![]()
|
|
||||||||
J. Biol. Chem., Vol. 281, Issue 1, 410-417, January 6, 2006
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1
1
2
23
From the
Zentrum für Molekulare Biologie der Universität Heidelberg, Im Neuenheimer Feld 282, Heidelberg D-69120, Germany and the
Laboratory of Bioinformatics and Protein Engineering, International Institute of Molecular and Cell Biology, Trojdena 4, Warsaw PL-02-109, Poland
Received for publication, July 11, 2005 , and in revised form, October 11, 2005.
| ABSTRACT |
|---|
|
|
|---|
gef1 cells grow much better than wild type yeast, whereas
arr4 cells are unable to grow. Comparison of the
arr4 with the
arr4
gef1 strain suggests that Arr4p antagonizes the function of Gef1p. | INTRODUCTION |
|---|
|
|
|---|
Gef1p is a CLC chloride channel homologue required for efficient copper supply to the lumen of the Golgi and the prevacuole (6). The recent finding that two of the most closely related mammalian homologues of Gef1p, ClC-4 and -5, exhibit chloride/proton exchange activity (7, 8) like the prokaryotic CLC counterpart (9) suggests that Gef1p may also act as a chloride/proton antiporter.
gef1 mutants show the following phenotypes: loss of high affinity iron uptake, reduced resistance to toxic cations (e.g. high sodium and hygromycin), and sensitivity to alkaline pH of the growth medium (6, 1012). High affinity iron uptake is lost because Fet3p (a multicopper oxidase involved in high affinity iron uptake at the cell surface) does not mature normally in
gef1 strains (6). Copper loading to the active center of Fet3p in the lumen of the late secretory pathway requires Cl- ions that are thought to enter the compartment via Gef1p (13). High external copper can suppress the growth defect at elevated pH (6). This is consistent with the notion that copper and iron are the limiting factors for growth of S. cerevisiae in an alkaline environment (14). In the pathogenic yeast Cryptococcus neoformans, a CLC-type chloride channel gene is required for the activity of the copper-containing enzyme laccase, a major virulence factor (15). One of the most closely related mammalian counterparts of Gef1p, ClC-4, has been shown to stimulate the incorporation of copper into ceruloplasmin in hepatocytes (16).
In contrast to cation channels, almost no accessory proteins involved in CLC protein function and subcellular localization are known. Employing the yeast two-hybrid system, we screened for proteins that interact with the cytosolic C terminus of Gef1p and identified the yeast homologue of the prokaryotic ArsA ATPase, Arr4p, as an interaction partner. Divergent from its function in Escherichia coli, the eukaryotic counterpart of this protein is sensitive to changes in the availability of copper in the cytosol and is required when copper and heat stress are combined.
| MATERIALS AND METHODS |
|---|
|
|
|---|
(Mat
, HML
, HMB
, ho, ade2-1, trp1-1, can1-100, leu2-3, 2-112, his3-11, 3-15, ura3, ssd1) (20). The
gef1 deletion strain has been described (12).
arr4 deletions were obtained by transforming the strains with a linear DNA fragment containing 200 bp of the 5' and 325 bp of the 3' portion of the ARR4 open reading frame with the TRP1 marker inserted between them. Gene disruption was verified by PCR.
Molecular BiologyStandard molecular biology protocols were adapted from Ref. 17. Epitope-tagged or mutated constructs of GEF1 and ARR4 were created using PCR. All constructs were verified by sequencing and tested for functional complementation of the
gef1 phenotype on LIM50 medium for GEF1 constructs. The four-protein C (PC)4 epitope was fused to Arr4p using an engineered NotI restriction site, replacing the stop codon of the respective open reading frames with three codons encoding alanine. The sequence of the PC epitope reads EDQVDPRLIDGK. N-terminal HA tagging of Gef1p resulted in the addition of the following sequence to the N terminus of Gef1p: MVGYPYDVPDYAGYPYDVPDYAGST. For the expression of recombinant Arr4p as a maltose-binding protein fusion, the open reading frame of ARR4 was cloned into pMAL-c2X (New England Biolabs). For the expression of recombinant Arr4p as a decahistidine-tagged protein, the open reading frame of ARR4 was cloned into a pQE80 (Qiagen) derivative containing a TEV cleavage site. The portion of the GEF1 gene encoding the CT (codons 572779) was cloned in frame into a pQE80 derivative containing two Z domains (21).
Yeast Two-hybrid SystemFor the yeast two-hybrid system, constructs were cloned into vectors pGADT7 and pGBKT7 (BD Biosciences/Clontech). The GEF1 bait construct was transformed into the yeast two-hybrid strain AH109 (BD Biosciences/Clontech), and large scale library transformations of a yeast genomic two-hybrid library (22) in this bait strain were performed according to Ref. 23. Primary co-transformants were screened on synthetic complete (SD) medium lacking tryptophan, leucine, and histidine. Positive colonies were streaked to SD medium lacking tryptophan, leucine, histidine, and adenine and subjected to a
-galactosidase plate assay (overlay of the plates with the following solution containing 0.5% agarose: 0.5 M sodium phosphate (pH 7.0), 0.1% SDS, 2% N,N-dimethylformamide, 0.2% 5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside). Library plasmid DNA from colonies displaying activity of all three reporter genes (HIS3, ADE2, and lacZ) was rescued according to Ref. 17 and retransformed with the original bait construct and a green fluorescent protein-containing control construct. Transformants were tested for the bait-specific activity of the HIS3 and ADE2 reporter genes, and the corresponding plasmids were sequenced. For testing specific yeast two-hybrid constructs, strain AH109 was transformed with the constructs indicated in Figs. 1, 4, and 6 and plated on dropout medium lacking tryptophan and leucine to recover transformants. Individual colonies were grown in liquid culture, and serial dilutions were spotted on dropout medium lacking tryptophan and leucine or lacking tryptophan, leucine, and histidine.
Generation of the Anti-Arr4p AntiserumArr4p was expressed in E. coli as a maltose-binding protein fusion. Cleared extracts from lysed bacteria were passed over a column containing amylose resin, and the fusion protein was eluted using maltose according to the manufacturer's protocol (New England Biolabs). Guinea pigs were injected with the purified fusion protein in phosphate-buffered saline (Peptide Specialty Laboratories, Heidelberg, Germany).
Immunoprecipitation and ImmunoblottingTotal yeast extracts were prepared from 0.2 A600 units of log phase cells by alkaline lysis under nonreducing conditions and precipitation of total cellular protein by trichloroacetic acid. For co-immunoprecipitation, yeast cells were grown to an A600 of 0.5 in the appropriate dropout media containing 2% glucose as the carbon source. 150 A600 units were harvested and broken in 500 µl of breaking buffer (20 mM HEPES, pH 7.4, 100 mM KCl, 2x Complete protease inhibitor mixture; Roche Applied Science) using glass beads. The resulting extract was diluted 1:1 with immunoprecipitation buffer (50 mM Tris-HCl, pH 7.6, 150 mM NaCl, 1 mM EDTA, and 1% Nonidet P-40, complemented with Complete protease inhibitor) and incubated with 5 µg of mouse monoclonal anti-HA (HA.11; Covance) or 10 µl of anti-Arr4p antiserum and protein G-Sepharose (Amersham Biosciences) overnight, washed three times in immunoprecipitation buffer and several times in phosphate-buffered saline, and eluted in SDS-PAGE loading buffer without reducing agent at 37 °C. Yeast extracts and immunoprecipitates were separated by SDS-PAGE using 10 or 7% gels and transferred to nitrocellulose. Blots were blocked in TBS (2.7 mM KCl, 137 mM NaCl, 20 mM Tris-HCl, pH 7.5) containing 5% milk powder and 0.02% Nonidet P-40. Primary antibodies (anti-HA mouse monoclonal HA.11 (Covance), 1 µg/ml; anti-PC mouse monoclonal HPC4 (Roche Applied Science), 0.25 µg/ml; anti-Arr4p, 1:2,500) and secondary antibodies (horseradish peroxidase-conjugated anti-mouse and anti-rabbit antibodies (Jackson), 1:4,000) were diluted in TBS-blocking solution. Washes were in TBS-blocking solution and then in TBS, 0.02% Nonidet P-40. Detection was performed using the ECL system (Amersham Biosciences).
Binding Assays Employing Recombinant ProteinsConstructs used as bait in binding assays were expressed in an ompT protease-deficient strain of E. coli and purified on Ni2+-nitrilotriacetic acid-agarose or directly bound to IgG-Sepharose (Amersham Biosciences; 20 µl of slurry/reaction; beads were prewashed in 0.2 M glycine, pH 2.2) in immobilization buffer (50 mM Tris-HCl, pH 7.5, 2 mM Mg(OAc)2, 200 mM NaCl). Beads were washed first in immobilization buffer and then in binding buffer (50 mM Tris-HCl, pH 7.5, 2 mM Mg(OAc)2, 50 mM NaCl). Upon the addition of Arr4p (40 µg/ml), the binding reaction proceeded for 3 h at 4°C in binding buffer or cytosol with further additions as indicated in the text and figure legends. After four washes with binding buffer, bound proteins were eluted with 1.5 M magnesium chloride and precipitated using isopropyl alcohol.
Preparation of Bacterial and Yeast CytosolYeast cultures grown in full medium were harvested in the logarithmic growth phase. The pellets were pressed through a syringe to obtain strings, which were frozen in liquid nitrogen and macerated in a mortar in the presence of liquid nitrogen. The ground material was thawed in an equal volume of binding buffer and centrifuged at 100,000 x g for 2 h. Bacteria were disrupted by sonification, and the lysate was cleared by the same centrifugation step. Fractionation of yeast cytosol by centrifugation through a polyethersulfone membrane was performed according to the manufacturer's instructions (membraPure).
Blue Native Gel ElectrophoresisBlue native PAGE analysis was performed as described by Schägger and von Jagow (24) using bovine serum albumin as a standard.
Inductively Coupled Mass SpectrometryTrace mineral analysis was carried out by a commercial provider, Spurenanalytisches Laboratorium (Dr. Heinrich Baumann). Arr4p purified from E. coli was dialyzed overnight against 20 mM Hepes, pH 7.5 (titrated with Tris base).
Homology Modeling of Arr4pThe detailed procedure for building the homology model is given as supplemental information.
| RESULTS |
|---|
|
|
|---|
The cytosolic C terminus of most archeal and eukaryotic CLC proteins contains two copies of a conserved cystathione
-synthetase (CBS) domain (28, 29). The occurrence of such CBS domains in a number of functionally and structurally unrelated proteins has remained enigmatic. Because the CT of Gef1p contains two copies of the CBS domain, we assessed the specificity of the interaction with Arr4p and tested the ARR4 prey plasmid against a bait plasmid containing SNF4, a kinase subunit that contains four copies of the CBS domain. We detected no interaction between Arr4p and Snf4p, although Snf4p did interact with its partner subunit Snf1p (Fig. 1A). This pair of interaction partners serves as a well characterized positive control, since the two proteins were used to establish the yeast two-hybrid system (30, 31). We conclude that Arr4p is not generally recruited to tandem CBS domains and interacts specifically with the CT of Gef1p.
|
Next, we tried to reconstitute the interaction in vitro employing recombinant proteins. Arr4p N-terminally fused to a decahistidine tag was purified from E. coli by nickel chromatography. The CT of Gef1p was fused to two IgG binding Z domains of protein A and immobilized directly from bacterial lysates (Fig. 2A). We were unable to detect binding of recombinant Arr4p to the CT of Gef1p (Fig. 2B, lane 2). Interestingly, binding was observed in the presence of yeast cytosol (lane 4) but not bacterial cytosol (lane 3). Endogenous Arr4p present in the yeast cytosol did not mediate binding since cytosol from an
arr4 mutant (lane 5) supported the reaction like cytosol from a protease-deficient strain (
pep4, lane 4) and wild type cytosol (data not shown). We conclude that binding of recombinant Arr4p to the CT of Gef1p requires a factor present in yeast cytosol and set out to identify the factor.
Fractionation of the cytosol by a 4-kDa cut-off filter and subsequent binding experiments demonstrated that the factor required for binding was either a peptide or a small molecule (Fig. 2C). CBS domains have been suggested to bind ATP, AMP, or S-adenosylmethionine (32) but none of these compounds mediated binding (data not shown). Consistently, apyrase treatment of yeast cytosol to hydrolyze ATP did not impair its ability to support binding (Fig. 2D). We found that the activity persisted after boiling of the cytosol but was sensitive to the presence of EDTA in the binding reaction or to pretreatment with a metal chelating resin (data not shown). These observations suggested that metal ions are required to support the binding reaction. Because of its metal-chelating activity, the decahistidine tag was removed from Arr4p by TEV protease cleavage after purification. Next, we replaced the cytosol by a trace mineral mixture at the concentration normally present in yeast minimal media. This mixture was able to substitute for the yeast cytosol and mediated binding of Arr4p to the CT of Gef1p (Fig. 3A, lanes 14). To assess the identity of the required metal, we added different chelators to the binding reaction performed in cytosol (lanes 58) and observed that bathocuproine sulfonate (BCS), a Cu(I)-specific chelator (33, 34), as well as bathophenantroline sulfonate, a Fe(II) and Cu(II) chelator (35), abolished binding of Arr4p to the CT of Gef1p. Sensitivity of the binding reaction to BCS suggested that Cu(I) is required to support binding. Supplying Cu(I) by adding a mixture of CuSO4 and ascorbate allowed binding in the absence of cytosol (lanes 9 and 10). However, CuSO4 alone, and thus Cu(II), was able to support binding less efficiently (data not shown).
These results and a second line of experiments raised the possibility that Arr4p is a metal-binding protein. In addition to the metal requirement for binding to the CT of Gef1p, we observed abnormal migration behavior of Arr4p when subjected to SDS-PAGE without SH-reducing reagents in the sample buffer (Fig. 3B). Under these conditions, the protein migrates as a doublet that is converted to one band in the presence of
-mercaptoethanol. Dithiothreitol, glutathione at physiological concentrations, or tris-(2-carboxyethyl)-phosphine, a reducing agent that does not contain SH groups itself, has the same effect (data not shown). Whereas a change in running behavior upon the addition of SH-reducing agents might be indicative of intramolecular disulfide bond formation, disulfide-bonded proteins usually show slower mobility than their reduced counterparts. In the case of the co-chaperone dnaJ,5 migration as a doublet of faster mobility than the fully reduced protein is due to metal coordination by dnaJ (36). Although EDTA did not affect the running behavior of Arr4p (data not shown), we investigated the presence of a metal in recombinant Arr4p purified from E. coli by inductively coupled plasma mass spectrometry. The measurement revealed
1 mol of zinc/mol of protein. We exploited the correlation between the migration behavior of Arr4p in the absence of SH-reducing agents to ask whether the chelators tested in Fig. 3A converted the protein to the presumably metal-free form also observed in the presence of
-mercaptoethanol (Fig. 3, B and C). BCS but not bathophenantroline sulfonate affected the migration behavior of the protein (Fig. 3C) when the protein was incubated with cytosol in the presence of the respective chelator. Thus, the Cu(I)-specific chelator BCS was specifically able to convert Arr4p to the presumably metal-free form. This result might suggest that copper can replace the zinc bound to the recombinant protein (Fig. 7). We were, however, unable to convert Arr4p into a copper-containing protein in vitro (data not shown). In conclusion, yeast cytosol can support the binding of Arr4p purified from E. coli to the CT of Gef1p, because it contains copper ions accessible to the proteins.
|
|
|
arr4 strain to grow in LIM10 liquid medium (Fig. 5A; identical growth differences were observed when we used LIM50 instead of LIM10 medium (data not shown)). Like the
gef1 strain, the
arr4 strain showed impaired growth under iron depletion, although the phenotype was reproducibly less pronounced (Fig. 5A, upper left). In contrast to the
gef1 strain, this growth phenotype was alleviated by the addition of 20 µM CuSO4 to exclude effects due to the copper-chelating rather than the iron-chelating capacity of the low iron medium (Fig. 5A, upper right). These phenotypes suggest that Arr4p is not an obligatory subunit of the Gef1p ion transport protein, since the
arr4 strain grows better than the
gef1 strain when iron but not copper is limiting for growth. The
arr4 strain has been shown to be slightly heat-sensitive at 37 °C and severely growth-impaired at 40 °C (27). Heat and metal sensitivity of the strain appeared to be additive (27). Thus, we tested the growth of the
arr4 strain in LIM10 and LIM10 medium supplemented with copper at 37 °C, where the cells were unable to grow (Fig. 5A, bottom), showing that the heat sensitivity and the phenotype observed under iron limitation are additive as well.
As described by Shen et al. (27), we found the
arr4 strain to be copper-sensitive when the metal was added to synthetic complete medium (Fig. 6E). Because of the growth impairment of the
gef1 strain at neutral pH (6, 1012) and because Gef1p is likely to function as a chloride/proton antiporter (7, 8), we tested the effect of copper and heat stress in media buffered to different pH values as described (19). All strains tolerated concentrations of 0.5 and 1 mM exogenous copper well when the medium was buffered to pH 2.7 or 3.8 at growth temperatures of either 30 or 37 °C (data not shown). However, when the medium was buffered to pH 7, we observed pronounced differences (Fig. 5B). At 30 °C (Fig. 5B, upper left), growth of the
arr4 strain at neutral pH was indistinguishable from the wild type strain, whereas loss of Gef1p was associated with a growth defect as described (6, 1012). At the same time,
gef1 strains grew better than wild type or the
arr4 strain when copper stress and neutral pH were combined Fig. 5B, upper right). At 37 °C (Fig. 5B, lower panels), the heat sensitivity of the
arr4 strain became visible (in contrast to the same media buffered to more acidic pH values; data not shown). Strikingly, the
gef1 strain exhibited much more robust growth than even the wild type strain when heat stress, neutral pH of the growth medium, and copper stress were combined (Fig. 5B, lower right). In contrast, loss of Arr4p was incompatible with growth under these conditions. These results suggest that Gef1p dominates copper access to the luminal phase of the endomembrane system; in an alkaline environment, copper and iron are the limiting factors for growth of S. cerevisiae (14), and
gef1 cells are growth-impaired, presumably because not enough copper reaches the luminal phase. The gain-of-growth phenotype of the
gef1 strain in the presence of toxic concentrations of copper reveals that the luminal phase of the endomembrane system is the main target of copper stress when cells grow in media buffered to neutral pH. Under these conditions, the absence of Arr4p reduced the ability of GEF1 cells to grow when compared with the wild type strain. Lack of Arr4p and Gef1p together restored growth to wild type levels (Fig. 5B, lower right). We conclude that Arr4p counteracts the function of Gef1p when cellular copper levels are high.
|
|
arr4 strain in the presence of high concentrations of exogenous copper at 37 °C (27). The C240T/C242T but not the C285T/C288T double mutant was able to support growth under these conditions (Fig. 6E). Steady-state expression levels of either mutant were comparable with wild type Arr4p when the protein was extracted from yeast cells (data not shown). This indicates that degradation of the C285T/C288T double mutant due to misfolding does not explain the nonfunctionality of the protein. Both mutant proteins contained zinc when purified from E. coli as determined by inductively coupled plasma mass spectroscopy (data not shown). Thus, neither pair of cysteines appears to be directly involved in zinc binding. Mutation of the cysteine pair Cys285/Cys288 abolished homodimerization of Arr4p. Since this mutant form was also unable to bind to the CT of Gef1p, it is tempting to speculate that homodimerization might represent a prerequisite for interaction with the CT of the dimeric protein Gef1p.
|
| DISCUSSION |
|---|
|
|
|---|
In vitro binding experiments employing recombinantly expressed proteins purified from E. coli revealed that the interaction between the CT of Gef1p and Arr4p required the availability of metal ions (Figs. 2, 3, 4, and 7). The migration behavior of recombinant Arr4p purified from E. coli on nonreducing SDS-polyacrylamide gels suggested that Arr4p may be a metal-binding protein. Indeed, we found that Arr4p purified from E. coli contained zinc. However, this form of the protein was incapable of binding to the CT of Gef1p. The addition of copper to the binding reaction was sufficient to allow binding. Use of the exquisitely specific chelator BCS (33, 34) suggests that copper is not only sufficient but necessary for the binding of Arr4p to the CT of Gef1p in vitro and in vivo. Abnormal metal loading has been observed for other metal binding proteins in heterologous expression systems. For example, copper had to be added to the growth medium of E. coli in order to isolate the recombinant N-terminal copper-binding domains of the Menkes and Wilson disease copper ATPases in a copper-bound state (45). The simplest interpretation of our results is to conclude that the requirement for yeast cytosol in the binding assays reflects the exchange of zinc by copper ions (Fig. 7). Less specific chelators like EDTA and bathophenantroline sulfonate can scavenge the copper ions before the exchange has taken place, but only BCS can remove Cu(I) once coordinated by Arr4p. Similar observations have been described for the copper loading of superoxide dismutase (46). It is, however, conceivable that Arr4p and Gef1p form a common copper-binding site with contributions from both proteins. The copper chaperone Atx1p and the copper ATPase Ccc2p are known to exchange copper via a common interface (47). Since we have so far been unable to purify a copper-bound form of Arr4p, more experiments are required to decide between alternative hypotheses and the model depicted in Fig. 7. We propose a specific role for Arr4p in copper metabolism based on the finding that the addition of either exogenous copper (and not zinc or iron; data not shown) or a copper chelator of unqualified specificity (33), BCS, switches cellular Arr4p between two different conformations that can be distinguished by nonreducing SDS-PAGE (Fig. 4B).
The precise role of the copper-dependent binding of Arr4p to the CT of Gef1p in the localization or function of Gef1p is currently unclear. The copper dependence of the interaction corroborates, however, a role for this chloride transport protein in copper metabolism. Our data place Gef1p and Arr4p in the same biological context. Growth assays with
arr4 or
gef1 single and double deletion strains under iron and copper depletion show that both proteins are required for normal growth under iron-limiting conditions (Fig. 5A). For the
gef1 strain, this defect has been explained by two, possibly additive, effects of Gef1p on the copper loading of Fet3p; the transport activity of Gef1p is thought to affect the driving force for copper uptake to the luminal phase of the endomembrane system (6), and luminal chloride ions directly act as allosteric effectors in the copper loading of Fet3p (13). Our finding that the addition of copper alleviates the growth defect of the
arr4 strain in low iron medium suggests that, similarly to Gef1p, it is the function of Arr4p in copper metabolism that indirectly causes the sensitivity to iron limitation upon deletion of the corresponding gene. We found that copper influx to the luminal phase of the endomembrane system is a crucial parameter when yeast cells grow in media buffered to neutral pH. Not only is copper influx to this compartment limiting to growth under these conditions (as described previously (6, 14)), but it is also the main cause of copper stress (Fig. 5B, right). Under these conditions, Arr4p and Gef1p seem to functionally counteract each other; loss of Gef1p endowed the cells with the ability to grow better than the corresponding wild type yeast, whereas loss of Arr4p is associated with a copper-sensitive phenotype. Loss of both corresponding genes at the same time results in growth comparable with wild type.
We speculate that Arr4p acts as a copper sensor that associates with membrane proteins, one of them being Gef1p. Our data are consistent with a negative regulation of Gef1p by Arr4p. This could be due to an effect of Arr4p binding on Gef1p-mediated ion transport, on the localization, or on the stability of Gef1p when cellular copper levels are high. Under copper limitation, Arr4p does not bind to the CT of Gef1p and may thus influence copper uptake to the luminal phase of the secretory pathway by binding to another membrane protein. This hypothesis could explain the requirement for Arr4p under iron limitation (Fig. 5A). Thus, Arr4p would be involved in coordinating cytosolic copper levels with copper transport into the luminal phase of the endomembrane system. The high degree of evolutionary conservation between Arr4p and its mammalian counterpart suggests that the protein is also involved in mammalian copper metabolism.
| FOOTNOTES |
|---|
The on-line version of this article (available at http://www.jbc.org) contains supplemental information on homology modeling of Arr4p. ![]()
1 These authors contributed equally to this work. ![]()
3 To whom correspondence should be addressed: Tel.: 49-6221-54-6898; Fax: 49-6221-54-5894; E-mail: b.schwappach{at}zmbh.uni-heidelberg.de.
4 The abbreviations used are: PC, protein C; HA, hemagglutinin; CT, C terminus; BCS, bathocuproine sulfonate. ![]()
5 M. P. Mayer, personal communication. ![]()
| ACKNOWLEDGMENTS |
|---|
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
V. Favaloro, M. Spasic, B. Schwappach, and B. Dobberstein Distinct targeting pathways for the membrane insertion of tail-anchored (TA) proteins J. Cell Sci., June 1, 2008; 121(11): 1832 - 1840. [Abstract] [Full Text] [PDF] |
||||
![]() |
|