1
|
Abstract
Gramicidin is an antibiotic peptide that can be incorporated into the monolayers of cell membranes. Dimerization through hydrogen bonding between gramicidin monomers in opposing leaflets of the membrane results in the formation of an iontophoretic channel. Surrounding phospholipids influence the gating properties of this channel. Conversely, gramicidin incorporation has been shown to affect the structure of spontaneously formed lipid assemblies. Using small-angle x-ray diffraction and model systems composed of phospholipids and gramicidin, the effects produced by gramicidin on lipid layers were measured. These measurements explore how peptides are able to modulate the spontaneous curvature properties of phospholipid assemblies. The reverse hexagonal, H(II), phase formed by dioleoylphosphatidylethanolamine (DOPE) monolayers decreased in lattice dimension with increasing incorporation of gramicidin. This indicated that gramicidin itself was adding negative curvature to the lipid layers. In this system, gramicidin was measured to have an apparent intrinsic radius of curvature, R0pgram, of -7.1 A. The addition of up to 4 mol% gramicidin in DOPE did not result in the monolayers becoming stiffer, as measured by the monolayer bending moduli. Dioleoylphosphatidylcholine (DOPC) alone forms the lamellar (L(alpha)) phase when hydrated, but undergoes a transition into the reverse hexagonal (H(II)) phase when mixed with gramicidin. The lattice dimension decreases systematically with increased gramicidin content. Again, this indicated that gramicidin was adding negative curvature to the lipid monolayers but the mixture behaved structurally much less consistently than DOPE/gramicidin. Only at 12 mol% gramicidin in dioleoylphosphatidylcholine could an apparent radius of intrinsic curvature of gramicidin (R0pgram) be estimated as -7.4 A. This mixture formed monolayers that were very resistant to bending, with a measured bending modulus of 115 kT.
Collapse
Affiliation(s)
- J A Szule
- Biological Sciences, Brock University, St. Catharines, Ontario, Canada, L2S 3A1
| | | |
Collapse
|
2
|
Markosyan RM, Melikyan GB, Cohen FS. Evolution of intermediates of influenza virus hemagglutinin-mediated fusion revealed by kinetic measurements of pore formation. Biophys J 2001; 80:812-21. [PMID: 11159448 PMCID: PMC1301279 DOI: 10.1016/s0006-3495(01)76060-2] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Cells expressing wild-type influenza virus hemagglutinin (HA) or HA with a point mutation within the transmembrane domain (G520L) were bound to red blood cells and exposed to low pH for short times at suboptimal temperatures followed by reneutralization. This produced intermediate states of fusion. The ability of intermediate states to proceed on to fusion when temperature was raised was compared kinetically. In general, for wild-type HA, fusion occurred more quickly by directly lowering pH at 37 degrees C in the bound state than by raising temperature at the intermediate stage. When pH was lowered for 1-2 min, kinetics of fusion upon raising temperature of an intermediate slowed the longer the intermediate was maintained at neutral pH. But for a more sustained (10 min) acidification, kinetics was independent of the time the intermediate was held at neutral pH before triggering fusion by raising temperature. In contrast, generating intermediates in the same way with G520L yielded kinetics of fusion that did not depend on the time intermediates were maintained after reneutralization. For both HA and G520L, the extents of fusion did not depend on the temperature at which pH was lowered, but fusion from the intermediate was extremely sensitive to the temperature to which the cells were raised. The measured kinetics and temperature dependencies suggest that the rate-limiting step of fusion occurs subsequent to formation of any of the intermediates; the conformational change of HA into its final configuration may be the rate-limiting step.
Collapse
Affiliation(s)
- R M Markosyan
- Department of Molecular Biophysics and Physiology, Rush Medical College, Chicago, Illinois 60612, USA
| | | | | |
Collapse
|
3
|
Luzzati V, Mateu L, Marquez G, Borgo M. Structural and electrophysiological effects of local anesthetics and of low temperature on myelinated nerves: implication of the lipid chains in nerve excitability. J Mol Biol 1999; 286:1389-402. [PMID: 10064705 DOI: 10.1006/jmbi.1998.2587] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
X-ray scattering and electrophysiological experiments performed on toad sciatic nerves as a function of the exposure to either low temperature or tetracaine yielded the following results: (i) the main structural effect is to thicken the individual membranes, thus to stiffen the acyl chains and increase the repeat distance of the one-dimensional lattice, phenomena that are typical of lipid-containing systems with disordered chains; (ii) the electrophysiological effect is to decrease the amplitude and velocity of the compound action potential; (iii) the structural and physiological effects of the two agents are practically identical. Since the structural and the electrophysiological parameters have different origins in the nerves (the structure regards the myelin sheath, the electrical signals originate at the nodes of Ranvier) it is inferred that tetracaine and low temperature exert similar effects on the membranes of both the myelin sheath and the nodes of Ranvier. Also, since local anesthetics act by inhibiting the Na+ channels, these observations suggest that the acyl chain conformation modulates the channel function and thus the generation of action potential.
Collapse
Affiliation(s)
- V Luzzati
- Centre de Génétique Moléculaire, Laboratoire Propre du CNRS, associé à l'Université Pierre et Marie Curie, Gif-sur-Yvette, 91198, France.
| | | | | | | |
Collapse
|
4
|
Chapter 10 Lipid Membrane and Ligand-Gated Ion Channels in General Anesthetic Action. CURRENT TOPICS IN MEMBRANES 1999. [DOI: 10.1016/s0070-2161(08)61048-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register]
|
5
|
Olah GA, Huang HW, Liu WH, Wu YL. Location of ion-binding sites in the gramicidin channel by X-ray diffraction. J Mol Biol 1991; 218:847-58. [PMID: 1708832 DOI: 10.1016/0022-2836(91)90272-8] [Citation(s) in RCA: 88] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We report the first X-ray diffraction on gramicidin in its membrane-active form by using uniformly aligned multilayer samples of membranes containing gramicidin and ions (T1+, K+, Ba2+, Mg2+ or without ions). From the difference electron density profiles, we found a pair of symmetrically located ion-binding sites for T1- at 9.6 (+/- 0.3) A and for Ba2+ at 13.0 (+/- 0.2) A from the midpoint of the gramicidin channel. The location of Ba(2+)-binding sites is near the ends of the channel, consistent with the experimental observation that divalent cations do not permeate but block the channel. The location of T1(+)-binding sites is somewhat of a surprise. It was generally thought that monovalent cations bind to the first turn of the helix from the mouth of the channel. (It is now generally accepted that the gramicidin channel is a cylindrical pore formed by two monomers, each a single-stranded beta 6.3 helix and hydrogen-bonded head-to-head at their N termini.) But our experiment shows that the T1(+)-binding site is either near the bottom of or below the first helix turn.
Collapse
Affiliation(s)
- G A Olah
- Physics Department, Rice University, Houston, TX 77251
| | | | | | | |
Collapse
|
6
|
|
7
|
Petro AG, Cagnon M, Galerne Y, Durand G. Thermal and Mechanical Instabilities in Nonaqueous Lamellar Lyotropic Lecithin-Ethylenglycol. ACTA ACUST UNITED AC 1988. [DOI: 10.1080/00268948808078731] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
8
|
Blaurock AE, Chandross RJ, Bear RS. Surprising thermal transition in fish myelin. BIOCHIMICA ET BIOPHYSICA ACTA 1985; 817:367-74. [PMID: 4016112 DOI: 10.1016/0005-2736(85)90039-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
A new structural transition in nerve myelin has been discovered by means of X-ray diffraction of excised teleost nerves in physiological saline. The reversible transition is between two structures, designated AS and AL, with repeating distances (d spacings) differing by 25-35 A. When the temperature of bream spinal cord is lowered from room temperature to 4 degrees C, much but not all of the AS (short spacing) myelin changes into AL (long spacing) myelin. The change is reversed when the temperature is raised back to 22 degrees C, and it occurs a second time when the temperature is lowered again to 4 degrees C. The myelin in bream optic nerve undergoes a similar thermal transition, but the myelin in brachial plexus does not. The thermal transition does not involve the liquid crystal-to-gel transition observed in lipids and natural membranes. When a specimen is kept at constant temperature, there is a gradual conversion from AS to AL myelin which is not thermally reversible, suggesting the existence of two distinct subclasses of AL. Similarly, two subclasses are indicated for AS myelin since part of it does not transform thermally. The observations reported here may have significance for the evolutionary development of myelin.
Collapse
|
9
|
Petrov A, Durand G. Thermal instability in lamellar phases of lecithin : a planar undulation model. ACTA ACUST UNITED AC 1983. [DOI: 10.1051/jphyslet:019830044018079300] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
10
|
Abstract
Important constraints on possible molecular mechanisms of general anaesthesia are derived from a quantitative reappraisal of data on the potency of general anaesthetics on whole animals. Despite their popularity, theories that invoke lipids as the prime target do not look at all promising, and available data point much more plausibly to a direct effect on particularly sensitive proteins. Structural changes of proteins on binding general anaesthetics are probably small but may be sufficient to perturb normal function; alternatively, anaesthetics may compete with an endogenous ligand. The phenomenon of pressure reversal of anaesthesia may simply be due to anaesthetics being squeezed away from their target sites.
Collapse
|
11
|
Abstract
Thermotropic changes in the transverse order of microsomal membranes isolated from Tetrahymena are revealed by low-angle X-ray diffraction. These are correlated with the lateral order of the membrane lipids by wide-angle X-ray diffraction. Upon lowering the temperature from 28 degrees C to 2 degrees C, the Bragg period of the membrane stack reveals an abrupt increase of approximately 3.1 nm at approximately 19 degrees C, which is reversible upon reheating to 28 degrees C. This is coupled with an alteration in the electron density profile, revealing a shift of mass from the hydrophobic core towards one of the two hydrophilic surfaces. Between 35 degrees C and 0 degrees C, the membrane lipids undergo a broad, thermotropic "two-stage" liquid crystalline in equilibrium crystalline phase separation with a "breakpoint" at approximately 18 degrees C. This breakpoint signals an abrupt lipid redistribution, presumably due to a change in the composition of the two coexisting liquid crystalline and crystalline lipid phases. We conclude: (1) the temperature-induced mass shift reflects a shift in the transverse partition of proteins in membranes; (2) this is triggered by an abrupt lipid redistribution occurring during a broad liquid crystalline in equilibrium crystalline phase separation.
Collapse
|
12
|
Lieb WR, Kovalycsik M, Mendelsohn R. Do clinical levels of general anaesthetics affect lipid bilayers? Evidence from Raman scattering. BIOCHIMICA ET BIOPHYSICA ACTA 1982; 688:388-98. [PMID: 7104332 DOI: 10.1016/0005-2736(82)90350-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
We have used Raman spectroscopy to investigate the effects of the general anaesthetics halothane and chloroform on lipid bilayer order. Clinical concentrations of these anaesthetics had no significant effect on the hydrocarbon chain conformation in multilamellar vesicles of dimyristoylphosphatidylcholine/cholesterol. This result was obtained with a technique sufficiently precise to monitor changes in the acyl chain trans-gauche population ratio associated with a 1-2 K alteration in temperature. Very high levels of anaesthetics caused a marked disordering of the hydrocarbon chains. The danger of inferring an effect at clinical concentrations from data obtained at much higher levels is illustrated by a statistical analysis of our dose-response curves.
Collapse
|
13
|
Sugár IP. A theoretical model of the temperature- and pressure-induced phase transition of phospholipid bilayers. Biophys Chem 1982; 15:131-8. [PMID: 7093428 DOI: 10.1016/0301-4622(82)80025-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
A statistical thermodynamic model of phospholipid bilayers is developed. In the model, a new concept of a closely packed system is applied, i.e., a system of hard cylinders of equal radii, the radius being a function of the average number of gauche rotations in a hydrocarbon chain. Using this concept of a closely packed system, reasonable values are obtained for the change in specific volume at the order-disorder transition of lecithin bilayers. In addition to interactions between the lipid matrix and water molecules, between the head groups, themselves and between hydrocarbon chains, as well as the intramolecular energy associated with chain conformation, the Hamiltonian of the membrane also includes the energy of the pressure field. Thus, the phase transition of phospholipid membranes induced not only by temperature but also by hydrostatic pressure is described by this model simultaneously. In accordance with the experimental results, a linear relationship is obtained between the phase transition temperature and phase transition pressure. The other calculated phase transition properties of lecithin homologues, e.g., changes in enthalpy, surface area, thickness and gauche number per chain are in agreement with the available experimental data. The ratio of kink to interstitial conduction of bilayers is also estimated.
Collapse
|
14
|
Kita Y, Bennett LJ, Miller KW. The partial molar volumes of anesthetics in lipid bilayers. BIOCHIMICA ET BIOPHYSICA ACTA 1981; 647:130-9. [PMID: 6895321 DOI: 10.1016/0005-2736(81)90301-1] [Citation(s) in RCA: 38] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The excess volumes of mixing of benzyl alcohol, halothane, and methoxyflurane in water and in suspensions of several lipid bilayers have been determined at 25 degrees C using a novel excess volume dilatometer. The excess volumes of mixing in water were all found to be negative, whereas in lipid suspensions they were all more positive than those in water alone. From known partition coefficients the partial molar volumes of these three solutes in the lipid bilayers were calculated. These values were all close to the molar volumes of the pure anesthetics, as was a value determined for halothane in olive oil. Halothane was studied in dipalmitoylphosphatidylcholine below its phase transition, and was found to exhibit a much larger excess volume than in any other system we studied. The potency of these three anesthetics was determined in tadpoles. It was calculated that at equi-anesthetic doses these three agents caused an expansion in egg lecithin/cholesterol (2:1) bilayers of 0.21 +/- 0.015%. This result is consistent with the hypothesis that general anesthetics act by expanding membranes.
Collapse
|
15
|
Sugiura Y. Structure of molecular aggregates of 1-(3-sn-phosphatidyl)-L-myo-inositol 3,4-bis(phosphate) in water. BIOCHIMICA ET BIOPHYSICA ACTA 1981; 641:148-59. [PMID: 6260180 DOI: 10.1016/0005-2736(81)90578-2] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The molecular organization of 1-(3-sn-phosphatidyl)-L-myo-inositol 3,4-bis-(phosphate)/water systems is investigated over a wide range of lipid concentrations using X-ray diffraction, calorimetry, analytical ultracentrifugation, densitometry and viscometry. At high lipid concentrations, the lipid molecules are found to form a lamellar phase. The repeat distance increases from 60 to 120 A with increasing water content to 70 wt% and the surface area per lipid molecule increases from 41.7 A2 to a limiting value of 100 A2. On the other hand, at very low lipid concentrations the molecules are found to form not vesicles but micelles, the total molecular weight of which takes a value of 93,000. This finding revises the prevalent view that lipids containing two (or more) hydrocarbon chains form extended bilayers or vesicles, whereas single chained lipids form micelles.
Collapse
|
16
|
Franks NP, Lieb WR. The structure of lipid bilayers and the effects of general anaesthetics. An x-ray and neutron diffraction study. J Mol Biol 1979; 133:469-500. [PMID: 537057 DOI: 10.1016/0022-2836(79)90403-0] [Citation(s) in RCA: 198] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
|
17
|
Sugár IP. A theory of the electric field-induced phase transition of phospholipid bilayers. BIOCHIMICA ET BIOPHYSICA ACTA 1979; 556:72-85. [PMID: 476121 DOI: 10.1016/0005-2736(79)90420-6] [Citation(s) in RCA: 54] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Improving the statistical mechanical model of Jacobs et al. (Jacobs, R.E., Hudson, B. and Andersen, H.C. (1975) Proc. Natl. Acad. Sci. U.S. 72, 3993--3997) we have constructed a model which describes not only the temperature but also the external field dependence of the membrane structure of phospholipid bilayers. In addition to the interactions between head groups, between hydrocarbon chains, and the internal conformational energy of the chains (which were considered in Jacobs' model), our model includes the energy of deformation and the field energy as well. By the aid of this model we can explain the phenomenon of dielectric breakdown, the non-linearity of current-voltage characteristics, and the mechanism of membrane elasticity. The free energy of the membrane, the average number of the gauche conformations in the hydrocarbon interior and at the membrane surface, gauche distribution along the chain, the membrane thickness, area and volume are calculated at different temperatures and voltages. The calculation also gives the temperature dependence of Young's modulus and that of the linear thermal expansion coefficient.
Collapse
|
18
|
|
19
|
Abstract
Synthetic phosphatidylcholine Langmuir films have been incorporated into metal-insulator-metal (MIM) thin film junctions. The capacitance characteristics of these junctions have been studied as a function of temperature, the number of lipid layers in the insulating layer, and the length of the hydrocarbon chains of the lipid molecule. The thickness of the oxide layer on the base aluminum electrode has been determined to be larger than or equal to 11 A, and its effects on the capacitance characteristics have been considered in some detail. Indications of phase transitions in the temperature dependence of the capacitance imply that the basic lemellar arrangement of the lipid molecules is retained even after the samples are subjected to a dehydrating vacuum annealing process. An examination of the effects of varying the hydrocarbon chain length and salt content of the subphase during sample fabrication showed that capacitance characteristics of the MIM junction are very sensitive to small structural changes in the insulating layer.
Collapse
|
20
|
|
21
|
|
22
|
Stockton GW, Polnaszek CF, Tulloch AP, Hasan F, Smith IC. Molecular motion and order in single-bilayer vesicles and multilamellar dispersions of egg lecithin and lecithin-cholesterol mixtures. A deuterium nuclear magnetic resonance study of specifically labeled lipids. Biochemistry 1976; 15:954-66. [PMID: 943179 DOI: 10.1021/bi00650a003] [Citation(s) in RCA: 239] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Deuterium (2H) nuclear magnetic resonance (NMR) quadrupole splittings and relaxation times have been measured for a variety of specifically deuterated lipids intercalated in lamellar-multibilayer dispersions and single-bilayer vesicles of egg lecithin and lecithin-cholesterol mixtures. The deduced order parameters and relaxation times vary with position of deuteration, acyl chain length, unsaturation, and temperature. The order parameters and spinlattice relaxation times T1 indicate rapid intramolecular motions of restricted amplitude in both the choline head group and hydrocarbon chains. The ordering profile for the acyl chains is similar to that predicted by statistical-mechanical theory. The order parameters yield estimates of the bilayer thickness and linear coefficient of expansion in close agreement with the x-ray determinations. A comparison of the deuterium and electron spin resonance spinprobe order parameters demonstrates the perturbation of the bilayer by the bulky nitroxide probe. The transverse relaxation time T2 for single-bilayer vesicles is quantitatively accounted for by a simple modification of classical relaxation theory which takes into account the modulation of the static quadrupole interaction by rapid local molecular motions and the modulation of the residual quadrupole interaction by the slower overall tumbling of the vesicle. It is unambiguously demonstrated that molecular motion and order in single-bilayer vesicles are very similar to those in lamellar multibilayers. Significant differences occur only for a few segments near the terminal methyl groups of the acyl chains, where the order parameters for vesicles are 10-30% smaller than those found for lamellae. The incorporation of cholesterol in lecithin bilayers is shown to increase the degree of orientational order in vesicles and lamellae, and to increase the hydrodynamic radius of vesicles. Thus, single-bilayer vesicles and multilamellar dispersions of phospholipids are equally useful models for biological membranes. They yield equivalent information about the internal organization and mobility of lipid bilayers, when the spectral manifestations of overall vesicle motion are correctly taken into account.
Collapse
|
23
|
Abstract
The preceding paper by Douglas Magde has recounted the basic principles of Fluorescence Correlation Spectroscopy (FCS) as originally described (see Magde, Elson & Webb, 1972; Elson & Magde, 1974; Magde, Elson & Webb, 1974 Elson & Webb, 1975; referred to collectively as MEW), and has described the first application to chemical kinetics. In this paper I shall first illustrate the same principles of FCS with a simple graphical demonstration model based on the scheme for application to lateral diffusion in membranes as it was developed in our laboratory by Dr T. J. Herbert; I shall then proceed to discuss some current research in our group organized jointly with Professor E. L. Elson at Cornell.
Collapse
|
24
|
Worcester DL, Franks NP. Structural analysis of hydrated egg lecithin and cholesterol bilayers. II. Neutrol diffraction. J Mol Biol 1976; 100:359-78. [PMID: 943549 DOI: 10.1016/s0022-2836(76)80068-x] [Citation(s) in RCA: 314] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
25
|
Role of Cholesterol in Biomembranes and Related Systems. ACTA ACUST UNITED AC 1975. [DOI: 10.1016/s0070-2161(08)60101-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023]
|
26
|
Marcelja S. Chain ordering in liquid crystals. II. Structure of bilayer membranes. BIOCHIMICA ET BIOPHYSICA ACTA 1974; 367:165-76. [PMID: 4371833 DOI: 10.1016/0005-2736(74)90040-6] [Citation(s) in RCA: 412] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|
27
|
Marsh D. An interacting spin label study of lateral expansion in dipalmitoyllecithin-cholesterol bilayers. BIOCHIMICA ET BIOPHYSICA ACTA 1974; 363:373-86. [PMID: 4376696 DOI: 10.1016/0005-2736(74)90076-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|