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Originally published In Press as doi:10.1074/jbc.C000380200 on July 17, 2000

J. Biol. Chem., Vol. 275, Issue 39, 29927-29930, September 29, 2000
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ACCELERATED PUBLICATION
epsilon Protein Kinase C in Pathological Myocardial Hypertrophy

ANALYSIS BY COMBINED TRANSGENIC EXPRESSION OF TRANSLOCATION MODIFIERS AND Galpha q*

Guangyu Wu, Tsuyoshi Toyokawa, Harvey Hahn, and Gerald W. Dorn IIDagger

From the Division of Cardiology, University of Cincinnati, Cincinnati, Ohio 45267

Received for publication, June 13, 2000, and in revised form, July 14, 2000

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES

The epsilon  isoform of protein kinase C (PKC) has a critical cardiotrophic function in normal postnatal developing heart as demonstrated by cardiac-specific transgenic expression of epsilon PKC-selective translocation inhibitor (epsilon V1) and activator (psi epsilon RACK) peptides (Mochly-Rosen, D., Wu, G., Hahn, H., Osinska, H., Liron, T., Lorenz, J. N., Robbins, J., and Dorn, G. W., II (2000) Circ. Res. 86, 1173-1179). To define the role of epsilon PKC signaling in pathological myocardial hypertrophy, epsilon V1 or psi epsilon RACK were co-expressed in mouse hearts with Galpha q, a PKC-linked hypertrophy signal transducer. Compared with Galpha q overexpression alone, co-expression of psi epsilon RACK with Galpha q increased epsilon PKC particulate partitioning by 30 ± 2%, whereas co-expression of epsilon V1 with Galpha q reduced particulate-associated epsilon PKC by 22 ± 1%. Facilitation of epsilon PKC translocation by psi epsilon RACK in Galpha q mice improved cardiac contractile function measured as left ventricular fractional shortening (30 ± 3% Galpha q versus 43 ± 2% psi epsilon RACK/Galpha q, p < 0.05). Conversely, inhibition of epsilon PKC by epsilon V1 modified the Galpha q nonfailing hypertrophy phenotype to that of a lethal dilated cardiomyopathy. These opposing effects of epsilon PKC translocation activation and inhibition in Galpha q hypertrophy indicate that epsilon PKC signaling is a compensatory event in myocardial hypertrophy, rather than a pathological event, and support the possible therapeutic efficacy of selective epsilon PKC translocation enhancement in cardiac insufficiency.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES

The protein kinase Cs (PKCs)1 constitute a large family of ubiquitous phospholipid-dependent serine-threonine kinases postulated to have diverse effects in the heart, including mediating cardiac hypertrophy/failure and myocardial protection (1-3). It has been difficult to establish particular roles for individual PKC isoforms due to the absence of isoform-specific agonists and antagonists. Targeted cardiac overexpression of PKC has been helpful in establishing possible effects of myocardial PKC beta  signaling (4, 5), but the potential for nonspecific or nonphysiological signaling of overexpressed enzymes warrants a cautious interpretation of resulting phenotypes. Based on recent insights into the mechanism for differential PKC isoform subcellular translocation upon activation (6), a strategy was developed whereby the effects of endogenous myocardial PKC isoforms such as epsilon PKC could be elucidated by cardiac-specific expression of peptides that specifically modulate PKC isoform translocation/activation (7, 8). These epsilon PKC-derived peptides, psi epsilon RACK (HDAPIGYD, rat epsilon PKC amino acids 85-92) and epsilon V1 (the first variable region of rat epsilon PKC, amino acids 2-144) have previously been shown to specifically modulate epsilon PKC translocation (7-9). Compared with transgenic overexpression of PKC, a critical advantage of translocation modification is that PKC isoforms are specifically regulated without changing the natural stoichiometric relationships of PKC to its upstream activators and downstream substrates. Cardiac transgenic models expressing either the epsilon PKC translocation inhibitor (epsilon V1) or activator (psi epsilon RACK) were previously created with opposing cardiac phenotypes of dilated cardiomyopathy and physiological hypertrophy, respectively (8), demonstrating that epsilon PKC signaling is both necessary and sufficient for normal myocardial growth in the developing young mouse. This apparently beneficial role for epsilon PKC in normal physiologic cardiac growth is, however, at odds with the widely held notion that pathological cardiac hypertrophy is the consequence of epsilon PKC signaling (1, 10-13). In addressing this apparent contradiction, we hypothesized that the effects of epsilon PKC on a diseased heart might be different than during normal heart development. We further considered that these putative pathologic effects could be identified using epsilon PKC-specific translocation modification in the context of a form of cardiac hypertrophy where epsilon PKC is thought to be a pathological mediator, like the cardiac-specific Galpha q-overexpressing mouse, which develops myocardial hypertrophy and contractile depression associated with epsilon PKC translocation (11, 12). epsilon V1 or psi epsilon RACK were therefore co-expressed with Galpha q by cross-breeding the respective individual transgenic mice to generate compound transgenic mice.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES

Transgenic Models-- Details of transgenic mice (FVB/N background) overexpressing Galpha q, epsilon V1, or psi epsilon RACK under control of the full-length mouse alpha -myosin heavy chain (MHC) promoter have previously been described (7, 8, 11). Galpha q mice express Galpha q at ~5 times nontransgenic levels (the line previously described as Galpha q-40) and develop nonfailing ventricular hypertrophy with modest contractile depression, which is unresponsive to beta -adrenergic agonists (11). psi epsilon RACK transgenic mice develop mild hypertrophy with normal ventricular function and normal response to beta -adrenergic agonists (7, 8). The epsilon V1low (lowest expressing) mice used herein have normal cardiac mass and function, whereas higher expressing epsilon V1 lines develop ventricular dilation with wall thinning, diminished systolic function, and heart failure (8). Compound transgenic mice overexpressing epsilon V1 or psi epsilon RACK and Galpha q were obtained by breeding heterozygous epsilon V1low or psi epsilon RACK with heterozygous Galpha q-40 mice. Transgenes, alone and in combination, were identified by genomic Southern analysis of tail clip DNA. All experiments were performed with comparison of littermates.

Western Blot Analysis-- Samples for measurement of transgene products and PKC expression were prepared as described previously (12). Briefly, mouse ventricles frozen at -80 °C were homogenized in buffer (50 mM Tris-HCl, pH 7.5, 5 mM EDTA, 10 mM EGTA, 5 mM dithiothreitol, 10 mM benzamidine, 0.5 mM phenylmethylsulfonyl fluoride, 10 µg/ml pepstatin, 10 µg/ml aprotinin, and 10 µg/ml leupeptin) followed by centrifugation at 100,000 × g for 1 h. The pellet was further extracted with buffer containing 1% Triton X-100 for 30 min on ice. Proteins were separated on SDS-polyacrylamide gel electrophoresis and transferred to polyvinylidene difluoride membrane. epsilon V1 and Galpha q transgene expression were evaluated by Western blot analysis using anti-FLAG M2 (Sigma) and anti-Galpha q/11 (Santa Cruz) monoclonal antibodies, respectively. PKC isoform expression was measured by quantitative immunoblot analysis with anti-alpha PKC (Santa Cruz) and anti-epsilon PKC antibodies (Transduction Laboratories) using recombinant human alpha PKC and epsilon PKC (Calbiochem) as quantitative standards (8, 12). Protein loading and transfer efficiency were evaluated by amido black staining of the membrane after immunoblotting.

Assessment of Cardiac Hypertrophy and Function-- Morphometric analysis and histological examination of Masson's trichrome-stained ventricles used standard techniques. Echocardiography was performed to determine cardiac contractile function in a noninvasive manner; left ventricular fractional shortening (the proportion of blood ejected during systole compared with maximal ventricular capacity in diastole) and left ventricular mass were calculated (14). Cardiac gene expression was assayed by RNA dot blot analysis using total RNA (3 µg/dot) extracted from ventricles of nontransgenic and transgenic mice and 32P-labeled oligonucleotides as probes (11). Hybridization was quantified using a Storm PhosphorImager (Molecular Dynamics) and expression of each cardiac gene was normalized to glyceraldehyde-3-phosphate dehydrogenase.

Statistical Analysis-- All data are expressed as mean ± S.E. Comparisons between Galpha q and dual transgenic mice were evaluated using Student's t test, and the p value of <0.05 was considered as statistically significant. Values for nontransgenic (NTG) siblings are also presented for comparison, but were not included in the statistical analysis.

    RESULTS AND DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES

Cardiac-targeted transgenic expression of epsilon V1 and resulting inhibition of myocardial epsilon PKC translocation has proven that epsilon PKC activation is necessary for normal physiological myocardial growth in the postnatal period (8). Complementing this finding is the observation that enhancing epsilon PKC activation by expression of psi epsilon RACK stimulates growth of normally functioning myocardium (8). Herein, we utilized in vivo translocation modulation to characterize epsilon PKC effects in Galpha q-stimulated cardiac hypertrophy, a form of hypertrophy in which epsilon PKC translocation is increased and in which epsilon PKC has therefore been considered to be a possible pathological mediator (11, 12). Compound transgenic mice were generated and ventricular expression of epsilon V1 and Galpha q was compared between parent mice and dual transgenic progeny by Western blot analysis (Fig. 1A). Compound transgenic mice expressed both epsilon V1 and Galpha q at the same levels as parent lines, indicating that no cross-talk occurred at the level of transgene expression. As reported previously, it is not possible to detect psi epsilon RACK expression by Western blot analysis due to the small molecular weight of the peptide (8). However, Northern blot analysis showed no change in psi epsilon RACK and Galpha q transgene expression in compound transgenic mice, compared with parent lines (data not shown).


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Fig. 1.   A, Western blot analysis of transgene Galpha q and epsilon V1 expression. Representative of three separate experiments with similar results. B, quantitative immunoblot analysis of epsilon PKC expression in Galpha q and compound transgenic psi epsilon RACK/Galpha q or epsilon V1/Galpha q mice. Representative of four experiments. Group data represent mean ± S.E. for n = 6 per group. C, comparison of epsilon PKC translocation in transgenic hearts. Representative of four individual experiments. P, particulate fraction; C, cytosol fraction. *, p < 0.05 versus Galpha q mice.

Galpha q activates PKC via phospholipase C (15). As expected from this signaling pathway, myocardial Galpha q overexpression results in increased epsilon PKC partitioning to particulates, i.e. translocation, associated with a decrease in total epsilon PKC content which is considered to be a consequence of chronic epsilon PKC activation (11, 12). We measured the effects of psi epsilon RACK and epsilon V1 on the expression and translocation of epsilon PKC in Galpha q overexpressors using quantitative Western blot analysis. alpha PKC, which is transcriptionally up-regulated but not translocated in Galpha q overexpressing hearts (12), was also measured to assay the isoform specificity of epsilon V1 and psi epsilon RACK. Compared with nontransgenic siblings, psi epsilon RACK and epsilon V1 transgenic mice exhibited a 20 ± 3% increase and 15 ± 2% decrease, respectively, of epsilon PKC translocation (measured as the paticulate/cytosol ratio) with no change in epsilon PKC content (data not shown). This is similar to the initial description of these models (7, 8). As shown in Fig. 1B, combined expression of either psi epsilon RACK or epsilon V1 with Galpha q did not alter the characteristically decreased myocardial epsilon PKC content of Galpha q overexpressors (12) (NTG 163 ± 8 ng/mg, Galpha q 122 ± 9, psi epsilon RACK/Galpha q 120 ± 6, n = 4 in each group, p = not significant for psi epsilon RACK/Galpha q versus Galpha q; NTG 159 ± 9, Galpha q 113 ± 12 and epsilon V1/Galpha q 115 ± 10, n = 4 in each group, p = not significant for epsilon V1/Galpha q versus Galpha q). Fig. 1C shows that particulate partitioning of epsilon PKC, which is increased by Galpha q overexpression (11, 12), was further augmented 30 ± 2% in psi epsilon RACK/Galpha q mice (particulate/cytosol ratio: NTG 1.2 ± 0.1, Galpha q 2.1 ± 0.1, psi epsilon RACK/Galpha q 2.8 ± 0.2, n = 4 in each group, p < 0.05 for psi epsilon RACK/Galpha q versus Galpha q) and attenuated by 22 ± 1% in epsilon V1/Galpha q (particulate/cytosol ratio: NTG 1.2 ± 0.1, Galpha q 2.3 ± 0.1 and epsilon V1/Galpha q 1.8 ± 0.2, n = 4 in each group, p < 0.05 for epsilon V1/Galpha q versus Galpha q). Expression and translocation of alpha PKC, transcriptionally increased in Galpha q hearts relative to NTG (12), were not affected in Galpha q mice by the epsilon PKC modifying peptides (alpha PKC content: NTG 852 ± 79 ng/mg, Galpha q 1259 ± 93 and psi epsilon RACK/Galpha q 1198 ± 121; NTG 847 ± 125, Galpha q 1368 ± 110 and epsilon V1/Galpha q 1359 ± 186; particulate/cytosol ratio: NTG 0.44 ± 0.04, Galpha q 0.42 ± 0.03 and psi epsilon RACK/Galpha q 0.45 ± 0.03; NTG 0.41 ± 0.04, Galpha q 0.40 ± 0.01, and epsilon V1/Galpha q 0.40 ± 0.02), confirming the specific effects of these peptides on epsilon PKC (7, 9).

psi epsilon RACK/Galpha q mice were healthy when followed for 5 months. Effects of enhanced epsilon PKC translocation/activation on Galpha q-mediated cardiac hypertrophy and contractile dysfunction were assessed in 12-week-old psi epsilon RACK/Galpha q mice. Compared with Galpha q transgenic siblings, ventricular and atrial weights in psi epsilon RACK/Galpha q mice were reduced (Table I). Left ventricular mass of psi epsilon RACK/Galpha q mice calculated from noninvasive echocardiographic analysis was correspondingly decreased (Table II). Echocardiography further revealed that psi epsilon RACK/Galpha q hearts had reduced end diastolic and systolic dimensions, i.e. that the cardiac ventricles were smaller before or after contraction, with no change in left ventricular wall thickness (Table II). Thus, the ratio of wall thickness to ventricular radius (h/r) was increased, which suggests concentric ventricular remodeling. Perhaps as a consequence of this more favorable ventricular geometry, psi epsilon RACK expression enhanced left ventricular contractile function of Galpha q mice, measured echocardiographically as the proportion of blood volume ejected per cardiac cycle, or fractional shortening (NTG 51 ± 3%, psi epsilon RACK 47 ± 1%, Galpha q 30 ± 3% and psi epsilon RACK/Galpha q 43 ± 2%).

                              
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Table I
Morphometric parameters in NTG, single and dual 12-week-old transgenic mice
Values are mean ± S.E.

                              
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Table II
Echocardiographic parameters in NTG, single and dual transgenic mice
FS, fractional shortening; ESD, end systolic dimension; EDD, end diastolic dimension; PWT, left ventricular posterior wall thickness; LVM, left ventricular mass; h/r, ratio of wall thickness to heart chamber radius; Change, percentage of increase (+) or decrease (-) in cross mice relative to Galpha q mice; psi epsilon R, psi epsilon RACK mice. Values are mean ± S.E. NS, no significance.

A molecular marker of cardiac hypertrophy is increased expression of the embryonic cardiac genes alpha -skeletal actin, beta -MHC, and atrial netriuretic peptide (ANF) in ventricle (16). These genes are highly expressed in Galpha q overexpressing hearts (11, 14), and Northern analysis revealed that alpha -skeletal actin gene expression was selectively reduced in ventricles of psi epsilon RACK/Galpha q mice, whereas ANF and beta -MHC gene expression was not changed from their characteristically elevated levels (11) (Fig. 2B). Since inhibition of epsilon PKC with epsilon V1 in normal hearts was previously shown to selectively increase expression of alpha -skeletal actin gene (8), the isolated reduction of this mRNA by psi epsilon RACK in the Galpha q mice suggests a role for epsilon PKC in transcriptionally regulating actin, but not ANF or beta -MHC expression, in the heart. Taken together, the results with psi epsilon RACK/Galpha q mice indicate that enhanced epsilon PKC translocation improves ventricular function and normalizes ventricular geometry, but surprisingly, diminishes the extent of cardiac hypertrophy in Galpha q overexpressors.


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Fig. 2.   A, 12-week-old transgenic mouse hearts showing concentric remodeling in psi epsilon RACK/Galpha q and dilation in epsilon V1/Galpha q mice. The arrow points to an area of left ventricular wall thinning. B, RNA analysis of gene expression. Quantitative data are indexed to GAPDH (n = 3) and expressed as percent of Galpha q mice. *, p < 0.05 versus Galpha q mice. C, representative Masson's trichrome stain of left ventricles showing mild interstitial fibrosis (blue staining) in epsilon V1/Galpha q.

Heart failure is not typically observed in Galpha q-overexpressing mice, although the characteristic eccentric hypertrophy is associated with measurable contractile depression (11). Heart failure also is not a feature of epsilon V1low mice in which hearts are functionally and histologically normal (8). Thus, breeding Galpha q with epsilon V1low is the equivalent of crossing two nonfailing cardiac models. Strikingly, combined expression of epsilon V1low with Galpha q caused development of lethal heart failure at 14 ± 2 weeks of age (n = 9). At 12 weeks of age, epsilon V1/Galpha q mice could not tolerate echocardiographic analysis under even light anesthesia, so a confident assessment of in vivo ventricular function at an age matching that of the psi epsilon RACK/Galpha q mice was not obtained. However, gross pathological examination of 12-week-old hearts revealed ventricular dilatation, focal ventricular wall thinning, and massively enlarged atria containing intracavitary blood clots, which are typically observed in chronic low cardiac output states, i.e. heart failure (Fig. 2A). These gross pathological findings were much more striking than the histological appearance which revealed only areas of mild myocardial fibrosis, as detected by blue staining with Masson's trichrome (Fig. 2C), Interestingly, epsilon V1 overexpression did not alter the program of ANF, beta -MHC, or alpha -skeletal actin gene expression in Galpha q mice (Fig. 2B). Since a clear mechanism for development of heart failure was not readily apparent from these postmortem studies, and as 12-week-old mice were too sick to undergo in vivo physiological assessment, we performed echocardiographic examination of apparently healthy 6-week-old epsilon V1/Galpha q mice to help define the relevant pathophysiology. At 6 weeks, epsilon V1/Galpha q hearts exhibited ventricular enlargement and wall thinning with depressed contractile function (fractional shortening) compared with Galpha q, which at this age have not yet developed contractile dysfunction (Table II). These findings suggested that epsilon V1low inhibits myocardial growth in the young developing Galpha q mice, as epsilon V1high did in mice with a normal genetic background (8). This notion was confirmed by a 27% reduction in dry ventricular weight of epsilon V1/Galpha q mice, compared with Galpha q (Table I). In contrast, atrial weight was increased, which, as noted above, probably reflects contractile depression. Finally, the ratio of ventricular wall thickness to ventricular radius (h/r) was significantly diminished, indicating that dilatory remodeling, i.e. ventricular wall thinning with chamber enlargement, was already occurring in 6-week-old epsilon V1/Galpha q mice. Thus, inhibition of epsilon PKC translocation, which is already "enhanced" in the Galpha q mouse, impairs ventricular function, causes cardiac enlargement with ventricular dilatation, and reduces ventricular mass.

The reciprocal cardiac phenotypes of psi epsilon RACK/Galpha q and epsilon V1/Galpha q mice described above unequivocally refute our hypothesis that epsilon PKC signaling contributes to the pathology associated with Galpha q-mediated hypertrophy. Although epsilon PKC activation occurs in Galpha q hearts, "superactivation" with psi epsilon RACK proved to be therapeutic, whereas even the modest impairment of epsilon PKC translocation caused by epsilon V1low, essentially "normalization," greatly exaggerated the underlying Galpha q pathology. Most surprising is that the opposing effects on cardiac function were not due to opposite effects on cardiac "hypertrophy" per se, in that psi epsilon RACK and epsilon V1 both decreased left ventricular mass of Galpha q mice. Rather, it is apparently an epsilon PKC effect on ventricular geometry that is the critical determinant of viability, with benefit accruing from psi epsilon RACK-induced concentric remodeling (of the eccentrically hypertrophied Galpha q heart (11)) and epsilon V1-induced ventricular dilatation proving fatal. These changes in geometry were surprisingly well defined in that they were not associated with significant changes in ANF or beta -MHC gene expression, which are widely considered to be indices of cardiac pathology (16). In the context of our prior study (8), the current results show that the molecular and morphometric effects of epsilon PKC are similar in nontransgenic and Galpha q overexpressing hearts, but the effects of epsilon PKC activation and inhibition are amplified in the Galpha q model.

An intriguing difference between the current studies of epsilon PKC in the Galpha q background and our previous characterization of epsilon PKC translocation modulation in the normal background is the absence of a "hypertrophic" effect of psi epsilon RACK plus Galpha q. We previously found a modest increase in ventricular mass of 12-week-old psi epsilon RACK mice, with concentric remodeling. Compared with Galpha q, however, psi epsilon RACK/Galpha q ventricles were concentrically remodeled, but smaller. This suggests that the intrinsic contractile depression and eccentric remodeling of Galpha q mice may itself contribute to the hypertrophic response. psi epsilon RACK improved ventricular geometry and function and as a consequence diminished the external stimulus for hypertrophy.

A strength of the current studies is that epsilon PKC activity/translocation was modulated by expressing catalytically inactive peptides rather than by overexpressing epsilon PKC itself, essentially using transgenesis as a means of organ-specific drug delivery. However, the effects of epsilon PKC modulation were measured in the Galpha q transgenic mouse, which achieves its phenotype by 5-fold increased expression of Galpha q (11). Thus, concerns regarding stoichiometric excess and nonspecific activity of overexpressed signaling proteins (which drove our unique approach of PKC isoform translocation modification) apply to the Galpha q model itself. While the rationale for choosing the Galpha q model is strong, i.e. changes in epsilon PKC translocation, which suggested it as a pathological mediator (11, 12), the relevance of Galpha q overexpression to naturally occurring cardiac disease is uncertain. Additional studies are therefore ongoing to determine the effects of epsilon V1 and psi epsilon RACK on cardiac hypertrophy and function in hemodynamically stressed hearts.

In conclusion, the current studies contradict the generally accepted notion that epsilon PKC is a pathophysiological mediator of cardiac disease. Rather, they support the notion that epsilon PKC translocation, either by direct administration of psi epsilon RACK peptide, by gene therapy, or through novel pharmacological means, could be used to treat heart failure in the same manner that induction of "physiological" hypertrophy by exercise or growth factors has proven to be therapeutic (17).

    FOOTNOTES

* This work was supported by National Institutes of Health Grants HL58010 and HL52318.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Dagger To whom correspondence should be addressed: Division of Cardiology, University of Cincinnati Medical Center, 231 Bethesda Ave., Cincinnati, OH 45267-0542. Tel.: 513-558-3065; Fax: 513-558-3060; E-mail: dorngw@ucmail.uc.edu.

Published, JBC Papers in Press, July 17, 2000, DOI 10.1074/jbc.C000380200

    ABBREVIATIONS

The abbreviations used are: PKC, protein kinase C; MHC, myosin heavy chain; NTG, nontransgenic; ANF, atrial netriuretic peptide.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES

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Copyright © 2000 by The American Society for Biochemistry and Molecular Biology, Inc.
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