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German Institute of Human Nutrition, Department of Gastrointestinal Microbiology, 14558 Potsdam-Rehbrücke, Germany
1To whom correspondence should be addressed.
| ABSTRACT |
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KEY WORDS: anticarcinogen conjugated linoleic acid gnotobiotic rats human diet intestinal microorganisms
| INTRODUCTION |
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9
11 or
10
12) and the
cis-trans stereochemistry (Ha et al. 1987
Following the report by Ha et al. (1987)
on the anticarcinogenic
activity of CLA isolated from grilled beef, CLA has received growing
attention in biomedical research due to its important physiological
effects at low dosage. Several investigations established that CLA is
an effective anticarcinogen, inhibiting skin, mammary and forestomach
neoplasia in humans and rodents (Ha et al. 1990
,
Ip 1997
, Ip et al. 1991 and 1995
,
Liu and Belury 1997
Liu and Belury 1998
, Parodi 1997
,
Rose 1997
, Thompson et al. 1997
) and
decreasing the metastatic activity of human prostate cancer
(Cesano et al. 1998
). Furthermore, an antiatherogenic
effect of CLA in hypercholesterolemic hamsters (Nicolosi et al. 1997
) and rabbits (Lee et al. 1994
), a decrease
of body fat in mice (Park et al. 1997
), and various
other effects (Hayek et al. 1999
, Houseknecht et al. 1998
, Li and Watkins 1998
, Sugano et al. 1998
, Xiao et al. 1998
) were demonstrated.
The toxicity of CLA seems to be very low (Scimeca 1998
).
The mechanisms of action of CLA are not well understood, but a simple
antioxidative effect can be excluded (van den Berg et al. 1995
).
However, as recently shown, CLA activates the
-class of peroxisome
proliferator-activated receptors (Houseknecht et al. 1998
), nuclear hormone receptors controlling the expression of
genes involved in lipid homeostasis.
In spite of the important physiologic effects of CLA, very little is
known about the production of CLA by bacteria. One ruminal organism
capable of CLA production is Butyrivibrio fibrisolvens
(Kepler et al. 1966
). Aerobic bacteria isolated from the
vaginal tract, the bronchial system, and dairy starter cultures
conjugate LA (Fairbank et al. 1988
, Jack et al. 1994
, Jiang et al. 1998
). The increase in CLA in
the adipose tissue of animals in response to feeding free LA was
explained by the activity of intestinal bacteria (Chin et al. 1994
). However, the experimental system was unrealistic because
free LA does not occur in substantial amounts in human or animal diets
but rather, in a form esterified to glycerol. For this reason, the
germ-free and associated rats in our study were fed a diet enriched
in esterified LA. Although Chin et al. (1994)
found no CLA accumulation
in rat tissue when a corn oil-fortified diet was fed, they did not
prove the LA-conjugating activity of the intestinal flora. The
experiments of Chin et al. (1994)
with germ-free rats were not
convincing because germ-free rats and conventional control rats had
been fed different diets. Although the first studies of bacterial CLA
production from triacylglycerol in humans were discouraging
(Herbel et al. 1998
), we decided to conduct an animal
study with gnotobiotic rats because preliminary in vitro experiments in
our laboratory demonstrated the capability of human intestinal bacteria
to transform LA to CLA. The aim of the study was to test whether this
observed in vitro activity was relevant to the in vivo situation. Here
we present for the first time the association of germ-free rats fed
a diet enriched with esterified LA with a bacterial community of human
origin with proven capability of LA-conjugation. The in vitro and
in vivo LA-conjugating activities and the amount of CLA in the body
tissues compared to a germ-free control group were investigated.
| MATERIALS AND METHODS |
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Germ-free rats of the inbred strain AVN-Ipcv-Wistar-Rehbrücke
were used for the experiments. They were obtained from the
germ-free breeding colony of the department. The germ-free
status of the breed was confirmed by a modified method of Kunstyr (1992)
twice a month by inoculation of the medium described below with
fresh fecal samples. The cultures were macroscopically and
microscopically examined for the absence of bacteria and fungi after
incubation for 2 wk at 37°C and room temperature. Feces were
microscopically examined after gram-staining. The serological
methods of the FELASA health monitoring recommendations were applied to
verify the absence of rat-specific viruses, bacteria, and protozoa
(Kraft et al. 1994
). No antigens of coronavirus of the
rat, reovirus typ 3, Theilers murine encephalomyelitisvirus,
pneumoniavirus of the mouse, Sendai virus, Kilham rat virus, Toolan H-1
virus, Clostridium piliforme, Mycoplasma
pulmonis, M. arthritidis, Pasteurella
pneumotropica, and Toxoplasma gondii could be
detected by specific antibodies. The protocol for the animal experiment
was approved by the Ministry of Nutrition, Agriculture, and Forestry,
Brandenburg, Germany.
Twelve 6-wk-old germ-free male rats of 138 ± 13 g body weight were randomly divided into two groups. They were fed an irradiated pelleted diet (25 kGy) consisting of a commercial rat-breeding diet (Altromin fortified® type 1311; Altromin, Lage, Germany) with the following composition: crude protein (225 g/kg), crude fat (50 g/kg), crude fiber (45 g/kg), ash (65 g/kg), moisture (135 g/kg) and nitrogen-free extract (480 g/kg). The diet was supplemented with 60 g of sunflower-seed oil (Brölio, Hamm, Germany), 20 mg BHT as an antioxidant (Sigma, Deisenhofen, Germany), and 7.5 g of CaCO3 per kg diet, resulting in 110 g of fat and 12 g of calcium/kg diet. The diet was stored at room temperature. Rats were maintained in positive-pressure isolators (Metall & Plastik, Radolfzell, Germany) and housed individually in polycarbonate cages on irradiated wood chips at 22 ± 2°C, 55 ± 5% relative humidity on a 12-h light-dark cycle (07001900). They had free access to diet and autoclaved distilled water. Coprophagy was not prevented. Diet samples were taken once per week from the isolators and analyzed for total fat and CLA (see below). In one group, six rats were inoculated intragastrically on two successive days with a CLA-producing mixed bacterial culture by intragastric application. The control group received water by the same procedure and remained germ-free throughout the experiment.
Fresh fecal samples were taken directly from the anus of every rat twice per week and analyzed for bacterial cell counts and LA-conjugating activity (see below). Once per week, rats were weighed, the bedding material was removed and replaced by 0.125 m2 irradiated cellulose tissue. On the next morning, the feces were collected and stored frozen at -20°C and fresh bedding material was provided. After 70 experimental days, the body weight gain of the animals was nearly stagnant and they had developed sufficient adipose tissue. The rats were killed by decapitation. Blood was collected and incubated for 1 h at 37°C and subsequently overnight at 4°C for clotting. The blood samples were centrifuged at 3200 x g for 1 h at 4°C and the serum stored at -20°C. Cecal and colonic contents were removed under sterile conditions and immediately analyzed for cell counts and LA-conjugating activity. Tissues were removed and stored at -20°C.
Enrichment of CLA-producing bacteria.
For enrichment of CLA-producing bacteria, a human fecal sample, obtained from a healthy volunteer who had not undergone antibiotic treatment during the past year, was suspended under anoxic conditions in the dilution buffer (see below) and diluted 1000-fold. Two-hundred microliters of the suspension were inoculated into 5 mL of culture medium in rubber-stoppered anoxic cultivation tubes containing the following compounds (per L): 9 g of tryptic peptone from meat, 1 g of proteose peptone, 3 g of meat extract, 4 g of yeast extract, 3 g of NaCl, 2 g of Na2HPO4, 6 g of glucose, 0.5 mL of Tween 80, 0.1 g of MgSO4 x 7 H2O, 5 mg of FeSO4 x 7 H2O, 3.4 mg of MnSO4 x 2 H2O, 0.25 g L-cysteine x HCl, 0.25 g L-cystine, 10 mg of hemin and 1 mg of resazurin. The gas phase consisted of 80 vol% of N2 and 20 vol% of CO2, and the pH was adjusted to 6.87.0. After autoclaving, 4 mmol/L of filter-sterilized (0.2 µm sterile filter; Sartorius, Göttingen, Germany) LA were added (Sigma). Cultures were shaken at 37°C on a rotary shaker (140 revolutions/min). After incubation for at least 90 h, samples were subjected to CLA analysis (see below). Cultures producing CLA were subcultured several times.
Determination of living and total bacterial cell counts.
Samples of feces, cecum and colon content were processed anoxically under a gas atmosphere of 95 vol% of N2 and 5 vol% of H2 within 15 min after collection. Approximately 200 mg of sample was thoroughly mixed with 2 mL of dilution buffer (4.5 g of KH2PO4, 6 g of Na2HPO4 x 2 H2O, 1 mg of resazurin, 0.6 g of cysteine x HCl per L distilled water, pH 6.8) in preweighed glass tubes. The tubes were weighed again and centrifuged for 10 s at 1.3 x g to remove large particles. The supernatant was diluted anoxically (50-fold for germ-free animals and 104- to 106-fold for associated animals) and an aliquot of 0.1 mL plated inside an anoxic chamber (Coy Laboratory Products, Grass Lake, MI) onto agar plates. The agar (15 g/L) was composed of the medium described above without LA. After inoculation the plates were incubated under 80 vol% of N2 and 20 vol% of CO2 at 37°C for 2 d. The colonies were subsequently enumerated.
Total bacterial cell counts were determined by examining dilutions of feces and cecum and colon contents in a counting chamber. Dry mass of samples was determined by drying preweighed samples of approximately 0.4 g for 16 h at 80°C.
Determination of LA-conjugating activity and quantification of LA and conjugated LA.
Two hundred microliters of the anoxic suspensions prepared from feces or from cecum or colon contents (see above) were transferred into two rubber-stoppered anoxic cultivation tubes filled with 5 mL of the liquid medium described above under 80 vol% of N2 and 20 vol% of CO2. Filter-sterilized LA was added to a final concentration of 4 mmol/L, and the cultures were shaken at 37°C. Media without inoculum served as controls. Since the media were turbid due to the addition of LA, microbial growth was monitored by light microscopy. CLA production was measured as follows: The cultures were vigorously shaken, then 1-mL samples were subjected to lipid extraction with 5 mL of chloroform/methanol (2:1). After centrifugation at 1600 x g for 15 min at 4°C, a 3-mL aliquot of the chloroform layer was dried in a rotoevaporator at 4°C (Jouan, Saint-Herblain, France). The samples were dissolved in 0.5 mL of HPLC-grade acetonitrile and analyzed for LA and CLA using an HPLC system (Gynkotek, Munich, Germany) equipped with a nucleosil C18 reversed-phase column (250 x 4.6 mm, 5 µm particle size; Bischoff Chromatography, Leonberg, Germany) and a precolumn (type K1, 16 x 4.6 mm; Bischoff Chromatography). Samples of 10 µL were injected by an automatic injection system (GINA, Gynkotek). An isocratic mobile phase of 16.15 mol/L acetonitrile with 16.4 mmol/L acetic acid was pumped at a flow rate of 2 mL/min at 25°C over the column for 12 min per sample. Samples exceeding the calibration range were diluted 10- to 50-fold with acetonitrile prior to injection. The retention times of LA and CLA were between 6.9 and 7.3 min. LA and CLA were identified by diode-array detection (234 nm for CLA and 205 nm for LA). Calibration was performed by injecting purified CLA and LA (Sigma).
Determination of CLA in tissues, diet, serum, and feces, and cecum and colon contents.
Tissue and diet samples (about 0.2 g), serum (1 mL), feces, cecum and colon contents (~2.0 g each) were exactly weighed and analyzed in duplicate. Feces, and cecum- and colon-content samples were ground with a mortar to a fine powder after freezing with liquid nitrogen and addition of purified sand. Pellets of the rat diet were ground at room temperature without any additions. Serum samples were vigorously shaken. Petroleum ether (10 mL) was added and the tubes shaken for 16 h at room temperature to extract the lipids. Samples were filtered into preweighed tubes (Teflon-sealed, screw-capped glass test tubes) and dried in a rotoevaporator at 4°C and 190 x g (Jouan, Saint-Herblain, France). Tubes were weighed again to determine the amount of total fat extracted. Triacylglycerol in serum was quantified enzymatically with glycerol phosphate oxidase with a test kit (No 336; Sigma). To liberate the fatty acids, the fat extracted from tissues, serum and diet samples was hydrolyzed by addition of 2 mL 1 mol/L of NaOH in methanol and incubation for 15 min in a boiling water bath. One milliliter 5.5 mol/L H2SO4 was added to neutralize the NaOH. Free fatty acids were extracted twice with 5 mL hexane. Hexane layers were pooled and evaporated to dryness (see above). Fatty acids were dissolved in 1 mL of acetonitrile and subjected to quantification of LA and CLA by HPLC (see above). In feces and cecum and colon contents, only free CLA and LA were determined.
To evaluate the CLA quantification method, coconut oil and white
adipose tissue from beef, lamb and pork were obtained from a local
market and subjected to LA and CLA analyses. The values for CLA
concentration were 0.15 ± 0.02 (coconut oil), 26.0 ± 7.5
(beef), 13.6 ± 4.99 (lamb) and 1.85 ± 0.14 (pork) µmol/g
fat, respectively. These values are in accordance with literature data
(Ha et al. 1990
), demonstrating the accuracy of the
method used. As a further control, both LA and CLA were added in
defined quantities to coconut oil and subjected to the extraction and
analysis process. The values obtained were in accordance with the added
amounts and demonstrated a reliable recovery of CLA and LA.
Statistical analysis.
Results are expressed as mean ± SD. Body weight gain,
CLA and LA concentrations, and relative concentrations of fat and dry
mass were compared for the associated and germ-free group with the
two-sided Students t-test for unpaired data.
Activities of LA conjugation were compared for the associated and
germ-free group with the two-sided Welch-test.
P-values
0.02 were considered to be significant.
| RESULTS |
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The LA and CLA concentrations of the diet remained stable under the storage conditions as indicated by the analysis of diet samples (n = 10) taken during the experiment. The total fat concentration of the diet was 94 ± 8.7 g/kg, containing 6.24 ± 0.36 µmol of CLA/g fat.
The body weights of the rats increased from an initial 131.7 ± 6.9 g to 401.7 ± 6.9 g at the end of the study for the germ-free rats and from an initial 144.0 ± 18.8 g to 405.0 ± 18.9 g at the end of the study for the associated rats. The body-weight gain did not differ significantly between groups. Hence, colonization of the one group of rats with the mixed bacterial culture did not affect the body weight.
Bacterial mixed culture, bacterial cell counts in feces and cecum and colon content.
The mixed bacterial culture enriched from a human fecal sample exhibited CLA-producing activity (up to 1.4 mmol of CLA/L) in vitro when incubated in the presence of 4 mmol of free LA/L. Only free CLA, but no esterified CLA was detected when culture samples were analyzed in parallel for free and esterified CLA. The concentration of free CLA was 0.857 ± 0.026 mmol CLA/L (n = 6). When the same samples were saponified with the method described to analyze esterified CLA in adipose tissue, a value of 0.789 ± 0.07 mmol CLA/L was obtained. This control shows that the bacteria do not incorporate CLA into their lipids. CLA production was strictly dependent on the growth phase of the cultures and occurred only in the stationary phase (data not shown). Isolation of a single strain capable of CLA production was not successful. None of the isolates from the mixed culture produced CLA any longer. Highly diluted (up to 1010-fold) liquid cultures showed growth, but no CLA production. Based on colony morphology, at least four different microorganisms could be distinguished in the mixed culture. The coccoid and short rod-shaped organisms stained gram-positive or gram-negative. Two of them were strict anaerobes.
Total bacterial cell counts expressed as log cells/(g dry mass) were 11.4 ± 0.17 for feces, 11.7 ± 0.14 for cecum contents and 11.3 ± 0.139 for colon contents, respectively. Living bacterial cell counts expressed as log cells/(g dry mass) were 11.1 ± 0.45 for feces, 11.4 ± 0.351 for cecum contents and 10.6 ± 0.65 for colon contents, respectively. These data indicated that the intestine of the rats had been successfully colonized by the applied bacteria. The bacterial cell counts in the feces were stable throughout the experiment. There were no significant differences in cell counts of cecal and colonic contents, indicating that the bacteria did not prefer one habitat more than the other. The control group was kept germ-free throughout the experiment.
Activity of LA conjugation.
Samples obtained from germ-free rats exhibited no activity of
LA-conjugation, whereas rats associated with the bacterial mixed
culture had high activities in feces and in cecum or colon contents
(Fig. 1
). The LA-conjugating activities in the feces were constant
throughout the experiment (data not shown). This led us to conclude
that the LA-conjugating microorganisms had successfully colonized
the intestinal tract of the rats. These results indicate that the
LA-conjugation activity in the intestine was due to the
microorganisms and that germ-free rats do not synthesize CLA in the
intestine.
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The fat concentration of feces was significantly higher in associated
than in germ-free rats (Fig. 2A
). This may be due to the bacterial biomass in the feces of associated
rats. The lipids of the bacterial cell membranes may contribute to the
higher fat concentration (Carey et al. 1983
). There were
no significant differences in the fat concentration in cecum and colon
contents of germ-free and associated rats, but this may be due to the
small number of cecum and colon samples as compared to the high number
of fecal samples. That the fat concentration of feces was higher than
that of cecum or colon contents is probably due to the higher
dry-mass concentration of feces.
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CLA concentration in feces and in cecum and colon contents.
In feces, cecum and colon contents samples, only free CLA and LA were
determined, whereas in diet, serum, and tissue samples fat was
saponified prior to fatty acid analysis. This was reasonable because
the LA-conjugating bacterial enzyme system acts only on free LA
(Kepler and Tove 1969
). As a control, cecum content
samples were analyzed in parallel for free and esterified CLA. Values
for free CLA and for total (free plus esterified) CLA did not differ
significantly either in the germ-free or in the associated rats
(data not shown).
Both the LA and the CLA concentrations in feces and cecum and colon contents, expressed as µmol/g fat, were significantly higher in associated rats than in germ-free rats (data not shown). However, since the diet is the source for both LA and CLA in the intestine, the ratio of CLA to LA is a more relevant variable for reflecting the LA-conjugating bacterial activity in vivo than the CLA concentration itself. These ratios did not differ significantly between germ-free and associated rats (data not shown), indicating that the CLA in the intestine originated totally from the diet. Thus, the intestinal microorganisms do not synthesize substantial amounts of CLA from LA in vivo despite their ability to do so in vitro.
CLA concentration in various body tissues.
There were no significant differences in the CLA concentrations of
various tissues between associated and germ-free rats, indicating
that the CLA found in any tissue came from the diet and that the
intestinal microorganisms do not contribute to the CLA supply of the
host (Fig. 3
).
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| DISCUSSION |
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Sunflower-seed oil was chosen because of the high concentration of LA
esterified to glycerol (657 g/kg; Stolper Bloch and Shils 1994). During
triacylglycerol digestion, fatty acids in sn-1- and
sn-3-positions of the glycerol are preferably
hydrolyzed, whereas the fatty acid in the sn-2-position
is preferentially absorbed as monoacylglycerol (Renaud 1995
). Since 78% of the sn2-positions in oil
from sunflower seeds are esterified with LA (personal communication:
Dr. Klaus Ragotzky, Unilever, Hamburg, Germany), it can be calculated
from the fatty-acid pattern in this oil that 407 g of LA/kg of
oil are esterified to the sn-1- or
sn-3-positions of the glycerol. This amount is
hydrolyzed by the pancreatic lipases and preferably absorbed, but also
does enter to some extent the cecum or colon. Calcium supplementation
increases fecal fatty acid excretion slightly (Govers et al. 1996
, Welberg et al. 1994
). In the large
intestine, fatty acids are present either in free form or precipitated
as Ca2+-salts (Carey et al. 1983
). Thus, the
calcium concentration of the diet was increased from 9 to 12 g/kg in
order to enhance the precipitation of LA with Ca2+ and to
increase the proportion of LA reaching the cecum and the colon of the
rats. Not surprisingly, we detected free LA and CLA in feces and in
cecum and colon contents. Usually, fecal fatty acids in conventional
rats are more saturated than in germ-free rats (Eyssen and Parmentier 1974
). In our study, we were unable to confirm this
observation for the associated rats (data not shown), indicating that
the bacterial mixed culture did not reduce the double bonds in
unsaturated fatty acids.
It is not known whether fatty acids can be actively absorbed in the
large intestine. The absorption of fatty acids occurs preferentially in
the small intestine (Carey et al. 1983
). Absorption of
long-chain fatty acids from the colon would be an important
prerequisite for CLA formed in the colon to exert any systemic
beneficial effects. However, CLA formed in the intestine may still have
local effects on the colonic mucous membrane, particularly in humans.
In rats, the situation may be different because of coprophagy
(Soave and Brand 1991
), which makes nutrients formed by
the bacterial flora in the cecum or colon available. The fact that
coprophagy was not prevented in this study supports the notion that no
CLA was synthesized from LA in the large intestine when a diet rich in
esterified LA was fed. Coprophagy might be the method of CLA absorption
in conventional rats, in which the feeding of a free LA-enriched
diet leads to an increase of CLA in the tissues (Chin et al. 1994
).
The total concentrations of CLA in tissues of monogastric animals and
humans vary considerably: 0.717.85 µmol/g of fat in rat tissue
(Chin et al. 1994
), 2.14 µmol/g of fat in pork
(Chin et al. 1992
) and 10.732.1 µmol/g of fat in
human white adipose tissue (Ackman et al. 1981
). These
differences are due to differences in dietary CLA intake. The CLA
concentrations found in this study (0.717.13 µmol/g of fat) are
well within this range and are probably due to the relatively high
amount of CLA (6.24 µmol/g of fat) in the diet offered to the rats.
Casein, which is relatively high in CLA (Chin et al. 1994
), was probably the major source of CLA in the diet.
Vegetable oils are usually lower in CLA (0.362.49 µmol/g of fat)
(Chin et al. 1992
).
There are obviously fundamental differences between the microbial
ecosystem of the rumen on the one hand and the cecum and colon on the
other hand: In the rumen but not in the large intestine of monogastric
animals, the addition of esterified LA-containing sunflower-seed
oil stimulates the bacterial LA-conjugating activity and leads to
an increase of CLA in the cows milk fat (Kelly et al. 1998
). The agriculture and food industries may take advantage
of this fact and increase the CLA concentration of dairy products by
supplementing the ruminants feed with vegetable oils rich in
esterified LA.
For humans, the sole source of CLA is the diet. CLA is formed by the rumen microorganisms and accumulates in milk fat and body fat of ruminants, which enter the human diet. The consumption of fat from ruminants is usually not recommended by nutritionists because of its high concentration of saturated fatty acids, although it is the best source of CLA. Recommendations should therefore be carefully reconsidered and the beneficial and undesirable features of milk fat and beef fat evaluated.
A bacterial mixed culture capable of in vitro CLA formation was used in
our association experiments. Several attempts to isolate a pure culture
were unsuccessful (data not shown). Although several aerobic or
aerotolerant bacteria are able to conjugate LA to CLA (Fairbank et al. 1988
, Jack et al. 1994
), no such species
has been isolated from the intestinal tract of monogastric animals or
humans. Only Butyrivibrio fibrisolvens, the only known
CLA-producing species inside the rumen, is found sometimes in the
human intestine (Bryant 1986). However, whether
B. fibrisolvens is also capable of CLA formation in the
human intestine is unknown. The growth of B.
fibrisolvens was completely inhibited by 4 mmol/L of LA added
(data not shown), and cells exhibiting the characteristic morphology of
this organism were not observed in our mixed culture. Therefore, the
presence of B. fibrisolvens in our mixed culture seems
very unlikely.
This investigation also demonstrates that certain metabolic capabilities of microorganisms easily observed in vitro do not necessarily occur in vivo. This appears to be particularly true for enzymatic activities that are not essential for survival of the microorganisms, such as the biotransformation of nonnutritive dietary compounds or the postulated production of certain vitamins.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Manuscript received April 13, 1999. Initial review completed May 27, 1999. Revision accepted August 16, 1999.
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