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Endocrinology Vol. 139, No. 5 2479-2485
Copyright © 1998 by The Endocrine Society


ARTICLES

Structural Determinants of Cortisol Resistance in the Guinea Pig Glucocorticoid Receptor1

Maria-Cristina Keightley2, Andrea J. Curtis, Simon Chu and Peter J. Fuller

Prince Henry’s Institute of Medical Research, Clayton, Victoria 3168 Australia

Address all correspondence and requests for reprints to: Dr. Peter J. Fuller, Prince Henry’s Institute of Medical Research, P.O. Box 5152, Clayton, Victoria 3168, Australia. E-mail: peter.fuller{at}med.monash.edu.au


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The guinea pig exhibits resistance to glucocorticoids in vivo which results from the guinea pig glucocorticoid receptor (GR) having a lower affinity for cortisol than the human GR. Cloning of the guinea pig GR has revealed that the amino acid sequence of the ligand-binding domain (LBD) differs from the human GR at 24 residues. The present study confirms that the decreased sensitivity and binding affinity of the guinea pig GR are conferred in vitro by the LBD. Further, the substitutions in the LBD do not confer altered relative steroid sensitivity or selectivity compared with the human GR. The altered sensitivity and binding of dexamethasone are confined to the first third of the LBD, which contains 5 nonconservative substitutions in a region that is otherwise highly conserved across several species of GR. These residues, either alone or in combination, were targeted for site-directed mutagenesis in both the human and guinea pig LBD. Trans-activation studies with these mutant GR failed to exclusively implicate or exclude any of the residues in the observed resistance. Rather, the changes, with 1 exception, caused a decrease in sensitivity, suggesting that critical intramolecular interactions involving at least 4 of these residues determine the correct conformation of this region. Recent molecular modeling of the GR LBD structure suggests that although the above region is not part of the core ligand-binding pocket, it is required to maintain the conformation of the binding pocket.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
GLUCOCORTICOIDS regulate a number of essential developmental and homeostatic mechanisms, and indeed, elimination of glucocorticoid action is not compatible with survival (1). The glucocorticoid receptor (GR) is a member of the nuclear receptor gene superfamily (2, 3). These receptors regulate the expression of specific genes or gene networks as ligand-dependent transcription factors (2). The structure of the GR, like that of other members of the family, is defined by a highly conserved, cysteine-rich, central DNA-binding domain. The N-terminal domain, containing the trans-activating function (AF-1), is poorly conserved between receptors. The C-terminal ligand-binding domain (LBD) has areas of high sequence conservation. In addition to binding steroid, the LBD also contains dimerization, 90-kDa heat shock protein (hsp90) binding, coactivator binding, and trans-activation (AF-2) functions (2, 3). The physiological ligand for the GR in most species is cortisol, although in rats and mice it is corticosterone. A range of potent synthetic steroids, such as dexamethasone, also activate the GR.

Although many aspects of GR function are now well characterized (4, 5, 6) the nature of the interaction between the ligand and the receptor remains to be precisely defined. Structure-function analysis of the LBD may be achieved using either artificial or natural mutations. The latter are manifest in vivo as resistance to glucocorticoids; such resistance is inevitably partial, as complete receptor inactivation results in early fetal death (1). Resistance is seen in several species, including New World primates (5, 6, 7) and the guinea pig (8), although the former reflects a generalized, rather than GR-specific, steroid resistance. We have previously reported the cloning of the guinea pig GR (9) and have demonstrated that the resistance observed in vivo (8) is conferred by the LBD in vitro (9, 10). In our original description of the guinea pig GR (9), the expression studies also revealed constitutive activity when the LBD of the human GR expression vector pRShGRNX was replaced by the guinea pig GR LBD; constitutive activity is not a feature of unliganded intact steroid receptors. The transfected receptor also responded, albeit weakly, to both dexamethasone and cortisol, and the response was blocked by the GR antagonist RU486 (10). Subsequent to publication we identified that an adenosine occurring in a run of seven adenosines at position 1458 was deleted by Taq polymerase during PCR generation of the guinea pig LBD cassette [see erratum (9)]. The new reading frame immediately encodes a stop codon; the constitutive activity reported (9) is thus the result of this truncation mutation (9, 10). Ligand-independent constitutive activity of the GR and other steroid receptors associated with truncation of the LBD has been noted previously. The apparent response to both agonist and antagonist steroids in this system remained a curious paradox (9, 10). To exclude the possibility that functional GR was being produced by "read-through," the truncated mutation was recreated with the sequence downstream of the stop codon encoding the LBD deleted from the construct. This construct also shows constitutive activity and a steroid response; when the expression vector was omitted from the transfection, a weak response to dexamethasone was still observed at high concentrations of steroid (data not shown). This response appears to be the basis of the steroid response observed with the expression vectors and is a reminder of the need for caution in the use of such cotransfection systems. Analysis with the correct guinea pig LBD revealed half-maximal induction at approximately 3 nM dexamethasone, c.f. about 0.4 nM for the human GR (9). The LBD of the guinea pig GR differs at 24 amino acids from the sequence of the human LBD. In the current studies we sought to define the residue(s) conferring the observed difference in sensitivity between these two receptors with the intention of better understanding the structural determinants of the steroid-LBD interaction.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Steroids were purchased from Sigma Chemical Co. (St. Louis, MO). [3H]Acetyl coenzyme A was obtained from Amersham (Sydney, Australia).

Chimeric and mutant receptors
The LBD of the guinea pig GR was substituted for the LBD in the human GR expression vector pRShGRnx (11) as described previously (9). As the guinea pig sequence does not include any 3'-untranslated region, an equivalent human GR LBD insert was prepared using the primers GR-9 and GR-10 as previously described (9). Chimeric LBD were created using a PstI restriction site at position 1768 in the guinea pig GR sequence (9) and the human GR sequence (12). Overlap extension PCR (13) with Pfu DNA polymerase (Stratagene, La Jolla, CA) was used to introduce reciprocal single or double nucleotide changes into both expression vectors. The entire LBD sequence of the chimeric and mutant constructs was verified by DNA sequence analysis (14).

Trans-activation assays
CV-1 cells were maintained in DMEM supplemented with 1 x nonessential amino acids (Cytosystems, Castle Hill, Australia), 1 mM L-glutamine (Cytosystems), 1% penicillin/streptomycin/fungizone (CSL, Victoria, Melbourne, Australia), and 5% FBS (Cytosystems) and plated at a density of 3 x 105 cells/35-mm plate the day before transfection. The following day cells were transfected by the calcium phosphate-DNA coprecipitation method (15) with 3 µg each of the appropriate GR expression vector, the reporter gene pMMTV-CAT (MMTV, mouse mammary tumor viurs; CAT, chloramphenicol acetyltransferase), and the internal reference pSV-ßgal. All transfections were performed in duplicate within an experiment, and all conditions were repeated in multiple experiments. Twenty-four hours after transfection, the medium was replaced with fresh medium containing dexamethasone or the other steroids at the concentrations indicated. After an additional 24 h, cells were harvested, cell extracts were prepared by three cycles of freeze/thawing, and 60 µl extract were assayed for CAT activity by mixed phase separation (16). Expression of CAT activity was normalized for expression of the constitutive internal control, ß-galactosidase, which is directed by the simian virus 40 early promoter, in the same extract. ß-Galactosidase activity was determined in 10 µl extract by a colorimetric assay in accordance with the manufacturer’s specifications (Promega Biotech, Madison, WI). Cotransfection assay results are the average obtained from at least two independent experiments performed in duplicate, with the results expressed as a percentage of maximal normalized CAT activity.

Binding studies
COS-7 cells were maintained as described for CV-1 cells. They were transiently transfected with the expression vectors at concentrations of 1 µg/35-mm plate. Transfections were performed using the diethylaminoethyl-dextran method (15). The cells were harvested 24 h later, incubated with [3H]dexamethasone (Amersham, Aylesbury, UK; SA, 83 Ci/mmol) in DMEM for 1 h at 37 C with the following concentrations of dexamethasone in triplicate: 2.5 x 10-8 M, 1.25 x 10-8 M, 6.25 x 10-9 M, 3.125 x 10-9 M, and 1.5625 x 10-9 M. The cells were then washed three times in ice-cold PBS, and activity was measured using a liquid scintillation assay. Nonspecific binding was measured in parallel by the concurrent addition of cold dexamethasone in a 500-fold excess, and specific binding was calculated by subtracting nonspecific counts from total counts. The binding affinity was calculated by Scatchard analysis.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
As we had demonstrated using a transcription assay that the LBD of the guinea pig GR appears to mediate the resistance observed in vivo and having resolved the initially discrepant results with the guinea pig GR LBD, we sought to define the nature of the resistance. As in the previous studies (9, 10), a chimeric approach has been used in which the LBD and hinge region for each species are analyzed with a common (human GR) N-terminus and DNA binding domain (DBD). When the guinea pig GR is referred to, it is, therefore, only the LBD that is being studied. We sought firstly to define the steroidal specificity of the resistance by using a range of steroids (Fig. 1Go) to examine trans-activation of both the human and guinea pig receptors. In no case was there any evidence of an altered selectivity with the steroids examined. Both aldosterone and corticosterone produced much lower responses in the guinea pig GR at a steroid concentration of 100 nM. The guinea pig GR responds to higher concentrations of steroids, as shown for corticosterone in Fig. 1Go, yielding a pattern of response similar to that for dexamethasone (9, 10) in that the responses of guinea pig GR appear to parallel those of human GR, albeit with a decrease in sensitivity (right shift), although the maximum responses are equivalent in the trans-activation assay (data not shown).



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Figure 1. Effect of a range of steroids on trans-activation by both the guinea pig LBD-containing (shaded bars) and human (open bars) GR expression vectors. The results are shown as a percentage of the maximum response with the physiologic ligand cortisol. The results are expressed as the mean ± SEM.

 
Ligand binding studies using [3H]dexamethasone were performed to confirm that the differences in sensitivity detected in the cotransfection assay are indeed the result of differences in the binding affinity for dexamethasone of the two GR (Fig. 2Go). The human GR has a Kd for dexamethasone of about 1.6 nM, whereas for the guinea pig GR, the Kd is approximately 6 nM. This finding is consistent with previous ex vivo binding studies using whole tissues (8). The result with the human GR is in good agreement with those derived previously under similar conditions for the human GR (17).



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Figure 2. Comparative binding affinities of the guinea pig and human GR. [3H]Dexamethasone binding was analyzed using a Scatchard plot to derive the relevant binding affinities. Bound values are expressed as counts per min. The Kd for the human GR ({blacksquare}) is about 1.6 nM, and that for the guinea pig GR ({blacktriangleup}) it is approximately 6 nM.

 
To determine which region of the LBD confers the resistance, chimeric LBD were created by taking advantage of a PstI restriction site present in both receptors to divide the LBD into two fragments of 320 bp (upstream) and 550 bp (downstream). Two GR expression vectors containing reciprocal LBD chimeras were constructed, and their responses to dexamethasone were analyzed using the cotransfection assay. This analysis shows clearly (Fig. 3Go) that the upstream region of the LBD confers the resistance phenotype seen in the intact guinea pig LBD. Ligand binding studies using these chimeras further confirm that differences in affinity are also conferred by the upstream region of the LBD (Fig. 4Go).



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Figure 3. Hormone dose-response profile of the GR expression vectors containing chimeric LBD obtained with increasing concentrations of dexamethasone. The respective chimera are schematically represented below the dose-response curves (A, hormone concentration response profile for the human-guinea pig chimera; B, hormone concentration response profile for the guinea pig-human chimera). The results are expressed as a percentage of the maximal response.

 


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Figure 4. Comparative binding affinities of the chimeric GR. [3H]Dexamethasone binding to the human-guinea pig ({diamondsuit}) and guinea pig-human (•) chimeric receptors and Scatchard analysis yielded Kd values of about 2 and about 8.1 nM, respectively.

 
Within the region of the guinea pig GR that confers the resistance, there are six amino acid substitutions compared with the human sequence, of which one (Arg to Lys) is clearly conservative. Of the other five substitutions, three occur at positions that are conserved across all mammalian GR sequences, although the isoleucine-leucine substitutions may be viewed as relatively conservative (Fig. 5Go). All five occur in a region of high sequence conservation. This conservation is less marked when the Xenopus and trout sequences are included, although certain sequences are still relatively invariant. When the sequence of the equivalent region of the other steroid receptors is compared with the GR (18), the conservation is less marked; however, the alanine at human GR position 546 is conserved across the closely related androgen, progesterone, glucocorticoid, and mineralocorticoid receptors.



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Figure 5. Amino acid sequence comparison. The sequence of the region containing the five nonconservative substitution in the guinea pig GR sequence was compared across species of GR. The human (12), New World monkey (22), tupaia belangeri (tree shrew) (25), rat (35), mouse (36), Xenopus (27), and trout (26) GR sequences are compared with the guinea pig GR sequence (9). Residues identical to the human GR sequence are indicated as a dot. The position in the human GR sequence is indicated. The sequences of the squirrel and owl monkeys as well as the cotton-top tamarin (marmoset) are identical in this region, as reported by Reynolds et al. (22), and are designated as monkey. Brandon et al. (21) did not find the threonine substitution in their study of the cotton-top marmoset; the reason for the discrepancy in these two reports is unclear.

 
Reciprocal single and double mutations were introduced into both the human and guinea pig LBD to identify which amino acid differences were responsible for the altered sensitivity. Five sets of chimeras were sequentially created and analyzed by cotransfection with increasing concentrations of dexamethasone (Fig. 6Go). The alanine for serine substitution had a small effect on the sensitivity of both receptors (Fig. 6AGo). When the adjacent tyrosine for histidine substitutions were examined with the alanine-serine change as double mutants, the guinea pig LBD was little altered, whereas the sensitivity of the human LBD decreased significantly when both a histidine and a serine were introduced (Fig. 6BGo). On the basis that the critical change may thus be that of the tyrosine-histidine alone, this single substitution was introduced, yielding a marked decrease in the sensitivities of both LBD (Fig. 6CGo). This suggested that the altered sensitivity was likely to be the result of several interrelated substitutions. The roles of the other pairs of substitutions were similarly examined, and again, although the sensitivity of the guinea pig LBD to dexamethasone was little altered, introduction of the tyrosine-serine pair into the human LBD again caused a marked decrease in sensitivity (Fig. 6DGo). Finally, both paired mutations were combined, leaving only the leucine-isoleucine substitution unaltered (Fig. 6EGo); again, the sensitivities of both LBD were decreased. The details of the mutations and the resulting sensitivity (DE50) are tabulated in Fig. 6Go.



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Figure 6. Hormone dose-response profiles of the mutagenized GR obtained with increasing concentrations of dexamethasone. The profiles for the wild-type construct (A) and each of the reciprocally mutagenized pairs are expressed as a percentage of the maximal response. The amino acid sequence of the region containing the five nonconservative substitutions is shown below each panel. The introduced substitutions are underlined. The name of the construct is indicated at the left, where hum or gp indicates that the LBD is derived from the human or guinea pig GR, respectively. The observed ED50 in nanomolar is shown in brackets.

 
In some cases, in addition to a rightward shift, the slope of the dose-response curve appeared to be altered, suggesting that the changes have in some way altered the nature of the intramolecular interactions occurring during the conformational changes that accompany ligand binding.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Glucocorticoid resistance occurs in a number of circumstances and may result from prereceptor, receptor, and postreceptor mechanisms, as reviewed recently by Brönnegard et al. (5) and Bamberger et al. (6). Resistance at the level of hormone binding has been described in several kindreds with inherited partial cortisol resistance (19, 20, 21), where it results from missense mutations in the LBD or a splicing abnormality in the LBD. Relative resistance is also seen in several animal models. The resistance observed in New World monkeys has been studied extensively, and the sequences of the squirrel monkey, the owl monkey, and the cotton-top tamarin have been determined (18, 22). In all three cases, the sequences differ little from those of the human GR, especially in the LBD, and the resistance appears to result from a cytoplasmic factor that causes generalized steroid resistance (23). Another species derived from the Americas with well characterized cortisol resistance is the guinea pig (24). Molecular analysis of these relatively subtle changes in binding affinity occurring in an otherwise highly conserved molecule has the potential to provide critical insights into structure-function relationships with the molecule. To this end we have previously cloned and sequenced the guinea pig GR (9). Comparison of this sequence with that of the human GR revealed differences in the N-terminal domain and the LBD, but not in the DBD. The numbers of residues by which the rat, mouse, and guinea pig sequences differ from the human N-terminus remain relatively consistent, whereas in the LBD they vary by 10, 13, and 24 amino acids, respectively (9). This marked divergence suggests that the guinea pig GR LBD is critical to the in vivo resistance (8), and expression studies subsequently confirmed this (9, 10). Our initial expression studies reported constitutive activity conferred by the guinea pig GR LBD (9), but it subsequently became clear that this observation resulted from a Taq polymerase deletion introduced during construction of the chimera, as described in a subsequent erratum (9). A curious and confusing aspect of this observation was not so much the constitutive activity, but, rather, the steroid responses. It is now clear that this response, at high concentrations of steroid, is intrinsic to the CV-1 cell line, although whether this reflects endogenous low levels of GR, mutant GR, or some other "receptor" is not clear. Although it is probably of little biological significance, it is important that investigators using such cell lines are aware of the phenomenon.

To define which of the 24 amino acid differences between the guinea pig and human GR LBD sequences might confer these differences, a chimeric receptor approach was adopted to isolate the critical region/residues in the LBD. The initial chimera identified the first third of the LBD as being critical. This region contains 6 changes, of which 1, a lysine for arginine substitution, is clearly conservative. The other 5 differences cluster in a region that is highly conserved across all mammalian GR species sequenced (18). Of the 5 residues, the isoleucine appears to be a relatively conservative substitution, the histidine and serine are unique to the guinea pig (at least when compared with other mammalian receptors), the threonine substitution is also seen in New World monkeys, and the last serine is unique, although a leucine occurs at this position in the tupaia sequence (25). If a teleost fish GR (26) and the Xenopus GR (27) sequence are included in the comparison, then several differences emerge at these positions, although overall, there is still significant sequence conservation. When the comparison is made between receptor types, then the conservation of sequence is less marked. The alanine that is substituted for a serine in the guinea pig was the most strictly conserved of the residues, so our mutagenesis started with this residue alone or in combination with the tyrosine/histidine substitution. Neither substitution completely reciprocally reversed the phenotype, although they did alter the sensitivity. The serine/alanine substitutions increased the sensitivity of the guinea pig LBD, as did the combined substitution, although only to an intermediate phenotype. The same is true of the combined substitution in the human GR, which does not achieve the full resistance seen in the wild-type guinea pig GR. To fully recapitulate the phenotypes, a series of other changes were made. No single substitution or simple combination of substitutions was able to switch the ligand sensitivity as seen with the original PstI chimera. Although it became unrealistic to test every combination and permutation of the five residues, it was clear that at least four and probably all five residues contribute to defining the sensitivity. It is also of interest that for several chimeras, the sensitivity became much less than that of the guinea pig wild type, arguing for disruption of a critical interaction(s) within the cluster of amino acids. In several cases there was also a change in the shape of the curve, rather than a simple leftward or rightward shift, which also argues for some disruption of intramolecular interactions.

These findings identify this region of the GR as having a role in defining sensitivity to glucocorticoids. Mutations of this region have not been reported in glucocorticoid resistance syndromes, although in 1 kindred a missense mutation, leading to a substitution at position 559 in the human GR, lies close to the region of interest (19). Milhon et al. (28) characterized a series of alanine or glycine substitutions in the 9 residues up to and including the valine at human GR position 543. They concluded that the side-chains of several amino acids in this region are specifically involved in the function of normal binding (28). The interpretation of these and other such studies depends on being able to define the tertiary structure of the ligand-binding pocket. Xu et al. (29) have argued that 3 independent regions are required for generating the ligand-binding form of the receptor: 1) sequences upstream of the binding domain, which convey stability; 2) sequences downstream; which are required for correct folding of the steroid-binding domains; and 3) a core of 124 amino acids starting at position 550 in the rat GR (position 532 in the human GR), which after correct folding of the LBD may be sufficient for steroid binding. The region of interest in the guinea pig GR thus lies upstream of the core region and in this model is unlikely to be in direct contact with the ligand.

A range of ligands was examined to establish whether there was any change in the specificity of binding. Altered specificity has been observed due to point mutations of various receptors, including the estrogen receptor in MCF-7 breast cancer cells (30), the androgen receptor in LNCaP cells (31), and the progesterone receptor for RU486 binding (32). Of particular interest was the relative binding of cortisol and corticosterone, given that the physiological steroid for rats and mice is corticosterone, whereas in the guinea pig, which is arguably a rodent (24), and humans, cortisol is the physiological circulating glucocorticoid. Residues reported to be involved in conferring specificity of binding generally lie in the C-terminal half of the LBD, which is consistent with our observations. These findings further support the concept (29) that this region lies outside of the ligand-binding pocket.

Unlike the DBD of the GR, the LBD has eluded crystallographic or NMR definition of its tertiary structure. The crystal structures of the unliganded retinoid X, the liganded retinoic acid-{gamma}, and liganded thyroid {alpha}-receptors have recently been reported (33). Wurtz et al. (33) extrapolated from these structures to produce a model of the GR structure. The basic structure of the LBD predicted from the crystal structures is of a single structural domain packed in 3 layers composed of 12 {alpha}-helixes (H1–12) and a mixed ß-sheet (33). Comparison of the apo-retinoid X receptor and holo-retinoic acid receptor structures suggests that upon ligand-binding helix 12 swings up, "trapping" the ligand in the LBD. The model of the GR constructed by Wurtz et al. (33) predicts that the residues of interest in the guinea pig GR lie close to H1 in the region H2, which varies between receptors. Adjacent residues in H1 make key contacts with the LBD core (33). Thus, these residues lie outside the core, but conformational changes or altered interactions may affect ligand binding through a distant packing effect (Moras, D., personal communication).

The LBD has other functions, including dimerization, hsp90 binding, and trans-activation. The difference between the two species of GR fundamentally involves ligand binding, and therefore, despite the residues lying in a putative activating region of GR designated tau2 (2), this seems unlikely to be relevant. Similarly, dimerization will affect trans-activation, but not binding. Although the regions of the GR responsible for hsp90 binding have not been defined, most studies suggest a more central location for this function in the LBD (34). It does, however, remain possible, given the pivotal role of hsp90 binding in maintaining the GR in a transcriptionally inactive, but high affinity, state (34) that a perturbation of this interaction could alter binding affinity.

In conclusion, analysis of the basis of the decreased sensitivity of the guinea pig GR to glucocorticoids reveals a cluster of amino acids within the N-terminal portion of the LBD, which, despite not being directly involved in ligand binding, contributes to determining ligand affinity. In addition, these studies suggest that critical intramolecular interactions occur within this region as well as with other regions in the LBD. It should not come as a surprise that the changes in the guinea pig GR are complex and involve a series of interrelated substitutions, as these changes have presumably evolved over time in the relative isolation of the New World in response to some yet to be defined evolutionary pressure (24). Formal definition of the interactions within this region must await the description of a crystal structure for the GR LBD.


    Acknowledgments
 
The authors thank Drs. Ron Evans, Wayne Tilley, and George Muscat for the gift of pRShGRNX, pMMTV-CAT, and CV-1 cells, respectively; Mrs. Claudette Thiedeman and Ms. Sue Panckridge for preparation of the manuscript; and Dr. Fraser Rogerson for critically reading the manuscript.


    Footnotes
 
1 This work was supported by grants from the National Health and Medical Research Council of Australia. Back

2 Present address: Department of Cell Biology, Baylor College of Medicine, Houston, Texas 77030. Back

Received August 27, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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