Siglecs as Immune Cell Checkpoints in Disease

Sialic acid-binding immunoglobulin-type lectins (Siglecs) are expressed on the majority of white blood cells of the immune system and play critical roles in immune cell signaling. Through recognition of sialic acid-containing glycans as ligands, they help the immune system distinguish between self a...

Full description

Saved in:
Bibliographic Details
Published inAnnual review of immunology Vol. 38; p. 365
Main Authors Duan, Shiteng, Paulson, James C
Format Journal Article
LanguageEnglish
Published United States 26.04.2020
Subjects
Online AccessGet more information

Cover

Loading…
Abstract Sialic acid-binding immunoglobulin-type lectins (Siglecs) are expressed on the majority of white blood cells of the immune system and play critical roles in immune cell signaling. Through recognition of sialic acid-containing glycans as ligands, they help the immune system distinguish between self and nonself. Because of their restricted cell type expression and roles as checkpoints in immune cell responses in human diseases such as cancer, asthma, allergy, neurodegeneration, and autoimmune diseases they have gained attention as targets for therapeutic interventions. In this review we describe the Siglec family, its roles in regulation of immune cell signaling, current efforts to define its roles in disease processes, and approaches to target Siglecs for treatment of human disease.
AbstractList Sialic acid-binding immunoglobulin-type lectins (Siglecs) are expressed on the majority of white blood cells of the immune system and play critical roles in immune cell signaling. Through recognition of sialic acid-containing glycans as ligands, they help the immune system distinguish between self and nonself. Because of their restricted cell type expression and roles as checkpoints in immune cell responses in human diseases such as cancer, asthma, allergy, neurodegeneration, and autoimmune diseases they have gained attention as targets for therapeutic interventions. In this review we describe the Siglec family, its roles in regulation of immune cell signaling, current efforts to define its roles in disease processes, and approaches to target Siglecs for treatment of human disease.
Author Duan, Shiteng
Paulson, James C
Author_xml – sequence: 1
  givenname: Shiteng
  surname: Duan
  fullname: Duan, Shiteng
  email: jpaulson@scripps.edu
  organization: Departments of Molecular Medicine, and Immunology and Microbiology, Scripps Research, La Jolla, California 92037, USA; email: jpaulson@scripps.edu
– sequence: 2
  givenname: James C
  surname: Paulson
  fullname: Paulson, James C
  email: jpaulson@scripps.edu
  organization: Departments of Molecular Medicine, and Immunology and Microbiology, Scripps Research, La Jolla, California 92037, USA; email: jpaulson@scripps.edu
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31986070$$D View this record in MEDLINE/PubMed
BookMark eNo1zstKxDAUgOEginPRV5BsXEbPybVZSnV0YMCFuh7S9lSjbVqaqeDbi6irf_fxr9hxGhIxdolwhajtdUhpnuhTxL6f09AJBKnRC1DGAxyxJRpthJKuWLBVzu8A4JVyp2yh0BcWHCyZeIqvHdWZh8y3PwzxkrqOl29Uf4xDTIfMY-K3MVPIdMZO2tBlOv_rmr1s7p7LB7F7vN-WNzsRtIGDqAN6pxy2BWFLaBqnC4TKG2eD07axZFtrdRucNBU4Z1DVCFARNaZQQco1u_h1x7nqqdmPU-zD9LX__5bfyGNILg
CitedBy_id crossref_primary_10_1021_acsami_3c03950
crossref_primary_10_1021_jacs_4c08817
crossref_primary_10_1038_s41467_025_56629_9
crossref_primary_10_3390_ijms252211962
crossref_primary_10_1073_pnas_2012408118
crossref_primary_10_1002_ejoc_202300644
crossref_primary_10_1038_s41598_022_15143_4
crossref_primary_10_1039_D4NR01740D
crossref_primary_10_1016_j_bioorg_2021_104730
crossref_primary_10_1093_glycob_cwab007
crossref_primary_10_1016_j_bcp_2022_115335
crossref_primary_10_1016_j_smim_2024_101893
crossref_primary_10_1016_j_ymthe_2021_09_021
crossref_primary_10_1038_s41565_023_01420_4
crossref_primary_10_1016_j_tips_2021_09_002
crossref_primary_10_1126_sciadv_adj2445
crossref_primary_10_1016_j_cbpa_2024_102454
crossref_primary_10_1007_s00262_023_03606_0
crossref_primary_10_1042_BST20190861
crossref_primary_10_1021_acs_analchem_0c04395
crossref_primary_10_1007_s10522_024_10114_w
crossref_primary_10_1186_s40364_022_00369_1
crossref_primary_10_1016_j_smim_2024_101887
crossref_primary_10_1021_jacs_2c00922
crossref_primary_10_3389_fmolb_2021_727847
crossref_primary_10_1002_adbi_201900311
crossref_primary_10_1089_mab_2021_0024
crossref_primary_10_3390_cancers13153896
crossref_primary_10_3389_fimmu_2021_790317
crossref_primary_10_3389_fimmu_2021_813082
crossref_primary_10_1016_j_jconrel_2024_01_050
crossref_primary_10_1038_s41428_023_00837_x
crossref_primary_10_3389_fimmu_2022_994874
crossref_primary_10_1007_s00109_024_02504_x
crossref_primary_10_1186_s13046_022_02335_z
crossref_primary_10_1016_j_carres_2024_109242
crossref_primary_10_4049_jimmunol_1901212
crossref_primary_10_1016_j_jacig_2023_100193
crossref_primary_10_1016_j_carres_2024_109245
crossref_primary_10_1016_j_carres_2024_109123
crossref_primary_10_1016_j_actbio_2021_07_063
crossref_primary_10_1021_acs_chemrev_0c01338
crossref_primary_10_3390_ijms22147494
crossref_primary_10_1016_j_tmsr_2022_02_001
crossref_primary_10_1002_ange_202404889
crossref_primary_10_1097_CM9_0000000000001381
crossref_primary_10_1016_j_cbpa_2022_102233
crossref_primary_10_1042_BCJ20200332
crossref_primary_10_1016_j_euf_2021_06_001
crossref_primary_10_1002_cac2_12416
crossref_primary_10_1016_j_cbpa_2024_102551
crossref_primary_10_1246_cl_210740
crossref_primary_10_1093_nar_gkad905
crossref_primary_10_1002_smtd_202201404
crossref_primary_10_1002_ange_202411863
crossref_primary_10_1021_jacsau_3c00488
crossref_primary_10_3390_app132111903
crossref_primary_10_1021_acs_jpcb_2c09048
crossref_primary_10_1016_j_chom_2024_08_013
crossref_primary_10_1016_j_euros_2021_10_001
crossref_primary_10_1016_j_hlife_2025_02_001
crossref_primary_10_3389_fimmu_2021_758588
crossref_primary_10_3389_fmicb_2021_731008
crossref_primary_10_1016_j_jbc_2021_100906
crossref_primary_10_1038_s41551_021_00777_y
crossref_primary_10_1038_s41467_023_38030_6
crossref_primary_10_1021_acscentsci_1c00525
crossref_primary_10_1016_j_bmcl_2021_128500
crossref_primary_10_1021_acs_biochem_4c00418
crossref_primary_10_1016_j_tips_2021_08_004
crossref_primary_10_3389_fmolb_2021_645999
crossref_primary_10_1111_febs_15647
crossref_primary_10_3389_fimmu_2023_1036019
crossref_primary_10_1007_s10719_023_10120_z
crossref_primary_10_1016_j_lfs_2022_121081
crossref_primary_10_1016_j_sbi_2022_102448
crossref_primary_10_3390_pharmaceutics15020688
crossref_primary_10_1016_j_jbc_2022_101960
crossref_primary_10_1007_s12291_023_01155_y
crossref_primary_10_1016_j_bcp_2021_114847
crossref_primary_10_1111_cns_14736
crossref_primary_10_1016_j_carbpol_2024_122471
crossref_primary_10_1016_j_jaci_2024_03_020
crossref_primary_10_1016_j_cbpa_2021_01_001
crossref_primary_10_1016_j_cell_2021_04_023
crossref_primary_10_1016_j_ijbiomac_2024_134851
crossref_primary_10_1186_s40164_023_00454_7
crossref_primary_10_3389_fmolb_2022_934584
crossref_primary_10_3390_biology10111178
crossref_primary_10_1158_2326_6066_CIR_20_0834
crossref_primary_10_1002_ijch_202200093
crossref_primary_10_1021_jacsau_2c00592
crossref_primary_10_1007_s10719_021_10021_z
crossref_primary_10_14233_ajomc_2020_AJOMC_P279
crossref_primary_10_1016_j_mam_2022_101112
crossref_primary_10_1016_j_mam_2022_101110
crossref_primary_10_3389_fimmu_2022_996746
crossref_primary_10_1016_j_omton_2024_200854
crossref_primary_10_1016_j_ebiom_2022_104354
crossref_primary_10_1021_acs_chemrev_1c01032
crossref_primary_10_1186_s13024_021_00443_6
crossref_primary_10_1021_acscentsci_0c01669
crossref_primary_10_1016_j_ijpharm_2022_122467
crossref_primary_10_1002_asia_202300643
crossref_primary_10_1016_j_isci_2020_101231
crossref_primary_10_1093_bib_bbab227
crossref_primary_10_3389_fchem_2020_00471
crossref_primary_10_1016_j_bone_2020_115665
crossref_primary_10_1038_s41580_020_00294_x
crossref_primary_10_1016_j_cmet_2022_07_005
crossref_primary_10_1007_s00281_022_00939_3
crossref_primary_10_1016_j_mam_2022_101104
crossref_primary_10_1080_14712598_2020_1788540
crossref_primary_10_1016_j_arr_2024_102192
crossref_primary_10_1021_acs_biomac_1c01289
crossref_primary_10_1136_jitc_2020_001222
crossref_primary_10_3390_microorganisms8071017
crossref_primary_10_1038_s42003_022_04207_w
crossref_primary_10_1007_s00418_020_01901_w
crossref_primary_10_1007_s00281_021_00849_w
crossref_primary_10_3389_fimmu_2021_799861
crossref_primary_10_1038_s41380_024_02474_z
crossref_primary_10_1021_jacsau_4c00307
crossref_primary_10_1111_febs_16148
crossref_primary_10_1007_s00418_020_01859_9
crossref_primary_10_1016_j_jhep_2024_01_028
crossref_primary_10_1038_s41589_020_0612_z
crossref_primary_10_1080_10408398_2022_2136620
crossref_primary_10_3390_ijms21155494
crossref_primary_10_1186_s12974_024_03305_2
crossref_primary_10_1158_2326_6066_CIR_22_0366
crossref_primary_10_1021_acsnano_4c07360
crossref_primary_10_1208_s12249_024_02837_3
crossref_primary_10_3390_ijms242015072
crossref_primary_10_3390_cancers15225362
crossref_primary_10_1002_cti2_1524
crossref_primary_10_3390_ijms26031238
crossref_primary_10_1080_17425247_2023_2166926
crossref_primary_10_3390_jcm11123287
crossref_primary_10_1016_j_jaci_2023_09_003
crossref_primary_10_1128_mbio_01107_24
crossref_primary_10_1128_mbio_03393_22
crossref_primary_10_1016_j_aca_2024_342907
crossref_primary_10_1080_25785826_2020_1868664
crossref_primary_10_3390_ijms21144818
crossref_primary_10_1038_s41467_023_39119_8
crossref_primary_10_1038_s41375_024_02454_w
crossref_primary_10_1039_D2CC00402J
crossref_primary_10_3390_cells12141814
crossref_primary_10_3389_fonc_2022_1073932
crossref_primary_10_1016_j_cell_2022_11_023
crossref_primary_10_1002_anie_202411863
crossref_primary_10_1002_glia_23945
crossref_primary_10_1016_j_biopha_2023_115064
crossref_primary_10_1002_advs_202412815
crossref_primary_10_3389_fgene_2024_1375100
crossref_primary_10_1016_j_bmc_2022_116839
crossref_primary_10_1007_s12094_023_03266_7
crossref_primary_10_3390_cimb46080462
crossref_primary_10_1073_pnas_2400499121
crossref_primary_10_3390_cancers16071334
crossref_primary_10_1016_j_jbc_2023_105579
crossref_primary_10_3389_fncel_2020_00162
crossref_primary_10_1182_blood_2022018071
crossref_primary_10_1021_acschembio_4c00677
crossref_primary_10_1021_acs_molpharmaceut_3c00330
crossref_primary_10_1126_science_adh3856
crossref_primary_10_1126_scitranslmed_abj1270
crossref_primary_10_1016_j_bmcl_2021_128328
crossref_primary_10_1021_acssynbio_3c00017
crossref_primary_10_3389_fimmu_2023_1157100
crossref_primary_10_1038_s41435_024_00268_5
crossref_primary_10_1111_cas_15631
crossref_primary_10_1016_j_smim_2023_101799
crossref_primary_10_1007_s00432_021_03762_9
crossref_primary_10_1016_j_mam_2022_101145
crossref_primary_10_1186_s12951_024_02745_5
crossref_primary_10_1073_pnas_2215376120
crossref_primary_10_1002_chem_202403102
crossref_primary_10_1007_s00018_023_04816_6
crossref_primary_10_3390_cells9040836
crossref_primary_10_1016_j_chembiol_2024_02_006
crossref_primary_10_1136_jitc_2022_004850
crossref_primary_10_3390_cells10051260
crossref_primary_10_1016_j_mam_2022_101141
crossref_primary_10_1016_j_mam_2022_101140
crossref_primary_10_1038_s43018_023_00598_9
crossref_primary_10_1039_D2CS00954D
crossref_primary_10_3390_biology12040574
crossref_primary_10_1002_adma_202205746
crossref_primary_10_1002_anie_202404889
crossref_primary_10_1016_j_carres_2025_109427
crossref_primary_10_1016_j_it_2020_02_001
crossref_primary_10_1073_pnas_2015024118
crossref_primary_10_1016_j_mam_2020_100882
crossref_primary_10_1038_s41467_020_18907_6
crossref_primary_10_1007_s11357_023_00761_1
crossref_primary_10_3389_fimmu_2021_643240
crossref_primary_10_3390_cancers16234094
crossref_primary_10_1038_s41375_021_01160_1
crossref_primary_10_3389_fimmu_2022_840388
crossref_primary_10_1002_cbic_202200076
crossref_primary_10_3389_fimmu_2023_1174789
crossref_primary_10_1073_pnas_2026102118
crossref_primary_10_1039_D0OB01116A
crossref_primary_10_1016_j_ijbiomac_2021_08_054
crossref_primary_10_1038_s41565_023_01363_w
crossref_primary_10_1016_j_cca_2023_117742
crossref_primary_10_1021_acschembio_1c00501
crossref_primary_10_1016_j_fsi_2024_110017
crossref_primary_10_1021_acs_bioconjchem_2c00227
crossref_primary_10_3389_fonc_2021_608113
crossref_primary_10_1016_j_isci_2024_111139
crossref_primary_10_1021_acs_joc_0c01830
crossref_primary_10_1007_s12551_021_00903_9
crossref_primary_10_1016_j_jconrel_2022_01_004
crossref_primary_10_3389_fneur_2024_1330874
crossref_primary_10_3390_cells9122691
crossref_primary_10_1136_jitc_2024_009404
crossref_primary_10_1016_j_intimp_2024_113365
crossref_primary_10_3389_fmed_2022_955599
crossref_primary_10_1038_s41590_024_01776_2
crossref_primary_10_3389_fimmu_2023_1237016
crossref_primary_10_3390_medicines10020015
crossref_primary_10_1016_j_ejmech_2020_112707
crossref_primary_10_1021_acs_analchem_2c04882
crossref_primary_10_3389_fimmu_2022_833728
crossref_primary_10_1016_j_ijbiomac_2025_140632
crossref_primary_10_3389_fcell_2022_828916
crossref_primary_10_3389_fimmu_2021_613530
crossref_primary_10_1111_imm_13847
crossref_primary_10_1007_s00262_024_03863_7
crossref_primary_10_1016_j_jaci_2020_08_001
crossref_primary_10_1016_j_thromres_2022_09_005
crossref_primary_10_1016_j_bbcan_2025_189298
crossref_primary_10_1016_j_brainresbull_2021_05_009
crossref_primary_10_1007_s11696_021_02026_7
crossref_primary_10_1016_j_trac_2024_118083
crossref_primary_10_15252_msb_20209819
crossref_primary_10_3389_fcimb_2024_1367233
crossref_primary_10_3390_ijms22115774
crossref_primary_10_1016_j_cbpa_2024_102503
crossref_primary_10_1016_j_jbc_2024_107482
crossref_primary_10_1093_biolre_ioad105
crossref_primary_10_3390_ijms25115725
crossref_primary_10_1016_j_isci_2020_101998
crossref_primary_10_1016_j_mbplus_2022_100108
crossref_primary_10_1186_s12974_022_02663_z
crossref_primary_10_1111_all_16004
crossref_primary_10_1016_j_it_2021_05_002
crossref_primary_10_1016_j_sbi_2022_102395
crossref_primary_10_3390_biology13050307
crossref_primary_10_1016_j_critrevonc_2024_104330
crossref_primary_10_1038_s41417_022_00430_z
crossref_primary_10_1016_j_jbc_2021_101382
crossref_primary_10_1134_S1068162021010222
crossref_primary_10_1007_s10719_023_10101_2
crossref_primary_10_1016_j_ejmech_2024_116216
crossref_primary_10_1021_acschembio_3c00140
crossref_primary_10_3390_ph16121735
crossref_primary_10_1186_s12967_024_04921_5
crossref_primary_10_1038_s41598_024_64789_9
crossref_primary_10_1097_WCO_0000000000000911
crossref_primary_10_3390_cancers13205203
crossref_primary_10_1021_acscatal_3c01363
crossref_primary_10_1016_j_devcel_2024_10_010
crossref_primary_10_3390_cancers16020289
crossref_primary_10_1002_advs_202406654
crossref_primary_10_1002_cplu_202300598
crossref_primary_10_3389_fimmu_2025_1501307
crossref_primary_10_1002_cbic_202000238
crossref_primary_10_1021_acschembio_1c00273
crossref_primary_10_3390_ijms23073629
crossref_primary_10_1016_j_jconrel_2021_09_010
crossref_primary_10_1126_sciadv_abm5667
crossref_primary_10_1080_14712598_2021_1882989
crossref_primary_10_1021_acsabm_4c01736
crossref_primary_10_1038_s41598_024_60539_z
crossref_primary_10_1002_cbic_202100327
crossref_primary_10_1007_s00018_021_04027_x
ContentType Journal Article
DBID NPM
DOI 10.1146/annurev-immunol-102419-035900
DatabaseName PubMed
DatabaseTitle PubMed
DatabaseTitleList PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
Biology
EISSN 1545-3278
ExternalDocumentID 31986070
Genre Journal Article
GrantInformation_xml – fundername: NHLBI NIH HHS
  grantid: P01 HL107151
– fundername: NIAID NIH HHS
  grantid: R01 AI050143
– fundername: NIAID NIH HHS
  grantid: U19 AI136443
GroupedDBID ---
-QD
-QH
0R~
1KX
23M
36B
39C
4.4
51A
5FA
5FB
5FC
5FD
5FE
5FF
5GY
5RE
7A.
85S
AABJL
AAGWO
AAIKC
AALHT
AALUV
AAMNW
AAOHI
AARJV
AAWJP
AAYIS
ABDOG
ABGRM
ABIPL
ABJNI
ABKGM
ABOCM
ABVYV
ABZNY
ACAHA
ACDVT
ACGFS
ACGOD
ACJYF
ACMXS
ACNCT
ACPRK
ACQCJ
ACRLM
ACSOE
ADHEY
ADLON
ADNJN
ADSVE
AEAIQ
AEKBM
AENEX
AEPIK
AEWIE
AFCZG
AFERR
AFKDQ
AFKEJ
AFONB
AHIXL
AHKZM
AHMBA
AHVNO
AICBU
AIDEK
AIJFW
AJAAW
ALAFQ
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AMTJG
AOUBY
AQQLW
ATAUN
B9D
B9E
B9F
B9G
B9H
B9L
B9N
BCFVH
BJPMW
BMYRD
CS3
EBS
EMB
EST
F-Q
F-S
F-V
F-X
F-Y
F-Z
F5P
FIWKU
FIXEU
FMZAJ
FQMFW
FT0
FU.
FUEKT
FXG
GJQJI
GLOEX
GNDDA
GOAVI
GQXMV
H13
HZ~
J1V
L7B
M22
N9A
NPM
O9-
P2P
RAR
RAV
WH7
X7N
YSK
ZYWBE
ID FETCH-LOGICAL-a450t-ca197371f8e1fe15d74810b9576a746d6e6f664fa725b077513c100beed583a22
IngestDate Thu Jan 02 22:59:20 EST 2025
IsPeerReviewed true
IsScholarly true
Keywords B cell
Siglec
Alzheimer disease
T cell
cancer
CD22
CD33
lymphocyte
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-a450t-ca197371f8e1fe15d74810b9576a746d6e6f664fa725b077513c100beed583a22
PMID 31986070
ParticipantIDs pubmed_primary_31986070
PublicationCentury 2000
PublicationDate 2020-04-26
PublicationDateYYYYMMDD 2020-04-26
PublicationDate_xml – month: 04
  year: 2020
  text: 2020-04-26
  day: 26
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Annual review of immunology
PublicationTitleAlternate Annu Rev Immunol
PublicationYear 2020
SSID ssj0009337
Score 2.6835523
SecondaryResourceType review_article
Snippet Sialic acid-binding immunoglobulin-type lectins (Siglecs) are expressed on the majority of white blood cells of the immune system and play critical roles in...
SourceID pubmed
SourceType Index Database
StartPage 365
Title Siglecs as Immune Cell Checkpoints in Disease
URI https://www.ncbi.nlm.nih.gov/pubmed/31986070
Volume 38
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV07T8MwELYoiKoLgvJ-KQNMlSGOE9sZUQEVpLLQSt0qO3UgAtJKTQf49ZwTpy3lIWCxolixnHy5s-989x1CJ8yPQfyoiQsLfOx70sWCKoa5gOVa0UgO8mIw7TvW6vq3vaBXVsi22SWZOovevswr-Q-qcA9wNVmyf0B2OijcgGvAF1pAGNpfYXyfPDxrw7I8btyYPA_daBpXXPNRR0-jYWIiXJLUEGxOz2BmtMmTnNG_zFtJzOMfPOyXE-saNecMdnnLj5omJb9jHmBrvazWb-CZIE7sWdZpq-v8AFOvqKBTKsOCasVqM1qUcfisZefphbGdISh02A2E2HAC5uSj2RwCo5ccApB3wVz-i94FEuyyq4IqYA6Y-qbGKVNyK1PKq-jUzuz8x3nVULUca8GQyDcUnXW0Zi0B56KAdQMt6bSOVovaoK91VG3bqIdNhC3Ojhw7Bc6OwdmZw9lJUsfivIW611edZgvbMhdY-oGb4UiSkFNOYqFJrEkw4L4grgrBEpTcZwOmWcxApiT3AmUYCwmNiOsq2N0EgkrP20bL6TDVu8iJNBFKCMG0AnCJljwWgQjjiIvIFArdQzvFK_dHBZdJv_wY-9_2HKDa7Pc5RCsxCI8-gp1Ypo5zHN4BJxEu2g
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Siglecs+as+Immune+Cell+Checkpoints+in+Disease&rft.jtitle=Annual+review+of+immunology&rft.au=Duan%2C+Shiteng&rft.au=Paulson%2C+James+C&rft.date=2020-04-26&rft.eissn=1545-3278&rft.volume=38&rft.spage=365&rft_id=info:doi/10.1146%2Fannurev-immunol-102419-035900&rft_id=info%3Apmid%2F31986070&rft_id=info%3Apmid%2F31986070&rft.externalDocID=31986070