Endocrinology Vol. 138, No. 2 705-711
Copyright © 1997 by The Endocrine Society
Developmental and Tissue-Specific Sulfonylurea Receptor Gene Expression
Catalina Hernández-Sánchez,
Teresa L. Wood and
Derek LeRoith
Section on Molecular and Cellular Physiology, Diabetes Branch,
National Institute of Diabetes and Digestive and Kidney Diseases,
National Institutes of Health, Bethesda, Maryland 20892-1770; and the
Department of Neuroscience and Anatomy, Pennsylvania State University
College of Medicine (T.L.W.), Hershey, Pennsylvania 17033
Address all correspondence and requests for reprints to: Dr. Catalina Hernández-Sánchez, Diabetes Branch, Room 8S235A, Building 10, National Institutes of Health, Bethesda, Maryland 20892-1770.
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Abstract
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We have studied the developmental regulation of mouse sulfonylurea
receptor (SUR) gene expression throughout several embryonic stages as
well as in the adult mouse. To this end we used a 229-bp mouse
complementary DNA corresponding to the 3'-end of the SUR gene for
in situ hybridization and solution
hybridization/ribonuclease protection assays. We found that the SUR
gene was expressed as early as embryonic day 12 in the developing
pancreas, heart, and central nervous system. These tissues maintained
significant levels of SUR messenger RNA (mRNA) throughout development.
In addition, SUR mRNA was detected in the submandibular gland, anterior
duodenum, dorsal root ganglia, lens, retina, and vibrissae by late
developmental stages.
SUR mRNA is widely distributed in adult mouse tissues, with the
exception of the liver. In the adult pancreas, the SUR gene was
expressed exclusively in endocrine tissue. Although significant levels
of SUR mRNA were broadly seen throughout the brain, neurons of the
cerebellum, hippocampus, and thalamus had especially high levels of SUR
mRNA. These findings support the idea that the SUR has important
functions in many other tissues in addition to the islets of the
pancreas.
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Introduction
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SULFONYLUREAS are insulin secretagogues
widely used in the treatment of noninsulin-dependent diabetes mellitus.
The binding of sulfonylurea to its receptor in the pancreatic ß-cell
blocks the ATP-sensitive potassium channels
(K+ATP channels) (1, 2). This block results in
membrane depolarization that activates the voltage-dependent L-type
Ca2+ channels and triggers Ca2+ influx and a
rise in the intracellular Ca2+ concentration, initiating
insulin secretion (3, 4, 5, 6). Recent evidence strongly suggests that the
pancreatic ß-cell KATP channels are complexes composed of
at least two subunits: the ß-cell inward rectifier family member, and
the sulfonylurea receptor (SUR), a member of the ATP-binding cassette
superfamily (7). SUR is a membrane protein with multiple
transmembrane-spanning domains and two potential nucleotide-binding
folds (NBF-1 and NBF-2) (8). Truncations of NBF-2 cause familial
persistent hyperinsulinemic hypoglycemia of infancy characterized by
unregulated secretion of insulin and profound hypoglycemia (9).
Although SUR appears to have a central role in the regulation of
insulin secretion, its expression is not exclusive to the pancreatic
islets. Sulfonylurea binding has been described in the heart (10, 11, 12, 13),
brain (14, 15, 16), skeletal and smooth muscle (12, 16), as well as
pancreatic ß-cells (14, 17, 18, 19). The regional distribution of
sulfonylurea binding in the brain has been studied in several species
of rodents and primates. High density sulfonylurea binding has been
reported in the sensorimotor cortical areas, the caudate-putamen
nuclei, and the molecular layer of the cerebellar cortex; all of them
demonstrate some differences in subregional distribution (20). Despite
these interesting studies on the distribution of sulfonylurea binding
in the brain, very little is known about SUR gene expression in other
tissues, and no studies have been reported in regard to embryonic
expression and developmental regulation of SUR.
To better understand the possible biological role of SUR we studied SUR
gene expression during development and in adult tissues using in
situ hybridization and a solution hybridization/ribonuclease
(RNase) protection assay. In this study we describe the developmental
pattern of expression of SUR in the mouse and the specific pattern of
expression in adult tissues. Particular emphasis has been placed on the
regional expression of SUR in the adult brain.
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Materials and Methods
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Construction of the SUR riboprobe
A 229-bp fragment corresponding to a 3'-region of the mouse SUR
complementary DNA (cDNA) including the putative NBF-2 domain (8) was
generated by reverse transcription followed by PCR. Briefly, the
reverse transcription (Boehringer Mannheim, Indianapolis, IN) reaction
was performed with 3 µg mouse pancreas total RNA according to the
manufacturers directions. A 229-bp PCR product was obtained with two
primers based on the rat NBF-2 domain sequence and subcloned into a TA
cloning vector (Invitrogen, San Diego, CA). Similarly, a 334-bp
fragment corresponding to the 5'-region of the mouse SUR cDNA,
including part of the N-terminal and the first two putative
transmembrane domains (8), was obtained and subcloned into a TA cloning
vector. The identity and orientation of the constructs were verified by
sequence analysis. After linearization of the construct with
EcoRV, the antisense RNA probe was generated using SP6 RNA
polymerase. To generate a sense RNA probe, the construct was linearized
with BamHI, and transcription was performed using T7 RNA
polymerase.
Solution hybridization/RNase protection assay
Total RNA was prepared from tissues of 6-week-old male mice by
the guanidinium thiocyanate-cesium chloride method (21). Briefly, mouse
tissues were homogenized with a Polytron homogenizer (Brinkmann
Instruments, Westbury, NY) in 4 M guanidinium
isothiocyanate containing 0.01% ß-mercaptoethanol. The RNA was
isolated by ultracentrifugation on a cesium chloride gradient as
described previously. The RNA integrity was confirmed by visualization
of the ethidium bromide-stained 28S and 18S ribosomal RNA bands.
Polyadenylated [poly(A)+] RNA was prepared by
oligo(deoxythymidine)-cellulose chromatography as previously described
(22). Poly(A)+ RNA was quantified by measuring its
absorbance at 260 nm. Approximately 5 µg poly(A)+ RNA
from lung, spleen, and skeletal muscle and 10 µg from all other
tissues were hybridized with 2 x 105 dpm of a mouse
antisense SUR riboprobe. RNase protection assays were carried out as
previously described (23).
In situ hybridization
35S-Labeled mouse sense and antisense SUR riboprobes
were generated using T7 and SP6 polymerases, respectively, in the
presence of CTP, GTP, ATP, and [35S]UTP. The resulting
RNA transcripts were purified on Sephadex G-50 (Boehringer Mannheim)
and used without hydrolysis. Frozen embryos and adult tissues that had
been stored at -70 C were sectioned using a cryostat. Frozen sections
(10 µm) were mounted onto Fisher Superfrost PLUS slides (Fisher
Scientific, Fairlawn, NJ). The sections were postfixed for 10 min in
4% paraformaldehyde in PBS, rinsed in PBS, and dehydrated. Sections
were acetylated, washed in 0.2 x SSC (1 x SSC contains 0.15
M NaCl and 0.015 M sodium citrate), and
dehydrated. Sections were prehybridized for at least 2 h at room
temperature in a solution containing 50% (vol/vol) deionized
formamide, 0.6 M sodium chloride, 10 mM Tris
(pH 7.5), 1 mM EDTA, 0.02% Ficoll, 0.02% BSA (fraction
V), 0.02% polyvinylpyrrolidone, 0.5 mg/ml sheared herring sperm DNA,
and 0.5 mg/ml yeast transfer RNA. Hybridization was carried out at 55 C
overnight with 35S-labeled (4 x 104
cpm/µl) RNA probe in prehybridization buffer containing 10% dextran
sulfate, 10 mM dithiothreitol, and 0.1% SDS. After
hybridization, the sections were rinsed in 2 x SSC and washed for
30 min at 45 C with 50% deionized formamide in 1 x SSC plus 10
mM dithiothreitol followed by 30 min at room temperature in
0.5 x SSC. Unhybridized probe was removed by treatment with RNase
A [100 µg/ml, in 0.5 M NaCl, 10 mM Tris (pH
7.5), and 1 mM EDTA] for 30 min at room temperature
followed by a 2-h wash in 0.2 x SSC at 55 C. The sections were
dehydrated through ethanol and exposed to autoradiographic film (Kodak
Biomax MR, Eastman Kodak, Rochester, NY). After appropriate film
exposure times (from 14 weeks) sections were coated with
autoradiographic emulsion (Kodak NTB2) and stored at 4 C for 24 weeks
before development, fixation, and counterstaining with hematoxylin.
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Results
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SUR gene expression in adult tissues: tissue distribution
To investigate the specific tissue distribution of SUR messenger
RNA (mRNA) in adult tissues, poly(A)+ RNA was extracted
from a wide number of tissues, including adipose tissue, brain, heart,
intestine, kidney, liver, lung, pancreas, skeletal muscle, spleen,
stomach, and testis. The solution hybridization/RNase protection assay
was carried out, as described in Materials and Methods, with
the 3'-region riboprobe. All tissues except liver expressed significant
amounts of SUR mRNA (Fig. 1
). High SUR gene expression
was found in brain and heart, whereas SUR mRNA was barely detectable in
spleen. We could not detect SUR mRNA in liver despite using this
sensitive method with prolonged exposures. The quality of the liver
poly(A)+ RNA was verified by a solution hybridization/RNase
protection assay of the mouse ß-actin (data not shown).

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Figure 1. SUR mRNA distribution in adult tissues. Solution
hybridization/RNase protection assay was performed with 5 µg
poly(A)+ RNA from lung, spleen, and skeletal muscle and 10
µg from the remaining tissues. Ten micrograms of total RNA from a
mouse pancreatic ß-cell line (ßTC3) were used as a positive
control.
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Expression of the SUR gene by in situ hybridization
To more precisely identify sites of SUR gene expression, we used
in situ hybridization with the 3'-region riboprobe to
localize SUR mRNA in sections from mouse embryos on embryonic days 12
(E12), 14/15, and 18; from neonates on postnatal day 1 (P1); and from
adult brain and pancreas.
SUR gene expression at embryonic stages.
SUR mRNA was detected
at the earliest age examined, E12, in the pancreatic primordium,
developing heart, and spinal cord (Fig. 2
, A and B). SUR
gene expression persisted in pancreas, heart, and central nervous
system (CNS) throughout embryonic development (Fig. 2
). By mid- to late
gestational ages, SUR gene expression also was apparent in the
submandibular gland (Fig. 2F
), the lumen of the anterior duodenum (Fig. 2
, E and F), and the dorsal root ganglia (Fig. 2F
). On P1, SUR mRNA was
detected at additional sites, including the lens, retina (Fig. 3
), and vibrissae (data not shown).

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Figure 2. SUR gene expression during mouse embryonic
development. Autoradiographic film exposures of different embryonic
stages. A and B, Sagittal section of an E12 embryo. C, Sagittal section
of an E14/15 embryo. D, Transverse section of an E14/15 embryo. E and
F, Sagittal sections of E18 embryo. h, Heart; p, pancreatic primordium;
ad, anterior duodenum; sc, spinal cord; nc, neopallial cortex; th,
thalamus; rp, roof plate, fp; floor plate; vm, ventral mantle zone;
smg, submandibular gland; drg, dorsal root ganglia; ob, olfactory bulb;
pi, pituitary. The hybridization with the respective sense probe showed
no hybridization signal (data not shown). Bar = 500
µm.
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Figure 3. SUR gene expression in the eye on day P1.
Autoradiographic emulsion exposures. A and B, Bright- and darkfield
views, respectively, of eye on P1. pe, Pigmentarium epithelium; r,
retina; v, vitreous; l, lens. Bar = 200 µm.
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SUR mRNA in the developing and adult CNS.
By E14/15,
expression of SUR in the spinal cord became localized to the floor
plate and the ventral mantle zones, including regions of developing
motor neurons, with lower levels of hybridization detected in the roof
plate (Fig. 2D
). In addition, the dorsal root ganglia were beginning to
show positive hybridization, which became more prominent on E18 (Fig. 2F
) and P1 (data not shown). Expression of SUR in more anterior regions
of the CNS was apparent by E14/15 and was particularly prominent in the
neopallial cortex and developing thalamus (Fig. 2C
). By E18, the
developing hippocampus and regions of the cerebral cortex derived from
the neopallial cortex showed high levels of SUR gene expression (Fig. 2
, E and F). SUR mRNA also was detected on E18 in the olfactory bulb,
specifically in the mitral cell layer (Fig. 2F
), in regions of the
developing thalamus (Fig. 2E
), and in the trigeminal ganglion (data not
shown). In addition, expression in the developing pituitary was first
apparent at this age (Fig. 2F
). On P1, SUR gene expression was detected
in the inner plexiform layer of the retina and in the lens (Fig. 3
).
To determine the regional distribution of SUR mRNA in the adult brain,
we performed in situ hybridization in P21 and P42 mouse
brains. At both ages, the SUR gene expression pattern was essentially
identical. Significant levels of SUR mRNA were seen throughout the
whole brain, with especially high levels in the cerebellum and
hippocampal regions (Fig. 4
). In the cerebellum, granule
neurons were strongly positive for SUR mRNA expression, as were the
Purkinje neurons and neurons of the medial cerebellar nuclei (Fig. 4
, B, C, and D). SUR mRNA in the hippocampus was detected in the pyramidal
neurons of CA1 through CA3 and in the granule neurons of the dentate
gyrus (Fig. 4
, B and E). Hybridization was also observed in cells
scattered throughout the brain, but was particularly prominent in the
occipital and retrosplenial cortex and the thalamic nuclei, especially
the anterodorsal thalamic nucleus and the pontine nucleus (Fig. 4
, A
and F). The large, pale, hematoxylin-stained nuclei of the positive
cells in these regions suggests that they most likely correspond to
neurons. In the adult pituitary gland, the SUR hybridization signal was
evenly distributed in the anterior lobe, with no signal detected in
either the intermediate or posterior lobes (Fig. 5
).

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Figure 4. SUR gene expression in the adult brain.
Autoradiographic emulsion exposures of P42 brain sagittal sections. A,
SUR sense hybridization; B, SUR antisense hybridization. C and D,
Cerebellum bright- and darkfield views, respectively. E,
Hippocampus; F, thalamus. hp, Hippocampus; oc, occipital cortex; th,
thalamus; cb cerebellar cortex; mcn, medial cerebellar nuclei; pn,
pontine nucleus; dg, dentate gyrus; gr, granular layer; pk, Purkinje
cells. Bar = 500 µm for A and B; 100 µm for C,
D, and E; and 50 µm for F.
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Figure 5. SUR gene expression in pituitary. Autoradiographic
emulsion exposures of sagittal sections of the pituitary. A and B,
Bright- and darkfield views, respectively. al, Anterior lobe; il,
intermedia lobe; pl posterior lobe. Bar = 100
µm.
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SUR gene expression in pancreas.
By far the highest level of
expression at E12 was in the pancreatic primordium, with significant
hybridization also detected in adjacent gut epithelium (Fig. 2B
).
Expression of SUR mRNA was maintained at high levels in the pancreatic
primordium throughout embryonic stages (Fig. 6
, A and
B). In the P42 adult pancreas, the SUR gene was expressed in a focal
pattern in the amacrine pancreas, but was absent in the exocrine
tissue, supporting the hypothesis that SUR is specifically expressed in
pancreatic islets cells (Fig. 6E
and F).

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Figure 6. SUR gene expression in pancreas. A and B,
Transverse sections of E14/15 embryos; bright- and darkfield views,
respectively, of autoradiographic emulsion exposures. C and D, P42
pancreas, SUR sense and antisense hybridization, respectively
(autoradiographic film exposures). E and F, P42 pancreas, SUR
hybridization (autoradiographic emulsion exposures). l, Liver; ad,
anterior duodenum. Bar = 100 µm for A and B, 500
µm for C and D, and 50 µm for E and F.
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Identical results were obtained using the riboprobe against the
5'-region of the mouse SUR mRNA (data not shown).
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Discussion
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Although sulfonylureas are commonly used in the treatment of
noninsulin-dependent diabetes mellitus, very little is known about the
developmental regulation of SUR expression and its distribution in
adult tissues. In the present study we have shown that SUR gene
expression is developmentally regulated, and SUR mRNA is widely
distributed in the adult mouse. SUR mRNA was detected as early as E12
(the earliest stage examined). At this stage the pancreatic primordium
contained the highest levels of SUR gene expression and maintained high
levels throughout the course of development. In the adult pancreas the
focal pattern of SUR expression suggests that SUR mRNA is present
exclusively in the endocrine pancreas in accordance with its role in
the regulation of insulin secretion from pancreatic ß-cells (1, 2).
Homogeneous distribution of SUR mRNA was detected in the developing
heart from E12 through early postnatal life. This is in accord with a
study by Miller et al. (13) that showed nearly uniform
distribution of sulfonylurea-binding sites in the adult rat heart.
The CNS demonstrates an interesting pattern of SUR gene expression
during embryonic and postnatal ontogeny. On E12, SUR mRNA is prominent
in the floor plate and ventral mantle zones of the spinal cord. Studies
by Mourre et al. (24) and Miller et al. (13) have
shown equivalent amounts of sulfonylurea binding in the posterior and
anterior horns of the spinal cord in the adult rat, with a rostral to
caudal gradient. In brain, SUR mRNA was initially detected at
midgestation stages. SUR gene expression increased in the brain by late
gestational stages and these high levels were maintained in the adult
brain. The neopallial cortex exhibited the highest SUR mRNA
hybridization signal during embryonic development, whereas in the adult
brain the hippocampus and cerebellum showed the highest levels of
hybridization. In addition, significant SUR mRNA levels were detected
throughout the adult brain. A similar general pattern of distribution
of sulfonylurea binding was reported previously by Mourre et
al. (24), Miller et al. (13), and Zini et
al. (20). High levels of sulfonylurea binding were reported in
both the hippocampal formation and the cerebellum, regions where we
observed the highest SUR mRNA levels. The sites of receptor mRNA
synthesis closely correlated with the sulfonylurea-binding sites in the
hippocampus and dentate gyrus. In the cerebellum, however, the highest
density of binding sites was reported in the molecular layer (13, 20, 24), whereas we observed the strongest hybridization signal to SUR mRNA
over the granule and Purkinje cell layers. Analysis of
sulfonylurea-binding sites in the cerebellar mutant mice by Mourre
et al. (24) led to the conclusion that the binding was
predominantly associated with parallel fibers, the axons of the granule
neurons. Together with the dendritic trees of the Purkinje cells on
which they synapse, the parallel fibers are a large component of the
cerebellar molecular layer. These results are consistent with our
observation that the primary sites of receptor mRNA synthesis are the
cell bodies of the granule and Purkinje neurons.
Although most other brain regions, including the cortex, thalamus, and
pituitary, where high ligand binding was reported, were also sites
where we observed significant SUR mRNA synthesis, there were two
notable exceptions. The substantia nigra and the globus pallidus both
showed strikingly high levels of sulfonylurea-binding sites (13, 20, 24), whereas we observed only moderate levels of hybridization to SUR
mRNA at these sites. It is possible that, like that in the cerebellum,
the location of binding sites in these regions represents concentration
of the protein on axons projecting from other regions. On another hand,
the existence of other SUR isoforms may account for this discrepancy.
Recently, another member of the SUR family have been described (25, 26). SUR2 mRNA was shown to be widely expressed in embryonic tissues,
with very high levels in heart and smooth muscle. In most of the other
tissues, SUR2 mRNA was seen in areas corresponding to vascular
structures. This expression pattern is distinct from the SUR expression
that is shown in this paper with two different probes.
Although many tissues display SUR gene expression in the adult mouse,
the biological function of SUR in each particular tissue and cell type
remains unclear. To date it has been postulated that SUR is involved in
the regulation of the K+ATP channel activity.
The K+ATP channels are considered a close link
between the metabolism of a cell and its excitability. For instance, in
the unstimulated pancreatic ß-cell the K+ATP
channels are involved in maintaining the resting membrane potential
(27). Closure of the K+ATP channel after
increased glucose uptake and metabolism, associated with an increase in
the ATP/ADP ratio, leads to membrane depolarization that results in
activation of the L-type voltage-gated Ca2+ channel and an
increase in the intracellular levels of free Ca2+ and
culminates with insulin secretion. Although it has been established
that sulfonylureas stimulate insulin secretion by blocking the
K+ATP channels, other mechanisms may also be
involved. Recently, Eliasson et al. (28) have shown that
sulfonylureas stimulate exocytosis in pancreatic ß-cells interacting
directly with the secretory machinery by a mechanism dependent on
protein kinase C which may not involve the plasma membrane
K+ATP channel. The central role of SUR in
insulin secretion has been confirmed by the characterization of
mutations in the human SUR gene that are associated with the familial
persistent hyperinsulinemic hypoglycemia of infancy (9). Analysis of
point mutations in the NBF-2 of SUR reveal a functional role of SUR in
nucleotide regulation of K+ATP channel activity
and propose ADP as the physiological regulator of the channel activity
(29).
In the brain, the K+ATP channel has been shown
to be involved in the control of neurotransmitter release. Amoroso
et al. (30) have shown that sulfonylureas stimulate
-aminobutyric acid secretion in substantia nigra slices in a
dose-dependent manner. Similarly, it has been suggested that
sulfonylureas may have a role in GH release in the pituitary (31). It
has been proposed that the K+ATP channel in the
brain may be involved in a cytoprotective response to ischemia and
anoxia. Cerebral anoxia and ischemia elicit neural hyperpolarization
due to activation of the K+ATP channels (2).
This response can be blocked by the addition of sulfonylureas (32, 33, 34, 35).
Similarly, the K+ATP channels are involved in
the cellular response to cardiac ischemia (2). Moreover, the biological
functions of SUR may be even more diverse than described above, as it
has been shown that SUR can confer sulfonylurea sensitivity to a
variety of inward-rectifying K+ channels as well as to the
K+ATP channels (36).
The biological role of SUR during embryogenesis remains unknown. In the
pancreas at least, SUR is probably involved in insulin secretion even
at early stages. In mice, the ß-cells appear in the pancreatic
primordium on approximately E10.5, whereas insulin immunoreactivity has
been detected in the ß-cells on E11 (37). The presence of SUR mRNA in
the developing pancreas on E12 may indicate that SUR is also involved
in the regulation of insulin secretion from the pancreatic primordium
during embryonic development.
To date very little is known about the nature and distribution of the
endogenous ligand for SUR. However, Virsolvy-Vergine et al.
(38, 39) have purified two small peptide molecules, called endosulfine
and ß, that may act as endogenous ligands.
In summary, we have shown that the SUR gene is expressed during
embryonic development and is broadly distributed in adult tissues.
Further experiments are required to determine its role during
development and in nonpancreatic adult tissues.
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Acknowledgments
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We thank Dr. Simeon Taylor for his suggestions, Dr. Marc Reitman
for his help with cloning the mouse SUR cDNA, Dr. Greti Aguileras
laboratory for use of their equipment, and Drs. Vicky Blakesley and
Rick Reinhart for critical review of the manuscript.
Received July 19, 1996.
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