Activation of the NF<i>κ</i>B Pathway Enhances AhR Expression in Intestinal Caco-2 Cells

Champion, S.; Sauzet, C.; Bremond, P.; Benbrahim, K.; Abraldes, J.; Seree, E.; Barra, Y.; Villard, P. H.

doi:https://doi.org/10.1155/2013/792452

International Scholarly Research Notices

On this page

Abstract Introduction Materials and Methods Results Discussion References Copyright Related Articles

Research Article | Open Access

Volume 2013 | Article ID 792452 | https://doi.org/10.1155/2013/792452

Activation of the NFκB Pathway Enhances AhR Expression in Intestinal Caco-2 Cells

S. Champion,¹C. Sauzet,¹P. Bremond,¹K. Benbrahim,¹J. Abraldes,¹E. Seree,²Y. Barra,³and P. H. Villard¹

Academic Editor: J. C. Rowlands, P. Pocar

Received04 Jul 2013

Accepted21 Aug 2013

Published21 Oct 2013

Abstract

Recent data suggest that apart from its well-known role in the regulation of xenobiotic metabolizing enzymes, AhR is also involved in inflammation. However, the influence of inflammation on AhR expression remains unknown. Here, we demonstrated that proinflammatory conditions induced by either PMA or IL-1β enhance AhR expression in Caco-2 cells. This was associated with an increase in AhR promoter activity. By means of directed mutagenesis experiments and the use of proteasome inhibitors, we demonstrated that inflammation-induced AhR expression involved the NFκB pathway but not AP-1. Moreover, conditioned media from PMA-treated Caco-2 cells were also able to induce AhR expression, and this induction was repressed by anti-IL-1β blocking antibodies. Similar results were obtained with conditioned media from PMA-treated THP-1 cells. Taken together, these data suggest that AhR could be involved in vivo in an inflammatory loop. AhR was recently suspected to be implicated in inflammatory bowel disease. Our results support this hypothesis and suggest that AhR could be a new target for inflammatory bowel disease patient management.

1. Introduction

The aryl hydrocarbon receptor (AhR) is a transcription factor activated by numerous environmental ligands such as dioxins and polycyclic aromatic hydrocarbons (PAHs) [1]. Its endogenous ligand has not yet been described, but some endogenous compounds, notably oxidative derivatives of tryptophan, are already described as efficient activators. Following ligand binding, AhR translocates to the nucleus, dimerizes with its partner the aryl hydrocarbon receptor nuclear translocator (ARNT), and binds to xenobiotic responsive elements (XRE) in target genes.

AhR is known to be a key regulator of some xenobiotic degradation enzymes, notably cytochromes P450 belonging to the CYP1 family, which are involved in the bioactivation of various environmental procarcinogens including PAH and arylamines. The AhR-mediated pathway is commonly viewed as an “adaptive” response toward these xenobiotic agents.

Recent data demonstrated that AhR mediates diverse endogenous functions in our close vertebrate relatives as well as our distant invertebrate ancestors, including cell proliferation, adhesion and migration, and inflammation [2, 3]. Accidental exposure to dioxins, which are prototypes of environmental AhR ligands, leads to a broad spectrum of pathologies, ranging from cancers to cardiovascular diseases and type 2 diabetes [4–6], all of which involve an inflammatory process. Using a “triple-null” mouse model that lacks the two receptors for TNFα and TNFβ and the receptor for the IL-1α and IL-1β cytokines, it was demonstrated that IL1-like cytokines play a central role in dioxin-induced inflammatory effects [7]. We have shown in intestine that PAH-induced AhR activation upregulates the expression of some inflammation target proteins, including proinflammatory cytokines such as IL-1β and TNFα [8, 9]. Similar data have been observed in other cells and tissues, ranging from macrophages and breast cells to skin and lung [10–13]. Moreover, Hollingshead et al. showed that 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) treatment in combination with IL-1β or phorbol 12-myristate 13-acetate (PMA) results in a marked synergistic induction of IL-6 levels over what is seen without AhR activation [11]. Since TCDD induces IL-6 expression through the AhR pathway, this synergistic effect could be partly explained by an inflammation-induced increase in AhR expression.

The aim of this study on Caco-2 cells was to investigate the effect of signals known to be proinflammatory on AhR expression and to describe the molecular mechanisms involved.

2. Materials and Methods

2.1. Chemicals and Reagents

Phorbol 12-myristate 13-acetate (PMA) was sourced from Sigma (France), IL-1β from Peprotech (France), anti-IL1β antibody (ab2105) from Abcam (France), and Proteasome Inhibitor Set I from Calbiochem (France).

2.2. Culture and Cell Treatments

CaCo-2 human colonic adenocarcinoma cells and THP1 human monocytic cells were cultured as previously described [8, 14]. At confluence, cells were starved for 12 h without FBS (replaced by 0.2% BSA) and treated for 1 h to 24 h with either 100 nM PMA or 200 nM IL-1β.

In some experiments, Caco-2 or THP-1 cells were treated with conditioned media. To obtain the conditioned media, cells were treated for 2 h with 100 nM PMA, washed 3 times with PBS, and further cultured in 0.2% BSA medium. Media samples were collected after 2–24 h incubation, and a new Caco-2 batch was treated for 8 h with these conditioned media.

2.3. Quantitative RT-PCR Experiments

Total RNA was isolated using a Nucleospin RNAII kit (Macherey-Nagel, France) and reverse-transcribed at 42°C for 1 h using GibcoBRL M-MLV reverse-transcriptase (Life Technologies, France) and random primers.

Expression levels of target genes (AhR, IL1-β, IL-8, TNFα, and TGFβ) were determined using a LightCycler 480 System (Roche, France). PCR was performed with 0.5 μM of each primer using the LightCycler with Mastermix Plus for SYBR Green I No ROX. Cycling conditions were 10 min denaturation at 95°C, followed by 40 cycles of 30 s denaturation at 95°C, 30 s primer annealing at 60°C, and 30 s fragment elongation at 72°C. The melting curve was analyzed on LightCycler 480 gene scanning software. AhR, IL-1β, IL-8, TNFα, and TGFβ mRNA expressions were normalized to β2-actin expression, and data were quantified by the 2^−ΔΔCt method. The primers used are listed in Table 1.

2.4. Ahr Promoter Luciferase Assays

The 2.7 kb of the human AhR gene 5′-flanking region (the −2103/+637 region of the AhR gene) was subcloned into the pGL3-enhancer luciferase vector (Promega, France) as previously described [8] to obtain the p3.48 construct.

Caco-2 cells in six-well plates were grown to 50–60% confluence before transfection. Transient transfections were performed by lipofection (lipofectin, Life Technologies) in a serum-free and antibiotic-free medium containing 2% L-glutamine, with 0.5 μg of p3.48. After 48 h treatment with 100 nM PMA, luciferase activity was evaluated using the Luciferase Assay System from Promega.

2.5. Site-Directed Mutagenesis of AP1 and NFκB Sites of the AhR Promoter

AhR promoter analysis with Mathinspector software (Genomatix Software, Germany) revealed the presence of 3 AP1 and 3 NFκB putative binding sites. These sites were mutated using the QuickChange site-directed mutagenesis kit (Stratagene, France). Sequences of sense primers used for mutagenesis are listed in Table 2. Presence of the mutations was checked by restriction analysis and verified by DNA sequencing.

Cells were transfected with 0.5 μg of the mutated vectors, and after a 48 h treatment with 100 nM PMA, luciferase activity was evaluated as described above.

2.6. Statistical Analysis

Statistical analysis was performed using a Mann-Whitney test on GraphPad Prism (GraphPad Software). Values were considered statistically different at . Results are presented as means ± SD.

3. Results

3.1. Effect of PMA or IL-1β Treatments on AhR Transcript Levels

In order to evaluate the effect of proinflammatory conditions on AhR mRNA levels, Caco-2 cells were treated with PMA or with IL-1β.

The maximal (4.9-fold) induction of AhR mRNA was observed after 8 h of treatment with PMA (Figure 1(a)). We also evaluated the expression of various cytokines after exposure to PMA (Figure 2). Peak IL-8 upregulation (92-fold) occurred after 4 h of exposure. Peak TNFα, IL-1β, and TGFβ upregulation (10-, 53-, and 286-fold, resp.) occurred after 8 h of exposure.

(a)

(b)

(a)

(b)

(c)

(d)

Treatment of Caco-2 cells with the proinflammatory cytokine IL-1β was also associated with an increase in AhR mRNA that was maximal (6.5-fold) after 8 h of treatment (Figure 1(b)).

Taken together, these results showed that enhancement of AhR expression was associated with signals involved in proinflammatory processes.

3.2. Effect of PMA Treatment on Activation of the AhR Promoter

To see whether AhR induction (mRNA) in response to PMA was associated with an increase in AhR transcription, reporter gene expression was analyzed using the p3.48 construct in which luciferase expression was driven by the AhR promoter. Treating WT p3.48-transfected Caco-2 cells with 100 nM PMA led to a 2.3-fold increase in luciferase expression (Figure 3), showing that increased AhR expression in response to PMA was mainly of transcriptional origin.

PMA is well known to potentialize inflammation-related processes through AP-1 and NFκB pathways. AhR promoter analysis using Matinspector software revealed the putative presence of 3 AP-1 and 3 NFκB binding sites. The mutation of AP-1 sites did not modify AhR induction by PMA (data not shown), suggesting that only the NFκB pathway was involved. The effects of mutations of the three NFκB binding sites found in the AhR promoter are summarized in Figure 3. The mutation of one of the three sites did not significantly modify luciferase induction, whereas mutation of the first site proved most efficient. Double mutation of sites 2 and 3 reduced the induction of luciferase expression by 45%, while mutation of all three sites totally abrogated this induction. Taken together, these data strongly suggest that AhR induction involves the NFκB pathway.

3.3. Effect of a Proteasome Inhibitor Cocktail on AhR and IL-1β mRNA Induction by PMA

In order to gain stronger confirmation of the role of NFκB in AhR expression, we reduced NFκB activation by inhibiting IκB degradation using a supplier-specified proteasome inhibitors cocktail that includes proteasome inhibitor I, lactacystin, and MG-132. As shown in Figure 4, using the proteasome inhibitor cocktail led to a 65% reduction in AhR induction by 100 nM PMA, along with an 86% decrease in IL-1β enhancement, demonstrating that the proteasome inhibitor cocktail was able to prevent the IL-1β induction triggered by the NFκB transduction pathway.

3.4. Effect of Conditioned Media from PMA-Treated Caco-2 Cells or from PMA-Treated THP-1 Cells on AhR Expression

Caco-2 cells are able to produce cytokines, notably TNFα and IL-1β, in response to proinflammatory signals [15]. These cytokines exert their effect through the NFκB pathway. Therefore, treating Caco-2 cells with conditioned media from PMA-treated Caco-2 cells should result in AhR induction. Our results are summarized in Figure 5. Media collected from 6 to 24 h after treating Caco-2 cells with PMA significantly upregulated AhR mRNA. Maximal activity (4.2-fold increase) was obtained with the 24 h conditioned medium (Figure 5(a)). Pretreating the cells with an IL-1β neutralizing antibody (dilution 1/100) 4 h before exposure to 24 h PMA-conditioned medium inhibited the induction of AhR expression, while pretreatment with rabbit isotype IgG had no effect (Figure 5(b)). In another experiment, Caco-2 cells were treated with conditioned media from PMA-treated THP-1 cells, and similarly we observed an induction of AhR mRNA (4.4-fold increase) (Figure 5(c)). Our data therefore point to the involvement of a signalization loop which could lead to an enhancement of inflammatory processes.

(a)

(b)

(c)

4. Discussion

AhR activation is known to induce proinflammatory cytokine expression. This study suggested the induction of an inflammation loop resulting from an initial AhR activation in the colon. Indeed, this tissue through diet is effectively chronically exposed to various AhR ligands such as PAH or food residues like dioxins or polychlorobiphenyls.

Our results obtained in Caco-2 cells clearly demonstrated that both PMA- and IL1-β enhance AhR transcript expression. This phenomenon was associated with an increase of AhR promoter activity. As inflammation-related processes mainly involve NFκB and AP-1 transduction pathways, we carried out site-directed mutagenesis of AP-1 or NFκB binding sites. Mutagenesis of AP-1 was unable to decrease the induction of AhR promoter activity, whereas mutation of the 3 putative NFκB binding sites abrogated the increase in AhR promoter activity. We also pretreated cells with a proteasome inhibitor cocktail in order to prevent degradation of the IκB subunit and therefore inhibit NFκB activation. This pretreatment inhibited both the induction of AhR expression after PMA exposure and the increase of IL-1β expression, which is known to be mainly regulated by NFκB. Taken together, these results demonstrated that proinflammatory conditions induce AhR expression at least partly through the NFκB pathway.

Caco-2 cells express a number of cytokine receptors on their cellular membrane and are also able to secrete proinflammatory cytokines in response to initial inflammatory signals. These cytokines exert some of their effect through the activation of NFκB. Our results demonstrated that treating Caco-2 cells with a conditioned media derived from PMA-treated cells also leads to an increase of AhR expression, and that this induction involved IL-1β signaling. Similar results were obtained with human monocytic THP1 cells. These results are consistent with our results from site-directed mutagenesis experiments and the treatments of cells with proteasome inhibitors. Moreover, these data suggested that an autocrine loop could occur and probably generate and amplify a proinflammatory signal. Indeed, environmental exposure to AhR agonists like PAHs has been demonstrated to induce the expression of proinflammatory cytokines such as IL-1β [8, 9] and to activate NFκB [16]. Our data demonstrated that proinflammatory conditions induced and sustained through AhR expression could, therefore, increase cell susceptibility to PAH-induced inflammation.

The environment exposes us to various AhR ligands that could modulate susceptibility to inflammation. PAHs are potent AhR ligands that are present in tobacco smoke as well as diet, notably grilled meats. Cigarette smoking is emerging as a strong risk factor in the otherwise unknown etiology of chronic inflammatory diseases [17]. There are reports of a dose-response relationship between exposure to tobacco smoke and inflammatory bowel disease (IBD) [18]. The exact mechanisms by which smoking influences the development of IBD are poorly understood, but nicotine does not appear to play a critical role [18]. Interestingly, a recent study in dextran sulfate sodium-induced colitis mice reported that the attenuation of AhR expression resulted in a protective effect [19]. Moreover, AhR and its downstream targets, such as IL-8, were significantly upregulated in IBD patients versus controls. The authors concluded that abnormal AhR pathway activation in the intestinal mucosa of IBD patients may promote chronic inflammation [19], and our results support this hypothesis. Figure 6 proposes a possible explanation of the link between the AhR pathway and IBD. PAHs such as benzo(a)pyrene, are bioactivated by CYP1 family enzymes into diolepoxides, such as benzo(a)pyrene diol epoxide [20], which activate NFκB [16]. The activation of NFκB promotes an inflammatory loop via IL-1β expression and induces AhR expression. The upregulation of AhR would, in response to PAH exposure, enhance both CYP1 inducibility and PAH-inflammatory properties.

NFκB-controlled pathways were classically divided into two branches: the classical pathway involving RelA subunit and IKKβ and the alternative pathway involving RelB subunit and IKKα. Physical interactions between AhR and each one of the NFκB subunits were reported to induce distinct effects via specific sequences. Interaction of AHR with RelA induced a downregulation of gene expression controlled by RelA as in the case of CYP1A1 [21] or IL-6 gene [22]. In opposite, interaction of AhR with RelB enhances DRE-reporter gene activity of CYP1A1 and transcription of some NFκB target genes such as IL-8 and other chemokines through binding on specific RelB/AhRE sequences [23, 24]. Furthermore, NFκB-binding sites that are preferentially recognized by RelB/p52 are spontaneous targets for RelB/AhR complexes (i.e., independently of addition of any exogenous ligand). RelB/AhR complexes are also found to bind on XRE, as well as NFκB consensus elements, and RelB drastically increases the TCDD-induced XRE-Luc reporter activity. Vogel and Matsumura [25] propose that AhR assists the function of RelB not only to mediate chronic inflammation but also to promote RelB’s function in resolution of inflammation via negative feedback mechanisms, whereas AhR antagonizes the action of RelA to moderate acute cellular inflammation and/or protect cells from unwanted side effects of full activation of inflammatory effects of RelA. Our data showed that in vitro, proinflammatory conditions enhance AhR expression through NFκB pathway, therefore, it would be of interest to evaluate if the enhanced expression of AhR was also associated with an increase of RelB/AhR complex formation and if such an interaction promotes in vivo either inflammation or its resolution.

In conclusion, we demonstrated for the first time that compounds inducing proinflammatory cytokine expression enhance AhR expression in intestinal epithelial Caco-2 cells through the NFκB transduction pathway. Several pieces of evidence point to AhR as a potential new target in the management of IBD and suggest that the modulation of AhR signaling pathway via diet, smoking cessation, or the consumption of AhR antagonists such as resveratrol [26] could be a viable new strategy for the prevention and treatment of IBD.

References

D. W. Nebert, T. P. Dalton, A. B. Okey, and F. J. Gonzalez, “Role of aryl hydrocarbon receptor-mediated induction of the CYP1 enzymes in environmental toxicity and cancer,” The Journal of Biological Chemistry, vol. 279, no. 23, pp. 23847–23850, 2004.
View at: Publisher Site | Google Scholar
B. J. McMillan and C. A. Bradfield, “The aryl hydrocarbon receptor sans xenobiotics: endogenous function in genetic model systems,” Molecular Pharmacology, vol. 72, no. 3, pp. 487–498, 2007.
View at: Publisher Site | Google Scholar
R. Barouki, X. Coumoul, and P. M. Fernandez-Salguero, “The aryl hydrocarbon receptor, more than a xenobiotic-interacting protein,” FEBS Letters, vol. 581, no. 19, pp. 3608–3615, 2007.
View at: Publisher Site | Google Scholar
D. Belpomme, P. Irigaray, L. Hardell et al., “The multitude and diversity of environmental carcinogens,” Environmental Research, vol. 105, no. 3, pp. 414–429, 2007.
View at: Publisher Site | Google Scholar
O. Humblet, L. Birnbaum, E. Rimm, M. A. Mittleman, and R. Hauser, “Dioxins and cardiovascular disease mortality,” Environmental Health Perspectives, vol. 116, no. 11, pp. 1443–1448, 2008.
View at: Publisher Site | Google Scholar
D. O. Carpenter, “Environmental contaminants as risk factors for developing diabetes,” Reviews on Environmental Health, vol. 23, no. 1, pp. 59–74, 2008.
View at: Google Scholar
K. Pande, S. M. Moran, and C. A. Bradfield, “Aspects of dioxin toxicity are mediated by interleukin 1-like cytokines,” Molecular Pharmacology, vol. 67, no. 5, pp. 1393–1398, 2005.
View at: Publisher Site | Google Scholar
P. H. Villard, S. Caverni, A. Baanannou et al., “PPARα transcriptionally induces AhR expression in Caco-2, but represses AhR pro-inflammatory effects,” Biochemical and Biophysical Research Communications, vol. 364, no. 4, pp. 896–901, 2007.
View at: Publisher Site | Google Scholar
A. Khalil, P.-H. Villard, M. A. Dao et al., “Polycyclic aromatic hydrocarbons potentiate high-fat diet effects on intestinal inflammation,” Toxicology Letters, vol. 196, no. 3, pp. 161–167, 2010.
View at: Publisher Site | Google Scholar
H. Cheon, Y.-S. Woo, Y. L. Ji et al., “Signaling pathway for 2,3,7,8-tetrachlorodibenzo-p-dioxin-induced TNF-α production in differentiated THP-1 human macrophages,” Experimental and Molecular Medicine, vol. 39, no. 4, pp. 524–534, 2007.
View at: Google Scholar
B. D. Hollingshead, T. V. Beischlag, B. C. DiNatale, P. Ramadoss, and G. H. Perdew, “Inflammatory signaling and aryl hydrocarbon receptor mediate synergistic induction of interleukin 6 in MCF-7 cells,” Cancer Research, vol. 68, no. 10, pp. 3609–3617, 2008.
View at: Publisher Site | Google Scholar
N. Podechard, V. Lecureur, E. Le Ferrec et al., “Interleukin-8 induction by the environmental contaminant benzo(a)pyrene is aryl hydrocarbon receptor-dependent and leads to lung inflammation,” Toxicology Letters, vol. 177, no. 2, pp. 130–137, 2008.
View at: Publisher Site | Google Scholar
V. R. C. De Souza, W. K. Cabrera, A. Galvan et al., “Aryl hydrocarbon receptor polymorphism modulates DMBA-induced inflammation and carcinogenesis in phenotypically selected mice,” International Journal of Cancer, vol. 124, no. 6, pp. 1478–1482, 2009.
View at: Publisher Site | Google Scholar
E. M. Drummond, N. Harbourne, E. Marete et al., “Inhibition of proinflammatory biomarkers in THP1 macrophages by polyphenols derived from chamomile, meadowsweet and willow bark,” Phytotherapy Research, vol. 27, no. 4, pp. 588–594, 2013.
View at: Google Scholar
A. Parlesak, D. Haller, S. Brinz, A. Baeuerlein, and C. Bode, “Modulation of cytokine release by differentiated CACO-2 cells in a compartmentalized coculture model with mononuclear leucocytes and nonpathogenic bacteria,” Scandinavian Journal of Immunology, vol. 60, no. 5, pp. 477–485, 2004.
View at: Publisher Site | Google Scholar
C. Huang, Y. Huang, J. Li et al., “Inhibition of benzo(a)pyrene diol-epoxide-induced transactivation of activated protein 1 and nuclear factor κB by black raspberry extracts,” Cancer Research, vol. 62, no. 23, pp. 6857–6863, 2002.
View at: Google Scholar
C. Carlens, M.-P. Hergens, J. Grunewald et al., “Smoking, use of moist snuff, and risk of chronic inflammatory diseases,” American Journal of Respiratory and Critical Care Medicine, vol. 181, no. 11, pp. 1217–1222, 2010.
View at: Publisher Site | Google Scholar
N. A. Molodecky and G. G. Kaplan, “Environmental risk factors for inflammatory bowel disease,” Gastroenterology and Hepatology, vol. 6, no. 5, pp. 339–346, 2010.
View at: Google Scholar
R. Arsenescu, V. Arsenescu, J. Zhong et al., “Role of the xenobiotic receptor in inflammatory bowel disease,” Inflammatory Bowel Diseases, vol. 17, no. 5, pp. 1149–1162, 2011.
View at: Publisher Site | Google Scholar
T. Shimada and Y. Fujii-Kuriyama, “Metabolic activation of polycyclic aromatic hydrocarbons to carcinogens by cytochromes P450 1A1 and 1B1,” Cancer Science, vol. 95, no. 1, pp. 1–6, 2004.
View at: Publisher Site | Google Scholar
Y. Tian, S. Ke, M. S. Denison, A. B. Rabson, and M. A. Gallo, “Ah receptor and NF-κB interactions, a potential mechanism for dioxin toxicity,” The Journal of Biological Chemistry, vol. 274, no. 1, pp. 510–515, 1999.
View at: Publisher Site | Google Scholar
B. A. Jensen, R. J. Leeman, J. J. Schlezinger, and D. H. Sherr, “Aryl hydrocarbon receptor (AhR) agonists suppress interleukin-6 expression by bone marrow stromal cells: an immunotoxicology study,” Environmental Health, vol. 2, article 1, 2003.
View at: Publisher Site | Google Scholar
C. F. A. Vogel, E. Sciullo, W. Li, P. Wong, G. Lazennec, and F. Matsumura, “RelB, a new partner of aryl hydrocarbon receptor-mediated transcription,” Molecular Endocrinology, vol. 21, no. 12, pp. 2941–2955, 2007.
View at: Publisher Site | Google Scholar
C. F. A. Vogel, N. Nishimura, E. Sciullo, P. Wong, W. Li, and F. Matsumura, “Modulation of the chemokines KC and MCP-1 by 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) in mice,” Archives of Biochemistry and Biophysics, vol. 461, no. 2, pp. 169–175, 2007.
View at: Publisher Site | Google Scholar
C. F. A. Vogel and F. Matsumura, “A new cross-talk between the aryl hydrocarbon receptor and RelB, a member of the NF-κB family,” Biochemical Pharmacology, vol. 77, no. 4, pp. 734–745, 2009.
View at: Publisher Site | Google Scholar
A. Revel, H. Raanani, E. Younglai et al., “Resveratrol, a natural aryl hydrocarbon receptor antagonist, protects lung from DNA damage and apoptosis caused by benzo[a]pyrene,” Journal of Applied Toxicology, vol. 23, no. 4, pp. 255–261, 2003.
View at: Publisher Site | Google Scholar

Copyright

Copyright © 2013 S. Champion 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.

PDF Download Citation

Download other formats

Order printed copies

Views

2149

Downloads

1203

Citations