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J. Biol. Chem., Vol. 275, Issue 44, 34252-34259, November 3, 2000
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From the School of Biosciences, University of Birmingham,
Birmingham B15 2TT, United Kingdom
Received for publication, May 25, 2000, and in revised form, August 14, 2000
Osteoblasts and osteoclasts express functional
N-methyl-D-aspartate (NMDA) receptors, which
participate in regulation of bone matrix. In rat femoral osteoblasts
held in whole cell clamp there is a robust NMDA current but little if
any response to L-glutamate. We have investigated
expression of metabotropic glutamate receptors (mGluRs) in these cells.
By reverse transcription polymerase chain reaction, we have detected
expression of mGluR1b (but not mGluR1a, 2, 3, 4, 5, or 6). Blockade of
mGluRs with (±)- It is well established that bone cells are regulated in their
activity both by circulating hormones (1) and by the interacting effects of a number of locally acting intercellular signals, including prostaglandins, growth factors, cytokines, and nitric oxide (2-9). Recently, it has been reported that functional
NMDA1-type glutamate
receptors are expressed in a number of bone cell types, including rat
and human osteoblasts and osteoclasts, MG-63 osteosarcoma cells, and in
bone marrow megakaryocytes (10-15). Osteoblasts, which contain high
levels of glutamate (16), express regulatory proteins required for
vesicular exocytosis that co-localize with glutamate (17). In
vitro, osteoblasts secrete glutamate in a regulated
manner.2 Initial
histochemical data show that nerve endings able to secrete L-glutamate may also occur within bone (16). Antagonists of NMDA receptors modulate the activities of both osteoblasts and osteoclasts, the bone cells responsible for deposition and resorbtion of bone matrix (10, 14, 18). These findings suggest that glutamate-mediated signaling occurs in bone, in a manner analogous to
glutamatergic transmission between neurons, and that it contributes to
regulation of bone matrix (19).
The NMDA receptor is part of a complex glutamatergic system in the
central nervous system, comprising several receptor types. Glutamate receptors can be divided into iGluRs (including the NMDA type
found in bone) and mGluRs. mGluRs are G-protein-linked receptors that
stimulate PLC (group 1 mGluRs) or inhibit adenyl cyclase (group 2 and
group 3 mGluRs) (20). There is believed to be "cross-talk" between
the different glutamate receptor subtypes, primarily by mGluRs acting
to regulate activity of iGluRs (20). To date, only iGluRs, primarily
the NMDA-type, have been detected in bone cells (10, 11).
The first electrophysiological study of the action of glutamate on
bone-derived cells used the human osteoblast-like MG-63 cell line.
Bath-applied L-glutamate and NMDA had very similar effects
on these cells, with both agonists markedly increasing membrane
conductance (21). However, during our studies on NMDA-induced currents
in femoral explant-derived osteoblasts of rat (15), we made the
surprising observation that the responses to NMDA and
L-glutamate differed markedly. Cells that showed a well
developed response to bath-applied NMDA gave only a very small current
upon application of L-glutamate. This finding suggests the
expression in femoral osteoblasts of a second type of glutamate
receptor, which negatively modulates the NMDA receptor/channel. We have therefore looked for mGluRs in rat femoral osteoblasts and examined the
effects of their activation on osteoblastic NMDA receptor/channels. We
report that mGluR-1b receptors are expressed in these cells, that their
activation mobilizes stored Ca2+ within the cell, and that
they negatively regulate the activity of the osteoblastic NMDA
receptor/channel.
Cell Culture--
Cultures of rat femoral osteoblasts were
prepared similarly to the method of Pitsillides et al. (22).
Rats (120-130 g) were killed by cervical dislocation. Femora were
aseptically removed, stripped of all adhering soft tissues, and passed
through four washes of culture medium with 10 times the usual
concentration of antibiotics (see below). The epiphyses were removed
and the marrow flushed from the cavity with
Cells cultured as described above have been shown to stain positive for
alkaline phosphatase and osteocalcin and to produce mineralized matrix
(22). We have confirmed osteoblastic phenotype by staining for alkaline
phosphatase and using Western blots and radioimmunoassay to demonstrate
expression of osteopontin and osteocalcin (23, 24). The cells generated
a transient [Ca2+]i elevation in response to
treatment with PTH (not shown).
Electrophysiological Recording--
Extracellular saline
contained 140 mM NaCl, 2.5 mM KCl, 2.5 mM CaCl2, 10 mM HEPES. pH was
adjusted to 7.6 with NaOH. No Mg2+ was included because
resting potential of femoral osteoblasts (
Cells were used for recordings within 3-24 h after seeding, while
cultures were subconfluent. Prior to recording, coverslips were washed
thoroughly to remove any traces of culture medium and were transferred
to a purpose-built, recording chamber (volume, 300 µl). The chamber
was continuously perfused with recording saline at 1.5 ml·min
Application of drugs was by bath perfusion. Drugs were prepared as
concentrated stock solutions in saline immediately prior to use. NMDA
was from Sigma, glycine was from Fisons, and (+)-MK-801, 1S,3R-ACPD, and (±)MCPG were from RBI. NMDA and
L-glutamate were always co-applied with 10 µM glycine.
The values given in text show the means ± S.E. P
values show results of t test (paired or nonpaired,
according to the nature of the comparison).
Fluorimetric Monitoring of
[Ca2+]i--
Cells were prepared as described
above except that, after reseeding, coverslips were placed in 24-well
culture plates. The cells were grown with 10% fetal calf serum, 90%
Reverse Transcription Polymerase Chain Reaction--
For RNA
extraction, confluent osteoblasts were harvested after 3 weeks, using a
total RNA isolation kit (Promega) as described by the manufacturer.
Whole brain from 120-g Wistar male rats was removed, dropped into
liquid nitrogen, and homogenized at 4 °C according to the protocol
provided with the RNA isolation kit.
Synthesis of the First Strand cDNA from Total RNA--
The
first strand cDNA was synthesized from total RNA (2 µg) in 20 µl of reaction mixture (50 mM Tris-HCl (pH 8.3), 75 mM KCl, 3 mM MgCl2, 10 mM dithiothreitol, 40 units of RNasin (RNase inhibitor, Promega), 500 µM each dATP, dCTP, dGTP, and dTTP, 10,000 units/ml super II reverse transcriptase (Life Technologies, Inc.)) on a 2.5 µM random primer. The reverse transcriptase reaction
was carried out at 42 °C for 55 min, and the reaction was stopped by
raising the temperature to 70 °C for 15 min. Preparation of cDNA
from femoral osteoblasts was carried out on four separate occasions, each from a separate culture. One to three PCR reactions, for each set
of primers, were carried out on each of these samples to confirm
validity of the findings.
PCR Primers--
Specific primers against mGluR1, mGluR1 mGluR2,
mGluR3, mGluR4, mGluR5, mGluR6, and NMDAR-2C were synthesized by
MWG (Ebersberg, Germany; Table I).
Primers for mGluR2 and NMDAR-2C were designed on the basis of
published sequences. All other primers for glutamate receptors were
previously published pairs (Table I). Primers for rat hypoxanthine
phosphoribosyltransferase were a gift from Prof. Alicia El Haj
(University of Keele, Keele, UK).
PCR--
PCR was performed with Taq DNA polymerase
(Promega, Madison) in 25 µl of reaction mixture containing each
primer at a final concentration of 0.6 µM.
PCR protocols were as given in Table I. For mGluR2, mGluR3, and mGluR5,
the reaction was carried out using a touchdown program. The PCR
amplification products were electrophoresed on 1.5% agarose gels and
visualized using ethidium bromide under ultraviolet light. The bands of
interest were excised, and DNA was extracted from the Gel using an
extraction kit (Promega). Sequencing was carried out by Alta Biocience
(Birmingham, UK).
To assess the relative expression of mRNA for mGluR1b in rat
osteoblasts and rat brain, we used serial dilution (10-fold steps) of
the cDNA templates. The reaction was then carried out as described above, but products were assessed after 26 cycles of reaction. The
minimum dilution necessary to prevent formation of a detectable product
was used to estimate the relative levels of mGluR1b cDNA in the rat
brain and rat femoral osteoblast templates. Primers for a 300-bp region
of rat hypoxanthine phosphoribosyltransferase were used to check that
there was similar representation of this housekeeping gene in the brain
and osteoblast cDNA samples.
Reverse Transcription PCR
To investigate the possible expression of mGluRs in rat femoral
explant-derived osteoblasts, reverse transcription PCR was carried out
using primers directed against rat mGluR1a, mGluR1b, mGluR2, mGluR3,
mGluR4, mGluR5, and mGluR6. Products of the appropriate size were
detected with all six primer pairs in rat brain (Fig. 1, a-d). mGluR1 and mGluR5
occurred as both a and b subtypes. Using rat femoral osteoblast
cDNA, we detected the presence of message for mGluR1b of
appropriate size (Fig. 1a; 378 bp) but no other mGluR types.
Control reactions carried out with total osteoblast RNA gave no
product. Sequencing showed that osteoblast mGluR1b product was
identical to the rat brain mGluR1b sequence.
The intensity of the band for mGluR1b product generated from osteoblast
cDNA appeared weaker than that for the brain (Fig. 1a;
n = 10). To confirm this difference, the cDNA
templates from osteoblasts and from brain were serially diluted in
10-fold steps (down to 10 Recent findings suggest that the NMDAR-2C subunit may be required for
inhibitory modulation of the NMDA receptor by mGluRs (Ref. 26 and see
"Discussion"). PCR using femoral osteoblast cDNA and NMDAR-2C
primers gave a product of the appropriate size (359 bp), the sequence
of which was identical to the relevant portion of the rat brain
NMDAR-2C sequence.
Electrophysiology
Currents Induced by NMDA and
L-Glutamate--
Functional NMDA receptors are present in
approximately 25% of femoral osteoblasts in primary culture (15).
Addition of 100 µM NMDA plus 10 µM glycine
to the inflow of the recording chamber induced prolonged, slowly
desensitizing inward currents with a mean peak amplitude of 77.8 ± 7.4 pA (mean ± S.E.; n = 9). When the same
cells were superfused, with 100 µM
L-glutamate plus 10 µM glycine, currents were
very small, often appearing as little more than an increase in noise.
Mean glutamate current amplitude was 17.4 ± 0.9 pA
(n = 9; p < 0.00002 compared with
effect of NMDA; Fig. 2a). The
effect of L-glutamate plus 10 µM glycine was investigated in a further 20 cells in which the action of NMDA was not
measured. Currents greater than 20 pA were never seen.
Effect of an mGluR Antagonist on the Currents Induced by
L-Glutamate--
To investigate the possible involvement
of mGluR receptors in the differing effects of NMDA and
L-glutamate, we used the mGluR antagonist (±)MCPG. After
superfusion with NMDA and L-glutamate (both with 10 µM glycine), we reapplied L-glutamate plus 10 µM glycine in the presence of 500 µM
(±)MCPG. Inclusion of (±)MCPG converted the small currents induced by
100 µM L-glutamate (18.5 ± 2.7 pA;
n = 4) to larger responses (87.5 ± 18.7 pA
n = 4; p < 0.025 compared with
L-glutamate alone) that were similar in amplitude to those
evoked by NMDA (89.0 +18.0 pA; n = 4; p > 0.2). This glutamate-induced current was blocked by 100 nM (+)-MK-801 (Fig. 2a).
Effect of an mGluR Agonist on the Currents Induced by
NMDA--
Because blockade of mGluR receptors enabled glutamate to
induce inward currents similar to those evoked by NMDA, we investigated the effect of the mGluR agonist 1S,3R-ACPD on the
NMDA response. 100 µM NMDA and 10 µM
glycine were applied briefly to confirm the presence of an NMDA current
and to determine peak current amplitude (65.5 ± 12.0 pA;
n = 4). When NMDA and glycine were reapplied to the
cells in combination with 300 µM
1S,3R-ACPD, the peak current amplitude was
reduced to 15.0 +2.2 pA. (n = 4; p < 0.02 compared with amplitude in the absence of
1S,3R-ACPD; Fig. 2b).
[Ca2+]i Changes in Stimulated Cells
Effect of NMDA--
100 µM NMDA plus 10 µM glycine induced a sustained rise in
[Ca2+]i (n = 10). This response
was reversed, in a dose-dependent manner, by (+)-MK-801
(Fig. 3a). When
Ca2+-free medium was used (0 Ca2+, 1 mM EGTA), no response to NMDA was seen (Fig. 3a;
n = 5).
Elevation of [Ca2+]i Induced by
1S,3R-ACPD--
In Ca2+-containing medium, 300 µM 1S,3R-ACPD induced a transient
rise in [Ca2+]i, lasting approximately 90 s,
followed by a sustained plateau (Fig. 3b; n = 7). When 1S,3R-ACPD was applied in
Ca2+-free saline, a similar transient was seen, but
[Ca2+]i then fell to levels similar to those
before 1S,3R-ACPD addition (Fig. 3b;
n = 3). Addition of 75 nM ionomycin, to
deplete internal stores of Ca2+, caused a small, sustained
rise in [Ca2+]i. Subsequent addition of
1S,3R-ACPD did not cause an elevation of
[Ca2+]i (data not shown).
Interactions between NMDA Receptors, mGluR1b Receptors, and PTH
Receptors in Modulating [Ca2+]i
To observe interactions between the two types of glutamate
receptors in their modulation of [Ca2+]i, we
investigated the effects of sequential additions of agonists. Upon
addition of 100 µM NMDA and 10 µM glycine
to the cuvette, a sustained increase in [Ca2+]i
was observed, as described above (n = 5). When 200 µM 1S,3R-ACPD was added to the
cuvette, the elevated [Ca2+]i fell within 1-2
min to a value approximately midway between the peak response and that
before addition of NMDA, and thereafter continued to fall more slowly
(Fig. 4a). When (±)MCPG and
(+)-MK-801 were then added together, [Ca2+]i
fell, within 5 min, to levels close to the starting, basal level.
However, it was noticeable that, when these antagonists were added,
there was an initial increase in [Ca2+]i, lasting
approximately 90 s, before the level fell (Fig. 4a).
Similar results were obtained in four other experiments.
Expression of Functional Metabotropic Glutamate Receptors in
Primary Cultured Rat Osteoblasts
CROSS-TALK WITH N-METHYL-D-ASPARTATE
RECEPTORS*
and
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ABSTRACT
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
-methyl-carboxyphenyl-glycine resulted in an
enlarged L-glutamate-induced current that resembled the
response to NMDA. Conversely, prior stimulation of mGluRs with
trans-(±)-1-amino-1,3-cyclopentanedicarboxylic acid
(1S,3R-ACPD; mGluR agonist) reduced the
NMDA-induced current by 77%. Monitoring of
[Ca2+]i showed that NMDA induced a sustained
elevation of [Ca2+]i, which was dependent upon
[Ca2+]o. Treatment with
1S,3R-ACPD generated an initial transient that
was independent of [Ca2+]o, followed by a
sustained, [Ca2+]o-dependent phase, a
response consistent with phospholipase C-mediated mobilization of
stored Ca2+. Investigations of the interaction between the
two receptors confirmed inhibitory modulation of the NMDA
receptor-induced rise in [Ca2+]i by mGluRs.
Parathyroid hormone, which also activates phospholipase C in
osteoblasts, had a similar inhibitory effect on the NMDA
receptor-induced [Ca2+]i response. Elevation of
[Ca2+]i mediated by mGluR activation was reduced
by subsequent stimulation of NMDA receptors. This is the first
description of mGluRs in bone and shows that complex glutamatergic
signaling can occur in this tissue.
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INTRODUCTION
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
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MATERIALS AND METHODS
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
-minimal essential
medium. The bone was then sectioned into small fragments that were
washed twice with phosphate-buffered saline and once in culture medium (see below) before placing them into 80-mm plastic culture dishes or
20-ml plastic culture flasks (Falcon). Culture medium contained
-minimal essential medium supplemented with 10% (v/v) fetal calf serum, pyenicillin (100 µg/ml), streptomycin (50 µg/ml), ascorbate (50 µg/ml), and
-glycerophosphate (10 mM). Cultures
were placed in a humidified atmosphere of 5% CO2 at
37 °C. Medium was changed 24 h later to remove any debris and
twice weekly thereafter. The cultures were maintained for 3 weeks, at
which point the bone chips were removed, and adherent cells were washed
twice with phosphate-buffered saline and detached by treatment with
0·05% (w/v) trypsin and 0.02% (w/v) EDTA. The cells were then
seeded, either direct from culture flasks or, after a single passage, onto sterile glass coverslips in 35-mm plastic culture dishes. Seeding
density was approximately 3 × 104 cells/ml. After
settling, cells flattened and adopted an elongated polygonal outline,
usually tapered toward one end.
60 to
65 mV) is
sufficient to cause significant Mg2+ block of NMDA channels
(15). Electrodes for voltage clamp measurements were backfilled with
saline containing 150 mM CsCl, 5 mM EGTA, 2 mM ATP, 0.5 mM GTP, 10 mM HEPES. pH
was corrected to 7.3 with CsOH. Patch electrodes were pulled from
filamented 1.5-mm glass capillaries (Clark Electromedical GC150TF) and
fire polished. Electrode resistance was 3-7 M
.
1. All recordings were carried out at room
temperature (20-21 °C) and were made using the whole cell variant
of the patch clamp technique. Clumped cells were not used to avoid any
effects of gap-junctional contacts between cells. Seals of up to 10 G
were achieved prior to breakthrough. After breakthrough, whole
cell input resistances were in the order of 1-5 G
. Recordings
commenced within 1-2 min of breakthrough. Holding potential was
50
mV. Currents were recorded using a Warner PC501A amplifier, with filter cut-off at 2 KHz. The current output (Im) from
the amplifier was continuously plotted on a chart recorder for
subsequent offline analysis.
-minimal essential medium without phenol red in a humidified
atmosphere of 5% CO2 at 37 °C. To maximize the
fluorescent signal, cells were grown until nearly confluent before use.
24 h before recording, the medium was changed to 1% bovine serum
albumin, 90% Earle's balanced salt solution (EBSS-HEPES; 116.4 mM NaCl, 5.4 mM KCl, 26.2 mM NaHCO3, 1.3 mM NaH2PO4,
2 mM CaCl2, 0.81 mM
MgSO4, 4.2 mM HEPES, and 5.5 mM
D-glucose, pH 7.4) without phenol red. Immediately before
use, the cells were washed three times with EBSS-HEPES and loaded with
1 µM Fura-2-acetoxymethyl-ester (Molecular Probes) in the same buffer at 37 °C for 45 min. The cells were then washed once with EBSS-HEPES without Mg2+. The glass coverslip
carrying the cells was inserted into a cuvette containing 2 ml of
electrophysiological recording saline (see above) with 10 mM D-glucose. For Ca2+-free
experiments, CaCl2 was omitted from the saline, and 1 mM EGTA was included. The cuvette was placed in a
thermostatically controlled (37 °C) Perkin-Elmer LS-580 Luminescence
Spectrometer. After a period of 5 min for temperature equilibration,
the cuvette was alternately excited at 340 and 380 nm, and emission at
505 nm was monitored. Acquisition rate of ratio pairs was 12.5 Hz. Drugs and reagents were added directly to the cuvette, which was stirred continuously. All drugs were made up as concentrated stock solutions in saline immediately prior to use. When drugs were added
sequentially there were minor dilution effects. The dilution factors
for the various stock solutions used ranged from 1:100 (for NMDA) to
1:1000 (for glutamate and glycine). The greatest dilution occurred in
the experiments shown in Fig. 4a, when a total of four
additions were made to the cuvette. In these experiments the total
increase in volume was 0.85% (such that the final NMDA concentration
was 99.2 µM rather than the initial 100 µM). No correction was made for this small effect. At the
completion of each experiment, sequential additions of ionomycin (2 µM) and EGTA (10 mM) were made to confirm the
validity of the data. Traces were smoothed by using a 50-point moving
average. Because calibration of Fura-2 data has inherent problems and
is thus prone to inaccuracies (25), data are expressed as the ratio of
fluorescence elicited by excitation at 340 and 380 nm. NMDA and
L-glutamic acid were from Sigma, glycine was from Fisons,
and (+)-MK-801, 1S,3R-ACPD, and (±)MCPG were
from RBI. PTH was from Sigma.
PCR primers and protocols
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ABSTRACT
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MATERIALS AND METHODS
RESULTS
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Fig. 1.
Detection of mGluR and NMDAR-2C receptor
subunits by PCR. a, expression of mGluR1. Lane
1 shows products from rat whole brain cDNA; lane 2 is rat liver cDNA; and lane 3 is rat femoral osteoblast
cDNA. Predicted products are 294 bp (mGluR1a) and 378 bp (mGluR1b).
Both receptors are expressed in brain, but only the mGluR1b product is
detected in cDNA from osteoblasts. b, expression of
mGluR2. Lane 1 shows product from rat whole brain cDNA;
lane 2 shows femoral osteoblast cDNA. Predicted product
size is 456 bp. mGluR2 is expressed in brain, but no product is
detected with osteoblast cDNA. c, expression of mGluR3
(lanes 1-4), mGluR4 (lanes 9-12), and mGluR5
(lanes 5-8). Lanes 1, 5, and
9 show products from rat whole brain cDNA; lanes
2, 6, and 10 two are rat femoral osteoblast
cDNA; lanes 3, 7, and 11 are rat
liver cDNA; and lanes 4, 8, and 12 are rat osteoblast total RNA. Predicted product sizes are 261 bp for
mGluR3, 301 bp for mGluR4, 336 bp for mGluR5a, and 431 bp for mGluR5b.
All four subunits were detected in rat whole brain cDNA, but there
were no products from liver cDNA, osteoblast cDNA, or
osteoblast total RNA. d, expression of mGluR6. Lane
1 shows products from rat whole brain cDNA; lane 2 is rat femoral osteoblast cDNA. Predicted product size is 460 bp.
mGluR6 is expressed in brain, but no product is detected with
osteoblasts. e, estimation of relative expression of mGluR1b
in rat brain cDNA and osteoblast cDNA by serial dilution of the
cDNA template. Upper panel shows rat brain cDNA (in
which both mGluR1a and mGluR1b products are detected). mGluR1b can be
detected using undiluted template and at 10
1,
10
2, and 10
3 dilutions but not at
10
4. Lower panel shows osteoblast cDNA.
mGluR1b can be detected at 10
1 and 10
2
dilutions but not at 10
3 or 10
4.
Arrows show expected position of mGluR1b product (378 bp).
f, expression of NMDAR-2C. Lane 1 shows product
from rat whole brain; lane 2 shows product from rat
osteoblast cDNA; and lane 3 shows that there is no
product from osteoblast total RNA. Predicted product size is 359.
4) before carrying out the PCR
reaction. The level of dilution necessary to prevent detectable
formation of a product from osteoblast cDNA was
10
2-10
3, but a dilution of
10
3-10
4 of the brain cDNA was required
(Fig. 1e). Similar results were obtained in each of three
separate experiments.

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Fig. 2.
Modulation of NMDA receptor currents by mGluR
activation. a, blockade of mGluRs restores NMDA
receptor current. Left and center panels shows
whole cell currents elicited by 100 µM NMDA and 100 µM L-glutamate (shaded bars; both
co-applied with 10 µM glycine) respectively, in the same
cell. The response to NMDA was completely inhibited by 100 nM (+)-MK-801 (filled bar). When
L-glutamate was reapplied, in the presence of 500 µM (±)MCPG (right panel, open
bar), the response was greatly enhanced, reaching a peak similar
to that seen with NMDA. The (±)MCPG-enhanced response to
L-glutamate was blocked by 100 nM (+)-MK-801.
Scale bar shows 60 pA and 80 s. Similar data were
obtained from three other cells. b, stimulation of mGluRs
inhibits the NMDA receptor current. Left panel shows
response to 100 µM NMDA with 10 µM glycine.
Right panel shows response to NMDA with 10 µM
glycine after stimulation of mGluRs with 300 µM
1S,3R-ACPD (open bar). The response to
NMDA was greatly reduced and resembled that seen during superfusion
with L-glutamate. Scale bar shows 20 pA and
40 s. Similar data were obtained from three other cells.

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Fig. 3.
Elevation of [Ca2+]i
upon stimulation of NMDARs and mGluRs. a, left
panel, addition of 100 µM NMDA (with 10 µM glycine; shaded bar) to the cuvette caused
a sustained rise in [Ca2+]i. This effect was
reversed by (+)-MK-801 (filled bars) in a
dose-dependent manner. Similar data were obtained in four
other experiments. Right panel, application of 100 µM NMDA (with 10 µM glycine) to cells
bathed in Ca2+-free medium caused no increase in
[Ca2+]i. Similar data were obtained in four other
experiments. Scale bar shows
ratio 340/380 and time in
seconds for both traces. b, left panel,
application of 300 µM 1S,3R-ACPD
(shaded bar) caused a [Ca2+]i peak
followed by a sustained increase in [Ca2+]i (see
also Fig. 4b). Similar results were obtained in two other
experiments. Right panel, application of 300 µM 1S,3R-ACPD to cells bathed in
Ca2+-free medium caused a transient increase in
[Ca2+]i, which then fell back to control levels
within 100 s. Similar results were obtained in two other
experiments. Scale bar shows
ratio 340/380 and time in
seconds for both traces.

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Fig. 4.
Interaction between mGluRs and NMDARs.
a, left panel, 1S,3R-ACPD
inhibits NMDA-induced elevation of [Ca2+]i.
Addition of 100 µM NMDA (with 10 µM
glycine; open bar) caused a sustained elevation of
[Ca2+]i. Subsequent addition of
1S,3R-ACPD (200 µM; shaded
bar) caused a marked reduction in the NMDA-induced elevation.
Addition of (±)MCPG (500 µM) and (+)-MK-801 (200 nM) to the cuvette (filled bar) caused
[Ca2+]i to fall to control levels, although there
was a transient (90 s) increase in [Ca2+]i on
addition of the drugs. Similar results were obtained in four other
experiments. Right panel, PTH inhibits NMDA-induced
elevation of [Ca2+]i. Addition of 100 µM NMDA (with 10 µM glycine; open
bar) caused a sustained elevation of
[Ca2+]i. Subsequent addition of PTH (100 nM; shaded bar) caused a marked reduction in the
NMDA-induced elevation. Similar results were obtained in two other
experiments. Scale bar shows
ratio 340/380 and time in
seconds for both traces. b, NMDAR activation inhibits
elevation of [Ca2+]i by
1S,3R-ACPD. Addition of 300 µM
1S,3R-ACPD to the cuvette (open bar)
caused a [Ca2+]i transient followed by a
sustained elevation. Subsequent addition of 100 µM
L-glutamate and 10 µM glycine (shaded
bar) caused a reduction in the plateau phase of the
[Ca2+]i signal. Addition of the mGluR antagonist
(±)MCPG (500 µM; filled bar) then caused a
rise in [Ca2+]i. Similar results were obtained in
three other experiments. Scale bar shows
ratio 340/380
and time in seconds.
Because the effect of activation of mGluR1b is believed to be exerted through stimulation of Gq and PLC (20), we examined the effect of PTH, which is also able to activate this pathway (27, 28). After application of NMDA the [Ca2+]i response was allowed to develop, and 100 nM PTH was then added to the cuvette. The effect of PTH was similar to that of 1S,3R-ACPD, causing [Ca2+]i to fall rapidly to a point approximately midway between the basal and NMDA-enhanced levels (Fig. 4a). Similar results were obtained in two other experiments.
We also investigated whether prior addition of
1S,3R-ACPD would blunt the response to subsequent
activation of NMDA receptors. Fig. 4b shows the results
obtained when glutamate plus 10 µM glycine was applied
after stimulation of mGluRs. 300 µM
1S,3R-ACPD caused an initial
[Ca2+]i transient followed by a sustained
plateau. Subsequent addition of 100 µM
L-glutamate and 10 µM glycine (stimulating both NMDA receptors and mGluRs) reduced
[Ca2+]i (Fig. 4b; n = 5). When (±)MCPG was added to block mGluRs,
[Ca2+]i rose again to a sustained plateau (Fig.
4b). Similar results were obtained in three other experiments.
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The data described here are, to our knowledge, the first evidence that bone cells express mGluRs. PCR analysis of cDNA from cultured femoral osteoblasts indicates that these cells express exclusively the type 1b mGluR. Stimulation of group 1 mGluRs (mGluR1 and mGluR5) activates PLC and consequent generation of IP3 and diacylglycerol, although an increase in [cAMP] has been reported (20). In accordance with the predicted linkage of mGluR1b to PLC, we observed an elevation of [Ca2+]i upon exposure of the cells to 1S,3R-ACPD. The initial phase of this response was not sensitive to [Ca2+]o and thus reflects mobilization of stored Ca2+. A subsequent, sustained phase of the [Ca2+]i response to 1S,3R-ACPD required extracellular Ca2+ and probably reflects capacitative Ca2+ influx. The occurrence of capacitative influx in osteoblasts has been proposed on the basis of the effects of thapsigargin and A23187 (29, 30).
mGluRs Inhibits NMDA Receptors-- Our interest in expression of mGluRs in bone cells was initiated because currents induced by activation of the NMDA (15) were not seen during superfusion with L-glutamate. We report here that blockade of mGluRs with (±)MCPG restored the NMDAR current, and the effect of NMDA was strongly inhibited by 1S,3R-ACPD, confirming that the difference between the effects of NMDA and L-glutamate was the result of inhibitory cross-talk between mGluRs and NMDARs. Fluorimetric measurements showed that the action of NMDA to elevate [Ca2+]i was also subject to mGluR modulation, being partially suppressed by 1S,3R-ACPD.
The majority of previous studies have demonstrated enhancement of NMDA
responses upon activation of mGluRs (31-34), but inhibitory effects
mediated through group 1 (PLC-linked) mGluRs have also been reported
(35-38). The inhibitory pathway varies, being via generation of
diacylglycerol and protein kinase C activation (mimicked by
4
-phorbol 12,13-dibutyrate; Ref. 35) or by a staurosporine-resistant mechanism (38). The nature of mGluR-mediated modulation of NMDARs may
be determined by expression of NMDAR-2 subtypes. Pizzi et al. (37) observed a neuroprotective action of mGluR 1/5 activation in cerebellar granule cells. This effect was exerted through a protein
kinase C-mediated, inhibitory effect of group 1 mGluR stimulation on
glutamate-induced elevation of [Ca2+]i (37).
Pizzi et al. reported that this effect correlated specifically with expression of NMDAR-2C. In NMDAR-2C-depleted neurons,
both group 1 mGluR-activation and protein kinase C stimulation enhanced NMDA receptor-mediated Ca2+ influx
(26). Our finding that NMDAR-2C is expressed in rat osteoblasts, where
the influence of mGluR activation is inhibitory, is in accord with this
idea. NMDAR-2D is also known to be expressed in bone cells (11).
It has been reported that compounds that interact with mGluRs may also act at NMDARs, primarily as antagonists in the presence of subsaturating doses of agonist (39). The modulation of NMDA currents and [Ca2+]i responses, by mGluR ligands, reported here might therefore reflect a direct action on the NMDAR. However, we consider this most unlikely for the following reasons: (i) We have measured currents induced in osteoblasts by both 100 µM and 1 mM NMDA (in the presence of saturating doses of glycine as used in this study) and observed no significant difference in current amplitude.3 We are therefore confident that 100 mM NMDA is a saturating or nearly saturating dose. (ii) At the doses used in our experiments (100 µM NMDA, 10 µM glycine), 1S,3R-ACPD may have a minor inhibitory effect (up to15%) on the amplitude of NMDA currents (39). We observed 75-80% inhibition of the response to NMDA. (iii) At the NMDA receptor agonist dosages that we employed, (±)MCPG, like 1S,3R-ACPD, may act as a weak antagonist of the NMDA receptor (39). However, (±)MCPG enhanced the response of the osteoblastic NMDA receptor, consistent with a reduction of mGluR-mediated inhibition of NMDARs. (iv) PTH, which stimulates Gq similarly to activation of mGluR1b (20, 28), has an effect on [Ca2+]i that is strikingly similar to that of 1S,3R-ACPD. This observation is consistent with actions of both 1S,3R-ACPD and PTH to modulate [Ca2+]i through their activation of PLC, rather than a direct effect of 1S,3R-ACPD on the NMDA receptor. We conclude that our data reflect actions of these compounds on the mGluR1b receptor not direct effects on the NMDAR.
NMDARs Inhibit the Response to mGluR Activation-- As well as inhibition of NMDA currents by activation of mGluRs, our measurements of [Ca2+]i also suggest that NMDAR activation may inhibit mGluR receptor-induced Ca2+ signaling. When L-glutamate was applied to cells 250 s after 1S,3R-ACPD (during the [Ca2+]o-dependent phase of the response), [Ca2+]i fell to a lower level than in the presence of 1S,3R-ACPD alone. An inhibitory effect of NMDAR activation on PLC has been described previously in CA1 neurons (40). A similar effect in cerebral cortex was irreversible, possibly reflecting NMDA-induced cellular damage (41). When (±)MCPG and (+)-MK-801 were added to cells in which both NMDARs and mGluRs were stimulated (with NMDA and 1S,3R-ACPD), there was an initial increase in [Ca2+]i, lasting approximately 90 s before [Ca2+]i returned to control levels. This brief elevation of [Ca2+]i probably reflects a difference in the rate at which blockade of the two receptor-mediated pathways becomes effective, such that one becomes temporarily released from inhibition. The mGluR-mediated signal may persist because of a delay between blockade of mGluRs by (±)MCPG and the return of IP3 and diacylglycerol to resting levels. Alternatively, because the action of (+)-MK-801 on NMDARs is by open channel block (42), blockade of NMDARs may proceed relatively slowly after application of the drug. However, in the present study the effect of (+)-MK-801 was normally complete within 10-20 s (Figs. 2 and 3).
Functional Significance--
The cells that we have used in this
study are a primary culture derived from a load-bearing bone. These
cells maintain osteoblastic characteristics in culture, including
expression of alkaline phosphatase, osteopontin, and osteocalcin (22,
24); the ability to produce mineralized matrix (22); mechanosensitivity
(production of nitric oxide, Ca2+ signaling, and
up-regulation of osteopontin and osteocalcin; Refs. 22 and 24); and
responsiveness to PTH, vitamin D and prostaglandin E2 (23).
The co-expression of mGluRs and NMDARs described here is therefore
likely to be characteristic of osteoblasts in vivo. Data
reported by others and ourselves are consistent with a role for NMDARs
in the control of bone matrix turnover (10-15, 21, 43). The discovery
of functional, PLC-linked mGluRs in osteoblasts indicates that
glutamate signaling may exert complex effects on the regulation of bone
cells. Firstly, the receptor cross-talk that we describe here will be
of significance in regulating the effect of glutamate signaling and may
itself be developmentally regulated by selective expression of
different NMDAR-2 s, as has been described in the brain (26, 37, 44,
45). Interestingly, it appears that negative modulation of NMDA
receptors by mGluRs does not occur in cultured osteoclasts, because the
NMDA receptor currents evoked in these cells by L-glutamate
and NMDA are similar (12, 14). Activation of glutamatergic receptors in
osteoblasts and osteoclasts can therefore elicit different
[Ca2+]i signals. Secondly, activation of
G-protein-linked PLC is believed to be of significance in osteoblastic
responses to many stimuli including prostaglandins and PTH (27,
46-48), bradykinin (49), and purinoceptors (50, 51). Responses to stretch may also involve generation of IP3 (52, 53).
Stimulation of IP3 signaling by glutamate receptors is
therefore likely to interact with the effects of other stimuli, which
activate this pathway. Furthermore, NMDAR activation by glutamate may
inhibit IP3-mediated Ca2+ signaling activated
by other signals, and activation of phospholipase C by other stimuli
may regulate Ca2+-influx through osteoblastic NMDA
receptors. Our data suggest that such interaction occurs between
PTH-mediated activation of PLC and NMDARs (Fig. 4a). The
complex glutamatergic system in bone cells may provide a target for
pharmacological manipulation of bone mass.
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ACKNOWLEDGEMENTS |
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Our thanks to Min Fang and Dr. Long Lu for carrying out high pressure liquid chromatography to confirm drug purity, to Jackson Kirkman-Brown and Emma Punt for assistance with the fluorimetric measurements, to Dr. Justin St. John for advice on PCR and to Prof. R. H. Michell for critical reading of the manuscript.
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FOOTNOTES |
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* 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.
Recipient of an Overseas Research Student award.
§ To whom correspondence should be addressed. Tel.: 44-121-414-5455; Fax: 44-121-414-5925; E-mail: s.j.publicover@bham.ac.uk.
Published, JBC Papers in Press, August 18, 2000, DOI 10.1074/jbc.M004520200
2 Genever, P. G., and Skerry, T. M. (2000) J. Bone Miner. Res. 15, Suppl. 1, 378
3 Y. Gu and S. J. Publicover, unpublished observations.
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ABBREVIATIONS |
|---|
The abbreviations used are:
NMDA, N-methyl-D-aspartate;
NMDAR, NMDA receptor;
iGluRs, ionotropic glutamate receptors;
mGluRs, metabotropic glutamate
receptors;
PCR, polymerase chain reaction;
(±)MCPG, (±)-
-methyl-carboxyphenyl-glycine;
1S, 3R-ACPD,
trans-(±)-1-amino-1,3-cyclopentanedicarboxylic acid;
IP3, inositol(1,4,5)trisphosphate, PTH, parathyroid
hormone;
PLC, phospholipase C;
bp, base pair(s).
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REFERENCES |
|---|
|
|
|---|
| 1. | Guyton, A. C., and Hall, J. E. (1996) Textbook of Medical Physiology , 9th Ed. , Saunders, London |
| 2. | Noda, M., and Camilliere, J. J. (1989) Endocrinology 124, 2991-2994 |
| 3. | Akatsu, T., Takahashi, N., Udagawa, N., Imamura, K., Yamaguchi, A., Sato, K., Nagata, N., and Suda, T. (1991) J. Bone Min. Res. 6, 183-189 |
| 4. | Marusic, A., Kalinowski, J. F., Harrison, J. R., Centrella, M., Raisz, L. G., and Lorenzo, J. A. (1991) J. Immunol. 146, 2633-2638 |
| 5. | McCarthy, T. L., Centrella, M., Raisz, L. G., and Canalis, E. (1991) Endocrinology 128, 2895-2900 |
| 6. | Ralston, S. H., Todd, D., Helfrich, M. H., Benjamin, N., and Grabowski, P. (1994) Endocrinology 135, 330-336 |
| 7. | Kanematsu, M., Ikeda, K., and Yamada, Y. (1997) J. Bone Min. Res. 12, 1789-1796 |
| 8. | Ajubi, N. E., Klein-Nulend, J., Alblas, M. J., Burger, E. H., and Nijweide, P. J. (1999) Am. J. Physiol. 276, E171-E178 |
| 9. | Karsenty, G. (1999) Genes Dev. 13, 3037-3051 |
| 10. | Chenu, C., Serre, M. C., Raynal, C., Burt-Pichat, B., and Delmas, D. P. (1998) Bone 22, 295-299 |
| 11. | Patton, J. A., Genever, G. P., Birch, A. M., Suva, J. L., and Skerry, T. M. (1998) Bone 22, 645-649 |
| 12. | Espinosa, L., Itzstein, C., Cheynel, H., Delmas, D. P., and Chenu, C. (1999) J. Physiol. (Lond.) 518, 47-53 |
| 13. | Genever, P. G., Wilkinson, D. J. P., Patton, A. J., Peet, N. M., Ying, H., Mathur, A., Erusalimsky, J. D., and Skerry, T. M. (1999) Blood 93, 2876-2883 |
| 14. | Peet, N. M., Grabowski, P. S., Laketic-Ljubojevic, I., and Skerry, T. M. (1999) FASEB J. 13, 2179-2185 |
| 15. | Gu, Y., Genever, P. G., Skerry, T. M., and Publicover, S. J. (2000) J. Physiol. (Lond.) 523, P155 |
| 16. | Serre, M. C., Farlay, D., Delmas, D. P., and Chenu, C. (1999) Bone 25, 623-629 |
| 17. | Genever, P. G., Grewal, T. S., Bhangu, P. S., Preston, M. R., Gu, Y., Publicover, S. J., and Skerry, T. M. (1999) Calcif. Tissue Int. 64 (Suppl. 1), S41 (abstr.) |
| 18. | Birch, M. A., Genever, P. G., Laketic, I., Patton, A. J., Peet, N. M., and Skerry, T. M. (1997) J. Bone Min. Res. 12, O10 |
| 19. | Skerry, T. M. (1999) J. Bone Miner. Metab. 17, 66-70 |
| 20. | Pin, J. P., and Duvoisin, R. (1995) Neuropharmacology 34, 1-26 |
| 21. | Laketic-Ljubojevic, I., Suva, J. L., Maathuis, J. M. F., Sanders, D., and Skerry, T. M. (1999) Bone 25, 631-637 |
| 22. | Pitsillides, A., Rawlinson, S. C. F., Suswillo, R. F. L., Bourrin, S., Zaman, G., and Lanyon, L. E. (1995) FASEB J. 9, 1614-1622 |
| 23. | Said Ahmed, M. A. A., Walker, L. M., Publicover, S. J., and El Haj, A. J. (2000) J. Cell. Physiol. 183, 163-171 |
| 24. | Walker, L. M., Publicover, S. J., Preston, M., Said Ahmed, M. A. A., and El Haj, A. J. (2000) J. Cell. Biochem. 79, 648-661 |
| 25. | Moore, E. D. W., Becker, P. L., Fogarty, K. E., Williams, D. A., and Fay, F. S. (1990) Cell Calcium 11, 157-179 |
| 26. | Pizzi, M., Boroni, F., Moraitis, K., Bianchetti, A., Memo, M., and Spano, P. (1999) Eur. J. Neurosci. 11, 2489-2496 |
| 27. | Civitelli, R., Reid, I. R., Westbrook, S., Avioli, L. V., and Hruska, K. A. (1988) Am. J. Physiol. 255, E660-E667 |
| 28. | Schwindinger, W. F., Fredricks, J., Watkins, L., Robinson, H., Bathon, J. M., Pines, M., Suva, L. J., and Levine, M. A. (1999) Endocrine 8, 201-209 |
| 29. | Wiemann, M., Busselberg, D., Schirrmacher, K., and Bingmann, D. (1998) Calcif. Tissue Int. 63, 154-159 |
| 30. | Wiemann, M., Schirrmacher, K., and Busselberg, D. (1999) Calcif. Tissue Int. 65, 479-485 |
| 31. | Bleakman, D., Rusin, K. I., Chard, P. S., Glaum, S. R., and Miller, R. J. (1992) Mol. Pharmacol. 42, 192-196 |
| 32. | Kelso, S. R., Nelson, T. E., and Leonard, J. P. (1992) J. Physiol. (Lond.) 449, 705-718 |
| 33. | Harvey, J., and Collingridge, G. L. (1993) Brit. J. Pharmacol. 109, 1085-1090 |
| 34. | O'Connor, J. J., Rowan, M. J., and Anwyl, R. (1994) Nature 367, 557-559 |
| 35. | Courtney, M., and Nicholls, G. D. (1992) J. Neurochem. 59, 983-992 |
| 36. | Collwell, C. S., and Levine, M. S. (1994) Neuroscience 17, 441-464 |
| 37. | Pizzi, M., Galli, P., Consolandi, O., Arrighi, V., Memo, M., and Spano, P. F. (1996) Mol. Pharmacol. 49, 586-594 |
| 38. | Yu, S. P., Sensi, S. L., Canzoniero, L. M. T., Buisson, A., and Choi, D. W. (1997) J. Physiol. (Lond.) 499, 721-732 |
| 39. | Contractor, A., Gereau, R. W., Green, T., and Heinemann, S. F. (1998) Proc. Natl. Acad. Sci. U. S. A. 95, 8969-8974 |
| 40. | Morrisett, R. A., Chow, C. C., Sakaguchi, T., Shin, C., and McNamara, J. O. (1990) J. Neurochem. 54, 1517-1525 |
| 41. | Challis, R. A., Mistry, R., Gray, D. W., and Nahorski, S. R. (1994) Neuropharmacology 33, 15-25 |
| 42. | Huettner, J. E., and Bean, B. P. (1988) Proc. Natl. Acad. Sci. U. S. A. 85, 1307-1311 |
| 43. | Mason, D. J., Suva, L. J., Genever, P. G., Patton, A. J., Steucle, S., Hillam, R. A., and Skerry, T. M. (1997) Bone 20, 199-205 |
| 44. | Akaike, N., and Rhee, J. S. (1997) J. Physiol. (Lond.) 504, 665-681 |
| 45. | Golshani, P., Warren, R. A., and Jones, E. G. (1998) J. Neurophysiol. 80, 143-154 |
| 46. | Yamaguchi, D. T., Hahn, T. J., Beeker, T. G., Kleeman, C. R., and Muallem, S. (1988) J. Biol. Chem. 263, 10745-10753 |
| 47. | Tam, V. K., Schotland, S., and Green, J. (1998) Am. J. Physiol. 274, C1686-C1698 |
| 48. | Tokuda, H., Kozawa, O., Harada, A., and Uematsu, T. (1999) Prostaglandins Leukot. Essent. Fatty Acids 61, 189-194 |
| 49. | Tatakis, D. N., Dolce, C., Hagel-Bradway, S. E., and Dziak, R. (1992) Bone Miner. 18, 1-14 |
| 50. | Kaplan, A. D., Reimer, W. J., Feldman, R. D., and Dixon, S. J. (1995) Endocrinology 136, 1674-1685 |
| 51. | Shimegi, S. (1996) Calcif. Tissue Int. 58, 109-113 |
| 52. | Jones, D. B., and Bingmann, D. (1991) Cells Materials 1, 329-340 |
| 53. | Tsai, J. A., Larsson, O., and Kindmark, H. (1999) Biochem. Biophys. Res. Commun. 263, 206-212 |
| 54. | Kane, M. D., Vanden Heuvel, P. J., Isom, E. G., and Schwarz, D. R. (1998) Neurosci. Lett. 252, 1-4 |
| 55. | Ghosh, K. P., Baskaran, N., and Van den Pol, A. (1997) Dev. Brain Res. 102, 1-12 |
| 56. | Santi, R. M., Ikonomovic, S., Wroblewski, T. J., and Grayson, R. D. (1994) J. Neurochem. 63, 1207-1217 |
| 57. | Joly, C., Gomeza, J., Brabet, I., Curry, K., Bockaert, J., and Pin, J.-P. (1995) J. Neurosci 15, 3970-3981 |
| 58. | Valerio, A., Paterlini, M., Boifava, M., Memo, M., and Spano, P. (1997) Neuroreport 8, 2695-2699 |
| 59. | Monyer, H., Sprengel, R., Schoepfer, R., Herb, A., Higuchi, M., Lomeli, H., Burnashev, N., Sakmann, B., and Seeburg, P. H. (1992) Science 256, 1217-1221 |
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