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1Department of Biological Sciences, Ohio University, Athens, Ohio; and 2Department of Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada
Submitted 20 July 2004 ; accepted in final form 12 October 2004
| ABSTRACT |
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conducted vasodilation; skeletal muscle arteries; gap junctions
Vascular studies have long appreciated that cell-to-cell communication can be physiologically assessed by application of vasoactive agents to a small portion of a resistance vessel (30, 31). This discrete application of agent initiates a focal change in smooth muscle or endothelial cell membrane potential that, likely with the aid of gap junctions, conducts to neighboring vascular cells (41, 42). By monitoring the extent to which the electrical or the corresponding vasomotor response conducts along the vessel wall, the nature of cell-to-cell communication can be functionally elucidated. With this simple bioassay, past investigations have generally observed that endothelium-dependent responses robustly conduct along small arteries isolated from a variety of tissues (18, 33, 41). In contrast, the spread of smooth muscle-dependent responses varies widely, with many resistance vessels, including those from skeletal muscle, displaying little or no conduction (17, 33, 43).
Investigations of vascular communication have typically focused on defining fundamental factors that underlie this key regulator of tissue blood flow. Although essential, few studies have extended beyond this line of inquiry to address whether cell-to-cell communication could be altered by vascular disease and whether such changes could facilitate the progression of a pathophysiological state. Reason dictates that any disease state that alters coupling resistance between adjacent vascular cells should directly influence cell-to-cell communication. Despite limited examination, past investigations have raised the possibility that hypertension may be capable of elevating coupling resistance (5, 6, 11). This view has been largely predicated on 1) Cx-knockout studies, which have revealed a relation among Cx40 expression, cell-to-cell communication, and elevated blood pressure (5, 6), and 2) findings from large conduit arteries documenting the ability of hypertension to alter Cx expression and upregulate signaling proteins known to reduce gap junctional communication (3, 11, 19, 37).
This study examined whether hypertension influenced the nature of cell-to-cell communication in small skeletal muscle resistance arteries. Briefly, vascular communication was functionally examined by application of vasoactive agents (i.e., KCl, phenylephrine, and acetylcholine) to a small portion of a retractor muscle feed artery while vasomotor responses distal to the site of agent application were monitored. Consistent with past observations (41), responses originating in endothelial, but not smooth muscle, cells conducted robustly along skeletal muscle arteries from normotensive hamsters. In hypertensive hamsters, the conduction of endothelium-dependent vasodilation was attenuated, particularly in vessels preconstricted with a combination of intravascular pressure and superfused agonist. Interestingly, this reduction in cell-to-cell communication arose in the absence of a change in vessel reactivity to intravascular pressure or to global application of vasoactive agents. We conclude from these findings and real-time PCR measures of Cx37, Cx40, Cx43, and Cx45 mRNA that the hypertension-induced attenuation in cell-to-cell communication likely arises from an increased coupling resistance between adjacent endothelial cells or between the smooth muscle and endothelial cell layers. This decrease in vascular communication could facilitate a rise in total peripheral resistance and, thus, further the progression of the hypertensive state.
| METHODS |
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Hemodynamic Measurements
To measure mean arterial blood pressure, a cannula (PE-50 tubing) was rapidly secured in the left carotid artery and connected to a pressure transducer. Hemodynamic data were collected on a MacLab data acquisition system while hamsters were maintained under light anesthesia as determined by the presence of the ear-pinch reflex. Mean arterial pressure was calculated over an average of 10 pressure pulses. After experimentation, animals were euthanized with pentobarbital sodium (130 mg/kg ip).
Feed Artery Preparation
To isolate feed arteries, an incision was made through the skin to expose the left retractor muscle. Overlying connective tissue was carefully removed while the entire preparation was superfused with PBS (20°C) containing (in mM) 136 NaCl, 2.6 KCl, 1.7 NaH2PO4, 10 Na2HPO4, 5 glucose, 0.1 CaCl2, and 0.1 MgSO4. Arteries feeding the retractor muscle (
3 mm long) were subsequently excised and placed in cold (5°C) PBS, where the remaining connective tissue was removed. An isolated feed artery was transferred to an arteriograph and cannulated with glass micropipettes. The arteriograph was then placed on an inverted microscope, where the feed artery was pressurized to 60 mmHg [in vivo pressure (40)] and superfused with physiological saline solution (PSS) containing (in mM) 119 NaCl, 4.7 KCl, 1.7 KH2PO4, 1.2 MgSO4, 1.6 CaCl2, 5 glucose, and 20 NaHCO3 in 5% CO2-21% O2-balance N2 at 36°C. All vessels developed myogenic tone (response range 2245 µm) during the equilibration period (60 min). Before experimentation, the vessel's contractile state was ascertained by brief superfusion of the preparation with 6 x 102 M KCl and 1 x 106 M acetylcholine. Arterial diameter was monitored using a x10 objective and an automated diameter tracking system (IonOptix, Milton, MA).
Micropipettes for Ionotophoresis and Pressure Ejection
Micropipettes with an outer tip diameter of
24 µm were fabricated on a Flaming/Brown micropipette puller using borosilicate glass capillary tubes. After fabrication, micropipettes were backfilled with 0.5 M acetylcholine, 0.1 M phenylephrine, or 0.14 M KCl and secured to a micromanipulator, which was directly attached to the arteriograph. Once secured, micropipettes backfilled with acetylcholine or phenylephrine were connected to an iontophoresis programmer (model 260, World Precision Instruments, Sarasota, FL), whereas KCl micropipettes were connected to a picoejection system (model PV830, World Precision Instruments).
Experimental Protocols
Characterizing feed artery reactivity. Vessel reactivity was characterized in normotensive and hypertensive animals by monitoring feed artery responses to intravascular pressure and to global application of vasoactive agonists. To assess myogenic tone, feed arteries were pressurized to 60 or 90 mmHg; vasomotor responses were measured and expressed as an absolute value or as a percentage of maximal diameter. Vasoconstrictor reactivity was examined by pressurizing feed arteries to 60 mmHg and increasing the concentration of phenylephrine or U-46619 (a stable thromboxane A2 mimetic) in the superfusate every 5 min. In contrast, the vasodilatory effects of acetylcholine were examined by first preconstricting feed arteries with intravascular pressure (60 mmHg) and phenylephrine (3 x 107 M in the superfusate) and then exposing the vessel to an increasing global concentration of this vasodilator every 5 min. Agonist-induced arterial responses are expressed as a percentage of vasodilator or vasoconstrictor capacity (see Statistical Analysis).
Conduction of smooth muscle-dependent responses.
A micropipette filled with phenylephrine or KCl was carefully positioned with the tip adjacent to the distal end of a feed artery (Fig. 1), maintained at an intravascular pressure of 60 mmHg. With use of microiontophoresis for phenylephrine (13 s pulse, 1 µA ejection current, 0.2 µA retain current) or pressure ejection for KCl (15 s pulse, 20 psi ejection pressure), a small quantity of agent was applied to the feed artery, and vasoconstriction was evaluated 0, 450, 900, 1,350, and 1,800 µm upstream from the site of agent application. The stimulus duration was adjusted for each feed artery to elicit a vasoconstrictor response of 2030 µm at the local application site; this represented
40% of the vasoconstrictor capacity. When KCl micropipettes were used, care was taken to minimize pulse duration so as to prevent direct depolarization of the underlying endothelium.
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4560% of the vasodilatory capacity. Real-Time PCR Analysis
Four to five feed arteries (34 mm long) from each hamster were cleaned and placed in RNase- and DNase-free collection tubes and fast frozen in liquid nitrogen. Total RNA was subsequently extracted with the RNeasy Minikit with DNase treatment (Qiagen, Valencia, CA), and first-strand cDNA was synthesized using the Sensiscript RT kit (Qiagen) with oligo(dT) primer. To optimize reaction specificity, real-time PCR was initially performed on each primer set using hamster brain cDNA, SYBR green (Bio-Rad, Hercules, CA), and a range of annealing temperatures (5262°C). On the basis of melt-curve analysis, 1 µl of each reaction product was placed on a DNA 500 lab chip and examined using a bioanalyzer (model 2100, Agilent Technologies). A second aliquot of product was electrophoresed on a 1.5% (wt/vol) agarose gel, extracted using a gel extraction kit (Qiagen), and sequenced at the University of Calgary Core DNA facility. Having ascertained an ideal annealing temperature, real-time PCR efficiency was determined for all primer sets, with serial dilutions of brain cDNA used as template. The optimal real-time PCR consisted of a hot start (95°C for 3 min) followed by 40 cycles of 95°C for 15 s, 55.1°C for 30 s, and 72°C for 30 s. A melt-curve analysis was performed on each reaction, and the threshold cycle was determined using software provided with the Bio-Rad iCycler. Forward and reverse primers specific to rat Cx37, Cx40, Cx43, Cx45, and
-actin were as follows: 5'-CGCTTCAGAACCTTACCC-3' (forward) and 5'-GGATGAGAGCCCATTGTAG-3' (reverse) for Cx37, 5'-CTGTATGGGATCTTCCTGGATACC-3' (forward) and 5'-CACAGCCAGCATAAAGACAATGAA-3' (reverse) for Cx40, 5'-CAAGCTGGTTACCGGTGACA-3' (forward) and 5'-CTCGCTCGCTTGCTTGTTG-3' (reverse) for Cx43, 5'-GA CCATTCGAGACTCACTAAACAG-3' (forward) and 5'-AGATGGTGTATTCCAAGTGAAAGG-3' (reverse) for Cx45, and 5'-AGACCTCTATGCCA ACACAGTG-3' (forward) and 5'-GCCAGAGCAGTGATCTCC TTC-3' (reverse) for
-actin.
Statistical Analysis
Values are means ± SE; n indicates the number of vessels or animals. Values expressed as a percentage of vasoconstrictor capacity were calculated as follows: (resting diameter diameter at given phenylephrine or U-46619 concentration)/(resting diameter diameter response at 105 M phenylephrine or 107 M U-46619). Values expressed as a percentage of vasodilator capacity were calculated as follows: (diameter response at a given acetylcholine concentration resting diameter)/[diameter in Ca2+-free PSS (2 mM EGTA) resting diameter]. Unpaired t-tests compared feed arteries from normotensive and hypertensive hamsters with respect to 1) vasomotor responses at the site of agent application and 2) Cx37, Cx40, Cx43, or Cx45 mRNA expression. Subsequently, two-way ANOVAs were used to compare vasomotor responses in feed arteries from normotensive and hypertensive animals at sites distal to the point of agent application. Where appropriate, Bonferroni's comparison was used for post hoc analysis. P
0.05 was considered statistically significant.
Chemicals
Buffer chemicals, acetylcholine, and phenylephrine were obtained from Sigma-Aldrich Chemical (St. Louis, MO). U-46619 was purchased from Calbiochem (La Jolla, CA).
| RESULTS |
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Characterization of Global Feed Artery Reactivity
Initial experiments characterized the responsiveness of retractor muscle feed arteries to intravascular pressure and to global application of vasoactive agonists. At 60 mmHg,
20% of feed arteries (normotensive and hypertensive strains) displayed >30 µm of myogenic tone. In this subset of vessels, myogenic tone was similar between the two hamster strains as assessed at 60 and 90 mmHg (Fig. 2A). Further experiments using the other 80% of feed arteries, with myogenic tone 2230 µm, revealed that overall vessel reactivity to superfused vasoconstrictors (phenylephrine or U-46619) did not vary among the two groups of animals (Fig. 2, B and C). Similarly, feed arteries from normotensive and hypertensive hamsters preconstricted with intravascular pressure (60 mmHg) and phenylephrine (3 x 107 M) dilated in a comparable manner to the global application of acetylcholine, an endothelium-dependent vasodilator (Fig. 2D).
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To examine the effects of hypertension on the conduction of smooth muscle-dependent responses, vasoactive agents known to depolarize vascular smooth muscle (41, 42) were discretely applied to a small proportion of a feed artery while vasomotor responses were monitored at sites distal to the point of agent application (Fig. 1). Micropipette application of phenylephrine and KCl initiated a pronounced vasoconstriction at the local application site that conducted poorly along the arterial wall (Fig. 3). Similar to the normotensive controls, smooth muscle-dependent responses conducted poorly along feed arteries from hypertensive hamsters.
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The effects of hypertension on the conduction of endothelium-dependent responses were examined by application of acetylcholine to a small proportion of a feed artery while vasodilatory responses were monitored at sites along the vessel wall (Fig. 1). To preconstrict feed arteries, intravascular pressure was first increased to 60 mmHg. Vessels displaying >30 µm of myogenic tone (
20% of all feed arteries) were identified and studied together. Tone in the remaining vessels was enhanced by addition of phenylephrine (3 x 107 M) or U-46619 (3 x 109 M) to the superfusate. In feed arteries isolated from normotensive hamsters and preconstricted with intravascular pressure (60 or 90 mmHg), micropipette application of acetylcholine initiated a vasodilation that conducted with little decay along the vessel wall (Fig. 4). Compared with the normotensive controls, conducted vasodilation in feed arteries from hypertensive hamsters displayed some attenuation, although the trend was not significant. When feed arteries were preconstricted with intravascular pressure and agonist, vessels from the normotensive hamsters continued to robustly conduct vasodilation (Fig. 5 ). In striking contrast, conduction of acetylcholine-induced vasodilation was substantively reduced in the hypertensive strain.
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To assess whether hypertension altered Cx mRNA expression, this study quantified the relative mRNA levels of Cx37, Cx40, Cx43, and Cx45 in retractor muscle feed arteries. Initially, primer sets to
-actin and specific Cxs were designed and optimized by real-time PCR on brain cDNA over a range of annealing temperatures. Chromatographs from a bioanalyzer (Fig. 6A) revealed the presence of three peaks, including a low- and a high-molecular-weight standard and a single amplicon generated by each primer set (annealing temperature of 55.1°C). This high reaction specificity was confirmed by melt-curve analysis (Fig. 6B); DNA sequencing verified product identity. As noted by the bracketed number in Fig. 6A, reaction efficiencies exceeded 95% and did not vary by >4.3% among the five primer sets. The relative mRNA levels of Cx37, Cx40, or Cx45 in retractor muscle feed arteries were not different among the two hamster strains (Fig. 6C). Cx43 was, however, substantially reduced in feed arteries from hypertensive hamsters.
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The preceding reduction in cell-to-cell communication could, in theory, arise from a genetic difference in the hamster strains that preexists development of hypertension. To control for this possibility, endothelium-dependent conduction was monitored in younger hamsters before the marked onset of hypertension. At 57 wk of age, mean arterial pressure was only 10 mmHg higher in hamsters genetically destined to become hypertensive (CHF-H4) than in normotensive controls (CHF-148; Fig. 7A). At this age, acetylcholine-induced vasodilation conducted robustly along feed arteries (preconstricted with 60 mmHg intravascular pressure and 3 x 107 M phenylephrine) from both hamster strains (Fig. 7B). Real-time PCR measurements revealed no quantitative difference in the relative levels of Cx37, Cx40, Cx43, or Cx45 among the two groups of young hamsters (Fig. 7C).
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| DISCUSSION |
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Characterization of the Hypertensive Model
The genetic model of hypertension used in this investigation was initially developed by cross-breeding inbred cardiomyopathic hamsters with an outbred strain of golden Syrian hamsters (35). The hypertensive state spontaneously develops within the first 710 wk of birth in response to an elevation of blood renin. In accordance with the observations of Thomas et al. (35), mean arterial blood pressure was
60 mmHg higher in hypertensive hamsters than in normotensive controls. Despite this increase, foundational experiments revealed that feed artery responsiveness to intravascular pressure and to global application of phenylephrine, U-46619, and acetylcholine did not vary among the two hamster strains. This maintenance is of key importance, because these vasoactive stimuli were used in the subsequent examination of cell-to-cell communication. As such, any alteration in vessel reactivity would have complicated experimental design and interpretation. Contrary to the present observations, Suzuki et al. (34) reported that in cheek pouch arterioles the vasodilatory response to acetylcholine is indeed attenuated in this model of hypertension. This intriguing heterogeneity suggests that the influence of hypertension on vascular reactivity is not constant throughout the vascular system and could vary in accordance with tissue function (i.e., skeletal muscle vs. connective tissue pouch). Further investigation would be required to address this possibility and is beyond the scope of this study.
Cell-to-Cell Communication in Skeletal Muscle Resistance Arteries
Since the initial work of Hirst and Neild (13, 14), researchers have acknowledged that vascular cells electrically communicate with one another. Despite this recognition, it was not until 1986 that Segal and Duling (31) developed a functional approach to assess cell-to-cell communication in small resistance vessels. This practical approach entailed stimulating a small proportion of a resistance artery with agents known to change smooth muscle or endothelial cell membrane potential. These electrical events are thought to spread along resistance arteries through gap junctions (8, 9, 31, 41, 42), although other mechanisms of cell-to-cell communication have not been entirely excluded. As these electrical responses conduct, they elicit vasomotor responses at sites distal to the point of agent application. In keeping with past observations, agents known to depolarize vascular smooth muscle cells, such as phenylephrine and elevated KCl, elicited a localized constriction that failed to robustly conduct along the feed artery wall (33). In contrast, acetylcholine, a neurotransmitter that reproducibly hyperpolarizes the endothelium, elicited a vasodilatory response that conducted with little decay. This differential ability of endothelial or smooth muscle responses to conduct along skeletal muscle arteries has been previously noted and is a source of active inquiry (17, 33, 43). It has been hypothesized that smooth muscle depolarizing responses poorly conduct because of a flux of Ca2+ into endothelial cells via myoendothelial gap junctions (7, 43). This flux is purported to activate small- and intermediate-conductance Ca2+-activated K+ channels and elicit a hyperpolarization that feeds back on smooth muscle to block depolarization (43). Although it is an intriguing hypothesis, others proposed an explanation based on the differential expression of gap junctions between vascular cells (39). In greater detail, past studies have noted that gap junctional expression is far greater between adjacent endothelial cells than between neighboring smooth muscle cells or the two cell layers (10, 12, 20, 21). Such variability would predictably create an environment where the impedance of an endothelial cell would be considerably lower than that of a smooth muscle cell. In such an environment, electrical responses would efficiently spread along the endothelium, but not along the smooth muscle cell layer. Correspondingly, charge movement across myoendothelial gap junctions would be inherently small, and its impact on membrane potential would vary in accordance with cellular impedance. Thus it is logical to reason that a hyperpolarizing response initiated in a small number of endothelial cells should conduct with little decay along this cell layer and elicit a substantive membrane potential response in high-impedance smooth muscle cells. In contrast, a depolarizing response initiated in an equally small number of smooth muscle cells should conduct poorly along this cell layer and elicit only a minimal electrical response in low-impedance endothelial cells.
Hypertension and Cell-to-Cell Communication
Past studies employing biochemical approaches and knockout strategies have raised the possibility that disease states such as hypertension could limit cell-to-cell communication in resistance arteries (5, 6, 11). In support of this hypothesis, we report that the conduction of endothelium-dependent vasodilation was attenuated in feed arteries isolated from hypertensive hamsters. Mechanistically, the most plausible explanation for this attenuation is an elevation in coupling resistance between adjacent endothelial cells or between the smooth muscle and endothelial cell layers. For the hypertensive state to enhance coupling resistance, this disease state would have to 1) alter the number or heteromeric composition of expressed gap junctions or 2) reduce their intrinsic activity through second-messenger regulation. Although the small size of hamster retractor muscle feed arteries precludes the quantification of Cx protein, real-time PCR did reveal that the mRNA expression of Cx43 decreased by
50% in feed arteries from hypertensive hamsters. This reduction in Cx43 mRNA likely occurred in endothelial cells, because work with retractor muscle feed arteries showed that Cx43 is exclusively expressed in this cell layer (28). We speculate that this reduction, if reflected at the protein level, could subtly change coupling resistance. In addition to the downregulation of Cx43, the hypertensive state could have facilitated a rise in coupling resistance by limiting the intrinsic activity of the existing gap junctions. In theory, such reductions in activity could be mediated by PKC and/or mitogen-activated protein kinase (MAPK) (3, 19, 37). Past studies have shown that both phosphotransferases are upregulated in the hypertensive state (23, 36). If these signaling proteins are indeed enhanced in feed arteries from hypertensive hamsters, it is reasonable to assume that their most observable impact on cell-to-cell communication would occur under experimental conditions that ensure their robust activation. Ideal experimental conditions would likely involve the use of vasoconstrictor agonists, including phenylephrine or U-46619, which, through receptor-mediated signaling, can activate PKC and MAPK (2, 4, 29, 44). Such a rationalization may explain why hypertension-induced reductions in cell-to-cell communication were more prominent in feed arteries preconstricted with a combination of intravascular pressure and agonist than in those preconstricted intravascular pressure alone.
Two important issues need to be considered with respect to the preceding argument. 1) One could suggest that the observed reduction in cell-to-cell communication arises from an expressed genetic difference in the animal strains that preexists the initiation or development of hypertension. Although this is plausible, control experiments performed on younger hamsters (57 wk of age) appear to minimize this possibility. In particular, these trials demonstrate that, before the onset of hypertension, endothelium-dependent vasodilation conducts robustly along feed arteries (preconstricted with intravascular pressure and phenylephrine) from CHF-148 and CHF-H4 hamsters. Cx mRNA expression was also similar among these two groups of young hamsters. 2) One could suggest that the hypertension-induced reduction in cell-to-cell communication reflects a loss of signal regeneration due to altered ion channel activity. Although past studies showed that chronic hypertension can influence the activity of K+ and Ca2+ channels (1, 24, 38), such changes typically coincide with alterations in arterial reactivity to vasoactive stimuli (24, 38). Interestingly, no substantive change in feed artery responsiveness to myogenic tone or to global application of phenylephrine, U-46619, or acetylcholine was observed in this investigation.
Functional Implications
Increase in total peripheral resistance is a common feature in animal models of hypertension (15, 25). Past studies have attributed such a change to a broad array of factors, including augmentation of myogenic tone (38), increased sympathetic nerve activity (25), and reduced production of endothelium-derived relaxing factors (15, 16). It could be argued that the attenuation in cell-to-cell communication documented in this study also contributes to this rise in peripheral resistivity. We based this view on the fact that, in peripheral tissue, as in skeletal muscle, vasodilatory signals are often produced within localized regions (32). For such signals to substantively increase tissue blood flow, they would, similar to our experimental pulse of acetylcholine, have to hyperpolarize endothelial cells so as to effectively conduct to regions of the vascular network not exposed to the initial stimulus (9, 32). By diminishing the distance over which endothelial hyperpolarization can conduct, hypertension would shorten the length of vessel controlled by a local vasodilatory stimuli. Consequently, a greater proportion of a given vessel would remain constricted, and this in turn could facilitate a rise in total peripheral resistance.
Final Comments
In summary, the present study demonstrated that hypertension selectively attenuated the conduction of endothelium-dependent vasodilation along retractor muscle feed arteries preconstricted with intravascular pressure and vasoconstrictor agonist. On the basis of these observations, measurements of Cx mRNA, and previously published observations, we propose that hypertension likely attenuates cell-to-cell communication by increasing coupling resistance between adjacent vascular cells. Further study is required to identify the precise mechanisms by which hypertension increases coupling resistance between adjacent endothelial cells or between the smooth muscle and endothelial cell layers.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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.
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