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(Journal of Nutrition. 1999;129:928-933.)
© 1999 The American Society for Nutritional Sciences


Articles

Elevated Expression of Liver {gamma}-Cystathionase Is Required for the Maintenance of Lactation in Rats1

Teresa Barber, Ana Triguero, Itziar Martínez-López, Luis Torres, Concha García, Vicente J. Miralles and Juan R. Viña2

Departamento de Bioquímica y Biología Molecular, Facultades de Medicina-Farmacia, Universitat de Valencia, Valencia, Spain

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Liver {gamma}-cystathionase activity increases in rats during lactation; its inhibition due to propargylglycine is followed by a significant decrease in lactation. This is reversible by N-acetylcysteine administration. To study the role of liver {gamma}-cystathionase and the intertissue flux of glutathione during lactation, we used lactating and virgin rats fed liquid diets. Virgin rats were divided into two groups as follows: one group was fed daily a diet containing the same amount of protein that was consumed the previous day by lactating rats (high protein diet–fed rats); the other virgin group was fed the normal liquid diet (control). The expression and activity of liver {gamma}-cystathionase were significantly greater in lactating rats and in high protein diet–fed virgin rats compared with control rats. The total glutathione [reduced glutathione (GSH) + oxidized glutathione (GSSG)] released per gram of liver did not differ in lactating rats or in high protein diet–fed rats, but it was significantly higher in these two groups than in control virgin rats. Liver size and the GSH + GSSG released by total liver were significantly higher in lactating rats than in high protein diet–fed virgin rats, and this difference was similar to the amount of glutathione taken up by the mammary gland (454.2 ± 36.0 nmol/min). The uptake of total glutathione by the lactating mammary gland was much higher than the uptakes of free L-cysteine and L-cystine, which were negligible. These data suggest that the intertissue flux of glutathione is an important mechanism of L-cysteine delivery to the lactating mammary gland, which lacks {gamma}-cystathionase activity. This emphasizes the physiologic importance of the increased expression and activity of liver {gamma}-cystathionase during lactation.


KEY WORDS: L-cysteine • glutathione • lactating mammary gland • L-cystathionine • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
L-Methionine is essential for the normal growth and development of mammals because its carbon skeleton cannot be synthesized. This amino acid or its derivatives have a number of cellular roles as follows: 1) as a precursor of protein synthesis; 2) as an intermediate in transmethylation reactions; 3) as an intermediate in the catabolism of choline; and 4) as a precursor of L-cysteine and its derivatives such as glutathione (GSH),3 L-taurine and inorganic sulfate by means of the transsulfuration pathway, which is fully expressed in liver (Finkelstein 1990Citation , Rao et al. 1990Citation , Stipanuk 1986Citation ). L-Methionine metabolism has two branched sites. The first branch point is the utilization of L-methionine for either protein synthesis or the synthesis of S-adenosylmethionine, which plays a pivotal role as a methyl donor in a great number of biochemical events (Chiang et al. 1996Citation ). The second is the distribution of L-homocysteine between the reaction of the transsulfuration pathway, which is catalyzed by cystathionine-ß-synthase, and the remethylation with the use of 5-methyl-H4-folate as a methyl donor. This is catalyzed by L-methionine synthase. There is another alternative for L-homocysteine remethylation. This is the betaine pathway, which is induced in rat liver when the L-methionine synthase pathway is blocked by N2O (Nunn 1987Citation ).

The transsulfuration pathway is incomplete in heart, testes, lung, adrenal, spleen, mammary gland and brain because they lack {gamma}-cystathionase; therefore, L-cysteine may be considered an essential substrate for these tissues. The supply of this amino acid to those tissues lacking the transsulfuration pathway can be achieved by delivery of L-cysteine, L-cystine and GSH if {gamma}-glutamyltranspeptidase (GGT) is expressed in the tissue. This is possible because there is an interorgan flow of GSH from liver to those tissues with high GGT activity (Anderson et al. 1980Citation , Meister and Anderson 1983Citation ).

Lactation is characterized by physiologic adaptations and changes in metabolism of different tissues to ensure a sufficient supply of nutrients to the mammary gland. Among the physiologic changes, the most prominent are hyperphagia, liver hypertrophy and increased blood flow to the mammary gland (Wade and Schneider 1992Citation , Williamson et al. 1995Citation ). Because increased food intake during lactation means an increased protein intake, we used the following three different groups of rats: rats at their peak of lactation, virgin rats and virgin rats that had the same protein intake as lactating rats. The last-mentioned group was introduced to dissociate the effects of lactation from those of protein intake. By using this experimental approach, it was shown that the increased needs for amino acids during lactation are met by hyperphagia, a nitrogen-sparing mechanism and a specific redistribution of amino acids to the mammary gland (Barber et al. 1990Citation , García de la Asunción et al. 1994Citation ).

Because lactating rats have an increased expression of liver {gamma}-cystathionase compared with virgin rats (Awata et al. 1993Citation ) and the {gamma}-cystathionase activity in the lactating mammary gland is undetectable, it was of interest to elucidate how the L-cysteine needs are met during lactation. This is of interest because the expression of {gamma}-cystathionase in premature neonates is delayed, and the amount of L-cysteine in milk is rate limiting for growth and development. The aims of this work were to study the effect of liver {gamma}-cystathionase inhibition on lactation, the reason for the high expression and activity of liver {gamma}-cystathionase during lactation and how the delivery of L-cysteine to the mammary gland during lactation is achieved.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Rats.

Female Wistar rats were cared for and handled in conformance with the NIH guidelines (NRC 1985Citation ) and the Guiding Principles for Research Involving Animals and Humans approved by the Council of The American Physiological Society. All rats were maintained on a 12-h light:dark cycle in a room with controlled temperature (22°C). Rats used were either virgin or in their first lactation. The lactating rats had between eight and ten pups and were used at the peak of lactation, d 11–14.

    Experiment 1. A group of 8 virgin and 28 lactating rats fed a standard diet (Panlab, Barcelona, Spain) were used in this experiment. The composition of this diet was as follows (g/kg): carbohydrates, 590; lipids, 30; and protein, 160. Eight virgin rats were used to measure the {gamma}-cystathionase activity. The 28 lactating rats were divided as follows. One group of eight lactating rats was used as control. Another group of eight lactating rats was injected daily with propargylglycine (PPG) (50 mg/kg, intraperitoneally) for 3 d (lactating + PPG). A group of five lactating rats was injected every 6 h with N-acetyl-L-cysteine (NAC; 50 mg/kg) over a period of 3 d (lactating + NAC). Another group of seven PPG-treated lactating rats was injected every 6 h with NAC (80 mg/kg, intraperitoneally) during the 3-d period (lactating + PPG + NAC).

    Experiment 2. Thirty lactating and 36 virgin rats (20 control and 16 protein pair-fed with the lactating rats) were used. The rats were fed the solid standard diet described above until they reached the age of 2-3 mo. They were then fed a liquid diet (Barber et al. 1990Citation , García de la Asunción 1994Citation ) from special glass containers to which they were given free access. Water was available in separate glass containers. The liquid diet was offered to the lactating rats for 2 wk, starting on d 1 of lactation. The two groups of virgin rats (control virgin and protein pair-fed with the lactating rats) also received the diet for 2 wk. No intubations were performed. The volume of liquid diet consumed by each rat was recorded every morning. Virgin rats drank 85 mL of this liquid diet ad libitum. Because lactating rats increased their intake as lactation progressed, it was necessary to raise the dietary protein concentration gradually while maintaining the same amount of other macro- and micronutrients and adding water to the same final volume;thus the protein pair-fed virgin rats would still be consuming the same amount of protein that was consumed the previous day by the lactating rats. The virgin rats pair-fed to the lactating rats on the basis of protein were introduced to dissociate the effects of hormonal changes of lactation from those of protein intake; lactating rats have hyperphagia, and the level of protein intake affects the metabolism of protein and amino acids. The liquid diet consumed by the lactating and control virgin rats was formulated according to the ASNS recommendations. The energy distribution of the diet was 22% protein, 12% lipid and 66% carbohydrate. The energy content of this diet was 4184 kJ/L. The diet composition was as follows (g/L): vitamin-free casein, 54.5; DL-methionine, 0.8; corn oil, 3.4; olive oil, 10.1; sucrose, 131.2; dextrin, 39.4; vitamin mix, 2.6 (AIN 1977Citation and 1980Citation ); mineral mix 9.2 (AIN, 1977Citation ); choline chloride, 0.4; xanthan gum, 2.0; and cellulose powder, 10.0; distilled deionized water to final volume. The vitamin and mineral mixes were changed to meet the new recommendations (Reeves et al. 1993Citation ) in 12 lactating and 14 virgin rats. All diets were prepared daily.

Sampling procedures, amino acid and GSH determinations.

The rats were sampled 3–4 h after the beginning of the light cycle. They were anesthetized intraperitoneally with sodium pentobarbital (60 mg/kg body wt) and maintained at 37°C with a homeothermic blanket. Blood was collected in heparinized syringes from the pudic-epigastric, hepatic and portal veins and then from the aorta. When liver was removed, a piece was immediately used for {gamma}-cystathionase activity. The rest of liver was cut free and clamped between tongs cooled in liquid N2; the samples were kept in liquid N2 until they were used.

Plasma amino acids were measured on a amino acid analyzer (model 3201, LKB, Cambridge, UK). L-Cysteine was determined by a spectrophotometric method (Gaitonde 1967Citation ). For the GSH/GSSG ratio in liver, GSH was measured by using the GSH-S-transferase assay (Brigelius et al. 1983Citation ); oxidized glutathione (GSSG) was assayed by the HPLC method with UV-V detection, which measures GSSG in the presence of a large excess of GSH (Asensi et al. 1994Citation ). For the intertissue flux of total glutathione, GSH equivalents (GSH + 2GSSG) were measured and expressed as µmol/L of plasma (Fariss and Reed 1987Citation ).

RNA isolation and amplification.

Total RNA isolation was performed with the use of a High Pure Isolation Kit (Boehringer Mannheim, Germany), which is based on the specific binding of nucleic acids to the surface of glass fibers after the addition of a chaotropic salt. The purified total RNA from liver was converted to single-stranded cDNA for subsequent amplification using a one-step reverse transcriptase-polymerase chain reaction (RT-PCR) (Titan one tube RT-PCR system, Boehringer Mannheim).

Two synthetic oligonucleotide primers derived from the nucleotide sequence of {gamma}-cystathionase (5'-ATCACACCACAGACCAAGCT-3' and 5'-AGGCTCTCAGCCAGAGCAAA-3') were used for PCR amplification.

The mRNA for ribosomal protein S26 and mRNA for glyceraldehyde 3-phosphate dehydrogenase (GADPH) were used as standards for RNA quantification. The PCR products were analyzed by agarose gel electrophoresis. To check the amplification specificity, the PCR products corresponding to {gamma}-cystathionase were digested with Eco RI, which produces two fragments of 282 and 302 bp.

To quantify the {gamma}-cystathionase expression, the ratio of {gamma}-cystathionase to GAPDH was obtained by densitometric analysis of the negative corresponding to the film of the RT-PCR products checked by electrophoresis on agarose gels (see Fig. 1Citation ). The mean value for control virgin rats was considered to be 100%.



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Figure 1. Amount of mRNA and activity of {gamma}-cystathionase in liver of virgin control rats, lactating rats and virgin rats pair-fed to the lactating rats on the basis of protein for 2 wk. Panel A: Electrophoresis analysis of reverse transcriptase-polymerase chain reaction (20% of total reaction volume) was performed on 1.2% agarose gel stained with ethidium bromide. Lanes 1 and 4 are lactating rats, lanes 2 and 5 are virgin rats (pair-fed to the lactating rats on the basis of protein) and lanes 3 and 6 are control virgin rats. Lanes 1 to 3 are {gamma}-cystathione; lanes 4 to 6 are glyceraldehyde 3-phosphate dehydrogenase (GAPDH). Panel B: {gamma}-Cystathione activity in liver from virgin control rats (C; n = 15), lactating rats (L; n = 17) and virgin rats pair-fed to the lactating rats on the basis of protein for 2 wk (HP; n = 12). Values are means ± SEM. Different letters indicate significant differences, P < 0.05.

 
{gamma}-Cystathionase activity.

The activity of this enzyme (EC 4.4.1.1)in liver was studied by determining the rate of L-cysteine synthesis from cystathionine (Heinonen 1973Citation ).

Milk production.

The following equation relating dam milk yield to pup weight and weight gain was used to estimate milk production: Yield = 0.0322 + 0.0667(weight) + 0.877(gain), where yield is daily yield per pup per day, weight is pup weight (g) and gain is pup daily weight gain (g/d) (Sampson and Jansen 1984Citation ).

Milk collection.

Milk was collected as described (Lake 1983Citation ). Eight lactating rats fed the liquid diet were used exclusively for this purpose. Rats were sedated with 0.5 mL/kg of a 10:1 ketamine hydrochloride (100g/L) and chlorpromazine (25g/L). Oxytocin (0.5 IU in 0.5 mL of 9 g/L sterile saline) was given intraperitoneally immediately before milking.

Statistics.

In Experiment 1, a two-way ANOVA was performed; in Experiment 2, a one-way ANOVA was performed. The homogeneity of the variances was analyzed by the Levene test; in those cases in which the variances were unequal, the data were adequately transformed before ANOVA. The null hypothesis was accepted for all of the values of these sets in which the F-value was nonsignificant at P > 0.05. The data for which the F-value was significant were examined by Tukey's test at P < 0.05. Wilcoxon's test was used to compare {gamma}-cystathionase activity in Figure 1Citation . Values in the text are means ± SEM.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Experiment 1

    {gamma}-Cystathionase activity and L-cystathionine, L-cysteine and GSH concentrations in liver from lactating rats. The {gamma}-cystathionase activity in lactating mammary glands was undetectable; in liver, it was significantly higher in lactating rats than in the virgin rats (lactating: 0.38 ± 0.02 µmol/(min · g), virgin: 0.23 ± 0.01 µmol/(min · g), P < 0.05). When PPG, which is an irreversible inhibitor of {gamma}-cystathionase, was injected into lactating rats, liver {gamma}-cystathionase activity was undetectable, and L-cystathionine concentration was two orders of magnitude greater than in control lactating rats (Table 1Citation). L-Cysteine did not differ and GSH concentration was significantly lower than in the control lactating rats. The administration of NAC to control lactating rats and PPG-treated lactating rats increased the concentrations of GSH and L-cysteine (P < 0.05).


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Table 1. {gamma}-Cystathionase activity and concentration of L-cystathionine, L-cysteine and reduced glutathione (GSH) in liver of untreated lactating rats and lactating rats administered propargylglycine (PPG), N-acetyl-L-cysteine (NAC) or both1

 
    Inhibition of liver {gamma}-cystathionase decreases lactation and is reversed by NAC. Inhibition of liver {gamma}-cystathionase with PPG over a period of 72 h produced an inhibition of lactation that was reflected in lower milk production compared with control lactating rats (Table 2Citation). This difference was significant 24 h after injection of PPG. NAC prevented this decrease in milk production found in PPG-lactating rats. The NAC injection to control lactating rats did not modify milk production. The arteriovenous differences of L-threonine, L-serine, L-asparagine, L-glutamate, L-glutamine, glycine, L-alanine, L-isoleucine, L-leucine, L-phenylalanine and L-arginine were significantly lower in PPG-treated rats compared with controls (Table 3Citation). Administration of NAC to PPG-treated rats resulted in arteriovenous differences of amino acids that generally did not differ from control values. The arteriovenous difference of total GSH in PPG-treated rats was 5% of the value found in the lactating control rats (results not shown).


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Table 2. Daily milk production in untreated lactating rats and lactating rats administered propargylglycine (PPG), N-acetyl-L-cysteine (NAC) or both1

 

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Table 3. Arteriovenous differences of amino acid across the mammary gland in untreated lactating rats and lactating rats administered propargylglycine (PPG), N-acetyl-L-cysteine (NAC) or both1

 
Experiment 2

    Daily intake of liquid diet in control virgin rats, lactating rats, and high protein diet–fed virgin rats. The energy intake of the lactating group was significantly higher than the intakes of the other two groups because lactation is associated with hyperphagia (Table 4Citation). Protein intake did not differ in the lactating rats and high protein diet–fed virgin rats, and it was higher in both than in the virgin control group.


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Table 4. Daily intake of liquid diet by virgin control rats, lactating rats and virgin rats pair-fed to the lactating rats on the basis of protein1

 
    Expression and activity of hepatic {gamma}-cystathionase of control virgin rats, lactating rats and high protein diet–fed rats. The activity of hepatic {gamma}-cystathionase in lactating and high protein diet–fed virgin rats did not differ and was significantly higher than in controls (Fig. 1)Citation . Liver GSH/GSSG and L-cystine and L-cysteine concentrations did not differ among the three groups (results not shown).

The ratio between cystathionase and GAPDH for lactating and high protein diet–fed virgin rats was 242 ± 66 (n = 3) and 269 ± 93 (n = 3), respectively, compared with 100 in controls (Fig. 1)Citation .

    Total glutathione released by liver and uptake of total glutathione, L-cysteine and L-cystine by the lactating mammary gland. The hepatic release of total glutathione in lactating and protein pair-fed virgin rats was significantly higher than in the controls (Table 5Citation). No difference was observed between the lactating and the protein pair-fed virgin rats when total glutathione was express per gram of liver. However, due to the liver hypertrophy of the lactating rats, the total glutathione released by liver in lactating rats was significantly higher than in the protein pair-fed rats. This difference (577 nmol/min) was similar to the amount of glutathione taken up by the lactating mammary gland (Table 5)Citation .


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Table 5. Liver release of total reduced glutathione and oxidized glutathione (GSH + GSSG) from virgin control rats, lactating rats and virgin rats pair-fed to the lactating rats on the basis of protein and uptake of total glutathione by the lactating mammary gland1

 
    GSH and free amino acid concentrations in milk from lactating rats fed a liquid diet. The arteriovenous differences of amino acids across the mammary gland were similar in lactating rats fed a liquid diet (Table 6Citation) and in control rats fed a standard diet (Table 3)Citation . L-Cysteine, L-alanine and L-lysine are the most abundant amino acids in milk; L-cysteine is the best donor of sulfur to the neonate because its concentration is much higher than those of GSH and L-cystine in milk. The milk concentrations of L-threonine, taurine, L-serine and L-arginine are also high compared with other amino acids.


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Table 6. Arteriovenous differences of amino acids across the gland and free amino acid concentration in mammary gland and milk from rats at the peak of lactation fed a liquid diet1

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The amino acid uptake by the lactating mammary gland is 630 µmol/h; the great need for amino acids is achieved by an increased availability, which is met by hyperphagia (Fell et al. 1963Citation ), increased blood flow to the mammary gland (Williamson et al. 1995Citation ), redistribution from different tissues to the mammary gland (Tedstone et al. 1990Citation ) and a nitrogen-sparing mechanism (Barber et al. 1990Citation , García de la Asunción et al. 1994Citation ). However, in spite of these homeorhetic mechanisms to ensure an adequate supply of free amino acids to the lactating mammary gland, there is in vitro evidence showing that GSH utilization is mediated by GGT and that this tripeptide is an important donor of L-cysteine. With the use of bovine mammary acini, it was shown that the label from 35S-GSH is incorporated into the acid-precipitable proteins when substrates are provided for protein synthesis. Similar results were obtained with GSSG as a substrate; the inclusion of a GGT inhibitor decreased the incorporation of 35S into protein (Baumrucker et al. 1981Citation ). The lactating mammary gland can also use other peptides as a source of amino acids. This is the case for some methionine-containing di- and tripeptides, which promote a higher incorporation of 3H-leucine into secreted proteins than free L-methionine in mammary tissue explants from d 10–11 lactating CD-1 mice (Wang et al. 1996Citation ).

There is a flow of total glutathione from tissues with low GGT activity to plasma and from plasma to those tissues with high GGT activity. The major organs involved in this intertissue flux of GSH are the liver, which has low GGT activity, and the kidney, pancreas and the lactating mammary gland, which are tissues with high GGT activity; thus, the increased production and release of GSH by the liver is important during lactation. The amount and activity of liver {gamma}-cystathionase increase significantly during lactation (Awata et al. 1993Citation ). The importance of this enzyme for the maintenance of lactation is clear because propargylglycine injection produces an inhibition of {gamma}-cystathionase and a decrease of liver GSH, as previously described for virgin rats injected with PPG (Triguero et al. 1997Citation ).This is followed by a decrease in milk production and in the arteriovenous difference of amino acids and GSH, but this is reversed by the administration of N-acetyl-L-cysteine, which yields L-cysteine, the product of the {gamma}-cystathionase reaction and a very good precursor of GSH.

The increased protein intake due to the hyperphagia during lactation explains the high activity of this enzyme. However, the release of total glutathione (GSH + GSSG) by total liver was significantly higher in the lactating rats than in the protein pair-fed virgin rats; this was due to the liver hypertrophy. The signals responsible for the high release of total glutathione by liver of lactating rats are the increase in protein intake, which modulates the expression and activity of hepatic {gamma}-cystathionase, and the liver hypertrophy, which is unrelated to protein intake and is due to physiologic changes of lactation (Barber et al. 1990Citation ).

The data from rats fed a liquid diet, the arteriovenous differences of L-cysteine and L-cystine (Table 6)Citation , together with the blood flow to the mammary gland and the total weight of the mammary gland (Viña et al. 1987Citation ), allow us to estimate that the total uptake of L-cysteine and L-cystine is 21 and 52 nmol/(min·gland), respectively. These values are lower than the uptake of total glutathione (GSH + GSSG) by the mammary gland, which is 454 nmol/(min · gland) (Table 5)Citation . Thus, GSH is the most important source of milk L-cysteine because it can be used by the mammary gland as a result of the activity of GGT, an enzyme that is present in high levels in the lactating mammary gland (Baumrucker et al. 1981Citation , Viña et al. 1981Citation ). This enzyme is also involved in the regulation of amino acid uptake by different tissues, including the lactating mammary gland and the blood-brain barrier (Lee et al. 1996Citation , Viña et al. 1989Citation ).

The supply of L-cysteine as a component of milk protein and as a nonprotein compound is important to neonates, especially the premature, because {gamma}-cystathionase is not fully expressed (Pallardó et al. 1991Citation , Sturman et al. 1970Citation , Viña et al. 1995Citation ). Therefore, L-cysteine can be considered an essential amino acid in the first days of life. This emphasizes the physiologic importance of this intertissue flux of GSH found in the lactating mother, because it allows a delivery of L-cysteine to the mammary gland, thus ensuring that the neonate receives the amount of this amino acid required for normal growth and development through the milk.


    ACKNOWLEDGMENTS
 
We thank Rosa Cibrián for her help in the statistics.


    FOOTNOTES
 
1 Supported by the Fondo de Investigación Sanitaria (FIS 96/1160), Spain. Back

3 Abbreviations used: GADPH, glyceraldehyde 3-phosphate dehydrogenase; GGT, {gamma}-glutamyltranspeptidase; GSH, reduced glutathione; GSSG oxidized glutathione; NAC, N-acetyl-L-cysteine; PPG propargylglycine; RT-PCR, reverse transcriptase-polymerase chain reaction. Back

Manuscript received August 19, 1998. Initial review completed October 3, 1998. Revision accepted January 21, 1999.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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