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Whitaker Cardiovascular Institute and Evans Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118
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ABSTRACT |
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Increased 5-lipoxygenase (5LO) expression in pulmonary artery endothelial cells (PAECs) has been observed in primary pulmonary hypertension, a disorder associated with pulmonary vascular remodeling and aberrant endothelial cell proliferation. To examine whether 5LO plays a role in endothelial cell proliferation, we analyzed the effect of 5LO inhibitors on cultured human PAECs. Analysis of [3H]thymidine incorporation showed that 5LO and 5LO-activating protein inhibitors AA-861, nordihydroguaiaretic acid (NDGA), and MK-886 all inhibited PAEC growth in a dose-dependent manner, with maximal inhibition of >90% and IC50 values of 3.9, 1.8, and 0.48 µM, respectively. The effect of AA-861 and NDGA correlated with their effect on 5LO activity in PAECs. Concentrations of these inhibitors at or below their IC90 values did not cause significant cell death as determined by lactate dehydrogenase release, but decreased cell doubling, as measured by cell counting at 24 h after serum replenishment. Analysis of DNA content suggested that the inhibitors led to an accumulation of PAECs at the G0/G1 phase. Antisense oligonucleotides to 5LO mRNA delivered at a transfection efficiency of ~60% inhibited cell growth by 40 ± 26% compared with that of a sequence-unrelated oligonucleotide. Indomethacin had no effect on PAEC growth over a range of concentrations (0.3-5 µM). These data show that 5LO inhibitors impaired the proliferative response of the cultured PAECs, suggesting that this enzyme may contribute to PAEC growth under certain pathological conditions.
antisense oligonucleotides; MK-886; nordihydroguaiaretic acid; AA-861; human pulmonary artery endothelial cells
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INTRODUCTION |
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5-LIPOXYGENASE (5LO) catalyzes the first two reactions in the biosynthesis of leukotrienes, which are potent mediators involved in inflammation and allergic reactions (20). A number of studies have also shown a role for 5LO in cell proliferation, although the effect of the enzyme on cell growth is cell-type specific: [5LO facilitates the growth of lung carcinoma (7, 38), adenocarcinoma of the prostate (5, 22, 25), pancreatic adenocarcinoma (17), adenocarcinoma of the colon (26), and chronic myelogenous leukemia (3)], but it suppresses the growth of other cells, including glioma (21, 32), adenocarcinoma of the breast (36), and murine Leydig cell tumors (33). In addition, 5LO has been found to mediate cytokine-induced lymphocyte (30) and murine thymocyte (40) growth and to facilitate epidermal cell proliferation (12).
The mechanism of 5LO-associated cell proliferation is not yet completely understood. Some studies (7, 22) have shown that 5-hydroxy-eicosatetraenoeic acid (5-HETE), a reduced derivative of the first product of 5LO, stimulates cell proliferation and reverses the effect of 5LO inhibition on cell growth. Other studies have demonstrated an apoptotic effect induced by 5LO inhibitors (2, 18, 22). A variety of 5LO inhibitors including MK-886, AA-861, nordihydroguaiaretic acid (NDGA), A-79175, BW-755c, BW-A4C, BW-B70C, zileuton, eicosatetraynoic acid, A-63162, SC-41661A, ICI-230487, cirsiliol, L-651392, and L-651896 have been used to demonstrate the effect of 5LO on cell proliferation (4, 7, 9, 12, 17, 26, 37, 38, 42). Among them, MK-886 has been demonstrated by one report to cause apoptosis independent of 5LO inhibition (14, 15).
Increased expression of 5LO in pulmonary artery endothelial cells (PAECs) has been found in rats with pulmonary hypertension induced by chronic hypoxia (43), in patients with primary pulmonary hypertension (45), and in mice challenged with allergen (13). Although the mechanism is still unclear, the induction of 5LO expression in PAECs perhaps reflects altered endothelial cell function associated with these diseases. In pulmonary hypertension, abnormal endothelial cell proliferation is found in plexiform lesions of the remodeled pulmonary vasculature (44).
In a separate study, we have examined 5LO expression in cultured human PAECs (HPAEC). The study showed that the cells express minimal but detectable amounts of 5LO as determined by RT-PCR in combination with cDNA sequencing, Western blotting, and activity assay. Considering the role of 5LO in the proliferation of other types of cells, we tried to determine whether or not 5LO affects PAEC growth. To examine this question, we treated the cells with two 5LO inhibitors, AA-861 (46) and NDGA (39), and a 5LO-activating protein (FLAP) inhibitor MK-886 (19, 23). In addition, 5LO antisense phosphorothioate oligodeoxynucleotide transfection was used as another more selective method for suppressing expression of 5LO. Using these reagents, we examined the effects of 5LO inhibition on PAEC proliferative responses.
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EXPERIMENTAL PROCEDURES |
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Materials. HPAEC and EBM2-MV media were obtained from Clonetics (Walkersville, MD). AA-861 was purchased from BioMol (Plymouth Meeting, PA). MK-886 and indomethacin were obtained from CalBiochem (San Diego, CA). NDGA, indomethacin, propidium iodide solution, and RNase I were purchased from Sigma (St Louis, MO). [3H]thymidine was obtained from New England Nuclear (Boston, MA). Opti-MEM was purchased from GIBCO (Grand Island, NY).
Cell culture and hypoxic treatment. Unless otherwise stated, HPAECs were grown in EGM2-MV medium, which contains basic growth medium (EBM-2) and antibiotics, ascorbic acid, vascular endothelial growth factor (VEGF), long-arm insulin-like growth factor-1 (R3-IGF-1), human epidermal growth factor (hEGF), human fibroblast growth factor (hFGF-B), and 5% fetal bovine serum provided by the manufacturer. Cells were maintained in a 37°C incubator equilibrated with 5% CO2-95% air and 100% humidity.
[3H]thymidine incorporation. HPAECs were seeded on 24-well tissue culture plates at a density of 1× 104 cells/well. After 24 h, the cell culture media was replaced with serum-free media, and after 48 h from seeding, a 5LO inhibitor or DMSO (vehicle control) was added. After 72 h from seeding, 5% fetal bovine serum was added back to the media along with 1 µCi/well [3H]thymidine, and the cells were incubated for an additional 6 h. Cells were then washed twice with PBS and incubated in 10% TCA overnight at 4°C. The cells were then washed twice with 100% ethanol and dried completely. Precipitated DNA and protein were solubilized with 1 N NaOH and then added to scintillation fluid. Radioactivity was counted in a liquid scintillation counter.
Cell counts. HPAECs were seeded to six-well plates. After 24 h, the cell culture media was replaced with serum-free media, and after 48 h from seeding, a 5LO inhibitor or DMSO (vehicle control) was added. After 72 h from seeding, 5% fetal bovine serum was added back to the media. The cells were incubated for an additional 6 or 24 h before being digested with trypsin/EDTA and neutralized with trypsin neutralizing solution. The total number of cells in each well was counted under the microscope with a hemocytometer.
Lactate dehydrogenase release assay. Lactate dehydrogenase (LDH) was determined using a colorimetric assay kit obtained from Sigma (St. Louis, MO). HPAECs were seeded to six-well plates and treated described in Cell counts. Before trypsin digestion, 100 µl of media from each well was removed and used to assay LDH activity.
Fluorescence-activated cell sorting analysis. HPAECs were seeded in 60-mm tissue culture plates. After 24 h, the cell culture media were replaced with serum-free media, and after 48 h from seeding, a 5LO inhibitor or DMSO (vehicle control) was added. After 72 h from seeding, 5% fetal bovine serum was added back to the media and cells were allowed to proliferate for eight additional hours. The cells were then digested with trypsin, neutralized, and collected by centrifugation for 5 min at 500 rpm. The cells were resuspended in cold PBS (95 µl), and cold MeOH (405 µl) was slowly added to the cell suspension; the cells were allowed to settle in this solution at 4°C overnight. Cell suspension was subsequently centrifuged for 5 min at 500 rpm, and the cells were resuspended in 0.5 ml propidium iodide solution (35 µg/ml propidium iodide and 8 µg/ml RNase I in PBS). Cells were allowed to incubate for 1 h in the dark at room temperature. Samples were run on a fluorescence-activated cell sorting scanner (FACScan) (Flow Cytometer, Becton-Dickinson; San Jose, CA) and analyzed using WinMDI 2.8 software.
5LO activity assay.
For analysis of 5LO activity in intact cells, HPAECs grown in 100-mm
tissue culture plates were washed twice with D-PBS and incubated in 2.5 ml D-PBS (with or without inhibitors) for 30 min at 37°C. The
activity assay was started by the addition of 2.5 ml of 10 µM A-23187
and 100 µM arachidonic acid in PBS, and carried out at 37°C for 20 min. An internal standard, prostaglandin B2 (PGB2) (0.25 nmol), was added at the end of incubation, and the culture
plate was stored at
80°C until extraction. After thawing, 1 ml of
methanol was added, and the medium was transferred to a 15-ml tube and
centrifuged at 150 g for 15 min. The lipid in the
supernatant was extracted with a C18 SepPak column (200 mg, Waters;
Milford, MA) by consecutively passing the following solutions through
the column: MeOH, H2O, sample, 0.1% acetic acid in water,
and MeOH in volumes of 3, 3, 6, 3, and 3 ml, respectively. The
final eluant was collected and dried under nitrogen. The lipids were
dissolved in 250 µl solvent A (MeOH/H2O/acetic
acid/NH4OH at 60:40:0.1:0.04), the solution was centrifuged
at 20,000 g for 15 min, and 100 µl of the supernatant was
injected into the HPLC column.
Antisense oligodeoxynucleotide transfection. An antisense phosphorothioate oligodeoxynucleotide to 5LO mRNA, 5'CACAGUCACGUCGUAUGAAUCCACC3', was synthesized by Sequitur (Natick, MA), and a fluorescently labeled oligodeoxynucleotide with a random sequence was used as a control. HPAECs were plated on six-well tissue culture plates. After 24 h the cells had reached 80% confluence. Oligofectin I (6.6 µg/ml) and 5LO antisense or fluorescently labeled oligonucleotide (200 nM) was added to 2 ml of Opti-MEM and allowed to incubate with the cells for 15 min. The cells were washed twice with Opti-MEM, the media/Oligofectin/oligonucleotide mixture was added to the cells, and the cells were incubated for 5 h at 37°C. The transfection media were removed and replaced with 2 ml of EBM2-MV with no serum. After 48 h, 5% fetal bovine serum and 1 µCi [3H]thymidine were added to each well, and then [3H]thymidine incorporation was measured. To determine the transfection efficiency of the cells, HPAECs transfected with fluorescently labeled oligonucleotide were loaded with 1 µM CellTracker orange probe (Molecular Probes, Eugene, OR) for 30 min at 37°C. The cells were then assessed using an inverted microscope with fluorescein isothiocyanate and rhodamine filters.
COMET assay. Apoptosis in HPAECs was determined by the single-cell microgel electrophoresis assay (COMET assay) (27). Cells were treated with MK-886 for 48 h, after which they were embedded in situ in 1% agarose and exposed to alkaline lysis buffer (2.5 M NaCl, 1% sodium lauryl sarcosinate, 100 mM EDTA, 10 mM Tris base, 1% hydrogen peroxide, and carbonyl-free Triton X-100) for 30 min followed by 15 min of equilibration in electophoresis buffer containing 300 mM NaOH, 10 mM EDTA, pH 10, 0.1% hydroxyquinoline, and 0.02% dimethyl sulfoxide. The nuclei were subsequently electrophoresed for 25 min at 2 V/cm, followed by staining with a fluorescent dye, YOYO-1 (3 µm/l), and visualized with a fluorescence microscope equipped with a fluorescein isothiocyanate filter. Comet formation was determined based on the appearance of the nucleus and the presence of a "tail" (8).
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RESULTS |
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Effect of 5LO inhibitors on PAEC proliferation.
[3H]thymidine incorporation was used to determine PAEC
proliferation in the presence or absence of 5LO inhibitor. In this
analysis, the cells were grown in standard culture medium for 24 h, in serum-free medium for 24 h, and in serum-free medium
containing a 5LO inhibitor for 24 h. [3H]thymidine
was then added to the medium together with 5% fetal bovine
serum, and the incorporated radioactivity was measured 6 h later.
As shown in Fig. 1, AA-861, MK-886, and
NDGA all inhibited PAEC growth dose dependently with maximum inhibition
of >90%. The IC50 values for growth inhibition by these
inhibitors were (in µM) 3.9, 0.48, and 1.8, respectively, and the
IC90 values were (in µM) 12.4, 0.75, and 2.6, respectively.
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Effect of 5LO inhibitors on cell cycles.
Flow cytometric analysis for DNA content in the PAECs was carried out
after fixation of the treated cells and staining with propidium iodide.
As shown in Fig. 5, at 8 h after
serum replenishment, the inhibitor-treated samples contained
significantly less cells in S phase (DNA synthesis phase) than that of
control (P < 0.01). Inhibitor-treated cells also
showed trends toward an increase in the percentage of cells in
G0/G1 (gap0/gap1 phase)
and a decrease in the percentage of cells in G2/M
(gap2/mitosis phase), however, these did not reach
significance. This suggested that the inhibitors prevented PAECs from
entering S phase in response to serum replenishment.
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Effect of 5LO inhibitors on 5LO activity in PAECs.
Cultured HPAECs express a small amount of 5LO, and this endogenous
enzyme activity could be detected when the cells were stimulated with
calcium ionophore A-23187 in the presence of exogenous arachidonic acid. To attempt to correlate the effects of the 5LO inhibitors with
cell proliferation and with 5LO activity, the cells were preincubated
with AA-861, MK-886, or NDGA for 30 min before incubation with 10 µM
calcium ionophore A-23187 and 50 µM arachidonic acid. Released lipid
products were extracted and analyzed by HPLC. As shown in Fig.
6, 5LO activity in PAECs was inhibited by
AA-861 and NDGA, and the dose-effect curves for inhibiting enzyme
activity were comparable to those inhibiting cell growth (Fig. 1).
MK-886, however, did not show an inhibitory effect on 5LO activity in this assay. Previous studies have demonstrated that utilizing exogenous
substrate in an intact cell assay for 5LO activity greatly underestimates the potency of MK-886 (compare references 1, 19, 23),
possibly due to the fact that 5LO is able to bind to its substrate
without FLAP in the presence of abundant substrate.
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MK-886 and apoptosis.
Previous studies (2, 14, 18, 22) have shown that MK-886
induces apoptosis. We sought to examine whether MK-886 also has
this effect on PAECs. At a concentration of 1.6 µM, a dose twice as
high as its IC90 for inhibiting PAEC growth, MK-886 did not
have a significant apoptotic effect on PAECs as determined by DNA
ladder analysis. To detect mild apoptosis occurring in a small
subpopulation of the MK-886-treated cells, we then used a more
sensitive method, the COMET assay (8). This assay utilizes an alkaline agent to lyse individually embedded cells and visualizes endonucleosomal fragmentation by electrophoresis and DNA staining with
YOYO-1. As shown in Fig. 7, ~9% of the
MK-886-treated cells formed comet tails compared with only 1% of the
untreated cells. These data indicated that high concentrations of
MK-886 can produce a modest degree of apoptosis in PAECs. Owing
to the concentration required to evoke this response, this
apoptotic effect of MK-886 apparently does not explain its
inhibitory effect on PAEC growth.
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Effect of growth factors in the culture medium.
The HPAECs used in this study were cultured in the presence of ascorbic
acid and several growth factors, such as human VEGF (hVEGF), R3-IGF-1,
and hEGF, and FGF-B. To determine whether or not the 5LO inhibitors
were acting through these components of the medium, we compared the
effect of AA-861 on the growth of the PAECs in different media. As
shown in Fig. 8, eliminating the growth
factors or growth factors plus ascorbic acid reduced cell growth by
27% and 40%, respectively. However, the inhibition of cell growth by
AA-861 was not significantly altered (93.2, 94.3, and 97.1%,
respectively), suggesting inhibition was not mediated through the
specific integrity or effects of growth factors.
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Effect of indomethacin.
Inhibition of 5LO in PAECs would be expected to shunt the substrate
arachidonic acid to cyclooxygenase. We, therefore, examined the effect
of the cyclooxygenase inhibitor indomethacin on PAEC growth. As shown
in Fig. 9, indomethacin had no effect on
PAEC proliferation in the concentration range of 0.25-5.0 µM.
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Effect of 5LO antisense oligodeoxynucleotide on PAEC growth.
Introducing a 5LO antisense oligodeoxynucleotide into PAECs blocks the
translation of 5LO mRNA into protein and thus provides an alternative
method for inhibiting 5LO activity in PAECs. Because primary human
endothelial cell are difficult to transfect, we initially examined
various transfecting reagents and the doses of oligodeoxynucleotide in
combination with the reagents. The highest transfection efficiency
achievable in our experiments was ~60% using 6.6 µg/ml Oligofectin
I, a cationic lipid transfecting reagent, combined with 200 nM of
oligonucleotide in a total volume of 2 ml for transfecting one well of
PAECs in a six-well plate (Fig.
10A). For evaluating the
effect of 5LO antisense oligodeoxynucleotide on PAEC growth, this
transfection method was used, and a sequence-unrelated, fluorescent-labeled oligodeoxynucleotide was employed as a transfection control. As shown in Fig. 10B, 5LO antisense
oligodeoxynucleotide-transfected PAECs incorporated 40 ± 26%
less [3H]thymidine than the control
oligodeoxynucleotide-transfected cells, indicating that suppressing 5LO
expression also inhibits PAEC proliferation.
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DISCUSSION |
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To understand the role of 5LO in endothelial cell proliferation, we examined the effect of 5LO inhibition on PAEC growth. Four agents (AA-861, NDGA, MK-886, and a 5LO antisense oligonucleotide) were used to inhibit 5LO in PAECs, and four methods (thymidine incorporation, cell number counting, LDH release, and DNA content analysis) were employed to assess the growth inhibition. In addition, a 5LO activity assay was carried out to confirm the inhibitory effect of the agents on 5LO in PAECs. The data show that each of the agents inhibited PAEC proliferation. In the case of AA-861, NDGA, and MK-886, the inhibition of cell growth was not caused by increased cell death but, rather, by preventing the cells from entering the S phase. Dose-effect curves for AA-861 and NDGA on 5LO activity in PAECs was found to be similar to those for PAEC growth.
The reason for using multiple agents and methods to test a single effect of 5LO inhibition on PAEC growth is to minimize possible nonspecific effect(s) of the inhibitors. These agents could inhibit cell growth by simply killing the cells or by interacting with other molecules instead of 5LO. AA-861 and NDGA are quinone and phenol compounds, respectively. They inhibit lipoxygenase activity via redox effect (20). Reported IC50 for AA-861 is 1-10 µM for inhibiting 5LO activity (6, 37, 46), and that for NDGA is 0.3-2 µM (10, 39). At higher concentrations, AA-861 has been shown to inhibit activities of 12-lipoxygenases from porcine leukocytes and rat lung (100 µM IC50) (46); and NDGA inhibits activities of 12- and 15-lipoxygenases (30 µM IC50) and cyclooxygenase (100 µM IC50) in human leukocyte and platelet suspensions (39). In the present study, the IC50 values of AA-861 and NDGA for inhibiting PAEC proliferation were found to be 3.9 and 1.8 µM, respectively, which are within the reported concentration range for inhibiting 5LO and are below the concentration required for the inhibition of other lipoxygenases and cyclooxygenase.
A number of reports have shown that NDGA or other 5LO inhibitors inhibit platelet-derived growth factor- or EGF-induced transcription of immediate-early response genes, such as fos, erg, myc, and JunB (9, 24, 34, 41). In the present study, we examined the effect of eliminating the growth factors (VEGF, R3-IGF-1, EGF, and FGF) used in the culturing of HPAECs. The result showed that removing these growth factors reduced the rate of thymidine incorporation by 28% but did not change the inhibitory effect of AA-861. Growth factors are also present in fetal bovine serum, which was added back to the culture media before we estimated the cell proliferation. Whether or not 5LO mediates the effect of growth factors from this source remains to the clarified.
MK-886 is an indole compound and interacts with FLAP (31); it inhibits 5LO activity in intact cells but has no effect on purified 5LO or 5LO in cell homogenate (23). Studies have shown that FLAP is an arachidonic acid-binding protein and suggest that it activates 5LO by presenting substrate (arachidonic acid) to the enzyme (29). In our assay system, exogenous substrate was required to detect 5LO activity in HPAECs. However, using excess substrate also minimized the effect of FLAP on activation, because 5LO is able to bind to its substrate without FLAP when the substrate is provided exogenously or in high concentrations. Thus the lack of effect of MK-886 on 5LO activity in PAECs determined here may not be conclusive. Whether inhibition of PAEC proliferation by MK-886 was due to the inhibition of 5LO activity remains to be determined. Several reports have shown that MK-886 induces apoptosis in various cell types (2, 14, 18, 22). Two recent studies reported that the apoptotic effect of MK-886 is not due to the inhibition of 5LO (15) or even of FLAP (14). In the present study, no significant apoptotic effect of MK-886 was observed in PAECs. Therefore, the specific effect of MK-886 apparent in other cell types may not be applicable to PAECs.
The mechanism by which 5LO affects cell proliferation is not known, but
it has long been suspected that it is related to the nuclear
localization of the enzyme (11). 5LO may influence DNA transcription or synthesis by several possible mechanisms. One mechanism may involve its catalytic activity and the effect of downstream leukotrienes on gene transcription or DNA synthesis. A
recent study has shown that leukotriene B4 binds peroxisome proliferator-activated receptor-
(PPAR
), a nuclear hormone
receptor or transcription factor, and upregulates PPAR
-targeted
genes (16). A second possibility may involve its binding
to other proteins. 5LO has been shown to contain a Src homology
3-binding motif and to bind to growth factor receptor-bound protein 2 (28). Recent screening of a human lung cDNA library with a
yeast two-hybrid system found that 5LO binds to transforming growth
factor
-receptor-associated protein (35). Binding to
these proteins could allow 5LO to influence correlated growth factor
signaling and, therefore, cell growth. A third possibility involves 5LO
binding to DNA directly or forming a DNA-binding complex with other
nuclear factors, thereby affecting DNA transcription. The exact
mechanism remains to be clarified.
Under normal in vivo conditions, adult vascular endothelial cells do not proliferate and remain quiescent for many years. Demonstrating a role of 5LO in PAEC proliferation, therefore, would have implications for specific pathophysiological conditions where endothelial cell proliferation and vascular remodeling occur in conjunction with 5LO expression e.g., primary pulmonary hypertension.
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ACKNOWLEDGEMENTS |
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The authors express their gratitude to Stephanie Tribuna for excellent secretarial assistance.
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FOOTNOTES |
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This study was supported by National Heart, Lung, and Blood Institute Grants HL-55993, HL-58976, and HL-61795.
Address for reprint requests and other correspondence: Y.-Y. Zhang, Whitaker Cardiovascular Institute, W-507, Boston Univ. School of Medicine, 715 Albany St., Boston, MA 02118 (E-mail: yyzhang{at}bu.edu).
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.
10.1152/ajpheart.00003.2001
Received 8 January 2001; accepted in final form 5 October 2001.
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