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1 First Department of Physiology, Shinshu University School of Medicine, Matsumoto; 2 Department of Electronics and Control Engineering, Nagano National College of Technology, Nagano, 381-8550; and 3 Institute of Organ Transplants, Reconstructive Medicine, and Tissue Engineering, Shinshu University Graduate School of Medicine, Matsumoto 390-8621, Japan
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ABSTRACT |
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Parathyroid
hormone-related protein (PTHrP) was originally found as a tumor-derived
vasoactive factor and has also been known to produce significant
relaxation of vascular smooth muscles. Thus effects of PTHrP-(1-34), a
PTH receptor-binding domain, on spontaneous lymphatic pump activity was
investigated in isolated pressurized lymph vessels of mice. Low
concentrations (1 × 10
10 and 3 × 10
10 M) of PTHrP-(1-34) dilated lymph vessels and reduced
the frequency of pump activity, whereas high concentrations (1 × 10
9 to 1 × 10
8 M) of PTHrP-(1-34)
caused dilation with cessation of the lymphatic pump activity.
N
-nitro-L-arginine methyl ester
(L-NAME; 3 × 10
5 M) but not
indomethacin (1 × 10
5 M) significantly reduced the
PTHrP-(1-34)-induced inhibitory responses of the lymphatic pump
activity. In the presence of L-NAME (3 × 10
5 M) and L-arginine (1 × 10
3 M), the L-NAME-induced inhibition in the
PTHrP-(1-34)-mediated responses was significantly reduced.
Glibenclamide (1 × 10
6 M) significantly suppressed
the inhibitory responses of the lymphatic pump activity induced by
PTHrP-(1-34) and
S-nitroso-N-acetyl-penicillamine. The
PTHrP-(1-34)-mediated inhibitory responses were significantly reduced
by treatment with PTHrP-(7-34) (1 × 10
7 M). These results suggest that PTHrP-(1-34) inhibits
spontaneous pump activity of the isolated lymph vessels via PTH
receptors and that production and release of endogenous nitric oxide
and activation of ATP-sensitive K+ channels in the lymph
vessels contribute to the PTHrP-(1-34)-mediated inhibitory responses of
the lymphatic pump activity.
mice; nitric oxide; ATP-sensitive K+ channel
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INTRODUCTION |
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THE LYMPHATIC SYSTEM plays an important role in regulating the transport of extracellular fluids and macromolecular substances in tissues and organs in that lymph vessels act to return fluid and protein that escapes from the blood capillaries to the systemic circulation. In the pathophysiological condition, the lymphatic system also works as a route for macrophage traffic in immunological responses and metastasis of malignant carcinoma cells. The transport of escaped fluid, protein, and cells is initiated by a transient pressure gradient through the lymph vessels (2, 33). To produce the pressure gradient, the intrinsic spontaneous activity of the collecting lymph vessels also functions as a series of lymphatic pumps that propel the lymph and cells centripetally (13, 22, 24, 25).
It is well known that humoral and neural factors affect the spontaneous pump activity of lymph vessels (21). Vasoactive peptides such as bradykinin and endothelin play especially pivotal roles in the regulation of intrinsic pump activity of isolated bovine collecting lymph vessels (3, 31). Vasoactive intestinal peptide is also confirmed in lymph vessel walls, the activation of which results in a marked inhibition of lymphatic pump activity (21).
Parathyroid hormone-related protein (PTHrP) was originally found as a tumor-derived humoral factor (26). PTHrP is also known to affect the cardiovascular system as an autocrine and/or paracrine factor (32); thus PTHrP reduces systemic blood pressure in vivo and causes relaxation of vascular smooth muscles (8, 10, 20, 27, 35, 37, 39). It may be reasonable to hypothesize that, as it is a macromolecular substance, the tumor cell-derived PTHrP can easily penetrate initial microlymphatics and then inhibit the intrinsic pump activity of collecting lymph vessels. This may contribute to formation of edema in tumor tissues, increasing of hydrostatic pressure in tissue, and dilution of tumor cell-derived substances including cytokines, growth factors, and lymph vessel active substances such as PTHrP. Dilution of PTHrP and other substances (21) that inhibit vasoactivity may facilitate lymphogenous spread of tumor cells by allowing lymph clearance from tumor sites. Increased lymph clearance may provide a route for tumor cells to leave the primary site and metastasize.
There is, however, no report that evaluates the potential effects of PTHrP on the spontaneous lymphatic pump activity. Therefore, we attempted to study the effects of PTHrP-(1-34), a PTH receptor-binding domain (11), on the spontaneous pump activity of murine isolated iliac lymph vessels and then to investigate the detailed mode of action of PTHrP-(1-34) with special reference to endogenous nitric oxide (NO) and ATP-sensitive K+ channels.
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MATERIALS AND METHODS |
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The study subjects were male ddY mice (ages 5-7 wk; n = 44; body weight ~30 g) obtained from Japan SLC. The mice were housed in an environmentally controlled vivarium and fed a standard pellet diet with water ad libitum. All experimental protocols were approved by the Animal Ethics Committee of Shinshu University School of Medicine in accordance with the Japanese Physiological Society's "Guide for the Care and Use of Laboratory Animals."
Isolation and cannulation of lymph vessels.
The mice were anesthetized with pentobarbital sodium (50 mg/kg ip) and
exsanguinated. After an incision was made in the abdomen, the iliac
lymph nodes and the efferent lymph vessels were excised and placed on a
petri dish containing cold Krebs bicarbonate solution (~4°C). The
Krebs solution contained (in mM) 120.0 NaCl, 5.9 KCl, 2.5 CaCl2, 1.2 MgSO4, 1.2 NaH2PO4, 5.5 glucose, and 25.0 NaHCO3. With the use of microsurgical instruments and an
operating microscope, 44 lymph vessels (maximum diameter 160.8 ± 3.8 µm; length 3 mm) were isolated and transferred to a 10-ml vessel
chamber that contained two glass micropipettes and Krebs bicarbonate
solution. The murine lymph vessels have one or two smooth muscle
layers, which were confirmed by immunofluorescence staining for
anti-smooth muscle
-actin antibody (19).
Measurement of lymph-vessel diameter. Images of lymph vessels were obtained through an objective lens (×4), a photo-eyepiece lens (×5), and a monochrome charge-coupled device camera (KCB-270A; KOCOM) and were displayed on a TV monitor (Hamamatsu Photonics). Changes in the diameters of lymph vessels in response to vasoactive agents were manually and automatically measured with a custom-made diameter-detection device (25), calibrated with a stage micrometer (Nikon), and recorded on a videocassette recorder (HR-S100; Victor) and a direct-writing oscillograph (Recti-Horiz-8K; Sanei-Sokki) (16).
Experimental protocols.
A single concentration of PTHrP-(1-34) (either 1 × 10
10, 3 × 10
10, 1 × 10
9, 3 × 10
9, or 1 × 10
8 M) was perfused into the vessel chamber for 3 min to
construct a single dose-response curve for the agonist in each lymph
vessel. Dose-dependent responses of the lymph vessels for PTHrP-(1-34) were obtained in the absence or presence of 3 × 10
5
M N
-nitro-L-arginine methyl ester
[L-NAME, an inhibitor of NO synthase (NOS)], 3 × 10
5 M L-NAME + 1 × 10
3 M L-arginine, 1 × 10
6
M glibenclamide (a selective blocker of ATP-sensitive K+
channels), 1 × 10
5 M indomethacin (an inhibitor of
cyclooxygenase), or 1 × 10
7 M
PTHrP-(7-34) (a PTH-receptor antagonist) (18,
36), respectively. Dose-response curves for
S-nitroso-N-acetyl-penicillamine (SNAP; 3 × 10
9 to 1 × 10
7 M) were also obtained
in the absence or presence of glibenclamide (1 × 10
6 M). The vessels were incubated with inhibitors for 30 min before responses to the vasoactive substances were evaluated.
Drugs.
All salts for the Krebs solution (Wako), PTHrP-(1-34),
PTHrP-(7-34) (Peptide Institute), L-NAME
hydrochloride, L-arginine hydrochloride, indomethacin
(Sigma; St. Louis, MO), SNAP (Dojindo), and glibenclamide (RBI) were
used in the present study. PTHrP-(1-34) and PTHrP-(7-34)
were dissolved into Na2HPO4/citric acid buffer solution (25 mM) as a stock solution (1 × 10
4 M)
and stored at
80°C until used. Glibenclamide and SNAP were dissolved into DSMO. The DMSO in the concentration did not exceed 0.0047% in the vessel chamber. The
Na2HPO4/citric acid buffer solution and the
DMSO in the concentration used in the present study did not affect the
spontaneous pump activity of lymph vessels. Concentrations of drugs
were expressed as final concentrations in the vessel chamber. All salts
and drugs were prepared on the day of the experiment.
Statistics.
The PTHrP-(1-34)-induced responses are expressed as the percentage of
inhibition of the spontaneous pump activity of lymph vessels. Thus the
averaged frequency (times per minute) of lymphatic pump activity during
the PTHrP-(1-34)-induced inhibitory response was normalized by the
averaged frequency before application of the agonists. Direct effects
of inhibitors on maximum diameter (Dmax),
minimum diameter (Dmin), and frequency of
spontaneous pump activity of lymph vessels are expressed as
%Dmax, %Dmin, and
%frequency, respectively, and were normalized by each value before the
application of drugs. Ejection fraction, a parameter of spontaneous
lymph-vessel contraction, was calculated as follows (25,
34): {
(Dmax/2)2
(Dmin/2)2}/
(Dmax/2)2.
The data are presented as means ± SE of the mean, and
n indicates the number of vessels. Significant differences
(P < 0.05) were determined by one-way ANOVA as well as
Scheffé's post hoc test and/or paired or unpaired Student's
t-test as appropriate.
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RESULTS |
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PTHrP-(1-34)-induced inhibition of spontaneous pump activity of the
lymph vessels.
The isolated lymph vessels of mice exhibited spontaneous constriction
and dilation at an intraluminal pressure of 3-4 cmH2O. The Dmax, Dmin,
frequency, and ejection fraction values for the spontaneous pump
activity of the lymph vessels were 160.8 ± 3.8 µm, 142.0 ± 3.6 µm, 13.5 ± 0.2 min
1, and 0.22 ± 0.01, respectively; n = 44 for each measurement.
10 and
3 × 10
10 M) caused slight dilation of the lymph
vessels and slightly decreased the rhythm of the lymphatic pump
activity. Thus 1 × 10
10 and 3 × 10
10 M PTHrP-(1-34) reduced the frequency of lymphatic
pump activity from 14.3 ± 0.3 to 12.9 ± 0.4 min
1 (n = 16; 90.5 ± 1.9%;
P < 0.05 vs. measurements before agonist application)
and from 14.0 ± 0.3 to 11.3 ± 0.5 min
1
(n = 16; 80.2 ± 3.1%; P < 0.05 vs. measurements before agonist application), respectively. High
concentrations of PTHrP-(1-34) (1 × 10
9 to 1 × 10
8 M) induced a marked dilation of the lymph vessels
with cessation of spontaneous pump activity (see Fig.
1A): 3 × 10
9 M PTHrP-(1-34)-induced inhibition of the lymphatic
pump activity was 24.5 ± 1.9% (n = 16). The
second administration of the same concentration of PTHrP-(1-34) (1 × 10
10 to 1 × 10
8 M) was applied to
the same lymph vessel 60 min after the first administration of agonist,
and the lymph vessels demonstrated marked tachyphylaxis (see Fig.
1B). Therefore, a lymph vessel was isolated from one mouse
and used for each protocol in this study.
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Effects of L-NAME, L-NAME + L-arginine, and indomethacin on PTHrP-(1-34)-induced
inhibition of lymph-vessel pumping activity.
L-NAME (3 × 10
5 M) itself significantly
constricted the diameters and increased the frequency of lymphatic pump
activity. Thus the L-NAME-induced reductions in the
%Dmax and %Dmin values
for the lymph vessels were 86.0 ± 2.7% and 85.5 ± 2.9%
(n = 4; P < 0.05 vs. measurements
before L-NAME for each value), respectively. The
%frequency of the lymphatic pump activity increased to 117.7 ± 4.2% (n = 4; P < 0.05 vs.
measurements before L-NAME) after treatment with
L-NAME. Additional treatment with L-arginine
(1 × 10
3 M) significantly reversed both
L-NAME-induced reduction of the diameters and increment of
the frequency: %Dmax, 91.6 ± 2.5%; %Dmin, 91.1 ± 3.1%; and %frequency,
103.6 ± 3.6% (for each value, n = 4;
P < 0.05). Figure 2
shows representative recordings of 3 × 10
9 M
PTHrP-(1-34)-induced responses of the lymphatic pump activity (see Fig.
2A), the presence of 3 × 10
5 M
L-NAME only (see Fig. 2B) and 3 × 10
5 M L-NAME + 1 × 10
3 M L-arginine (see Fig. 2C).
Pretreatment with L-NAME (3 × 10
5 M)
significantly reversed the PTHrP-(1-34)-induced inhibitory response of
the lymphatic pump activity (see Fig. 2B). Simultaneous treatment with 3 × 10
5 M L-NAME and
1 × 10
3 M L-arginine caused reduction
of the L-NAME-induced effects on the 3 × 10
9 M PTHrP-(1-34)-mediated inhibitory response (see Fig.
2C), being quite similar to that produced by 3 × 10
9 M PTHrP-(1-34) alone. These results are summarized in
Fig. 3. Thus the values for 3 × 10
9 M PTHrP-(1-34)-induced inhibition of the lymphatic
pump activity in both the absence and presence of L-NAME
(3 × 10
5 M) alone and L-NAME (3 × 10
5 M) + L-arginine (1 × 10
3 M) were 28.0 ± 5.4% (n = 4),
76.6 ± 6.5% (n = 4; P < 0.05 vs. the absence of L-NAME, and P < 0.05 vs. the presence of L-NAME + L-arginine),
and 36.8 ± 5.1% (n = 4), respectively. In the
presence of 1 × 10
5 M indomethacin, the
PTHrP-(1-34)-induced inhibitory response of the lymphatic pump activity
was not affected significantly (data not shown).
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Effects of glibenclamide on PTHrP-(1-34)-induced inhibition of
isolated lymph-vessel pump activity.
Glibenclamide (1 × 10
6 M) itself significantly
constricted the diameters of the lymph vessels. The
glibenclamide-induced reductions of %Dmax and
%Dmin for the lymph vessels were 89.4 ± 1.0% and 93.0 ± 1.6%, respectively (n = 4 in
each group; P < 0.05 vs. measurements before
glibenclamide). There was, however, no significant difference in the
%frequency of the lymphatic pump activity before and after the
treatment with glibenclamide. Figure 4
demonstrates representative tracings of the effect of glibenclamide
(1 × 10
6 M) on the 3 × 10
9 M
PTHrP-(1-34)-induced inhibition of the lymphatic pump activity. These
results are summarized in Fig. 5. Thus
the values for 3 × 10
9 M PTHrP-(1-34)-induced
inhibition of the lymphatic pump activity in the absence and presence
of glibenclamide (1 × 10
6 M) were 28.3 ± 5.4% and 71.8 ± 11.4% (n = 4 in each group;
P < 0.05 vs. measurements in the absence of
glibenclamide), respectively.
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Effects of SNAP on pump activity in the absence or presence of
glibenclamide.
SNAP (3 × 10
9 to 1 × 10
7 M)
caused a dose-dependent inhibition of pump activity of the lymph
vessels (data not shown). In the presence of glibenclamide (1 × 10
6 M), the SNAP-induced inhibition was significantly
reduced. Thus the values for 1 × 10
7 M SNAP-induced
inhibition of the lymphatic pump activity in the absence and presence
of glibenclamide (1 × 10
6 M) were 22.5 ± 13.7% and 42.3 ± 16.6% (n = 4 in each group;
P < 0.05 vs. measurements in the absence of
glibenclamide), respectively.
Effect of PTHrP-(7-34) on PTHrP-(1-34)-induced
inhibition of spontaneous pump activity of isolated lymph vessels.
Pretreatment with only 1 × 10
7 M
PTHrP-(7-34) produced no significant effect on the
lymphatic pump activity. Figure 6 shows summarized data of the effects of 1 × 10
7 M
PTHrP-(7-34) on the PTHrP-(1-34)-induced inhibition of the lymphatic pump activity. Pretreatment with 1 × 10
7
M PTHrP-(7-34) significantly reversed the
PTHrP-(1-34)-induced inhibitory responses. Thus the measurements from
3 × 10
9 M PTHrP-(1-34)-induced inhibition of the
lymphatic pump activity in the absence and presence of 1 × 10
7 M PTHrP-(7-34) were 31.6 ± 6.9%
(n = 4) and 79.9 ± 9.4% [n = 4;
P < 0.05 vs. measurements in the absence of
PTHrP-(7-34)], respectively.
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DISCUSSION |
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The salient findings of the present study are summarized as: 1) PTHrP-(1-34) inhibits spontaneous pump activity of isolated murine lymph vessels, and 2) the production and release of endogenous NO in the lymph vessels and the activation of ATP-sensitive K+ channels in the lymphatic smooth muscles may contribute to the PTHrP-(1-34)-mediated inhibitory responses of the lymphatic pump activity via PTH receptors.
PTHrP-(1-34)-induced inhibitory responses of spontaneous pump
activity of isolated murine lymph vessels.
Isolated lymph vessels of mice as well as those obtained from the other
animals (13, 16, 22, 28) demonstrated a stable spontaneous
pump activity at a controlled pressurized condition. The
Dmax, Dmin, frequency,
and ejection-fraction values for spontaneous pump activity of isolated
murine lymph vessels were 160.8 ± 3.8 µm, 142.0 ± 3.6 µm, 13.5 ± 0.2 min
1, and 0.22 ± 0.01, respectively. In contrast, isolated rat mesenteric and iliac lymph
vessels exhibited spontaneous pump activity with a frequency of
20-25 min
1 and an ejection fraction of
0.70-0.80 (13, 16); these measurements are
significantly greater than those obtained with murine iliac lymph
vessels. Murine mesenteric lymph vessels in vivo also exhibit spontaneous pump activity (25) with frequency (13 min
1) and ejection fraction (0.22) values that are quite
similar to those obtained with murine iliac lymph vessels in the
present experiments.
10 M) decreased the frequency of spontaneous pump
activity of lymph vessels, whereas a marked dilation and cessation of
the spontaneous lymphatic pump activity was observed at a higher
concentration (~3 × 10
9 M) of PTHrP-(1-34). There
was also a marked tachyphylaxis in response to PTHrP-(1-34) in the
lymph vessels as well as in isolated blood vessels (10, 20,
35). The spontaneous contractions of isolated murine portal
veins were also known to be inhibited by PTHrP-(1-34) (10,
35). In addition, PTHrP-(1-34) caused marked relaxation of
isolated aortic, renal, and coronary arteries. (8, 27, 35, 37,
39). These results suggest that PTHrP-(1-34) has similar
pharmacological responses in the lymph vessels as in the blood vessels.
It may be reasonable to hypothesize that PTHrP-(1-34) regulates an
active lymph-transport mechanism as it appears to cause dilation of
lymph vessels and reduction in lymphatic pump activity, which may lead
to decreased lymph flow and resulting edema of the regional
interstitial space.
Production and release of endogenous NO and activation of ATP-sensitive K+ channels contribute to PTHrP-(1-34)-mediated inhibitory responses of lymphatic pump activity. It is well known that NO is an important vasodilator substance in the cardiovascular system (5, 17). In the lymphatic system, NO has also caused relaxation of the lymphatic smooth muscles and reduction of lymphatic pump activity in in vitro and in vivo studies (1, 6, 14, 23, 31, 34, 38, 40). However, there is no report that demonstrates an NO-mediated response in isolated murine lymph vessels. In the present study, the selective NOS inhibitor L-NAME, used in a sufficient concentration (1, 7), significantly reduced the PTHrP-(1-34)-induced negative chronotropic effects of the lymphatic pump activity in mice. In addition, simultaneous treatment with L-NAME and L-arginine (a substrate for NO) significantly reversed the L-NAME-mediated inhibition of the PTHrP(1-34)-induced responses of the lymphatic pump activity. On the other hand, indomethacin, used in a concentration sufficient to inhibit cyclooxygenase activity (14), did not significantly affect the PTHrP-(1-34)-induced inhibition of the spontaneous pump activity of the lymph vessels. These results strongly suggest that murine lymph vessels can produce and release NO in response to PTHrP-(1-34), whereas vasodilator prostanoids are not involved in the PTHrP-(1-34)-mediated inhibitory response. There is an important controversy regarding the PTHrP-induced NO-mediated vasodilation in blood vessels. In isolated perfused rabbit kidneys, PTHrP-(1-34) produced a NO-mediated renal vasodilation (12). On the other hand, NOS inhibitors did not eliminate the PTHrP-(1-34)-induced relaxation of the isolated murine aorta, although the K+-channel blocker tetrabutylammonium significantly inhibited this relaxation (35). The present study is the first demonstration of PTHrP-(1-34)-induced production and release of NO in the lymph vessels. The conclusion may be strongly supported by our additional finding that SNAP, a NO donor, caused inhibition of spontaneous pump activity of lymph vessels that was similar to the inhibition produced by PTHrP-(1-34).
In the present study, L-NAME alone significantly constricted the lymph vessels and increased the frequency of spontaneous lymphatic pump activity. Additional treatment with L-arginine significantly reduced the L-NAME-induced constriction of the lymph vessels and the positive chronotropic effect. These results suggest that isolated murine lymph vessels can produce and release NO in a pressurized condition, which may be related to the flow-mediated production of NO in the lymph vessels. This finding is compatible with experimental data obtained with isolated rat lymph vessels to demonstrate basal release of NO in the pressurized condition (14). Another important aspect of the present study is the involvement of ATP-sensitive K+ channels in the PTHrP-(1-34)-mediated inhibitory response, because pretreatment with glibenclamide (a selective inhibitor of ATP-sensitive K+ channels) caused significant reduction in the PTHrP-(1-34)-mediated inhibitory response of the lymphatic pump activity. The conclusion is strongly supported by our recent study (16) that activation of ATP-sensitive K+ channels produced spontaneous pump activity in isolated rat mesenteric lymph vessels.Activation of PTH receptors is related to the PTHrP-(1-34)-mediated inhibitory response. PTH receptors have been classified into three subtypes: PTH1, PTH2, and PTH3. PTH1 and PTH2 receptors exist in a variety of animal tissues (4, 9, 11, 29), whereas the PTH3 receptor has only been observed in fish (30). PTHrP(1-34), which is a binding domain for the PTH receptors, largely binds to the PTH1 receptor rather than the PTH2 receptor (11). In the present study, the PTHrP-(1-34)-induced inhibition of spontaneous pump activity of murine lymph vessels was significantly antagonized by treatment with PTHrP-(7-34), a PTH-receptor antagonist (18, 36). These results suggest that the PTHrP-(1-34)-induced inhibitory response is mediated by activation of PTH receptors in the lymph vessels.
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ACKNOWLEDGEMENTS |
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The authors express gratitude to Chugai Yakuhin Pharmaceutical for kind donations of PTHrP-(1-34) and PTHrP-(7-34).
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FOOTNOTES |
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This study was supported by Japanese Ministry of Education, Science, Sports, and Culture Grants-in-Aid for Scientific Research 09877008 and 11470010.
Address for reprint requests and other correspondence: T. Ohhashi, First Dept. of Physiology, Shinshu Univ. School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 Japan (E-mail: ohhashi{at}sch.md.shinshu-u.ac.jp).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 22 September 2000; accepted in final form 19 January 2001.
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