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(Journal of Nutrition. 2000;130:950S-953S.)
© 2000 The American Society for Nutritional Sciences


Supplement

Responses to Umami Substances in Taste Bud Cells Innervated by the Chorda Tympani and Glossopharyngeal Nerves1 ,2

Yuzo Ninomiya*3, Kiyohito Nakashima{dagger}, Atsuo Fukuda**, Hitoo Nishino{ddagger}, Tadataka Sugimura*, Akihiko Hino{dagger}{dagger}, Victoria Danilova{ddagger}{ddagger} and Göran Hellekant{ddagger}{ddagger}

Departments of * Oral Physiology and {dagger} Chemistry, Asahi University School of Dentistry, Hozumi, Motosu, Gifu 501-0223 Japan; ** Department of Physiology, Hamamatsu University School of Medicine, Hamamatsu 431-3192 Japan; {ddagger} Department of Physiology, Nagoya City University School of Medicine, Nagoya 467-0001 Japan; {dagger}{dagger} Molecular Engineering Laboratory, National Food Research Institute, MAFF, Tukuba 305-8642 Japan; and {ddagger}{ddagger} University of Wisconsin and Wisconsin Regional Primate Center, Madison, WI 53706

3To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
The chorda tympani (CT) and glossopharyngeal (GL) nerves of several mammalian species respond differently to umami substances (US) such as monosodium glutamate (MSG), disodium 5'-inosinate (IMP) and disodium 5'-guanylate (GMP). In mice and rhesus monkeys, responses to US are greater in the GL than the CT nerve, with the GL nerve containing larger numbers of MSG-sensitive fibers. Gurmarin, a sweet response inhibitor, suppresses the mouse CT responses to the mixture of MSG and IMP to ~65% of control levels but not to the metabotropic and ionotropic glutamate agonists 2-amino-4-phophonobutyrate and N-methyl-D-aspartate. Gurmarin does not inhibit any taste responses in the GL. In mice, CT responses to MSG may be masked by their greater sensitivity to sodium ions. Calcium imaging studies demonstrate that some mouse taste cells isolated from the fungiform papilla innervated by the CT respond selectively (as indicated by a rise in intracellular Ca2+ concentrations) to MSG and/or IMP or GMP. These MSG responses are not suppressed notably by reducing the Ca2+ concentration of the stimulus solution, suggesting that the observed Ca2+ release is from intracellular stores. Measurements of second messengers in the mouse fungiform papilla have revealed consistently that MSG elicits increases in both inositol 1,4,5-trisphosphate and adenosine 3',5'-cyclic monophosphate levels. Together, these results suggest that US may stimulate two different transduction mechanisms in the fungiform papilla. They also suggest that gurmarin-insensitive components of receptors for US, including metabotropic and ionotropic glutamate receptors, may be commonly involved in transduction for umami taste in taste cells on both anterior and posterior parts of the tongue.


KEY WORDS: • umami • glutamate receptors • taste cells • chorda tympani nerve • glossopharyngeal nerve


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
Previous electrophysiologic studies in several species of mammals have suggested differences in taste receptor sensitivities of taste bud cells located on the anterior and posterior parts of the tongue (Frank 1991Citation , Harada and Smith 1992Citation , Ninomiya and Funakoshi 1987Citation and 1989aCitation , Ninomiya et al. 1991Citation and 1993Citation , Shingai and Beidler 1985Citation ). The most clear-cut difference may be sensitivity to amiloride (a Na+ channel blocker in various epithelial cells, and an inhibitor of NaCl responses in taste cells) in some strains of mice and rats; this response is robust in taste cells of the fungiform and a portion of the folliate papillae located on the anterior two thirds of the tongue [innervated by the chorda tympani (CT)4 nerve], but weak in taste cells of the vallate and foliate papillae located on the posterior third of the tongue [innervated by the gossopharyngeal (GL) nerve] (Doolin and Gilbertson 1996Citation , Formaker and Hill 1991Citation , Kitada et al. 1998Citation , Ninomiya et al. 1991Citation , Ninomiya 1998Citation ). Similarly, a prominent difference in inhibition of sweetener responses by gurmarin (a 4209-Da peptide isolated from the plant, Gymnema sylvestre) of the CT and GL nerves has been found in mice (Ninomiya et al. 1997Citation ). Gurmarin inhibited sweetener responses of the CT nerve by ~50% of control response, whereas it had a minimal effect on responses of the GL nerve, suggesting a lack of gurmarin-sensitivity in taste cells innervated by the GL nerve.

Our previous studies in mice (Ninomiya and Funakoshi 1987Citation and 1989aCitation ) and rhesus monkeys (Hellekant et al. 1997aCitation ) have also demonstrated a difference in the two taste nerves regarding their response to umami substances (US) such as monosodium glutamate (MSG), disodium 5'-inosinate (IMP) and disodium 5'-guanylate (GMP). In both species, single fibers having highly selective sensitivity to umami substances appeared in the GL nerve, whereas no such MSG-selective fibers were found in the CT nerve. Consistently, mouse behavioral studies using a conditioned taste aversion paradigm suggested that the GL nerve plays a more important role than the CT nerve in the discrimination of umami substances from other basic taste substances (Ninomiya and Funakoshi 1987Citation and 1989bCitation ). In this paper, we address possible properties of umami taste receptors in taste buds innervated by the CT and GL nerves by discussing data from previous electrophysiologic studies of the responses of taste nerves to umami substances as well as recent findings from our laboratory regarding changes in the intracellular concentrations of Ca2+ ([Ca2+]i) and second messengers [e.g., cAMP or inositol 1,4,5-trisphosphate (IP3)] of taste cells in response to umami substances.


    Differential responsiveness of the CT and GL nerves to umami substances
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
About 30 years ago, Sato and his colleagues first recorded single-fiber responses to MSG from the rat CT nerve and found the following: 1) fibers sensitive to MSG also responded to either NaCl or sucrose, and 2) some fibers showed enhancement of responses to MSG when it was mixed with IMP or GMP (synergism between MSG and IMP or GMP) (Sato et al. 1970Citation ). They also found that most fibers showing this synergism were sensitive predominantly to sucrose. This relatively low taste selectivity of MSG-sensitive CT fibers was also observed in subsequent studies in hamsters (Yamamoto et al. 1988Citation ) and rhesus monkeys (Hellekant et al. 1997aCitation ). Consistently, behavioral studies using a conditioned taste aversion paradigm in rats (Yamamoto et al. 1985Citation ) and hamsters (Yamamoto et al. 1988Citation ) have shown that these animals had a generalized aversion to 100 mmol/L MSG + IMP from 100 mmol/L NaCl. This result might be caused by the Na+ contained in these three taste substances, which strongly stimulates taste bud cells innervated by the CT nerve in these species. But Yamamoto et al. (1991)Citation reported that rats could discriminate 100 mmol/L MSG from 100 mmol/L NaCl when they were dissolved in 0.01–0.03 mmol/L amiloride, though they did not discriminate MSG from 500 mmol/L sucrose.

About 10 y ago, we first identified taste fibers in the mouse GL nerve that responded strongly to 100 mmol/L MSG, but very weakly (if at all) to 100 mmol/L NaCl, 500 mmol/L sucrose, 10 mmol/L HCl and 20 mmol/L quinine (Ninomiya et al. 1987Citation and 1989aCitation ). These MSG-sensitive fibers exhibited the synergistic effect of 0.5 mmol/L GMP on the MSG response. Consistently, behavioral studies using a conditioned taste aversion demonstrated that normal mice could discriminate MSG from the original group of four basic taste stimuli. However, mice that had undergone bilateral sectioning of the GL nerve could not discriminate MSG from NaCl (Ninomiya and Funakoshi 1987Citation and 1989bCitation ). These results suggest that the GL nerve conveys taste information for umami substances, which can be discriminated from that of the other basic tastes. The greater sensitivity to umami substances of the posterior than the anterior parts of the tongue was subsequently identified in a psychophysical study in humans (Yamaguchi 1998Citation ) and an electrophysiologic study in rhesus monkeys (Hellekant et al. 1997Citation ). In rhesus monkeys, a hierarchical cluster analysis on the taste responses of 33 GL fibers resulted in three major clusters (M, Q and S). Five fibers were grouped as the M-cluster in which MSG elicited the largest responses among 20 stimuli.

Although the posterior part of the tongue may be the key site for glutamate taste perception in many mammals, chimpanzees (Hellekant and Ninomiya, 1991Citation , Hellekant et al. 1997bCitation ) and pigs (Danilova et al. 1999Citation ), in which the response to sodium is very weakly (if at all) inhibited by amiloride, reportedly have CT fibers that are specifically sensitive to US. In pigs, such fibers, grouped as an M-cluster, constituted ~15% of the CT and 10% of the GL fibers. Interestingly, 70 mmol/L MSG was one of best stimuli for the CT nerve among the various taste stimuli tested, including 100 mmol/L NaCl, 300 mmol/L sucrose, 20 mmol/L citric acid and 5 mmol/L quinine HCl (Danilova et al. 1999Citation ). Therefore, it is possible in rodents that some populations of specific receptors for glutamate may also exist in the anterior part of the tongue, although the much higher sensitivity to sodium on the anterior part of the tongue may mask the taste response occurring through such specific glutamate receptors.


    [Ca2+]i response to US in isolated taste cells from the mouse fungiform papillae
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
To address the above-mentioned possibility, we measured changes in [Ca2+]i of isolated taste cells in response to bath-applied taste substances. We also examined the specificity of taste cell responsiveness to US. Taste bud cells from the fungiform papillae of C57BL mice were isolated, loaded with Fura-PE3 and subjected to digital fluorescence ratio imaging. Of 16 taste cells tested, seven increased [Ca2+]i in response to 30 mmol/L MSG and/or the mixture of 30 mmol/L MSG and 0.5 mmol/L IMP or GMP. Five of seven MSG-sensitive cells did not respond to either 20 mmol/L sodium saccharin or 10 mmol/L denatonium. Four MSG-sensitive cells showed the synergistic effect of IMP or GMP on the MSG responses. These results suggest that taste cells that are selectively responsive to US when they are adapted with saline may exist in the mouse fungiform papilla. However, it should be noted that such a suggestion must be tempered by the recognition that in such experiments, exposure of taste receptor cells to the tastants was not confined to their apical, chemosensitive tips (as would be the case in vivo), that is, all surfaces of the cells were exposed (i.e., the basolateral membrane).

Importantly, in three of four MSG-sensitive cells tested, lowering the Ca2+ concentration in the stimulus solution did not reduce substantially the increases in [Ca2+]i that resulted from exposure to a mixture of MSG and IMP (or GMP). Therefore, the increase in [Ca2+]i in these cells did not require the presence of extracellular Ca2+, suggesting that the observed Ca2+ release occurred mainly from intracellular stores. This result strongly suggests that the IP3 pathway may be involved in the transduction mechanisms for US.


    Changes in the concentrations of IP3 and cAMP in fungiform papillae in response to US
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
We tested the above possibility by measuring IP3 and cAMP levels in the fungiform papillae of C57BL mice after exposure to US. Within 10 s of applying tastants to the tongues of anesthetized animals, each fungiform papilla was removed with fine forceps and frozen in liquid nitrogen (Nakashima and Ninomiya 1997Citation and 1998Citation ). This procedure was repeated, and 60 fungiform papillae from two mouse tongues were pooled. The levels of both IP3 and cAMP in each tissue pool were measured by radiobinding assay kits. As expected, stimulation with US (100 mmol/L MSG, 0.5 mmol/L IMP and a mixture of 30 mmol/L MSG and 0.5 mmol/L IMP for cAMP levels, and 30 and 100 mmol/L MSG, 0.5 mmol/L IMP and a mixture of 30 mmol/L MSG and 0.5 mmol/L IMP for IP3 levels) significantly increased both cAMP and IP3 levels in the fungiform papilla compared with the control levels of cAMP and IP3 achieved after stimulation with distilled water (t test, P < 0.05–0.01). Stimulation with 500 mmol/L sucrose also increased the cAMP level (t test, P < 0.01) but not the IP3 level (t test, P > 0.05), whereas 100 mmol/L NaCl produced no significant changes in either cAMP or IP3 levels (t test, P > 0.05). These results suggest that both cAMP and IP3 pathways may be involved in taste transduction for US in the mouse fungiform papilla. Interestingly, increases in both cAMP and IP3 levels elicited by a mixture of 30 mmol/L MSG and 0.5 mmol/L IMP were larger than the sum of the increases produced separately by each component stimulus, suggesting that the synergism between MSG and IMP occurred separately in the two different transduction pathways. Therefore, it is probable that the site of occurrence of the synergism of US may be at the receptor level, as previously proposed by Kurihara and colleagues (Kumazawa et al. 1991Citation ).


    Gurmarin-sensitive and -insensitive receptor mechanisms for US
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
Gurmarin is a sweet response inhibitor for rats and C57BL mice; however, it has a minimal effect on sweet responses in BALB mice or sweetness perception in humans (Imoto et al. 1991Citation , Ninomiya and Imoto 1995Citation , Ninomiya et al. 1997Citation ). In mice, the existence of two different sweet receptors, gurmarin-sensitive and -insensitive types, has been postulated (Ninomiya and Imoto 1995Citation , Ninomiya et al. 1997Citation ). Gurmarin has been reported to suppress completely the response of the CT nerve in rats to a mixture of 100 mmol/L MSG and 10 mmol/L IMP dissolved in amiloride solution (Yamamoto et al. 1991Citation ). This suggests that in rats, the amiloride-insensitive response component to the mixture of US might occur through the gurmarin-sensitive sweet receptor. However, our own data involving measurements of [Ca2+]i and intracellular concentrations of cAMP and IP3 in mouse taste cells (discussed above) suggest that receptor mechanisms for US may not necessarily be common to that for sweeteners. To examine this issue, we explored possible effects of gurmarin on the responses of the CT and GL nerves to US in C57BL mice. We used gurmarin at a level of 100 µg/mL, which is higher than the concentrations (30–50 µg/mL) that produce maximal inhibition of the sweet responses of the CT nerve of C57BL mice. As previously reported (Ninomiya et al. 1997Citation ), gurmarin did not affect the responses of the GL nerve to any of the taste stimuli tested, including US. In the CT nerve, however, gurmarin suppressed the responses to sweeteners and to a mixture of MSG and IMP (to ~65% of control). Unlike in rats, however, the enhancement of MSG responsiveness by the addition of IMP was clearly observed after gurmarin treatment in mice. This suggests that the synergism of US occurs not only through gurmarin-sensitive, but also gurmarin-insensitive receptor mechanisms. Further treatment of the tongue with pronase E, a proteolytic enzyme that inhibits sweet responses in rats and mice (Hiji 1975Citation , Ninomiya et al. 1992Citation ), abolished the responses to sweeteners almost completely, but minimally suppressed the residual responses to the US mixture after gurmarin. In the CT nerve, 2-amino-4-phosphonobutyrate (L-AP4, at 1.0 mmol/L or more of concentrations), a metabotropic glutamate receptor (mGluR4) agonist, and N-methyl d-aspartic acid (NMDA, at 3.0 mmol/L or more of concentrations), an ionotropic glutamate receptor agonist, were also effective stimuli; responses to 10 mmol/L L-AP4 and NMDA were potentiated by 0.5 mmol/L IMP. Neither gurmarin nor pronase significantly suppressed responses to L-AP4 and NMDA, or their mixtures with IMP. Therefore, it is possible that a gurmarin-insensitive component of responses to the MSG-IMP mixture may occur through glutamate receptors that could be activated by L-AP4 and/or NMDA.


    Possible receptor mechanisms for US in taste cells innervated by the CT and GL nerves
 TOP
 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 
Glutamate receptors in taste buds innervated by the GL nerve.

Hayashi et al. (1996)Citation measured membrane potentials and [Ca2+]i in isolated taste buds from vallate and foliate papillae of C3H mice in response to 1 mmol/L glutamate, L-AP4 and NMDA by using both the calcium-sensitive dye Fura-2 and the fast voltage-sensitive dye di-8-ANEPPS. They found that L-AP4 elicited primarily decreases in [Ca2+]i, whereas NMDA elicited increases in [Ca2+]i. L-Glutamate elicited both increases and decreases in [Ca2+]i in different cells. Measurements in taste cells doubly labeled with Fura-2 and di-8-ANEPPS indicated that the increases in [Ca2+]i occurred simultaneously with cell depolarization, whereas the decreases in [Ca2+]i were not accompanied by measurable changes in membrane potential. These data suggest that in mouse taste cells, there are multiple receptors for glutamate including metabotropic (L-AP4) and ionotropic (NMDA) types, but that the metabotropic receptors responding to L-AP4 do not mediate excitatory glutamate taste responses. In their subsequent studies using C57BL mice, Hayashi et al. (1997)Citation found that unlike C3H mice, C57BL mice showed increases in [Ca2+]i in ~40% of taste cells in response to L-AP4. The concentration of L-AP4 employed was 1.0 mmol/L, close to the threshold for excitatory responses by the CT nerve in C57BL mice, as shown above. Therefore, in this concentration range, the responsiveness to L-AP4 may vary widely even within L-AP4–sensitive taste cells in mice.

By using reverse transcriptase-polymerase chain reaction, Chaudhari et al. (1996Citation ) found that several ionotropic and metabolic glutamate receptors are expressed in the rat lingual tissue, including vallate and foliate papillae. Among these glutamate receptors, ionotropic receptors were detected in lingual tissue devoid of taste buds, whereas the metabolic glutamate receptor, mGluR4, was expressed selectively in taste buds. They also found that expression of mGluR4 in taste buds is higher in preweanling rats compared with adult rats, corresponding to greater responses of the GL nerve to MSG in juvenile mice (Ninomiya et al. 1991Citation ). Their behavioral studies using a conditioned taste aversion paradigm have indicated that 5 and 10 mmol/L L-AP4 and 15 and 50 mmol/L MSG dissolved in an amiloride solution elicited similar tastes in rats. From these results, they concluded that mGluR4 may be a chemosensory receptor responsible in part for the taste of MSG.

Their subsequent studies (Bigiani et al. 1997Citation ), using whole-cell patch-clamp techniques in isolated rat taste cells, demonstrated that MSG (10–20 mmol/L) elicited inward currents with an increase in membrane conductance (transient responses) and outward currents with a decrease in membrane conductance (sustained responses). These two different membrane currents may be generated by two different sets of nonselective cation channels, one closed (sustained response) and the other opened (transient response) by glutamate. L-AP4 (0.83 mmol/L) mimicked only the sustained response. Similar two-type responses to MSG (10 mmol/L) and the sustained response to L-AP4 (1.0 mmol/L) were also observed in taste cells isolated from vallate and foliate papillae in C3H and C57BL mice (Oh et al. 1997Citation , Sugimoto 1996Citation ).

From these results, it is likely that taste cells of the vallate and foliate papillae in rodents may possess multiple receptors including metabotropic (mGluR4) and ionotropic (NMDA-type) glutamate receptors for transduction of umami taste.

Receptors responsible for MSG responses in taste cells innervated by the CT nerve.

Data from previous electrophysiologic studies on single CT responses in rats and mice (Ninomiya and Funakoshi 1987Citation and 1989aCitation , Sato et al. 1970Citation , Yamamoto et al. 1991Citation ) suggested that the CT responses to MSG may occur at least through amiloride-sensitive sodium and gurmarin-sensitive sweet receptors. In addition to these two receptors, our data (discussed above) suggest the participation of gurmarin-insensitive components of receptors in the mouse CT responses to MSG, which may include the metabotropic (mGluR4) and ionotropic (NMDA-type) glutamate receptors. MSG, like sucrose and saccharin, elicited increases in cAMP in the fungiform papilla. This increase in cAMP in response to MSG might occur through sweet receptors, because increases in cAMP in response to sucrose and saccharin disappear after lingual treatment with pronase (Nakashima and Ninomiya 1997Citation and 1998Citation ). In addition, MSG elicited increases in IP3 in the fungiform papilla. Data from calcium imaging studies demonstrated that the increase in [Ca2+]i in taste cells in response to a mixture of MSG and IMP or GMP did not require the presence of extracellular Ca2+. This result also suggests an involvement of the IP3 pathway in the transduction for MSG responses, in which Ca2+ release could be elicited from intracellular stores. Although there are no available data suggesting directly which receptor could be responsible for this increase in IP3, it is possible that L-AP4-sensitive receptors (mGluR4) are involved. That is, a recent study in salamander retinal ganglion cells (Shen and Slaughter 1998Citation ) showed that L-AP4 stimulates Ca2+ release from internal stores, and antagonists of phospholipase C, IP3 and ryanodine receptors inhibited the action of L-AP4. This indicates that L-AP4–sensitive metabotropic glutamate receptor transduction is linked to the IP3 pathway. Generally, it is accepted that mGluR4 (group III of metabotropic glutamate receptors) is linked to inhibition of adenyl cyclase (Pin and Duvoisin 1995Citation ). Comparably, it has been shown that MSG (10–20 mmol/L) elicits a decrease in cAMP concentrations in taste buds from rat vallate and foliate papillae (Zhou and Chaudhari 1997Citation ). Taking these facts together with our findings, it is possible that MSG activates different transduction pathways in different taste cells in the mouse fungiform papilla, eliciting increases in cAMP in sweet-sensitive taste cells, and both decreases in cAMP and increases in IP3 in L-AP4-sensitive taste cells. However, future extensive studies are required to evaluate these possibilities.

In conclusion, our data together with those from previous studies suggest that gurmarin-insensitive components of receptors for US, including metabotropic and ionotropic glutamate receptors, may commonly be involved in the transduction of the umami taste in taste bud cells on both anterior and posterior parts of the tongue in mice.


    FOOTNOTES
 
1 Presented at the International Symposium on Glutamate, October 12–14, 1998 at the Clinical Center for Rare Diseases Aldo e Cele Daccó, Mario Negri Institute for Pharmacological Research, Bergamo, Italy. The symposium was sponsored jointly by the Baylor College of Medicine, the Center for Nutrition at the University of Pittsburgh School of Medicine, the Monell Chemical Senses Center, the International Union of Food Science and Technology, and the Center for Human Nutrition; financial support was provided by the International Glutamate Technical Committee. The proceedings of the symposium are published as a supplement to The Journal of Nutrition. Editors for the symposium publication were John D. Fernstrom, the University of Pittsburgh School of Medicine, and Silvio Garattini, the Mario Negri Institute for Pharmacological Research. Back

2 Supported in part by Grant-in-Aid Nos. 09470407 and 09557147 for Scientific Research from the Ministry of Education, Science, Sports and Culture of Japan. Back

4 Abbreviations used: L-AP4, 2-amino-4-phosphonobutyrate; CT, chorda tympani; GL, glossopharyngeal; GMP, disodium 5'-guanylate; IMP, disodium 5'-inosinate; IP3, inositol 1,4,5-triphosphate; MSG, monosodium glutamate; NMDA, N-methyl-D-aspartic acid; US, umami substances. Back


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 ABSTRACT
 INTRODUCTION
 Differential responsiveness of...
 [Ca2+]i response to US...
 Changes in the concentrations...
 Gurmarin-sensitive and ...
 Possible receptor mechanisms for...
 REFERENCES
 

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