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Centre for Neuroendocrinology and Department of Physiology (A.E.H., R.P.) and Department of Anatomy and Structural Biology (J.M.M., P.R.H.), University of Otago School of Medical Sciences, Dunedin 9001, New Zealand; and Centre des Neurosciences Intégratives et Cognitives (J.-R.P.), Unit Mixté de Recherche-Centre National de la Recherche Scientifique 5228, Université Bordeaux 1, 33405 Talence, France
Address all correspondence and requests for reprints to: Allan E. Herbison, Centre for Neuroendocrinology, Department of Physiology, University of Otago School of Medical Sciences, P.O. Box 913, Dunedin 9001, New Zealand. E-mail: allan.herbison{at}stonebow.otago.ac.nz.
| Abstract |
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| Introduction |
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Given the critical importance of GnRH neurons to the survival of all mammalian species, a degree of functional redundancy within this cell population might be expected. Indeed, the seminal grafting studies by Gibson and colleagues using the mutant hypogonadal (hpg) mouse, which exhibits defective posttranscriptional processing of the GnRH transcript (7, 8), suggested that only a few GnRH neurons are necessary to support pituitary gonadotroph secretion (6, 9, 10). Grafts of normal GnRH neurons into hpg mice can restore pulsatile LH release (11, 12) but do not permit estrous cycles to occur in females (6, 13, 14). Hence, as yet, the GnRH neuron requirements for cyclical activity, spontaneous ovulation, and puberty onset remain unknown.
We recently generated a mutant mouse line (GNR23) in which the migration of GnRH neurons into the brain during embryogenesis is defective (15). In these mice, the integration of a transgene into chromosome 5 resulted in a 26-kb deletion approximately 67 kb from the gene epha5. The deletion of these distant regulatory elements resulted in an up-regulation of EphA5 expression in the specific regions of the developing brain, including the migrating GnRH neurons. This was associated with an allele-dependent inability of most GnRH neurons to migrate out of the nose during embryogenesis. As such, adult male homozygous (hmz) GNR23 mice have only approximately 80 GnRH neurons within their brain, whereas hemizygous GNR23 mice have around 200, compared with the normal complement of more than 500 in adult wild-type mice (15). All other neuroendocrine populations examined to date in these mice appear normal (15). Thus, adult hemizygous and hmz GNR23 mice exhibit step-wise, allele-dependent reductions in their complement of GnRH neurons. This provided an opportunity to examine the numbers of GnRH neurons required for different facets of reproductive function in mice. Our goals were 2-fold; first, to verify that only small numbers of GnRH neurons are required to reproductive function in male mice and second, to examine how many GnRH neurons are required for reproductive and subsequent cyclical activity to occur in the female.
| Materials and Methods |
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Immunocytochemistry
Free-floating immunocytochemical analysis of GnRH expression was undertaken as described previously using the polyclonal rabbit LR1 antiserum (1:20,000; gift of R. Benoit, Montréal, Canada) with secondary biotinylated antirabbit immunoglobulins (1:200; Vector Laboratories, Burlingame, CA), Vector Elite avidin-peroxidase (1:100; Vector), and nickel-diaminobenzidine substrate (15). Experiments were undertaken on six adult female mice of each genotype. The total number of GnRH-immunoreactive neurons found in a one-in-three set of coronal sections taken from the medial septum (MS) through to the level of the anterior hypothalamus (AHA) was determined in each mouse and multiplied by 3 to give an estimate of total GnRH neuron number in this area. The small number of GnRH neurons that exist more rostrally in the regions of the septohippocampal and olfactory nuclei were not counted. To establish the topographical distribution of GnRH neurons in the three genotypes, two 30-µm-thick coronal brain sections at each of the three different levels [MS, rostral preoptic area (rPOA), AHA; see Fig. 1
] were counted. Statistical analysis was undertaken with ANOVA followed by post hoc Tukey-Kramer tests.
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Ovarian histology
Reproductive tracts including both ovaries were dissected intact and weighed from perfusion-fixed animals for each of the three genotypes (n = 4 each group, 3 months old). Mean weights were compared by ANOVA followed by Tukeys test. Ovaries were fixed for a further hour in freshly prepared 4% paraformaldehyde in PBS and processed for wax embedding in a Shandon Hypercenter XP processor (Shandon Ltd., Runcor, UK). A systematic sample of five sections were prepared at 5 µm that included profiles through the central portions of the specimens and were stained with hematoxylin and eosin. Sections were viewed and photographed in a BX Provis microscope (Olympus, Tokyo, Japan) and follicular stages of development and the presence or absence of luteal tissues recorded. Atresia was recorded if pyknotic nuclei of granulosa and also oocytes was evident as well as the presence of uneven mural granulosa and cell fragments within the antral spaces.
Fertility testing
The fertility of hemizygous and hmz GNR23 mice was examined by pairing wild-type, heterozygous, and hmz adult female mice with wild-type stud males for a period of 4 months. Wild-type littermate females of GNR23 mice were paired with wild-type mice as controls. Male fertility was evaluated in the same manner by placing wild-type littermates and hmz GNR23 mice with wild-type females for 3 months. The day of birth and number of pups was recorded for each pair. Mean numbers of litters and pup numbers over this period were determined for each genotype and analyzed using ANOVA followed by post hoc Tukey-Kramer tests for females and Mann-Whitney U tests for males.
RIA for LH and FSH
To establish baseline hormone levels, adult male wild-type littermates and hmz GNR23 mice were killed by cervical dislocation and trunk blood collected for hormone analysis (n = 5/group). The same process was performed for females (n = 5/group), with wild-type and hemizygous GNR23 being killed at diestrus and hmz GNR23 mice killed during (persistent) estrus. Plasma LH and FSH concentrations were determined by RIA using the anti-rLH-S-11 antiserum and mLH-RP reference provided by Dr. A. F. Parlow (National Hormone and Pituitary Program, Torrance, CA), and an FSH Biotrak assay kit (RPA 550; Amersham Biosciences, Little Chalfont, Buckinghamshire, UK). For LH, the intra- and interassay coefficients of variation were 8.3 and 11.2%, respectively. The interassay coefficient of variation was 11.1% for the FSH.
Ovariectomized-estrogen-progesterone (OVX-E-P) GnRH/LH surge protocol
Adult (2–3 months of age) female mice of all three genotypes were anesthetized with Avertin (0.1 ml/10 g body weight), ovariectomized, and an estradiol-filled SILASTIC brand capsule (Dow Corning, Midland, MI) implanted sc. Estradiol capsules were made according to the protocol of Bronson (17) and involved filling SILASTIC brand tubing (1.0 mm internal, 2.1 mm external diameter; Dow Corning) with SILASTIC brand medical-grade adhesive (Dow Corning) containing 0.1 mg 17β-estradiol (Sigma, St. Louis, MO) per milliliter adhesive. Each mouse was given an approximately 1 cm length of SILASTIC brand tubing (1 µg estradiol/20 g body weight). Six days after ovariectomy, mice received a sc injection of estradiol benzoate (1 µg/20 g body weight; Intervet, Castle Hill, Australia) at 1100 h. On the following day, animals were given a single sc injection of progesterone (500 mg/20 g body weight; Sigma) at 1100 h. Later that day, groups of four to five wild-type and hemizygous GNR23 were killed every hour from 1600 to 2400 h by cervical dislocation and trunk blood collected after decapitation for LH RIA. Because this showed that 1800 h represented the time of peak LH secretion during the surge, a second identical experiment was undertaken using a group of wild-type littermates and hmz GNR23 mice (n = 5/group) with all mice killed at 1800 h.
Experiments examining c-Fos expression in GnRH neurons were undertaken using the same OVX-E-P protocol. At 1800 h on the seventh day, mice were anesthetized with pentobarbitone and perfusion fixed through the left ventricle with 15 ml 4% paraformaldehyde fixative solution. Brains were then removed and postfixed for 90 min at room temperature in 4% paraformaldehyde before being processed for dual labeling c-Fos/GnRH.
Pituitary GnRH stimulation test
Six adult wild-type and 6 hmz GNR23 female mice (3 months of age) were anesthetized with Avertin (0.1 ml/10 g body weight) and a 50-µl tail blood sample obtained. Following the protocol of Xu et al. (18), mice were then administered GnRH (200 ng/kg in 100 µl saline, sc; Sigma) and a 100 µl blood sample obtained from the right atrium 10 min later. Blood sera were stored at –70 C until assayed for LH by RIA.
| Results |
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To confirm the GnRH neuron specificity of the GNR23 mutant, we also undertook a quantitative assessment of arcuate nucleus dopaminergic neurons, periventricular somatostatin neurons, and medial septal acetylcholine neurons using immnocytochemistry. In each case an entirely normal distribution and number of neurons was found in GNR23 hmz mice (data not shown).
Puberty in GNR23 female mice
The activation of GnRH neurons is responsible for the initiation of puberty in humans and all other mammals (19, 20, 21). We examined whether mice with only approximately 70 or approximately 200 GnRH cells could support the normal onset of puberty. Wild-type, hemizygous, and hmz female GNR23 mice were examined for the onset of vaginal opening and the day of first estrous by vaginal smear. Vaginal opening was delayed by approximately 2 d in hemizygous GNR23 mice (postnatal d 30 ± 0.3, n = 23), compared with wild-type littermates (P < 0.05; postnatal d 28 ± 0.7, n = 11), but was not significantly different between hmz GNR23 (postnatal d 30 ± 0.9, n = 6) and controls (Fig. 2
). However, no differences were detected between genotypes for the first day of estrus, occurring approximately 3 d after vaginal opening (wild-type, d 31 ± 1; hemizygous, d 33 ± 0.5; hmz, d 33 ± 0.8; Fig. 2
).
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Hmz GNR23 female mice exhibit abnormal fertility
The fertility of GNR23 female mice was assessed by pairing with wild-type males for a period of 4 months and observing the frequency and size of litters. Wild-type litter-mates (n = 7) gave birth to their first litter 23.2 ± 0.8 d after pairing and subsequently had litters on a regular approximately 22-d interval for the rest of the assessment period (Fig. 4A
). Hemizygous GNR23 females (n = 6) exhibited an identical profile (Fig. 4A
); the first litters were born on d 22.2 ± 0.3 after pairing and, overall, produced 4.5 ± 0.3 litters in the 4-month period, compared with 4.9 ± 0.3 for wild-type mice (Fig. 4B
). In contrast, hmz GNR23 mice were either infertile or subfertile. Of the 14 hmz mice paired, eight (58%) failed to get pregnant, whereas the remaining six mice generated only nine litters among them over the 4-month period (Fig. 4A
). Interestingly, all these mice produced their first litter at the same time as that of wild-type and hemizygous GNR23 mice (d 22.5 ± 1.1 after pairing) but then either failed to have a second litter or had a greatly prolonged interval between litters (Fig. 4A
). The number of pups born to hmz GNR23 mice was significantly reduced (P < 0.05; 4.7 ± 0.5), compared with wild-type (6.6 ± 0.4) or hemizygous (7.0 ± 0.6) GNR23 mice (Fig. 4C
). These data indicate that 34% of the normal GnRH neuron population in females is compatible with normal fertility but that a further reduction to only approximately 12% is insufficient.
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Single-point measurements of plasma LH and FSH levels in diestrous wild-type (n = 4) and hmz GNR23 (n = 4) females did not reveal any differences (FSH; wild-type, 1.2 ± 0.2 ng/ml; hmz, 1.4 ± 0.3 ng/ml; LH; wild-type, 1.3 ± 0.4 ng/ml; hmz, 1.4 ± 0.4 ng/ml).
Reproductive tract weights of wild-type (0.069 ± 0.007 g) and hemizygous (0.071 ± 0.013) mice were the same, but each was significantly heavier than that of hmz females (0.043 ± 0.006, P < 0.05). Ovarian histology showed the presence of primordial, primary and antral staged follicles in all three genotypes (Fig. 5
). The vast majority of primordial and primary staged small follicles had normal features of granulosa and oocyte morphology. Both healthy and atretic antral follicles were evident in all samples with more atretic antral follicles noted in the hmz ovaries (Fig. 5
). The main difference between genotypes was seen in luteal tissue. All wild-type, and most of the hemizygous, ovaries had areas of normal luteal tissue indicative of recent ovulation. However, no evidence of normal luteal tissue was evident in hmz GNR23 females (Fig. 5
, C and D). Instead, there were areas of stromal tissue with aggregates of dispersed cells containing marked flocculent cytoplasm (Fig. 5
, C and D) indicative of attempted granulosa cell transformation into luteal cells that had become moribund and disorganized.
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To understand better the relative and absolute failure of the LH surge in hemizygous and hmz GNR23 mice, we examined the expression of c-Fos in GnRH neurons following the OVX-E-P surge protocol. The GnRH neurons activated by estrogen to evoke the GnRH/LH surge express c-Fos coincident with the beginning of the GnRH surge (22). Wild-type, hemizygous and hmz GNR23 adult female mice (n = 5–6/group) underwent the OVX-E-P protocol. As noted previously in wild-type mice (23), GnRH neurons expressing c-Fos were located almost exclusively within the rPOA (Fig. 6
, C and D) with only a few dual-labeled cells detected at the levels of the MS (Fig. 6D
) and AHA (not shown). The dual-labeling immunocytochemical staining procedure did not reduce our ability to detect GnRH neurons because the numbers of GnRH neurons detected in dual-labeled sections were the same as those found in the single-label immuncytochemical experiments (e.g. wild-type mice had 23 ± 3 and 23 ± 4 GnRH neurons/rPOA section in dual- and single-labeling experiments, respectively). Although there were fewer GnRH neurons in hemizygous and hmz GNR23 mice, we nevertheless found evidence for c-Fos expression in a subpopulation of rPOA GnRH neurons in both genotypes (Fig. 6
, C and D). A mean of 0.7 ± 0.5, 2.6 ± 1.2, and 12.0 ± 4.2 c-Fos-positive GnRH neurons/brain section were detected in hmz, hemizygous, and wild-type mice, respectively (Fig. 6D
). When the numbers of c-Fos-positive GnRH neurons were examined as a percentage of the total rPOA GnRH population, we found that 40–50% of GnRH neurons showed evidence of activation in each genotype (wild-type = 51 ± 5%; hemizygous = 50 ± 7%, hmz = 41 ± 12%; Fig. 6E
). Together, these observations suggest that the estrogen-positive feedback mechanism is present in all genotypes but that it activates only a very small number of GnRH neurons in hmz GNR23 mice.
| Discussion |
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12%) results in severe reproductive deficits. Analyses at multiple levels indicate the subfertility of female GNR23 mice arises from a failure of ovulation due to an inability of hmz GNR23 mice to generate an LH surge. Remarkably, the process of puberty, including the first pubertal ovulation, occurs with only approximately 70 GnRH neurons. These findings indicate that features of the reproductive axis that require relatively simple pulsatile GnRH secretion are likely to be sustained by only a very few GnRH neurons. In contrast, more complex cyclical elements require between 12 and 34% of the normal GnRH neuron population. We show here with immunocytochemistry that hemizygous and hmz GNR23 mice have approximately 34 and 12%, respectively, of the normal number of GnRH neurons in their forebrain. We believe that this provides a good index of the actual number of GnRH neurons present in the brain because: 1) our previous work evaluated GNR23 mice with in situ hybridization and found an identical reduction in GnRH mRNA-expressing cell number in hemizygous and hmz GNR23 male mice (15) and 2) during development, the GnRH neurons absent in the brain can be accounted for by those GnRH neurons identified to remain within the nose (15). Hence, the reduction in GnRH-immunoreactive neuron numbers observed in GNR23 mice represents a real loss of neurons rather than their biosynthetic capacity.
GnRH neurons in GNR23 mice fail to migrate through the nose during embryogenesis due to an up-regulation of epha5 gene expression and remain trapped in the nose, where they stop producing GnRH (15). Why a few GnRH neurons are able to migrate from the nose in an apparently normal manner whereas others remain trapped is unknown. One possibility is that the temporal pattern of epha5 up-regulation in GNR23 mice favors the migration out of the brain of the very earliest or very latest differentiating GnRH neurons. In this light, it is interesting to note that, topographically, the depletion in GnRH neuron numbers is progressively more severe in those brain regions requiring the longest migratory route. However the relationship between the initiation of migration and eventual position within the brain for individual GnRH neurons is unknown at present. Intriguingly, the few GnRH neurons that end up in the brain of GNR23 mice appear to innervate all of the hypothalamic, as well as extrahypothalamic, brain regions normally targeted by the full GnRH neuron population.
Previous hpg-grafting studies by Gibson and Silverman and colleagues (9) indicated that only a few GnRH neurons were necessary to enable pulsatile LH secretion. Our present findings are in agreement with those observations because hmz GNR23 male mice exhibit normal levels of fertility. This suggests that pulsatile LH secretion is sufficient in male mice with only approximately 70 GnRH neurons. Interestingly, however, we uncovered a differential effect of reduced GnRH neuron numbers on plasma gonadotrophin levels; plasma LH levels were normal, whereas FSH concentrations were reduced by approximately 60% in the male. The low concentrations of FSH are very likely to be responsible for the reduced overall size of the otherwise relatively normal testis in these GNR23 mice. Indeed, the testicular findings and reproductive phenotype are very similar to that of mice with activin receptor type II and FSHβ subunit mutations that exhibit low or no circulating FSH levels, respectively (24, 25).
Female mice with approximately 200 GnRH neurons, or 34% of their normal number, exhibited normal levels of fertility. This was despite the observation that the amplitude of the LH surge in hemizygous GNR23 was only approximately 20% of its normal size. Early studies indicated that as little as 10–20% of the LH surge was required for normal levels of ovulation in the rat (26, 27). Our present results suggest a similar scenario in the mouse and confirm the substantial redundancy in LH signaling at the level of the ovary in terms of fertility.
The hmz GNR23 female mice with 12% of the GnRH neuron population exhibited severe deficits in their fertility. Just over half of mice failed to become pregnant, whereas others showed much reduced litter numbers and sizes. Only two of 14 hmz GNR23 mice were able to generate more than one litter over a period of 4 months. Curiously, those hmz GNR23 mice that were able to generate a litter did so at the normal time, approximately 20 d after first pairing with a male, but then failed from then on. This could be explained by GNR23 mice exhibiting a relatively normal male-induced, reflex LH surge on introduction to the male, followed by absent, or markedly defective, spontaneous ovulations in the following months of cohabitation. An evaluation of estrous cyclicity showed that hmz GNR23 mice were either in persistent estrus or exhibited prolonged 9-d estrous cycles with 63% of the time spent in estrus. The ovaries of hmz GNR23 mice were found to be significantly smaller in size, compared with controls, and histological examination revealed an increase in the number of atretic follicles and an absence of luteal tissue. Together, these observations clearly indicate that hmz GNR23 mice fail to exhibit normal cyclical ovulatory behavior.
One reason for the anovulatory phenotype of GNR23 mice would be that the reduced numbers of GnRH neurons in these mice are insufficient to generate a GnRH surge. Indeed, we found that hmz GNR23 mice were unable to exhibit an LH surge. As pituitary sensitivity to GnRH is not altered in GNR23 mice, the absence of the LH surge is unlikely to have resulted from a defect at the level of the gonadotroph. To examine further the reason for the failure of the LH surge, we questioned whether the GnRH neurons were being activated. Previous studies in the mouse have shown that 40–50% of GnRH neurons located in the rPOA express c-Fos at the time of the LH/GnRH surge and that they are activated by an indirect estrogen-positive feedback mechanism (16, 22). Remarkably, we found that 40–50% of GnRH neurons exhibited c-Fos at the time of the surge in hmz, as well as hemizygous, GNR23 mice. This suggests that despite the low numbers of GnRH neurons in GNR23 mice, they remain innervated in a relatively normal heterogeneous manner. When translated into actual numbers of GnRH neurons (total number of dual-labeled cells with sample size correction); however, no more than 10–15 individual GnRH neurons are activated by positive feedback in each hmz GNR23 mouse. Although it is clear that redundancy exists in terms of the amount of GnRH required to evoke an LH surge (28), it seems that 10–15 activated GnRH neurons in hmz GNR23 mice do not generate a sufficient amount, or profile, of GnRH in portal blood to evoke an LH surge.
Given the severe fertility defects in female hmz GNR23 mice, it was surprising to find that puberty onset was relatively normal in these mice. Although hemizygous GNR23 mice exhibited a slight delay in vaginal opening, first estrus occurred at the normal time. Vaginal opening occurs in response to increasing levels of circulating estrogen levels that are driven by the emergence of pulsatile gonadotropin secretion at puberty (21). Because it is likely that even very low numbers of GnRH neurons are sufficient to drive pulsatile LH secretion (see above), it was not unexpected to find that vaginal opening occurred at the normal time in GNR23 mice. However, given the severe ovulatory defects of adult mice, it was surprising that hmz GNR23 mice were able to exhibit their first pubertal ovulation at the correct time. A similar disassociation in dysfunction between first and latter ovulations has been observed in glutamic acid decarboxylase-overexpressing GnRH neurons in the rat (29). Equally, the first pubertal ovulation of rats has been observed to be more robust than subsequent ovulations in the face of pharmacological manipulations (30). This may result from a particularly heightened release of GnRH, and/or the relative absence of a robust estrogen negative feedback mechanism, at the time of puberty (31). These results raise the likelihood that failure of puberty in mammals, including humans, occurs only when the great majority of GnRH neurons become dysfunctional. Certainly it is suspected that anosmic hypogonadal hypogonadotropic individuals with Kalmann syndrome have no GnRH neurons in their brain (32, 33).
Finally, it is important to consider these results with respect to the potential caveats of studies undertaken in transgenic mouse models. It is clear that GNR23 mice have had depleted GnRH neuron numbers all of their postnatal life, and, as such, some manner of compensation may have occurred to enhance their efficacy. To date, we have examined GnRH transcript levels in these cells and found that they are the same in GNR23 mice and wild-type littermates (Herbison, A. E., unpublished observations) and also shown that pituitary sensitivity to GnRH is normal (Fig. 6
). It is also possible that the epha5 dysregulation has had effects on other components of the hypothalamo-pituitary-gonadal axis in GNR23 mice. Although possible, we note that GNR23 mice appear normal in all other respects and immunocytochemical analyses of several other neuroendocrine and neural populations in these mice have all been normal.
In summary, we report here on a mouse model that has enabled the GnRH neuron requirements for puberty onset, ovulation, and fertility to be assessed. Overall, the data show that a remarkable degree of redundancy exists within the GnRH neuron population in terms of successful fertility. Whereas males exhibit normal fertility with only 12% of the normal GnRH neurons, females require between 12 and 34% of the population. Taken together with data from hpg-grafted mice (9), these observations suggest that pulsatile GnRH secretion can be achieved by only a small number (<70) of GnRH neurons. In contrast, the cyclical nature of female fertility requires between 12 and 34% of the GnRH neuron population to ensure the generation of an effective GnRH/LH surge. These findings are relevant to the various transgenic strategies currently being used to modulate GnRH neuron function in vivo, as at least 70–90% of GnRH neurons will need to be deleted or made dysfunctional before a loss-of-neuron reproductive phenotype appears. An unsuspected finding of this study has been that puberty can occur with only approximately 70 GnRH neurons. From the perspective of the clinic, these observations on minimal GnRH neuron requirements suggest that the majority of GnRH neurons must be dysfunctional before patients will present with impuberty or infertility due to hypogonadal hypogonadism.
| Acknowledgments |
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| Footnotes |
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Disclosure Statement: The authors have nothing to disclose.
First Published Online November 15, 2007
Abbreviations: AHA, Anterior hypothalamus; hmz, homozygous; MS, medial septum; OVX-E-P, ovariectomized-estrogen-progesterone; rPOA, rostral preoptic area.
Received August 17, 2007.
Accepted for publication November 2, 2007.
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