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(Circulation Research. 1996;78:238-243.)
© 1996 American Heart Association, Inc.


Articles

Distribution and Physiological Roles of ATP-Sensitive K+ Channels in the Vertebrobasilar System of the Rabbit

Tetsuhiko Nagao, Setsuro Ibayashi, Seizo Sadoshima, Koji Fujii, Kenichiro Fujii, Yusuke Ohya, Masatoshi Fujishima

From the Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Correspondence to Tetsuhiko Nagao, MD, PhD, Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Maidashi 3-1-1, Fukuoka 812, Japan.


*    Abstract
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*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Abstract The effect of an opener (levcromakalim) and a blocker (glibenclamide) of ATP-sensitive K+ (KATP) channels was investigated in the vertebrobasilar system of the rabbit. Arterial tension and membrane potential were measured by the isometric tension recording method and the microelectrode technique, respectively. Glibenclamide (10-6 mol/L) depolarized the membrane and potentiated the contraction to histamine in vertebral arteries. The sensitivity to the relaxant effects of levcromakalim was in the following descending order: vertebral>proximal basilar>distal basilar>superior cerebellar arteries. Vertebral arteries were {approx}50 times more sensitive to levcromakalim than were superior cerebellar arteries. The relaxation to levcromakalim was abolished by glibenclamide (10-6 mol/L). Glibenclamide attenuated vasorelaxation to adenosine in proximal arteries (vertebral and proximal basilar) but not in superior cerebellar arteries. Levcromakalim (7x10-8 mol/L) and adenosine (10-5 mol/L) induced glibenclamide-sensitive membrane hyperpolarization in vertebral arteries but not in distal basilar arteries. These results suggest that KATP channels contribute to the determination of resting membrane potential and resting tone in vertebral arteries. Furthermore, there is a marked heterogeneity in the sensitivity to an opener of KATP channels, and the heterogeneity has a functional link to the mechanism underlying vasorelaxation to adenosine in the vertebrobasilar system of the rabbit.


Key Words: electrophysiology • regional difference • hyperpolarization • levcromakalim • glibenclamide


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The opening of ATP-sensitive K+ (KATP) channels hyperpolarizes the membrane of vascular smooth muscle cells and thereby causes vasorelaxation. The open probability of the channels is regulated by intracellular concentrations of ATP.1 These channels are possibly involved in certain types of vasorelaxation, such as those induced by hypoxia,2 3 endothelium-dependent agonists,4 vasoactive intestinal polypeptide,4 adenosine,2 prostacyclin,5 norepinephrine,6 and calcitonin gene-related peptide.7 8 However, their functional importance and distribution are poorly understood in the cerebral circulation.

The responsiveness to levcromakalim, an opener of KATP channels, is variable among different systemic arteries; the maximal relaxation to levcromakalim was smaller in large conduit arteries (aorta and main pulmonary arteries) than in smaller peripheral arteries (mesenteric, renal, and femoral arteries).9 The results suggest an uneven distribution of KATP channels in the cardiovascular system. The following experiments were designed to examine (1) the role of KATP channels in the determination of vascular resting membrane potential and tone and (2) regional differences in the distribution of KATP channels and their functional roles in the vertebrobasilar system of the rabbit.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
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Thirty-seven male albino rabbits (1.7 to 2.3 kg) were anesthetized with intravenous infusions of pentobarbital (40 mg/kg) and were exsanguinated from the femoral artery. After the brain was removed and intracranial vertebral, basilar, and superior cerebellar arteries were isolated from surrounding connective tissues, the arteries were kept in ice-cold physiological salt solution (mmol/L: Na+ 141, K+ 4.7, Ca2+ 2.5, Mg2+ 1.2, Cl- 126.9, H2PO4- 1.2, HCO3- 25, and glucose 11 [control solution]). The control solution was aerated with 93% O2/7% CO2. The vertebral, basilar, and superior cerebellar artery had inner diameters of approximately 300 to 500 µm, 400 to 500 µm, and 250 to 300 µm, respectively. The diameter of stainless steel stirrups put through the lumen for support was 80 µm for vertebral, 100 µm for basilar, and 50 µm for superior cerebellar arteries. In some rings, endothelial cells were removed by rubbing the intimal surface with a stainless steel rod. The successful removal of the endothelium was confirmed by the absence of acetylcholine-induced relaxations. All experiments were performed in tissues with an intact endothelium unless otherwise stated.

Organ Chamber Study
The arteries were cut into rings ({approx}3 to 5 mm in length) and were suspended between two stainless steel stirrups in an organ chamber (5-mL volume). After 90 minutes of incubation, the arteries were stretched to the point at which they produced maximal contractile responses in a stepwise manner (0.23±0.02, 0.25±0.02, 0.30±0.04, and 0.15±0.02 g for vertebral, proximal basilar, distal basilar, and superior cerebellar arteries, respectively; determined in preliminary experiments with histamine [10-5 mol/L]). Another 30 minutes of incubation was allowed before experimental procedures were started. At the end of each experiment, the arteries were fully relaxed to their baseline tension with a supramaximal concentration of papaverine (10-4 mol/L).

In some vertebral arteries, glibenclamide (10-6 mol/L) was applied before and after histamine (3x10-6 to 3x10-5 mol/L) under 0.1 g of passive tension in order to examine the effect of KATP channels on the resting tone and contractile responses to histamine.

We used histamine to induce contractions of vertebral arteries of the rabbit, since histamine is one of the most potent contractile agents of these arteries.

Electrophysiological Study
Ring segments of vertebral arteries were suspended between a pair of stainless steel stirrups, one of which was anchored to the bottom of an organ chamber designed for membrane potential measurements (2-mL volume) and the other connected to a manipulator. Thus, a desired level of stretch was given to the rings by using the manipulator where necessary. In other experiments, a ring segment of vertebral and basilar arteries was pinned down on the bottom of an organ chamber (2-mL volume) with the adventitial side facing upward. The arteries were superfused with warm (37°C) control solution (3 mL/min) for 90 minutes before experimental procedures were started. The membrane potential of arterial smooth muscle cells was measured with glass microelectrodes filled with 3 mol/L KCl solution (tip resistance, 40 to 80 M{Omega}). Microelectrodes were held by means of a micromanipulator (Narishige). The electrical signal was recorded from the adventitial side of the arteries and was amplified by a recording amplifier (Nihon Kohden MEZ-7200). The membrane potential was monitored on an oscilloscope (Nihon Kohden VC-11) and was recorded on a pen recorder (Nihon Kohden RTG-4002). The following criteria were used to assess the validity of a successful impalement: (1) a sudden negative shift in voltage, followed by (2) a stable negative voltage for >1 minute, and (3) an instantaneous return to the previous voltage level on dislodgment of the microelectrode.10

Drugs
The following drugs were used in the experiments: adenosine, glibenclamide, histamine hydrochloride, serotonin, papaverine (Sigma Chemical Co), levcromakalim (SmithKline Beecham), and pinacidil (Shionogi). Glibenclamide and levcromakalim were dissolved in dimethyl sulfoxide (final bath concentration, <0.1% [vol]) and ethanol (<0.01% [vol]), respectively. In experiments in which the effect of glibenclamide was tested, control experiments without glibenclamide were performed in the presence of dimethyl sulfoxide (0.1% [vol]) as a vehicle.

Statistics
The data are expressed as mean±SEM; n represents the number of animals studied. Statistical significance was tested with paired Student's t test or ANOVA followed by Scheffé's test. Values of P<.05 were regarded as statistically significant.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
Organ Chamber Studies
Histamine induced contractions of the proximal and distal basilar and superior cerebellar arteries of the rabbit. In preliminary experiments, histamine at 3x10-6 mol/L produced a 70% contraction compared with maximal responses except in vertebral arteries. Vertebral arteries displayed a more variable response to histamine. Accordingly, the concentration of histamine to induce contraction was determined in each ring to give {approx}70% of the maximal contraction (3x10-6 to 2x10-5 mol/L).

The effects of glibenclamide on the mechanical activities were examined. Although glibenclamide (10-6 mol/L) itself had no effect on the basal tone, it potentiated the contractions induced by histamine (3x10-6 to 3x10-5 mol/L) in slightly stretched vertebral arteries (0.1 g of passive tension) when applied before (Fig 1aDown and 1cDown) and after (Fig 1bDown) histamine. Such a potentiation of histamine-induced contraction was also observed in tissues denuded of the endothelium. Glibenclamide (10-6 mol/L) potentiated contractions to serotonin in a similar fashion (data not shown).



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Figure 1. Effects of glibenclamide (10-6 mol/L) on the histamine-induced contractions in the rabbit vertebral artery. The vessel was slightly stretched to 0.1 g of passive tension. a and b, Actual recordings. The two traces were recorded from the same arterial segment. c, Summary of pooled data (preincubation with glibenclamide, n=4). *P<.05.

Levcromakalim (10-8 to 10-6 mol/L) induced concentration-dependent relaxations of vertebral, proximal basilar, distal basilar, and superior cerebellar arteries (Fig 2Down). The responses to levcromakalim were determined against equivalent contractile responses to histamine. The sensitivity of these arteries to levcromakalim was in the following descending order: vertebral>proximal basilar>distal basilar>superior cerebellar arteries. Vertebral arteries were {approx}50 times more sensitive to levcromakalim than were superior cerebellar arteries. In distal basilar and vertebral arteries, levcromakalim induced comparable relaxation in tissues with and without the endothelium (data not shown). The relaxations induced by levcromakalim were abolished by glibenclamide (10-6 mol/L) in all arteries examined (n=4 or 5, data not shown).



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Figure 2. Effects of levcromakalim (10-8 to 10-6 mol/L) on histamine-induced contractions of vertebral (VA), proximal basilar (Prox BA), distal basilar (Dist BA), and superior cerebellar (SCA) arteries of the rabbit. The amplitudes of contractions induced by histamine (3x10-6 mol/L for Prox BA, Dist BA, and SCA; 3x10-6 to 2x10-5 mol/L for VA) were expressed as 100% (n=4 to 6).

To further confirm the above-mentioned results, the effect of another opener of KATP channels, pinacidil, was examined in four arteries. Pinacidil, at a submaximal concentration (10-7 mol/L), induced potent relaxation in vertebral and proximal basilar arteries contracted with histamine (TableDown). By contrast, the same concentration of pinacidil was less effective in relaxing distal basilar arteries. Superior cerebellar arteries were most resistant to pinacidil (10-7 mol/L). The sensitivity of the examined arteries to pinacidil was in the same order as that to levcromakalim (TableDown).


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Table 1. Relaxing Effects of Pinacidil (10-7 mol/L) on the Histamine-Induced Contractions in Vertebral, Proximal Basilar, Distal Basilar, and Superior Cerebellar Arteries of the Rabbit

The possible link between adenosine-induced relaxation and KATP channels was investigated in proximal arteries (vertebral or proximal basilar arteries) and superior cerebellar arteries in the following experiments. Adenosine (10-7 to 10-5 mol/L) relaxed both proximal arteries and superior cerebellar arteries in a concentration-dependent manner (Fig 3Down). Proximal arteries were more sensitive and responsive to adenosine than were superior cerebellar arteries. The relaxation induced by adenosine was significantly inhibited by glibenclamide (10-6 mol/L) in proximal arteries but not in superior cerebellar arteries (Fig 3Down).



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Figure 3. Effects of adenosine on histamine-induced contractions of proximal arteries (one vertebral and four proximal basilar arteries) and superior cerebellar arteries of the rabbit. The amplitude of contractions induced by histamine (3x10-6 mol/L) was expressed as 100%. The open symbols represent contractions observed in the presence of glibenclamide (10-6 mol/L). The areas under the curves are significantly different in proximal arteries (n=5, P<.05) but not in superior cerebellar arteries (n=4).

Electrophysiological Studies
The arterial smooth muscle cells of unstretched rabbit vertebral arteries had a resting membrane potential of -72±0.5 mV (33 impalements [n=11]) and were electrically quiescent. Glibenclamide (10-6 mol/L) depolarized the membrane by 23 mV (-49±0.7 mV and 21 impalements [n=7], P<.05 versus control; Fig 4Down), whereas dimethyl sulfoxide (0.1% [vol]) itself did not change the resting membrane potential (-70±0.6 mV and 33 impalements [n=11] and -70±0.9 mV and 39 impalements [n=13] in the absence and presence of dimethyl sulfoxide, respectively). Although histamine (3x10-6 mol/L) had no measurable effect on the membrane potential of unstretched arteries, it significantly depolarized the membrane in the presence of glibenclamide (10-6 mol/L, Fig 4Down).



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Figure 4. Effects of histamine (3x10-6 mol/L) on the membrane potential of the unstretched rabbit vertebral artery in the absence (- group, 18 impalements [n=6]) and presence (+ group, 12 impalements [n=4]) of glibenclamide (10-6 mol/L). *P<.05.

In relation to the myogenic control of arterial tone, the effect of stretch on membrane potential was examined. When the arteries were mechanically stretched 1.2 times longer than their unstretched original length (=circumferential length/2), the resting membrane potential decreased by 7 mV (-65±0.7 mV and 24 impalements [n=8], P<.05; Fig 5Down). Histamine (3x10-6 mol/L) significantly depolarized the membrane in stretched but not in unstretched arteries (Fig 5Down).



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Figure 5. Effects of histamine (3x10-6 mol/L) on the membrane potential of the rabbit vertebral artery in the absence (- group, 18 impalements [n=6]) and presence (+ group, 15 impalements [n=5]) of mechanical stretching. *P<.05.

Since unstretched vertebral arteries were not depolarized by histamine (3x10-6 mol/L), these arteries were stretched 1.2 times longer than their original length in the following experiments. One arterial ring did not depolarize upon stretching and was not responsive to histamine (3x10-6 mol/L). We excluded this unresponsive artery from the study. Thus, the membrane potential of vertebral arteries was measured in stretched rings, whereas that of distal basilar arteries was recorded under conventional unstretched conditions unless otherwise stated.

In vertebral arteries, histamine (3x10-6 mol/L) depolarized the membrane by {approx}15 mV (15 impalements [n=5], P<.05; Fig 6aDown). Levcromakalim (7x10-8 mol/L) hyperpolarized the membrane in the continuous presence of histamine (15 impalements [n=5], P<.05; Fig 6aDown). Glibenclamide (10-6 mol/L), when applied to stretched vertebral arteries, significantly depolarized the membrane by {approx}10 mV (15 impalements [n=5]; Fig 6aDown and 6bDown). As a consequence, the membrane potential in the presence of glibenclamide (10-6 mol/L) was {approx}-52 mV. Histamine (3x10-6 mol/L) further depolarized the membrane to {approx}-40 mV in the presence of glibenclamide (10-6 mol/L) in stretched vertebral arteries (15 impalements [n=5], P<.05; Fig 6bDown). Levcromakalim failed to hyperpolarize the membrane in the combined presence of glibenclamide and histamine in vertebral arteries (Fig 6bDown). By contrast, in distal basilar arteries, histamine (3x10-6 mol/L) depolarized the membrane to a similar level (-40 mV and 15 impalements [n=5], P<.05), whereas the same concentration of levcromakalim was without effects on the membrane potential (15 impalements [n=5]; Fig 6cDown). In a similar manner, adenosine (10-5 mol/L) induced glibenclamide-sensitive membrane hyperpolarizations (P<.05) in vertebral arteries but not in distal basilar arteries (15 impalements [n=5]; Fig 7Down) in the presence of histamine.



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Figure 6. Effect of levcromakalim (10-7 mol/L) on membrane potential of vertebral (a, control; b, in the presence of glibenclamide) and distal basilar (c) arteries. The arterial membrane depolarized in response to histamine (3x10-6 mol/L). The effect of levcromakalim was estimated in the continuous presence of histamine. Glibenclamide (10-6 mol/L) was started >15 minutes before the application of histamine and/or levcromakalim (15 impalements for each measurement [n=5]). *P<.05.



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Figure 7. Effect of adenosine (10-5 mol/L) on membrane potential of vertebral (a, control; b, in the presence of glibenclamide) and distal basilar (c) arteries. The arterial membrane depolarized in response to histamine (3x10-6 mol/L). The effect of adenosine was estimated in the continuous presence of histamine. Glibenclamide (10-6 mol/L) was started >15 minutes before the application of histamine and/or adenosine (15 impalements for each measurement [n=5]). *P<.05.


*    Discussion
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up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
The role of KATP channels in the determination of resting membrane potential of vascular smooth muscle cells is controversial. Glibenclamide (10-6 to 10-5 mol/L) does not depolarize the membrane in carotid arteries of the guinea pig11 and mesenteric arteries of the rat.12 By contrast, glibenclamide depolarizes the membrane by {approx}5 mV in mesenteric arteries13 and distal coronary arteries14 of the rabbit. However, it is not clear to what extent such a relatively minor change in resting membrane potential affects basal arterial tone. The present experiments demonstrated considerable depolarization by glibenclamide in vertebral arteries of the rabbit. The results are consistent with the view that KATP channels are open under resting conditions in these arteries of the rabbit. This is in agreement with a previous observation in guinea pigs, that glibenclamide depolarizes by 24 mV the membrane of a population of coronary arterioles that have large negative resting membrane potentials.15 Although these observations do not necessarily mean that KATP channels are open in vivo, the decrease in flow induced by glibenclamide in some vascular beds supports the basal activation of the channels in vivo.16 17 18

In general, membrane depolarization activates voltage-dependent (L-type) Ca2+ channels and leads to contraction of vascular smooth muscle. Although glibenclamide (10-6 mol/L) depolarized the membrane by {approx}20 mV, the compound did not increase the basal tone of the vertebral artery. This rather unexpected dissociation between the electrical and mechanical responses is probably explained by the fact that glibenclamide did not depolarize the membrane beyond -50 mV. Since a few voltage-dependent L-type Ca2+ channels are activated around this membrane potential level,19 even 20 mV of depolarization in amplitude does not induce sufficient Ca2+ influx to induce measurable contraction. In support of this view, the threshold membrane potential to elicit contraction was from -38 to -32 mV in coronary arteries of the rabbit.20 In contrast, histamine-induced contraction was potentiated by glibenclamide. This effect was achieved, at least in part, by the unmasking of membrane depolarization to histamine. It must be pointed out here that the potentiation of contractile responses is not unique to glibenclamide and that any stimulus that depolarizes smooth muscle tends to augment contractions.

Another interesting point drawn from the present results is that active stretch induced depolarization in vertebral arteries. Furthermore, histamine (3x10-6 mol/L) depolarized the membrane only in stretched but not in unstretched arteries. These observations support the view that KATP channels may be involved in the pressure-dependent myogenic autoregulation of cerebral arteries (the property of the artery to contract in response to pressurization). Under low perfusion pressure (less stretched conditions), the arteries would be in a dilatory state due to the vasodepressant effect of KATP channels. In contrast, the arteries would be more prone to contract under high perfusion pressure (more stretched conditions), since the vasodepressant effect of KATP channels is counteracted by arterial stretching. Indeed, glibenclamide inhibits coronary autoregulation in anesthetized dogs.21 22 However, this putative mechanism for myogenic autoregulation may not be definitive, since myogenic autoregulation is a rather common phenomenon in cerebral arteries,23 24 25 whereas the functional distribution of KATP channels is heterogeneous in cerebral arteries, as shown in this and other studies.25 26

The mechanism(s) underlying the depolarization and the subsequent unmasking of histamine-induced depolarization by stretch is not clear from the present experiments. However, one possible explanation, although speculative, would be that stretch turns off KATP channels, which leads not only to the depolarization but also to the increase in electrical resistance of the membrane. The increase in membrane resistance would result in larger depolarization, assuming that histamine-induced depolarizing currents are constant. Alternatively, the membrane depolarization itself may increase histamine-induced depolarizing currents.

The vasodilatory effect of cromakalim or levcromakalim (L-cromakalim) is mediated by the opening of KATP channels and is heterogeneous along cerebral arteries; cromakalim relaxes basilar26 and superior cerebellar25 arteries but not posterior cerebral arteries26 of the rat. The present study provides further evidence for a marked difference in the sensitivity to levcromakalim and pinacidil in cerebral arteries of the rabbit. The different sensitivity to openers of KATP channels presumably results from the difference in density of KATP channels in examined arteries. The fact that the extent of stretch is not the same between vertebral and distal basilar arteries in some electrophysiological studies may limit the validity of the information about membrane potential. However, such an inconsistency could not be avoided since it was necessary to set comparable membrane potentials just before the application of levcromakalim and adenosine in the two kinds of arteries.

Although adenosine is regarded as one of the candidates for physiological openers of KATP channels,27 28 the conclusion is largely based on the in vivo effects of glibenclamide. Some electrophysiological studies have demonstrated membrane hyperpolarization of arterial smooth muscle cells by adenosine,29 30 although the K+ channels activated by adenosine were not well characterized. In the present study, hyperpolarization induced by adenosine was abolished by glibenclamide (10-6 mol/L), which is considered to be a specific blocker of KATP channels at this concentration in vertebral arteries. Daut et al31 also demonstrated glibenclamide-sensitive hyperpolarization to adenosine in coronary arteries of the guinea pig. These results provide direct electrophysiological evidence that adenosine activates glibenclamide-sensitive K+ channels (most likely KATP channels) and induces membrane hyperpolarization. In further support of this notion, adenosine activated glibenclamide-sensitive K+ current in smooth muscle cells from the porcine coronary artery.32 It is believed that the major mechanism underlying adenosine-induced relaxation is the increase in cytosolic cAMP.33 34 35 This concept does not contradict the involvement of hyperpolarization in adenosine-induced relaxation, since it is suggested that cAMP opens KATP channels in vascular smooth muscle cells through the activation of protein kinase A.36

Adenosine induced glibenclamide-sensitive hyperpolarization and relaxation in arteries sensitive to levcromakalim (vertebral and proximal basilar) but not in those insensitive to levcromakalim (distal basilar and superior cerebellar). These results suggest a functional coupling of adenosine-induced relaxation to KATP channels. Another point of interest is that adenosine is a more potent dilator in levcromakalim-sensitive than in levcromakalim-insensitive arteries. The component of relaxation mediated by KATP channels may be important in the determination of the sensitivity and responsiveness of a blood vessel to adenosine. The adenosine-induced relaxation that is resistant to glibenclamide is presumably mediated by cAMP-dependent mechanisms unrelated to hyperpolarization.

In conclusion, KATP channels contribute to the determination of the resting membrane potential and the tone in the cerebral circulation. The present study indicates that they distribute more densely in proximal than in distal arteries of the vertebrobasilar system of the rabbit.


*    Acknowledgments
 
Levcromakalim was kindly provided by SmithKline Beecham Pharmaceuticals. The authors are grateful to Dr T.C. Hamilton, SmithKline Beecham Pharmaceuticals, for valuable comments on the manuscript.

Received October 18, 1994; accepted October 11, 1995.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 

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