[
720,
215,
8,
7
],
[
731,
215,
12,
13
],
[
746,
215,
23,
13
],
[
495,
230,
44,
13
],
[
543,
230,
36,
13
],
[
583,
230,
18,
13
],
[
605,
230,
57,
13
],
[
665,
230,
11,
13
],
[
681,
230,
17,
13
],
[
702,
230,
9,
13
],
[
714,
230,
24,
13
],
[
742,
230,
27,
13
],
[
495,
245,
41,
13
],
[
542,
245,
27,
13
],
[
575,
245,
42,
13
],
[
624,
245,
11,
13
],
[
641,
245,
64,
13
],
[
711,
245,
31,
13
],
[
748,
245,
21,
13
],
[
495,
260,
28,
13
],
[
525,
260,
8,
7
],
[
538,
261,
9,
13
],
[
552,
261,
24,
13
],
[
581,
261,
57,
13
],
[
643,
261,
19,
13
],
[
667,
261,
21,
13
],
[
693,
261,
26,
13
],
[
724,
261,
46,
13
],
[
495,
276,
37,
13
],
[
537,
276,
98,
13
],
[
640,
276,
41,
13
],
[
687,
276,
26,
13
],
[
718,
276,
51,
13
],
[
495,
291,
11,
13
],
[
511,
291,
15,
13
],
[
531,
291,
12,
13
],
[
548,
291,
24,
13
],
[
577,
291,
11,
13
],
[
593,
291,
93,
13
],
[
691,
291,
51,
13
],
[
748,
291,
22,
13
],
[
495,
307,
40,
13
],
[
538,
307,
16,
13
],
[
558,
307,
21,
13
],
[
582,
307,
16,
13
],
[
602,
307,
43,
13
],
[
649,
307,
58,
13
],
[
711,
307,
11,
13
],
[
726,
307,
20,
13
],
[
749,
307,
20,
13
],
[
495,
322,
20,
13
],
[
519,
322,
38,
13
],
[
562,
322,
23,
13
],
[
589,
322,
21,
13
],
[
615,
322,
33,
13
],
[
652,
322,
25,
13
],
[
682,
322,
14,
13
],
[
700,
322,
47,
13
],
[
752,
322,
18,
13
],
[
495,
337,
20,
13
],
[
521,
337,
11,
13
],
[
538,
337,
24,
13
],
[
568,
337,
63,
13
],
[
637,
337,
21,
13
],
[
664,
337,
39,
13
],
[
709,
337,
11,
13
],
[
726,
337,
23,
13
],
[
755,
337,
14,
13
],
[
495,
353,
73,
13
],
[
576,
353,
11,
13
],
[
596,
353,
20,
13
],
[
625,
353,
37,
13
],
[
671,
353,
16,
13
],
[
695,
353,
17,
13
],
[
721,
353,
23,
13
],
[
753,
353,
17,
13
],
[
495,
368,
59,
13
],
[
557,
368,
12,
13
],
[
573,
368,
75,
13
],
[
507,
384,
18,
13
],
[
532,
384,
33,
13
],
[
571,
384,
14,
13
],
[
592,
384,
18,
13
],
[
616,
384,
37,
13
],
[
659,
384,
55,
13
],
[
720,
384,
26,
13
],
[
753,
384,
17,
13
],
[
495,
399,
57,
13
],
[
554,
399,
11,
13
],
[
568,
399,
43,
13
],
[
614,
399,
11,
13
],
[
627,
399,
6,
13
],
[
636,
399,
36,
13
],
[
674,
399,
11,
13
],
[
688,
399,
41,
13
],
[
732,
399,
11,
13
],
[
745,
399,
24,
13
],
[
495,
415,
20,
13
],
[
522,
415,
11,
13
],
[
542,
415,
20,
13
],
[
570,
415,
45,
13
],
[
623,
415,
11,
13
],
[
642,
415,
26,
13
],
[
676,
415,
65,
13
],
[
749,
415,
20,
13
],
[
495,
430,
37,
13
],
[
536,
430,
45,
13
],
[
586,
430,
11,
13
],
[
601,
430,
54,
13
],
[
660,
430,
32,
13
],
[
697,
430,
41,
13
],
[
743,
430,
27,
13
],
[
495,
445,
44,
13
],
[
547,
445,
23,
13
],
[
579,
445,
6,
13
],
[
594,
445,
23,
13
],
[
626,
445,
11,
13
],
[
646,
445,
18,
13
],
[
673,
445,
30,
13
],
[
713,
445,
11,
13
],
[
733,
445,
36,
13
],
[
495,
460,
62,
13
],
[
561,
460,
55,
13
],
[
621,
460,
14,
13
],
[
641,
460,
24,
13
],
[
670,
460,
54,
13
],
[
730,
460,
20,
13
],
[
755,
460,
14,
13
],
[
495,
476,
37,
13
],
[
536,
476,
24,
13
],
[
565,
476,
20,
13
],
[
590,
476,
36,
13
],
[
631,
476,
24,
13
],
[
660,
476,
48,
13
],
[
713,
476,
11,
13
],
[
729,
476,
41,
13
],
[
495,
491,
25,
13
],
[
523,
491,
16,
13
],
[
543,
491,
24,
13
],
[
570,
491,
46,
13
],
[
495,
529,
65,
14
],
[
563,
529,
25,
14
],
[
593,
529,
55,
14
],
[
495,
548,
30,
14
],
[
529,
548,
56,
14
],
[
495,
565,
9,
13
],
[
513,
565,
66,
13
],
[
589,
565,
71,
13
],
[
670,
565,
99,
13
],
[
495,
580,
23,
13
],
[
523,
580,
11,
13
],
[
540,
580,
48,
13
],
[
594,
580,
20,
13
],
[
617,
580,
18,
13
],
[
640,
580,
30,
13
],
[
676,
580,
27,
13
],
[
708,
580,
61,
13
],
[
495,
596,
55,
13
],
[
560,
596,
22,
13
],
[
592,
596,
56,
13
],
[
659,
596,
11,
13
],
[
681,
596,
41,
13
],
[
733,
596,
36,
13
],
[
495,
611,
64,
13
],
[
570,
611,
11,
13
],
[
592,
611,
18,
13
],
[
622,
611,
25,
13
],
[
658,
611,
44,
13
],
[
713,
611,
34,
13
],
[
758,
611,
11,
13
],
[
495,
626,
55,
13
],
[
553,
626,
12,
13
],
[
569,
626,
29,
13
],
[
602,
626,
26,
13
],
[
632,
626,
41,
13
],
[
677,
626,
25,
13
],
[
705,
626,
32,
13
],
[
741,
626,
28,
13
],
[
495,
642,
45,
13
],
[
544,
642,
11,
13
],
[
559,
642,
26,
13
],
[
589,
642,
65,
13
],
[
659,
642,
20,
13
],
[
684,
642,
37,
13
],
[
725,
642,
45,
13
],
[
495,
657,
27,
13
],
[
524,
657,
43,
13
],
[
570,
657,
11,
13
],
[
584,
657,
28,
13
],
[
615,
657,
36,
13
],
[
654,
657,
27,
13
],
[
684,
657,
42,
13
],
[
729,
657,
26,
13
],
[
758,
657,
12,
13
],
[
495,
672,
25,
13
],
[
526,
672,
29,
13
],
[
560,
672,
26,
13
],
[
593,
672,
58,
13
],
[
657,
672,
25,
13
],
[
688,
672,
26,
13
],
[
720,
672,
50,
13
],
[
495,
687,
66,
13
],
[
566,
688,
55,
13
],
[
626,
688,
56,
13
],
[
687,
688,
20,
13
],
[
712,
688,
58,
13
],
[
495,
703,
53,
13
],
[
553,
703,
28,
13
],
[
586,
703,
26,
13
],
[
617,
703,
56,
13
],
[
678,
703,
11,
13
],
[
694,
703,
37,
13
],
[
736,
703,
34,
13
],
[
495,
718,
60,
13
],
[
564,
718,
11,
13
],
[
584,
718,
13,
13
],
[
607,
718,
71,
13
],
[
687,
718,
11,
13
],
[
708,
718,
24,
13
],
[
742,
718,
28,
13
],
[
495,
734,
69,
13
],
[
568,
734,
31,
13
],
[
602,
734,
43,
13
],
[
649,
734,
26,
13
],
[
679,
734,
47,
13
],
[
730,
734,
16,
13
],
[
750,
734,
19,
13
],
[
495,
749,
13,
13
],
[
511,
749,
42,
13
],
[
557,
749,
56,
13
],
[
617,
749,
14,
13
],
[
635,
749,
31,
13
],
[
670,
749,
11,
13
],
[
685,
749,
60,
13
],
[
507,
765,
14,
13
],
[
528,
765,
54,
13
],
[
589,
765,
26,
13
],
[
621,
765,
50,
13
],
[
678,
765,
46,
13
],
[
731,
765,
39,
13
],
[
495,
780,
30,
13
],
[
531,
780,
27,
13
],
[
564,
780,
33,
13
],
[
603,
780,
16,
13
],
[
626,
780,
56,
13
],
[
688,
780,
12,
13
],
[
706,
780,
36,
13
],
[
749,
780,
20,
13
],
[
495,
795,
27,
13
],
[
530,
795,
20,
13
],
[
560,
795,
64,
13
],
[
632,
795,
32,
13
],
[
673,
795,
97,
13
],
[
495,
811,
38,
13
],
[
536,
811,
34,
13
],
[
573,
811,
54,
13
],
[
631,
811,
20,
13
],
[
654,
811,
65,
13
],
[
722,
811,
47,
13
],
[
495,
826,
32,
13
],
[
530,
826,
39,
13
],
[
573,
826,
41,
13
],
[
618,
826,
27,
13
],
[
649,
826,
29,
13
],
[
681,
826,
14,
13
],
[
699,
826,
71,
13
],
[
495,
841,
12,
13
],
[
515,
841,
36,
13
],
[
558,
841,
18,
13
],
[
584,
841,
37,
13
],
[
629,
841,
29,
13
],
[
666,
841,
26,
13
],
[
700,
841,
34,
13
],
[
741,
841,
28,
13
],
[
495,
857,
41,
13
],
[
544,
857,
27,
13
],
[
578,
857,
30,
13
],
[
616,
857,
12,
13
],
[
636,
857,
30,
13
],
[
673,
857,
39,
13
],
[
720,
857,
50,
13
],
[
495,
872,
34,
13
],
[
533,
872,
52,
13
],
[
590,
872,
18,
13
],
[
613,
872,
26,
13
],
[
644,
872,
16,
13
],
[
665,
872,
13,
13
],
[
683,
872,
41,
13
],
[
729,
872,
41,
13
],
[
495,
887,
20,
13
],
[
519,
887,
12,
13
],
[
536,
887,
13,
13
],
[
553,
887,
36,
13
],
[
594,
887,
67,
13
],
[
666,
887,
25,
13
],
[
696,
887,
14,
13
],
[
715,
887,
39,
13
],
[
758,
887,
11,
13
],
[
495,
903,
47,
13
],
[
551,
903,
22,
13
],
[
583,
903,
12,
13
],
[
604,
903,
22,
13
],
[
636,
903,
50,
13
],
[
695,
903,
46,
13
],
[
750,
903,
19,
13
],
[
495,
918,
48,
13
],
[
550,
918,
12,
13
],
[
570,
918,
30,
13
],
[
609,
918,
19,
13
],
[
636,
918,
11,
13
],
[
655,
918,
18,
13
],
[
681,
918,
31,
13
],
[
720,
918,
22,
13
],
[
750,
918,
19,
13
],
[
495,
933,
72,
13
],
[
571,
933,
20,
13
],
[
596,
933,
19,
13
],
[
620,
933,
49,
13
],
[
673,
933,
12,
13
],
[
690,
933,
48,
13
],
[
742,
933,
28,
13
],
[
495,
949,
33,
13
],
[
531,
949,
35,
13
],
[
571,
949,
56,
13
],
[
507,
965,
14,
13
],
[
531,
965,
60,
13
],
[
600,
965,
65,
13
],
[
675,
965,
27,
13
],
[
711,
965,
33,
13
],
[
754,
965,
16,
13
],
[
495,
980,
56,
13
],
[
558,
980,
20,
13
],
[
585,
980,
27,
13
],
[
619,
980,
30,
13
],
[
656,
980,
32,
13
],
[
695,
980,
34,
13
],
[
736,
980,
34,
13
],
[
495,
995,
54,
13
],
[
555,
995,
20,
13
],
[
582,
995,
23,
13
],
[
612,
995,
43,
13
],
[
662,
995,
27,
13
],
[
695,
995,
53,
13
],
[
754,
995,
16,
13
],
[
495,
1010,
57,
13
],
[
557,
1010,
11,
13
],
[
573,
1010,
68,
13
],
[
646,
1010,
26,
13
],
[
677,
1010,
53,
13
],
[
736,
1010,
34,
13
],
[
495,
1026,
20,
13
],
[
523,
1026,
31,
13
],
[
561,
1026,
20,
13
],
[
589,
1026,
37,
13
],
[
634,
1026,
43,
13
],
[
685,
1026,
27,
13
],
[
719,
1026,
51,
13
],
[
495,
1041,
64,
13
],
[
563,
1041,
27,
13
],
[
595,
1041,
38,
13
],
[
637,
1041,
57,
13
],
[
699,
1041,
71,
13
],
[
499,
1074,
15,
12
],
[
517,
1074,
29,
12
],
[
550,
1074,
22,
12
],
[
575,
1074,
75,
12
],
[
654,
1074,
116,
12
]
] | [
"Epidemiology",
"1",
"London",
"School",
"of",
"Hygiene",
"&",
"Tropical",
"Medicine,",
"London,",
"UK;",
"2",
"National",
"Institute",
"for",
"Medical",
"Research",
"(NIMR),",
"Mwanza,",
"Tanzania;",
"3",
"African",
"Medical",
"and",
"Research",
"Foundation",
"(AMREF),",
"Mwanza,",
"Tanzania;",
"4",
"St",
"George’s",
"Hospital,",
"London,",
"UK",
"Correspondence",
"to:",
"Kathy",
"Baisley,",
"Department",
"of",
"Epidemiology",
"&",
"Population",
"Health,",
"Keppel",
"Street,",
"London,",
"WC1E",
"7HT,",
"UK;",
"kathy.baisley@",
"lshtm.ac.uk",
"Accepted",
"15",
"May",
"2009",
"Published",
"Online",
"First",
"26",
"May",
"2009",
"This",
"paper",
"is",
"freely",
"available",
"online",
"under",
"the",
"BMJ",
"Journals",
"unlocked",
"scheme,",
"see",
"http://",
"sti.bmj.com/info/unlocked.dtl",
"370",
"Bacterial",
"vaginosis",
"in",
"female",
"facility",
"workers",
"in",
"north-western",
"Tanzania:",
"prevalence",
"and",
"risk",
"factors",
"K",
"Baisley,1,2",
"J",
"Changalucha,2",
"H",
"A",
"Weiss,1",
"K",
"Mugeye,3",
"D",
"Everett,1,2",
"I",
"Hambleton,1,2",
"P",
"Hay,4",
"D",
"Ross,1",
"C",
"Tanton,1,2",
"T",
"Chirwa,1,2",
"R",
"Hayes,1",
"D",
"Watson-Jones1,3",
"ABSTRACT",
"Objectives:",
"To",
"determine",
"prevalence",
"of,",
"and",
"risk",
"factors",
"for,",
"bacterial",
"vaginosis",
"(BV)",
"among",
"herpes",
"simplex",
"virus",
"(HSV)",
"2",
"seropositive",
"Tanzanian",
"women",
"at",
"enrolment",
"into",
"a",
"randomised,",
"placebo-controlled",
"trial",
"of",
"HSV",
"suppressive",
"treatment.",
"Methods:",
"1305",
"HSV-2",
"seropositive",
"women",
"aged",
"16–35",
"years",
"working",
"in",
"bars,",
"guesthouses",
"and",
"similar",
"facilities",
"were",
"interviewed,",
"examined",
"and",
"tested",
"for",
"HIV,",
"syphilis,",
"Neisseria",
"gonorrhoeae,",
"Chlamydia",
"trachomatis,",
"BV,",
"candidiasis",
"and",
"trichomoniasis.",
"Factors",
"associated",
"with",
"BV",
"were",
"analysed",
"using",
"logistic",
"regression",
"to",
"estimate",
"odds",
"ratios",
"and",
"95%",
"confidence",
"intervals.",
"Results:",
"BV",
"prevalence",
"was",
"62.9%;",
"prevalence",
"of",
"Nugent",
"score",
"9–10",
"was",
"16.1%.",
"Independent",
"risk",
"factors",
"for",
"BV",
"were",
"work",
"facility",
"type,",
"fewer",
"dependents,",
"increasing",
"alcohol",
"consumption,",
"sex",
"in",
"the",
"last",
"week",
"(adjusted",
"OR",
"2.03;",
"95%",
"CI",
"1.57",
"to",
"2.62),",
"using",
"cloths",
"or",
"cotton",
"wool",
"for",
"menstrual",
"hygiene,",
"HIV",
"(adjusted",
"OR",
"1.41;",
"95%",
"CI",
"1.09",
"to",
"1.83)",
"and",
"Trichomonas",
"vaginalis",
"infection.",
"There",
"was",
"no",
"association",
"between",
"BV",
"and",
"the",
"frequency",
"or",
"method",
"of",
"vaginal",
"cleansing.",
"However,",
"BV",
"was",
"less",
"prevalent",
"among",
"women",
"who",
"reported",
"inserting",
"sub-",
"stances",
"to",
"dry",
"the",
"vagina",
"for",
"sex",
"(adjusted",
"OR",
"0.44;",
"95%",
"CI",
"0.25",
"to",
"0.75).",
"Conclusion:",
"BV",
"was",
"extremely",
"prevalent",
"among",
"our",
"study",
"population",
"of",
"HSV-2",
"positive",
"female",
"facility",
"workers",
"in",
"North-western",
"Tanzania.",
"Although",
"recent",
"sex",
"was",
"associated",
"with",
"increased",
"BV",
"prevalence,",
"vaginal",
"drying",
"was",
"associated",
"with",
"lower",
"BV",
"prevalence.",
"Further",
"studies",
"of",
"the",
"effects",
"of",
"specific",
"practices",
"on",
"vaginal",
"flora",
"are",
"warranted.",
"Bacterial",
"vaginosis",
"(BV)",
"is",
"one",
"of",
"the",
"most",
"common",
"vaginal",
"infections",
"worldwide.",
"It",
"is",
"char-",
"acterised",
"by",
"vaginal",
"flora",
"changes,",
"including",
"a",
"decrease",
"in",
"lactobacilli,",
"particularly",
"those",
"that",
"produce",
"hydrogen",
"peroxide,",
"and",
"an",
"increase",
"in",
"anaerobic",
"and",
"facultative",
"anaerobic",
"bacteria.",
"BV",
"has",
"been",
"associated",
"with",
"a",
"variety",
"of",
"adverse",
"health",
"outcomes,",
"including",
"preterm",
"delivery,1",
"intrauterine",
"infection,1",
"pelvic",
"inflammatory",
"disease",
"(PID)2",
"and",
"other",
"gynaecological",
"complications.3",
"BV",
"may",
"also",
"increase",
"susceptibility",
"to",
"HIV",
"and",
"other",
"sexually",
"transmitted",
"infections",
"(STIs),4–6",
"and",
"in",
"prospective",
"studies",
"BV",
"has",
"been",
"associated",
"with",
"the",
"acquisition",
"of",
"HIV",
"and",
"herpes",
"simplex",
"virus",
"(HSV)",
"type",
"2.7–11",
"BV",
"may",
"also",
"facilitate",
"HIV",
"and",
"HSV-2",
"transmission",
"by",
"increasing",
"the",
"frequency",
"of",
"genital",
"shedding",
"of",
"the",
"virus.12",
"The",
"aetiology",
"of",
"BV",
"remains",
"poorly",
"understood,",
"although",
"sexual",
"activity",
"and",
"vaginal",
"hygiene",
"practices",
"have",
"been",
"associated",
"with",
"BV.4",
"13–16",
"Reproductive",
"hormones",
"are",
"also",
"thought",
"to",
"play",
"a",
"role",
"in",
"the",
"regulation",
"of",
"vaginal",
"flora.17",
"18",
"In",
"sub-",
"Saharan",
"Africa,",
"the",
"prevalence",
"of",
"BV",
"is",
"very",
"high,",
"ranging",
"from",
"30–51%",
"in",
"community",
"based",
"stu-",
"dies.6",
"10",
"A",
"high",
"prevalence",
"has",
"also",
"been",
"reported",
"among",
"African–American",
"women",
"with",
"estimates",
"of",
"up",
"to",
"50%",
"in",
"population-based",
"surveys.19",
"The",
"reasons",
"for",
"this",
"are",
"unclear.",
"Prevention",
"of",
"BV,",
"and",
"any",
"impact",
"that",
"this",
"might",
"have",
"on",
"reducing",
"the",
"risk",
"of",
"HIV",
"acquisition,",
"will",
"depend",
"in",
"part",
"on",
"identification",
"of",
"risk",
"factors",
"for",
"BV",
"that",
"are",
"susceptible",
"to",
"interventions.",
"We",
"report",
"on",
"the",
"factors",
"associated",
"with",
"BV",
"prevalence",
"at",
"baseline",
"in",
"a",
"cohort",
"of",
"women",
"at",
"high",
"risk",
"of",
"STI",
"working",
"in",
"bars,",
"guesthouses",
"and",
"similar",
"facilities",
"in",
"Tanzania.",
"These",
"women",
"were",
"enrolled",
"into",
"a",
"trial",
"of",
"the",
"effect",
"of",
"HSV-2",
"suppressive",
"treatment",
"on",
"HIV",
"incidence,",
"and",
"on",
"genital",
"HIV",
"and",
"HSV-2",
"viral",
"shedding",
"in",
"women",
"who",
"are",
"HIV",
"positive.",
"MATERIALS",
"AND",
"METHODS",
"Study",
"population",
"A",
"randomised,",
"double-blind,",
"placebo-controlled",
"trial",
"of",
"acyclovir",
"400",
"mg",
"twice",
"daily",
"suppressive",
"treatment",
"was",
"conducted",
"in",
"women",
"HSV-2",
"seropositive",
"in",
"the",
"Lake",
"Victoria",
"region",
"of",
"Tanzania.",
"In",
"total,",
"1305",
"women",
"aged",
"16–35",
"years",
"working",
"in",
"bars,",
"guesthouses",
"and",
"similar",
"facilities",
"were",
"enrolled",
"in",
"three",
"phases",
"from",
"January",
"2004",
"to",
"May",
"2006.",
"Trial",
"procedures",
"have",
"been",
"described",
"previously.20",
"Screening,",
"enrolment",
"and",
"3-monthly",
"follow-up",
"visits",
"were",
"conducted",
"at",
"mobile",
"clinics",
"established",
"in",
"19",
"communities",
"in",
"high",
"HIV-",
"transmission",
"areas.",
"Women",
"were",
"followed",
"for",
"12–",
"30",
"months",
"depending",
"on",
"phase",
"of",
"enrolment.",
"At",
"screening,",
"after",
"informed",
"consent,",
"partici-",
"pants",
"were",
"tested",
"for",
"antibodies",
"to",
"HSV-2",
"and",
"HIV,",
"and",
"interviewed",
"about",
"sociodemographic",
"details,",
"sexual",
"behaviour",
"and",
"intravaginal",
"practices",
"(IVP).",
"Eligible",
"women",
"were",
"given",
"an",
"appointment",
"to",
"attend",
"the",
"mobile",
"clinic",
"8–12",
"weeks",
"later;",
"women",
"were",
"asked",
"to",
"avoid",
"vaginal",
"cleansing",
"before",
"attending",
"the",
"visit.",
"To",
"be",
"eligible,",
"women",
"had",
"to",
"be",
"HSV-2",
"seropositive,",
"have",
"no",
"history",
"of",
"epilepsy,",
"able",
"to",
"give",
"informed",
"consent,",
"not",
"planning",
"to",
"move",
"out",
"of",
"the",
"study",
"site,",
"not",
"breastfeeding",
"and",
"not",
"pregnant",
"or",
"planning",
"preg-",
"nancy",
"during",
"follow-up.",
"At",
"enrolment,",
"participants",
"were",
"tested",
"for",
"pregnancy",
"and",
"were",
"asked",
"about",
"recent",
"sexual",
"behaviour",
"and",
"IVP.",
"Women",
"were",
"examined",
"for",
"symptoms",
"of",
"reproductive",
"tract",
"infections",
"(RTI),",
"and",
"blood",
"and",
"genital",
"samples",
"were",
"collected.",
"Participants",
"were",
"offered",
"syndromic",
"management",
"Sex",
"Transm",
"Infect",
"2009;85:370–375.",
"doi:10.1136/sti.2008.035543"
] | [
16,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
4,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
0,
0,
0,
0
] |
2,394,526 | null | [
[
76,
47,
84,
34
],
[
172,
47,
182,
34
],
[
366,
47,
158,
34
],
[
76,
118,
70,
20
],
[
151,
118,
46,
20
],
[
76,
143,
121,
23
],
[
203,
143,
121,
23
],
[
329,
143,
38,
23
],
[
373,
143,
76,
23
],
[
455,
143,
89,
23
],
[
550,
143,
20,
23
],
[
576,
143,
35,
23
],
[
616,
143,
86,
23
],
[
708,
143,
29,
23
],
[
76,
168,
52,
23
],
[
133,
168,
71,
23
],
[
210,
168,
99,
23
],
[
315,
168,
20,
23
],
[
340,
168,
123,
23
],
[
468,
168,
122,
23
],
[
76,
193,
76,
21
],
[
157,
193,
17,
21
],
[
179,
193,
88,
22
],
[
272,
193,
56,
21
],
[
332,
193,
13,
21
],
[
351,
193,
81,
22
],
[
436,
193,
46,
21
],
[
488,
193,
12,
21
],
[
505,
193,
109,
22
],
[
76,
218,
72,
21
],
[
153,
218,
7,
21
],
[
165,
218,
94,
22
],
[
264,
218,
56,
21
],
[
325,
218,
12,
21
],
[
342,
218,
93,
22
],
[
440,
218,
61,
21
],
[
506,
218,
15,
21
],
[
526,
218,
119,
22
],
[
76,
243,
61,
21
],
[
142,
243,
13,
21
],
[
160,
243,
58,
22
],
[
223,
243,
41,
21
],
[
268,
243,
14,
21
],
[
287,
243,
68,
22
],
[
360,
243,
50,
21
],
[
415,
243,
7,
21
],
[
427,
243,
54,
22
],
[
485,
243,
35,
21
],
[
525,
243,
48,
21
],
[
578,
243,
20,
21
],
[
603,
243,
70,
22
],
[
76,
293,
41,
12
],
[
119,
293,
41,
12
],
[
161,
293,
14,
12
],
[
177,
293,
37,
12
],
[
216,
293,
38,
12
],
[
255,
293,
19,
12
],
[
276,
293,
56,
12
],
[
333,
293,
38,
12
],
[
373,
293,
16,
12
],
[
390,
293,
34,
12
],
[
426,
293,
24,
12
],
[
453,
293,
25,
12
],
[
479,
293,
27,
12
],
[
507,
293,
32,
12
],
[
541,
293,
14,
12
],
[
557,
293,
33,
12
],
[
592,
293,
53,
12
],
[
647,
293,
19,
12
],
[
667,
293,
50,
12
],
[
719,
293,
48,
12
],
[
76,
306,
71,
11
],
[
149,
306,
40,
11
],
[
191,
306,
45,
11
],
[
237,
306,
46,
11
],
[
285,
306,
38,
11
],
[
325,
306,
41,
11
],
[
368,
306,
19,
11
],
[
388,
306,
63,
11
],
[
453,
306,
24,
11
],
[
479,
306,
37,
12
],
[
518,
306,
10,
11
],
[
530,
306,
38,
11
],
[
570,
306,
33,
11
],
[
605,
306,
10,
11
],
[
617,
306,
39,
11
],
[
657,
306,
19,
11
],
[
678,
306,
37,
11
],
[
717,
306,
50,
11
],
[
76,
319,
50,
12
],
[
128,
319,
10,
12
],
[
141,
319,
41,
12
],
[
184,
319,
36,
12
],
[
223,
319,
16,
12
],
[
241,
319,
34,
12
],
[
278,
319,
24,
12
],
[
304,
319,
67,
12
],
[
374,
319,
59,
12
],
[
435,
319,
39,
12
],
[
476,
319,
37,
12
],
[
516,
319,
30,
12
],
[
549,
319,
58,
12
],
[
610,
319,
10,
12
],
[
622,
319,
54,
12
],
[
679,
319,
36,
12
],
[
717,
319,
37,
12
],
[
756,
319,
10,
12
],
[
76,
332,
50,
12
],
[
128,
332,
48,
12
],
[
178,
332,
50,
12
],
[
230,
332,
10,
12
],
[
243,
332,
41,
12
],
[
286,
332,
36,
12
],
[
325,
332,
16,
12
],
[
343,
332,
34,
12
],
[
380,
332,
24,
12
],
[
406,
332,
42,
12
],
[
451,
332,
42,
12
],
[
495,
332,
10,
12
],
[
508,
332,
31,
12
],
[
541,
332,
36,
12
],
[
580,
332,
38,
12
],
[
620,
332,
16,
12
],
[
638,
332,
62,
12
],
[
703,
332,
24,
12
],
[
730,
332,
33,
12
],
[
76,
346,
38,
11
],
[
116,
346,
56,
11
],
[
174,
346,
58,
11
],
[
235,
346,
10,
11
],
[
248,
346,
49,
11
],
[
299,
346,
19,
11
],
[
320,
346,
37,
11
],
[
360,
346,
69,
11
],
[
431,
346,
50,
11
],
[
483,
346,
10,
11
],
[
496,
346,
30,
11
],
[
528,
346,
26,
11
],
[
557,
346,
33,
11
],
[
592,
346,
35,
11
],
[
630,
346,
35,
11
],
[
668,
346,
12,
11
],
[
683,
346,
34,
11
],
[
719,
346,
13,
11
],
[
735,
346,
35,
11
],
[
76,
359,
28,
12
],
[
106,
359,
24,
12
],
[
133,
359,
63,
12
],
[
197,
359,
10,
12
],
[
210,
359,
51,
12
],
[
262,
359,
38,
12
],
[
302,
359,
19,
12
],
[
323,
359,
57,
12
],
[
382,
359,
40,
12
],
[
424,
359,
18,
12
],
[
445,
359,
26,
12
],
[
472,
359,
24,
12
],
[
498,
359,
53,
12
],
[
553,
359,
54,
12
],
[
609,
359,
18,
12
],
[
629,
359,
63,
12
],
[
693,
359,
24,
12
],
[
720,
359,
19,
12
],
[
741,
359,
26,
12
],
[
76,
372,
43,
12
],
[
121,
372,
56,
12
],
[
179,
372,
34,
12
],
[
215,
372,
48,
12
],
[
265,
372,
13,
12
],
[
281,
372,
34,
12
],
[
318,
372,
21,
12
],
[
341,
372,
19,
12
],
[
363,
372,
23,
12
],
[
389,
372,
12,
12
],
[
403,
372,
37,
12
],
[
442,
372,
15,
12
],
[
460,
372,
42,
12
],
[
505,
372,
17,
12
],
[
524,
372,
34,
12
],
[
561,
372,
21,
12
],
[
76,
392,
31,
12
],
[
110,
392,
41,
12
],
[
153,
392,
9,
12
],
[
165,
392,
33,
12
],
[
200,
392,
4,
12
],
[
207,
392,
101,
12
],
[
311,
392,
30,
12
],
[
343,
392,
7,
12
],
[
353,
392,
36,
12
],
[
391,
392,
4,
12
],
[
398,
392,
73,
12
],
[
473,
392,
25,
12
],
[
501,
392,
7,
12
],
[
510,
392,
51,
12
],
[
564,
392,
4,
12
],
[
570,
392,
148,
12
],
[
76,
405,
39,
12
],
[
117,
405,
4,
12
],
[
124,
405,
37,
12
],
[
163,
405,
4,
12
],
[
169,
405,
114,
12
],
[
286,
405,
30,
12
],
[
318,
405,
7,
12
],
[
327,
405,
42,
12
],
[
372,
405,
4,
12
],
[
379,
405,
130,
12
],
[
511,
405,
33,
12
],
[
547,
405,
8,
12
],
[
557,
405,
56,
12
],
[
616,
405,
4,
12
],
[
622,
405,
120,
12
],
[
76,
419,
33,
11
],
[
111,
419,
7,
11
],
[
121,
419,
24,
11
],
[
147,
419,
4,
11
],
[
153,
419,
83,
11
],
[
239,
419,
22,
11
],
[
263,
419,
7,
11
],
[
273,
419,
29,
11
],
[
304,
419,
4,
11
],
[
311,
419,
88,
11
],
[
401,
419,
27,
11
],
[
431,
419,
4,
11
],
[
437,
419,
25,
11
],
[
464,
419,
4,
11
],
[
470,
419,
96,
11
],
[
76,
432,
26,
12
],
[
104,
432,
11,
12
],
[
118,
432,
33,
12
],
[
153,
432,
4,
12
],
[
160,
432,
135,
12
],
[
706,
60,
53,
14
],
[
761,
60,
37,
14
],
[
697,
118,
44,
16
],
[
745,
118,
62,
16
],
[
76,
448,
7,
11
],
[
85,
448,
73,
11
],
[
160,
448,
33,
11
],
[
76,
506,
45,
11
],
[
124,
506,
12,
11
],
[
138,
506,
23,
11
],
[
164,
506,
23,
11
],
[
76,
526,
21,
12
],
[
100,
526,
40,
12
],
[
143,
526,
37,
12
],
[
182,
526,
25,
12
],
[
209,
526,
20,
12
],
[
241,
526,
128,
12
],
[
76,
546,
20,
12
],
[
98,
546,
28,
12
],
[
129,
546,
7,
12
],
[
139,
546,
38,
12
],
[
179,
546,
25,
12
],
[
207,
546,
215,
12
],
[
430,
506,
43,
11
],
[
476,
506,
6,
11
],
[
484,
506,
49,
11
],
[
536,
506,
23,
11
],
[
430,
520,
46,
12
],
[
478,
520,
12,
12
],
[
492,
520,
23,
12
],
[
517,
520,
23,
12
],
[
76,
566,
9,
12
],
[
87,
566,
23,
12
],
[
113,
566,
25,
12
],
[
140,
566,
10,
12
],
[
153,
566,
10,
12
],
[
165,
566,
36,
12
],
[
204,
566,
35,
12
],
[
242,
566,
34,
12
],
[
279,
566,
18,
12
],
[
76,
579,
20,
12
],
[
98,
579,
7,
12
],
[
108,
579,
11,
12
],
[
121,
579,
26,
12
],
[
150,
579,
32,
12
],
[
184,
579,
28,
12
],
[
215,
579,
49,
12
],
[
267,
579,
27,
12
],
[
296,
579,
15,
12
],
[
314,
579,
27,
12
],
[
343,
579,
10,
12
],
[
355,
579,
15,
12
],
[
373,
579,
39,
12
],
[
415,
579,
48,
12
],
[
465,
579,
51,
12
],
[
519,
579,
34,
12
],
[
555,
579,
202,
12
],
[
76,
592,
27,
12
],
[
106,
592,
35,
12
],
[
143,
592,
56,
12
],
[
201,
592,
18,
12
],
[
222,
592,
55,
12
],
[
279,
592,
16,
12
],
[
298,
592,
60,
12
],
[
361,
592,
8,
12
],
[
372,
592,
16,
12
],
[
390,
592,
39,
12
],
[
432,
592,
40,
12
],
[
475,
592,
15,
12
],
[
493,
592,
34,
12
],
[
529,
592,
24,
12
],
[
556,
592,
7,
12
],
[
565,
592,
39,
12
],
[
607,
592,
25,
12
],
[
155,
653,
62,
15
],
[
155,
673,
80,
14
],
[
239,
673,
10,
14
],
[
252,
673,
30,
14
],
[
286,
673,
46,
14
],
[
337,
673,
37,
14
],
[
378,
673,
39,
14
],
[
421,
673,
12,
14
],
[
437,
673,
43,
14
],
[
485,
673,
68,
14
],
[
557,
673,
21,
14
],
[
582,
673,
45,
14
],
[
631,
673,
60,
14
],
[
155,
690,
27,
14
],
[
185,
690,
36,
14
],
[
225,
690,
52,
14
],
[
280,
690,
28,
14
],
[
311,
690,
28,
14
],
[
342,
690,
23,
14
],
[
368,
690,
28,
14
],
[
399,
690,
21,
14
],
[
424,
690,
58,
14
],
[
485,
690,
6,
14
],
[
495,
690,
30,
14
],
[
528,
690,
12,
14
],
[
543,
690,
57,
14
],
[
603,
690,
7,
14
],
[
613,
690,
20,
14
],
[
637,
690,
30,
14
],
[
670,
690,
21,
14
],
[
155,
706,
45,
14
],
[
203,
706,
60,
14
],
[
267,
706,
22,
14
],
[
292,
706,
18,
14
],
[
314,
706,
38,
14
],
[
355,
706,
36,
14
],
[
155,
729,
59,
14
],
[
218,
729,
21,
14
],
[
243,
729,
57,
14
],
[
305,
729,
6,
14
],
[
315,
729,
47,
14
],
[
367,
729,
25,
14
],
[
396,
729,
28,
14
],
[
429,
729,
32,
14
],
[
465,
729,
15,
14
],
[
485,
729,
18,
14
],
[
507,
729,
57,
14
],
[
568,
729,
22,
14
],
[
595,
729,
40,
14
],
[
639,
729,
51,
14
],
[
155,
746,
26,
14
],
[
188,
746,
20,
14
],
[
215,
746,
35,
14
],
[
257,
746,
30,
14
],
[
294,
746,
43,
14
],
[
344,
746,
53,
14
],
[
405,
746,
27,
14
],
[
439,
746,
28,
14
],
[
474,
746,
77,
14
],
[
558,
746,
20,
14
],
[
585,
746,
27,
14
],
[
620,
746,
71,
14
],
[
155,
762,
64,
14
],
[
222,
762,
64,
14
],
[
289,
762,
27,
14
],
[
319,
762,
14,
14
],
[
337,
762,
41,
14
],
[
381,
762,
32,
14
],
[
416,
762,
11,
14
],
[
431,
762,
18,
14
],
[
453,
762,
28,
14
],
[
155,
785,
49,
14
],
[
209,
785,
22,
14
],
[
235,
785,
30,
14
],
[
269,
785,
30,
14
],
[
304,
785,
21,
14
],
[
329,
785,
49,
14
],
[
382,
785,
10,
14
],
[
397,
785,
14,
14
],
[
415,
785,
26,
14
],
[
446,
785,
50,
14
],
[
500,
785,
27,
14
],
[
532,
785,
14,
14
],
[
550,
785,
32,
14
],
[
587,
785,
48,
14
],
[
639,
785,
27,
14
],
[
671,
785,
20,
14
],
[
155,
801,
31,
14
],
[
189,
801,
44,
14
],
[
236,
801,
25,
14
],
[
265,
801,
28,
14
],
[
296,
801,
50,
14
],
[
349,
801,
26,
14
],
[
379,
801,
27,
14
],
[
409,
801,
57,
14
],
[
469,
801,
12,
14
],
[
484,
801,
8,
14
],
[
495,
801,
17,
14
],
[
515,
801,
30,
14
],
[
549,
801,
20,
14
],
[
572,
801,
27,
14
],
[
602,
801,
42,
14
],
[
648,
801,
12,
14
],
[
662,
801,
8,
14
],
[
674,
801,
17,
14
],
[
155,
818,
34,
14
],
[
193,
818,
57,
14
],
[
254,
818,
11,
14
],
[
270,
818,
18,
14
],
[
292,
818,
57,
14
],
[
354,
818,
22,
14
],
[
380,
818,
26,
14
],
[
410,
818,
20,
14
],
[
434,
818,
18,
14
],
[
457,
818,
42,
14
],
[
503,
818,
30,
14
],
[
538,
818,
26,
14
],
[
568,
818,
29,
14
],
[
601,
818,
58,
14
],
[
664,
818,
27,
14
],
[
155,
834,
43,
14
],
[
202,
834,
46,
14
],
[
252,
834,
26,
14
],
[
282,
834,
40,
14
],
[
326,
834,
37,
14
],
[
367,
834,
24,
14
],
[
396,
834,
33,
14
],
[
433,
834,
38,
14
],
[
475,
834,
22,
14
],
[
502,
834,
60,
14
],
[
565,
834,
26,
14
],
[
595,
834,
18,
14
],
[
617,
834,
21,
14
],
[
642,
834,
14,
14
],
[
660,
834,
30,
14
],
[
155,
850,
54,
14
],
[
212,
850,
29,
14
],
[
244,
850,
54,
14
],
[
155,
874,
74,
14
],
[
233,
874,
34,
14
],
[
270,
874,
23,
14
],
[
298,
874,
40,
14
],
[
342,
874,
22,
14
],
[
368,
874,
18,
14
],
[
390,
874,
36,
14
],
[
430,
874,
52,
14
],
[
486,
874,
43,
14
],
[
533,
874,
21,
14
],
[
558,
874,
19,
14
],
[
581,
874,
45,
14
],
[
630,
874,
60,
14
],
[
155,
890,
12,
14
],
[
170,
890,
18,
14
],
[
190,
890,
38,
14
],
[
231,
890,
36,
14
],
[
269,
890,
20,
14
],
[
292,
890,
30,
14
],
[
324,
890,
18,
14
],
[
345,
890,
13,
14
],
[
360,
890,
52,
14
],
[
415,
890,
64,
14
],
[
481,
890,
63,
14
],
[
546,
890,
18,
14
],
[
566,
890,
31,
14
],
[
599,
890,
11,
14
],
[
613,
890,
13,
14
],
[
629,
890,
20,
14
],
[
652,
890,
39,
14
],
[
155,
906,
18,
14
],
[
176,
906,
27,
14
],
[
206,
906,
42,
14
],
[
251,
906,
10,
14
],
[
265,
906,
30,
14
],
[
298,
906,
50,
14
],
[
350,
906,
17,
14
],
[
370,
906,
39,
14
],
[
412,
906,
32,
14
],
[
447,
906,
20,
14
],
[
470,
906,
42,
14
],
[
515,
906,
39,
14
],
[
558,
906,
55,
14
],
[
616,
906,
75,
14
],
[
155,
923,
37,
14
],
[
195,
923,
10,
14
],
[
208,
923,
39,
14
],
[
249,
923,
32,
14
],
[
284,
923,
29,
14
],
[
315,
923,
47,
14
],
[
365,
923,
12,
14
],
[
380,
923,
20,
14
],
[
403,
923,
30,
14
],
[
435,
923,
44,
14
],
[
482,
923,
18,
14
],
[
503,
923,
21,
14
],
[
527,
923,
11,
14
],
[
541,
923,
44,
14
],
[
587,
923,
29,
14
],
[
619,
923,
72,
14
],
[
155,
939,
18,
14
],
[
176,
939,
49,
14
],
[
228,
939,
33,
14
],
[
264,
939,
34,
14
],
[
301,
939,
20,
14
],
[
325,
939,
11,
14
],
[
340,
939,
20,
14
],
[
363,
939,
50,
14
],
[
416,
939,
65,
14
],
[
705,
1052,
30,
13
],
[
738,
1052,
7,
13
],
[
748,
1052,
11,
13
],
[
762,
1052,
7,
13
],
[
599,
1070,
25,
10
],
[
627,
1070,
33,
10
],
[
662,
1070,
14,
10
],
[
678,
1070,
12,
10
],
[
692,
1070,
31,
10
],
[
726,
1070,
44,
10
]
] | [
"BMC",
"Infectious",
"Diseases",
"Research",
"article",
"Geographic",
"distribution",
"and",
"genetic",
"diversity",
"of",
"the",
"Ehrlichia",
"sp.",
"from",
"Panola",
"Mountain",
"in",
"Amblyomma",
"americanum",
"Amanda",
"D",
"Loftis*1,9,",
"Tonya",
"R",
"Mixson1,",
"Ellen",
"Y",
"Stromdahl2,",
"Michael",
"J",
"Yabsley3,4,",
"Laurel",
"E",
"Garrison5,",
"Phillip",
"C",
"Williamson6,",
"Robert",
"R",
"Fitak7,",
"Paul",
"A",
"Fuerst7,",
"Daryl",
"J",
"Kelly7",
"and",
"Keith",
"W",
"Blount8",
"Address:",
"1Centers",
"for",
"Disease",
"Control",
"and",
"Prevention,",
"Atlanta,",
"GA",
"30333,",
"USA,",
"2U.S.",
"Army",
"Center",
"for",
"Health",
"Promotion",
"and",
"Preventive",
"Medicine,",
"Entomological",
"Sciences",
"Program,",
"Aberdeen",
"Proving",
"Ground,",
"MD",
"21010-5403,",
"USA,",
"3Daniel",
"B.",
"Warnell",
"School",
"of",
"Forestry",
"and",
"Natural",
"Resources,",
"University",
"of",
"Georgia,",
"Athens,",
"GA",
"30602,",
"USA,",
"4Southeastern",
"Cooperative",
"Wildlife",
"Disease",
"Study,",
"Department",
"of",
"Population",
"Health,",
"College",
"of",
"Veterinary",
"Medicine,",
"University",
"of",
"Georgia,",
"Athens,",
"GA",
"30602,",
"USA,",
"5Georgia",
"Division",
"of",
"Public",
"Health,",
"Atlanta,",
"GA",
"30303-3186,",
"USA,",
"6DNA/",
"Identity",
"Laboratory,",
"Department",
"of",
"Pathology",
"and",
"Human",
"Identification,",
"University",
"of",
"North",
"Texas",
"Health",
"Science",
"Center,",
"Ft.",
"Worth,",
"TX",
"76107-",
"2699,",
"USA,",
"7Department",
"of",
"Evolution,",
"Ecology",
"and",
"Organismal",
"Biology,",
"The",
"Ohio",
"State",
"University,",
"Columbus,",
"OH",
"43210-1293,",
"USA,",
"8Air",
"Force",
"Research",
"Laboratory,",
"Brooks",
"City-Base,",
"TX",
"78235,",
"USA",
"and",
"9266",
"N.",
"Lincoln",
"St.,",
"Laramie,",
"WY",
"82070,",
"USA",
"Email:",
"Amanda",
"D",
"Loftis*",
"-",
"adloftis@gmail.com;",
"Tonya",
"R",
"Mixson",
"-",
"zdy0@cdc.gov;",
"Ellen",
"Y",
"Stromdahl",
"-",
"ellen.stromdahl@us.army.mil;",
"Michael",
"J",
"Yabsley",
"-",
"myabsley@vet.uga.edu;",
"Laurel",
"E",
"Garrison",
"-",
"legarrison@dhr.state.ga.us;",
"Phillip",
"C",
"Williamson",
"-",
"phwilliam@hsc.unt.edu;",
"Robert",
"R",
"Fitak",
"-",
"fitak.2@osu.edu;",
"Paul",
"A",
"Fuerst",
"-",
"fuerst.1@osu.edu;",
"Daryl",
"J",
"Kelly",
"-",
"kelly.350@osu.edu;",
"Keith",
"W",
"Blount",
"-",
"keith.blount@brooks.af.mil",
"BioMed",
"Central",
"Open",
"Access",
"*",
"Corresponding",
"author",
"Published:",
"23",
"April",
"2008",
"BMC",
"Infectious",
"Diseases",
"2008,",
"8:54",
"doi:10.1186/1471-2334-8-54",
"This",
"article",
"is",
"available",
"from:",
"http://www.biomedcentral.com/1471-2334/8/54",
"Received:",
"9",
"November",
"2007",
"Accepted:",
"23",
"April",
"2008",
"©",
"2008",
"Loftis",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Background:",
"A",
"novel",
"Ehrlichia,",
"closely",
"related",
"to",
"Ehrlichia",
"ruminantium,",
"was",
"recently",
"discovered",
"from",
"Panola",
"Mountain",
"State",
"Park,",
"GA,",
"USA.",
"We",
"conducted",
"a",
"study",
"to",
"determine",
"if",
"this",
"agent",
"was",
"recently",
"introduced",
"into",
"the",
"United",
"States.",
"Methods:",
"We",
"developed",
"a",
"sensitive",
"PCR",
"assay",
"based",
"on",
"the",
"conserved",
"gltA",
"(citrate",
"synthase)",
"gene",
"and",
"tested",
"DNA",
"samples",
"extracted",
"from",
"1964",
"field-collected",
"and",
"1835",
"human-biting",
"Amblyomma",
"americanum",
"from",
"23",
"eastern",
"states",
"of",
"the",
"USA.",
"Results:",
"The",
"novel",
"agent",
"was",
"detected",
"in",
"36",
"ticks",
"collected",
"from",
"10",
"states",
"between",
"1998",
"and",
"2006.",
"Infected",
"ticks",
"were",
"collected",
"both",
"from",
"vegetation",
"(n",
"=",
"14,",
"0.7%)",
"and",
"from",
"humans",
"(n",
"=",
"22,",
"1.2%).",
"Fragments",
"of",
"the",
"conserved",
"gltA",
"gene",
"and",
"the",
"variable",
"map1",
"gene",
"were",
"sequenced",
"from",
"positive",
"samples.",
"Two",
"distinct",
"clades,",
"with",
"10.5%",
"nucleic",
"acid",
"divergence",
"over",
"the",
"730",
"bp",
"map1",
"sequence,",
"were",
"identified.",
"Conclusion:",
"These",
"data",
"suggest",
"that",
"the",
"Panola",
"Mountain",
"Ehrlichia",
"was",
"not",
"recently",
"introduced",
"to",
"the",
"United",
"States;",
"this",
"agent",
"has",
"an",
"extensive",
"distribution",
"throughout",
"the",
"range",
"of",
"its",
"tick",
"vector,",
"has",
"been",
"present",
"in",
"some",
"locations",
"for",
"several",
"years,",
"and",
"displays",
"genetic",
"variability.",
"Furthermore,",
"people",
"in",
"several",
"states",
"were",
"exposed",
"to",
"this",
"agent",
"through",
"the",
"bite",
"of",
"infected",
"ticks,",
"underscoring",
"the",
"potential",
"public",
"health",
"risk",
"of",
"this",
"emerging",
"ehrlichiosis.",
"Page",
"1",
"of",
"7",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
0,
0,
9,
9,
11,
11,
11,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
9,
9,
9,
9,
9,
9,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
3,489,587 | null | [
[
78,
47,
20,
12
],
[
101,
47,
9,
12
],
[
113,
47,
11,
12
],
[
126,
47,
21,
12
],
[
150,
47,
47,
12
],
[
200,
47,
18,
12
],
[
221,
47,
44,
12
],
[
268,
47,
25,
12
],
[
296,
47,
26,
12
],
[
78,
61,
228,
12
],
[
84,
128,
11,
19
],
[
96,
128,
10,
19
],
[
108,
128,
10,
19
],
[
120,
128,
10,
19
],
[
131,
128,
12,
19
],
[
145,
128,
11,
19
],
[
158,
128,
11,
19
],
[
171,
128,
13,
19
],
[
190,
128,
12,
19
],
[
204,
128,
11,
19
],
[
217,
128,
10,
19
],
[
229,
128,
5,
19
],
[
236,
128,
11,
19
],
[
249,
128,
10,
19
],
[
260,
128,
10,
19
],
[
640,
128,
44,
19
],
[
689,
128,
53,
19
],
[
78,
169,
63,
34
],
[
151,
169,
107,
34
],
[
267,
169,
105,
34
],
[
380,
169,
51,
34
],
[
441,
169,
28,
34
],
[
478,
169,
114,
34
],
[
600,
169,
82,
34
],
[
691,
169,
20,
34
],
[
78,
206,
33,
34
],
[
120,
206,
171,
34
],
[
301,
206,
45,
34
],
[
355,
206,
77,
34
],
[
441,
206,
37,
34
],
[
487,
206,
16,
34
],
[
512,
206,
155,
34
],
[
78,
242,
171,
34
],
[
258,
242,
107,
34
],
[
374,
242,
63,
34
],
[
78,
289,
29,
16
],
[
111,
286,
36,
19
],
[
151,
289,
28,
16
],
[
183,
286,
50,
19
],
[
237,
289,
34,
16
],
[
275,
286,
58,
19
],
[
337,
289,
19,
16
],
[
359,
286,
68,
19
],
[
432,
289,
34,
16
],
[
469,
286,
75,
19
],
[
548,
289,
37,
16
],
[
589,
286,
43,
19
],
[
636,
289,
23,
16
],
[
662,
289,
39,
16
],
[
705,
286,
41,
19
],
[
87,
343,
54,
15
],
[
87,
369,
76,
14
],
[
167,
369,
14,
14
],
[
185,
369,
58,
14
],
[
246,
369,
47,
14
],
[
297,
369,
45,
14
],
[
345,
369,
25,
14
],
[
374,
369,
48,
14
],
[
425,
369,
34,
14
],
[
463,
369,
25,
14
],
[
492,
369,
51,
14
],
[
547,
369,
45,
14
],
[
596,
369,
27,
14
],
[
627,
369,
14,
14
],
[
644,
369,
53,
14
],
[
701,
369,
18,
14
],
[
723,
369,
15,
14
],
[
87,
385,
51,
14
],
[
142,
385,
72,
14
],
[
218,
385,
45,
14
],
[
266,
385,
29,
14
],
[
87,
406,
56,
14
],
[
147,
406,
22,
14
],
[
173,
406,
72,
14
],
[
249,
406,
61,
14
],
[
314,
406,
33,
14
],
[
351,
406,
37,
14
],
[
392,
406,
31,
14
],
[
426,
406,
49,
14
],
[
478,
406,
45,
14
],
[
527,
406,
25,
14
],
[
556,
406,
51,
14
],
[
611,
406,
25,
14
],
[
640,
406,
7,
14
],
[
650,
406,
42,
14
],
[
87,
423,
49,
14
],
[
140,
423,
40,
14
],
[
184,
423,
11,
14
],
[
199,
423,
9,
14
],
[
211,
423,
33,
14
],
[
248,
423,
21,
14
],
[
273,
423,
22,
14
],
[
298,
423,
11,
14
],
[
313,
423,
48,
14
],
[
365,
423,
36,
14
],
[
405,
423,
13,
14
],
[
421,
423,
62,
14
],
[
486,
423,
22,
14
],
[
512,
423,
19,
14
],
[
534,
423,
18,
14
],
[
556,
423,
15,
14
],
[
575,
423,
51,
14
],
[
630,
423,
45,
14
],
[
678,
423,
26,
14
],
[
709,
423,
28,
14
],
[
87,
440,
68,
14
],
[
87,
460,
46,
14
],
[
137,
460,
44,
14
],
[
185,
460,
25,
14
],
[
214,
460,
22,
14
],
[
239,
460,
7,
14
],
[
250,
460,
48,
14
],
[
301,
460,
34,
14
],
[
339,
460,
11,
14
],
[
353,
460,
19,
14
],
[
376,
460,
43,
14
],
[
422,
460,
15,
14
],
[
440,
460,
60,
14
],
[
504,
460,
22,
14
],
[
529,
460,
14,
14
],
[
547,
460,
53,
14
],
[
603,
460,
18,
14
],
[
625,
460,
15,
14
],
[
645,
460,
13,
14
],
[
661,
460,
59,
14
],
[
87,
477,
36,
14
],
[
127,
477,
17,
14
],
[
147,
477,
11,
14
],
[
162,
477,
23,
14
],
[
189,
477,
27,
14
],
[
220,
477,
11,
14
],
[
235,
477,
45,
14
],
[
284,
477,
21,
14
],
[
308,
477,
22,
14
],
[
334,
477,
11,
14
],
[
349,
477,
45,
14
],
[
398,
477,
26,
14
],
[
428,
477,
11,
14
],
[
442,
477,
45,
14
],
[
490,
477,
25,
14
],
[
519,
477,
48,
14
],
[
570,
477,
34,
14
],
[
608,
477,
11,
14
],
[
623,
477,
19,
14
],
[
645,
477,
43,
14
],
[
691,
477,
15,
14
],
[
87,
494,
59,
14
],
[
150,
494,
22,
14
],
[
176,
494,
35,
14
],
[
215,
494,
22,
14
],
[
240,
494,
30,
14
],
[
274,
494,
45,
14
],
[
323,
494,
22,
14
],
[
348,
494,
7,
14
],
[
358,
494,
36,
14
],
[
398,
494,
21,
14
],
[
424,
494,
11,
14
],
[
439,
494,
51,
14
],
[
493,
494,
45,
14
],
[
542,
494,
43,
14
],
[
589,
494,
26,
14
],
[
619,
494,
19,
14
],
[
641,
494,
20,
14
],
[
665,
494,
11,
14
],
[
680,
494,
19,
14
],
[
703,
494,
30,
14
],
[
87,
510,
61,
14
],
[
152,
510,
12,
14
],
[
167,
510,
9,
14
],
[
180,
510,
29,
14
],
[
212,
510,
42,
14
],
[
258,
510,
45,
14
],
[
306,
510,
25,
14
],
[
335,
510,
48,
14
],
[
386,
510,
34,
14
],
[
424,
510,
11,
14
],
[
439,
510,
19,
14
],
[
461,
510,
43,
14
],
[
507,
510,
15,
14
],
[
526,
510,
62,
14
],
[
591,
510,
31,
14
],
[
626,
510,
25,
14
],
[
655,
510,
51,
14
],
[
87,
527,
45,
14
],
[
136,
527,
22,
14
],
[
161,
527,
7,
14
],
[
172,
527,
36,
14
],
[
212,
527,
22,
14
],
[
237,
527,
11,
14
],
[
252,
527,
51,
14
],
[
307,
527,
72,
14
],
[
382,
527,
45,
14
],
[
431,
527,
27,
14
],
[
461,
527,
56,
14
],
[
521,
527,
11,
14
],
[
536,
527,
19,
14
],
[
559,
527,
45,
14
],
[
607,
527,
11,
14
],
[
623,
527,
26,
14
],
[
652,
527,
48,
14
],
[
703,
527,
11,
14
],
[
718,
527,
19,
14
],
[
87,
544,
65,
14
],
[
156,
544,
43,
14
],
[
203,
544,
20,
14
],
[
227,
544,
23,
14
],
[
254,
544,
28,
14
],
[
285,
544,
11,
14
],
[
300,
544,
45,
14
],
[
349,
544,
11,
14
],
[
363,
544,
66,
14
],
[
433,
544,
12,
14
],
[
449,
544,
13,
14
],
[
465,
544,
45,
14
],
[
513,
544,
25,
14
],
[
542,
544,
25,
14
],
[
571,
544,
22,
14
],
[
596,
544,
7,
14
],
[
606,
544,
43,
14
],
[
653,
544,
49,
14
],
[
87,
560,
42,
14
],
[
133,
560,
45,
14
],
[
182,
560,
25,
14
],
[
211,
560,
21,
14
],
[
236,
560,
48,
14
],
[
287,
560,
34,
14
],
[
325,
560,
22,
14
],
[
350,
560,
51,
14
],
[
406,
560,
45,
14
],
[
454,
560,
22,
14
],
[
480,
560,
14,
14
],
[
497,
560,
72,
14
],
[
573,
560,
53,
14
],
[
630,
560,
18,
14
],
[
652,
560,
16,
14
],
[
671,
560,
51,
14
],
[
87,
577,
45,
14
],
[
136,
577,
26,
14
],
[
166,
577,
20,
14
],
[
190,
577,
11,
14
],
[
205,
577,
16,
14
],
[
225,
577,
28,
14
],
[
256,
577,
11,
14
],
[
271,
577,
45,
14
],
[
87,
598,
75,
14
],
[
167,
598,
45,
14
],
[
215,
598,
25,
14
],
[
243,
598,
48,
14
],
[
295,
598,
36,
14
],
[
335,
598,
25,
14
],
[
364,
598,
37,
14
],
[
405,
598,
47,
14
],
[
456,
598,
53,
14
],
[
513,
598,
36,
14
],
[
553,
598,
14,
14
],
[
571,
598,
35,
14
],
[
609,
598,
11,
14
],
[
624,
598,
54,
14
],
[
682,
598,
17,
14
],
[
703,
598,
11,
14
],
[
87,
614,
53,
14
],
[
144,
614,
18,
14
],
[
166,
614,
16,
14
],
[
185,
614,
51,
14
],
[
240,
614,
72,
14
],
[
315,
614,
45,
14
],
[
364,
614,
26,
14
],
[
394,
614,
56,
14
],
[
454,
614,
12,
14
],
[
470,
614,
19,
14
],
[
492,
614,
19,
14
],
[
515,
614,
11,
14
],
[
531,
614,
50,
14
],
[
585,
614,
71,
14
],
[
660,
614,
11,
14
],
[
674,
614,
19,
14
],
[
87,
631,
65,
14
],
[
156,
631,
62,
14
],
[
221,
631,
29,
14
],
[
254,
631,
27,
14
],
[
285,
631,
35,
14
],
[
323,
631,
15,
14
],
[
342,
631,
14,
14
],
[
360,
631,
26,
14
],
[
389,
631,
18,
14
],
[
411,
631,
68,
14
],
[
483,
631,
50,
14
],
[
536,
631,
8,
14
],
[
549,
631,
85,
14
],
[
87,
655,
62,
14
],
[
153,
655,
44,
14
],
[
201,
655,
29,
14
],
[
234,
655,
49,
14
],
[
287,
655,
54,
14
],
[
345,
655,
45,
14
],
[
393,
655,
46,
14
],
[
443,
655,
40,
14
],
[
487,
655,
52,
14
],
[
543,
655,
30,
14
],
[
576,
655,
35,
14
],
[
615,
655,
47,
14
],
[
665,
655,
34,
14
],
[
78,
697,
78,
15
],
[
78,
714,
48,
14
],
[
133,
714,
35,
14
],
[
174,
714,
9,
14
],
[
190,
714,
7,
14
],
[
202,
714,
21,
14
],
[
230,
714,
33,
14
],
[
270,
714,
17,
14
],
[
293,
714,
46,
14
],
[
345,
714,
31,
14
],
[
382,
714,
21,
14
],
[
78,
730,
65,
14
],
[
146,
730,
12,
14
],
[
162,
730,
32,
14
],
[
198,
730,
17,
14
],
[
219,
730,
11,
14
],
[
234,
730,
14,
14
],
[
251,
730,
46,
14
],
[
301,
730,
56,
14
],
[
361,
730,
16,
14
],
[
381,
730,
23,
14
],
[
78,
747,
61,
14
],
[
144,
747,
11,
14
],
[
160,
747,
48,
14
],
[
213,
747,
35,
14
],
[
252,
747,
9,
14
],
[
266,
747,
48,
14
],
[
320,
747,
11,
14
],
[
336,
747,
67,
14
],
[
78,
764,
38,
14
],
[
125,
764,
21,
14
],
[
155,
764,
18,
14
],
[
183,
764,
21,
14
],
[
213,
764,
17,
14
],
[
238,
764,
21,
14
],
[
269,
764,
74,
14
],
[
352,
764,
52,
14
],
[
78,
780,
56,
14
],
[
141,
780,
12,
14
],
[
161,
780,
18,
14
],
[
187,
780,
45,
14
],
[
239,
780,
11,
14
],
[
258,
780,
29,
14
],
[
294,
780,
49,
14
],
[
350,
780,
53,
14
],
[
78,
797,
44,
14
],
[
128,
797,
48,
14
],
[
181,
797,
35,
14
],
[
222,
797,
9,
14
],
[
236,
797,
58,
14
],
[
300,
797,
25,
14
],
[
330,
797,
14,
14
],
[
350,
797,
54,
14
],
[
78,
814,
51,
14
],
[
136,
814,
56,
14
],
[
199,
814,
54,
14
],
[
259,
814,
18,
14
],
[
285,
814,
27,
14
],
[
319,
814,
17,
14
],
[
343,
814,
32,
14
],
[
382,
814,
21,
14
],
[
78,
830,
32,
14
],
[
115,
830,
50,
14
],
[
169,
830,
67,
14
],
[
240,
830,
38,
14
],
[
282,
830,
49,
14
],
[
335,
830,
44,
14
],
[
382,
830,
21,
14
],
[
78,
847,
49,
14
],
[
132,
847,
79,
14
],
[
216,
847,
58,
14
],
[
279,
847,
7,
14
],
[
291,
847,
36,
14
],
[
332,
847,
22,
14
],
[
360,
847,
11,
14
],
[
376,
847,
27,
14
],
[
78,
864,
28,
14
],
[
116,
864,
52,
14
],
[
178,
864,
21,
14
],
[
209,
864,
59,
14
],
[
278,
864,
54,
14
],
[
342,
864,
62,
14
],
[
78,
913,
5,
11
],
[
85,
913,
71,
11
],
[
159,
913,
67,
11
],
[
78,
924,
55,
13
],
[
135,
926,
9,
11
],
[
147,
926,
42,
11
],
[
191,
926,
16,
11
],
[
210,
926,
52,
11
],
[
265,
926,
28,
11
],
[
296,
926,
41,
11
],
[
339,
926,
33,
11
],
[
78,
938,
30,
11
],
[
111,
938,
29,
11
],
[
142,
938,
9,
11
],
[
153,
938,
40,
11
],
[
196,
938,
30,
11
],
[
229,
938,
9,
11
],
[
240,
938,
27,
11
],
[
270,
938,
38,
11
],
[
311,
938,
16,
11
],
[
329,
938,
29,
11
],
[
361,
938,
41,
11
],
[
78,
951,
9,
11
],
[
90,
951,
14,
11
],
[
106,
951,
29,
11
],
[
138,
951,
6,
11
],
[
147,
951,
7,
11
],
[
157,
951,
16,
11
],
[
175,
951,
17,
11
],
[
195,
951,
19,
11
],
[
216,
951,
25,
11
],
[
244,
951,
27,
11
],
[
274,
951,
21,
11
],
[
78,
963,
15,
11
],
[
96,
963,
12,
11
],
[
110,
963,
9,
11
],
[
122,
963,
28,
11
],
[
152,
963,
49,
11
],
[
204,
963,
6,
11
],
[
213,
963,
36,
11
],
[
252,
963,
8,
11
],
[
263,
963,
14,
11
],
[
280,
963,
17,
11
],
[
299,
963,
9,
11
],
[
310,
963,
14,
11
],
[
327,
963,
25,
11
],
[
423,
697,
43,
14
],
[
471,
697,
56,
14
],
[
534,
697,
21,
14
],
[
561,
697,
41,
14
],
[
608,
697,
18,
14
],
[
632,
697,
58,
14
],
[
696,
697,
25,
14
],
[
727,
697,
21,
14
],
[
423,
714,
55,
14
],
[
481,
714,
70,
14
],
[
555,
714,
42,
14
],
[
434,
730,
30,
14
],
[
468,
730,
11,
14
],
[
483,
730,
18,
14
],
[
505,
730,
45,
14
],
[
555,
730,
25,
14
],
[
584,
730,
48,
14
],
[
636,
730,
35,
14
],
[
675,
730,
18,
14
],
[
696,
730,
52,
14
],
[
423,
747,
46,
14
],
[
473,
747,
36,
14
],
[
512,
747,
21,
14
],
[
538,
747,
30,
14
],
[
571,
747,
53,
14
],
[
629,
747,
18,
14
],
[
651,
747,
50,
14
],
[
705,
747,
12,
14
],
[
721,
747,
27,
14
],
[
423,
764,
30,
14
],
[
466,
764,
46,
14
],
[
526,
764,
33,
14
],
[
572,
764,
21,
14
],
[
607,
764,
12,
14
],
[
632,
764,
52,
14
],
[
697,
764,
51,
14
],
[
423,
780,
72,
14
],
[
499,
780,
76,
14
],
[
579,
780,
36,
14
],
[
620,
780,
50,
14
],
[
674,
780,
47,
14
],
[
725,
780,
23,
14
],
[
423,
797,
30,
14
],
[
459,
797,
71,
14
],
[
536,
797,
29,
14
],
[
571,
797,
48,
14
],
[
625,
797,
24,
14
],
[
655,
797,
23,
14
],
[
684,
797,
12,
14
],
[
702,
797,
46,
14
],
[
423,
814,
28,
14
],
[
458,
814,
11,
14
],
[
476,
814,
42,
14
],
[
525,
814,
25,
14
],
[
557,
814,
48,
14
],
[
611,
814,
35,
14
],
[
653,
814,
42,
14
],
[
702,
814,
46,
14
],
[
423,
830,
25,
14
],
[
452,
830,
47,
14
],
[
503,
830,
35,
14
],
[
542,
830,
24,
14
],
[
571,
830,
52,
14
],
[
626,
830,
46,
14
],
[
676,
830,
21,
14
],
[
701,
830,
7,
14
],
[
711,
830,
36,
14
],
[
423,
847,
22,
14
],
[
449,
847,
12,
14
],
[
465,
847,
82,
14
],
[
551,
847,
132,
14
],
[
687,
847,
26,
14
],
[
717,
847,
31,
14
],
[
423,
864,
25,
14
],
[
452,
864,
52,
14
],
[
509,
864,
11,
14
],
[
526,
864,
27,
14
],
[
558,
864,
26,
14
],
[
589,
864,
59,
14
],
[
654,
864,
23,
14
],
[
682,
864,
49,
14
],
[
736,
864,
12,
14
],
[
423,
880,
71,
14
],
[
501,
880,
46,
14
],
[
553,
880,
31,
14
],
[
590,
880,
82,
14
],
[
679,
880,
50,
14
],
[
735,
880,
13,
14
],
[
423,
897,
77,
14
],
[
504,
897,
24,
14
],
[
533,
897,
59,
14
],
[
598,
897,
12,
14
],
[
615,
897,
18,
14
],
[
638,
897,
42,
14
],
[
686,
897,
11,
14
],
[
702,
897,
46,
14
],
[
423,
914,
62,
14
],
[
491,
914,
11,
14
],
[
509,
914,
45,
14
],
[
560,
914,
25,
14
],
[
592,
914,
47,
14
],
[
646,
914,
38,
14
],
[
690,
914,
58,
14
],
[
423,
930,
42,
14
],
[
469,
930,
25,
14
],
[
499,
930,
21,
14
],
[
525,
930,
74,
14
],
[
604,
930,
24,
14
],
[
633,
930,
21,
14
],
[
659,
930,
7,
14
],
[
670,
930,
30,
14
],
[
704,
930,
44,
14
],
[
423,
947,
36,
14
],
[
463,
947,
26,
14
],
[
493,
947,
14,
14
],
[
511,
947,
54,
14
],
[
569,
947,
21,
14
],
[
595,
947,
12,
14
],
[
611,
947,
38,
14
],
[
654,
947,
46,
14
],
[
704,
947,
44,
14
],
[
250,
987,
7,
10
],
[
259,
987,
18,
10
],
[
280,
987,
15,
10
],
[
297,
987,
8,
10
],
[
307,
987,
10,
10
],
[
319,
987,
30,
10
],
[
351,
987,
29,
10
],
[
382,
987,
26,
10
],
[
411,
987,
14,
10
],
[
427,
987,
15,
10
],
[
444,
987,
6,
10
],
[
453,
987,
10,
10
],
[
465,
987,
21,
10
],
[
488,
987,
25,
10
],
[
515,
987,
22,
10
],
[
540,
987,
40,
10
],
[
582,
987,
22,
10
],
[
607,
987,
13,
10
],
[
622,
987,
21,
10
],
[
645,
987,
8,
10
],
[
656,
987,
13,
10
],
[
670,
987,
30,
10
],
[
250,
999,
39,
10
],
[
291,
999,
40,
10
],
[
334,
999,
28,
10
],
[
364,
999,
167,
10
],
[
534,
999,
23,
10
],
[
559,
999,
28,
10
],
[
589,
999,
44,
10
],
[
636,
999,
15,
10
],
[
653,
999,
44,
10
],
[
699,
999,
15,
10
],
[
250,
1010,
49,
10
],
[
301,
1010,
7,
10
],
[
311,
1010,
14,
10
],
[
326,
1010,
33,
10
],
[
362,
1010,
34,
10
],
[
398,
1010,
13,
10
],
[
413,
1010,
28,
10
],
[
443,
1010,
19,
10
],
[
464,
1010,
6,
10
],
[
472,
1010,
31,
10
],
[
505,
1010,
20,
10
]
] | [
"Erez",
"et",
"al.",
"BMC",
"Pregnancy",
"and",
"Childbirth",
"2012,",
"12:82",
"http://www.biomedcentral.com/1471-2393/12/82",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"A",
"R",
"T",
"I",
"C",
"L",
"E",
"Open",
"Access",
"Early",
"preterm",
"delivery",
"due",
"to",
"placenta",
"previa",
"is",
"an",
"independent",
"risk",
"factor",
"for",
"a",
"subsequent",
"spontaneous",
"preterm",
"birth",
"Offer",
"Erez1*,",
"Lena",
"Novack2,",
"Vered",
"Klaitman1,",
"Idit",
"Erez-Weiss3,",
"Ruthy",
"Beer-Weisel1,",
"Doron",
"Dukler1",
"and",
"Moshe",
"Mazor1",
"Abstract",
"Background:",
"To",
"determine",
"whether",
"patients",
"with",
"placenta",
"previa",
"who",
"delivered",
"preterm",
"have",
"an",
"increased",
"risk",
"for",
"recurrent",
"spontaneous",
"preterm",
"birth.",
"Methods:",
"This",
"retrospective",
"population",
"based",
"cohort",
"study",
"included",
"patients",
"who",
"delivered",
"after",
"a",
"primary",
"cesarean",
"section",
"(n",
"=",
"9983).",
"The",
"rate",
"of",
"placenta",
"previa,",
"its",
"recurrence,",
"and",
"the",
"risk",
"for",
"recurrent",
"preterm",
"birth",
"were",
"determined.",
"Results:",
"Patients",
"who",
"had",
"a",
"placenta",
"previa",
"at",
"the",
"primary",
"CS",
"pregnancy",
"had",
"an",
"increased",
"risk",
"for",
"its",
"recurrence",
"[crude",
"OR",
"of",
"2.65",
"(95%",
"CI",
"1.3-5.5)].",
"The",
"rate",
"of",
"preterm",
"birth",
"in",
"patients",
"with",
"placenta",
"previa",
"in",
"the",
"primary",
"CS",
"pregnancy",
"was",
"55.9%;",
"and",
"these",
"patients",
"had",
"a",
"higher",
"rate",
"of",
"recurrent",
"preterm",
"delivery",
"than",
"the",
"rest",
"of",
"the",
"study",
"population",
"(p",
"<",
".001).",
"Among",
"patients",
"with",
"placenta",
"previa",
"in",
"the",
"primary",
"CS",
"pregnancy,",
"those",
"who",
"delivered",
"preterm",
"had",
"a",
"higher",
"rate",
"of",
"recurrent",
"spontaneous",
"preterm",
"birth",
"regardless",
"of",
"the",
"location",
"of",
"their",
"placenta",
"in",
"the",
"subsequent",
"delivery",
"[OR",
"3.09",
"(95%",
"CI",
"2.1-4.6)].",
"In",
"comparison",
"to",
"all",
"patients",
"with",
"who",
"had",
"a",
"primary",
"cesarean",
"section,",
"patients",
"who",
"had",
"placenta",
"previa",
"and",
"delivered",
"preterm",
"had",
"an",
"independent",
"increased",
"risk",
"for",
"recurrent",
"preterm",
"birth",
"[OR",
"of",
"3.6",
"(95%",
"CI",
"1.5-8.5)].",
"Conclusions:",
"Women",
"with",
"placenta",
"previa,",
"who",
"deliver",
"preterm,",
"especially",
"before",
"34",
"weeks",
"of",
"gestation,",
"are",
"at",
"increased",
"risk",
"for",
"recurrent",
"spontaneous",
"preterm",
"birth",
"regardless",
"to",
"the",
"site",
"of",
"placental",
"implantation",
"in",
"the",
"subsequent",
"pregnancy.",
"Thus,",
"strict",
"follow",
"up",
"by",
"high",
"risk",
"pregnancies",
"specialist",
"is",
"recommended.",
"Keywords:",
"Preterm",
"birth,",
"Placenta,",
"Recurrent",
"preterm",
"delivery,",
"Vaginal",
"bleeding,",
"Short",
"cervix,",
"Placenta",
"previa",
"Background",
"Placenta",
"previa",
"is",
"a",
"risk",
"factor",
"for",
"preterm",
"birth,",
"and",
"contributes",
"to",
"about",
"5%",
"of",
"all",
"preterm",
"deliveries.",
"[1]",
"The",
"prevalence",
"of",
"placenta",
"previa",
"is",
"0.3-0.5%",
"of",
"pregnancies",
"[2-10],",
"and",
"the",
"risk",
"for",
"this",
"complication",
"increases",
"according",
"to",
"the",
"number",
"of",
"prior",
"cesarean",
"deliveries",
"[11-14].",
"Placenta",
"previa",
"is",
"associated",
"with",
"an",
"increased",
"maternal",
"morbidity",
"including",
"the",
"need",
"for",
"blood",
"and",
"blood",
"products",
"transfusion,",
"urgent",
"cesarean",
"section,",
"and",
"cesarean",
"hysterectomy.",
"Moreover,",
"a",
"higher",
"rate",
"of",
"peri-",
"natal",
"mortality",
"and",
"morbidity,",
"especially",
"respiratory",
"*",
"Correspondence:",
"erezof@bgu.ac.il",
"1Department",
"of",
"Obstetrics",
"and",
"Gynecology,",
"Soroka",
"University",
"Medical",
"Center,",
"School",
"of",
"Medicine,",
"Faculty",
"of",
"Health",
"Sciences,",
"Ben",
"Gurion",
"University",
"of",
"the",
"Negev,",
"P",
"O",
"Box",
"151,",
"Beer",
"Sheva",
"84101,",
"Israel",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"distress",
"syndrome",
"and",
"anemia",
"are",
"associated",
"with",
"this",
"abnormal",
"placentation",
"[15,16].",
"Most",
"of",
"the",
"patients",
"with",
"placenta",
"previa",
"are",
"delivered",
"preterm",
"[4,17],",
"and",
"these",
"deliveries",
"are",
"regarded",
"as",
"indi-",
"cated",
"preterm",
"births",
"due",
"to",
"excessive",
"maternal",
"hemorrhage.",
"Nevertheless,",
"recent",
"evidence",
"suggests",
"that",
"other",
"mechanisms",
"aside",
"bleeding",
"may",
"lead",
"to",
"preterm",
"birth",
"in",
"women",
"with",
"placenta",
"previa",
"[18,19].",
"Patients",
"with",
"placenta",
"previa",
"who",
"delivered",
"preterm",
"had",
"a",
"higher",
"rate",
"of",
"intra-amniotic",
"infection/inflammation",
"than",
"those",
"who",
"delivered",
"at",
"term",
"[18],",
"suggesting",
"that",
"similarly",
"to",
"spontaneous",
"preterm",
"birth,",
"intra-amniotic",
"infection",
"or",
"inflammation",
"may",
"contribute",
"to",
"the",
"process",
"of",
"preterm",
"parturition",
"in",
"patients",
"with",
"placenta",
"previa.",
"Moreover,",
"women",
"with",
"this",
"complication",
"who",
"had",
"a",
"short",
"cervical",
"length",
"have",
"an",
"increased",
"risk",
"to",
"deliver",
"preterm",
"[20-22].",
"©",
"2012",
"Erez",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
3,303,586 | null | [
[
70,
61,
39,
12
],
[
111,
61,
48,
12
],
[
161,
61,
56,
12
],
[
70,
75,
34,
11
],
[
105,
75,
10,
11
],
[
117,
75,
56,
11
],
[
175,
75,
17,
11
],
[
195,
75,
65,
11
],
[
70,
88,
35,
12
],
[
107,
88,
24,
12
],
[
133,
88,
30,
12
],
[
166,
88,
12,
12
],
[
180,
88,
35,
12
],
[
217,
88,
6,
12
],
[
225,
88,
25,
12
],
[
70,
101,
112,
12
],
[
70,
187,
70,
25
],
[
145,
187,
64,
25
],
[
70,
220,
38,
25
],
[
112,
220,
104,
25
],
[
221,
220,
112,
25
],
[
337,
220,
108,
25
],
[
449,
220,
32,
25
],
[
486,
220,
198,
25
],
[
689,
220,
42,
25
],
[
70,
248,
92,
25
],
[
166,
248,
119,
25
],
[
289,
248,
17,
25
],
[
311,
248,
75,
25
],
[
120,
316,
40,
17
],
[
163,
316,
98,
17
],
[
264,
316,
27,
17
],
[
294,
316,
29,
17
],
[
325,
316,
47,
17
],
[
120,
348,
71,
13
],
[
194,
348,
11,
13
],
[
207,
348,
67,
13
],
[
277,
348,
6,
13
],
[
285,
348,
65,
13
],
[
353,
348,
42,
13
],
[
398,
348,
11,
13
],
[
412,
348,
49,
13
],
[
463,
348,
59,
13
],
[
525,
348,
44,
13
],
[
571,
348,
51,
13
],
[
625,
348,
11,
13
],
[
639,
348,
38,
13
],
[
120,
362,
30,
13
],
[
153,
362,
38,
13
],
[
193,
362,
18,
13
],
[
214,
362,
35,
13
],
[
120,
390,
83,
13
],
[
205,
390,
35,
13
],
[
241,
390,
12,
13
],
[
256,
390,
49,
13
],
[
308,
390,
11,
13
],
[
321,
390,
21,
13
],
[
344,
390,
34,
13
],
[
380,
390,
87,
13
],
[
120,
417,
44,
13
],
[
166,
417,
12,
13
],
[
181,
417,
22,
13
],
[
206,
417,
27,
13
],
[
235,
417,
46,
13
],
[
283,
417,
6,
13
],
[
292,
417,
52,
13
],
[
346,
417,
24,
13
],
[
120,
443,
49,
13
],
[
172,
443,
35,
13
],
[
209,
443,
32,
13
],
[
244,
443,
11,
13
],
[
257,
443,
42,
13
],
[
120,
468,
52,
13
],
[
174,
468,
9,
13
],
[
186,
468,
24,
13
],
[
213,
468,
9,
13
],
[
225,
468,
70,
13
],
[
297,
468,
19,
13
],
[
319,
468,
12,
13
],
[
333,
468,
34,
13
],
[
373,
468,
22,
13
],
[
402,
468,
8,
13
],
[
416,
468,
13,
13
],
[
435,
468,
26,
13
],
[
467,
468,
30,
13
],
[
504,
468,
31,
13
],
[
541,
468,
55,
13
],
[
603,
468,
30,
13
],
[
640,
468,
16,
13
],
[
662,
468,
41,
13
],
[
710,
468,
53,
13
],
[
120,
483,
58,
13
],
[
180,
483,
40,
13
],
[
222,
483,
31,
13
],
[
255,
483,
39,
13
],
[
296,
483,
61,
13
],
[
360,
483,
20,
13
],
[
382,
483,
63,
13
],
[
447,
483,
19,
13
],
[
469,
483,
66,
13
],
[
537,
483,
11,
13
],
[
550,
483,
18,
13
],
[
571,
483,
46,
13
],
[
619,
483,
45,
13
],
[
666,
483,
16,
13
],
[
685,
483,
39,
13
],
[
726,
483,
26,
13
],
[
755,
483,
8,
13
],
[
120,
497,
43,
13
],
[
165,
497,
27,
13
],
[
120,
524,
49,
13
],
[
172,
524,
44,
13
],
[
219,
524,
34,
13
],
[
256,
524,
21,
13
],
[
279,
524,
43,
13
],
[
325,
524,
51,
13
],
[
379,
524,
77,
13
],
[
460,
524,
62,
13
],
[
525,
524,
37,
13
],
[
564,
524,
11,
13
],
[
578,
524,
21,
13
],
[
601,
524,
49,
13
],
[
653,
524,
16,
13
],
[
672,
524,
35,
13
],
[
710,
524,
53,
13
],
[
120,
538,
14,
13
],
[
136,
538,
25,
13
],
[
163,
538,
47,
13
],
[
213,
538,
24,
13
],
[
240,
538,
33,
13
],
[
275,
538,
10,
13
],
[
288,
538,
22,
13
],
[
312,
538,
17,
13
],
[
331,
538,
18,
13
],
[
351,
538,
24,
13
],
[
378,
538,
43,
13
],
[
424,
538,
51,
13
],
[
477,
538,
56,
13
],
[
536,
538,
47,
13
],
[
585,
538,
26,
13
],
[
613,
538,
11,
13
],
[
626,
538,
12,
13
],
[
641,
538,
52,
13
],
[
695,
538,
51,
13
],
[
748,
538,
15,
13
],
[
120,
553,
45,
13
],
[
167,
553,
19,
13
],
[
189,
553,
61,
13
],
[
253,
553,
16,
13
],
[
271,
553,
21,
13
],
[
294,
553,
44,
13
],
[
341,
553,
45,
13
],
[
388,
553,
39,
13
],
[
430,
553,
22,
13
],
[
454,
553,
34,
13
],
[
490,
553,
22,
13
],
[
514,
553,
19,
13
],
[
536,
553,
25,
13
],
[
563,
553,
48,
13
],
[
613,
553,
35,
13
],
[
650,
553,
11,
13
],
[
663,
553,
31,
13
],
[
697,
553,
66,
13
],
[
120,
567,
31,
13
],
[
155,
567,
66,
13
],
[
226,
567,
44,
13
],
[
274,
567,
32,
13
],
[
310,
567,
20,
13
],
[
335,
567,
22,
13
],
[
361,
567,
28,
13
],
[
394,
567,
12,
13
],
[
411,
567,
20,
13
],
[
435,
567,
52,
13
],
[
491,
567,
60,
13
],
[
556,
567,
34,
13
],
[
594,
567,
19,
13
],
[
617,
567,
40,
13
],
[
662,
567,
20,
13
],
[
686,
567,
62,
13
],
[
752,
567,
11,
13
],
[
120,
582,
47,
13
],
[
170,
582,
34,
13
],
[
206,
582,
43,
13
],
[
252,
582,
48,
13
],
[
303,
582,
8,
13
],
[
313,
582,
20,
13
],
[
335,
582,
50,
13
],
[
70,
637,
13,
17
],
[
86,
637,
92,
17
],
[
70,
670,
52,
14
],
[
126,
670,
51,
14
],
[
181,
670,
55,
14
],
[
240,
670,
20,
14
],
[
264,
670,
52,
14
],
[
320,
670,
7,
14
],
[
330,
670,
35,
14
],
[
369,
670,
35,
14
],
[
70,
686,
48,
14
],
[
121,
686,
12,
14
],
[
136,
686,
31,
14
],
[
170,
686,
61,
14
],
[
234,
686,
43,
14
],
[
280,
686,
21,
14
],
[
305,
686,
63,
14
],
[
371,
686,
33,
14
],
[
70,
701,
25,
14
],
[
99,
701,
48,
15
],
[
151,
701,
18,
14
],
[
174,
701,
35,
14
],
[
213,
701,
12,
14
],
[
229,
701,
40,
14
],
[
274,
701,
36,
14
],
[
314,
701,
21,
14
],
[
340,
701,
12,
14
],
[
356,
701,
48,
14
],
[
70,
717,
16,
14
],
[
92,
717,
16,
14
],
[
114,
716,
32,
16
],
[
153,
717,
9,
14
],
[
169,
717,
24,
14
],
[
199,
717,
17,
14
],
[
223,
717,
18,
14
],
[
247,
717,
29,
14
],
[
283,
717,
41,
14
],
[
330,
717,
56,
14
],
[
392,
717,
12,
14
],
[
70,
733,
24,
14
],
[
97,
733,
51,
14
],
[
151,
733,
70,
14
],
[
223,
733,
13,
14
],
[
238,
733,
49,
14
],
[
290,
733,
12,
14
],
[
304,
733,
48,
14
],
[
354,
733,
50,
14
],
[
70,
749,
29,
14
],
[
103,
749,
24,
14
],
[
131,
749,
67,
15
],
[
203,
749,
12,
14
],
[
219,
749,
24,
14
],
[
247,
749,
30,
14
],
[
281,
749,
12,
14
],
[
297,
749,
48,
14
],
[
350,
749,
24,
14
],
[
378,
749,
26,
14
],
[
70,
764,
26,
14
],
[
99,
764,
33,
14
],
[
135,
764,
21,
14
],
[
159,
764,
57,
14
],
[
219,
764,
9,
14
],
[
231,
764,
27,
14
],
[
261,
764,
59,
14
],
[
323,
764,
21,
14
],
[
347,
764,
27,
14
],
[
377,
764,
27,
14
],
[
70,
780,
25,
14
],
[
99,
780,
38,
14
],
[
140,
780,
23,
14
],
[
166,
780,
48,
14
],
[
218,
780,
57,
14
],
[
278,
780,
21,
14
],
[
303,
780,
58,
14
],
[
365,
780,
39,
14
],
[
70,
796,
29,
14
],
[
101,
796,
49,
14
],
[
153,
796,
33,
14
],
[
189,
796,
12,
14
],
[
203,
796,
13,
14
],
[
219,
796,
59,
14
],
[
281,
796,
15,
14
],
[
299,
796,
21,
14
],
[
322,
796,
71,
14
],
[
91,
812,
51,
14
],
[
146,
812,
38,
14
],
[
188,
812,
25,
14
],
[
217,
812,
7,
14
],
[
228,
812,
53,
14
],
[
285,
812,
26,
14
],
[
315,
812,
11,
14
],
[
331,
812,
73,
14
],
[
70,
828,
38,
14
],
[
110,
828,
27,
14
],
[
140,
828,
27,
14
],
[
170,
828,
34,
14
],
[
206,
828,
19,
14
],
[
228,
828,
36,
14
],
[
266,
828,
24,
14
],
[
293,
828,
53,
14
],
[
348,
828,
56,
14
],
[
70,
843,
27,
14
],
[
101,
843,
27,
14
],
[
133,
843,
9,
14
],
[
146,
843,
27,
14
],
[
177,
843,
21,
14
],
[
203,
843,
63,
14
],
[
271,
843,
20,
14
],
[
295,
843,
22,
14
],
[
321,
843,
46,
14
],
[
371,
843,
33,
14
],
[
70,
859,
22,
14
],
[
96,
859,
33,
14
],
[
133,
859,
45,
14
],
[
182,
859,
17,
14
],
[
203,
859,
23,
14
],
[
229,
859,
80,
15
],
[
313,
859,
9,
14
],
[
326,
859,
59,
14
],
[
389,
859,
15,
14
],
[
70,
875,
18,
14
],
[
92,
875,
24,
14
],
[
120,
875,
46,
14
],
[
170,
875,
8,
14
],
[
182,
875,
31,
14
],
[
217,
875,
43,
14
],
[
264,
875,
21,
14
],
[
289,
875,
73,
14
],
[
366,
875,
38,
14
],
[
70,
891,
37,
14
],
[
109,
891,
21,
14
],
[
133,
891,
44,
14
],
[
179,
891,
11,
14
],
[
193,
891,
23,
14
],
[
218,
891,
11,
14
],
[
232,
891,
59,
14
],
[
292,
891,
21,
14
],
[
316,
891,
59,
14
],
[
377,
891,
27,
14
],
[
70,
907,
25,
14
],
[
98,
907,
28,
14
],
[
129,
907,
42,
14
],
[
174,
907,
59,
14
],
[
236,
907,
24,
14
],
[
263,
907,
41,
14
],
[
308,
907,
21,
14
],
[
332,
907,
72,
14
],
[
70,
922,
12,
14
],
[
85,
922,
77,
14
],
[
167,
922,
56,
14
],
[
226,
922,
21,
14
],
[
251,
922,
9,
14
],
[
264,
922,
25,
14
],
[
293,
922,
7,
14
],
[
304,
922,
48,
14
],
[
355,
922,
49,
14
],
[
70,
938,
9,
14
],
[
83,
938,
74,
14
],
[
161,
938,
14,
14
],
[
179,
938,
55,
14
],
[
238,
938,
21,
14
],
[
263,
938,
57,
14
],
[
324,
938,
12,
14
],
[
339,
937,
32,
16
],
[
376,
938,
28,
14
],
[
70,
954,
27,
14
],
[
100,
954,
46,
14
],
[
148,
954,
51,
14
],
[
202,
954,
27,
14
],
[
232,
954,
67,
14
],
[
301,
954,
56,
14
],
[
359,
954,
45,
14
],
[
70,
970,
23,
14
],
[
98,
970,
12,
14
],
[
114,
970,
95,
14
],
[
214,
970,
8,
14
],
[
226,
970,
29,
14
],
[
260,
970,
21,
14
],
[
285,
970,
27,
14
],
[
317,
970,
22,
14
],
[
344,
970,
21,
14
],
[
369,
970,
35,
14
],
[
70,
986,
19,
14
],
[
93,
986,
64,
14
],
[
161,
986,
21,
14
],
[
185,
986,
57,
14
],
[
246,
986,
52,
14
],
[
303,
986,
21,
14
],
[
328,
986,
27,
14
],
[
359,
986,
24,
14
],
[
387,
986,
17,
14
],
[
70,
1001,
50,
14
],
[
125,
1001,
14,
14
],
[
145,
1001,
71,
14
],
[
222,
1001,
58,
14
],
[
285,
1001,
45,
14
],
[
337,
1001,
67,
14
],
[
70,
1017,
70,
15
],
[
144,
1017,
13,
14
],
[
161,
1017,
51,
14
],
[
216,
1017,
37,
14
],
[
257,
1017,
17,
14
],
[
277,
1017,
19,
14
],
[
300,
1017,
40,
14
],
[
344,
1017,
15,
14
],
[
363,
1017,
18,
14
],
[
385,
1017,
19,
14
],
[
428,
639,
43,
14
],
[
474,
639,
33,
14
],
[
511,
639,
29,
14
],
[
542,
639,
24,
14
],
[
570,
639,
17,
14
],
[
590,
639,
23,
14
],
[
616,
639,
12,
14
],
[
631,
639,
66,
14
],
[
700,
639,
21,
14
],
[
725,
639,
37,
14
],
[
428,
655,
56,
14
],
[
488,
655,
70,
14
],
[
561,
655,
55,
14
],
[
619,
655,
57,
14
],
[
679,
655,
59,
14
],
[
741,
655,
21,
14
],
[
428,
670,
47,
14
],
[
478,
670,
49,
14
],
[
529,
670,
12,
14
],
[
543,
670,
43,
14
],
[
589,
670,
39,
14
],
[
630,
670,
113,
14
],
[
745,
670,
17,
14
],
[
428,
686,
41,
14
],
[
476,
686,
73,
14
],
[
557,
686,
21,
14
],
[
585,
686,
77,
14
],
[
669,
686,
19,
14
],
[
696,
686,
67,
14
],
[
428,
702,
26,
14
],
[
456,
702,
74,
14
],
[
533,
702,
14,
14
],
[
549,
702,
37,
14
],
[
589,
702,
66,
14
],
[
658,
702,
21,
14
],
[
681,
702,
47,
14
],
[
731,
702,
31,
14
],
[
428,
718,
25,
14
],
[
456,
718,
12,
14
],
[
471,
718,
49,
14
],
[
522,
718,
41,
14
],
[
566,
718,
16,
14
],
[
449,
733,
29,
14
],
[
483,
733,
40,
14
],
[
528,
733,
33,
14
],
[
566,
733,
55,
14
],
[
627,
733,
12,
14
],
[
644,
733,
28,
14
],
[
677,
733,
21,
14
],
[
704,
733,
59,
14
],
[
428,
749,
48,
14
],
[
480,
749,
54,
14
],
[
538,
749,
17,
14
],
[
559,
749,
23,
14
],
[
585,
749,
78,
14
],
[
667,
749,
73,
14
],
[
744,
749,
18,
14
],
[
428,
765,
85,
14
],
[
519,
765,
69,
14
],
[
594,
765,
41,
14
],
[
640,
765,
44,
14
],
[
690,
765,
55,
14
],
[
750,
765,
12,
14
],
[
428,
781,
23,
14
],
[
459,
781,
48,
14
],
[
515,
781,
54,
14
],
[
576,
781,
40,
14
],
[
624,
781,
12,
14
],
[
644,
781,
13,
14
],
[
665,
781,
61,
14
],
[
733,
781,
29,
14
],
[
428,
797,
63,
14
],
[
496,
797,
12,
14
],
[
513,
797,
24,
14
],
[
542,
797,
9,
14
],
[
555,
797,
47,
14
],
[
607,
797,
17,
14
],
[
629,
797,
23,
14
],
[
657,
797,
80,
15
],
[
742,
797,
21,
14
],
[
428,
812,
54,
14
],
[
485,
812,
24,
14
],
[
512,
812,
35,
14
],
[
550,
812,
17,
14
],
[
570,
812,
45,
14
],
[
617,
812,
31,
14
],
[
651,
812,
22,
14
],
[
676,
812,
41,
14
],
[
720,
812,
43,
14
],
[
428,
828,
40,
14
],
[
473,
828,
56,
14
],
[
533,
828,
33,
14
],
[
570,
828,
21,
14
],
[
596,
828,
33,
14
],
[
633,
828,
21,
14
],
[
659,
828,
46,
14
],
[
710,
828,
53,
14
],
[
428,
844,
39,
14
],
[
473,
844,
34,
14
],
[
513,
844,
21,
14
],
[
540,
844,
29,
14
],
[
575,
844,
53,
14
],
[
634,
844,
17,
14
],
[
656,
844,
18,
14
],
[
680,
844,
55,
14
],
[
741,
844,
21,
14
],
[
428,
860,
80,
14
],
[
510,
860,
12,
14
],
[
524,
858,
32,
16
],
[
560,
860,
9,
14
],
[
571,
860,
24,
14
],
[
597,
860,
38,
14
],
[
637,
860,
23,
14
],
[
662,
860,
13,
14
],
[
677,
860,
30,
14
],
[
709,
860,
54,
14
],
[
428,
875,
21,
14
],
[
452,
875,
52,
14
],
[
507,
875,
25,
14
],
[
534,
875,
17,
14
],
[
554,
875,
20,
14
],
[
576,
875,
23,
14
],
[
602,
875,
12,
14
],
[
616,
875,
46,
14
],
[
665,
875,
27,
14
],
[
449,
891,
50,
14
],
[
503,
891,
8,
14
],
[
515,
891,
19,
14
],
[
538,
891,
27,
14
],
[
568,
891,
70,
14
],
[
642,
891,
22,
14
],
[
668,
891,
52,
14
],
[
725,
891,
17,
14
],
[
745,
891,
17,
14
],
[
428,
907,
36,
14
],
[
468,
907,
12,
14
],
[
483,
907,
73,
14
],
[
559,
907,
21,
14
],
[
583,
907,
74,
14
],
[
661,
907,
12,
14
],
[
676,
907,
25,
14
],
[
704,
907,
7,
14
],
[
714,
907,
48,
14
],
[
428,
923,
54,
14
],
[
484,
923,
38,
14
],
[
525,
923,
51,
14
],
[
579,
923,
58,
14
],
[
640,
923,
43,
14
],
[
685,
923,
24,
14
],
[
712,
923,
17,
14
],
[
732,
923,
31,
14
],
[
428,
939,
17,
14
],
[
448,
939,
12,
14
],
[
463,
939,
58,
14
],
[
524,
939,
21,
14
],
[
549,
939,
50,
14
],
[
602,
939,
24,
14
],
[
629,
939,
12,
14
],
[
644,
939,
49,
14
],
[
696,
939,
12,
14
],
[
711,
939,
51,
14
],
[
428,
955,
47,
14
],
[
477,
955,
21,
14
],
[
500,
955,
14,
14
],
[
516,
955,
67,
14
],
[
585,
955,
12,
14
],
[
599,
955,
88,
14
],
[
689,
955,
19,
14
],
[
710,
955,
53,
14
],
[
428,
970,
15,
14
],
[
447,
970,
75,
14
],
[
527,
970,
8,
14
],
[
540,
970,
19,
14
],
[
563,
970,
27,
14
],
[
595,
970,
53,
14
],
[
653,
970,
18,
14
],
[
675,
970,
45,
14
],
[
724,
970,
22,
14
],
[
751,
970,
12,
14
],
[
428,
986,
52,
14
],
[
485,
986,
11,
14
],
[
501,
986,
35,
14
],
[
540,
986,
28,
14
],
[
572,
986,
24,
14
],
[
601,
986,
75,
14
],
[
680,
986,
40,
14
],
[
725,
986,
38,
14
],
[
428,
1002,
43,
14
],
[
475,
1002,
77,
14
],
[
556,
1002,
56,
14
],
[
616,
1002,
26,
14
],
[
646,
1002,
11,
14
],
[
661,
1002,
36,
14
],
[
701,
1002,
36,
14
],
[
741,
1002,
21,
14
],
[
428,
1018,
36,
14
],
[
468,
1018,
21,
14
],
[
492,
1018,
18,
14
],
[
514,
1018,
118,
14
],
[
635,
1018,
46,
14
],
[
684,
1018,
40,
14
],
[
728,
1018,
34,
14
]
] | [
"Hindawi",
"Publishing",
"Corporation",
"Journal",
"of",
"Biomedicine",
"and",
"Biotechnology",
"Volume",
"2012,",
"Article",
"ID",
"274150,",
"8",
"pages",
"doi:10.1155/2012/274150",
"Review",
"Article",
"Are",
"Basophils",
"Important",
"Mediators",
"for",
"Helminth-Induced",
"Th2",
"Immune",
"Responses?",
"A",
"Debate",
"Sonia",
"Leon-Cabrera",
"and",
"Ana",
"Flisser",
"Departamento",
"de",
"Microbiolog´ıa",
"y",
"Parasitolog´ıa,",
"Facultad",
"de",
"Medicina,",
"Universidad",
"Nacional",
"Auto´noma",
"de",
"M´exico,",
"04510",
"M´exico,",
"DF,",
"Mexico",
"Correspondence",
"should",
"be",
"addressed",
"to",
"Ana",
"Flisser,",
"flisser@unam.mx",
"Received",
"27",
"May",
"2011;",
"Accepted",
"8",
"December",
"2011",
"Academic",
"Editor:",
"Abhay",
"R.",
"Satoskar",
"Copyright",
"©",
"2012",
"S.",
"Leon-Cabrera",
"and",
"A.",
"Flisser.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Helminth",
"parasites",
"induce",
"Th2",
"immune",
"responses.",
"Immunological",
"mechanisms",
"leading",
"to",
"Th2",
"induction",
"are",
"mainly",
"dependent",
"on",
"IL-4.",
"However,",
"early",
"source",
"of",
"IL-4",
"has",
"not",
"been",
"precisely",
"identified.",
"Noticeably,",
"basophils",
"seem",
"to",
"be",
"important",
"mediators",
"for",
"inducing",
"and",
"maintaining",
"the",
"Th2",
"response",
"probably",
"because",
"they",
"secrete",
"IL-4",
"and",
"exert",
"functions",
"similar",
"to",
"APCs.",
"Nevertheless,",
"recent",
"experimental",
"evidence",
"points",
"that",
"DCs",
"could",
"be",
"also",
"significant",
"participants",
"during",
"this",
"process.",
"The",
"involvement",
"of",
"basophils",
"during",
"memory",
"responses",
"is",
"also",
"discussed.",
"1.",
"Introduction",
"Intestinal",
"helminth",
"infections",
"still",
"represent",
"a",
"public",
"health",
"problem",
"in",
"many",
"developing",
"tropical",
"and",
"subtropical",
"coun-",
"tries",
"affecting",
"the",
"health",
"of",
"human",
"beings",
"and",
"of",
"livestock",
"[1,",
"2].",
"CD4+",
"T",
"cells",
"are",
"the",
"main",
"cellular",
"mediators",
"in",
"host",
"helminth",
"interactions.",
"In",
"response",
"to",
"different",
"antigens,",
"these",
"cells",
"differentiate",
"in",
"four",
"types",
"of",
"T-helper",
"cells",
"Th1,",
"Th2,",
"Th17,",
"and",
"regulatory",
"T",
"cells.",
"Helminths",
"and",
"their",
"anti-",
"gens",
"induce",
"Th2",
"immune",
"responses,",
"and",
"protection",
"against",
"these",
"parasites",
"seems",
"to",
"be",
"dependent",
"on",
"this",
"polarization.",
"Th2-cells",
"secrete",
"type",
"2",
"cytokines",
"such",
"as",
"interleukin-4",
"(IL-4),",
"IL-5,",
"IL-9,",
"IL-13,",
"but",
"non-T",
"cells",
"including",
"basophils,",
"mast",
"cells,",
"B",
"cells,",
"and",
"eosinophils",
"can",
"also",
"produce",
"them.",
"The",
"initial",
"priming",
"for",
"Th2",
"differentiation",
"is",
"dependent",
"on",
"the",
"IL-4",
"receptor",
"α",
"chain",
"(IL-4R)",
"and",
"transcription",
"factors",
"STAT6",
"and",
"GATA3,",
"as",
"well",
"as",
"processing",
"and",
"presenting",
"anti-",
"gens",
"from",
"antigen",
"presenting",
"cells",
"(APCs)",
"and",
"upregulation",
"of",
"costimulatory",
"molecules",
"[3].",
"A",
"type",
"2",
"immune",
"response",
"is",
"characterized",
"by",
"activation",
"and",
"expansion",
"of",
"CD4+",
"Th2-",
"cells,",
"mucosal",
"epithelial",
"cells,",
"eosinophils,",
"basophils,",
"produc-",
"tion",
"of",
"immunoglobulin",
"E",
"(IgE)",
"and",
"mast",
"cell,",
"and",
"goblet",
"cell",
"hyperplasia",
"[4].",
"Moreover,",
"basophils",
"and",
"mast",
"cells",
"are",
"activated",
"by",
"IgE-immune",
"complexes",
"through",
"crosslinked-",
"high-affinity",
"Fc",
"receptors",
"(FcRs)",
"for",
"IgE",
"located",
"on",
"the",
"cell",
"surface.",
"Then,",
"these",
"cells",
"are",
"able",
"to",
"degranulate",
"and",
"release",
"cytokines,",
"chemokines,",
"proteases,",
"serotonin,",
"histamine,",
"and",
"heparin,",
"resulting",
"in",
"smooth",
"muscle",
"hypercontractibility,",
"in-",
"creased",
"permeability,",
"and",
"inflammatory",
"cell",
"recruitment",
"that,",
"accompanied",
"by",
"mucus",
"production,",
"will",
"facilitate",
"clear-",
"ance",
"of",
"parasites",
"(Figure",
"1).",
"Basic",
"aspects",
"about",
"activation",
"of",
"Th1-",
"and",
"Th17-type",
"immune",
"responses",
"are",
"well",
"characterized.",
"Nevertheless,",
"the",
"immunological",
"mechanisms",
"leading",
"towards",
"induction",
"of",
"Th2",
"immune",
"responses",
"remain",
"to",
"be",
"elucidated.",
"Early",
"production",
"of",
"IL-4",
"is",
"essential",
"for",
"Th2",
"differentiation",
"[3].",
"Dendritic",
"cells",
"(DCs)",
"are",
"efficient",
"APCs",
"that",
"express",
"costim-",
"ulatory",
"molecules",
"CD40",
"and",
"CD86",
"and",
"produce",
"cytokines",
"(IL-12,",
"IL-13,",
"and",
"IL-6)",
"necessary",
"for",
"the",
"activation",
"and",
"differentiation",
"of",
"CD4+",
"T",
"cells",
"during",
"Th1",
"or",
"Th17",
"responses",
"[5].",
"However,",
"DCs",
"are",
"not",
"able",
"to",
"produce",
"IL-4.",
"Recently,",
"it",
"has",
"been",
"documented",
"that",
"basophils",
"are",
"in-",
"volved",
"in",
"development",
"and",
"amplification",
"of",
"type",
"2",
"immune",
"responses",
"during",
"helminth",
"infections,",
"because",
"they",
"are",
"capa-",
"ble",
"of",
"producing",
"and",
"secreting",
"IL-4",
"in",
"response",
"to",
"helminth",
"antigens",
"and",
"by",
"crosslinking",
"of",
"antigen-specific",
"IgE",
"complex-",
"es.",
"Furthermore,",
"it",
"has",
"been",
"suggested",
"the",
"possible",
"role",
"of",
"basophils",
"as",
"APCs,",
"since",
"they",
"constitutively",
"express",
"MHC-",
"class-II,",
"costimulatory",
"molecules",
"such",
"as",
"CD40,",
"CD80,",
"and",
"CD86,",
"and",
"the",
"lymph-node-homing",
"receptor",
"CD62L",
"[6–8]."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
18,
18,
18,
18,
18,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1
] |
2,173,397 | null | [
[
56,
35,
77,
45
],
[
81,
58,
58,
20
],
[
69,
112,
20,
30
],
[
96,
112,
69,
30
],
[
172,
112,
259,
30
],
[
439,
112,
103,
30
],
[
69,
146,
124,
30
],
[
200,
146,
126,
30
],
[
334,
146,
109,
30
],
[
69,
208,
39,
16
],
[
111,
208,
17,
16
],
[
131,
206,
41,
18
],
[
176,
208,
49,
16
],
[
228,
208,
15,
16
],
[
246,
206,
49,
18
],
[
298,
208,
28,
16
],
[
330,
208,
16,
16
],
[
349,
206,
44,
18
],
[
397,
208,
39,
16
],
[
439,
208,
13,
16
],
[
455,
206,
40,
18
],
[
499,
208,
24,
16
],
[
526,
208,
44,
16
],
[
573,
206,
57,
18
],
[
69,
236,
47,
16
],
[
119,
238,
49,
14
],
[
172,
238,
35,
14
],
[
210,
238,
32,
14
],
[
245,
238,
50,
14
],
[
298,
238,
48,
14
],
[
349,
238,
28,
14
],
[
69,
252,
40,
16
],
[
112,
254,
20,
14
],
[
136,
254,
26,
14
],
[
165,
254,
24,
14
],
[
192,
254,
46,
14
],
[
241,
254,
11,
14
],
[
255,
254,
44,
14
],
[
302,
254,
51,
14
],
[
356,
254,
63,
14
],
[
422,
254,
48,
14
],
[
473,
254,
28,
14
],
[
69,
268,
71,
16
],
[
143,
270,
11,
14
],
[
157,
270,
54,
14
],
[
214,
270,
47,
14
],
[
264,
270,
58,
14
],
[
325,
270,
50,
14
],
[
378,
270,
48,
14
],
[
429,
270,
28,
14
],
[
68,
331,
39,
58
],
[
108,
350,
26,
14
],
[
139,
350,
11,
14
],
[
154,
350,
81,
14
],
[
239,
350,
58,
14
],
[
301,
350,
18,
14
],
[
323,
350,
80,
14
],
[
108,
334,
38,
14
],
[
150,
334,
56,
14
],
[
209,
334,
9,
14
],
[
222,
334,
7,
14
],
[
233,
334,
20,
14
],
[
257,
334,
31,
14
],
[
291,
334,
11,
14
],
[
307,
334,
54,
14
],
[
364,
334,
39,
14
],
[
108,
366,
48,
14
],
[
162,
366,
11,
14
],
[
178,
366,
44,
14
],
[
227,
366,
56,
14
],
[
288,
366,
9,
14
],
[
302,
366,
49,
14
],
[
356,
366,
11,
14
],
[
372,
366,
14,
14
],
[
391,
366,
11,
14
],
[
69,
382,
39,
14
],
[
111,
382,
69,
14
],
[
183,
382,
11,
14
],
[
198,
382,
20,
14
],
[
221,
382,
51,
14
],
[
275,
382,
67,
14
],
[
345,
382,
7,
14
],
[
355,
382,
47,
14
],
[
69,
398,
27,
14
],
[
101,
398,
76,
14
],
[
183,
398,
54,
14
],
[
243,
398,
18,
14
],
[
267,
398,
55,
14
],
[
328,
398,
11,
14
],
[
345,
398,
14,
14
],
[
364,
398,
39,
14
],
[
69,
414,
70,
14
],
[
144,
414,
22,
14
],
[
171,
414,
42,
14
],
[
218,
414,
22,
14
],
[
245,
414,
49,
14
],
[
299,
414,
60,
14
],
[
364,
414,
39,
14
],
[
69,
430,
25,
14
],
[
98,
430,
46,
14
],
[
148,
430,
22,
14
],
[
174,
430,
12,
14
],
[
190,
430,
31,
14
],
[
224,
430,
26,
14
],
[
255,
430,
56,
14
],
[
315,
430,
24,
14
],
[
343,
430,
19,
14
],
[
366,
430,
14,
14
],
[
385,
430,
18,
14
],
[
69,
446,
45,
14
],
[
122,
446,
45,
14
],
[
176,
446,
11,
14
],
[
197,
446,
88,
14
],
[
293,
446,
54,
14
],
[
356,
446,
47,
14
],
[
69,
462,
57,
14
],
[
132,
462,
9,
14
],
[
147,
462,
49,
14
],
[
202,
462,
54,
14
],
[
261,
462,
12,
14
],
[
279,
462,
78,
14
],
[
362,
462,
16,
14
],
[
384,
462,
18,
14
],
[
69,
478,
41,
14
],
[
114,
478,
12,
14
],
[
129,
478,
67,
14
],
[
200,
478,
7,
14
],
[
211,
478,
22,
14
],
[
237,
478,
30,
14
],
[
270,
478,
71,
14
],
[
345,
478,
42,
14
],
[
389,
478,
14,
14
],
[
69,
494,
58,
14
],
[
130,
494,
25,
14
],
[
159,
494,
56,
14
],
[
218,
494,
9,
14
],
[
231,
494,
55,
14
],
[
289,
494,
17,
14
],
[
310,
494,
27,
14
],
[
340,
494,
42,
14
],
[
385,
494,
18,
14
],
[
427,
334,
55,
14
],
[
486,
334,
11,
14
],
[
501,
334,
7,
14
],
[
511,
334,
50,
14
],
[
564,
334,
22,
14
],
[
589,
334,
51,
14
],
[
643,
334,
56,
14
],
[
702,
334,
59,
14
],
[
427,
350,
34,
14
],
[
466,
350,
17,
14
],
[
488,
350,
48,
14
],
[
542,
350,
45,
14
],
[
592,
350,
11,
14
],
[
609,
350,
21,
14
],
[
635,
350,
42,
14
],
[
681,
350,
17,
14
],
[
704,
350,
30,
14
],
[
739,
350,
22,
14
],
[
427,
366,
56,
14
],
[
490,
366,
9,
14
],
[
506,
366,
82,
14
],
[
595,
366,
51,
14
],
[
653,
366,
11,
14
],
[
671,
366,
7,
14
],
[
685,
366,
28,
14
],
[
721,
366,
41,
14
],
[
427,
382,
50,
14
],
[
480,
382,
72,
14
],
[
554,
382,
12,
14
],
[
569,
382,
67,
14
],
[
639,
382,
7,
14
],
[
649,
382,
22,
14
],
[
673,
382,
39,
14
],
[
715,
382,
22,
14
],
[
739,
382,
22,
14
],
[
427,
398,
66,
14
],
[
499,
398,
12,
14
],
[
516,
398,
56,
14
],
[
578,
398,
11,
14
],
[
596,
398,
20,
14
],
[
622,
398,
50,
14
],
[
677,
398,
9,
14
],
[
692,
398,
51,
14
],
[
750,
398,
11,
14
],
[
427,
414,
46,
14
],
[
478,
414,
13,
14
],
[
496,
414,
59,
14
],
[
560,
414,
34,
14
],
[
598,
414,
98,
14
],
[
700,
414,
39,
14
],
[
744,
414,
17,
14
],
[
427,
430,
23,
14
],
[
457,
430,
44,
14
],
[
506,
430,
18,
14
],
[
530,
430,
21,
14
],
[
558,
430,
52,
14
],
[
615,
430,
22,
14
],
[
643,
430,
56,
14
],
[
706,
430,
55,
14
],
[
427,
446,
24,
14
],
[
456,
446,
33,
14
],
[
494,
446,
44,
14
],
[
542,
446,
61,
14
],
[
607,
446,
11,
14
],
[
623,
446,
18,
14
],
[
646,
446,
54,
14
],
[
705,
446,
57,
14
],
[
427,
462,
23,
14
],
[
456,
462,
25,
14
],
[
487,
462,
18,
14
],
[
511,
462,
58,
14
],
[
575,
462,
26,
14
],
[
607,
462,
7,
14
],
[
620,
462,
37,
14
],
[
662,
462,
36,
14
],
[
704,
462,
57,
14
],
[
427,
478,
56,
14
],
[
488,
478,
38,
14
],
[
531,
478,
14,
14
],
[
551,
478,
94,
14
],
[
650,
478,
72,
14
],
[
727,
478,
11,
14
],
[
743,
478,
18,
14
],
[
427,
494,
39,
14
],
[
469,
494,
74,
14
],
[
69,
565,
100,
19
],
[
69,
588,
22,
15
],
[
94,
588,
51,
15
],
[
148,
588,
11,
15
],
[
162,
588,
50,
15
],
[
215,
588,
8,
15
],
[
226,
588,
56,
15
],
[
285,
588,
14,
15
],
[
301,
588,
6,
15
],
[
310,
588,
34,
15
],
[
347,
588,
11,
15
],
[
361,
588,
42,
15
],
[
69,
604,
50,
15
],
[
127,
604,
39,
15
],
[
173,
604,
11,
15
],
[
192,
604,
45,
15
],
[
244,
604,
21,
15
],
[
273,
604,
36,
15
],
[
317,
604,
16,
15
],
[
341,
604,
62,
15
],
[
69,
620,
37,
15
],
[
112,
620,
49,
15
],
[
167,
620,
17,
15
],
[
190,
620,
40,
15
],
[
236,
620,
11,
15
],
[
253,
620,
55,
15
],
[
313,
620,
12,
15
],
[
331,
620,
28,
15
],
[
364,
620,
38,
15
],
[
69,
636,
24,
15
],
[
96,
636,
21,
15
],
[
122,
636,
17,
15
],
[
142,
636,
49,
15
],
[
195,
636,
12,
15
],
[
211,
636,
48,
15
],
[
263,
636,
12,
15
],
[
279,
636,
53,
15
],
[
335,
636,
40,
15
],
[
380,
636,
23,
15
],
[
69,
652,
51,
15
],
[
122,
652,
35,
15
],
[
159,
652,
21,
15
],
[
182,
652,
22,
15
],
[
206,
652,
12,
15
],
[
220,
652,
17,
15
],
[
240,
652,
52,
15
],
[
294,
652,
11,
15
],
[
307,
652,
12,
15
],
[
321,
652,
30,
15
],
[
354,
652,
49,
15
],
[
69,
668,
54,
15
],
[
128,
668,
25,
15
],
[
159,
668,
11,
15
],
[
175,
668,
52,
15
],
[
232,
668,
21,
15
],
[
259,
668,
55,
15
],
[
319,
668,
33,
15
],
[
358,
668,
45,
15
],
[
69,
684,
40,
15
],
[
114,
684,
39,
15
],
[
158,
684,
84,
15
],
[
247,
684,
58,
15
],
[
310,
684,
46,
15
],
[
361,
684,
11,
15
],
[
378,
684,
25,
15
],
[
69,
700,
27,
16
],
[
99,
700,
40,
15
],
[
141,
700,
22,
15
],
[
166,
700,
29,
15
],
[
197,
700,
28,
15
],
[
228,
700,
12,
15
],
[
242,
700,
13,
15
],
[
258,
700,
47,
15
],
[
308,
700,
12,
15
],
[
322,
700,
81,
15
],
[
69,
716,
57,
15
],
[
133,
716,
60,
15
],
[
199,
716,
26,
15
],
[
231,
716,
55,
15
],
[
292,
716,
14,
15
],
[
312,
716,
14,
15
],
[
332,
716,
70,
15
],
[
69,
732,
63,
15
],
[
135,
732,
21,
15
],
[
159,
732,
36,
15
],
[
198,
732,
16,
15
],
[
217,
732,
43,
15
],
[
263,
732,
37,
15
],
[
303,
732,
31,
15
],
[
336,
732,
18,
15
],
[
357,
732,
45,
15
],
[
69,
748,
45,
15
],
[
117,
748,
17,
15
],
[
137,
748,
53,
15
],
[
193,
748,
24,
15
],
[
221,
748,
40,
15
],
[
264,
748,
21,
15
],
[
289,
748,
42,
15
],
[
334,
748,
68,
15
],
[
69,
764,
43,
15
],
[
117,
764,
50,
15
],
[
172,
764,
26,
15
],
[
203,
764,
11,
15
],
[
219,
764,
57,
15
],
[
280,
764,
12,
15
],
[
298,
764,
21,
15
],
[
324,
764,
16,
15
],
[
345,
764,
35,
15
],
[
385,
764,
17,
15
],
[
69,
780,
64,
15
],
[
136,
780,
16,
15
],
[
156,
780,
18,
15
],
[
177,
780,
45,
15
],
[
225,
780,
12,
15
],
[
240,
780,
37,
15
],
[
280,
780,
45,
15
],
[
329,
780,
12,
15
],
[
344,
780,
32,
15
],
[
379,
780,
24,
15
],
[
69,
796,
66,
15
],
[
138,
796,
37,
15
],
[
81,
812,
13,
15
],
[
96,
812,
55,
15
],
[
154,
812,
27,
15
],
[
184,
812,
16,
15
],
[
202,
812,
21,
15
],
[
225,
812,
28,
15
],
[
255,
812,
38,
15
],
[
296,
812,
52,
15
],
[
350,
812,
53,
15
],
[
69,
828,
18,
15
],
[
91,
828,
30,
15
],
[
126,
828,
45,
15
],
[
176,
828,
46,
15
],
[
226,
828,
21,
15
],
[
252,
828,
18,
15
],
[
274,
828,
78,
15
],
[
357,
828,
46,
15
],
[
69,
844,
47,
15
],
[
119,
844,
32,
15
],
[
155,
844,
60,
15
],
[
219,
844,
37,
15
],
[
259,
844,
13,
15
],
[
275,
844,
18,
15
],
[
296,
844,
22,
15
],
[
321,
844,
49,
15
],
[
374,
844,
28,
15
],
[
69,
889,
36,
12
],
[
109,
889,
71,
12
],
[
184,
889,
10,
12
],
[
197,
889,
32,
12
],
[
233,
889,
35,
12
],
[
272,
889,
37,
12
],
[
312,
889,
42,
12
],
[
358,
889,
22,
12
],
[
384,
889,
18,
12
],
[
69,
904,
15,
12
],
[
88,
904,
34,
12
],
[
125,
904,
25,
12
],
[
153,
904,
43,
12
],
[
200,
904,
41,
12
],
[
244,
904,
27,
12
],
[
274,
904,
22,
12
],
[
299,
904,
80,
12
],
[
382,
904,
20,
12
],
[
69,
918,
80,
12
],
[
151,
918,
34,
12
],
[
188,
918,
137,
12
],
[
69,
935,
68,
12
],
[
140,
935,
21,
12
],
[
165,
935,
10,
12
],
[
178,
935,
17,
12
],
[
198,
935,
29,
12
],
[
230,
935,
36,
12
],
[
270,
935,
33,
12
],
[
306,
935,
54,
12
],
[
364,
935,
38,
12
],
[
69,
949,
31,
12
],
[
102,
949,
70,
12
],
[
175,
949,
41,
12
],
[
218,
949,
42,
12
],
[
264,
949,
35,
12
],
[
302,
949,
64,
12
],
[
369,
949,
34,
12
],
[
69,
962,
21,
12
],
[
92,
962,
26,
12
],
[
120,
962,
39,
12
],
[
69,
978,
18,
12
],
[
90,
978,
31,
12
],
[
122,
978,
46,
12
],
[
170,
978,
33,
12
],
[
206,
978,
48,
12
],
[
256,
978,
59,
12
],
[
317,
978,
46,
12
],
[
365,
978,
37,
12
],
[
69,
990,
33,
12
],
[
69,
1025,
9,
12
],
[
80,
1026,
18,
12
],
[
101,
1026,
48,
12
],
[
151,
1026,
45,
12
],
[
198,
1026,
24,
12
],
[
225,
1026,
119,
12
],
[
346,
1026,
25,
12
],
[
69,
1037,
18,
12
],
[
89,
1037,
32,
12
],
[
123,
1037,
9,
12
],
[
135,
1037,
18,
12
],
[
155,
1037,
36,
12
],
[
193,
1037,
34,
12
],
[
230,
1037,
20,
12
],
[
252,
1037,
37,
12
],
[
291,
1037,
9,
12
],
[
302,
1037,
45,
12
],
[
349,
1037,
9,
12
],
[
360,
1037,
23,
12
],
[
385,
1037,
39,
12
],
[
69,
1049,
224,
12
],
[
427,
588,
45,
15
],
[
477,
588,
35,
15
],
[
516,
588,
50,
15
],
[
570,
588,
36,
15
],
[
611,
588,
76,
15
],
[
691,
588,
40,
15
],
[
736,
588,
25,
15
],
[
427,
604,
32,
15
],
[
463,
604,
44,
15
],
[
510,
604,
59,
15
],
[
573,
604,
14,
15
],
[
591,
604,
44,
15
],
[
638,
604,
51,
15
],
[
693,
604,
23,
15
],
[
720,
604,
12,
15
],
[
736,
604,
25,
15
],
[
427,
620,
42,
15
],
[
476,
620,
50,
15
],
[
532,
620,
12,
15
],
[
549,
620,
18,
15
],
[
572,
620,
83,
15
],
[
661,
620,
48,
15
],
[
715,
620,
46,
15
],
[
427,
636,
47,
15
],
[
480,
636,
72,
15
],
[
557,
636,
12,
15
],
[
574,
636,
53,
15
],
[
632,
636,
12,
15
],
[
649,
636,
34,
15
],
[
688,
636,
36,
15
],
[
730,
636,
12,
15
],
[
747,
636,
14,
15
],
[
427,
652,
60,
15
],
[
491,
652,
23,
15
],
[
518,
652,
78,
15
],
[
599,
652,
46,
15
],
[
649,
652,
11,
15
],
[
665,
652,
39,
15
],
[
708,
652,
53,
15
],
[
427,
668,
9,
15
],
[
439,
668,
50,
15
],
[
492,
668,
14,
15
],
[
509,
668,
18,
15
],
[
530,
668,
30,
15
],
[
563,
668,
34,
15
],
[
600,
668,
11,
15
],
[
615,
668,
44,
15
],
[
662,
668,
21,
15
],
[
686,
668,
44,
15
],
[
733,
668,
28,
15
],
[
427,
684,
42,
15
],
[
477,
684,
6,
15
],
[
491,
684,
21,
15
],
[
520,
684,
96,
15
],
[
624,
684,
55,
15
],
[
686,
684,
12,
15
],
[
706,
684,
55,
15
],
[
427,
700,
41,
15
],
[
474,
700,
29,
15
],
[
508,
700,
53,
15
],
[
566,
700,
66,
15
],
[
637,
700,
6,
15
],
[
648,
700,
44,
15
],
[
697,
700,
28,
15
],
[
730,
700,
31,
15
],
[
427,
716,
50,
15
],
[
487,
716,
31,
15
],
[
527,
716,
43,
15
],
[
579,
716,
50,
15
],
[
637,
716,
12,
15
],
[
658,
716,
6,
15
],
[
673,
716,
87,
15
],
[
427,
732,
40,
15
],
[
473,
732,
23,
15
],
[
501,
732,
53,
15
],
[
560,
732,
89,
15
],
[
655,
732,
12,
15
],
[
673,
732,
39,
15
],
[
718,
732,
23,
15
],
[
747,
732,
14,
15
],
[
427,
748,
69,
15
],
[
502,
748,
21,
15
],
[
529,
748,
63,
15
],
[
598,
748,
41,
15
],
[
644,
748,
67,
15
],
[
717,
748,
44,
15
],
[
427,
764,
109,
15
],
[
542,
764,
64,
15
],
[
610,
764,
21,
15
],
[
636,
764,
53,
15
],
[
694,
764,
11,
15
],
[
710,
764,
51,
15
],
[
427,
780,
45,
15
],
[
475,
780,
10,
15
],
[
488,
780,
17,
15
],
[
507,
780,
37,
15
],
[
546,
780,
71,
15
],
[
620,
780,
44,
15
],
[
666,
780,
39,
15
],
[
708,
780,
53,
15
],
[
427,
796,
53,
15
],
[
484,
796,
12,
15
],
[
499,
796,
57,
15
],
[
560,
796,
23,
15
],
[
587,
796,
25,
15
],
[
615,
796,
19,
15
],
[
637,
796,
27,
15
],
[
668,
796,
12,
15
],
[
684,
796,
39,
15
],
[
726,
796,
35,
15
],
[
427,
812,
11,
15
],
[
442,
812,
64,
15
],
[
509,
812,
6,
15
],
[
518,
812,
27,
15
],
[
548,
812,
74,
15
],
[
625,
812,
50,
15
],
[
677,
812,
10,
15
],
[
690,
812,
16,
15
],
[
710,
812,
37,
15
],
[
440,
828,
51,
15
],
[
495,
828,
50,
15
],
[
550,
828,
9,
15
],
[
562,
828,
48,
15
],
[
614,
828,
44,
15
],
[
662,
828,
12,
15
],
[
678,
828,
13,
15
],
[
696,
828,
17,
15
],
[
717,
828,
44,
15
],
[
427,
844,
39,
15
],
[
469,
844,
11,
15
],
[
484,
844,
75,
15
],
[
563,
844,
54,
15
],
[
620,
844,
33,
15
],
[
657,
844,
37,
15
],
[
697,
844,
39,
15
],
[
739,
844,
22,
15
],
[
427,
860,
50,
15
],
[
483,
860,
19,
15
],
[
508,
860,
16,
15
],
[
530,
860,
50,
15
],
[
587,
860,
11,
15
],
[
604,
860,
73,
15
],
[
684,
860,
39,
15
],
[
728,
860,
10,
15
],
[
745,
860,
16,
15
],
[
427,
876,
32,
15
],
[
462,
876,
56,
15
],
[
522,
876,
10,
15
],
[
535,
876,
16,
15
],
[
555,
876,
36,
15
],
[
594,
876,
23,
15
],
[
620,
876,
23,
15
],
[
646,
876,
44,
15
],
[
693,
876,
43,
15
],
[
739,
876,
22,
15
],
[
427,
892,
50,
15
],
[
482,
892,
9,
15
],
[
496,
892,
18,
15
],
[
518,
892,
44,
15
],
[
567,
892,
39,
15
],
[
610,
892,
11,
15
],
[
627,
892,
75,
15
],
[
707,
892,
54,
15
],
[
427,
908,
42,
15
],
[
476,
908,
66,
15
],
[
548,
908,
50,
15
],
[
605,
908,
53,
15
],
[
665,
908,
21,
15
],
[
692,
908,
69,
15
],
[
427,
924,
53,
15
],
[
483,
924,
53,
15
],
[
538,
924,
23,
15
],
[
564,
924,
37,
15
],
[
604,
924,
26,
15
],
[
633,
924,
11,
15
],
[
646,
924,
14,
15
],
[
663,
924,
71,
15
],
[
736,
924,
25,
15
],
[
427,
940,
45,
15
],
[
477,
940,
21,
15
],
[
503,
940,
34,
15
],
[
542,
940,
38,
15
],
[
585,
940,
61,
15
],
[
650,
940,
18,
15
],
[
674,
940,
23,
15
],
[
701,
940,
60,
15
],
[
427,
955,
54,
15
],
[
484,
955,
65,
15
],
[
551,
955,
42,
15
],
[
595,
955,
18,
15
],
[
615,
955,
26,
15
],
[
644,
955,
57,
15
],
[
703,
955,
11,
15
],
[
717,
955,
6,
15
],
[
725,
955,
36,
15
],
[
427,
971,
11,
15
],
[
441,
971,
18,
15
],
[
462,
971,
30,
15
],
[
494,
971,
53,
15
],
[
550,
971,
21,
15
],
[
573,
971,
54,
15
],
[
629,
971,
25,
15
],
[
656,
971,
14,
15
],
[
672,
971,
44,
15
],
[
718,
971,
21,
15
],
[
742,
971,
8,
15
],
[
752,
971,
9,
15
],
[
427,
987,
48,
15
],
[
477,
987,
38,
15
],
[
517,
987,
11,
15
],
[
531,
987,
46,
15
],
[
580,
987,
12,
15
],
[
594,
987,
37,
15
],
[
633,
987,
30,
15
],
[
665,
987,
38,
15
],
[
705,
987,
43,
15
],
[
751,
987,
10,
15
],
[
742,
1049,
17,
12
]
] | [
"JCB",
"Report",
"A",
"novel",
"Apaf-1–independent",
"putative",
"caspase-2",
"activation",
"complex",
"Stuart",
"H.",
"Read,1",
"Belinda",
"C.",
"Baliga,1",
"Paul",
"G.",
"Ekert,2",
"David",
"L.",
"Vaux,2",
"and",
"Sharad",
"Kumar1,3",
"1Hanson",
"Institute,",
"Frome",
"Road,",
"Adelaide,",
"Australia",
"5000",
"2Walter",
"and",
"Eliza",
"Hall",
"Institute",
"of",
"Medical",
"Research,",
"Melbourne,",
"Australia",
"3050",
"3Department",
"of",
"Medicine,",
"Adelaide",
"University,",
"Adelaide,",
"Australia",
"5005",
"C",
"tion.",
"In",
"stress-induced",
"apoptosis,",
"the",
"mitochondrial",
"aspase",
"activation",
"is",
"a",
"key",
"event",
"in",
"apoptosis",
"execu-",
"pathway",
"of",
"caspase",
"activation",
"is",
"believed",
"to",
"be",
"of",
"central",
"importance.",
"In",
"this",
"pathway,",
"cytochrome",
"c",
"released",
"from",
"mitochondria",
"facilitates",
"the",
"formation",
"of",
"an",
"Apaf-1",
"apoptosome",
"that",
"recruits",
"and",
"activates",
"caspase-9.",
"Recent",
"data",
"indicate",
"that",
"in",
"some",
"cells",
"caspase-9",
"may",
"not",
"be",
"the",
"initiator",
"caspase",
"in",
"stress-mediated",
"apoptosis",
"because",
"caspase-2",
"is",
"required",
"upstream",
"of",
"mitochondria",
"for",
"the",
"release",
"of",
"cytochrome",
"c",
"and",
"other",
"apoptogenic",
"factors.",
"To",
"determine",
"how",
"caspase-2",
"is",
"activated,",
"we",
"have",
"studied",
"the",
"formation",
"of",
"a",
"complex",
"that",
"mediates",
"caspase-2",
"activation.",
"Using",
"gel",
"filtration",
"analysis",
"of",
"cell",
"lysates,",
"we",
"show",
"that",
"caspase-2",
"is",
"spontaneously",
"recruited",
"to",
"a",
"large",
"protein",
"complex",
"independent",
"of",
"cytochrome",
"c",
"and",
"Apaf-1",
"and",
"that",
"recruitment",
"of",
"caspase-2",
"to",
"this",
"complex",
"is",
"sufficient",
"to",
"mediate",
"its",
"activation.",
"Using",
"substrate-binding",
"assays,",
"we",
"also",
"provide",
"the",
"first",
"evidence",
"that",
"caspase-2",
"activation",
"may",
"occur",
"without",
"processing",
"of",
"the",
"precursor",
"molecule.",
"Our",
"data",
"are",
"consistent",
"with",
"a",
"model",
"where",
"caspase-2",
"activation",
"occurs",
"by",
"oligomerization,",
"independent",
"of",
"the",
"Apaf-1",
"apoptosome.",
"Introduction",
"The",
"execution",
"of",
"apoptosis",
"is",
"performed",
"by",
"a",
"family",
"of",
"cysteine",
"proteases",
"known",
"as",
"caspases",
"(for",
"review",
"see",
"Nicholson,",
"1999).",
"Caspases",
"are",
"present",
"as",
"zymogens",
"in",
"most",
"animal",
"cells",
"and",
"are",
"activated",
"in",
"response",
"to",
"apoptotic",
"signals.",
"The",
"apoptotic",
"signals",
"first",
"lead",
"to",
"the",
"activation",
"of",
"so",
"called",
"“initiator",
"caspases,”",
"such",
"as",
"caspase-8",
"and",
"caspase-9.",
"These",
"caspases",
"contain",
"specific",
"protein–protein",
"interaction",
"domains",
"in",
"their",
"NH2",
"termini",
"that",
"allow",
"them",
"to",
"be",
"recruited",
"to",
"death-signaling",
"complexes",
"promoting",
"their",
"activation",
"by",
"an",
"autocatalytic",
"mechanism",
"(for",
"review",
"see",
"Kumar,",
"1999).",
"Once",
"the",
"initiator",
"caspases",
"are",
"activated,",
"they",
"process",
"and",
"activate",
"downstream",
"effector",
"caspases,",
"such",
"as",
"caspase-3,",
"-6",
"and",
"-7,",
"which",
"are",
"responsible",
"for",
"the",
"cleavage",
"of",
"several",
"proteins",
"in",
"dying",
"cells",
"(Nicholson,",
"1999).",
"In",
"mammals,",
"there",
"are",
"two",
"main",
"caspase",
"activation",
"pathways:",
"the",
"death",
"receptor",
"pathway",
"and",
"the",
"mitochondrial",
"pathway",
"(Kumar,",
"1999;",
"Nicholson,",
"1999).",
"In",
"the",
"first",
"pathway,",
"TNF",
"Address",
"correspondence",
"to",
"Sharad",
"Kumar,",
"Hanson",
"Institute,",
"P.O.",
"Box",
"14,",
"Rundle",
"Mall,",
"Adelaide,",
"Australia",
"5000.",
"Tel.:",
"61-8-8222-3738.",
"Fax:",
"61-8-8222-3139.",
"E-mail:",
"sharad.kumar@imvs.sa.gov.au",
"*Abbreviations",
"used",
"in",
"this",
"paper:",
"CARD,",
"caspase",
"recruitment",
"domain;",
"DISC,",
"death-inducing",
"signaling",
"complex;",
"FADD,",
"Fas-associated",
"protein",
"with",
"death",
"domain.",
"Key",
"words:",
"apoptosis;",
"caspase",
"activation;",
"apoptosome;",
"caspase-9;",
"initiator",
"caspase",
"",
"The",
"Rockefeller",
"University",
"Press,",
"0021-9525/2002/12/739/7",
"$5.00",
"The",
"Journal",
"of",
"Cell",
"Biology,",
"Volume",
"159,",
"Number",
"5,",
"December",
"9,",
"2002",
"739–745",
"http://www.jcb.org/cgi/doi/10.1083/jcb.200209004",
"receptor",
"family",
"members",
"recruit",
"Fas-associated",
"protein",
"with",
"death",
"domain",
"(FADD),*",
"an",
"adaptor",
"molecule",
"that",
"in",
"turn",
"recruits",
"caspase-8",
"to",
"the",
"death-inducing",
"signaling",
"complex",
"(DISC).",
"Recruitment",
"of",
"caspase-8",
"to",
"DISC",
"results",
"in",
"its",
"activation.",
"The",
"mitochondrial",
"pathway",
"of",
"caspase",
"activation",
"is",
"regulated",
"by",
"the",
"Bcl-2",
"family",
"of",
"proteins",
"and",
"involves",
"cyto-",
"chrome",
"c",
"and",
"Apaf-1–mediated",
"activation",
"of",
"caspase-9.",
"During",
"stress",
"signaling,",
"cytochrome",
"c",
"released",
"from",
"mito-",
"chondria",
"binds",
"Apaf-1,",
"resulting",
"in",
"a",
"conformational",
"change",
"that",
"facilitates",
"oligomerization",
"of",
"Apaf-1",
"into",
"an",
"apoptosome",
"and",
"subsequent",
"caspase",
"recruitment",
"domain",
"(CARD)–mediated",
"recruitment",
"and",
"activation",
"of",
"caspase-9",
"(Acehan",
"et",
"al.,",
"2002).",
"Interestingly,",
"initiator",
"caspase",
"DRONC",
"activation",
"in",
"Drosophila",
"cells",
"does",
"not",
"seem",
"to",
"require",
"release",
"of",
"cytochrome",
"c",
"from",
"mitochondria",
"(Dorstyn",
"et",
"al.,",
"2002).",
"Although",
"caspase-9",
"is",
"generally",
"believed",
"to",
"be",
"the",
"initiator",
"caspase",
"in",
"stress-induced",
"apoptosis,",
"recent",
"studies",
"suggest",
"that",
"caspase-2",
"can",
"act",
"upstream",
"of",
"mitochondria",
"(Lassus",
"et",
"al.,",
"2002;",
"Robertson",
"et",
"al.,",
"2002).",
"The",
"new",
"findings",
"indicate",
"that",
"caspase-2",
"is",
"the",
"initiator",
"caspase",
"in",
"stress-induced",
"apoptosis,",
"whereas",
"apoptosome",
"mediated",
"caspase-9,",
"and",
"subsequently",
"caspase-3,",
"activation",
"may",
"mainly",
"serve",
"as",
"an",
"amplification",
"loop",
"(Kumar",
"and",
"Vaux,",
"2002).",
"Caspase-2,",
"the",
"first",
"discovered",
"apoptotic",
"mammalian",
"caspase,",
"has",
"been",
"implicated",
"in",
"a",
"variety",
"of",
"cell",
"death",
"pathways,",
"and",
"consistent",
"with",
"an",
"initiator",
"role",
"it",
"is",
"activated",
"rapidly",
"in",
"response",
"to",
"diverse",
"death",
"stimuli",
"(Kumar",
"et",
"739"
] | [
16,
16,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4
] |
3,481,733 | null | [
[
84,
178,
37,
13
],
[
124,
178,
6,
13
],
[
132,
178,
24,
13
],
[
158,
178,
37,
13
],
[
198,
178,
20,
13
],
[
220,
178,
16,
13
],
[
239,
178,
27,
13
],
[
268,
178,
29,
13
],
[
299,
178,
44,
13
],
[
596,
171,
79,
22
],
[
680,
171,
64,
22
],
[
90,
237,
87,
25
],
[
182,
237,
89,
25
],
[
276,
237,
104,
25
],
[
386,
237,
40,
25
],
[
432,
237,
137,
25
],
[
575,
237,
21,
25
],
[
601,
237,
137,
25
],
[
373,
265,
82,
25
],
[
192,
319,
26,
17
],
[
221,
319,
54,
17
],
[
279,
316,
10,
20
],
[
291,
319,
33,
17
],
[
328,
319,
25,
17
],
[
356,
316,
10,
20
],
[
369,
319,
40,
17
],
[
412,
319,
52,
17
],
[
467,
316,
10,
20
],
[
480,
319,
22,
17
],
[
505,
319,
35,
17
],
[
544,
316,
10,
20
],
[
557,
319,
10,
17
],
[
571,
316,
65,
20
],
[
79,
363,
83,
18
],
[
165,
365,
57,
15
],
[
225,
365,
23,
15
],
[
251,
365,
80,
15
],
[
335,
365,
41,
15
],
[
379,
365,
56,
15
],
[
437,
365,
45,
15
],
[
489,
365,
72,
15
],
[
564,
365,
12,
15
],
[
579,
365,
65,
15
],
[
647,
365,
36,
15
],
[
687,
365,
62,
15
],
[
316,
383,
12,
16
],
[
332,
383,
49,
16
],
[
384,
383,
56,
16
],
[
442,
383,
40,
16
],
[
485,
383,
26,
16
],
[
121,
397,
38,
18
],
[
162,
399,
12,
15
],
[
178,
399,
69,
15
],
[
250,
399,
45,
15
],
[
298,
399,
46,
15
],
[
347,
399,
12,
15
],
[
362,
399,
56,
15
],
[
421,
399,
23,
15
],
[
447,
399,
41,
15
],
[
491,
399,
56,
15
],
[
550,
399,
60,
15
],
[
614,
399,
34,
15
],
[
651,
399,
56,
15
],
[
155,
414,
46,
18
],
[
204,
417,
12,
16
],
[
219,
417,
62,
16
],
[
284,
417,
23,
16
],
[
310,
417,
41,
16
],
[
354,
417,
56,
16
],
[
413,
417,
79,
16
],
[
495,
417,
49,
16
],
[
547,
417,
67,
16
],
[
617,
417,
56,
16
],
[
232,
431,
38,
18
],
[
273,
434,
12,
16
],
[
288,
434,
45,
16
],
[
336,
434,
60,
16
],
[
399,
434,
48,
16
],
[
450,
434,
66,
16
],
[
519,
434,
48,
16
],
[
570,
434,
27,
16
],
[
294,
465,
51,
13
],
[
347,
465,
13,
13
],
[
362,
465,
24,
13
],
[
388,
465,
30,
13
],
[
420,
465,
45,
13
],
[
468,
465,
13,
13
],
[
483,
465,
20,
13
],
[
505,
465,
29,
13
],
[
88,
513,
61,
17
],
[
88,
531,
77,
14
],
[
168,
531,
82,
14
],
[
254,
531,
40,
14
],
[
297,
531,
9,
14
],
[
310,
531,
6,
14
],
[
320,
531,
32,
14
],
[
356,
531,
31,
14
],
[
390,
531,
12,
14
],
[
405,
531,
30,
14
],
[
439,
531,
60,
14
],
[
502,
531,
17,
14
],
[
523,
531,
35,
14
],
[
562,
531,
22,
14
],
[
587,
531,
21,
14
],
[
611,
531,
12,
14
],
[
627,
531,
20,
14
],
[
651,
531,
30,
14
],
[
684,
531,
22,
14
],
[
710,
531,
11,
14
],
[
724,
531,
16,
14
],
[
88,
547,
22,
14
],
[
115,
547,
17,
14
],
[
136,
547,
59,
14
],
[
200,
547,
12,
14
],
[
217,
547,
108,
14
],
[
330,
547,
37,
14
],
[
372,
547,
43,
14
],
[
420,
547,
70,
14
],
[
494,
547,
20,
14
],
[
519,
547,
74,
14
],
[
598,
547,
11,
14
],
[
615,
547,
24,
14
],
[
643,
547,
12,
14
],
[
660,
547,
39,
14
],
[
703,
547,
37,
14
],
[
88,
562,
66,
14
],
[
157,
562,
11,
14
],
[
171,
562,
17,
14
],
[
190,
562,
71,
14
],
[
264,
562,
12,
14
],
[
279,
562,
70,
14
],
[
352,
562,
37,
14
],
[
392,
562,
68,
14
],
[
463,
562,
44,
14
],
[
88,
578,
56,
14
],
[
146,
578,
22,
14
],
[
171,
578,
45,
14
],
[
220,
578,
36,
14
],
[
259,
578,
12,
14
],
[
274,
578,
17,
14
],
[
294,
578,
40,
14
],
[
336,
578,
30,
14
],
[
369,
578,
21,
14
],
[
394,
578,
7,
14
],
[
403,
578,
94,
14
],
[
500,
578,
81,
14
],
[
584,
578,
34,
14
],
[
621,
578,
83,
14
],
[
707,
578,
33,
14
],
[
88,
594,
23,
14
],
[
116,
594,
20,
14
],
[
142,
594,
32,
14
],
[
179,
594,
54,
14
],
[
239,
594,
27,
14
],
[
271,
594,
50,
14
],
[
327,
594,
47,
14
],
[
380,
594,
41,
14
],
[
426,
594,
22,
14
],
[
454,
594,
52,
14
],
[
511,
594,
30,
14
],
[
547,
594,
17,
14
],
[
570,
594,
43,
14
],
[
618,
594,
70,
14
],
[
693,
594,
47,
14
],
[
88,
609,
45,
14
],
[
135,
609,
82,
14
],
[
220,
609,
29,
14
],
[
252,
609,
30,
14
],
[
285,
609,
31,
14
],
[
319,
609,
25,
14
],
[
347,
609,
55,
14
],
[
405,
609,
74,
14
],
[
481,
609,
34,
14
],
[
519,
609,
21,
14
],
[
543,
609,
26,
14
],
[
572,
609,
11,
14
],
[
586,
609,
50,
14
],
[
640,
609,
65,
14
],
[
708,
609,
32,
14
],
[
88,
625,
17,
14
],
[
109,
625,
37,
14
],
[
150,
625,
45,
14
],
[
198,
625,
21,
14
],
[
224,
625,
43,
14
],
[
271,
625,
32,
14
],
[
308,
625,
28,
14
],
[
340,
625,
12,
14
],
[
356,
625,
19,
14
],
[
380,
625,
27,
14
],
[
410,
625,
45,
14
],
[
460,
625,
33,
14
],
[
496,
625,
32,
14
],
[
532,
625,
44,
14
],
[
580,
625,
60,
14
],
[
643,
625,
42,
14
],
[
689,
625,
36,
14
],
[
729,
625,
11,
14
],
[
88,
640,
33,
14
],
[
125,
640,
27,
14
],
[
155,
640,
47,
14
],
[
206,
640,
25,
14
],
[
235,
640,
27,
14
],
[
266,
640,
47,
14
],
[
318,
640,
27,
14
],
[
348,
640,
31,
14
],
[
384,
640,
61,
14
],
[
449,
640,
34,
14
],
[
486,
640,
62,
14
],
[
552,
640,
28,
14
],
[
584,
640,
12,
14
],
[
600,
640,
14,
14
],
[
618,
640,
27,
14
],
[
649,
640,
30,
14
],
[
682,
640,
58,
14
],
[
88,
655,
42,
14
],
[
132,
655,
50,
14
],
[
185,
655,
45,
14
],
[
88,
671,
47,
14
],
[
139,
671,
22,
14
],
[
164,
671,
59,
14
],
[
226,
671,
26,
14
],
[
256,
671,
12,
14
],
[
271,
671,
40,
14
],
[
315,
671,
51,
14
],
[
370,
671,
12,
14
],
[
385,
671,
99,
14
],
[
488,
671,
24,
14
],
[
517,
671,
37,
14
],
[
557,
671,
43,
14
],
[
604,
671,
71,
14
],
[
678,
671,
20,
14
],
[
702,
671,
39,
14
],
[
88,
687,
37,
14
],
[
129,
687,
27,
14
],
[
160,
687,
39,
14
],
[
203,
687,
39,
14
],
[
246,
687,
36,
14
],
[
286,
687,
20,
14
],
[
310,
687,
39,
14
],
[
354,
687,
70,
14
],
[
427,
687,
29,
14
],
[
460,
687,
46,
14
],
[
510,
687,
41,
14
],
[
555,
687,
18,
14
],
[
578,
687,
18,
14
],
[
600,
687,
48,
14
],
[
651,
687,
25,
14
],
[
680,
687,
60,
14
],
[
88,
702,
29,
14
],
[
121,
702,
47,
14
],
[
174,
702,
39,
14
],
[
218,
702,
22,
14
],
[
245,
702,
51,
14
],
[
300,
702,
56,
14
],
[
362,
702,
25,
14
],
[
392,
702,
60,
14
],
[
457,
702,
26,
14
],
[
488,
702,
63,
14
],
[
556,
702,
16,
14
],
[
578,
702,
39,
14
],
[
621,
702,
22,
14
],
[
649,
702,
45,
14
],
[
699,
702,
20,
14
],
[
725,
702,
16,
14
],
[
88,
718,
70,
14
],
[
161,
718,
11,
14
],
[
176,
718,
40,
14
],
[
220,
718,
25,
14
],
[
248,
718,
51,
14
],
[
302,
718,
39,
14
],
[
345,
718,
33,
14
],
[
382,
718,
21,
14
],
[
407,
718,
68,
14
],
[
478,
718,
35,
14
],
[
517,
718,
24,
14
],
[
544,
718,
11,
14
],
[
559,
718,
40,
14
],
[
603,
718,
24,
14
],
[
630,
718,
25,
14
],
[
659,
718,
20,
14
],
[
682,
718,
21,
14
],
[
707,
718,
34,
14
],
[
88,
734,
58,
14
],
[
149,
734,
25,
14
],
[
177,
734,
21,
14
],
[
200,
734,
28,
14
],
[
230,
734,
32,
14
],
[
264,
734,
17,
14
],
[
284,
734,
56,
14
],
[
343,
734,
65,
14
],
[
410,
734,
27,
14
],
[
439,
734,
32,
14
],
[
473,
734,
45,
14
],
[
521,
734,
69,
14
],
[
592,
734,
20,
14
],
[
615,
734,
73,
14
],
[
690,
734,
14,
14
],
[
707,
734,
33,
14
],
[
88,
749,
12,
14
],
[
103,
749,
45,
14
],
[
151,
749,
44,
14
],
[
88,
764,
70,
14
],
[
161,
764,
24,
14
],
[
189,
764,
30,
14
],
[
221,
764,
42,
14
],
[
266,
764,
25,
14
],
[
294,
764,
24,
14
],
[
322,
764,
59,
14
],
[
384,
764,
12,
14
],
[
400,
764,
79,
14
],
[
482,
764,
40,
14
],
[
525,
764,
21,
14
],
[
549,
764,
37,
14
],
[
590,
764,
37,
14
],
[
630,
764,
39,
14
],
[
672,
764,
68,
14
],
[
88,
780,
44,
14
],
[
136,
780,
10,
14
],
[
151,
780,
28,
14
],
[
184,
780,
43,
14
],
[
231,
780,
30,
14
],
[
265,
780,
10,
14
],
[
280,
780,
54,
14
],
[
338,
780,
11,
14
],
[
354,
780,
43,
14
],
[
401,
780,
63,
14
],
[
469,
780,
97,
14
],
[
570,
780,
16,
14
],
[
591,
780,
17,
14
],
[
612,
780,
44,
14
],
[
660,
780,
20,
14
],
[
685,
780,
56,
14
],
[
88,
796,
58,
14
],
[
149,
796,
12,
14
],
[
164,
796,
79,
14
],
[
245,
796,
40,
14
],
[
288,
796,
16,
14
],
[
307,
796,
17,
14
],
[
327,
796,
39,
14
],
[
368,
796,
62,
14
],
[
88,
830,
71,
15
],
[
160,
831,
53,
14
],
[
216,
831,
47,
14
],
[
266,
831,
44,
14
],
[
313,
831,
77,
14
],
[
393,
831,
51,
14
],
[
446,
831,
34,
14
],
[
77,
872,
103,
19
],
[
77,
908,
99,
17
],
[
179,
908,
47,
17
],
[
230,
908,
12,
17
],
[
246,
908,
72,
17
],
[
322,
908,
14,
17
],
[
339,
908,
20,
17
],
[
363,
908,
32,
17
],
[
77,
927,
57,
17
],
[
141,
927,
37,
17
],
[
185,
927,
14,
17
],
[
206,
927,
36,
17
],
[
249,
927,
70,
17
],
[
326,
927,
24,
17
],
[
356,
927,
39,
17
],
[
77,
945,
100,
17
],
[
183,
945,
89,
17
],
[
277,
945,
89,
17
],
[
371,
945,
24,
17
],
[
77,
964,
34,
17
],
[
116,
964,
96,
17
],
[
218,
964,
20,
17
],
[
245,
964,
39,
17
],
[
290,
964,
25,
17
],
[
321,
964,
45,
17
],
[
372,
964,
23,
17
],
[
77,
983,
63,
17
],
[
150,
983,
64,
17
],
[
224,
983,
62,
17
],
[
296,
983,
31,
17
],
[
337,
983,
31,
17
],
[
378,
983,
18,
17
],
[
77,
1002,
40,
17
],
[
122,
1002,
14,
17
],
[
140,
1002,
8,
17
],
[
152,
1002,
35,
17
],
[
192,
1002,
14,
17
],
[
209,
1002,
70,
17
],
[
284,
1002,
112,
17
],
[
433,
870,
19,
17
],
[
459,
870,
46,
17
],
[
512,
870,
59,
17
],
[
578,
870,
24,
17
],
[
609,
870,
55,
17
],
[
670,
870,
49,
17
],
[
726,
870,
25,
17
],
[
433,
889,
28,
17
],
[
467,
889,
13,
17
],
[
487,
889,
47,
17
],
[
540,
889,
61,
17
],
[
608,
889,
72,
17
],
[
687,
889,
30,
17
],
[
723,
889,
14,
17
],
[
744,
889,
8,
17
],
[
433,
908,
56,
17
],
[
493,
908,
33,
17
],
[
531,
908,
91,
17
],
[
626,
908,
23,
17
],
[
654,
908,
61,
17
],
[
720,
908,
32,
17
],
[
433,
926,
32,
17
],
[
469,
926,
39,
17
],
[
511,
926,
36,
17
],
[
550,
926,
36,
17
],
[
590,
926,
56,
17
],
[
649,
926,
60,
17
],
[
712,
926,
40,
17
],
[
433,
945,
76,
17
],
[
517,
945,
24,
17
],
[
550,
945,
75,
17
],
[
634,
945,
38,
17
],
[
680,
945,
24,
17
],
[
712,
945,
40,
17
],
[
433,
964,
72,
17
],
[
512,
964,
11,
17
],
[
530,
964,
66,
17
],
[
603,
964,
47,
17
],
[
656,
964,
96,
17
],
[
433,
982,
47,
17
],
[
486,
982,
24,
17
],
[
517,
982,
63,
17
],
[
586,
982,
95,
17
],
[
687,
982,
65,
17
],
[
433,
1001,
24,
17
],
[
465,
1001,
60,
17
],
[
531,
1001,
24,
17
],
[
563,
1001,
12,
17
],
[
581,
1001,
90,
17
],
[
679,
1001,
23,
17
],
[
709,
1001,
43,
17
],
[
103,
1055,
94,
14
],
[
200,
1055,
47,
14
],
[
250,
1055,
22,
14
],
[
274,
1055,
22,
14
],
[
299,
1055,
7,
14
],
[
310,
1055,
58,
14
],
[
370,
1055,
24,
14
],
[
397,
1055,
22,
14
],
[
422,
1055,
7,
14
],
[
433,
1055,
28,
14
],
[
463,
1055,
31,
14
],
[
496,
1055,
37,
14
],
[
536,
1055,
156,
14
],
[
318,
1125,
56,
14
],
[
376,
1125,
14,
14
],
[
392,
1125,
40,
14
],
[
435,
1125,
57,
14
],
[
495,
1125,
12,
14
],
[
510,
1125,
45,
14
],
[
558,
1125,
48,
14
],
[
609,
1123,
118,
17
]
] | [
"Iranian",
"J",
"Publ",
"Health,",
"Vol.",
"40,",
"No.4,",
"2011,",
"pp.89-98",
"Original",
"Article",
"Physical",
"Activity,",
"Nutrition,",
"and",
"Dyslipidemia",
"in",
"Middle-Aged",
"Women",
"MA",
"Delavar",
"1,",
"*MS",
"Lye",
"2,",
"STBS",
"Hassan",
"2,",
"GL",
"Khor",
"3,",
"P",
"Hanachi4",
"1Fatemezahra",
"Infertility",
"and",
"Reproductive",
"Health",
"Research",
"Center,",
"Department",
"of",
"Midwifery,",
"Babol",
"University",
"of",
"Medical",
"Sciences,",
"Babol,",
"Iran",
"2Dept.",
"of",
"Community",
"Health,",
"Faculty",
"of",
"Medicine",
"and",
"Health",
"Sciences,",
"Universiti",
"Putra",
"Malaysia",
"3School",
"of",
"Pharmacy",
"and",
"Health",
"Sciences,",
"International",
"Medical",
"University,",
"Malaysia",
"4Dept.",
"of",
"Women",
"Research,",
"Alzahra",
"University,",
"Tehran,",
"Iran",
"(Received",
"28",
"Mar",
"2011;",
"accepted",
"12",
"Oct",
"2011)",
"Abstract",
"Background:",
"Cardiovascular",
"disease",
"is",
"a",
"major",
"cause",
"of",
"death",
"throughout",
"the",
"world.",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"as-",
"sess",
"the",
"prevalence",
"of",
"overweight/obesity,",
"central",
"obesity,",
"hypertension",
"and",
"dyslipidemia,",
"as",
"well",
"as",
"dietary",
"factors",
"contributing",
"to",
"the",
"development",
"of",
"dyslipidemia",
"among",
"middle-aged",
"women.",
"Methods:",
"The",
"research",
"design",
"of",
"the",
"present",
"study",
"was",
"a",
"population-based",
"cross-sectional",
"study;",
"anthropometric",
"meas-",
"ures",
"and",
"blood",
"chemistry",
"were",
"obtained.",
"Physical",
"activity",
"was",
"measured",
"using",
"the",
"original",
"International",
"Physical",
"Activity",
"Questionnaires",
"Long",
"Form",
"while",
"food",
"frequency",
"questionnaire",
"(FFQ)",
"was",
"used",
"in",
"assessing",
"individual’s",
"habit-",
"ual",
"intake.",
"Overall,",
"809",
"women,",
"30-50",
"years",
"of",
"age",
"from",
"fourteen",
"active",
"urban",
"Primary",
"Healthcare",
"Centers",
"(PHC)",
"in",
"Babol",
"City,",
"northern",
"Iran,",
"were",
"obtained",
"from",
"1,905",
"households",
"across",
"operational",
"areas",
"of",
"14",
"PHC",
"using",
"systematic",
"random",
"sampling",
"method.",
"Results:",
"The",
"prevalence",
"rates",
"of",
"women",
"classified",
"as",
"overweight/obese,",
"with",
"central",
"obesity,",
"hypertension",
"and",
"dyslip-",
"idemia",
"were",
"82.8%,",
"75.5%,",
"14.6%",
"and",
"63.4%,",
"respectively.",
"Total",
"physical",
"activity",
"did",
"not",
"correlate",
"with",
"cholesterol",
"ratio.",
"Soybean",
"protein",
"was",
"inversely",
"associated",
"with",
"cholesterol",
"ratio",
"(rho=-0.18,",
"P≤",
"0.001).",
"The",
"adjusted",
"OR",
"for",
"dyslipidemia",
"in",
"women",
"with",
"moderate",
"protein",
"intake",
"was",
"significantly",
"higher",
"than",
"in",
"women",
"with",
"high",
"and",
"low",
"intake",
"(OR=2.31;",
"95%",
"CI=",
"1.61,",
"3.30).",
"No",
"significant",
"associations",
"were",
"found",
"between",
"dyslipidemia",
"and",
"carbohydrate,",
"fat",
"intake",
"or",
"physical",
"activity.",
"Conclusion:",
"This",
"study",
"showed",
"very",
"high",
"prevalence",
"of",
"cardiovascular",
"disease",
"risk",
"factors",
"among",
"Iranian",
"middle-aged",
"women.",
"A",
"more",
"detailed",
"study",
"is",
"suggested",
"to",
"develop",
"definitively",
"recommendations",
"for",
"the",
"primary",
"and",
"secondary",
"prevention",
"of",
"cardiovascular",
"disease",
"for",
"the",
"Iranian",
"population.",
"Keywords:",
"Nutrition,",
"Physical",
"activity,",
"Dyslipidemia,",
"Women's",
"health",
"Introduction",
"Cardiovascular",
"disease",
"is",
"recognized",
"as",
"the",
"most",
"common",
"cause",
"of",
"death",
"worldwide",
"(1).",
"Over-",
"weight/obesity,",
"hypertension,",
"dyslipidemia,",
"and",
"other",
"manifestations",
"are",
"major",
"risk",
"factors",
"(2).",
"Improved",
"long-term",
"outcomes",
"have",
"been",
"at-",
"tained",
"as",
"a",
"result",
"of",
"physicians'",
"recommendations",
"for",
"dietary",
"practices",
"and",
"physical",
"activity",
"that",
"lead",
"to",
"several",
"favorable",
"parameters",
"such",
"as",
"a",
"healthier",
"waist",
"circumference",
"and",
"improved",
"body",
"mass",
"index,",
"lower",
"blood",
"pressure,",
"improved",
"HDL-",
"cholesterol,",
"and",
"triglyceride",
"levels",
"(3).",
"HDL-",
"cholesterol",
"is",
"protective",
"against",
"cardiovascular",
"disease",
"and",
"decreases",
"cardiovascular",
"morbidity",
"and",
"mortality",
"(4).",
"A",
"meta-analysis",
"has",
"shown",
"*Corresponding",
"Author:",
"Tel:",
"+60",
"3",
"89472410,",
"Fax:",
"+60",
"3",
"8945",
"0151,",
"E-mail",
"address:lyems9@yahoo.com",
"Published",
"by",
"Tehran",
"University",
"of",
"Medical",
"Sciences",
"(www.tums.ac.ir)"
] | [
7,
7,
7,
7,
7,
7,
7,
7,
7,
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
17,
17,
17,
17,
17,
17,
17,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
0,
0,
0,
0,
0,
0,
0,
0
] |
3,115,799 | null | [
[
663,
24,
49,
14
],
[
717,
24,
65,
14
],
[
28,
378,
12,
0
],
[
28,
394,
13,
0
],
[
28,
410,
12,
0
],
[
28,
424,
10,
0
],
[
28,
440,
12,
0
],
[
28,
449,
5,
0
],
[
28,
465,
12,
0
],
[
28,
485,
10,
0
],
[
28,
499,
10,
0
],
[
28,
513,
11,
0
],
[
28,
529,
12,
0
],
[
28,
550,
10,
0
],
[
28,
566,
12,
0
],
[
28,
586,
10,
0
],
[
28,
602,
12,
0
],
[
28,
620,
14,
0
],
[
28,
637,
13,
0
],
[
28,
653,
13,
0
],
[
28,
669,
12,
0
],
[
28,
683,
10,
0
],
[
28,
705,
11,
0
],
[
28,
722,
13,
0
],
[
28,
736,
10,
0
],
[
69,
102,
70,
31
],
[
148,
102,
198,
31
],
[
355,
102,
100,
31
],
[
465,
102,
148,
31
],
[
622,
102,
52,
31
],
[
683,
102,
74,
31
],
[
69,
137,
126,
31
],
[
204,
137,
101,
31
],
[
314,
137,
93,
31
],
[
416,
137,
18,
31
],
[
442,
137,
85,
31
],
[
536,
137,
204,
31
],
[
69,
200,
34,
14
],
[
106,
200,
16,
14
],
[
126,
199,
40,
16
],
[
170,
200,
42,
14
],
[
216,
200,
12,
14
],
[
231,
199,
77,
16
],
[
312,
200,
23,
14
],
[
339,
200,
21,
14
],
[
363,
200,
16,
14
],
[
383,
200,
22,
14
],
[
408,
199,
61,
16
],
[
69,
229,
50,
11
],
[
122,
230,
8,
10
],
[
132,
230,
35,
10
],
[
170,
230,
16,
10
],
[
188,
230,
44,
10
],
[
235,
230,
41,
10
],
[
279,
229,
54,
11
],
[
336,
230,
16,
10
],
[
355,
230,
41,
10
],
[
398,
230,
33,
10
],
[
434,
230,
25,
10
],
[
461,
230,
27,
10
],
[
490,
230,
40,
10
],
[
533,
230,
17,
10
],
[
553,
230,
31,
10
],
[
69,
285,
45,
66
],
[
116,
306,
29,
14
],
[
149,
306,
54,
14
],
[
207,
306,
11,
14
],
[
222,
306,
8,
14
],
[
234,
306,
40,
14
],
[
277,
306,
12,
14
],
[
293,
306,
40,
14
],
[
337,
306,
39,
14
],
[
380,
306,
23,
14
],
[
116,
286,
19,
14
],
[
142,
286,
62,
14
],
[
210,
286,
12,
14
],
[
229,
286,
18,
14
],
[
253,
286,
41,
14
],
[
301,
286,
37,
14
],
[
345,
286,
31,
14
],
[
382,
286,
21,
14
],
[
116,
325,
29,
14
],
[
150,
325,
57,
14
],
[
211,
325,
25,
14
],
[
240,
325,
28,
14
],
[
273,
325,
41,
14
],
[
319,
325,
61,
14
],
[
384,
325,
19,
14
],
[
69,
345,
13,
14
],
[
87,
345,
57,
14
],
[
150,
345,
23,
14
],
[
179,
345,
42,
14
],
[
227,
345,
80,
14
],
[
313,
345,
23,
14
],
[
342,
345,
23,
14
],
[
370,
345,
11,
14
],
[
387,
345,
15,
14
],
[
69,
364,
70,
14
],
[
146,
364,
20,
14
],
[
173,
364,
57,
14
],
[
238,
364,
32,
14
],
[
277,
364,
17,
14
],
[
302,
364,
71,
14
],
[
381,
364,
22,
14
],
[
69,
384,
87,
14
],
[
160,
384,
12,
14
],
[
176,
384,
31,
14
],
[
210,
384,
11,
14
],
[
225,
384,
28,
14
],
[
257,
384,
31,
14
],
[
292,
384,
11,
14
],
[
307,
384,
72,
14
],
[
383,
384,
20,
14
],
[
69,
403,
59,
14
],
[
133,
403,
23,
14
],
[
160,
403,
34,
14
],
[
199,
403,
60,
14
],
[
264,
403,
21,
14
],
[
289,
403,
34,
14
],
[
327,
403,
22,
14
],
[
354,
403,
49,
14
],
[
69,
423,
31,
14
],
[
105,
423,
77,
14
],
[
187,
423,
23,
14
],
[
215,
423,
45,
14
],
[
265,
423,
20,
14
],
[
290,
423,
18,
14
],
[
312,
423,
47,
14
],
[
364,
423,
38,
14
],
[
69,
442,
35,
14
],
[
112,
442,
66,
14
],
[
187,
442,
17,
14
],
[
212,
442,
18,
14
],
[
238,
442,
54,
14
],
[
300,
442,
102,
14
],
[
69,
461,
28,
14
],
[
101,
461,
31,
14
],
[
135,
461,
32,
14
],
[
170,
461,
45,
14
],
[
218,
461,
11,
14
],
[
233,
461,
50,
14
],
[
287,
461,
31,
14
],
[
321,
461,
37,
14
],
[
362,
461,
41,
14
],
[
427,
286,
23,
14
],
[
454,
286,
90,
14
],
[
548,
286,
12,
14
],
[
564,
286,
42,
14
],
[
610,
286,
8,
14
],
[
622,
286,
41,
14
],
[
667,
286,
36,
14
],
[
707,
286,
42,
14
],
[
753,
286,
8,
14
],
[
427,
306,
41,
14
],
[
474,
306,
9,
14
],
[
490,
306,
69,
14
],
[
565,
306,
108,
14
],
[
680,
306,
13,
14
],
[
699,
306,
18,
14
],
[
723,
306,
38,
14
],
[
427,
325,
91,
14
],
[
525,
325,
74,
14
],
[
605,
325,
69,
14
],
[
680,
325,
35,
14
],
[
720,
325,
41,
14
],
[
427,
345,
15,
14
],
[
450,
345,
31,
14
],
[
487,
345,
87,
14
],
[
582,
345,
20,
14
],
[
609,
345,
40,
14
],
[
657,
345,
58,
14
],
[
722,
345,
39,
14
],
[
427,
364,
35,
14
],
[
466,
364,
31,
14
],
[
502,
364,
60,
14
],
[
566,
364,
28,
14
],
[
598,
364,
88,
14
],
[
690,
364,
31,
14
],
[
726,
364,
36,
14
],
[
427,
384,
30,
14
],
[
463,
384,
43,
14
],
[
511,
384,
31,
14
],
[
547,
384,
12,
14
],
[
564,
384,
73,
14
],
[
643,
384,
39,
14
],
[
688,
384,
23,
14
],
[
716,
384,
45,
14
],
[
427,
403,
67,
14
],
[
500,
403,
76,
14
],
[
582,
403,
108,
14
],
[
695,
403,
24,
14
],
[
725,
403,
36,
14
],
[
427,
423,
50,
14
],
[
481,
423,
22,
14
],
[
507,
423,
31,
14
],
[
541,
423,
21,
14
],
[
565,
423,
60,
14
],
[
629,
423,
59,
14
],
[
691,
423,
23,
14
],
[
718,
423,
44,
14
],
[
427,
442,
23,
14
],
[
456,
442,
43,
14
],
[
505,
442,
8,
14
],
[
519,
442,
10,
14
],
[
535,
442,
8,
14
],
[
549,
442,
40,
14
],
[
595,
442,
35,
14
],
[
636,
442,
46,
14
],
[
689,
442,
35,
14
],
[
730,
442,
31,
14
],
[
427,
461,
57,
14
],
[
487,
461,
30,
14
],
[
520,
461,
34,
14
],
[
557,
461,
95,
14
],
[
654,
461,
23,
14
],
[
680,
461,
81,
14
],
[
69,
546,
141,
17
],
[
69,
576,
38,
14
],
[
109,
576,
12,
14
],
[
123,
576,
34,
14
],
[
159,
576,
53,
14
],
[
214,
576,
74,
14
],
[
290,
576,
17,
14
],
[
309,
576,
35,
14
],
[
346,
576,
57,
14
],
[
69,
593,
21,
14
],
[
93,
593,
47,
14
],
[
142,
593,
28,
14
],
[
173,
593,
55,
14
],
[
231,
593,
69,
14
],
[
302,
593,
61,
14
],
[
366,
593,
19,
14
],
[
388,
593,
15,
14
],
[
69,
609,
20,
14
],
[
91,
609,
11,
14
],
[
105,
609,
17,
14
],
[
124,
609,
21,
14
],
[
148,
609,
11,
14
],
[
162,
609,
23,
14
],
[
188,
609,
11,
14
],
[
203,
609,
33,
14
],
[
238,
609,
77,
14
],
[
318,
609,
6,
14
],
[
327,
609,
30,
14
],
[
360,
609,
42,
14
],
[
69,
626,
11,
14
],
[
82,
626,
11,
14
],
[
96,
626,
59,
14
],
[
158,
626,
36,
14
],
[
196,
626,
10,
14
],
[
209,
626,
17,
14
],
[
228,
626,
35,
14
],
[
264,
626,
63,
14
],
[
330,
626,
9,
14
],
[
342,
626,
48,
14
],
[
392,
626,
11,
14
],
[
69,
643,
45,
14
],
[
118,
643,
12,
14
],
[
135,
643,
36,
14
],
[
176,
643,
40,
14
],
[
221,
643,
20,
14
],
[
245,
643,
55,
14
],
[
305,
643,
24,
14
],
[
334,
643,
25,
14
],
[
363,
643,
39,
14
],
[
69,
659,
49,
14
],
[
122,
659,
17,
14
],
[
143,
659,
13,
14
],
[
159,
659,
21,
14
],
[
184,
659,
11,
14
],
[
198,
659,
53,
14
],
[
255,
659,
20,
14
],
[
279,
659,
78,
14
],
[
360,
659,
42,
14
],
[
69,
676,
58,
14
],
[
131,
676,
47,
14
],
[
182,
676,
20,
14
],
[
205,
676,
57,
14
],
[
266,
676,
30,
14
],
[
300,
676,
69,
14
],
[
372,
676,
10,
14
],
[
386,
676,
17,
14
],
[
69,
693,
35,
14
],
[
107,
693,
14,
14
],
[
125,
693,
35,
14
],
[
163,
693,
39,
14
],
[
206,
693,
69,
14
],
[
279,
693,
64,
14
],
[
347,
693,
56,
14
],
[
69,
709,
24,
14
],
[
95,
709,
24,
14
],
[
121,
709,
52,
14
],
[
175,
709,
6,
14
],
[
183,
709,
61,
14
],
[
246,
709,
39,
14
],
[
287,
709,
16,
14
],
[
305,
709,
36,
14
],
[
344,
709,
59,
14
],
[
69,
726,
33,
14
],
[
104,
726,
34,
14
],
[
141,
726,
49,
14
],
[
193,
726,
28,
14
],
[
224,
726,
25,
14
],
[
251,
726,
14,
14
],
[
268,
726,
68,
14
],
[
338,
726,
17,
14
],
[
358,
726,
45,
14
],
[
69,
743,
45,
14
],
[
116,
743,
11,
14
],
[
129,
743,
69,
14
],
[
200,
743,
55,
14
],
[
258,
743,
26,
14
],
[
286,
743,
45,
14
],
[
334,
743,
39,
14
],
[
374,
743,
28,
14
],
[
69,
759,
31,
14
],
[
105,
759,
20,
14
],
[
130,
759,
64,
14
],
[
199,
759,
36,
14
],
[
240,
759,
23,
14
],
[
268,
759,
12,
14
],
[
285,
759,
17,
14
],
[
307,
759,
24,
14
],
[
336,
759,
67,
14
],
[
69,
776,
12,
14
],
[
86,
776,
20,
14
],
[
110,
776,
58,
14
],
[
174,
776,
9,
14
],
[
188,
776,
29,
14
],
[
222,
776,
46,
14
],
[
272,
776,
10,
14
],
[
287,
776,
17,
14
],
[
309,
776,
30,
14
],
[
344,
776,
35,
14
],
[
383,
776,
20,
14
],
[
69,
793,
49,
14
],
[
120,
793,
34,
14
],
[
156,
793,
11,
14
],
[
170,
793,
50,
14
],
[
223,
793,
19,
14
],
[
244,
793,
83,
14
],
[
330,
793,
37,
14
],
[
369,
793,
34,
14
],
[
69,
809,
66,
14
],
[
139,
809,
10,
14
],
[
153,
809,
58,
14
],
[
214,
809,
68,
14
],
[
286,
809,
33,
14
],
[
323,
809,
8,
14
],
[
335,
809,
47,
14
],
[
386,
809,
17,
14
],
[
69,
826,
59,
14
],
[
130,
826,
11,
14
],
[
143,
826,
67,
14
],
[
212,
826,
35,
14
],
[
249,
826,
69,
14
],
[
320,
826,
19,
14
],
[
341,
826,
31,
14
],
[
373,
826,
30,
14
],
[
69,
843,
44,
14
],
[
118,
843,
20,
14
],
[
143,
843,
40,
14
],
[
188,
843,
32,
14
],
[
225,
843,
62,
14
],
[
291,
843,
10,
14
],
[
306,
843,
18,
14
],
[
329,
843,
36,
14
],
[
369,
843,
33,
14
],
[
69,
859,
69,
14
],
[
141,
859,
36,
14
],
[
181,
859,
43,
14
],
[
228,
859,
6,
14
],
[
237,
859,
51,
14
],
[
292,
859,
49,
14
],
[
344,
859,
23,
14
],
[
371,
859,
32,
14
],
[
69,
876,
54,
14
],
[
128,
876,
11,
14
],
[
144,
876,
38,
14
],
[
187,
876,
56,
14
],
[
248,
876,
11,
14
],
[
264,
876,
32,
14
],
[
301,
876,
41,
14
],
[
347,
876,
20,
14
],
[
371,
876,
31,
14
],
[
69,
893,
46,
14
],
[
117,
893,
10,
14
],
[
129,
893,
16,
14
],
[
146,
893,
30,
14
],
[
178,
893,
21,
14
],
[
201,
893,
10,
14
],
[
212,
893,
16,
14
],
[
230,
893,
29,
14
],
[
261,
893,
31,
14
],
[
295,
893,
10,
14
],
[
306,
893,
16,
14
],
[
324,
893,
29,
14
],
[
355,
893,
48,
14
],
[
69,
909,
10,
14
],
[
83,
909,
17,
14
],
[
104,
909,
35,
14
],
[
142,
909,
32,
14
],
[
178,
909,
57,
14
],
[
239,
909,
24,
14
],
[
267,
909,
11,
14
],
[
281,
909,
20,
14
],
[
305,
909,
35,
14
],
[
344,
909,
38,
14
],
[
386,
909,
17,
14
],
[
427,
576,
50,
14
],
[
480,
576,
38,
14
],
[
520,
576,
11,
14
],
[
534,
576,
16,
14
],
[
553,
576,
104,
14
],
[
659,
576,
102,
14
],
[
427,
593,
50,
14
],
[
480,
593,
13,
14
],
[
495,
593,
15,
14
],
[
513,
593,
47,
14
],
[
562,
593,
30,
14
],
[
595,
593,
20,
14
],
[
618,
593,
47,
14
],
[
667,
593,
38,
14
],
[
708,
593,
54,
14
],
[
427,
609,
11,
14
],
[
443,
609,
74,
14
],
[
521,
609,
14,
14
],
[
538,
609,
47,
14
],
[
589,
609,
39,
14
],
[
632,
609,
20,
14
],
[
656,
609,
28,
14
],
[
688,
609,
53,
14
],
[
745,
609,
16,
14
],
[
427,
626,
63,
14
],
[
495,
626,
14,
14
],
[
513,
626,
17,
14
],
[
534,
626,
21,
14
],
[
560,
626,
61,
14
],
[
626,
626,
10,
14
],
[
640,
626,
42,
14
],
[
687,
626,
38,
14
],
[
729,
626,
33,
14
],
[
427,
643,
42,
14
],
[
474,
643,
36,
14
],
[
514,
643,
30,
14
],
[
549,
643,
18,
14
],
[
571,
643,
25,
14
],
[
600,
643,
50,
14
],
[
654,
643,
40,
14
],
[
698,
643,
42,
14
],
[
744,
643,
17,
14
],
[
427,
659,
63,
14
],
[
493,
659,
61,
14
],
[
557,
659,
11,
14
],
[
571,
659,
72,
14
],
[
646,
659,
17,
14
],
[
666,
659,
18,
14
],
[
686,
659,
22,
14
],
[
711,
659,
25,
14
],
[
739,
659,
22,
14
],
[
427,
676,
31,
14
],
[
460,
676,
11,
14
],
[
472,
676,
35,
14
],
[
508,
676,
39,
14
],
[
548,
676,
40,
14
],
[
590,
676,
41,
14
],
[
632,
676,
42,
14
],
[
675,
676,
86,
14
],
[
427,
693,
11,
14
],
[
442,
693,
35,
14
],
[
479,
693,
40,
14
],
[
522,
693,
20,
14
],
[
545,
693,
32,
14
],
[
579,
693,
31,
14
],
[
612,
693,
26,
14
],
[
641,
693,
10,
14
],
[
654,
693,
17,
14
],
[
674,
693,
41,
14
],
[
457,
709,
11,
14
],
[
471,
709,
44,
14
],
[
518,
709,
11,
14
],
[
531,
709,
17,
14
],
[
551,
709,
25,
14
],
[
578,
709,
46,
14
],
[
627,
709,
37,
14
],
[
667,
709,
28,
14
],
[
697,
709,
38,
14
],
[
738,
709,
23,
14
],
[
427,
726,
26,
14
],
[
458,
726,
17,
14
],
[
479,
726,
57,
14
],
[
539,
726,
14,
14
],
[
557,
726,
30,
14
],
[
591,
726,
16,
14
],
[
611,
726,
46,
14
],
[
661,
726,
64,
14
],
[
728,
726,
11,
14
],
[
743,
726,
18,
14
],
[
427,
743,
46,
14
],
[
478,
743,
74,
14
],
[
556,
743,
52,
14
],
[
612,
743,
43,
14
],
[
659,
743,
46,
14
],
[
709,
743,
20,
14
],
[
733,
743,
28,
14
],
[
427,
759,
70,
14
],
[
500,
759,
19,
14
],
[
522,
759,
31,
14
],
[
555,
759,
30,
14
],
[
588,
759,
26,
14
],
[
617,
759,
10,
14
],
[
629,
759,
16,
14
],
[
648,
759,
36,
14
],
[
687,
759,
43,
14
],
[
732,
759,
10,
14
],
[
745,
759,
16,
14
],
[
427,
776,
30,
14
],
[
461,
776,
59,
14
],
[
524,
776,
10,
14
],
[
537,
776,
17,
14
],
[
557,
776,
30,
14
],
[
591,
776,
34,
14
],
[
629,
776,
10,
14
],
[
642,
776,
17,
14
],
[
662,
776,
35,
14
],
[
700,
776,
38,
14
],
[
742,
776,
20,
14
],
[
427,
793,
41,
14
],
[
473,
793,
24,
14
],
[
501,
793,
45,
14
],
[
550,
793,
11,
14
],
[
565,
793,
133,
14
],
[
703,
793,
58,
14
],
[
427,
809,
20,
14
],
[
450,
809,
35,
14
],
[
489,
809,
11,
14
],
[
503,
809,
35,
14
],
[
541,
809,
28,
14
],
[
572,
809,
43,
14
],
[
619,
809,
10,
14
],
[
632,
809,
58,
14
],
[
693,
809,
68,
14
],
[
427,
826,
9,
14
],
[
441,
826,
36,
14
],
[
482,
826,
11,
14
],
[
497,
826,
30,
14
],
[
531,
826,
69,
14
],
[
605,
826,
80,
14
],
[
689,
826,
36,
14
],
[
730,
826,
10,
14
],
[
745,
826,
17,
14
],
[
427,
843,
30,
14
],
[
460,
843,
21,
14
],
[
484,
843,
10,
14
],
[
496,
843,
17,
14
],
[
516,
843,
30,
14
],
[
549,
843,
50,
14
],
[
602,
843,
20,
14
],
[
624,
843,
43,
14
],
[
670,
843,
30,
14
],
[
704,
843,
58,
14
],
[
427,
859,
10,
14
],
[
441,
859,
17,
14
],
[
461,
859,
35,
14
],
[
499,
859,
31,
14
],
[
533,
859,
14,
14
],
[
550,
859,
17,
14
],
[
570,
859,
28,
14
],
[
601,
859,
30,
14
],
[
634,
859,
21,
14
],
[
659,
859,
11,
14
],
[
673,
859,
47,
14
],
[
723,
859,
38,
14
],
[
427,
876,
30,
14
],
[
461,
876,
47,
14
],
[
511,
876,
11,
14
],
[
526,
876,
55,
14
],
[
584,
876,
74,
14
],
[
661,
876,
25,
14
],
[
689,
876,
72,
14
],
[
427,
893,
18,
14
],
[
450,
893,
25,
14
],
[
479,
893,
73,
14
],
[
556,
893,
31,
14
],
[
591,
893,
10,
14
],
[
606,
893,
17,
14
],
[
626,
893,
37,
14
],
[
668,
893,
58,
14
],
[
730,
893,
10,
14
],
[
745,
893,
17,
14
],
[
427,
909,
30,
14
],
[
461,
909,
62,
14
],
[
526,
909,
10,
14
],
[
539,
909,
17,
14
],
[
558,
909,
35,
14
],
[
596,
909,
21,
14
],
[
620,
909,
38,
14
],
[
660,
909,
33,
14
],
[
697,
909,
9,
14
],
[
709,
909,
20,
14
],
[
732,
909,
29,
14
],
[
69,
948,
70,
10
],
[
141,
948,
8,
10
],
[
152,
948,
14,
10
],
[
169,
948,
16,
10
],
[
187,
948,
37,
10
],
[
227,
948,
115,
10
],
[
69,
964,
61,
10
],
[
135,
964,
21,
10
],
[
160,
964,
8,
10
],
[
172,
964,
15,
10
],
[
192,
964,
30,
10
],
[
225,
964,
40,
10
],
[
270,
964,
23,
10
],
[
296,
964,
22,
10
],
[
323,
964,
80,
10
],
[
69,
975,
32,
10
],
[
103,
975,
22,
10
],
[
127,
975,
54,
10
],
[
183,
975,
44,
10
],
[
228,
975,
39,
10
],
[
269,
975,
17,
10
],
[
288,
975,
63,
10
],
[
353,
975,
21,
10
],
[
375,
975,
27,
10
],
[
69,
986,
45,
10
],
[
116,
986,
43,
10
],
[
161,
986,
35,
10
],
[
199,
986,
43,
10
],
[
245,
986,
21,
10
],
[
268,
986,
43,
10
],
[
314,
986,
48,
10
],
[
427,
948,
7,
9
],
[
440,
948,
21,
9
],
[
466,
948,
19,
9
],
[
491,
948,
7,
9
],
[
503,
948,
10,
9
],
[
521,
948,
14,
9
],
[
541,
948,
23,
9
],
[
569,
948,
6,
9
],
[
580,
948,
38,
9
],
[
623,
948,
21,
9
],
[
650,
948,
11,
9
],
[
667,
948,
19,
9
],
[
691,
948,
7,
9
],
[
704,
948,
10,
9
],
[
719,
948,
42,
9
],
[
427,
958,
83,
9
],
[
513,
958,
35,
9
],
[
551,
958,
23,
9
],
[
577,
958,
17,
9
],
[
597,
958,
25,
9
],
[
625,
958,
10,
9
],
[
639,
958,
11,
9
],
[
653,
958,
13,
9
],
[
669,
958,
10,
9
],
[
682,
958,
26,
9
],
[
711,
958,
17,
9
],
[
731,
958,
11,
9
],
[
745,
958,
16,
9
],
[
427,
968,
27,
9
],
[
457,
968,
16,
9
],
[
477,
968,
15,
9
],
[
495,
968,
116,
9
],
[
614,
968,
18,
9
],
[
635,
968,
10,
9
],
[
648,
968,
26,
9
],
[
677,
968,
5,
9
],
[
685,
968,
6,
9
],
[
694,
968,
34,
9
],
[
731,
968,
21,
9
],
[
756,
968,
5,
9
],
[
427,
978,
31,
9
],
[
461,
978,
36,
9
],
[
500,
978,
26,
9
],
[
529,
978,
127,
9
],
[
659,
978,
19,
9
],
[
680,
978,
13,
9
],
[
697,
978,
34,
9
],
[
734,
978,
27,
9
],
[
427,
988,
9,
9
],
[
438,
988,
36,
9
],
[
476,
988,
7,
9
],
[
485,
988,
196,
9
],
[
69,
1031,
13,
9
],
[
84,
1031,
40,
9
],
[
125,
1031,
36,
9
],
[
163,
1031,
19,
9
],
[
190,
1031,
27,
9
],
[
69,
1043,
6,
9
],
[
77,
1043,
14,
9
],
[
93,
1043,
16,
9
],
[
111,
1043,
14,
9
],
[
127,
1043,
15,
9
],
[
144,
1043,
14,
9
],
[
159,
1043,
5,
9
],
[
172,
1043,
43,
9
],
[
69,
1054,
174,
9
],
[
742,
1054,
24,
9
],
[
776,
1054,
33,
9
]
] | [
"JCB:",
"Article",
"Y",
"G",
"O",
"L",
"O",
"I",
"B",
"L",
"L",
"E",
"C",
"F",
"O",
"L",
"A",
"N",
"R",
"U",
"O",
"J",
"E",
"H",
"T",
"Bub1",
"overexpression",
"induces",
"aneuploidy",
"and",
"tumor",
"formation",
"through",
"Aurora",
"B",
"kinase",
"hyperactivation",
"Robin",
"M.",
"Ricke,1",
"Karthik",
"B.",
"Jeganathan,1",
"and",
"Jan",
"M.",
"van",
"Deursen1,2",
"1Department",
"of",
"Pediatric",
"and",
"Adolescent",
"Medicine,",
"2Biochemistry",
"and",
"Molecular",
"Biology,",
"Mayo",
"Clinic,",
"Rochester,",
"MN",
"55905",
"H",
"been",
"observed",
"in",
"a",
"variety",
"of",
"human",
"tumors",
"and",
"igh",
"expression",
"of",
"the",
"protein",
"kinase",
"Bub1",
"has",
"often",
"correlates",
"with",
"poor",
"clinical",
"prognosis,",
"but",
"its",
"molecular",
"and",
"cellular",
"consequences",
"and",
"role",
"in",
"tu-",
"morigenesis",
"are",
"unknown.",
"Here,",
"we",
"demonstrate",
"that",
"overexpression",
"of",
"Bub1",
"in",
"mice",
"leads",
"to",
"near-diploid",
"an-",
"euploidies",
"and",
"tumor",
"formation.",
"We",
"found",
"that",
"chromo-",
"some",
"misalignment",
"and",
"lagging",
"are",
"the",
"primary",
"mitotic",
"errors",
"responsible",
"for",
"the",
"observed",
"aneuploidization.",
"High",
"Bub1",
"levels",
"resulted",
"in",
"aberrant",
"Bub1",
"kinase",
"activity",
"and",
"hyperactivation",
"of",
"Aurora",
"B",
"kinase.",
"When",
"Aurora",
"B",
"activity",
"is",
"suppressed,",
"pharmacologically",
"or",
"via",
"BubR1",
"overexpression,",
"chromosome",
"segregation",
"errors",
"caused",
"by",
"Bub1",
"overexpression",
"are",
"largely",
"corrected.",
"Impor-",
"tantly,",
"Bub1",
"transgenic",
"mice",
"overexpressing",
"Bub1",
"devel-",
"oped",
"various",
"kinds",
"of",
"spontaneous",
"tumors",
"and",
"showed",
"accelerated",
"Myc-induced",
"lymphomagenesis.",
"Our",
"results",
"establish",
"that",
"Bub1",
"has",
"oncogenic",
"properties",
"and",
"suggest",
"that",
"Aurora",
"B",
"is",
"a",
"critical",
"target",
"through",
"which",
"over-",
"expressed",
"Bub1",
"drives",
"aneuploidization",
"and",
"tumorigenesis.",
"Introduction",
"During",
"M",
"phase,",
"replicated",
"chromosomes",
"are",
"evenly",
"distributed",
"into",
"daughter",
"cells.",
"Inaccurate",
"chromosome",
"segregation",
"can",
"re-",
"sult",
"in",
"the",
"loss",
"or",
"gain",
"of",
"whole",
"chromosomes,",
"a",
"status",
"referred",
"to",
"as",
"aneuploidy",
"(Ricke",
"et",
"al.,",
"2008).",
"Aneuploidy",
"is",
"observed",
"in",
"80–90%",
"of",
"human",
"cancers",
"and",
"associated",
"with",
"poor",
"clinical",
"outcome,",
"but",
"its",
"role",
"in",
"malignant",
"cell",
"transformation",
"remains",
"ambiguous",
"(Holland",
"and",
"Cleveland,",
"2009;",
"Schvartzman",
"et",
"al.,",
"2010).",
"To",
"ensure",
"faithful",
"chromosome",
"segregation,",
"eukaryotic",
"cells",
"have",
"developed",
"a",
"surveillance",
"system,",
"the",
"mitotic",
"checkpoint,",
"which",
"delays",
"anaphase",
"onset",
"until",
"all",
"kinetochores",
"are",
"properly",
"attached",
"to",
"microtubules",
"emanating",
"from",
"opposite",
"spindle",
"poles",
"(Nezi",
"and",
"Musacchio,",
"2009).",
"One",
"of",
"the",
"core",
"components",
"of",
"this",
"checkpoint",
"is",
"Bub1",
"(Roberts",
"et",
"al.,",
"1994;",
"Taylor",
"and",
"McKeon,",
"1997).",
"In",
"prophase,",
"this",
"serine/threonine",
"protein",
"kinase",
"accumulates",
"at",
"unattached",
"kinetochores",
"where",
"it",
"mediates",
"the",
"recruitment",
"of",
"Mad1–Mad2",
"dimers",
"(Sharp-Baker",
"and",
"Chen,",
"2001;",
"Meraldi",
"and",
"Sorger,",
"2005;",
"Jeganathan",
"et",
"al.,",
"2007).",
"These",
"Mad1–Mad2",
"dimers",
"produce",
"a",
"diffusible",
"anaphase",
"wait",
"signal",
"consisting",
"of",
"protein",
"complexes",
"of",
"Bub3,",
"BubR1,",
"and",
"Mad2",
"(Sudakin",
"et",
"al.,",
"2001;",
"Luo",
"et",
"al.,",
"2002;",
"Sironi",
"et",
"al.,",
"2002;",
"Kulukian",
"et",
"al.,",
"2009).",
"These",
"complexes",
"bind",
"to",
"and",
"inhibit",
"Cdc20,",
"the",
"activating",
"subunit",
"of",
"the",
"anaphase-promoting",
"complex/cyclosome",
"(APC/C),",
"an",
"E3",
"ubiquitin",
"ligase",
"that",
"regulates",
"orderly",
"separation",
"of",
"chromosomes",
"by",
"targeting",
"various",
"cell",
"cycle",
"regulators",
"for",
"degradation",
"by",
"the",
"26S",
"proteasome",
"at",
"specific",
"mitotic",
"stages",
"(Peters,",
"2006).",
"Bub1",
"not",
"only",
"regulates",
"APC/C",
"activity",
"via",
"kinetochore",
"recruitment",
"of",
"Mad1–Mad2,",
"but",
"has",
"also",
"been",
"pro-",
"posed",
"to",
"inhibit",
"APC/C",
"activity",
"directly",
"through",
"phosphorylation",
"of",
"Cdc20",
"(Chung",
"and",
"Chen,",
"2003;",
"Tang",
"et",
"al.,",
"2004a).",
"In",
"addition",
"to",
"the",
"Mad",
"proteins,",
"several",
"other",
"mitotic",
"pro-",
"teins",
"are",
"dependent",
"on",
"Bub1",
"for",
"efficient",
"recruitment",
"to",
"un-",
"attached",
"kinetochores,",
"including",
"BubR1,",
"Cenp-E,",
"and",
"Sgo1",
"(Sharp-Baker",
"and",
"Chen,",
"2001;",
"Tang",
"et",
"al.,",
"2004b;",
"Morrow",
"et",
"al.,",
"2005;",
"Jeganathan",
"et",
"al.,",
"2007;",
"Perera",
"et",
"al.,",
"2007).",
"BubR1",
"and",
"Cenp-E",
"both",
"function",
"in",
"microtubule–kinetochore",
"attachment",
"and",
"failure",
"to",
"recruit",
"these",
"proteins",
"at",
"unattached",
"kinetochores",
"is",
"known",
"to",
"cause",
"chromosome",
"missegregation",
"(Wood",
"et",
"al.,",
"1997;",
"Yao",
"et",
"al.,",
"2000;",
"Lampson",
"and",
"Kapoor,",
"2005;",
"Malureanu",
"et",
"al.,",
"2009).",
"Sgo1,",
"on",
"the",
"other",
"hand,",
"acts",
"to",
"maintain",
"centro-",
"meric",
"cohesion",
"of",
"duplicated",
"chromosomes",
"until",
"bi-orientation",
"has",
"been",
"accomplished",
"(Tang",
"et",
"al.,",
"2004b;",
"Boyarchuk",
"et",
"al.,",
"2007;",
"Kawashima",
"et",
"al.,",
"2010).",
"The",
"current",
"model",
"is",
"that",
"Bub1",
"Correspondence",
"to",
"Jan",
"van",
"Deursen:",
"vandeursen.jan@mayo.edu",
"Abbreviations",
"used",
"in",
"this",
"paper:",
"CAGGS,",
"CMV",
"early",
"enhancer/chicken",
"-actin;",
"CPC,",
"chromosome",
"passenger",
"complex;",
"HA,",
"hemagglutinin;",
"MEF,",
"mouse",
"embryonic",
"fibroblast;",
"PMSCS,",
"premature",
"sister",
"chromatid",
"separation.",
"©",
"2011",
"Ricke",
"et",
"al.",
"This",
"article",
"is",
"distributed",
"under",
"the",
"terms",
"of",
"an",
"Attribution–",
"Noncommercial–Share",
"Alike–No",
"Mirror",
"Sites",
"license",
"for",
"the",
"first",
"six",
"months",
"after",
"the",
"pub-",
"lication",
"date",
"(see",
"http://www.rupress.org/terms).",
"After",
"six",
"months",
"it",
"is",
"available",
"under",
"a",
"Creative",
"Commons",
"License",
"(Attribution–Noncommercial–Share",
"Alike",
"3.0",
"Unported",
"license,",
"as",
"described",
"at",
"http://creativecommons.org/licenses/by-nc-sa/3.0/).",
"The",
"Rockefeller",
"University",
"Press",
"$30.00",
"J.",
"Cell",
"Biol.",
"Vol.",
"193",
"No.",
"6",
"1049–1064",
"www.jcb.org/cgi/doi/10.1083/jcb.201012035",
"JCB",
"1049"
] | [
16,
16,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
11,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
13,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
4
] |
3,036,746 | null | [
[
78,
47,
28,
12
],
[
109,
47,
9,
12
],
[
121,
47,
11,
12
],
[
135,
47,
31,
12
],
[
169,
47,
9,
12
],
[
181,
47,
32,
12
],
[
217,
47,
58,
12
],
[
278,
47,
18,
12
],
[
299,
47,
64,
12
],
[
366,
47,
25,
12
],
[
395,
47,
20,
12
],
[
78,
61,
220,
12
],
[
83,
128,
11,
18
],
[
96,
128,
10,
18
],
[
107,
128,
10,
18
],
[
119,
128,
10,
18
],
[
130,
128,
12,
18
],
[
144,
128,
11,
18
],
[
156,
128,
11,
18
],
[
169,
128,
13,
18
],
[
641,
128,
44,
18
],
[
691,
128,
53,
18
],
[
78,
169,
123,
34
],
[
211,
169,
211,
34
],
[
433,
169,
142,
34
],
[
585,
169,
90,
34
],
[
78,
205,
134,
34
],
[
222,
205,
94,
34
],
[
327,
205,
95,
34
],
[
432,
205,
107,
34
],
[
550,
205,
111,
34
],
[
78,
241,
107,
34
],
[
196,
241,
115,
34
],
[
320,
241,
51,
34
],
[
381,
241,
107,
34
],
[
499,
241,
164,
34
],
[
78,
288,
27,
16
],
[
109,
285,
42,
19
],
[
155,
288,
39,
16
],
[
199,
288,
26,
16
],
[
229,
288,
60,
16
],
[
294,
285,
66,
19
],
[
364,
288,
37,
16
],
[
405,
285,
69,
19
],
[
478,
288,
27,
16
],
[
509,
288,
9,
16
],
[
523,
285,
46,
19
],
[
573,
288,
18,
16
],
[
595,
285,
46,
19
],
[
78,
307,
62,
16
],
[
144,
307,
15,
16
],
[
164,
305,
49,
19
],
[
217,
307,
32,
16
],
[
254,
305,
59,
19
],
[
87,
361,
54,
15
],
[
87,
386,
76,
14
],
[
167,
387,
32,
14
],
[
203,
387,
68,
14
],
[
275,
387,
8,
14
],
[
288,
387,
14,
14
],
[
306,
387,
47,
14
],
[
358,
387,
48,
14
],
[
410,
387,
16,
14
],
[
429,
387,
35,
14
],
[
469,
387,
43,
14
],
[
516,
387,
22,
14
],
[
542,
387,
8,
14
],
[
555,
387,
19,
14
],
[
578,
387,
68,
14
],
[
649,
387,
33,
14
],
[
687,
387,
11,
14
],
[
702,
387,
31,
14
],
[
87,
403,
56,
14
],
[
147,
403,
40,
14
],
[
191,
403,
21,
14
],
[
216,
403,
56,
14
],
[
276,
403,
32,
14
],
[
312,
403,
28,
14
],
[
345,
403,
36,
14
],
[
385,
403,
27,
14
],
[
416,
403,
12,
14
],
[
432,
403,
40,
14
],
[
476,
403,
35,
14
],
[
516,
403,
54,
14
],
[
574,
403,
17,
14
],
[
595,
403,
67,
14
],
[
667,
403,
22,
14
],
[
693,
403,
35,
14
],
[
87,
420,
67,
14
],
[
158,
420,
93,
14
],
[
255,
419,
105,
15
],
[
364,
420,
45,
14
],
[
413,
420,
19,
14
],
[
437,
420,
30,
14
],
[
471,
420,
49,
14
],
[
524,
420,
11,
14
],
[
540,
420,
20,
14
],
[
564,
420,
50,
14
],
[
618,
420,
26,
14
],
[
648,
420,
12,
14
],
[
664,
420,
50,
14
],
[
87,
436,
48,
14
],
[
140,
436,
30,
14
],
[
174,
436,
34,
14
],
[
212,
436,
49,
14
],
[
265,
436,
19,
14
],
[
288,
436,
20,
14
],
[
312,
436,
62,
14
],
[
378,
436,
24,
14
],
[
406,
436,
11,
14
],
[
421,
436,
31,
14
],
[
456,
436,
70,
14
],
[
530,
436,
31,
14
],
[
566,
436,
15,
14
],
[
585,
436,
33,
14
],
[
621,
436,
40,
14
],
[
666,
436,
21,
14
],
[
691,
436,
21,
14
],
[
716,
436,
11,
14
],
[
87,
453,
20,
14
],
[
111,
453,
31,
14
],
[
146,
453,
22,
14
],
[
172,
453,
12,
14
],
[
188,
453,
47,
14
],
[
239,
453,
19,
14
],
[
262,
453,
56,
14
],
[
322,
453,
39,
14
],
[
365,
453,
11,
14
],
[
381,
453,
22,
14
],
[
407,
453,
52,
14
],
[
463,
453,
15,
14
],
[
483,
453,
45,
14
],
[
532,
453,
47,
14
],
[
583,
453,
45,
14
],
[
632,
453,
48,
14
],
[
684,
453,
21,
14
],
[
87,
470,
45,
14
],
[
137,
470,
69,
14
],
[
209,
470,
38,
14
],
[
87,
490,
56,
14
],
[
148,
490,
21,
14
],
[
173,
490,
93,
14
],
[
270,
490,
22,
14
],
[
296,
490,
17,
14
],
[
318,
490,
12,
14
],
[
333,
490,
22,
14
],
[
360,
490,
52,
14
],
[
416,
490,
28,
14
],
[
448,
490,
35,
14
],
[
487,
490,
12,
14
],
[
503,
490,
86,
14
],
[
593,
490,
37,
14
],
[
635,
490,
40,
14
],
[
679,
490,
29,
14
],
[
87,
507,
30,
14
],
[
122,
507,
35,
14
],
[
161,
507,
21,
14
],
[
187,
507,
14,
14
],
[
205,
507,
38,
14
],
[
247,
507,
41,
14
],
[
292,
507,
11,
14
],
[
307,
507,
45,
14
],
[
357,
507,
47,
14
],
[
407,
507,
45,
14
],
[
457,
507,
48,
14
],
[
509,
507,
21,
14
],
[
535,
507,
45,
14
],
[
584,
507,
71,
14
],
[
659,
507,
26,
14
],
[
689,
507,
19,
14
],
[
87,
524,
81,
14
],
[
173,
524,
58,
14
],
[
234,
524,
46,
14
],
[
284,
524,
11,
14
],
[
299,
524,
19,
14
],
[
322,
524,
34,
14
],
[
360,
524,
14,
14
],
[
378,
524,
19,
14
],
[
400,
524,
73,
14
],
[
477,
524,
67,
14
],
[
549,
524,
28,
14
],
[
581,
524,
54,
14
],
[
639,
524,
14,
14
],
[
657,
524,
70,
14
],
[
87,
540,
22,
14
],
[
113,
540,
69,
14
],
[
186,
540,
46,
14
],
[
236,
540,
66,
14
],
[
87,
561,
46,
14
],
[
137,
561,
21,
14
],
[
163,
561,
28,
14
],
[
195,
561,
38,
14
],
[
237,
561,
88,
14
],
[
329,
561,
54,
14
],
[
387,
560,
271,
15
],
[
662,
561,
59,
14
],
[
87,
578,
22,
14
],
[
113,
578,
7,
14
],
[
124,
578,
32,
16
],
[
160,
578,
11,
14
],
[
175,
578,
7,
14
],
[
186,
577,
34,
15
],
[
225,
578,
15,
14
],
[
245,
578,
12,
14
],
[
261,
578,
40,
14
],
[
306,
578,
35,
14
],
[
345,
578,
21,
14
],
[
370,
578,
32,
16
],
[
406,
578,
41,
14
],
[
451,
578,
27,
14
],
[
482,
578,
7,
14
],
[
493,
577,
34,
15
],
[
532,
578,
12,
14
],
[
548,
578,
7,
14
],
[
559,
577,
37,
15
],
[
600,
578,
48,
14
],
[
652,
578,
45,
14
],
[
701,
578,
11,
14
],
[
87,
594,
10,
14
],
[
102,
594,
44,
14
],
[
150,
594,
40,
14
],
[
194,
594,
25,
14
],
[
223,
594,
7,
14
],
[
234,
594,
34,
15
],
[
273,
594,
11,
14
],
[
288,
594,
52,
14
],
[
344,
594,
44,
14
],
[
392,
594,
38,
14
],
[
435,
594,
76,
14
],
[
515,
594,
60,
14
],
[
579,
594,
52,
14
],
[
635,
594,
14,
14
],
[
653,
594,
21,
14
],
[
678,
594,
11,
14
],
[
694,
594,
19,
14
],
[
717,
594,
22,
14
],
[
87,
611,
49,
14
],
[
140,
611,
15,
14
],
[
159,
611,
68,
14
],
[
231,
611,
11,
14
],
[
247,
611,
19,
14
],
[
270,
611,
39,
14
],
[
313,
611,
61,
14
],
[
379,
611,
27,
14
],
[
410,
611,
19,
14
],
[
433,
611,
35,
14
],
[
472,
611,
19,
14
],
[
495,
611,
25,
14
],
[
524,
611,
14,
14
],
[
542,
611,
75,
14
],
[
621,
611,
11,
14
],
[
637,
611,
29,
14
],
[
670,
611,
42,
14
],
[
716,
611,
11,
14
],
[
87,
627,
19,
14
],
[
110,
627,
63,
14
],
[
178,
627,
39,
14
],
[
220,
627,
15,
14
],
[
240,
627,
51,
14
],
[
294,
627,
11,
14
],
[
310,
627,
28,
14
],
[
342,
627,
83,
14
],
[
429,
627,
48,
14
],
[
481,
627,
22,
14
],
[
507,
627,
14,
14
],
[
525,
627,
66,
14
],
[
595,
627,
53,
14
],
[
652,
627,
19,
14
],
[
675,
627,
20,
14
],
[
700,
627,
21,
14
],
[
87,
644,
19,
14
],
[
110,
644,
22,
14
],
[
137,
644,
53,
14
],
[
194,
644,
11,
14
],
[
209,
644,
49,
14
],
[
262,
644,
70,
14
],
[
336,
644,
64,
14
],
[
404,
644,
11,
14
],
[
420,
644,
24,
14
],
[
448,
644,
44,
14
],
[
496,
644,
25,
14
],
[
525,
644,
22,
14
],
[
551,
644,
22,
14
],
[
576,
644,
44,
14
],
[
625,
644,
14,
14
],
[
643,
644,
75,
14
],
[
723,
644,
11,
14
],
[
87,
661,
24,
14
],
[
116,
661,
45,
14
],
[
165,
661,
11,
14
],
[
180,
661,
19,
14
],
[
203,
661,
57,
14
],
[
264,
661,
11,
14
],
[
280,
661,
40,
14
],
[
324,
661,
36,
14
],
[
364,
661,
42,
14
],
[
410,
661,
44,
14
],
[
459,
661,
25,
14
],
[
488,
661,
27,
14
],
[
519,
661,
47,
14
],
[
570,
661,
19,
14
],
[
593,
661,
65,
14
],
[
662,
661,
11,
14
],
[
87,
677,
66,
14
],
[
157,
677,
29,
14
],
[
190,
677,
28,
14
],
[
222,
677,
44,
14
],
[
270,
677,
7,
14
],
[
280,
677,
43,
14
],
[
327,
677,
12,
14
],
[
344,
677,
25,
14
],
[
373,
677,
22,
14
],
[
399,
677,
36,
14
],
[
87,
698,
70,
14
],
[
161,
698,
33,
14
],
[
198,
698,
51,
14
],
[
253,
698,
19,
14
],
[
276,
698,
25,
14
],
[
305,
698,
71,
14
],
[
380,
698,
22,
14
],
[
406,
698,
88,
14
],
[
499,
698,
59,
14
],
[
562,
698,
31,
14
],
[
598,
698,
15,
14
],
[
616,
698,
33,
14
],
[
654,
698,
12,
14
],
[
669,
698,
24,
14
],
[
87,
714,
67,
14
],
[
159,
714,
15,
14
],
[
178,
714,
19,
14
],
[
201,
714,
41,
14
],
[
247,
714,
50,
14
],
[
301,
714,
11,
14
],
[
317,
714,
25,
14
],
[
345,
714,
56,
14
],
[
405,
714,
34,
14
],
[
78,
760,
77,
15
],
[
78,
778,
68,
14
],
[
151,
778,
9,
14
],
[
165,
778,
19,
14
],
[
188,
778,
29,
14
],
[
222,
778,
52,
14
],
[
279,
778,
37,
14
],
[
320,
778,
56,
14
],
[
381,
778,
9,
14
],
[
394,
778,
10,
14
],
[
78,
794,
34,
14
],
[
117,
794,
14,
14
],
[
136,
794,
26,
14
],
[
166,
794,
19,
14
],
[
189,
794,
37,
14
],
[
230,
794,
51,
14
],
[
286,
794,
24,
14
],
[
315,
794,
43,
14
],
[
362,
794,
18,
14
],
[
385,
794,
19,
14
],
[
78,
811,
37,
14
],
[
120,
811,
29,
14
],
[
154,
811,
52,
14
],
[
210,
811,
94,
14
],
[
309,
811,
35,
14
],
[
348,
811,
12,
14
],
[
365,
811,
39,
14
],
[
78,
827,
40,
14
],
[
123,
827,
57,
14
],
[
184,
827,
22,
14
],
[
211,
827,
18,
14
],
[
233,
827,
67,
14
],
[
305,
827,
54,
14
],
[
364,
827,
40,
14
],
[
78,
844,
48,
14
],
[
131,
844,
72,
14
],
[
208,
844,
18,
14
],
[
231,
844,
26,
14
],
[
262,
844,
45,
14
],
[
312,
844,
25,
14
],
[
342,
844,
28,
14
],
[
375,
844,
29,
14
],
[
78,
861,
50,
14
],
[
133,
861,
13,
14
],
[
151,
861,
69,
14
],
[
225,
861,
123,
14
],
[
353,
861,
50,
14
],
[
78,
900,
5,
11
],
[
86,
900,
70,
11
],
[
159,
900,
82,
11
],
[
78,
911,
52,
13
],
[
133,
913,
11,
11
],
[
147,
913,
33,
11
],
[
183,
913,
29,
11
],
[
215,
913,
11,
11
],
[
229,
913,
33,
11
],
[
265,
913,
34,
11
],
[
303,
913,
11,
11
],
[
316,
913,
33,
11
],
[
353,
913,
25,
11
],
[
78,
925,
30,
11
],
[
112,
925,
22,
11
],
[
137,
925,
54,
11
],
[
194,
925,
31,
11
],
[
228,
925,
12,
11
],
[
242,
925,
13,
11
],
[
259,
925,
11,
11
],
[
273,
925,
32,
11
],
[
307,
925,
34,
11
],
[
345,
925,
25,
11
],
[
373,
925,
31,
11
],
[
78,
937,
21,
11
],
[
102,
937,
17,
11
],
[
122,
937,
23,
11
],
[
148,
937,
8,
11
],
[
159,
937,
17,
11
],
[
179,
937,
31,
11
],
[
213,
937,
29,
11
],
[
245,
937,
53,
11
],
[
301,
937,
47,
11
],
[
351,
937,
13,
11
],
[
367,
937,
11,
11
],
[
78,
950,
44,
11
],
[
125,
950,
22,
11
],
[
78,
962,
15,
11
],
[
96,
962,
12,
11
],
[
111,
962,
9,
11
],
[
123,
962,
28,
11
],
[
153,
962,
49,
11
],
[
205,
962,
6,
11
],
[
215,
962,
36,
11
],
[
254,
962,
8,
11
],
[
265,
962,
14,
11
],
[
282,
962,
17,
11
],
[
302,
962,
9,
11
],
[
313,
962,
14,
11
],
[
330,
962,
25,
11
],
[
423,
761,
59,
14
],
[
486,
761,
55,
14
],
[
545,
761,
21,
14
],
[
571,
761,
48,
14
],
[
623,
761,
46,
14
],
[
673,
761,
45,
14
],
[
723,
761,
25,
14
],
[
423,
778,
44,
14
],
[
471,
778,
19,
14
],
[
495,
778,
51,
14
],
[
550,
778,
36,
14
],
[
590,
778,
56,
14
],
[
650,
778,
18,
14
],
[
672,
778,
52,
14
],
[
728,
778,
20,
14
],
[
423,
794,
33,
14
],
[
465,
794,
13,
14
],
[
486,
794,
54,
14
],
[
550,
794,
23,
14
],
[
582,
794,
28,
14
],
[
619,
794,
13,
14
],
[
641,
794,
33,
14
],
[
683,
794,
41,
14
],
[
733,
794,
15,
14
],
[
423,
811,
71,
14
],
[
498,
811,
56,
14
],
[
559,
811,
24,
14
],
[
588,
811,
12,
14
],
[
605,
811,
27,
14
],
[
636,
811,
25,
14
],
[
666,
811,
20,
14
],
[
691,
811,
57,
14
],
[
423,
827,
50,
14
],
[
477,
827,
47,
14
],
[
529,
827,
9,
14
],
[
542,
827,
18,
14
],
[
565,
827,
40,
14
],
[
609,
827,
29,
14
],
[
642,
827,
58,
14
],
[
704,
827,
44,
14
],
[
423,
844,
29,
14
],
[
457,
844,
32,
14
],
[
494,
844,
51,
14
],
[
551,
844,
33,
14
],
[
589,
844,
69,
14
],
[
662,
844,
17,
14
],
[
685,
844,
31,
14
],
[
721,
844,
27,
14
],
[
423,
861,
22,
14
],
[
449,
861,
12,
14
],
[
465,
861,
63,
14
],
[
533,
861,
33,
14
],
[
570,
861,
19,
14
],
[
593,
861,
55,
14
],
[
653,
861,
12,
14
],
[
669,
861,
31,
14
],
[
704,
861,
44,
14
],
[
423,
877,
26,
14
],
[
453,
877,
12,
14
],
[
469,
877,
50,
14
],
[
523,
877,
73,
14
],
[
600,
877,
21,
14
],
[
626,
877,
50,
14
],
[
679,
877,
55,
14
],
[
739,
877,
9,
14
],
[
423,
894,
58,
14
],
[
484,
894,
19,
14
],
[
434,
910,
31,
14
],
[
469,
910,
44,
14
],
[
518,
910,
54,
14
],
[
576,
910,
12,
14
],
[
593,
910,
28,
14
],
[
625,
910,
37,
14
],
[
667,
910,
58,
14
],
[
730,
910,
18,
14
],
[
423,
927,
32,
14
],
[
460,
927,
15,
14
],
[
479,
927,
59,
14
],
[
542,
927,
36,
14
],
[
582,
927,
61,
14
],
[
648,
927,
73,
14
],
[
725,
927,
23,
14
],
[
423,
944,
30,
14
],
[
457,
944,
63,
14
],
[
526,
944,
28,
14
],
[
558,
944,
41,
14
],
[
604,
944,
12,
14
],
[
621,
944,
61,
14
],
[
686,
944,
38,
14
],
[
730,
944,
19,
14
],
[
248,
987,
7,
10
],
[
256,
987,
18,
10
],
[
277,
987,
22,
10
],
[
301,
987,
8,
10
],
[
311,
987,
8,
10
],
[
322,
987,
30,
10
],
[
354,
987,
29,
10
],
[
385,
987,
27,
10
],
[
415,
987,
14,
10
],
[
431,
987,
15,
10
],
[
448,
987,
6,
10
],
[
456,
987,
10,
10
],
[
468,
987,
21,
10
],
[
491,
987,
25,
10
],
[
519,
987,
23,
10
],
[
544,
987,
41,
10
],
[
587,
987,
23,
10
],
[
612,
987,
13,
10
],
[
627,
987,
21,
10
],
[
651,
987,
8,
10
],
[
661,
987,
13,
10
],
[
676,
987,
31,
10
],
[
709,
987,
39,
10
],
[
248,
998,
41,
10
],
[
291,
998,
28,
10
],
[
322,
998,
171,
10
],
[
496,
998,
23,
10
],
[
522,
998,
29,
10
],
[
553,
998,
45,
10
],
[
601,
998,
15,
10
],
[
618,
998,
45,
10
],
[
666,
998,
15,
10
],
[
683,
998,
49,
10
],
[
736,
998,
7,
10
],
[
248,
1009,
14,
10
],
[
264,
1009,
34,
10
],
[
300,
1009,
34,
10
],
[
337,
1009,
13,
10
],
[
352,
1009,
28,
10
],
[
384,
1009,
19,
10
],
[
405,
1009,
6,
10
],
[
414,
1009,
32,
10
],
[
448,
1009,
21,
10
]
] | [
"Ishida",
"et",
"al.",
"Annals",
"of",
"Clinical",
"Microbiology",
"and",
"Antimicrobials",
"2011,",
"10:3",
"http://www.ann-clinmicrob.com/content/10/1/3",
"R",
"E",
"S",
"E",
"A",
"R",
"C",
"H",
"Open",
"Access",
"Synthetic",
"arylquinuclidine",
"derivatives",
"exhibit",
"antifungal",
"activity",
"against",
"Candida",
"albicans,",
"Candida",
"tropicalis",
"and",
"Candida",
"parapsilopsis",
"Kelly",
"Ishida1,",
"Juliany",
"Cola",
"Fernandes",
"Rodrigues2,",
"Simon",
"Cammerer3,",
"Julio",
"A",
"Urbina4,",
"Ian",
"Gilbert3,",
"Wanderley",
"de",
"Souza2,5,",
"Sonia",
"Rozental1*",
"Abstract",
"Background:",
"Sterol",
"biosynthesis",
"is",
"an",
"essential",
"pathway",
"for",
"fungal",
"survival,",
"and",
"is",
"the",
"biochemical",
"target",
"of",
"many",
"antifungal",
"agents.",
"The",
"antifungal",
"drugs",
"most",
"widely",
"used",
"to",
"treated",
"fungal",
"infections",
"are",
"compounds",
"that",
"inhibit",
"cytochrome",
"P450-dependent",
"C14a-demethylase",
"(CYP51),",
"but",
"other",
"enzymes",
"of",
"this",
"pathway,",
"such",
"as",
"squalene",
"synthase",
"(SQS)",
"which",
"catalyses",
"the",
"first",
"committed",
"step",
"in",
"sterol",
"biosynthesis,",
"could",
"be",
"viable",
"targets.",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"evaluate",
"the",
"antifungal",
"activity",
"of",
"SQS",
"inhibitors",
"on",
"Candida",
"albicans,",
"Candida",
"tropicalis",
"and",
"Candida",
"parapsilopsis",
"strains.",
"Methods:",
"Ten",
"arylquinuclidines",
"that",
"act",
"as",
"SQS",
"inhibitors",
"were",
"tested",
"as",
"antiproliferative",
"agents",
"against",
"three",
"ATCC",
"strains",
"and",
"54",
"clinical",
"isolates",
"of",
"Candida",
"albicans,",
"Candida",
"tropicalis",
"and",
"Candida",
"parapsilopsis.",
"Also,",
"the",
"morphological",
"alterations",
"induced",
"in",
"the",
"yeasts",
"by",
"the",
"experimental",
"compounds",
"were",
"evaluated",
"by",
"fluorescence",
"and",
"transmission",
"electron",
"microscopy.",
"Results:",
"The",
"most",
"potent",
"arylquinuclidine",
"derivative",
"(3-[1’-{4’-(benzyloxy)-phenyl}]-quinuclidine-2-ene)",
"(WSP1267)",
"had",
"a",
"MIC50",
"of",
"2",
"μg/ml",
"for",
"all",
"species",
"tested",
"and",
"MIC90",
"varying",
"from",
"4",
"μg/ml",
"to",
"8",
"μg/ml.",
"Ultrathin",
"sections",
"of",
"C.",
"albicans",
"treated",
"with",
"1",
"μg/ml",
"of",
"WSP1267",
"showed",
"several",
"ultrastructural",
"alterations,",
"including",
"(a)",
"loss",
"of",
"cell",
"wall",
"integrity,",
"(b)",
"detachment",
"of",
"the",
"plasma",
"membrane",
"from",
"the",
"fungal",
"cell",
"wall,",
"(c)",
"accumulation",
"of",
"small",
"vesicles",
"in",
"the",
"periplasmic",
"region,",
"(d)",
"presence",
"of",
"large",
"electron-dense",
"vacuoles",
"and",
"(e)",
"significantly",
"increased",
"cell",
"size",
"and",
"cell",
"wall",
"thickness.",
"In",
"addition,",
"fluorescence",
"microscopy",
"of",
"cells",
"labelled",
"with",
"Nile",
"Red",
"showed",
"an",
"accumulation",
"of",
"lipid",
"droplets",
"in",
"the",
"cytoplasm",
"of",
"treated",
"yeasts.",
"Nuclear",
"staining",
"with",
"DAPI",
"revealed",
"the",
"appearance",
"of",
"uncommon",
"yeast",
"buds",
"without",
"a",
"nucleus",
"or",
"with",
"two",
"nuclei.",
"Conclusion:",
"Taken",
"together,",
"our",
"data",
"demonstrate",
"that",
"arylquinuclidine",
"derivatives",
"could",
"be",
"useful",
"as",
"lead",
"compounds",
"for",
"the",
"rational",
"synthesis",
"of",
"new",
"antifungal",
"drugs.",
"Background",
"Candidiasis",
"is",
"the",
"most",
"common",
"fungal",
"infection;",
"it",
"is",
"found",
"all",
"over",
"the",
"world.",
"Candida",
"spp.",
"isolates",
"are",
"the",
"fourth",
"most",
"common",
"microorganisms",
"found",
"in",
"blood-",
"stream",
"infections",
"and",
"are",
"particularly",
"prevalent",
"among",
"patients",
"hospitalised",
"for",
"long",
"periods",
"who",
"have",
"been",
"exposed",
"to",
"antibiotics,",
"immunosuppressive",
"therapy,",
"*",
"Correspondence:",
"rozental@biof.ufrj.br",
"1Laboratório",
"de",
"Biologia",
"Celular",
"de",
"Fungos,",
"Instituto",
"de",
"Biofísica",
"Carlos",
"Chagas",
"Filho,",
"Universidade",
"Federal",
"do",
"Rio",
"de",
"Janeiro,",
"Avenida",
"Carlos",
"Chagas",
"Filho",
"373,",
"Bloco",
"C,",
"Sala",
"C0-026,",
"Cidade",
"Universitária,",
"21.941-902,",
"Rio",
"de",
"Janeiro/RJ,",
"Brazil",
"Full",
"list",
"of",
"author",
"information",
"is",
"available",
"at",
"the",
"end",
"of",
"the",
"article",
"parenteral",
"nutrition,",
"and",
"multiple",
"invasive",
"medical",
"pro-",
"cedures",
"[1].",
"Systemic",
"fungal",
"infections",
"are",
"generally",
"dif-",
"ficult",
"to",
"diagnose",
"and",
"hard",
"to",
"treat,",
"having",
"an",
"attributable",
"mortality",
"rate",
"of",
"near",
"40%",
"[1].",
"Although",
"Candida",
"albicans",
"is",
"the",
"species",
"most",
"frequently",
"isolated",
"from",
"those",
"patients,",
"being",
"responsible",
"for",
"more",
"than",
"half",
"of",
"candidiasis",
"cases,",
"the",
"incidence",
"of",
"other",
"species,",
"such",
"as",
"Candida",
"parapsilopsis",
"and",
"Candida",
"tropicalis,",
"is",
"increasing",
"[2].",
"Most",
"current",
"therapies",
"to",
"treat",
"fungal",
"infections",
"are",
"based",
"on",
"disrupting",
"fungal",
"membrane",
"homeostasis.",
"The",
"most",
"commonly",
"used",
"groups",
"of",
"antifungal",
"agents",
"are",
"©",
"2011",
"Ishida",
"et",
"al;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"Open",
"Access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited."
] | [
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
16,
16,
16,
16,
16,
16,
16,
16,
9,
9,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9
] |
2,150,790 | null | [
[
56,
35,
77,
45
],
[
81,
59,
58,
20
],
[
69,
113,
131,
30
],
[
207,
113,
26,
30
],
[
241,
113,
77,
30
],
[
325,
113,
109,
30
],
[
441,
113,
102,
30
],
[
551,
113,
80,
30
],
[
639,
113,
109,
30
],
[
69,
147,
105,
30
],
[
182,
147,
26,
30
],
[
215,
147,
143,
30
],
[
366,
147,
57,
30
],
[
431,
147,
30,
30
],
[
469,
147,
117,
30
],
[
594,
147,
156,
30
],
[
69,
209,
48,
16
],
[
120,
207,
75,
18
],
[
198,
209,
68,
16
],
[
270,
207,
55,
18
],
[
327,
209,
41,
16
],
[
372,
207,
47,
18
],
[
421,
209,
87,
16
],
[
511,
207,
65,
18
],
[
579,
209,
24,
16
],
[
606,
209,
56,
16
],
[
666,
207,
87,
18
],
[
69,
237,
67,
16
],
[
138,
239,
142,
14
],
[
283,
239,
67,
14
],
[
353,
239,
37,
14
],
[
393,
239,
47,
14
],
[
443,
239,
13,
14
],
[
459,
239,
10,
14
],
[
471,
239,
56,
14
],
[
530,
239,
67,
14
],
[
600,
239,
40,
14
],
[
643,
239,
40,
14
],
[
686,
239,
13,
14
],
[
702,
239,
56,
14
],
[
74,
255,
67,
14
],
[
144,
255,
35,
14
],
[
182,
255,
29,
14
],
[
215,
255,
36,
14
],
[
69,
269,
67,
16
],
[
139,
271,
13,
14
],
[
155,
271,
80,
14
],
[
237,
271,
40,
14
],
[
280,
271,
47,
14
],
[
331,
271,
13,
14
],
[
347,
271,
10,
14
],
[
360,
271,
30,
14
],
[
392,
271,
10,
14
],
[
405,
271,
13,
14
],
[
421,
271,
10,
14
],
[
434,
271,
56,
14
],
[
493,
271,
53,
14
],
[
549,
271,
39,
14
],
[
590,
271,
13,
14
],
[
606,
271,
53,
14
],
[
662,
271,
84,
14
],
[
74,
287,
48,
14
],
[
125,
287,
35,
14
],
[
163,
287,
29,
14
],
[
195,
287,
36,
14
],
[
69,
351,
65,
58
],
[
140,
370,
12,
14
],
[
158,
370,
60,
14
],
[
223,
370,
41,
14
],
[
270,
370,
34,
14
],
[
310,
370,
32,
14
],
[
348,
370,
55,
14
],
[
97,
354,
28,
14
],
[
131,
354,
9,
14
],
[
146,
354,
7,
14
],
[
159,
354,
47,
14
],
[
212,
354,
45,
14
],
[
263,
354,
36,
14
],
[
305,
354,
57,
14
],
[
368,
354,
11,
14
],
[
385,
354,
18,
14
],
[
97,
386,
36,
14
],
[
139,
386,
10,
14
],
[
154,
386,
54,
14
],
[
214,
386,
51,
14
],
[
271,
386,
12,
14
],
[
288,
386,
22,
14
],
[
315,
386,
87,
14
],
[
69,
402,
74,
14
],
[
150,
402,
22,
14
],
[
179,
402,
34,
14
],
[
220,
402,
43,
14
],
[
271,
402,
22,
14
],
[
300,
402,
51,
14
],
[
359,
402,
14,
14
],
[
380,
402,
22,
14
],
[
69,
418,
91,
14
],
[
163,
418,
25,
14
],
[
193,
418,
18,
14
],
[
215,
418,
30,
14
],
[
248,
418,
52,
14
],
[
305,
418,
12,
14
],
[
320,
418,
18,
14
],
[
342,
418,
38,
14
],
[
383,
418,
20,
14
],
[
69,
434,
30,
14
],
[
102,
434,
25,
14
],
[
129,
434,
21,
14
],
[
154,
434,
24,
14
],
[
180,
434,
13,
14
],
[
196,
434,
85,
14
],
[
284,
434,
51,
14
],
[
338,
434,
11,
14
],
[
351,
434,
51,
14
],
[
69,
450,
70,
14
],
[
145,
450,
26,
14
],
[
176,
450,
64,
14
],
[
246,
450,
26,
14
],
[
278,
450,
44,
14
],
[
328,
450,
38,
14
],
[
371,
450,
32,
14
],
[
69,
465,
66,
14
],
[
139,
465,
22,
14
],
[
165,
465,
45,
14
],
[
214,
465,
65,
14
],
[
284,
465,
11,
14
],
[
300,
465,
34,
14
],
[
338,
465,
65,
14
],
[
69,
481,
18,
14
],
[
90,
481,
48,
14
],
[
141,
481,
50,
14
],
[
194,
481,
53,
14
],
[
250,
481,
39,
14
],
[
292,
481,
18,
14
],
[
313,
481,
90,
14
],
[
69,
497,
32,
14
],
[
107,
497,
20,
14
],
[
132,
497,
18,
14
],
[
155,
497,
43,
14
],
[
204,
497,
67,
14
],
[
277,
497,
11,
14
],
[
294,
497,
18,
14
],
[
317,
497,
24,
14
],
[
347,
497,
56,
14
],
[
69,
513,
34,
14
],
[
110,
513,
12,
14
],
[
129,
513,
38,
14
],
[
174,
513,
28,
14
],
[
209,
513,
45,
14
],
[
261,
513,
11,
14
],
[
280,
513,
46,
14
],
[
332,
513,
30,
14
],
[
369,
513,
34,
14
],
[
69,
529,
93,
14
],
[
171,
529,
47,
14
],
[
227,
529,
14,
14
],
[
251,
529,
14,
14
],
[
275,
529,
70,
14
],
[
354,
529,
49,
14
],
[
69,
545,
46,
14
],
[
118,
545,
25,
14
],
[
147,
545,
16,
14
],
[
166,
545,
18,
14
],
[
188,
545,
36,
14
],
[
228,
545,
16,
14
],
[
248,
545,
22,
14
],
[
274,
545,
30,
14
],
[
307,
545,
11,
14
],
[
322,
545,
13,
14
],
[
339,
545,
64,
14
],
[
427,
354,
60,
14
],
[
493,
354,
45,
14
],
[
544,
354,
56,
14
],
[
605,
354,
12,
14
],
[
623,
354,
33,
14
],
[
662,
354,
34,
14
],
[
702,
354,
37,
14
],
[
745,
354,
16,
14
],
[
427,
370,
41,
14
],
[
475,
370,
44,
14
],
[
525,
370,
50,
14
],
[
580,
370,
82,
14
],
[
669,
370,
22,
14
],
[
697,
370,
64,
14
],
[
427,
386,
26,
14
],
[
457,
386,
44,
14
],
[
505,
386,
49,
14
],
[
558,
386,
96,
14
],
[
658,
386,
28,
14
],
[
690,
386,
71,
14
],
[
427,
402,
82,
14
],
[
514,
402,
12,
14
],
[
531,
402,
34,
14
],
[
570,
402,
69,
14
],
[
644,
402,
57,
14
],
[
706,
402,
55,
14
],
[
427,
418,
12,
14
],
[
444,
418,
26,
14
],
[
476,
418,
29,
14
],
[
510,
418,
87,
14
],
[
602,
418,
22,
14
],
[
630,
418,
18,
14
],
[
653,
418,
54,
14
],
[
713,
418,
48,
14
],
[
427,
434,
36,
14
],
[
467,
434,
48,
14
],
[
519,
434,
50,
14
],
[
573,
434,
31,
14
],
[
607,
434,
62,
14
],
[
673,
434,
20,
14
],
[
697,
434,
36,
14
],
[
737,
434,
24,
14
],
[
427,
450,
25,
14
],
[
456,
450,
25,
14
],
[
484,
450,
38,
14
],
[
526,
450,
22,
14
],
[
552,
450,
34,
14
],
[
590,
450,
47,
14
],
[
641,
450,
14,
14
],
[
658,
450,
47,
14
],
[
710,
450,
52,
14
],
[
427,
465,
11,
14
],
[
442,
465,
7,
14
],
[
452,
465,
96,
14
],
[
551,
465,
34,
14
],
[
588,
465,
55,
14
],
[
646,
465,
42,
14
],
[
691,
465,
11,
14
],
[
706,
465,
16,
14
],
[
725,
465,
36,
14
],
[
427,
481,
90,
14
],
[
520,
481,
21,
14
],
[
544,
481,
57,
14
],
[
603,
481,
23,
14
],
[
629,
481,
49,
14
],
[
681,
481,
11,
14
],
[
695,
481,
66,
14
],
[
427,
497,
26,
14
],
[
460,
497,
19,
14
],
[
486,
497,
101,
14
],
[
594,
497,
87,
14
],
[
687,
497,
12,
14
],
[
706,
497,
19,
14
],
[
732,
497,
30,
14
],
[
427,
513,
75,
14
],
[
506,
513,
9,
14
],
[
520,
513,
48,
14
],
[
572,
513,
16,
14
],
[
591,
513,
18,
14
],
[
614,
513,
46,
14
],
[
663,
513,
82,
14
],
[
750,
513,
11,
14
],
[
427,
529,
14,
14
],
[
446,
529,
70,
14
],
[
519,
529,
22,
14
],
[
546,
529,
64,
14
],
[
614,
529,
30,
14
],
[
647,
529,
14,
14
],
[
666,
529,
49,
14
],
[
718,
529,
43,
14
],
[
427,
545,
50,
14
],
[
480,
545,
20,
14
],
[
503,
545,
53,
14
],
[
560,
545,
11,
14
],
[
574,
545,
29,
14
],
[
607,
545,
24,
14
],
[
634,
545,
21,
14
],
[
658,
545,
47,
14
],
[
69,
617,
100,
19
],
[
69,
640,
23,
15
],
[
95,
640,
30,
15
],
[
128,
640,
35,
15
],
[
167,
640,
12,
15
],
[
182,
640,
46,
15
],
[
231,
640,
44,
15
],
[
279,
640,
39,
15
],
[
322,
640,
49,
15
],
[
374,
640,
29,
15
],
[
69,
656,
31,
15
],
[
105,
656,
24,
15
],
[
133,
656,
37,
15
],
[
174,
656,
38,
15
],
[
217,
656,
55,
15
],
[
276,
656,
27,
15
],
[
308,
656,
46,
15
],
[
358,
656,
45,
15
],
[
69,
672,
21,
15
],
[
94,
672,
40,
15
],
[
137,
672,
45,
15
],
[
185,
672,
69,
15
],
[
257,
672,
40,
15
],
[
301,
672,
21,
15
],
[
326,
672,
40,
15
],
[
369,
672,
33,
15
],
[
69,
688,
50,
15
],
[
124,
688,
17,
15
],
[
146,
688,
49,
15
],
[
200,
688,
14,
15
],
[
219,
688,
56,
15
],
[
280,
688,
74,
15
],
[
360,
688,
43,
15
],
[
69,
704,
25,
15
],
[
97,
704,
60,
15
],
[
160,
704,
14,
15
],
[
177,
704,
52,
15
],
[
232,
704,
43,
15
],
[
278,
704,
34,
15
],
[
316,
704,
40,
15
],
[
359,
704,
44,
15
],
[
69,
720,
55,
15
],
[
131,
720,
21,
15
],
[
159,
720,
36,
15
],
[
202,
720,
16,
15
],
[
226,
720,
50,
15
],
[
283,
720,
10,
15
],
[
301,
720,
17,
15
],
[
325,
720,
37,
15
],
[
369,
720,
33,
15
],
[
69,
736,
43,
15
],
[
117,
736,
34,
15
],
[
157,
736,
17,
15
],
[
179,
736,
53,
15
],
[
237,
736,
11,
15
],
[
254,
736,
87,
15
],
[
346,
736,
57,
15
],
[
69,
752,
21,
15
],
[
93,
752,
17,
15
],
[
112,
752,
53,
15
],
[
168,
752,
21,
15
],
[
192,
752,
44,
15
],
[
239,
752,
14,
15
],
[
255,
752,
63,
15
],
[
321,
752,
26,
15
],
[
350,
752,
18,
15
],
[
371,
752,
32,
15
],
[
69,
768,
40,
15
],
[
113,
768,
43,
15
],
[
159,
768,
12,
15
],
[
174,
768,
29,
15
],
[
206,
768,
50,
15
],
[
260,
768,
21,
15
],
[
284,
768,
23,
15
],
[
310,
768,
12,
15
],
[
325,
768,
18,
15
],
[
347,
768,
56,
15
],
[
69,
784,
12,
15
],
[
87,
784,
26,
15
],
[
120,
784,
38,
15
],
[
164,
784,
21,
15
],
[
191,
784,
76,
15
],
[
274,
784,
19,
15
],
[
299,
784,
39,
15
],
[
345,
784,
35,
15
],
[
386,
784,
16,
15
],
[
69,
800,
37,
15
],
[
112,
800,
18,
15
],
[
136,
800,
17,
15
],
[
159,
800,
26,
15
],
[
192,
800,
62,
15
],
[
260,
800,
54,
15
],
[
320,
800,
56,
15
],
[
382,
800,
21,
15
],
[
69,
815,
32,
15
],
[
106,
815,
45,
15
],
[
156,
815,
22,
15
],
[
183,
815,
18,
15
],
[
206,
815,
44,
15
],
[
255,
815,
48,
15
],
[
308,
815,
12,
15
],
[
325,
815,
36,
15
],
[
366,
815,
9,
15
],
[
380,
815,
11,
15
],
[
396,
815,
6,
15
],
[
69,
862,
36,
12
],
[
110,
862,
71,
12
],
[
187,
862,
10,
12
],
[
203,
862,
41,
12
],
[
249,
862,
63,
12
],
[
317,
862,
53,
12
],
[
376,
862,
26,
12
],
[
69,
876,
99,
12
],
[
171,
876,
58,
12
],
[
231,
876,
32,
12
],
[
265,
876,
41,
12
],
[
309,
876,
11,
12
],
[
323,
876,
8,
12
],
[
334,
876,
48,
12
],
[
384,
876,
18,
12
],
[
69,
891,
41,
12
],
[
114,
891,
23,
12
],
[
141,
891,
21,
12
],
[
166,
891,
34,
12
],
[
204,
891,
35,
12
],
[
243,
891,
11,
12
],
[
258,
891,
48,
12
],
[
310,
891,
58,
12
],
[
371,
891,
12,
12
],
[
387,
891,
15,
12
],
[
69,
905,
44,
12
],
[
115,
905,
30,
12
],
[
147,
905,
25,
12
],
[
175,
905,
34,
12
],
[
212,
905,
22,
12
],
[
236,
905,
20,
12
],
[
258,
905,
72,
12
],
[
332,
905,
20,
12
],
[
354,
905,
20,
12
],
[
376,
905,
26,
12
],
[
69,
920,
46,
12
],
[
118,
920,
34,
12
],
[
154,
920,
142,
12
],
[
69,
937,
68,
12
],
[
142,
937,
21,
12
],
[
169,
937,
10,
12
],
[
184,
937,
17,
12
],
[
206,
937,
29,
12
],
[
240,
937,
33,
12
],
[
279,
937,
23,
12
],
[
307,
937,
41,
12
],
[
353,
937,
26,
12
],
[
384,
937,
18,
12
],
[
69,
951,
38,
12
],
[
111,
951,
60,
12
],
[
175,
951,
46,
12
],
[
225,
951,
33,
12
],
[
262,
951,
23,
12
],
[
289,
951,
36,
12
],
[
329,
951,
51,
12
],
[
384,
951,
19,
12
],
[
69,
964,
36,
12
],
[
107,
964,
82,
12
],
[
192,
964,
34,
12
],
[
228,
964,
32,
12
],
[
262,
964,
27,
12
],
[
291,
964,
38,
12
],
[
331,
964,
37,
12
],
[
370,
964,
32,
12
],
[
69,
977,
25,
12
],
[
96,
977,
13,
12
],
[
111,
977,
46,
12
],
[
160,
977,
9,
12
],
[
69,
993,
18,
12
],
[
89,
993,
30,
12
],
[
122,
993,
33,
12
],
[
157,
993,
87,
12
],
[
246,
993,
16,
12
],
[
265,
993,
39,
12
],
[
305,
993,
57,
12
],
[
365,
993,
38,
12
],
[
69,
1025,
9,
12
],
[
80,
1026,
18,
12
],
[
101,
1026,
48,
12
],
[
151,
1026,
45,
12
],
[
198,
1026,
24,
12
],
[
225,
1026,
124,
12
],
[
351,
1026,
25,
12
],
[
69,
1037,
18,
12
],
[
89,
1037,
32,
12
],
[
123,
1037,
9,
12
],
[
135,
1037,
18,
12
],
[
155,
1037,
36,
12
],
[
193,
1037,
34,
12
],
[
230,
1037,
20,
12
],
[
252,
1037,
37,
12
],
[
291,
1037,
9,
12
],
[
302,
1037,
36,
12
],
[
340,
1037,
9,
12
],
[
352,
1037,
23,
12
],
[
377,
1037,
39,
12
],
[
69,
1049,
224,
12
],
[
427,
640,
62,
15
],
[
493,
640,
28,
15
],
[
525,
640,
37,
15
],
[
566,
640,
9,
15
],
[
579,
640,
18,
15
],
[
601,
640,
50,
15
],
[
655,
640,
105,
15
],
[
427,
656,
41,
15
],
[
473,
656,
16,
15
],
[
495,
656,
13,
15
],
[
513,
656,
30,
15
],
[
548,
656,
29,
15
],
[
583,
656,
35,
15
],
[
623,
656,
51,
15
],
[
679,
656,
44,
15
],
[
728,
656,
10,
15
],
[
744,
656,
17,
15
],
[
427,
672,
33,
15
],
[
464,
672,
68,
15
],
[
536,
672,
10,
15
],
[
551,
672,
17,
15
],
[
572,
672,
34,
15
],
[
610,
672,
21,
15
],
[
635,
672,
28,
15
],
[
667,
672,
6,
15
],
[
678,
672,
21,
15
],
[
704,
672,
12,
15
],
[
719,
672,
18,
15
],
[
741,
672,
19,
15
],
[
427,
688,
54,
15
],
[
487,
688,
12,
15
],
[
505,
688,
29,
15
],
[
540,
688,
46,
15
],
[
591,
688,
50,
15
],
[
646,
688,
37,
15
],
[
689,
688,
10,
15
],
[
705,
688,
17,
15
],
[
728,
688,
33,
15
],
[
427,
704,
68,
15
],
[
500,
704,
10,
15
],
[
516,
704,
17,
15
],
[
538,
704,
37,
15
],
[
581,
704,
74,
15
],
[
660,
704,
56,
15
],
[
721,
704,
18,
15
],
[
745,
704,
16,
15
],
[
427,
720,
35,
15
],
[
467,
720,
44,
15
],
[
516,
720,
35,
15
],
[
555,
720,
40,
15
],
[
600,
720,
12,
15
],
[
616,
720,
18,
15
],
[
639,
720,
50,
15
],
[
694,
720,
21,
15
],
[
720,
720,
41,
15
],
[
427,
736,
116,
15
],
[
547,
736,
12,
15
],
[
562,
736,
41,
15
],
[
607,
736,
44,
15
],
[
655,
736,
44,
15
],
[
703,
736,
37,
15
],
[
743,
736,
18,
15
],
[
427,
752,
66,
15
],
[
499,
752,
51,
15
],
[
556,
752,
33,
15
],
[
595,
752,
86,
15
],
[
687,
752,
44,
15
],
[
737,
752,
24,
15
],
[
427,
768,
23,
15
],
[
453,
768,
45,
15
],
[
501,
768,
23,
15
],
[
527,
768,
16,
15
],
[
546,
768,
45,
15
],
[
594,
768,
34,
15
],
[
631,
768,
42,
15
],
[
676,
768,
16,
15
],
[
694,
768,
56,
15
],
[
753,
768,
8,
15
],
[
427,
784,
35,
15
],
[
467,
784,
12,
15
],
[
484,
784,
92,
15
],
[
580,
784,
44,
15
],
[
628,
784,
48,
15
],
[
680,
784,
21,
15
],
[
706,
784,
34,
15
],
[
744,
784,
17,
15
],
[
427,
800,
47,
15
],
[
478,
800,
12,
15
],
[
493,
800,
18,
15
],
[
514,
800,
56,
15
],
[
574,
800,
12,
15
],
[
589,
800,
66,
15
],
[
659,
800,
50,
15
],
[
712,
800,
49,
15
],
[
427,
816,
16,
15
],
[
447,
816,
29,
15
],
[
479,
816,
35,
15
],
[
517,
816,
51,
15
],
[
570,
816,
37,
15
],
[
610,
816,
16,
15
],
[
629,
816,
18,
15
],
[
650,
816,
47,
15
],
[
700,
816,
21,
15
],
[
723,
816,
37,
15
],
[
427,
832,
30,
15
],
[
460,
832,
12,
15
],
[
475,
832,
18,
15
],
[
496,
832,
100,
15
],
[
598,
832,
41,
15
],
[
642,
832,
35,
15
],
[
679,
832,
49,
15
],
[
731,
832,
30,
15
],
[
427,
848,
25,
15
],
[
456,
848,
54,
15
],
[
514,
848,
63,
15
],
[
581,
848,
65,
15
],
[
650,
848,
12,
15
],
[
665,
848,
41,
15
],
[
709,
848,
51,
15
],
[
427,
864,
35,
15
],
[
466,
864,
12,
15
],
[
482,
864,
41,
15
],
[
527,
864,
38,
15
],
[
569,
864,
12,
15
],
[
585,
864,
76,
15
],
[
665,
864,
12,
15
],
[
681,
864,
12,
15
],
[
697,
864,
41,
15
],
[
742,
864,
19,
15
],
[
427,
880,
39,
15
],
[
472,
880,
27,
15
],
[
505,
880,
25,
15
],
[
537,
880,
27,
15
],
[
569,
880,
52,
15
],
[
628,
880,
55,
15
],
[
688,
880,
10,
15
],
[
705,
880,
17,
15
],
[
728,
880,
33,
15
],
[
427,
896,
53,
15
],
[
484,
896,
21,
15
],
[
510,
896,
51,
15
],
[
565,
896,
37,
15
],
[
606,
896,
58,
15
],
[
669,
896,
18,
15
],
[
691,
896,
50,
15
],
[
745,
896,
16,
15
],
[
427,
912,
36,
15
],
[
468,
912,
55,
15
],
[
528,
912,
25,
15
],
[
558,
912,
18,
15
],
[
580,
912,
30,
15
],
[
615,
912,
35,
15
],
[
654,
912,
9,
15
],
[
668,
912,
59,
15
],
[
731,
912,
30,
15
],
[
427,
928,
18,
15
],
[
449,
928,
54,
15
],
[
507,
928,
12,
15
],
[
522,
928,
29,
15
],
[
555,
928,
43,
15
],
[
602,
928,
18,
15
],
[
624,
928,
78,
15
],
[
705,
928,
55,
15
],
[
427,
944,
12,
15
],
[
443,
944,
45,
15
],
[
492,
944,
46,
15
],
[
542,
944,
41,
15
],
[
587,
944,
21,
15
],
[
613,
944,
46,
15
],
[
662,
944,
67,
15
],
[
733,
944,
27,
15
],
[
427,
960,
41,
15
],
[
474,
960,
68,
15
],
[
548,
960,
35,
15
],
[
589,
960,
15,
15
],
[
610,
960,
26,
15
],
[
641,
960,
57,
15
],
[
705,
960,
56,
15
],
[
427,
975,
18,
15
],
[
450,
975,
54,
15
],
[
509,
975,
48,
15
],
[
562,
975,
12,
15
],
[
579,
975,
46,
15
],
[
629,
975,
58,
15
],
[
692,
975,
29,
15
],
[
727,
975,
34,
15
],
[
427,
991,
21,
15
],
[
452,
991,
17,
15
],
[
472,
991,
52,
15
],
[
528,
991,
12,
15
],
[
543,
991,
6,
15
],
[
553,
991,
37,
15
],
[
594,
991,
12,
15
],
[
609,
991,
35,
15
],
[
648,
991,
12,
15
],
[
663,
991,
55,
15
],
[
721,
991,
40,
15
],
[
742,
1049,
17,
12
]
] | [
"JCB",
"Article",
"Activation",
"of",
"ErbB2",
"receptor",
"tyrosine",
"kinase",
"supports",
"invasion",
"of",
"endothelial",
"cells",
"by",
"Neisseria",
"meningitidis",
"Isabelle",
"Hoffmann,1",
"Emmanuel",
"Eugène,2",
"Xavier",
"Nassif,2",
"Pierre-Olivier",
"Couraud,1",
"and",
"Sandrine",
"Bourdoulous1",
"1Laboratoire",
"d’Immuno-Pharmacologie",
"Moléculaire,",
"Centre",
"National",
"de",
"la",
"Recherche",
"Scientifique,",
"Institut",
"Cochin",
"de",
"Génétique",
"Moléculaire,",
"75014",
"Paris,",
"France",
"2Laboratoire",
"de",
"Microbiologie,",
"Institut",
"National",
"de",
"la",
"Santé",
"et",
"de",
"la",
"Recherche",
"Médicale,",
"Faculté",
"de",
"Médecine",
"Necker-Enfants",
"Malades,",
"75015",
"Paris,",
"France",
"Efamily",
"of",
"epidermal",
"growth",
"factor",
"(EGF)",
"receptors",
"rbB2",
"is",
"a",
"receptor",
"tyrosine",
"kinase",
"belonging",
"to",
"the",
"which",
"is",
"generally",
"involved",
"in",
"cell",
"differentiation,",
"proliferation,",
"and",
"tumor",
"growth,",
"and",
"activated",
"by",
"het-",
"erodimerization",
"with",
"the",
"other",
"members",
"of",
"the",
"family.",
"We",
"show",
"here",
"that",
"type",
"IV",
"pilus–mediated",
"adhesion",
"of",
"Neisseria",
"meningitidis",
"onto",
"endothelial",
"cells",
"induces",
"tyrosyl",
"phos-",
"phorylation",
"and",
"massive",
"recruitment",
"of",
"ErbB2",
"underneath",
"the",
"bacterial",
"colonies.",
"However,",
"neither",
"the",
"phosphorylation",
"status",
"nor",
"the",
"cellular",
"localization",
"of",
"the",
"EGF",
"receptors,",
"ErbB3",
"or",
"ErbB4,",
"were",
"affected",
"in",
"infected",
"cells.",
"ErbB2",
"phosphorylation",
"induced",
"by",
"N.",
"meningitidis",
"provides",
"docking",
"sites",
"for",
"the",
"kinase",
"src",
"and",
"leads",
"to",
"its",
"subsequent",
"activation.",
"Specific",
"inhibition",
"of",
"either",
"ErbB2",
"and/or",
"src",
"activity",
"reduces",
"bacterial",
"internalization",
"into",
"endothelial",
"cells",
"without",
"affecting",
"bacteria-induced",
"actin",
"cytoskeleton",
"reorganization",
"or",
"ErbB2",
"recruitment.",
"Moreover,",
"inhibition",
"of",
"both",
"actin",
"polymerization",
"and",
"the",
"ErbB2/src",
"pathway",
"totally",
"prevents",
"bacterial",
"entry.",
"Altogether,",
"our",
"results",
"pro-",
"vide",
"new",
"insight",
"into",
"ErbB2",
"function",
"by",
"bringing",
"evidence",
"of",
"a",
"bacteria-induced",
"ErbB2",
"clustering",
"leading",
"to",
"src",
"kinase",
"phosphorylation",
"and",
"activation.",
"This",
"pathway,",
"in",
"cooperation",
"with",
"the",
"bacteria-induced",
"reorganization",
"of",
"the",
"actin",
"cytoskeleton,",
"is",
"required",
"for",
"the",
"efficient",
"internalization",
"of",
"N.",
"meningitidis",
"into",
"endothelial",
"cells,",
"an",
"essential",
"process",
"enabling",
"this",
"pathogen",
"to",
"cross",
"host",
"cell",
"barriers.",
"Introduction",
"The",
"ErbB",
"family",
"of",
"receptor",
"tyrosine",
"kinases",
"(RTKs)*",
"com-",
"prises",
"four",
"closely",
"related",
"members:",
"EGF",
"receptor",
"(EGFR;",
"also",
"termed",
"ErbB1),",
"ErbB2/Neu,",
"ErbB3,",
"and",
"ErbB4.",
"These",
"receptors",
"are",
"activated",
"by",
"numerous",
"ErbB-specific",
"ligands,",
"each",
"containing",
"an",
"EGF-like",
"domain",
"which",
"confers",
"binding",
"specificity",
"(for",
"review",
"see",
"Olayioye",
"et",
"al.,",
"2000).",
"These",
"ligands,",
"which",
"are",
"produced",
"as",
"transmembrane",
"precursors",
"and",
"are",
"processed",
"and",
"released",
"by",
"proteolysis,",
"bind",
"the",
"extra-",
"cellular",
"domain",
"of",
"ErbB",
"receptors",
"and",
"lead",
"to",
"the",
"formation",
"of",
"both",
"homo-",
"and",
"heterodimers.",
"No",
"soluble",
"ligand",
"for",
"ErbB2",
"has",
"yet",
"been",
"discovered.",
"However,",
"increasing",
"evi-",
"dence",
"suggests",
"that",
"the",
"primary",
"function",
"of",
"ErbB2",
"is",
"as",
"a",
"Address",
"correspondence",
"to",
"Sandrine",
"Bourdoulous,",
"Laboratoire",
"d’Im-",
"muno-Pharmacologie",
"Moléculaire,",
"Centre",
"National",
"de",
"la",
"Recherche",
"Sci-",
"entifique",
"UPR",
"415,",
"Institut",
"Cochin",
"de",
"Génétique",
"Moléculaire,",
"22",
"rue",
"Méchain,",
"75014",
"Paris,",
"France.",
"Tel.:",
"(33)",
"1-40-51-64-34.",
"Fax:",
"(33)",
"1-40-",
"51-64-30.",
"E-mail:",
"bourdoulous@cochin.inserm.fr",
"*Abbreviations",
"used",
"in",
"this",
"paper:",
"EGFR,",
"EGF",
"receptor;",
"GST,",
"glu-",
"tathione",
"S-transferase;",
"HBMEC,",
"human",
"bone",
"marrow",
"endothelial",
"cell;",
"MAPK,",
"mitogen-activated",
"protein",
"kinase;",
"RTK,",
"receptor",
"tyrosine",
"kinase;",
"SH2,",
"src",
"homology",
"2.",
"Key",
"words:",
"ErbB2;",
"homodimerization;",
"src;",
"Neisseria",
"meningitidis;",
"invasion",
"",
"The",
"Rockefeller",
"University",
"Press,",
"0021-9525/2001/10/133/11",
"$5.00",
"The",
"Journal",
"of",
"Cell",
"Biology,",
"Volume",
"155,",
"Number",
"1,",
"October",
"1,",
"2001",
"133–143",
"http://www.jcb.org/cgi/doi/10.1083/jcb.200106148",
"coreceptor,",
"since",
"ErbB2",
"is",
"the",
"preferred",
"heterodimerization",
"partner",
"for",
"all",
"other",
"ErbB",
"family",
"members",
"(Tzahar",
"et",
"al.,",
"1996;",
"Graus-Porta",
"et",
"al.,",
"1997)",
"and",
"plays",
"a",
"role",
"in",
"the",
"po-",
"tentiation",
"of",
"ErbB",
"receptor",
"signaling",
"(Beerli",
"et",
"al.,",
"1995;",
"Graus-Porta",
"et",
"al.,",
"1995).",
"Dimerization",
"stimulates",
"the",
"in-",
"trinsic",
"tyrosine",
"kinase",
"activity",
"of",
"the",
"receptors",
"and",
"triggers",
"autophosphorylation",
"of",
"specific",
"tyrosine",
"residues",
"within",
"the",
"cytoplasmic",
"domains.",
"These",
"phosphorylated",
"residues",
"pro-",
"vide",
"docking",
"sites",
"for",
"proteins",
"which",
"contain",
"src",
"homology",
"2",
"(SH2)",
"or",
"phosphotyrosine",
"binding",
"domains",
"and",
"which",
"are",
"involved",
"in",
"the",
"regulation",
"of",
"intracellular",
"signaling",
"cascades.",
"All",
"ErbB",
"family",
"members",
"couple",
"via",
"the",
"adaptors",
"Shc",
"and/or",
"Grb2",
"to",
"the",
"mitogen-activated",
"protein",
"kinase",
"(MAPK)",
"path-",
"way.",
"However,",
"preferential",
"modulation",
"of",
"specific",
"pathways",
"linked",
"to",
"specific",
"homo-",
"or",
"heterodimers,",
"or",
"to",
"specific",
"cell",
"surface",
"sites,",
"have",
"been",
"described",
"(Olayioye",
"et",
"al.,",
"2000;",
"Carraway",
"and",
"Sweeney,",
"2001).",
"Therefore,",
"the",
"signaling",
"di-",
"versity",
"associated",
"with",
"the",
"ErbB",
"family",
"is",
"dependent",
"upon",
"the",
"repertoire",
"of",
"ErbB",
"ligands,",
"the",
"combinatorial",
"properties",
"of",
"induced",
"receptor",
"dimers,",
"and",
"receptor",
"localization.",
"Ulti-",
"mately,",
"downstream",
"effects",
"on",
"gene",
"expression",
"determine",
"the",
"biological",
"response",
"to",
"receptor",
"activation.",
"ErbB",
"recep-",
"tors",
"are",
"expressed",
"in",
"a",
"variety",
"of",
"tissues",
"of",
"epithelial,",
"mesen-",
"133"
] | [
16,
16,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4
] |
2,714,112 | null | [
[
462,
57,
50,
12
],
[
514,
57,
34,
12
],
[
550,
57,
221,
12
],
[
78,
115,
85,
21
],
[
168,
115,
54,
21
],
[
78,
118,
15,
3
],
[
78,
139,
142,
23
],
[
226,
139,
22,
23
],
[
253,
139,
58,
23
],
[
317,
139,
79,
23
],
[
401,
139,
141,
23
],
[
548,
139,
38,
23
],
[
592,
139,
30,
23
],
[
628,
139,
91,
23
],
[
78,
164,
82,
23
],
[
166,
164,
59,
23
],
[
231,
164,
13,
23
],
[
250,
164,
145,
23
],
[
400,
164,
123,
23
],
[
529,
164,
58,
23
],
[
662,
116,
44,
16
],
[
710,
116,
61,
16
],
[
78,
190,
45,
17
],
[
128,
190,
42,
17
],
[
173,
190,
36,
17
],
[
213,
190,
65,
17
],
[
282,
190,
34,
17
],
[
320,
190,
9,
17
],
[
333,
190,
61,
17
],
[
398,
190,
44,
17
],
[
446,
190,
89,
17
],
[
539,
190,
45,
17
],
[
588,
190,
149,
17
],
[
741,
190,
27,
17
],
[
78,
212,
29,
17
],
[
112,
212,
13,
17
],
[
128,
212,
87,
17
],
[
78,
258,
61,
12
],
[
142,
258,
10,
12
],
[
154,
258,
46,
12
],
[
202,
258,
46,
12
],
[
251,
258,
10,
12
],
[
263,
258,
48,
12
],
[
314,
258,
31,
12
],
[
348,
258,
44,
12
],
[
394,
258,
35,
12
],
[
432,
258,
20,
12
],
[
455,
258,
15,
12
],
[
472,
258,
22,
12
],
[
497,
258,
32,
12
],
[
532,
258,
48,
12
],
[
583,
258,
22,
12
],
[
607,
258,
16,
12
],
[
626,
258,
35,
12
],
[
664,
258,
23,
12
],
[
78,
271,
41,
12
],
[
122,
272,
7,
11
],
[
132,
272,
57,
11
],
[
192,
272,
43,
11
],
[
237,
272,
48,
11
],
[
288,
272,
37,
11
],
[
328,
272,
45,
11
],
[
376,
272,
56,
11
],
[
435,
272,
20,
11
],
[
457,
272,
15,
11
],
[
475,
272,
22,
11
],
[
500,
272,
32,
11
],
[
534,
272,
48,
11
],
[
585,
272,
22,
11
],
[
609,
272,
16,
11
],
[
628,
272,
35,
11
],
[
666,
272,
23,
11
],
[
78,
285,
42,
12
],
[
123,
285,
10,
12
],
[
135,
285,
30,
12
],
[
167,
285,
34,
12
],
[
203,
285,
46,
12
],
[
252,
285,
10,
12
],
[
264,
285,
48,
12
],
[
315,
285,
31,
12
],
[
349,
285,
44,
12
],
[
396,
285,
35,
12
],
[
434,
285,
20,
12
],
[
456,
285,
15,
12
],
[
474,
285,
22,
12
],
[
499,
285,
32,
12
],
[
533,
285,
48,
12
],
[
584,
285,
22,
12
],
[
608,
285,
16,
12
],
[
627,
285,
35,
12
],
[
665,
285,
23,
12
],
[
78,
298,
16,
12
],
[
97,
298,
64,
12
],
[
164,
298,
20,
12
],
[
186,
298,
20,
12
],
[
208,
298,
45,
12
],
[
256,
298,
43,
12
],
[
301,
298,
48,
12
],
[
352,
298,
22,
12
],
[
377,
298,
16,
12
],
[
396,
298,
35,
12
],
[
433,
298,
23,
12
],
[
78,
311,
42,
12
],
[
123,
311,
10,
11
],
[
135,
311,
71,
11
],
[
208,
311,
56,
11
],
[
266,
311,
10,
11
],
[
278,
311,
35,
11
],
[
316,
311,
46,
11
],
[
365,
311,
42,
11
],
[
409,
311,
46,
11
],
[
457,
311,
38,
11
],
[
497,
311,
36,
11
],
[
536,
311,
67,
11
],
[
605,
311,
23,
11
],
[
631,
311,
33,
11
],
[
666,
311,
35,
11
],
[
704,
311,
42,
11
],
[
78,
324,
40,
12
],
[
121,
324,
31,
12
],
[
78,
337,
60,
12
],
[
141,
338,
10,
12
],
[
153,
338,
54,
12
],
[
210,
338,
37,
12
],
[
250,
338,
34,
12
],
[
286,
338,
10,
12
],
[
298,
338,
46,
12
],
[
347,
338,
37,
12
],
[
386,
338,
49,
12
],
[
438,
338,
26,
12
],
[
466,
338,
35,
12
],
[
504,
338,
40,
12
],
[
546,
338,
31,
12
],
[
78,
351,
20,
12
],
[
101,
351,
56,
11
],
[
160,
351,
10,
11
],
[
172,
351,
42,
11
],
[
216,
351,
30,
11
],
[
249,
351,
38,
11
],
[
289,
351,
35,
11
],
[
327,
351,
20,
11
],
[
350,
351,
15,
11
],
[
367,
351,
22,
11
],
[
392,
351,
32,
11
],
[
427,
351,
48,
11
],
[
478,
351,
22,
11
],
[
502,
351,
16,
11
],
[
521,
351,
35,
11
],
[
559,
351,
23,
11
],
[
78,
376,
72,
11
],
[
152,
376,
33,
11
],
[
188,
376,
20,
11
],
[
211,
376,
9,
11
],
[
222,
376,
43,
11
],
[
268,
376,
118,
11
],
[
78,
401,
47,
11
],
[
128,
401,
13,
11
],
[
144,
401,
19,
11
],
[
165,
401,
26,
11
],
[
197,
401,
46,
11
],
[
245,
401,
51,
11
],
[
299,
401,
13,
11
],
[
315,
401,
17,
11
],
[
335,
401,
26,
11
],
[
367,
401,
45,
11
],
[
415,
401,
44,
11
],
[
461,
401,
7,
11
],
[
470,
401,
20,
11
],
[
493,
401,
26,
11
],
[
525,
401,
50,
11
],
[
577,
401,
13,
11
],
[
593,
401,
20,
11
],
[
615,
401,
26,
11
],
[
647,
401,
50,
11
],
[
700,
401,
13,
11
],
[
716,
401,
20,
11
],
[
738,
401,
26,
11
],
[
78,
426,
37,
12
],
[
118,
426,
45,
12
],
[
166,
426,
7,
12
],
[
177,
426,
38,
12
],
[
218,
426,
29,
12
],
[
249,
426,
36,
12
],
[
288,
426,
105,
12
],
[
78,
440,
20,
12
],
[
101,
440,
29,
12
],
[
132,
440,
8,
12
],
[
143,
440,
29,
12
],
[
174,
440,
12,
12
],
[
189,
440,
222,
12
],
[
78,
454,
10,
12
],
[
91,
454,
26,
12
],
[
120,
454,
15,
12
],
[
137,
454,
9,
12
],
[
149,
454,
14,
12
],
[
166,
454,
39,
12
],
[
208,
454,
37,
12
],
[
247,
454,
35,
12
],
[
285,
454,
18,
12
],
[
78,
468,
20,
12
],
[
100,
468,
8,
12
],
[
110,
468,
12,
12
],
[
123,
468,
24,
12
],
[
150,
468,
34,
12
],
[
185,
468,
29,
12
],
[
216,
468,
51,
12
],
[
268,
468,
28,
12
],
[
298,
468,
15,
12
],
[
315,
468,
27,
12
],
[
343,
468,
10,
12
],
[
354,
468,
15,
12
],
[
371,
468,
40,
12
],
[
413,
468,
49,
12
],
[
464,
468,
49,
12
],
[
515,
468,
37,
12
],
[
554,
468,
216,
12
],
[
78,
482,
28,
11
],
[
109,
482,
35,
11
],
[
147,
482,
57,
11
],
[
206,
482,
20,
11
],
[
229,
482,
55,
11
],
[
287,
482,
18,
11
],
[
307,
482,
61,
11
],
[
370,
482,
9,
11
],
[
382,
482,
17,
11
],
[
401,
482,
40,
11
],
[
444,
482,
42,
11
],
[
488,
482,
15,
11
],
[
506,
482,
35,
11
],
[
543,
482,
23,
11
],
[
568,
482,
8,
11
],
[
579,
482,
39,
11
],
[
620,
482,
26,
11
],
[
78,
523,
60,
15
],
[
78,
551,
69,
13
],
[
160,
551,
47,
13
],
[
220,
551,
41,
13
],
[
273,
551,
9,
13
],
[
295,
551,
7,
13
],
[
314,
551,
40,
13
],
[
366,
551,
47,
13
],
[
78,
566,
67,
13
],
[
152,
566,
41,
13
],
[
200,
566,
20,
13
],
[
227,
566,
42,
13
],
[
275,
566,
67,
13
],
[
349,
566,
64,
13
],
[
78,
581,
38,
13
],
[
121,
581,
16,
13
],
[
140,
581,
41,
13
],
[
186,
581,
17,
13
],
[
207,
581,
20,
13
],
[
230,
581,
72,
13
],
[
306,
581,
60,
13
],
[
370,
581,
29,
13
],
[
403,
581,
10,
13
],
[
78,
595,
47,
13
],
[
129,
595,
44,
13
],
[
78,
624,
50,
13
],
[
134,
624,
31,
13
],
[
171,
624,
26,
13
],
[
203,
624,
40,
13
],
[
248,
624,
59,
13
],
[
312,
624,
20,
13
],
[
338,
624,
17,
13
],
[
361,
624,
52,
13
],
[
78,
639,
30,
13
],
[
122,
639,
35,
13
],
[
170,
639,
16,
13
],
[
200,
639,
49,
13
],
[
262,
639,
45,
13
],
[
320,
639,
53,
13
],
[
386,
639,
27,
13
],
[
78,
654,
66,
13
],
[
148,
654,
22,
13
],
[
173,
654,
47,
13
],
[
223,
654,
41,
13
],
[
267,
654,
10,
13
],
[
280,
654,
7,
13
],
[
289,
654,
35,
13
],
[
327,
654,
11,
13
],
[
340,
654,
22,
13
],
[
366,
654,
47,
13
],
[
78,
668,
41,
13
],
[
124,
668,
43,
13
],
[
170,
668,
20,
13
],
[
195,
668,
22,
13
],
[
221,
668,
38,
13
],
[
263,
668,
50,
13
],
[
316,
668,
46,
13
],
[
367,
668,
46,
13
],
[
78,
683,
43,
13
],
[
127,
683,
19,
13
],
[
153,
683,
20,
13
],
[
179,
683,
26,
13
],
[
212,
683,
49,
13
],
[
267,
683,
10,
13
],
[
282,
683,
17,
13
],
[
305,
683,
40,
13
],
[
351,
683,
29,
13
],
[
386,
683,
27,
13
],
[
78,
697,
57,
13
],
[
140,
697,
10,
13
],
[
153,
697,
43,
13
],
[
200,
697,
20,
13
],
[
225,
697,
43,
13
],
[
272,
697,
29,
13
],
[
306,
697,
43,
13
],
[
353,
697,
60,
13
],
[
78,
712,
62,
13
],
[
78,
741,
43,
13
],
[
125,
741,
20,
13
],
[
149,
741,
49,
13
],
[
202,
741,
40,
13
],
[
245,
741,
66,
13
],
[
315,
741,
46,
13
],
[
366,
741,
47,
13
],
[
78,
756,
41,
13
],
[
130,
756,
20,
13
],
[
161,
756,
91,
13
],
[
262,
756,
80,
13
],
[
353,
756,
39,
13
],
[
403,
756,
10,
13
],
[
437,
551,
60,
13
],
[
501,
551,
35,
13
],
[
540,
551,
95,
13
],
[
638,
551,
63,
13
],
[
705,
551,
20,
13
],
[
729,
551,
43,
13
],
[
437,
566,
31,
13
],
[
472,
566,
24,
13
],
[
499,
566,
9,
13
],
[
512,
566,
28,
13
],
[
543,
566,
28,
13
],
[
575,
566,
28,
13
],
[
606,
566,
28,
13
],
[
638,
566,
20,
13
],
[
662,
566,
28,
13
],
[
693,
566,
66,
13
],
[
763,
566,
9,
13
],
[
437,
581,
28,
13
],
[
468,
581,
9,
13
],
[
479,
581,
18,
13
],
[
500,
581,
9,
13
],
[
511,
580,
25,
13
],
[
539,
581,
18,
13
],
[
560,
581,
9,
13
],
[
571,
580,
25,
13
],
[
600,
581,
18,
13
],
[
620,
581,
9,
13
],
[
631,
580,
25,
13
],
[
660,
581,
18,
13
],
[
680,
581,
9,
13
],
[
691,
580,
26,
13
],
[
720,
581,
20,
13
],
[
743,
581,
18,
13
],
[
763,
581,
9,
13
],
[
437,
595,
25,
13
],
[
467,
595,
70,
13
],
[
540,
595,
38,
13
],
[
583,
595,
17,
13
],
[
604,
595,
58,
13
],
[
665,
595,
34,
13
],
[
703,
595,
17,
13
],
[
724,
595,
47,
13
],
[
437,
610,
63,
13
],
[
504,
610,
27,
13
],
[
535,
610,
10,
13
],
[
548,
610,
61,
13
],
[
613,
610,
29,
13
],
[
645,
610,
11,
13
],
[
660,
610,
62,
13
],
[
725,
610,
11,
13
],
[
739,
610,
32,
13
],
[
437,
624,
11,
13
],
[
457,
624,
44,
13
],
[
509,
624,
10,
13
],
[
528,
624,
32,
13
],
[
568,
624,
23,
13
],
[
600,
624,
42,
13
],
[
650,
624,
22,
13
],
[
681,
624,
48,
13
],
[
737,
624,
10,
13
],
[
755,
624,
17,
13
],
[
437,
639,
56,
13
],
[
497,
639,
40,
13
],
[
437,
683,
70,
13
],
[
518,
683,
31,
13
],
[
560,
683,
13,
13
],
[
584,
683,
49,
13
],
[
643,
683,
79,
13
],
[
732,
683,
40,
13
],
[
437,
697,
60,
13
],
[
500,
697,
54,
13
],
[
556,
697,
16,
13
],
[
574,
697,
49,
13
],
[
625,
697,
28,
13
],
[
656,
697,
53,
13
],
[
711,
697,
40,
13
],
[
753,
697,
19,
13
],
[
437,
712,
20,
13
],
[
463,
712,
17,
13
],
[
485,
712,
58,
13
],
[
547,
712,
22,
13
],
[
574,
712,
52,
13
],
[
631,
712,
69,
13
],
[
705,
712,
15,
13
],
[
725,
712,
47,
13
],
[
437,
726,
44,
13
],
[
489,
726,
33,
13
],
[
528,
726,
42,
13
],
[
577,
726,
17,
13
],
[
601,
726,
23,
13
],
[
631,
726,
11,
13
],
[
649,
726,
32,
13
],
[
688,
726,
60,
13
],
[
755,
726,
17,
13
],
[
437,
741,
72,
13
],
[
512,
741,
11,
13
],
[
526,
741,
47,
13
],
[
576,
741,
41,
13
],
[
621,
741,
20,
13
],
[
644,
741,
38,
13
],
[
685,
741,
28,
13
],
[
717,
741,
37,
13
],
[
757,
741,
15,
13
],
[
437,
756,
60,
13
],
[
500,
756,
65,
13
],
[
78,
824,
90,
16
],
[
78,
841,
49,
13
],
[
130,
841,
42,
13
],
[
175,
841,
9,
13
],
[
187,
841,
7,
13
],
[
196,
841,
41,
13
],
[
240,
841,
50,
13
],
[
293,
841,
48,
13
],
[
344,
841,
69,
13
],
[
78,
857,
43,
13
],
[
125,
857,
74,
13
],
[
203,
857,
13,
13
],
[
221,
857,
18,
13
],
[
243,
857,
51,
13
],
[
299,
857,
11,
13
],
[
314,
857,
58,
13
],
[
376,
857,
36,
13
],
[
78,
873,
57,
13
],
[
140,
873,
82,
13
],
[
226,
873,
21,
13
],
[
251,
873,
38,
13
],
[
293,
873,
21,
13
],
[
319,
873,
43,
13
],
[
365,
873,
20,
13
],
[
390,
873,
23,
13
],
[
78,
890,
24,
13
],
[
107,
890,
11,
13
],
[
123,
890,
45,
13
],
[
174,
890,
76,
13
],
[
255,
890,
27,
13
],
[
287,
890,
13,
13
],
[
305,
890,
37,
13
],
[
348,
890,
21,
13
],
[
374,
890,
39,
13
],
[
78,
906,
64,
13
],
[
148,
906,
37,
13
],
[
191,
906,
43,
13
],
[
240,
906,
39,
13
],
[
284,
906,
53,
13
],
[
343,
906,
44,
13
],
[
392,
906,
21,
13
],
[
78,
922,
83,
13
],
[
165,
922,
65,
13
],
[
233,
922,
19,
13
],
[
255,
922,
21,
13
],
[
280,
922,
43,
13
],
[
326,
922,
11,
13
],
[
340,
922,
49,
13
],
[
393,
922,
20,
13
],
[
78,
939,
26,
13
],
[
111,
939,
9,
13
],
[
126,
939,
18,
13
],
[
150,
939,
22,
13
],
[
178,
939,
66,
13
],
[
250,
939,
56,
13
],
[
311,
939,
52,
13
],
[
370,
939,
43,
13
],
[
78,
955,
59,
13
],
[
144,
955,
21,
13
],
[
172,
955,
29,
13
],
[
209,
955,
14,
13
],
[
230,
955,
67,
13
],
[
304,
955,
109,
13
],
[
437,
825,
69,
13
],
[
514,
825,
23,
13
],
[
544,
825,
56,
13
],
[
607,
825,
23,
13
],
[
637,
825,
40,
13
],
[
685,
825,
50,
13
],
[
743,
825,
15,
13
],
[
765,
825,
7,
13
],
[
437,
841,
41,
13
],
[
480,
841,
65,
13
],
[
548,
841,
11,
13
],
[
561,
841,
18,
13
],
[
581,
841,
74,
13
],
[
657,
841,
11,
13
],
[
670,
841,
18,
13
],
[
690,
841,
42,
13
],
[
735,
841,
37,
13
],
[
437,
857,
25,
13
],
[
466,
857,
35,
13
],
[
505,
857,
37,
13
],
[
546,
857,
69,
13
],
[
619,
857,
18,
13
],
[
641,
857,
35,
13
],
[
680,
857,
78,
13
],
[
762,
857,
10,
13
],
[
437,
873,
44,
13
],
[
485,
873,
23,
13
],
[
513,
873,
79,
13
],
[
596,
873,
11,
13
],
[
612,
873,
31,
13
],
[
647,
873,
49,
13
],
[
700,
873,
21,
13
],
[
725,
873,
18,
13
],
[
747,
873,
25,
13
],
[
437,
890,
35,
13
],
[
475,
890,
62,
13
],
[
540,
890,
23,
13
],
[
567,
890,
52,
13
],
[
622,
890,
10,
13
],
[
635,
890,
39,
13
],
[
677,
890,
34,
13
],
[
714,
890,
39,
13
],
[
756,
890,
16,
13
],
[
437,
906,
15,
13
],
[
437,
939,
7,
13
],
[
448,
939,
9,
13
],
[
460,
939,
54,
13
],
[
518,
939,
21,
13
],
[
542,
939,
18,
13
],
[
563,
939,
62,
13
],
[
628,
939,
23,
13
],
[
655,
939,
52,
13
],
[
710,
939,
10,
13
],
[
723,
939,
49,
13
],
[
437,
955,
42,
13
],
[
483,
955,
51,
13
],
[
536,
955,
15,
13
],
[
554,
955,
22,
13
],
[
580,
955,
35,
13
],
[
618,
955,
11,
13
],
[
632,
955,
18,
13
],
[
653,
955,
39,
13
],
[
695,
955,
19,
13
],
[
717,
955,
10,
13
],
[
730,
955,
42,
13
],
[
78,
990,
14,
12
],
[
95,
990,
53,
12
],
[
150,
990,
37,
12
],
[
189,
990,
32,
12
],
[
222,
990,
86,
12
],
[
310,
990,
75,
12
],
[
387,
990,
30,
12
],
[
419,
990,
79,
12
],
[
500,
990,
55,
12
],
[
557,
990,
20,
12
],
[
579,
990,
24,
12
],
[
605,
990,
24,
12
],
[
631,
990,
19,
12
],
[
652,
990,
42,
12
],
[
696,
990,
46,
12
],
[
744,
990,
26,
12
],
[
78,
1004,
81,
11
],
[
161,
1004,
69,
11
],
[
233,
1004,
26,
11
],
[
262,
1004,
95,
11
],
[
359,
1004,
38,
11
],
[
400,
1004,
42,
12
],
[
444,
1004,
95,
11
],
[
541,
1004,
35,
11
],
[
579,
1004,
49,
11
],
[
630,
1004,
10,
11
],
[
643,
1004,
56,
12
],
[
702,
1004,
40,
11
],
[
745,
1004,
26,
11
],
[
78,
1017,
29,
12
],
[
110,
1017,
18,
12
],
[
131,
1017,
22,
12
],
[
156,
1017,
35,
12
],
[
193,
1017,
52,
12
],
[
248,
1017,
11,
12
],
[
261,
1017,
57,
12
],
[
320,
1017,
40,
12
],
[
363,
1017,
52,
12
],
[
417,
1017,
18,
12
],
[
438,
1017,
22,
12
],
[
463,
1017,
35,
12
],
[
500,
1017,
52,
12
],
[
555,
1017,
11,
12
],
[
714,
1052,
25,
12
],
[
741,
1052,
7,
12
],
[
750,
1052,
10,
12
],
[
763,
1052,
7,
12
],
[
603,
1067,
25,
10
],
[
630,
1067,
32,
10
],
[
664,
1067,
14,
10
],
[
680,
1067,
11,
10
],
[
694,
1067,
30,
10
],
[
727,
1067,
43,
10
]
] | [
"Available",
"online",
"http://arthritis-research.com/content/11/3/R66",
"Research",
"article",
"Vol11No3",
"Identification",
"of",
"novel",
"genetic",
"susceptibility",
"loci",
"for",
"Behçet's",
"disease",
"using",
"a",
"genome-wide",
"association",
"study",
"Open",
"Access",
"Yiping",
"Fei1,2,",
"Ryan",
"Webb2,3,",
"Beth",
"L",
"Cobb2,4,",
"Haner",
"Direskeneli5,",
"Güher",
"Saruhan-Direskeneli6",
"and",
"Amr",
"H",
"Sawalha1,2,7",
"1Department",
"of",
"Medicine,",
"University",
"of",
"Oklahoma",
"Health",
"Sciences",
"Center,",
"825",
"NE",
"13th",
"Street,",
"Oklahoma",
"City,",
"OK",
"73104,",
"USA",
"2Arthritis",
"&",
"Immunology",
"Program,",
"Oklahoma",
"Medical",
"Research",
"Foundation,",
"825",
"NE",
"13th",
"Street,",
"Oklahoma",
"City,",
"OK",
"73104,",
"USA",
"3College",
"of",
"Public",
"Health,",
"University",
"of",
"Oklahoma",
"Health",
"Sciences",
"Center,",
"825",
"NE",
"13th",
"Street,",
"Oklahoma",
"City,",
"OK",
"73104,",
"USA",
"4JK",
"Autoimmunity",
"Inc.,",
"755",
"Research",
"Parkway,",
"Oklahoma",
"City,",
"OK",
"73104,",
"USA",
"5Division",
"of",
"Rheumatology,",
"Department",
"of",
"Internal",
"Medicine,",
"Marmara",
"University",
"Medical",
"School,",
"Tophanelioglu",
"Cad.",
"13/15,",
"34662,",
"Uskudar,",
"Istanbul,",
"Turkey",
"6Department",
"of",
"Physiology,",
"Istanbul",
"Faculty",
"of",
"Medicine,",
"Istanbul",
"University,",
"Capa",
"34093,",
"Istanbul,",
"Turkey",
"7US",
"Department",
"of",
"Veterans",
"Affairs",
"Medical",
"Center,",
"921",
"NE",
"13th",
"Street,",
"Oklahoma",
"City,",
"OK",
"73104,",
"USA",
"Corresponding",
"author:",
"Amr",
"H",
"Sawalha,",
"amr-sawalha@ouhsc.edu",
"Received:",
"31",
"Mar",
"2009",
"Revisions",
"requested:",
"28",
"Apr",
"2009",
"Revisions",
"received:",
"3",
"May",
"2009",
"Accepted:",
"14",
"May",
"2009",
"Published:",
"14",
"May",
"2009",
"Arthritis",
"Research",
"&",
"Therapy",
"2009,",
"11:R66",
"(doi:10.1186/ar2695)",
"This",
"article",
"is",
"online",
"at:",
"http://arthritis-research.com/content/11/3/R66",
"©",
"2009",
"Fei",
"et",
"al.;",
"licensee",
"BioMed",
"Central",
"Ltd.",
"This",
"is",
"an",
"open",
"access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License",
"(http://creativecommons.org/licenses/by/2.0),",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"work",
"is",
"properly",
"cited.",
"Abstract",
"Introduction",
"Behçet's",
"disease",
"is",
"a",
"chronic",
"systemic",
"inflammatory",
"disease",
"that",
"remains",
"incompletely",
"understood.",
"Herein,",
"we",
"perform",
"the",
"first",
"genome-wide",
"association",
"study",
"in",
"Behçet's",
"disease.",
"Methods",
"Using",
"DNA",
"pooling",
"technology",
"and",
"the",
"Affymetrix",
"500K",
"arrays,",
"we",
"identified",
"possible",
"candidate",
"gene",
"associations",
"with",
"Behçet's",
"disease",
"in",
"a",
"cohort",
"of",
"152",
"Behçet's",
"disease",
"patients",
"and",
"172",
"healthy",
"ethnically",
"matched",
"controls.",
"Genetic",
"loci",
"that",
"were",
"identified",
"in",
"the",
"pooling",
"study",
"were",
"genotyped",
"in",
"patients",
"and",
"controls",
"using",
"TaqMan",
"genotyping",
"technology.",
"Results",
"We",
"identified",
"genetic",
"associations",
"between",
"Behçet's",
"disease",
"and",
"single-nucleotide",
"polymorphisms",
"(SNPs)",
"in",
"KIAA1529,",
"CPVL,",
"LOC100129342,",
"UBASH3B,",
"and",
"UBAC2",
"(odds",
"ratio",
"=",
"2.04,",
"2.26,",
"1.84,",
"1.71,",
"and",
"1.61,",
"respectively;",
"P",
"value",
"=",
"4.2",
"×",
"10-5,",
"1.0",
"×",
"10-4,",
"3.0",
"×",
"10-4,",
"1.5",
"×",
"10-3,",
"and",
"5.8",
"×",
"10-3,",
"respectively).",
"Among",
"the",
"associated",
"SNPs,",
"the",
"Behçet's",
"disease-risk",
"allele",
"in",
"rs2061634",
"leads",
"to",
"substitution",
"of",
"serine",
"to",
"cysteine",
"at",
"amino",
"acid",
"position",
"995",
"(S995C)",
"in",
"the",
"KIAA1529",
"protein.",
"Conclusions",
"Using",
"an",
"unbiased",
"whole-genome",
"genetic",
"association",
"approach,",
"we",
"identified",
"novel",
"candidate",
"genetic",
"loci",
"that",
"are",
"associated",
"with",
"increased",
"susceptibility",
"for",
"Behçet's",
"disease.",
"These",
"findings",
"will",
"help",
"to",
"better",
"understand",
"the",
"pathogenesis",
"of",
"Behçet's",
"disease",
"and",
"identify",
"novel",
"targets",
"for",
"therapeutic",
"intervention.",
"Introduction",
"Behçet's",
"disease",
"is",
"a",
"chronic",
"relapsing",
"systemic",
"inflammatory",
"disease",
"characterized",
"by",
"the",
"presence",
"of",
"oro-genital",
"ulcers,",
"cutaneous",
"manifestations,",
"and",
"uveitis.",
"The",
"disease",
"can",
"also",
"lead",
"to",
"vascular",
"complications",
"such",
"as",
"arterial",
"and",
"venous",
"thrombosis,",
"central",
"nervous",
"system",
"vasculitis,",
"arthritis,",
"and",
"gastrointestinal",
"involvement",
"[1].",
"The",
"etiology",
"of",
"Behçet's",
"dis-",
"ease",
"is",
"not",
"fully",
"understood.",
"Therefore,",
"treatment",
"remains",
"insufficient",
"and",
"relies",
"on",
"non-specific",
"immunosuppressive",
"medications,",
"with",
"significant",
"side",
"effects.",
"Evidence",
"for",
"a",
"genetic",
"contribution",
"to",
"the",
"pathogenesis",
"of",
"the",
"disease",
"comes",
"from",
"strong",
"familial",
"aggregation,",
"the",
"strong",
"predominance",
"in",
"patients",
"with",
"Mediterranean",
"or",
"Asian",
"ancestry,",
"and",
"the",
"con-",
"firmed",
"association",
"with",
"HLA-B51",
"in",
"several",
"ethnic",
"groups",
"[2-",
"4].",
"It",
"is",
"estimated",
"that",
"the",
"association",
"with",
"HLA-B51",
"in",
"Behçet's",
"disease",
"accounts",
"for",
"only",
"~20%",
"of",
"the",
"relative",
"risk",
"in",
"siblings",
"CI:",
"confidence",
"interval;",
"CPVL:",
"carboxypeptidase,",
"vitellogenic-like;",
"HWE:",
"Hardy-Weinberg",
"equilibrium;",
"OR:",
"odds",
"ratio;",
"SD:",
"standard",
"deviation;",
"SNP:",
"single-nucleotide",
"polymorphism;",
"UBA:",
"ubiquitin-associated",
"domain;",
"UBAC2:",
"ubiquitin-associated",
"domain",
"containing",
"2;",
"UBASH3A:",
"ubiquitin",
"asso-",
"ciated",
"and",
"SH3",
"domain",
"containing,",
"A;",
"UBASH3B:",
"ubiquitin",
"associated",
"and",
"SH3",
"domain",
"containing,",
"B.",
"Page",
"1",
"of",
"7",
"(page",
"number",
"not",
"for",
"citation",
"purposes)"
] | [
0,
0,
0,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
9,
9,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
6,
13,
13,
13,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
4,
4,
4,
4,
4,
4,
4,
4,
4,
4
] |
2,977,185 | null | [
[
62,
49,
73,
23
],
[
141,
49,
112,
23
],
[
62,
98,
19,
10
],
[
84,
98,
72,
10
],
[
158,
98,
31,
10
],
[
192,
98,
5,
10
],
[
62,
112,
57,
14
],
[
122,
112,
46,
14
],
[
62,
128,
42,
14
],
[
62,
151,
20,
10
],
[
85,
151,
46,
10
],
[
62,
188,
210,
20
],
[
62,
228,
33,
14
],
[
99,
228,
30,
14
],
[
133,
228,
55,
14
],
[
192,
228,
54,
14
],
[
250,
228,
55,
14
],
[
309,
228,
23,
14
],
[
336,
228,
25,
14
],
[
365,
228,
36,
14
],
[
62,
246,
25,
14
],
[
62,
276,
49,
10
],
[
114,
276,
8,
10
],
[
125,
276,
45,
10
],
[
173,
276,
42,
10
],
[
218,
276,
9,
10
],
[
229,
276,
34,
10
],
[
265,
276,
27,
10
],
[
295,
276,
24,
10
],
[
322,
276,
36,
10
],
[
360,
276,
37,
10
],
[
62,
290,
68,
10
],
[
133,
290,
29,
10
],
[
165,
290,
94,
10
],
[
62,
316,
38,
10
],
[
103,
316,
6,
10
],
[
111,
316,
16,
10
],
[
130,
316,
25,
10
],
[
158,
316,
37,
10
],
[
198,
316,
6,
10
],
[
206,
316,
16,
10
],
[
225,
316,
22,
10
],
[
62,
343,
16,
10
],
[
80,
343,
44,
10
],
[
127,
343,
54,
10
],
[
184,
343,
22,
10
],
[
209,
343,
25,
10
],
[
237,
343,
6,
10
],
[
245,
343,
6,
10
],
[
254,
343,
17,
10
],
[
273,
343,
9,
10
],
[
285,
343,
23,
10
],
[
316,
343,
24,
10
],
[
343,
343,
6,
10
],
[
352,
343,
25,
10
],
[
379,
341,
10,
12
],
[
62,
356,
6,
10
],
[
71,
356,
24,
10
],
[
97,
356,
6,
10
],
[
106,
356,
28,
10
],
[
137,
356,
14,
10
],
[
154,
356,
24,
10
],
[
180,
356,
6,
10
],
[
190,
356,
28,
10
],
[
220,
356,
73,
10
],
[
297,
356,
19,
10
],
[
318,
356,
6,
10
],
[
327,
356,
17,
10
],
[
62,
398,
22,
14
],
[
90,
398,
23,
14
],
[
118,
398,
63,
14
],
[
187,
398,
67,
15
],
[
260,
398,
62,
14
],
[
327,
398,
25,
14
],
[
358,
398,
21,
14
],
[
385,
398,
26,
14
],
[
62,
415,
35,
14
],
[
99,
415,
11,
14
],
[
113,
415,
19,
14
],
[
134,
415,
65,
14
],
[
202,
415,
26,
14
],
[
231,
415,
22,
14
],
[
256,
415,
31,
14
],
[
289,
415,
11,
14
],
[
303,
415,
19,
14
],
[
324,
415,
30,
14
],
[
356,
415,
11,
14
],
[
370,
415,
29,
14
],
[
402,
415,
9,
14
],
[
62,
431,
48,
14
],
[
113,
431,
12,
14
],
[
128,
431,
36,
14
],
[
167,
431,
24,
14
],
[
199,
431,
40,
14
],
[
243,
431,
24,
14
],
[
275,
431,
17,
14
],
[
295,
431,
18,
14
],
[
317,
431,
39,
14
],
[
359,
431,
52,
14
],
[
62,
448,
11,
14
],
[
79,
448,
19,
14
],
[
103,
448,
65,
14
],
[
174,
448,
30,
14
],
[
209,
448,
19,
14
],
[
234,
448,
80,
14
],
[
320,
448,
28,
14
],
[
353,
448,
45,
14
],
[
404,
448,
7,
14
],
[
62,
465,
47,
14
],
[
113,
465,
31,
14
],
[
147,
465,
12,
14
],
[
163,
465,
23,
14
],
[
189,
465,
17,
14
],
[
215,
465,
28,
14
],
[
246,
465,
17,
14
],
[
272,
465,
11,
14
],
[
286,
465,
19,
14
],
[
309,
465,
39,
14
],
[
352,
465,
59,
14
],
[
62,
506,
48,
15
],
[
114,
506,
59,
15
],
[
62,
528,
20,
14
],
[
85,
528,
124,
14
],
[
213,
528,
22,
14
],
[
238,
528,
29,
14
],
[
270,
528,
50,
14
],
[
324,
528,
10,
14
],
[
338,
528,
14,
14
],
[
355,
528,
40,
14
],
[
435,
98,
83,
15
],
[
435,
121,
36,
13
],
[
475,
121,
22,
13
],
[
435,
141,
52,
12
],
[
435,
153,
13,
12
],
[
451,
153,
7,
11
],
[
461,
153,
29,
11
],
[
435,
166,
68,
12
],
[
506,
166,
26,
13
],
[
435,
178,
6,
11
],
[
444,
178,
7,
12
],
[
453,
178,
29,
12
],
[
485,
178,
14,
12
],
[
502,
175,
9,
15
],
[
435,
190,
6,
12
],
[
444,
191,
7,
12
],
[
454,
191,
34,
12
],
[
491,
191,
14,
12
],
[
507,
188,
9,
15
],
[
435,
203,
5,
11
],
[
443,
203,
7,
11
],
[
453,
203,
34,
11
],
[
490,
203,
14,
11
],
[
506,
200,
9,
14
],
[
435,
230,
25,
13
],
[
464,
230,
48,
13
],
[
435,
249,
33,
11
],
[
471,
249,
39,
11
],
[
512,
249,
31,
11
],
[
446,
261,
65,
12
],
[
435,
274,
52,
12
],
[
490,
274,
49,
12
],
[
542,
274,
23,
12
],
[
435,
286,
26,
12
],
[
465,
286,
44,
12
],
[
511,
286,
47,
12
],
[
435,
313,
57,
13
],
[
435,
332,
18,
12
],
[
454,
331,
4,
8
],
[
461,
332,
7,
12
],
[
470,
332,
6,
12
],
[
482,
332,
11,
12
],
[
494,
331,
12,
13
],
[
508,
332,
7,
12
],
[
518,
332,
24,
12
],
[
435,
345,
26,
12
],
[
462,
343,
8,
13
],
[
473,
345,
7,
11
],
[
482,
345,
24,
11
],
[
435,
357,
6,
12
],
[
444,
357,
7,
12
],
[
454,
357,
19,
12
],
[
435,
370,
21,
12
],
[
459,
370,
47,
12
],
[
435,
382,
16,
12
],
[
454,
382,
51,
12
],
[
622,
141,
8,
12
],
[
633,
141,
7,
12
],
[
642,
141,
34,
12
],
[
679,
141,
14,
12
],
[
696,
138,
9,
14
],
[
705,
139,
4,
8
],
[
622,
153,
8,
12
],
[
633,
153,
7,
11
],
[
642,
153,
6,
11
],
[
622,
166,
16,
12
],
[
641,
166,
9,
12
],
[
659,
166,
41,
12
],
[
633,
178,
7,
12
],
[
643,
178,
19,
12
],
[
664,
178,
18,
12
],
[
687,
176,
4,
8
],
[
622,
190,
7,
12
],
[
632,
191,
7,
12
],
[
642,
191,
16,
12
],
[
661,
191,
9,
12
],
[
622,
203,
19,
11
],
[
655,
203,
19,
11
],
[
689,
203,
19,
11
],
[
710,
203,
18,
11
],
[
622,
249,
21,
11
],
[
646,
249,
57,
11
],
[
706,
249,
47,
11
],
[
622,
261,
21,
12
],
[
646,
261,
47,
12
],
[
696,
261,
20,
12
],
[
719,
261,
5,
12
],
[
726,
261,
7,
12
],
[
736,
261,
6,
12
],
[
747,
261,
12,
12
],
[
622,
274,
17,
13
],
[
642,
274,
7,
12
],
[
651,
274,
24,
12
],
[
622,
332,
6,
12
],
[
631,
332,
38,
12
],
[
622,
345,
35,
11
],
[
660,
345,
51,
11
],
[
714,
345,
53,
11
],
[
637,
362,
14,
8
],
[
654,
357,
7,
12
],
[
663,
357,
19,
12
],
[
685,
357,
6,
12
],
[
693,
355,
9,
14
],
[
708,
356,
4,
8
],
[
637,
375,
13,
8
],
[
653,
370,
7,
12
],
[
671,
370,
19,
12
],
[
692,
370,
6,
12
],
[
700,
367,
9,
15
],
[
715,
368,
4,
8
],
[
449,
428,
26,
13
],
[
479,
428,
53,
13
],
[
535,
427,
40,
13
],
[
580,
428,
44,
13
],
[
628,
428,
31,
13
],
[
663,
428,
18,
13
],
[
685,
428,
58,
13
],
[
747,
427,
37,
13
],
[
435,
443,
44,
13
],
[
484,
443,
31,
13
],
[
521,
443,
23,
13
],
[
548,
443,
52,
13
],
[
605,
443,
40,
13
],
[
651,
443,
57,
13
],
[
713,
443,
24,
13
],
[
742,
443,
11,
13
],
[
758,
443,
26,
13
],
[
435,
458,
49,
13
],
[
489,
458,
60,
13
],
[
553,
458,
56,
13
],
[
614,
458,
31,
13
],
[
649,
458,
57,
13
],
[
711,
458,
24,
13
],
[
740,
458,
11,
13
],
[
755,
458,
30,
13
],
[
435,
473,
49,
13
],
[
491,
473,
62,
13
],
[
560,
473,
56,
13
],
[
623,
473,
31,
13
],
[
661,
473,
51,
13
],
[
719,
473,
46,
13
],
[
771,
473,
14,
13
],
[
435,
488,
33,
13
],
[
476,
488,
50,
13
],
[
533,
488,
31,
13
],
[
572,
488,
44,
13
],
[
623,
488,
24,
13
],
[
654,
488,
11,
13
],
[
672,
488,
40,
13
],
[
719,
488,
43,
13
],
[
769,
488,
15,
13
],
[
435,
504,
60,
13
],
[
499,
504,
43,
13
],
[
545,
504,
47,
13
],
[
595,
504,
31,
13
],
[
449,
535,
19,
14
],
[
471,
535,
33,
14
],
[
507,
535,
18,
14
],
[
528,
535,
60,
14
],
[
591,
535,
12,
14
],
[
606,
535,
42,
14
],
[
651,
535,
70,
14
],
[
725,
535,
13,
14
],
[
740,
535,
44,
14
],
[
435,
552,
47,
14
],
[
486,
552,
17,
14
],
[
507,
552,
61,
14
],
[
572,
552,
21,
14
],
[
596,
552,
33,
14
],
[
435,
588,
73,
12
],
[
513,
588,
21,
12
],
[
539,
588,
18,
12
],
[
562,
588,
32,
12
],
[
599,
588,
15,
12
],
[
618,
588,
18,
12
],
[
640,
588,
28,
12
],
[
672,
588,
16,
12
],
[
693,
588,
43,
12
],
[
741,
588,
24,
12
],
[
769,
588,
16,
12
],
[
435,
602,
26,
12
],
[
464,
602,
48,
12
],
[
515,
602,
40,
12
],
[
558,
602,
57,
12
],
[
618,
602,
45,
12
],
[
435,
639,
70,
15
],
[
435,
660,
41,
12
],
[
479,
660,
10,
12
],
[
492,
660,
7,
12
],
[
501,
660,
32,
12
],
[
536,
660,
8,
12
],
[
546,
660,
47,
12
],
[
596,
660,
29,
12
],
[
628,
660,
8,
12
],
[
639,
660,
39,
12
],
[
435,
673,
33,
12
],
[
471,
673,
32,
12
],
[
506,
673,
36,
12
],
[
546,
673,
17,
12
],
[
566,
673,
36,
12
],
[
605,
673,
33,
12
],
[
641,
673,
23,
12
],
[
668,
673,
20,
12
],
[
691,
673,
42,
12
],
[
736,
673,
49,
12
],
[
446,
685,
26,
11
],
[
435,
698,
23,
12
],
[
461,
698,
43,
12
],
[
506,
698,
13,
12
],
[
522,
698,
46,
12
],
[
570,
698,
10,
12
],
[
584,
698,
9,
12
],
[
595,
698,
16,
12
],
[
614,
698,
8,
12
],
[
625,
698,
12,
12
],
[
640,
698,
32,
12
],
[
675,
698,
21,
12
],
[
699,
698,
26,
12
],
[
728,
698,
21,
12
],
[
752,
698,
24,
12
],
[
435,
710,
46,
11
],
[
484,
710,
11,
11
],
[
497,
710,
13,
11
],
[
513,
710,
32,
11
],
[
547,
710,
21,
12
],
[
571,
710,
27,
12
],
[
601,
710,
22,
12
],
[
626,
710,
39,
11
],
[
435,
723,
37,
12
],
[
476,
723,
8,
12
],
[
487,
723,
8,
12
],
[
497,
723,
32,
12
],
[
532,
723,
41,
12
],
[
575,
723,
10,
12
],
[
589,
723,
56,
12
],
[
62,
1058,
46,
17
],
[
124,
1062,
24,
12
],
[
151,
1062,
39,
12
],
[
193,
1062,
9,
12
],
[
205,
1062,
12,
12
],
[
344,
1062,
165,
12
],
[
635,
1062,
22,
12
],
[
660,
1062,
28,
12
],
[
691,
1062,
35,
12
],
[
729,
1062,
22,
12
],
[
754,
1062,
31,
12
]
] | [
"organic",
"compounds",
"Acta",
"Crystallographica",
"Section",
"E",
"Structure",
"Reports",
"Online",
"ISSN",
"1600-5368",
"2-(o-Tolyloxy)pyrimidine",
"Nasir",
"Shah",
"Bakhtiar,",
"Zanariah",
"Abdullah",
"and",
"Seik",
"Weng",
"Ng*",
"Department",
"of",
"Chemistry,",
"University",
"of",
"Malaya,",
"50603",
"Kuala",
"Lumpur,",
"Malaysia",
"Correspondence",
"e-mail:",
"seikweng@um.edu.my",
"Received",
"7",
"July",
"2009;",
"accepted",
"8",
"July",
"2009",
"Key",
"indicators:",
"single-crystal",
"X-ray",
"study;",
"T",
"=",
"153",
"K;",
"mean",
"(C–C)",
"=",
"0.003",
"A˚;",
"R",
"factor",
"=",
"0.033;",
"wR",
"factor",
"=",
"0.088;",
"data-to-parameter",
"ratio",
"=",
"9.1.",
"The",
"title",
"compound,",
"C11H10N2O,",
"crystallizes",
"with",
"two",
"mol-",
"ecules",
"in",
"the",
"asymmetric",
"unit.",
"The",
"angle",
"at",
"the",
"ether",
"O",
"atom",
"is",
"widened",
"to",
"118.13",
"(15)",
"[117.89",
"(16)",
"for",
"the",
"second",
"molecule",
"in",
"the",
"asymmetric",
"unit];",
"the",
"six-membered",
"rings",
"subtend",
"a",
"dihedral",
"angle",
"of",
"84.3",
"(1)",
"[87.4",
"(1)",
"in",
"the",
"second",
"molecule].",
"Related",
"literature",
"For",
"2-phenoxypyrimidine,",
"see:",
"Shah",
"Bakhtiar",
"et",
"al.",
"(2009).",
"Experimental",
"Crystal",
"data",
"C11H10N2O",
"Mr",
"=",
"186.21",
"Orthorhombic,",
"Pca21",
"a",
"=",
"7.5197",
"(2)",
"A˚",
"b",
"=",
"12.7997",
"(3)",
"A˚",
"c",
"=",
"20.3238",
"(4)",
"A˚",
"Data",
"collection",
"Bruker",
"SMART",
"APEX",
"diffractometer",
"Absorption",
"correction:",
"none",
"12792",
"measured",
"reflections",
"Refinement",
"R[F",
"2",
">",
"2",
"(F",
"2)]",
"=",
"0.033",
"wR(F",
"2)",
"=",
"0.088",
"S",
"=",
"1.02",
"2317",
"reflections",
"255",
"parameters",
"V",
"=",
"1956.16",
"(8)",
"A˚",
"3",
"Z",
"=",
"8",
"Mo",
"K",
"radiation",
"=",
"0.08",
"mm",
"1",
"T",
"=",
"153",
"K",
"0.35",
"0.25",
"0.15",
"mm",
"2317",
"independent",
"reflections",
"2030",
"reflections",
"with",
"I",
">",
"2",
"(I)",
"Rint",
"=",
"0.028",
"1",
"restraint",
"H-atom",
"parameters",
"constrained",
"max",
"=",
"0.16",
"e",
"A˚",
"3",
"min",
"=",
"0.19",
"e",
"A˚",
"3",
"Data",
"collection:",
"APEX2",
"(Bruker,",
"2008);",
"cell",
"refinement:",
"SAINT",
"(Bruker,",
"2008);",
"data",
"reduction:",
"SAINT;",
"program(s)",
"used",
"to",
"solve",
"structure:",
"SHELXS97",
"(Sheldrick,",
"2008);",
"program(s)",
"used",
"to",
"refine",
"structure:",
"SHELXL97",
"(Sheldrick,",
"2008);",
"molecular",
"graphics:",
"X-",
"SEED",
"(Barbour,",
"2001);",
"software",
"used",
"to",
"prepare",
"material",
"for",
"publication:",
"publCIF",
"(Westrip,",
"2009).",
"We",
"thank",
"the",
"University",
"of",
"Malaya",
"(FP047/2008",
"C,",
"RG027/",
"09AFR)",
"for",
"supporting",
"this",
"study.",
"Supplementary",
"data",
"and",
"figures",
"for",
"this",
"paper",
"are",
"available",
"from",
"the",
"IUCr",
"electronic",
"archives",
"(Reference:",
"BT2995).",
"References",
"Barbour,",
"L.",
"J.",
"(2001).",
"J.",
"Supramol.",
"Chem.",
"1,",
"189–191.",
"Bruker",
"(2008).",
"APEX2",
"and",
"SAINT.",
"Bruker",
"AXS",
"Inc.,",
"Madison,",
"Wisconsin,",
"USA.",
"Shah",
"Bakhtiar,",
"N.,",
"Abdullah,",
"Z.",
"&",
"Ng,",
"S.",
"W.",
"(2009).",
"Acta",
"Cryst.",
"E65,",
"o114.",
"Sheldrick,",
"G.",
"M.",
"(2008).",
"Acta",
"Cryst.",
"A64,",
"112–122.",
"Westrip,",
"S.",
"P.",
"(2009).",
"publCIF.",
"In",
"preparation.",
"o1880",
"Shah",
"Bakhtiar",
"et",
"al.",
"doi:10.1107/S1600536809026609",
"Acta",
"Cryst.",
"(2009).",
"E65,",
"o1880"
] | [
16,
16,
0,
0,
0,
0,
0,
0,
0,
0,
0,
8,
6,
6,
6,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
7,
7,
7,
7,
7,
7,
7,
7,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
14,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
2,
4,
9,
9,
9,
9,
0,
0,
0,
0,
0,
0
] |
3,260,814 | null | [
[
70,
64,
244,
12
],
[
540,
63,
93,
14
],
[
637,
63,
53,
14
],
[
695,
63,
45,
14
],
[
744,
63,
22,
14
],
[
770,
63,
10,
14
],
[
79,
118,
148,
20
],
[
235,
118,
89,
20
],
[
331,
118,
49,
20
],
[
387,
118,
98,
20
],
[
493,
118,
76,
20
],
[
576,
118,
21,
20
],
[
605,
118,
114,
20
],
[
726,
118,
41,
20
],
[
79,
141,
54,
20
],
[
140,
141,
75,
20
],
[
79,
180,
67,
16
],
[
152,
179,
115,
16
],
[
271,
180,
48,
16
],
[
324,
179,
87,
16
],
[
416,
180,
83,
16
],
[
504,
179,
48,
16
],
[
79,
198,
6,
10
],
[
89,
203,
54,
12
],
[
149,
203,
66,
12
],
[
220,
203,
51,
12
],
[
277,
203,
27,
12
],
[
310,
203,
42,
12
],
[
358,
203,
52,
12
],
[
416,
203,
45,
12
],
[
467,
203,
20,
12
],
[
493,
203,
51,
12
],
[
550,
203,
56,
12
],
[
612,
203,
45,
12
],
[
663,
203,
21,
12
],
[
690,
203,
20,
12
],
[
716,
203,
51,
12
],
[
79,
216,
48,
12
],
[
131,
216,
11,
12
],
[
145,
216,
55,
12
],
[
204,
216,
56,
12
],
[
79,
232,
6,
10
],
[
89,
236,
47,
12
],
[
142,
236,
61,
12
],
[
208,
236,
27,
12
],
[
241,
236,
42,
12
],
[
289,
236,
52,
12
],
[
346,
236,
46,
12
],
[
398,
236,
20,
12
],
[
424,
236,
51,
12
],
[
480,
236,
56,
12
],
[
542,
236,
45,
12
],
[
593,
236,
21,
12
],
[
620,
236,
20,
12
],
[
646,
236,
51,
12
],
[
702,
236,
48,
12
],
[
755,
236,
11,
12
],
[
79,
250,
55,
12
],
[
138,
250,
60,
12
],
[
201,
250,
32,
12
],
[
79,
270,
92,
12
],
[
174,
270,
14,
12
],
[
190,
270,
51,
12
],
[
244,
270,
28,
12
],
[
275,
270,
33,
12
],
[
311,
270,
106,
12
],
[
79,
290,
56,
12
],
[
138,
290,
23,
11
],
[
164,
290,
31,
11
],
[
197,
290,
31,
11
],
[
231,
290,
24,
11
],
[
257,
290,
43,
11
],
[
302,
290,
48,
11
],
[
353,
290,
43,
11
],
[
79,
310,
55,
12
],
[
140,
310,
35,
12
],
[
178,
310,
16,
12
],
[
196,
310,
28,
12
],
[
268,
310,
58,
12
],
[
329,
310,
35,
12
],
[
367,
310,
16,
12
],
[
385,
310,
28,
12
],
[
468,
310,
55,
12
],
[
526,
310,
35,
12
],
[
564,
310,
16,
12
],
[
582,
310,
25,
12
],
[
79,
332,
51,
12
],
[
133,
332,
9,
12
],
[
144,
332,
60,
12
],
[
206,
332,
10,
12
],
[
219,
332,
12,
12
],
[
236,
332,
21,
12
],
[
260,
332,
8,
12
],
[
271,
332,
13,
12
],
[
287,
332,
63,
12
],
[
353,
332,
30,
12
],
[
385,
332,
52,
12
],
[
440,
332,
29,
12
],
[
471,
332,
16,
12
],
[
490,
332,
28,
12
],
[
520,
332,
10,
12
],
[
533,
332,
16,
12
],
[
551,
332,
42,
12
],
[
595,
332,
51,
12
],
[
649,
332,
50,
12
],
[
701,
332,
42,
12
],
[
79,
346,
29,
12
],
[
111,
346,
37,
12
],
[
150,
346,
58,
12
],
[
211,
346,
21,
12
],
[
235,
346,
57,
12
],
[
295,
346,
19,
12
],
[
316,
346,
62,
12
],
[
381,
346,
9,
12
],
[
393,
346,
18,
12
],
[
414,
346,
43,
12
],
[
459,
346,
43,
12
],
[
505,
346,
16,
12
],
[
524,
346,
36,
12
],
[
562,
346,
32,
12
],
[
597,
346,
19,
12
],
[
618,
346,
34,
12
],
[
655,
346,
16,
12
],
[
674,
346,
43,
12
],
[
79,
361,
61,
17
],
[
129,
390,
16,
13
],
[
148,
390,
23,
13
],
[
173,
390,
26,
13
],
[
201,
390,
9,
13
],
[
213,
390,
43,
13
],
[
258,
390,
37,
13
],
[
297,
390,
23,
13
],
[
322,
390,
29,
13
],
[
354,
390,
52,
13
],
[
407,
390,
14,
13
],
[
424,
390,
18,
13
],
[
444,
390,
80,
13
],
[
525,
390,
61,
13
],
[
588,
390,
55,
13
],
[
646,
390,
71,
13
],
[
129,
408,
14,
13
],
[
147,
408,
71,
13
],
[
222,
408,
51,
13
],
[
277,
408,
42,
13
],
[
323,
408,
60,
13
],
[
386,
408,
51,
13
],
[
441,
408,
42,
13
],
[
487,
408,
18,
13
],
[
509,
408,
26,
13
],
[
540,
408,
18,
13
],
[
562,
408,
27,
13
],
[
593,
408,
64,
13
],
[
661,
408,
15,
13
],
[
680,
408,
37,
13
],
[
129,
425,
58,
13
],
[
189,
425,
46,
13
],
[
237,
425,
68,
13
],
[
307,
425,
51,
13
],
[
360,
425,
71,
13
],
[
433,
425,
14,
13
],
[
449,
425,
70,
13
],
[
521,
425,
25,
13
],
[
548,
425,
31,
13
],
[
581,
425,
47,
13
],
[
630,
425,
60,
13
],
[
691,
425,
25,
13
],
[
129,
443,
60,
13
],
[
194,
443,
92,
13
],
[
291,
443,
43,
13
],
[
338,
443,
18,
13
],
[
361,
443,
74,
13
],
[
439,
443,
26,
13
],
[
470,
443,
50,
13
],
[
524,
443,
96,
13
],
[
624,
443,
92,
13
],
[
129,
460,
34,
13
],
[
165,
460,
79,
13
],
[
245,
460,
29,
13
],
[
276,
460,
39,
13
],
[
316,
460,
72,
13
],
[
389,
460,
38,
13
],
[
429,
460,
18,
13
],
[
448,
460,
70,
13
],
[
520,
460,
14,
13
],
[
536,
460,
64,
13
],
[
601,
460,
15,
13
],
[
617,
460,
37,
13
],
[
656,
460,
33,
13
],
[
690,
460,
26,
13
],
[
129,
478,
71,
13
],
[
203,
478,
51,
13
],
[
257,
478,
34,
13
],
[
294,
478,
71,
13
],
[
368,
478,
29,
13
],
[
400,
478,
23,
13
],
[
426,
478,
64,
13
],
[
493,
478,
14,
13
],
[
510,
478,
64,
13
],
[
577,
478,
29,
13
],
[
608,
478,
75,
13
],
[
685,
478,
32,
13
],
[
129,
495,
45,
13
],
[
179,
495,
56,
13
],
[
239,
495,
14,
13
],
[
256,
495,
58,
13
],
[
318,
495,
65,
13
],
[
387,
495,
60,
13
],
[
451,
495,
59,
13
],
[
515,
495,
83,
13
],
[
601,
495,
37,
13
],
[
642,
495,
75,
13
],
[
129,
513,
63,
13
],
[
195,
513,
110,
13
],
[
308,
513,
101,
13
],
[
412,
513,
32,
13
],
[
446,
513,
37,
13
],
[
486,
513,
33,
13
],
[
521,
513,
14,
13
],
[
538,
513,
58,
13
],
[
598,
513,
32,
13
],
[
633,
513,
26,
13
],
[
662,
513,
55,
13
],
[
129,
530,
70,
13
],
[
205,
530,
37,
13
],
[
246,
530,
71,
13
],
[
323,
530,
65,
13
],
[
393,
530,
23,
13
],
[
421,
530,
70,
13
],
[
497,
530,
38,
13
],
[
540,
530,
14,
13
],
[
559,
530,
70,
13
],
[
634,
530,
64,
13
],
[
702,
530,
14,
13
],
[
129,
548,
58,
13
],
[
192,
548,
21,
13
],
[
217,
548,
61,
13
],
[
282,
548,
71,
13
],
[
358,
548,
14,
13
],
[
377,
548,
67,
13
],
[
449,
548,
51,
13
],
[
504,
548,
66,
13
],
[
574,
548,
73,
13
],
[
651,
548,
26,
13
],
[
682,
548,
35,
13
],
[
129,
565,
68,
13
],
[
205,
565,
51,
13
],
[
263,
565,
34,
13
],
[
305,
565,
99,
13
],
[
411,
565,
77,
13
],
[
495,
565,
52,
13
],
[
555,
565,
14,
13
],
[
577,
565,
28,
13
],
[
612,
565,
25,
13
],
[
645,
565,
14,
13
],
[
666,
565,
50,
13
],
[
129,
583,
69,
13
],
[
203,
583,
28,
13
],
[
235,
583,
111,
13
],
[
350,
583,
16,
13
],
[
370,
583,
27,
13
],
[
401,
583,
50,
13
],
[
455,
583,
21,
13
],
[
480,
583,
48,
13
],
[
532,
583,
52,
13
],
[
589,
583,
32,
13
],
[
625,
583,
18,
13
],
[
647,
583,
70,
13
],
[
129,
600,
52,
13
],
[
186,
600,
14,
13
],
[
206,
600,
31,
13
],
[
242,
600,
47,
13
],
[
295,
600,
26,
13
],
[
326,
600,
110,
13
],
[
442,
600,
50,
13
],
[
497,
600,
64,
13
],
[
566,
600,
21,
13
],
[
592,
600,
61,
13
],
[
657,
600,
59,
13
],
[
79,
641,
93,
17
],
[
109,
677,
30,
14
],
[
144,
677,
37,
14
],
[
185,
677,
10,
14
],
[
199,
677,
17,
14
],
[
221,
677,
28,
14
],
[
253,
677,
47,
14
],
[
305,
677,
31,
14
],
[
341,
677,
12,
14
],
[
357,
677,
41,
14
],
[
79,
694,
38,
14
],
[
125,
694,
31,
14
],
[
163,
694,
63,
14
],
[
234,
694,
59,
14
],
[
301,
694,
21,
14
],
[
329,
694,
25,
14
],
[
362,
694,
37,
14
],
[
79,
710,
55,
14
],
[
137,
710,
49,
14
],
[
190,
710,
17,
14
],
[
210,
710,
26,
14
],
[
239,
710,
12,
14
],
[
255,
710,
14,
14
],
[
272,
710,
25,
14
],
[
301,
710,
42,
14
],
[
346,
710,
20,
14
],
[
370,
710,
28,
14
],
[
79,
727,
7,
14
],
[
93,
727,
48,
14
],
[
148,
727,
12,
14
],
[
167,
727,
45,
14
],
[
219,
727,
44,
14
],
[
269,
727,
10,
14
],
[
286,
727,
44,
14
],
[
336,
727,
17,
14
],
[
360,
727,
38,
14
],
[
79,
744,
53,
14
],
[
136,
744,
12,
14
],
[
153,
744,
45,
14
],
[
202,
744,
27,
14
],
[
233,
744,
29,
14
],
[
267,
744,
44,
14
],
[
315,
744,
27,
14
],
[
345,
744,
53,
14
],
[
79,
760,
41,
14
],
[
123,
760,
11,
14
],
[
136,
760,
53,
14
],
[
192,
760,
21,
14
],
[
215,
760,
52,
14
],
[
270,
760,
42,
14
],
[
315,
760,
10,
14
],
[
327,
760,
17,
14
],
[
348,
760,
51,
14
],
[
79,
777,
12,
14
],
[
95,
777,
75,
14
],
[
174,
777,
75,
14
],
[
254,
777,
79,
14
],
[
337,
777,
12,
14
],
[
353,
777,
45,
14
],
[
79,
794,
19,
14
],
[
106,
794,
59,
14
],
[
172,
794,
44,
14
],
[
224,
794,
7,
14
],
[
238,
793,
42,
14
],
[
287,
794,
12,
14
],
[
307,
794,
73,
14
],
[
387,
794,
11,
14
],
[
79,
810,
58,
14
],
[
141,
810,
45,
14
],
[
189,
810,
12,
14
],
[
204,
810,
25,
14
],
[
232,
810,
37,
14
],
[
272,
810,
47,
14
],
[
322,
810,
20,
14
],
[
345,
810,
53,
14
],
[
79,
827,
54,
14
],
[
141,
827,
27,
14
],
[
176,
827,
21,
14
],
[
205,
827,
14,
14
],
[
226,
827,
61,
14
],
[
294,
827,
76,
14
],
[
378,
827,
20,
14
],
[
79,
844,
34,
14
],
[
119,
844,
14,
14
],
[
138,
844,
7,
14
],
[
149,
844,
32,
14
],
[
186,
844,
79,
14
],
[
270,
844,
12,
14
],
[
286,
844,
17,
14
],
[
309,
844,
43,
14
],
[
356,
844,
12,
14
],
[
373,
844,
25,
14
],
[
79,
860,
40,
14
],
[
127,
860,
45,
14
],
[
180,
860,
51,
14
],
[
239,
860,
17,
14
],
[
264,
860,
23,
14
],
[
295,
860,
51,
14
],
[
354,
860,
11,
14
],
[
373,
860,
25,
14
],
[
79,
877,
44,
14
],
[
127,
877,
25,
14
],
[
156,
877,
49,
14
],
[
208,
877,
57,
14
],
[
269,
877,
45,
14
],
[
318,
877,
12,
14
],
[
334,
877,
49,
14
],
[
387,
877,
11,
14
],
[
79,
894,
29,
14
],
[
114,
894,
36,
14
],
[
155,
894,
18,
14
],
[
178,
894,
64,
14
],
[
247,
894,
65,
14
],
[
316,
894,
56,
14
],
[
378,
894,
20,
14
],
[
79,
910,
57,
14
],
[
139,
910,
37,
14
],
[
179,
910,
27,
14
],
[
209,
910,
27,
14
],
[
238,
910,
50,
14
],
[
109,
927,
22,
14
],
[
141,
927,
56,
14
],
[
206,
927,
40,
14
],
[
255,
927,
33,
14
],
[
298,
927,
46,
14
],
[
353,
927,
45,
14
],
[
79,
944,
51,
14
],
[
134,
944,
48,
14
],
[
184,
944,
10,
14
],
[
197,
944,
65,
14
],
[
265,
944,
59,
14
],
[
327,
944,
11,
14
],
[
341,
944,
34,
14
],
[
378,
944,
21,
14
],
[
79,
960,
43,
14
],
[
127,
960,
28,
14
],
[
158,
960,
51,
14
],
[
214,
960,
76,
14
],
[
293,
960,
61,
14
],
[
358,
960,
40,
14
],
[
79,
977,
59,
14
],
[
144,
977,
21,
14
],
[
170,
977,
20,
14
],
[
196,
977,
69,
14
],
[
270,
977,
9,
14
],
[
284,
977,
49,
14
],
[
339,
977,
21,
14
],
[
365,
977,
33,
14
],
[
79,
994,
53,
14
],
[
138,
994,
11,
14
],
[
156,
994,
28,
14
],
[
189,
994,
43,
14
],
[
238,
994,
134,
14
],
[
378,
994,
21,
14
],
[
448,
642,
108,
14
],
[
561,
642,
12,
14
],
[
579,
642,
25,
14
],
[
610,
642,
11,
14
],
[
627,
642,
37,
14
],
[
670,
642,
7,
14
],
[
683,
642,
20,
14
],
[
709,
642,
58,
14
],
[
448,
659,
62,
14
],
[
512,
659,
14,
14
],
[
529,
659,
17,
14
],
[
549,
659,
36,
14
],
[
587,
659,
48,
14
],
[
637,
659,
17,
14
],
[
657,
659,
17,
14
],
[
677,
659,
28,
14
],
[
707,
659,
60,
14
],
[
448,
675,
40,
14
],
[
493,
675,
56,
14
],
[
554,
675,
63,
14
],
[
621,
675,
12,
14
],
[
638,
675,
53,
14
],
[
695,
675,
55,
14
],
[
755,
675,
11,
14
],
[
448,
692,
45,
14
],
[
499,
692,
36,
14
],
[
541,
692,
11,
14
],
[
558,
692,
25,
14
],
[
590,
692,
39,
14
],
[
635,
692,
25,
14
],
[
666,
692,
38,
14
],
[
711,
692,
56,
14
],
[
448,
709,
17,
14
],
[
472,
709,
40,
14
],
[
519,
709,
22,
14
],
[
548,
709,
12,
14
],
[
567,
709,
36,
14
],
[
610,
709,
54,
14
],
[
671,
709,
11,
14
],
[
689,
709,
17,
14
],
[
714,
709,
53,
14
],
[
448,
725,
12,
14
],
[
467,
725,
53,
14
],
[
528,
725,
45,
14
],
[
580,
725,
55,
14
],
[
643,
725,
11,
14
],
[
662,
725,
36,
14
],
[
705,
725,
20,
14
],
[
733,
725,
34,
14
],
[
448,
742,
32,
14
],
[
484,
742,
12,
14
],
[
501,
742,
17,
14
],
[
522,
742,
37,
14
],
[
563,
742,
53,
14
],
[
621,
742,
11,
14
],
[
636,
742,
55,
14
],
[
696,
742,
55,
14
],
[
755,
742,
11,
14
],
[
448,
759,
36,
14
],
[
488,
759,
50,
14
],
[
541,
759,
36,
14
],
[
581,
759,
20,
14
],
[
606,
759,
23,
14
],
[
632,
759,
52,
14
],
[
689,
759,
29,
14
],
[
721,
759,
45,
14
],
[
448,
775,
61,
14
],
[
516,
775,
56,
14
],
[
579,
775,
57,
14
],
[
643,
775,
11,
14
],
[
661,
775,
25,
14
],
[
694,
775,
40,
14
],
[
741,
775,
26,
14
],
[
448,
792,
84,
14
],
[
537,
792,
34,
14
],
[
577,
792,
10,
14
],
[
592,
792,
31,
14
],
[
629,
792,
58,
14
],
[
692,
792,
45,
14
],
[
742,
792,
25,
14
],
[
448,
809,
29,
14
],
[
480,
809,
57,
14
],
[
448,
843,
42,
17
],
[
528,
843,
10,
17
],
[
541,
843,
38,
17
],
[
591,
843,
23,
17
],
[
652,
843,
79,
17
],
[
448,
863,
50,
17
],
[
517,
863,
41,
17
],
[
566,
863,
81,
17
],
[
657,
863,
63,
17
],
[
448,
883,
31,
17
],
[
502,
883,
75,
17
],
[
599,
883,
59,
17
],
[
681,
883,
19,
17
],
[
448,
903,
70,
17
],
[
478,
939,
45,
14
],
[
526,
939,
10,
14
],
[
539,
939,
58,
14
],
[
600,
939,
25,
14
],
[
628,
939,
36,
14
],
[
668,
939,
85,
14
],
[
755,
939,
11,
14
],
[
448,
955,
14,
14
],
[
467,
955,
11,
14
],
[
483,
955,
26,
14
],
[
513,
955,
12,
14
],
[
530,
955,
17,
14
],
[
552,
955,
44,
14
],
[
601,
955,
21,
14
],
[
626,
955,
7,
14
],
[
637,
955,
25,
14
],
[
667,
955,
36,
14
],
[
708,
955,
27,
14
],
[
739,
955,
27,
14
],
[
448,
972,
43,
14
],
[
493,
972,
10,
14
],
[
504,
972,
33,
14
],
[
539,
972,
11,
14
],
[
552,
972,
35,
14
],
[
589,
972,
26,
14
],
[
617,
972,
12,
14
],
[
631,
972,
17,
14
],
[
650,
972,
30,
14
],
[
682,
972,
32,
14
],
[
715,
972,
51,
14
],
[
448,
989,
12,
14
],
[
464,
989,
17,
14
],
[
485,
988,
36,
14
],
[
524,
989,
88,
14
],
[
615,
989,
10,
14
],
[
629,
989,
33,
14
],
[
665,
989,
11,
14
],
[
680,
989,
26,
14
],
[
710,
989,
11,
14
],
[
725,
989,
26,
14
],
[
755,
989,
12,
14
],
[
63,
1030,
232,
13
],
[
413,
1030,
24,
13
],
[
572,
1030,
70,
13
],
[
646,
1030,
38,
13
],
[
687,
1030,
14,
13
],
[
709,
1030,
24,
13
],
[
737,
1030,
6,
13
],
[
746,
1030,
24,
13
]
] | [
"www.impactjournals.com/oncotarget/",
"Oncotarget,",
"March,",
"Vol.2,",
"No",
"3",
"Personalizing",
"Therapy",
"with",
"Targeted",
"Agents",
"in",
"Non-Small",
"Cell",
"Lung",
"Cancer",
"Rodrigo",
"Dienstmann1,",
"Pablo",
"Martinez2,",
"Enriqueta",
"Felip2",
"1",
"Molecular",
"Therapeutic",
"Research",
"Unit,",
"Medical",
"Oncology",
"Service,",
"Vall",
"d’Hebron",
"University",
"Hospital",
"and",
"Vall",
"d’Hebron",
"Institute",
"of",
"Oncology,",
"Barcelona",
"2",
"Thoracic",
"Neoplasms",
"Unit,",
"Medical",
"Oncology",
"Service,",
"Vall",
"d’Hebron",
"University",
"Hospital",
"and",
"Vall",
"d’Hebron",
"Institute",
"of",
"Oncology,",
"Barcelona,",
"Spain",
"Correspondence",
"to:",
"Enriqueta",
"Felip,",
"email:",
"efelip@vhebron.net",
"Keywords:",
"ALK,",
"EGFR,",
"KRAS,",
"lung",
"cancer,",
"targeted",
"therapy",
"Received:",
"March",
"12,",
"2011,",
"Accepted:",
"March",
"23,",
"2011,",
"Published:",
"March",
"23,",
"2011",
"Copyright:",
"©",
"Dienstmann",
"et",
"al.",
"This",
"is",
"an",
"open-access",
"article",
"distributed",
"under",
"the",
"terms",
"of",
"the",
"Creative",
"Commons",
"Attribution",
"License,",
"which",
"permits",
"unrestricted",
"use,",
"distribution,",
"and",
"reproduction",
"in",
"any",
"medium,",
"provided",
"the",
"original",
"author",
"and",
"source",
"are",
"credited.",
"AbstrAct:",
"In",
"the",
"last",
"6",
"years,",
"since",
"the",
"first",
"reports",
"of",
"an",
"association",
"between",
"somatic",
"mutations",
"in",
"epidermal",
"growth",
"factor",
"receptor",
"(EGFR)",
"exons",
"19",
"and",
"21",
"and",
"response",
"to",
"EGFR",
"tyrosine",
"kinase",
"inhibitors",
"(TKIs),",
"treatment",
"of",
"non-small",
"cell",
"lung",
"cancer",
"(NSCLC)",
"has",
"changed",
"dramatically.",
"Based",
"on",
"laboratory",
"and",
"clinical",
"observations,",
"investigators",
"have",
"anticipated",
"that",
"these",
"mutations",
"could",
"be",
"predictive",
"of",
"response",
"to",
"EGFR",
"TKIs",
"and",
"numerous",
"studies",
"have",
"confirmed",
"that",
"the",
"presence",
"of",
"mutation",
"was",
"associated",
"with",
"longer",
"survival",
"in",
"patients",
"receiving",
"targeted",
"therapy.",
"Prospective",
"trials",
"comparing",
"standard",
"platinum-based",
"chemotherapy",
"with",
"EGFR",
"TKIs",
"in",
"patients",
"with",
"and",
"without",
"activating",
"EGFR",
"mutations",
"validated",
"the",
"predictive",
"value",
"of",
"molecular",
"selection",
"of",
"patients",
"for",
"first-line",
"treatment",
"of",
"advanced",
"NSCLC.",
"Recently,",
"preclinical",
"and",
"first-",
"in-human",
"studies",
"have",
"demonstrated",
"impressive",
"activity",
"of",
"ALK",
"TKI",
"in",
"tumors",
"harboring",
"ALK",
"rearrangement.",
"In",
"this",
"article,",
"we",
"review",
"current",
"data",
"on",
"molecular",
"biology",
"of",
"lung",
"cancer",
"and",
"evidence-based",
"patient",
"selection",
"for",
"targeted",
"therapy.",
"IntroductIon",
"Lung",
"cancer",
"is",
"the",
"most",
"frequent",
"cause",
"of",
"cancer-",
"related",
"death",
"worldwide.",
"Non-small",
"cell",
"lung",
"cancer",
"(NSCLC)",
"accounts",
"for",
"85%",
"of",
"all",
"lung",
"cancers",
"[1].",
"Only",
"a",
"minority",
"of",
"NSCLC",
"patients",
"is",
"suitable",
"for",
"radical",
"treatment",
"as",
"curative",
"care.",
"Most",
"patients",
"have",
"advanced",
"disease",
"at",
"diagnosis",
"and",
"palliative",
"therapy",
"is",
"the",
"mainstay",
"of",
"management.",
"Conventional",
"chemotherapy",
"of",
"NSCLC",
"has",
"apparently",
"reached",
"a",
"plateau",
"of",
"effectiveness",
"in",
"improving",
"survival",
"of",
"lung",
"cancer",
"patients,",
"and",
"treatment",
"outcomes",
"must",
"still",
"be",
"considered",
"disappointing",
"[2].",
"Based",
"on",
"a",
"better",
"understanding",
"of",
"the",
"biology",
"of",
"lung",
"cancer,",
"targeted",
"therapies",
"are",
"also",
"available",
"to",
"treat",
"patients",
"with",
"NSCLC.",
"Predictive",
"markers",
"of",
"response",
"to",
"these",
"agents",
"are",
"undergoing",
"prospective",
"validation",
"and",
"promising",
"results",
"have",
"been",
"reported.",
"The",
"epidermal",
"growth",
"factor",
"receptor",
"(EGFR)",
"signaling",
"pathway",
"is",
"importantly",
"implicated",
"in",
"tumor",
"cell",
"growth,",
"local",
"invasion,",
"angiogenesis,",
"metastasis,",
"protein",
"translation",
"and",
"cell",
"metabolism.",
"It",
"activates",
"two",
"major",
"pathways",
"in",
"solid",
"tumors,",
"RAS/RAF/MAPK/ERK",
"and",
"PI3K/AKT/mTOR,",
"as",
"seen",
"in",
"Figure",
"1",
"[3].",
"Molecular",
"aberrations",
"on",
"the",
"EGFR",
"pathway",
"are",
"the",
"most",
"commonly",
"studied",
"predictive",
"biomarkers",
"of",
"response/",
"resistance",
"to",
"targeted",
"agents",
"in",
"lung",
"cancer.",
"This",
"review",
"delineates",
"the",
"current",
"role",
"of",
"EGFR",
"inhibitors",
"in",
"the",
"treatment",
"of",
"advanced",
"NSCLC",
"according",
"to",
"EGFR",
"and",
"KRAS",
"status",
"of",
"the",
"tumor,",
"strategies",
"to",
"overcome",
"resistance",
"to",
"agents",
"targeting",
"EGFR",
"and",
"also",
"discusses",
"other",
"recently",
"discovered",
"molecular",
"aberration",
"in",
"lung",
"cancer,",
"ALK",
"rearrangement,",
"which",
"is",
"being",
"efficiently",
"targeted",
"with",
"ALK",
"inhibitors.",
"EGFr",
"p",
"Athw",
"Ay:",
"molEculAr",
"AbErrA",
"tIons,",
"AntI-EGFr",
"thErApy",
"And",
"prEdIctIvE",
"mArkErs",
"oF",
"rEsponsE",
"NSCLC",
"is",
"associated",
"with",
"EGFR",
"overexpression",
"in",
"up",
"to",
"80%",
"of",
"the",
"patients",
"and",
"a",
"high",
"EGFR",
"gene",
"copy",
"number",
"is",
"found",
"in",
"nearly",
"60%",
"of",
"the",
"cases",
"[4-6].",
"Mutation",
"of",
"the",
"EGFR",
"proto-oncogene",
"is",
"found",
"in",
"10%",
"to",
"20%",
"of",
"www.impactjournals.com/oncotarget",
"165",
"Oncotarget",
"2011;",
"2:",
"165",
"-",
"177"
] | [
0,
7,
7,
7,
7,
7,
8,
8,
8,
8,
8,
8,
8,
8,
8,
8,
6,
6,
6,
6,
6,
6,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
3,
13,
13,
13,
13,
13,
13,
17,
17,
17,
17,
17,
17,
17,
17,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
7,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
9,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
5,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
1,
0,
4,
0,
0,
0,
0,
0,
0
] |