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Liposomes Part C PDF

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Preface The origins of liposome research can be traced to the contributions by Alec Bangham and colleagues in the mid 1960s. The description of lecithin disper- sions as containing ‘‘spherulites composed of concentric lamellae’’ (A.D. Bangham and R.W. Horne, J. Mol. Biol. 8, 660, 1964) was followed by the observationthat‘‘thediffusionofunivalentcationsandanionsoutofspontan- eouslyformedliquidcrystalsoflecithinisremarkablysimilartothediffusionof such ions across biological membranes (A.D. Bangham, M.M. Standish and J.C. Watkins, J. Mol. Biol. 13, 238, 1965). Following early studies on the biophysicalcharacterizationofmultilamellarandunilamellarliposomes,inves- tigators began to utilize liposomes as a well-defined model to understand the structure and function of biological membranes. It was also recognized by pioneersincludingGregoryGregoriadisandDemetriosPapahadjopoulosthat liposomes could be used as drug delivery vehicles. It is gratifying that their effortsandtheworkofthoseinspiredbythemhaveleadtothedevelopmentof liposomalformulationsofdoxorubicin,daunorubicinandamphotericinBnow utilizedintheclinic.Othermedicalapplicationsofliposomesincludetheiruse as vaccine adjuvants and gene delivery vehicles, which are being explored in thelaboratoryaswellasinclinicaltrials.Thefieldhasprogressedenormously inthe38yearssince1965. Thisvolumeincludesapplicationsofliposomesinimmunology,diagnostics, and gene delivery and gene therapy. I hope that these chapters will facilitate theworkofgraduatestudents,post-doctoralfellows,andestablishedscientists entering liposome research. Other volumes in this series cover additional subdisciplinesinliposomology. The areas represented in this volume are by no means exhaustive. I have tried to identify the experts in each area of liposome research, particularly thosewhohavecontributedtothefieldoversometime.ItisunfortunatethatI was unable to convince some prominent investigators to contribute to the volume. Some invited contributors were not able to prepare their chapters, despite generous extensions of time. In some cases I may have inadvertently overlookedsomeexpertsinaparticulararea,andtotheseindividualsIextend myapologies.Theirprimarycontributionstothefieldwill,nevertheless,notgo unnoticed,inthecitationsinthesevolumesandintheheartsandmindsofthe manyinvestigatorsinliposomeresearch. xv xvi preface I would like to express my gratitude to all the colleagues who graciously contributedtothesevolumes.IwouldliketothankShirleyLightofAcademic Press for her encouragement for this project, and Noelle Gracy of Elsevier Scienceforherhelpatthelaterstagesoftheproject.Iamespeciallythankfulto my wife Diana Flasher for her understanding, support and love during the seemingly never-ending editing process, and my children Avery and Maxine fortheiruniquecuriosity,creativity,cheer,andlove.Finally,Iwishtodedicate this volume to two other members of my family who have been influential in my life, with their love and support since my childhood days, my aunt Sevim UygurerandmybrotherDr.ArdaDu¨zgu¨nes, Nejat Du¨zgu¨nes, METHODS IN ENZYMOLOGY EDITORS-IN-CHIEF John N. Abelson Melvin I. Simon DIVISIONOFBIOLOGY CALIFORNIAINSTITUTEOFTECHNOLOGY PASADENA,CALIFORNIA FOUNDING EDITORS Sidney P. Colowick and Nathan O. Kaplan Contributors to Volume 373 Articlenumbersareinparenthesesandfollowingthenamesofcontributors. Affiliationslistedarecurrent. SalvadorF.Alin˜o(26),Departamentode ElenaBogdanenko(28),VNOrekhovich Famacologia,FacultaddeMedicina,Uni- Institute of Biomedical Chemistry, Rus- versidaddeValencia,AvdaBlascoIbanez sian Academy of Medical Sciences, 10, 15,46010Valencia,Spain Pogodinska ya Street, 119832 Moscow, Russia CarlR.Alving(2,3,10),Departmentof Membrane Biochemistry, Walter Reed Jeff W.M. Bulte (12), Department of ArmyInstituteofResearch,Washington, Radiology,TheJohnsHopkinsUniversity D.C.20307 SchoolofMedicine,Baltimore,Maryland 21205 M. A. Arangoa (22), Department of LauraBungener(5),DepartmentofMed- Pharmacology and Pharmaceutical ical Microbiology, Molecular Virology Technology,SchoolofPharmacy,Univer- Section, University of Groningen, 9713 sityofNavarra,31080Pamplona,Spain AVGroningen,TheNetherlands Udo Bakowsky (18), Department of Rolf Bunger (10), Department of PharmaceuticalTechnologyandBiophar- Membrane Biochemistry, Walter Reed macy, University of Saarbruecken, ArmyInstituteofResearch,Washington, Germany D.C.20307 Richard R.Bankert (33),Department of GerardoByk(23),LaboratoryofPeptido- Microbiology, SUNY at Buffalo, 138 mimeticsandGeneticChemistry,BarIlan Farber Hall, 3435 Main Street, Buffalo, University, Department of Chemistry, NewYork14214 52900RamatGan,Israel LajosBaranyi(10),DepartmentofMem- Jin-SooChang(9),MorganBiotechnology brane Biochemistry, Walter Reed Army ResearchInstitute,341Pojung-Ri,Koon- Institute of Research, Washington, D.C. sung-Myon, Youngin City, Kyonggi-Do 20307 449-910,SouthKorea Marta Benet (26), Departamento de Fa- Myeong-Jun Choi (9), Charmzone macologia,FacultaddeMedicina,Univer- Co.,Ltd., Bioimaterial Research Center, sidaddeValencia,AvdaBlascoIbanez15, 301 Hankang Building, 184-11 Kwang- 46010Valencia,Spain jang-dong,Kwangjin-ju,Seoul,Korea MichaelBodo(10),DepartmentofMem- Jaime Crespo (26), Departamento de Fa- brane Biochemistry, Walter Reed Army macologia,FacultaddeMedicina,Univer- Institute of Research, Washington, D.C. sidaddeValencia,AvdaBlascoIbanez15, 20307 46010Valencia,Spain OttoC.Boerman(15),DepartmentofNu- ToosDaemen(5),DepartmentofMedical clearMedicine(565),UniversityMedical Microbiology, Molecular Virology Center Nijmegen, P.O. Box 9101, 6500 Section, University of Groningen, 9713 HBNijmegen,TheNetherlands AVGroningen,TheNetherlands ix x contributors to volume 373 Sumeet Dagar (13), Departments of StephenJ.Frost(16),DepartmentofClin- Pharmaceutics and Pharmacodynamics, ical Biochemistry, The Princess Royal University of Illinois at Chicago, 833 Hospital, Lewes Rd. Haywards Heath, WoodStreet,Chicago,Illinois60612 WestSuxxesRH163LU,England FranciscoDası´(26),DepartamentodeFa- M. Teresa Gira˜o Da Cruz (24), Depart- macologia,FacultaddeMedicina,Univer- mentofBiochemistry,FacultyofSciences sidaddeValencia,AvdaBlascoIbanez15, and Technology, University of Coimbra, 46010Valencia,Spain 3000Coimbra,Portugal Robert J. Debs (34), Geraldine Brush Laurent Giraudo (7), Centre d’Immuno- Cancer Research Institute, 2330 Clay logie de Marseille-Luminy, Campus de Street,SanFrancisco,California94115 Luminy, Case 906, 13288 Marsielle Cedex09,France MarcelDeCuyper(12),Interdisciplinary Research Center, Katholieke Universiteit Mitsuru Hashida (25), Graduate School Leuven, Campus Kortrijk, B-8500 of Pharmaceutical Sciences, Kyoto Uni- versity,Sakyo-ku,Kyoto606-850,Japan Kortrijk,Belgium C.TrosDeIlarduya(22),Departmentof Kazuya Hiraoka (30), Division of Gene Therapy Science, Graduate School of PharmacologyandPharmaceuticalTech- Medicine, Osaka University, 2-2 Yama- nology, School of Pharmacy, University da-oka, Suita City, Osaka 565-0871, ofNavarra,31080Pamplona,Spain Japan NejatDu¨zgu¨nes,(19,22,24,28),Depart- ment of Microbiology, University of the DickHoekstra(18),DepartmentofMem- brane Cell Biology, University of Gron- PacificSchoolofDentistry,2155Webster ingen, Antonius Deusinglaan 1, 9713 AV Street,SanFrancisco,California94115 Groningen,TheNetherlands Nejat K. Egˇilmez (33), Department of LeafHuang(21),CenterforPharmacoge- Microbiology, SUNY at Buffalo, 138 netics,SchoolofPharmacy,Universityof Farber Hall, 3435 Main Street, Buffalo, Pittsburgh, 633 Salk Hall, Pittsburgh, NewYork14214 Pennsylvania15213 Abdelatif Elouahabi (20), Center for AnkeHuckreide(5),DepartmentofMed- Structural Biology and Bioinformatics, ical Microbiology, Molecular Virology CP 206/2, Campus Plaine-ULB, Blv du Section, University of Groningen, 9713 Triomphe,1050Brussels,Belgium AVGroningen,TheNetherlands Henrique Faneca (19), Department of Yasufumi Kaneda (30), Division of Gene Biochemistry, Faculty of Sciences and Therapy Science, Graduate School of Technology,UniversityofCoimbra,3000 Medicine,OsakaUniversity,2-2Yamada- Coimbra,Portugal oka,SuitaCity,Osaka565-0871,Japan SylviaFong(34),GeraldineBrushCancer Shigeru Kawakami (25), Faculty of ResearchInstitute,2330ClayStreet,San Pharmaceutical Sciences, Nagasaki Francisco,California94115 University,Magaski852-8521,Japan Benoıˆt Frisch (4), Laboratoire de Chimie Chong-Kook Kim (17), College of Phar- Bioorganique, UMR 7514 CNRS-ULP, macy, Seoul National University, San FacultedePharmacie,74RouteduRhin, 56-1, Shinlim-Doug, Kwanak-Gu, Seoul, Illkirch67400,France SouthKorea contributors to volume373 xi Kenji Kono (27), Department of Applied Soo-JeongLim(17),CollegeofPharmacy, Materials Science, Graduate School of Seoul National University, San 56-1, Engineering, Osaka Prefecture Univer- Shinlim-Doug,Kwanak-Gu,Seoul,South sity, 1-1, Gakuencho, Sakai, Osaka Korea 599-8531,Japan Yong Liu (34), Geraldine Brush Cancer Krystyna Konopka (31), Department of Research Institute, 2330 Clay Street, Microbiology, University of the Pacific SanFrancisco,California94115 SchoolofDentistry,2155WebsterStreet, PatrickMachy(7),Centred’Immunologie SanFrancisco,California94115 de Marseille-Luminy, Campus de Lu- LakshmiKrishnan(11),InstituteforBio- miny, Case 906, 13288 Marsielle Cedex logical Sciences, National Research 09,France Council of Canada, 100 Sussex Drive, Ottawa,OntarioK1A0R6,Canada Miguel Mano (19), Department of Bio- chemistry,FacultyofSciencesandTech- PeterE.Jensen(8),DepartmentofPath- nology, University of Coimbra, 3000 ology and Laboratory Medicine, Emory Coimbra,Portugal University School of Medicine, Atlanta, Georgia30322 GaryR.Matyas(3),DepartmentofMem- brane Biochemistry, Walter Reed Army LawrenceB.Lachman(6),Departmentof Institute of Research, Washington, D.C. Bioimmunotherapy,Box422,TheUniver- 20307 sity of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, NathalieMignet(23),UMR7001,Labor- Texas,77030 atoiredeChimieBioorganiquetetdeBio- Olivier Lambert (29), Institut Curie, technologie Moleculaire et Cellulaire, Ecole National Superieure de Chimie de Section de Recherche, UMR-CNRS 168 Paris, 13 Quai Jules Guesde, BP 14, et LRC-CEA 8, 11 rue Pierre et Marie 94403VitrysurSiene,France Curie,75231Paris,France Peter Laverman (15), Department of Nu- Janos Milosevits (10), Department of clearMedicine(565),UniversityMedical Membrane Biochemistry, Walter Reed Center Nijmegen, P.O. Box 9101, 6500 ArmyInstituteofResearch,Washington, HBNijmegen,TheNetherlands D.C.20307 Paul J. Lee (14), Vitreoretinal Surgical AlexeyMoskovtsev(28),VNOrekhovich Fellow, Tulane University Medical Institute of Biomedical Chemistry, Rus- Center, 1430 Tulane Avenue, New sian Academy of Medical Sciences, 10, Orleans,Louisiana70112 Pogodinska ya Street, 119832 Moscow, Russia Lee Leserman (7), Centre d’Immunologie de Marseille-Luminy, Campus de Lu- Jean M. Muderhwa (3), Department of miny, Case 906, 13288 Marsielle Cedex Membrane Biochemistry, Walter Reed 09,France ArmyInstituteofResearch,Washington, D.C.20307 SongLi(21),CenterforPharmacogenetics, SchoolofPharmacy,UniversityofPitts- Makiya Nshikawa (25), Graduate School burgh, 633 Salk Hall, Pittsburgh, Penn- of Pharmaceutical Sciences, Kyoto Uni- sylvania15213 versity,Sakyo-ku,Kyoto606-850,Japan xii contributors to volume 373 VolkerOberle(18),DepartmentofMem- Mangala Rao (2), Department of Mem- brane Cell Biology, University of Gron- brane Biochemistry, Walter Reed Army ingen, Antonius Deusinglaan 1, 9713 AV Institute of Research, Washington, D.C. Groningen,TheNetherlands 20307 Hayat O¨nkyu¨ksel (13), Departments of Jean-Louis Rigaud (29), Institut Curie, Pharmaceutics and Pharmacodynamics, Section de Recherche, UMR-CNRS 168 University of Illinois at Chicago, 833 et LRC-CEA 8, 11 rue Pierre et Marie WoodStreet,Chicago,Illinois60612 Curie,75231Paris,France Bu¨lentO¨zpolat(6),DepartmentofBioim- Audrey Roth (4), Laboratoire de Chimie munotherapy,Box422,TheUniversityof Bioorganique, UMR 7514 CNRS-ULP, TexasMDAndersonCancerCenter,1515 FacultedePharmacie,74RouteduRhin, HolcombeBlvd.,Houston,Texas,77030 Illkirch67400,France WilliamM.Pardridge(32),Universityof StephenW.Rothwell(2),Departmentof California-LosAngeles,WarrenHall,13- Membrane Biochemistry, Walter Reed 164, 900 Veteran Avenue, Los Angeles, ArmyInstituteofResearch,Washington, California90024 D.C.20307 GirishchandraB.Patel(11),Institutefor Biological Sciences, National Research Israel Rubinstein (13), Departments of Council of Canada, 100 Sussex Drive, Pharmaceutics and Pharmacodynamics, University of Illinois at Chicago, 833 Ottawa,OntarioK1A0R6,Canada WoodStreet,Chicago,Illinois60612 Ve´roniquePector(20),CenterforStruc- tural Biology and Bioinformatics, CP Jean-MarieRuysschaert(20),Centerfor 206/2, Campus Plaine-ULB, Blv du Structural Biology and Bioinformatics, Triomphe,1050Brussels,Belgium CP 206/2, Campus Plaine-ULB, Blv du Triomphe,1050Brussels,Belgium MariaC.PedrosoDeLima (19,24),De- partmentofBiochemistry,FacultyofSci- Sandor Savay (10), Department of Mem- ences and Technology, University of brane Biochemistry, Walter Reed Army Coimbra,3000Coimbra,Portugal Institute of Research, Washington, D.C. 20307 Nuno Penacho (19), Department of Bio- chemistry,FacultyofSciencesandTech- Daniel Scherman (23), UMR 7001, La- nology, University of Coimbra, 300 boratoire de Chimie Bioorganiquet et de Coimbra,Portugal Biotechnologie Moleculaire et Cellulaire, Gholam A. Peyman (14), Ophthalmology Ecole National Superieure de Chimie de Department (SL 69), Tulane University Paris, 13 Quai Jules Guesde, BP 14, Medical Center, 1430 Tulane Avenue, 94403VitrysurSiene,France NewOrleans,Louisiana70112 Francis Schuber (4), Laboratoire de Chi- PedroPires(24),CenterforNeuroscience mie Bioorganique, UMR 7514 CNRS- andCellBiology,UniversityofCoimbra, ULP, Faculte de Pharmacie, 74 Route 3000Coimbra,Portugal duRhin,Illkirch67400,France OlgaPodobed(28),VNOrekhovichInsti- KarineSerre(7),Centred’Immunologiede tute of Biomedical Chemistry, Russian Marseille-Luminy, Campus de Luminy, AcademyofMedicalSciences,10,Pogo- Case 906, 13288 Marsielle Cedex 09, dinskayaStreet,119832Moscow,Russia France contributors to volume373 xiii Se´rgioSimo˜es(19,24),DepartmentofBio- Larry E. Westerman (8), VGS/DVRD/ chemistry,FacultyofSciencesandTech- NCID, Centers for Disease Control and nology, University of Coimbra, 3000 Prevention,Atlanta,Georgia30322 Coimbra,Portugal Barbara Wetzer (23), UMR 7001, G. Dennis Sprott (11), Institute for Bio- Laboratoire de Chimie Bioorganiquet logical Sciences, National Research et de Biotechnologie Moleculaire et Council of Canada, 100 Sussex Drive, Cellulaire, Ecole National Superieure de Ottawa,OntarioK1A0R6,Canada Chimie de Paris, 13 Quai Jules Gert Storm (15), Department of Pharma- Guesde, BP 14, 94403 Vitry sur Siene, France ceutics,UtrechtInstituteforPharmaceut- icalSciences(UIPS),UtrechtUniversity, JanWilschut(5),DepartmentofMedical TheNetherlands Microbiology, Molecular Virology Janos Szebeni (10), Department of Mem- Section, University of Groningen, 9713 brane Biochemistry, Walter Reed Army AVGroningen,TheNetherlands Institute of Research, Washington, D.C. Seiji Yamamoto (30), Division of Gene 20307 Therapy Science, Graduate School of Toru Takagishi (27), Department of Ap- Medicine, Osaka University, 2-2 Yama- pliedMaterialsScience,GraduateSchool da-oka, Suita City, Osaka 565-0871, ofEngineering,OsakaPrefectureUniver- Japan sity, 1-1, Gakuencho, Sakai, Osaka 599-8531,Japan Fumiyoshi Yamashita (25), Graduate School of Pharmaceutical Sciences, Marc Thiry (20), Laboratory of Cell and Kyoto University, Sakyo-ku, Kyoto Tissue Biology, University of Liege, Rue 606-850,Japan dePitteurs,Liege,Belgium MichelVandenbranden(20),Centerfor Jing-Shi Zhang (21), Center for Pharma- cogenetics, School of Pharmacy, Univer- Structural Biology and Bioinformatics, sity of Pittsburgh, 633 Salk Hall, CP 206/2, Campus Plaine-ULB, Blv du Pittsburgh,Pennsylvania15213 Triomphe,1050Brussels,Belgium EstherVanKesteren-Hendrikx(1),De- RenatZhdanov(28),VNOrekhovichIn- partment of Cell and Immunology, stitute of Biomedical Chemistry, Russian Faculty of Medicine, Vrije Universiteit AcademyofMedicalSciences,10,Pogo- MedicalCenter,VandeBoechhorststraat dinskayaStreet,119832Moscow,Russia 7,1081BTAmsterdam,TheNetherlands NicoVanRooijen(1),DepartmentofCell and Immunology, Faculty of Medicine, Vrije Universiteit Medical Center, Van de Boechhorststraat 7, 1081 BT Amster- dam,TheNetherlands [1] depletion of macrophagesbyliposomes 3 [1] ‘‘In Vivo’’ Depletion of Macrophages by Liposome-Mediated ‘‘Suicide’’ By Nico van Rooijen and Esther van Kesteren-Hendrikx Introduction Macrophages are multifunctional cells. They play a key role in natural and acquired host defense reactions, in homeostasis, and in the regulation ofnumerousbiologicalprocesses.Themaintoolstheyusetoachievethese goals are phagocytosis followed by intracellular digestion, and production andreleaseofsolublemediatorssuchascytokines,chemokines,andnitric oxide(NO).Macrophagescanbefoundasresidentcellsinallorgansofthe body, andthey canbe recruited tositesof inflammation.Their immediate precursorsaremonocytes,whicharereleasedinthebloodcirculationfrom thebone marrow. Aftersome time,monocytesleave the circulation, cross thebarrier formed by thewalls ofblood vessels, and enter into one ofthe organs,wheretheirfinaldifferentiationintomaturemacrophageswilltake place. Depletion of macrophages followed by functional studies in such macrophage-depleted animals forms a generally accepted approach to es- tablishtheirroleinanyparticularbiomedicalphenomenon.Earlymethods for depletion of macrophages were based on the administration of silica, carrageenan, or by various other treatments. However, incompleteness of depletion, and even stimulation of macrophages, as well as unwanted effects on nonphagocytic cells, were obvious disadvantages.1 For that reason, we have developed a more sophisticated approach, based on the liposome-mediated intracellular delivery of the bisphospho- nate clodronate.2,3 In this approach, liposomes are used as a Trojan horse togetthesmallclodronatemoleculesintothemacrophage.Onceingested bymacrophages,thephospholipidbilayersofliposomesaredisruptedunder theinfluenceoflysosomalphospholipases.Thestronglyhydrophilicclodro- nate molecules intracellularly released in this way do not escape from the cell, because they will not easily cross its cell membranes. As a result, the intracellular clodronate concentration increases as more liposomes areingestedanddigested.At acertain clodronateconcentration,irrevers- ibledamagecausesthemacrophagetobekilledbyapoptosis.4,5Clodronate 1N.vanRooijenandA.Sanders,J. Leuk.Biol.62,702(1997). 2N.vanRooijenandR.vanNieuwmegen,CellTiss.Res.238,355(1984). 3N.vanRooijenandA.Sanders,J. Immunol.Meth.174,83(1994). Copyright2003,ElsevierInc. Allrightsreserved. METHODSINENZYMOLOGY,VOL.373 0076-6879/03$35.00 4 liposomes in immunology [1] molecules released in the circulation from dead macrophages will not enter cells again, because they are not able to cross cell membranes. Moreover, free clodronate molecules show an extremely short half-life in circulation and body fluids. They are removed by the renal system. The combination of low toxicity and short half-life of clodronate makes this drug the best choice for the liposome-mediated elimination of macrophages ‘‘in vivo’’. Clodronate in its free form is used widely as a drug for the treat- ment of malignant hypercalcemia6 and painful bone metastasis caused by hormone-refractory prostate cancer,7 emphasizing its nontoxic nature. Clodronate Liposomes in Research Clodronate Liposomes as a Tool to Investigate Macrophage Activities In Vivo With the liposome-mediated macrophage ‘‘suicide’’ approach, func- tional aspects of macrophages have been established in hundreds of studies up to now. Many of the resulting publications are listed in the website http://www.ClodronateLiposomes.com. Althoughliposomescannotcrossvascularbarrierssuchasthewallsof capillaries, their meeting with particular macrophage populations can be achieved by choosing the right administration routes. Among the macro- phages that might become useful targets for manipulation by liposomes are Kupffer cells in the liver and splenic macrophages (to be reached by way of intravenous injection),8 alveolar macrophages in the lungs (to be reached by way of intratracheal instillation or intranasal administration),9 phagocytic synovial lining cells (by means of intra-articular injection in the synovial cavity),10 peritoneal macrophages (by means of intraperito- nealinjection),11macrophagesinthetestis(bymeansoflocalinjection),12 4N.vanRooijen,A.Sanders,andT.vandenBerg,J. Immunol.Meth.193,93(1996). 5M. Naito, H. Nagai, S. Kawanao, H. Umezu, H. Zhu, H. Moriyama, T. Yamamoto, H.Takatsuka,andY.Takkei,J. Leuk.Biol.60,337(1996). 6A.List,Arch.Intern.Med.151,471(1991). 7A.Heidenreich,R.Hofmann,andU.H.Engelmann,J. Urol.165,136(2001). 8N. van Rooijen, N. Kors, M. van den Ende, and C. D. Dijkstra, Cell Tiss. Res. 260, 215 (1990). 9T.Thepen,N.vanRooijen,andG.Kraal,J. Exp.Med.170,499(1989). 10P.L.E.M.vanLent,A.E.M.Holthuyzen,L.A.M.vandenBersselaar,N.vanRooijen, L.A.B.Joosten,F.A.J.vandeLoo,L.B.A.vandePutte,andW.B.vandeBerg.Arthritis Rheum.39,1545(1996). 11J.Biewenga,B.vandeEnde,L.F.G.Krist,A.Borst,M.Chufron,andN.vanRooijen,Cell Tiss.Res.280,189(1995). 12A.Bergh,J.E.Damber,andN.vanRooijen,J. Endocrinol.136,407(1993).

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