Endocrinology Vol. 141, No. 2 833-838
Copyright © 2000 by The Endocrine Society
Conservation of a Growth Hormone-Responsive Promoter Element in the Human and Mouse Acid-Labile Subunit Genes1
Adisak Suwanichkul,
Yves R. Boisclair,
Robert C. Olney,
Susan K. Durham and
David R. Powell
Department of Pediatrics, Baylor College of Medicine (A.S., S.K.D.,
D.R.P.), Houston, Texas 77030; the Department of Animal Science,
Cornell University (Y.R.B.), Ithaca, New York 14853; the Department of
Pediatrics, The Nemours Childrens Clinic, Mayo Medical School
(R.C.O.), Jacksonville, Florida 32207
Address all correspondence and requests for reprints to: Dr. David R. Powell, Texas Childrens Hospital, Feigin Center, MC# 32482, 6621 Fannin, Houston, Texas 77030. E-mail: dpowell{at}bcm.tmc.edu
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Abstract
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During extrauterine life, insulin-like growth factors (IGFs) circulate
in a ternary serum complex with one IGF-binding protein-3 (IGFBP-3) or
IGFBP-5 protein and with a single acid-labile subunit (ALS). GH
increases levels of this ternary complex; in mice, this effect is
achieved in part by the ability of GH to stimulate mouse ALS (mALS)
transcription through an interferon-
-activated sequence-like element
(GLE) in the mALS promoter. To begin studying how GH regulates human
ALS (hALS) gene expression, we cloned the hALS gene and found that it
spans approximately 3.3 kb of DNA at chromosomal region 16p13.3. The
hALS gene has two exons separated by a 1235-bp intron, which is found
at the identical site in rat and mouse ALS genes. Sequence analysis
reveals that the hALS 5'-flanking sequence is homologous to the mALS
promoter, and that the GH-responsive GLE in the mALS promoter is
conserved in both sequence and location in the hALS gene. The region
spanning from -755 to -4 bp 5' to the hALS ATG translation start
codon directs expression of a luciferase reporter gene in primary rat
hepatocytes, and GH increases reporter expression in the presence of
the native, but not a mutant, GLE in the hALS promoter. These data
suggest that GH stimulates hALS and mALS gene expression by a similar
mechanism, which involves at least in part a conserved GLE in the ALS
promoter.
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Introduction
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INSULIN-LIKE growth factor I (IGF-I) and
IGF-II are approximately 7.5-kDa proteins that exhibit mitogenic,
metabolic, differentiative, chemotactic, and antiapoptotic effects on
many tissues and cell types (1, 2). IGFs often confer their effects in
an autocrine/paracrine manner (1, 2). After birth, however, circulating
IGFs also appear to be biologically important, as many effects of GH
are mediated by IGF-I (1, 2, 3).
IGFs circulate in serum and other body fluids at higher molecular mass,
tightly bound by a family of at least six IGF-binding proteins (IGFBPs)
(4, 5, 6). During extrauterine life, most IGFs circulate at about 150 kDa
in a ternary complex of one IGF peptide, one IGFBP-3 or IGFBP-5
protein, and an 86-kDa acid-labile subunit (ALS) (6, 7, 8, 9).
The human ALS (hALS) complementary DNA (cDNA) sequence predicts a
protein with 1820 leucine-rich repeats of 24 amino acids (10); also
present are 7 asparagine-linked glycosylation sites, which are
important for binding of ALS to IGFBP-3 (11). Binding of the
IGFBP-3/IGF-I complex with ALS to form the serum ternary complex
greatly prolongs the circulating half-life of IGF-I (12). This is in
part due to the decreased ability of ternary complexes to cross the
capillary endothelial barrier; also, binding of ALS to IGFBP-3 or -5
may prevent proteases from binding to and degrading these IGFBPs, with
subsequent release of IGFs to tissues (1, 2, 13, 14, 15). In either case,
IGFs in ternary complexes are not readily bioavailable; whether these
complexes serve primarily as an IGF reservoir or as a way to prevent
unwanted insulin-like metabolic effects of IGF peptides (1, 2) is
unclear.
ALS is expressed in a tissue-specific pattern, with synthesis confined
almost exclusively to parenchymal cells of the postnatal liver (16, 17). GH treatment increases ALS protein levels in serum and in medium
conditioned by primary rat hepatocytes in vitro; these
increases result from the ability of GH to induce ALS messenger RNA
(mRNA) levels in rat hepatocytes in vitro and in
vivo (18, 19, 20, 21, 22, 23). GH stimulation of ALS mRNA levels in liver of
hypophysectomized rats is mediated at the level of ALS gene
transcription (21).
The chromosomal genes for mouse ALS (mALS) and rat ALS (rALS) have been
cloned (24, 25). They share a simple organization with the
protein-coding and 3'-untranslated regions contained in two exons
separated by a single intron, which is identically positioned in the
ALS genes from these two species. The 5'-flanking sequences in these
two ALS genes are also quite similar. In the mALS gene, approximately 2
kb of the 5'-flanking region demonstrated promoter activity when
transfected into rat H4-II-E hepatoma cells or primary hepatocytes, and
GH significantly increased promoter activity (21, 24, 26). GH
responsiveness of the mALS promoter has been mapped to a single DNA
motif resembling an interferon-
-activated sequence-like element
(GLE) (26). The present studies characterize the location and
organization of the hALS chromosomal gene and show that the hALS and
mALS promoter regions are homologous. These studies also demonstrate
that the GH-responsive GLE is 100% conserved in and is able to confer
GH stimulation to the hALS promoter.
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Materials and Methods
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General methods
Oligonucleotides used for sequencing, site-directed mutagenesis,
and PCR amplifications were synthesized by either Ana-Gen Technologies
(Palo Alto, CA) or the Child Health Research Center Core Facility at
Baylor College of Medicine (Houston, TX). All native and mutant
sequences and construct orientations were determined by DNA sequencing
either using Sequenase (U.S. Biochemical Corp., Cleveland,
OH) in the dideoxy chain termination method (27) or by dye terminator
automated sequencing performed by the Child Health Research Center Core
Facility using an ABI/Perkin-Elmer Corp. automated
sequencer (Palo Alto, CA).
Isolation of hALS cDNA
One microgram of human liver total RNA (CLONTECH Laboratories, Inc., Palo Alto, CA) was reverse transcribed using
random hexamer priming and SuperScript II (Life Technologies, Inc./BRL, Rockville, MD). This material served as template
for oligonucleotides primers 5'-CTTCCTCAAGGACAACGG-3' and
5'-TTCCTGAGGCTGAGGTAGC-3' in a PCR amplification using Taq
polymerase (Life Technologies, Inc./BRL), resulting in a
300-bp hALS DNA fragment spanning from 12451544 bp of the published
hALS cDNA sequence (10). This amplicon was visualized by 8% PAGE, cut
from the gel, eluted, ethanol precipitated, and then amplified in a
second round of PCR. The purified DNA product served as template for
32P labeling of this 300-bp fragment using the
same oligonucleotide primers and PCR conditions; labeled DNA was then
used to screen a Unizap human liver cDNA library
(Stratagene, La Jolla, CA) as described previously (28).
As no full-length hALS cDNA was isolated, a
SmaI/Bsu36I fragment (15781898 bp of the
published sequence) from a partial hALS cDNA was
32P labeled and used to screen a human liver
5'-STRETCH PLUS cDNA library (CLONTECH Laboratories, Inc.). A 2-kb hALS cDNA was isolated and subcloned into pSP73
using EcoRI. This cDNA, spanning from 302039 bp of the
hALS sequence, was subcloned into M13mp19 at the EcoRI site.
Oligonucleotide
5'-TACCGAGCTCGAATTCCATGGCCCTGAGGAAAGGAGGCCTGGCCCTG
GCGCTGCTGCTGCTGT-3' was used to introduce the missing 29 bp of hALS
coding sequence by site-directed mutagenesis using the Kunkel method,
as described previously (29). The full-length hALS cDNA was subcloned
into pBluescript II SK-
(Stratagene) at the EcoRI site, creating
phALS.
Isolation of a human ALS genomic clone
A 1.5-kb SacII/EcoRI fragment spanning
from 570-2039 bp of the hALS sequence was labeled with
32P and used to screen a human placental genomic
library constructed in phage EMBL 3 (CLONTECH Laboratories, Inc.) as described previously (30). A single
hALS clone was
plaque purified, cleaved with several restriction endonucleases, and
transferred to filters. The filters were prehybridized, hybridized, and
autoradiographed as described previously (30), using both the 1.5-kb
SacII/EcoRI 3'-hALS cDNA fragment, and a
5'-EcoRI/SacII fragment spanning from 1575 bp
of the hALS cDNA sequence, as 32P-labeled probes.
A 4.8-kb KpnI/SacII fragment of the
hALS
clone, which hybridized with the 5'- but not the 3'-hALS cDNA probe,
was then subcloned into pBluescript II SK- at
KpnI/SacII, creating pg5hALS. Partial DNA
sequencing of this fragment revealed that the 3'-end was identical to a
region of the hALS cDNA extending to the SacII site at bp
575 of the published hALS sequence (10). To further characterize the
3'-end of the hALS gene, the
hALS DNA was used as template for
oligonucleotide primers 5'-CTCAACCTCGGCTGGAATAG-3' and
5'-CGATTGCCTTTGCCTTTAATTG-3', which were used to PCR amplify the
3'-region of the hALS gene spanning from to 523-1998 bp of the
published hALS cDNA sequence. This PCR product was subcloned into
pCR2.1 (Invitrogen, San Diego, CA), creating pg3hALS.
Fluorescence in situ hybridization
The 4.8-kb KpnI/SacII fragment of the
hALS clone was used to probe standard metaphase spreads obtained
from the peripheral blood lymphocytes of a human male donor. Details of
probe labeling, chromosome identification, fluorescence in
situ hybridization procedures, and digital imaging and processing
have been reported previously (31).
Plasmid construction
A 1.4-kb fragment containing the ALS promoter region was
released from pg5hALS with SalI (5')/SphI (3'),
subcloned into M13mp19 at these sites, and sequenced. A 0.8-kb fragment
containing the proximal hALS promoter was released from m13mp19 with
NcoI (5')/BamHI (3') and subcloned into the
HindIII site 5' to the luciferase reporter gene in
pGL3-Basic (Promega Corp., Madison, WI), creating
p755hALS. A GLE spanning from 667675 bp 5' to the hALS ATG
translation start codon, which is 100% conserved in the mALS gene and
confers GH stimulation to the mALS promoter (26), was mutated using
oligonucleotide 5'-TGCAGCCCTGCCAG GCAACGTATCGTGAGGCTGGGGGCGGGGC-3'. The
0.8-kb hALS promoter fragment containing the mutated GLE was released
from m13mp19 with NcoI (5')/BamHI (3') and
subcloned into the HindIII site in pGL3-Basic, creating
p755hALSmGLE. The construction of p703WT, which contains the proximal
703 bp of the mALS promoter 5' to the luciferase reporter gene in
pGL3-Basic, has been described previously (26).
Cell culture and DNA transfection
Primary hepatocytes, isolated from male Sprague Dawley rats
(250300 g) by procedures approved by the Cornell University
Institutional animal care and use committee, were plated in six-well
plates at a density of 1 x 106 cells/well
and maintained as described previously (26). Hepatocytes were washed
twice with serum-free modified Williams E medium (MWEM) and then
transfected for 14 h with a 1-ml solution of serum-free MWEM
containing 1.2 µg luciferase plasmid, 0.018 µg pCMV-SEAP, which
controlled for transfection efficiency, and 15 µg lipofectin
(Life Technologies, Inc./BRL). After transfection, cells
were cultured for 48 h in MWEM in the presence or absence of 100
ng/ml bovine GH (bGH); for the first 24 h, MWEM was supplemented
with Matrigel (Becton Dickinson and Co., Bedford, MA). At
the end of this 48-h period, medium was assayed for luciferase activity
as described previously (26) and for secreted alkaline phosphatase by
chemiluminescence following the recommendations of the manufacturer
(Tropix, Bedford, MA).
Expression of hALS
Plasmid pKG3226 contains the human ß-actin promoter, simian
virus 40 polyadenylation signal, and neomycin phosphotransferase
resistance gene (32). Full-length hALS cDNA was released from phALS and
subcloned into pKG3226 with EcoRI; the resulting expression
vector, pKG3226/hALS, was stably transfected into Chinese hamster ovary
(CHO)-K1 cells as described previously (14). Cells were incubated in
serum-free McCoys 5A medium, and the medium was then screened for
hALS expression by immunoblot as described previously (14), using a
1:7500 dilution of goat antihuman ALS antibody (Diagnostics Systems Laboratories, Inc., Webster, TX). ALS partially purified
from human serum on a hIGFBP-3 antibody column (14) was used as a
positive control on the immunoblot.
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Results
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Isolation of a hALS cDNA
A nearly full-length hALS cDNA was isolated from a human liver
cDNA library as described in Materials and Methods. It
spanned from 302039 bp of the published hALS cDNA and was identical
to the published sequence (10). After the missing 29 bp of 5'-hALS
coding sequence were added by site-directed mutagenesis, the
full-length hALS cDNA was inserted into eukaryotic expression vector
pKG3226 and transfected into CHO-K1 cells. Cells stably transfected
with pKG3226/hALS expressed an approximately 85-kDa protein that
comigrated with partially purified hALS and was recognized by hALS
antiserum (Fig. 1
); this protein was not
expressed by cells transfected with pKG3226 alone (data not shown).

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Figure 1. hALS expression. A full-length hALS cDNA was
placed in the eukaryotic expression vector pKG3226. This construct was
then stably transfected into CHO-K1 cells. Conditioned medium from
three independent clones (lanes 13) was screened for hALS expression
by immunoblot using a goat anti-hALS antibody. ALS partially purified
from human serum (lane 4) served as a positive control. The estimated
size of hALS, in kilodaltons, is shown on the left.
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Isolation and characterization of the hALS gene
A single
hALS genomic clone was isolated by screening 3 x
105 plaques from a human placental genomic
library using both 5'- and 3'-hALS cDNA probes. Southern blotting of
this plaque-purified
hALS clone identified a 4.8-kb
KpnI/SacII
hALS fragment, which was recognized
by the 5'-, but not the 3'-, hALS cDNA probe. DNA sequencing confirmed
that the 3'-end of this 4.8-kb genomic fragment was identical to a
region of the hALS cDNA spanning from bp 17 to the SacII
site at bp 575 of the published hALS sequence (10).
Partial sequencing of the 4.8-kb KpnI/SacII
genomic fragment revealed a single 1235-bp intron beginning 17 bp 3' to
the ATG translation start codon. To determine whether additional
3'-introns were present in the hALS gene, oligonucleotide primers were
designed to PCR amplify the region of the hALS cDNA that spans from
532-1998 bp and contains the polyadenylation signal. These primers
amplified an identical 1466-bp PCR product when either
hALS or the
hALS cDNA served as template, thus confirming the absence of additional
introns in the hALS gene. The organization of the hALS gene is shown in
Fig. 2
.

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Figure 2. hALS gene organization. This schematic diagram
depicts the organization of the hALS chromosomal gene. The 5'-flanking
region (5FR) is represented by the white rectangle to
the left of the ATG translation start codon; the
location of the GLE within this region is shown. Exons 1 and 2 (E1 and
E2) are represented by gray rectangles to the
left and right of the black
rectangle that represents the single intron (I).
Arrows indicate the locations of selected restriction
sites. Nucleotide sequence of the chromosomal region depicted here has
been submitted to GenBank/EMBL data bank with accession number
AF192554.
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Chromosomal localization of the hALS gene
Fluorescence in situ hybridization revealed that for
all analyzed metaphases, only chromosome 16 hybridized with the 4.8-kb
KpnI/SacII fragment of
hALS (Fig. 3
). Q-banding placed the ALS gene on the
short arm at p13.3 (data not shown).

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Figure 3. Chromosomal localization of the hALS gene.
Fluorescence hybridization of a 4.8-kb hALS genomic fragment to
standard human metaphase chromosomes. Fluorescent signals can be seen
on both chromatids of each chromosome 16.
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hALS gene organization 5' to the ATG translation start
codon
DNA sequencing of pg5hALS established the proximal 1398 bp of the
hALS gene 5' to the ATG translation start codon. As shown in Fig. 4
, this region is homologous to the
comparable region of the mALS gene that contains the mALS promoter (24)
and to the comparable region of the rALS gene (25). In particular, this
region of the hALS gene contains the GLE 5'-TTCCTAGAA-3', spanning from
-675 to -667 bp 5' to the ATG translation start codon, which is
conserved in sequence and location in the mALS and rALS 5'-flanking
regions. In the mALS gene, this GLE confers the stimulatory effect of
GH on mALS promoter activity (26).

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Figure 4. Comparison of 5'-flanking regions among the human,
rat, and mouse ALS genes. DNA sequence from the human ALS 5'-flanking
region was aligned with homologous regions from rat (25 ) and mouse (24 )
ALS genes using the algorithm of Smith and Waterman (30 ). Gaps in any
sequence are represented by a dot. Nucleotides conserved
between the hALS sequence and either the rALS or mALS sequence are
represented by a dash. Numbers on the
left refer to the distance, in base pairs, 5' (negative)
to the A of the ATG translation start codon; for each ALS gene, this
ATG codon is shown as the last 3 bp of sequence. The GH-responsive GLE
spanning -675 to -667 bp of the hALS sequence is
underlined.
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Identification of a GH-responsive element in the hALS
promoter
To determine whether the hALS promoter is responsive to GH, the
region spanning from -755 to -4 bp 5' to the hALS ATG translation
start codon was placed 5' to the luciferase reporter gene, creating
p755hALS. When primary rat hepatocytes were transiently transfected
with p755hALS and incubated with or without 100 ng/ml bGH for 48
h, luciferase values rose 45% in the presence of bGH (Fig. 5
). When hepatocytes were transiently
transfected with p755hALSmGLE, which is identical to p755hALS except
that the potentially GH-responsive GLE in the hALS promoter is replaced
with the sequence 5'-ACGTATCGT-3', luciferase values were comparable in
cells incubated with or without bGH. In hepatocytes transiently
transfected with the positive control plasmid p703WT, which contains
the proximal 703 bp of the mALS promoter 5' to the luciferase reporter
gene, bGH stimulated p703WT activity by 167% (data not shown).

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Figure 5. Effect of GH on hALS promoter activity. DNA
fragments spanning from -755 to -4 bp 5' to the hALS ATG translation
start codon and containing either the native or mutant GLE were placed
5' to the luciferase reporter gene to create either p755hALS or
p755hALSmGLE, respectively. These constructs were transiently
transfected into primary rat hepatocytes and then cultured in
serum-free medium in the presence or absence of 100 ng/ml bGH, as
described in Materials and Methods. After 48 h,
medium from each plate was assayed for luciferase activity. Activity of
plasmids incubated without bGH were arbitrarily set at 100%; all
values are presented as the mean ± SD and represent
the results of two independent experiments performed in triplicate.
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Discussion
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The hALS gene contains two exons that span about 3.3 kb of DNA.
The intron/exon splice junctions of the single hALS intron conform to
consensus sequences derived from other vertebrate genes (33) and are
identical in location to those of the rALS and mALS genes (24, 25).
Although the single hALS intron is similar in size to the mALS and rALS
introns, it shares only about 40% nucleotide identity with these
rodent introns and contains no regions of high similarity that might
suggest an important regulatory region. The hALS cDNA and gene exon
sequences were identical to the published hALS cDNA sequence (10).
The hALS gene is located on chromosomal region 16p13.3 near the
-globin gene complex. Deletions of the 16p13.3 region are described
in eight individuals with
-thalassemia and mild to moderate mental
retardation (34). In these cases,
-thalassemia results from failure
of the individual to inherit a normal
-globin allele from one
parent. In addition to
-thalassemia and mental retardation, a
variety of dysmorphic features are also described in these individuals.
In general, their clinical phenotype is nonspecific, and short stature
was present in only two of the eight patients. In mice, growth failure
occurs with targeted inactivation of both, but not one, of the ALS
alleles (Boisclair, Y. R., unpublished results). Thus, growth
failure is unlikely to be a part of the
-thalassemia/mental
retardation phenotype, as these individuals have at least one ALS
allele.
Although the rALS and mALS 5'-flanking regions share 87% nucleotide
identity over the first 1318 bp of the mouse sequence, they apparently
differ in the locations of their transcription start sites (24, 25). In
the rALS gene, the major transcription start sites were located 447,
472, and 505 bp 5' to the ATG translation start codon. In contrast, the
transcription start sites in the mALS gene clustered between 10161 bp
5' to the ATG translation start codon, a region that is entirely
contained within a known rALS cDNA sequence. This variability may be
due to the fact that consensus TATA sequences, initiator sequences, or
GC boxes, which serve to target the site of transcription initiation in
most genes, are not conserved in the 5'-flanking regions of the ALS
genes (24, 25). Transcription start sites were not mapped in the hALS
gene due to lack of sufficient intact human liver RNA and to lack of
human cell lines expressing ALS. However, comparing the known size of
hALS mRNA transcripts in liver with the hALS cDNA sequence (10)
suggests that hALS transcription start sites more closely approximate
those in the mALS than the rALS gene.
Although rALS and mALS 5'-flanking regions are highly similar, they
share only 51% and 47% nucleotide identity, respectively, with the
proximal 1398-bp region of the hALS gene. However, the sequence
spanning from -688 to -625 bp of the hALS 5'-flanking region is 81%
and 77% conserved in the rALS and mALS 5'-flanking regions,
respectively. The GLE that confers GH stimulation to the mALS promoter
is present in this region of the mALS gene and is 100% conserved in
the rALS and hALS genes (24, 25, 26), suggesting that this GLE participates
in GH stimulation of hALS and rALS transcription. This hypothesis is
supported by studies presented here, which show that GH does indeed
stimulate the activity of the hALS promoter construct containing the
native, but not the mutant, GLE. The effect of GH on mALS promoter
activity appears to be mediated by members of the signal transducers
and activators of transcription (STAT) protein family, STAT5a and
STAT5b, which bind directly to this GLE in a GH-dependent fashion (26, 35). Considering that the GLE is 100% conserved in the hALS gene, it
seems likely that STAT5a and STAT5b also confer GH stimulation to the
hALS promoter. Although this hypothesis has not been tested, the data
presented here provide strong evidence that GH uses a common mechanism
to stimulate transcription of human and mouse ALS genes.
The significance of GHs ability to more potently stimulate the mALS
than the hALS promoter is unclear. Certainly, the transcriptional
activity of STAT5 isoforms can be affected by the nature of surrounding
DNA sequence (36, 37, 38). This suggests that although the GLE is necessary
for GH stimulation of hALS and mALS promoter activity, nearby DNA
elements and the proteins that they bind modulate STAT5 transcriptional
activation and account for the differences in GH-stimulated activity of
the mALS and hALS promoters. Based on these considerations, future
studies will focus on identifying the proteins that interact to confer
GH stimulation of hALS transcription.
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Footnotes
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1 This work was supported by NIH Grants RO1-DK-38773 (to D.R.P.) and
RO1-DK-51624 (to Y.R.B.), and by the ß
Research Fund, Houston
City Council (to D.R.P.). 
Received August 2, 1999.
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