(Hypertension. 1997;29:1265-1272.)
© 1997 American Heart Association, Inc.
Articles |
From the Divisions of Cardiology, Department of Medicine, University of Washington, Seattle, and Department of Physiology and the Cardiovascular Research Institute, Loyal University Medical School, Maywood, Ill (P.A.L.).
| Abstract |
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Key Words: sodium-hydrogen antiporter signal transduction muscle, smooth
| Introduction |
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Because the NHE-1 isoform is activated by both hyperplastic (eg, platelet-derived growth factor) and hypertrophic (eg, Ang II) agents,4 5 it has been proposed that abnormal function of this protein may be involved in the pathophysiology of hypertension.6 7 Evidence for NHE dysfunction in hypertension is provided by observations that its activity is increased in lymphocytes and skeletal muscle from SHR8 9 and in platelets, leukocytes, immortalized lymphoblasts, and skeletal muscle from hypertensive individuals.10 11 12 13 14 15 Data from our laboratory as well as others indicate that both cultured VSMCs9 16 17 18 and intact mesenteric arteries from SHR19 have a greater capacity for Na+-H+ exchange and altered kinetics. Alterations in Na+-H+ exchange regulation leading to increased activity in hypertension can be theoretically divided into three categories: mutation in the gene, increased expression of the gene product, and altered posttranslational regulation of existing exchangers. By restriction fragment length polymorphism analysis, there is no linkage between the human NHE gene and essential hypertension.20 21 Northern blot analysis showed that VSMCs from SHR and WKY expressed only the NHE-1 isoform and the steady-state mRNA levels were similar.7 22 Other investigators showed no difference in NHE-1 protein expression in SHR and WKY tissues.18 However, there is clearly an increase in NHE-1 phosphorylation in cells derived from the SHR, as reported by Siczkowski et al,23 who showed that the phosphorylation state of the exchanger in growth-arrested SHR VSMCs was 2.2-fold greater than in WKY VSMCs. These findings suggest that the increase in Na+-H+ exchange in the SHR is caused by an alteration in the regulation of NHE-1 activity. The concept of a pathogenic change in signal transduction is supported by the findings of Rosskopf et al13 and Siffert et al,24 who have demonstrated alterations in activation of G protein and Na+-H+ exchange in individuals with essential hypertension.
NHE activation is likely to be complex, with regulation by several intracellular mediators. NHE-1 consists of two functional subdomains: an amino-terminal domain (amino acids 1 through 505) that contains 10 to 12 transmembrane helices and mediates 1:1 Na+-H+ exchange, and a carboxyl-terminal domain (amino acids 506 through 815) that is cytosolic and required for intracellular pH sensitivity and activation by growth factors. Analysis of cells transfected with truncated mutants of NHE-1 indicate that the carboxyl-terminal domain is required for expression of its ATP dependence.25 Functional characterization of NHE deletion mutants expressed in fibroblasts revealed that the region between amino acids 567 and 635 is required for both growth factorinduced cytoplasmic alkalinization and maintenance of high intracellular pH sensitivity.26 However, deletion of amino acids 567 through 635 or replacement of any of the serine residues between amino acids 567 and 635 with alanine had no apparent effect on the pattern of growth factorinduced phosphorylation.26 Comparison of phosphopeptide maps for wild-type NHE-1 with those for the internal deletion NHE-1 and the expressed cytoplasmic domain revealed that all major in vivo phosphorylation sites, including growth factorsensitive ones, map to the cytoplasmic tail (amino acids 636 through 815).26 Deletion of amino acids carboxyl to 635 reduced growth factorinduced cytoplasmic alkalinization by 50%.27 In addition, it has been demonstrated that a novel calmodulin binding site in the exchanger (amino acids 636 through 656) functions as an "autoinhibitory domain."28 29 Increases in intracellular Ca2+ cause binding of Ca2+/calmodulin to the exchanger, activating NHE-1 by binding to this region and abolishing its inhibitory effect. Taken together, these data support three regulatory pathways for "H+ sensing" by NHE-1: (1) a regulatory factor or factors interact with a critical cytoplasmic region prior to amino acid 635; (2) phosphorylation occurs on amino acids 636 through 815; and (3) Ca2+/calmodulin binding removes a basal state of autoinhibition.
Several protein kinases have been proposed to regulate
Na+-H+ exchange, including
Ca2+/calmodulin-dependent kinases,
cAMP-dependent kinases, PKC, and the mitogen-activated protein
(MAP) kinase family (especially ERK1/2). We recently reported that
ERK1/2 activation by Ang II differed between WKY and
SHR.30 However, maximum activation by Ang II was similar
in WKY and SHR, suggesting that ERK1/2 is not responsible for increased
Na+-H+ exchange in the SHR. Recently, Hooley et
al31 suggested that at least three distinct signaling
pathways were responsible for stimulation of NHE-1 activity by Ha-Ras
and G
13. Although stimulation by Ha-Ras (the likely
pathway for growth factormediated NHE-1 stimulation) involved Raf-1
and MEK, the downstream pathways used by MEK to stimulate NHE-1 were
not determined. Thus, at present, no kinase for which NHE-1 is a
specific substrate has been identified.
In this study, we investigated NHE-1 kinase activity in WKY and SHR VSMCs. We report two major findings: (1) a 90-kD NHE-1 kinase is more active in SHR than WKY VSMCs under both growth-arrested and Ang IIstimulated conditions; and (2) activation of the 90-kD NHE-1 kinase by Ang II is Ca2+ dependent and PKC independent.
| Methods |
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Sprague-Dawley rat VSMCs were isolated by collagenase-elastase digestion as described previously and maintained in DMEM supplemented with 10% calf serum. Cells between passages 5 and 13 were growth-arrested at 70% to 80% confluence by incubation in 0.4% calf serum/DMEM for 48 hours.
Fusion Protein Preparation
Bacterial expression plasmids containing cytoplasmic
domains of the human NHE-1 (amino acids 516 through 815) were prepared
by subcloning polymerase chain reactiongenerated EcoRI and
Sac I fragments of human NHE-1 cDNA (cloned in pBluescript)
into pGEX-KG to generate a GST fusion protein termed GSTNHE-1. The
orientation and reading frames of all constructs were confirmed by
sequencing. The homology between rat and human NHE-1 is 92% between
amino acids 516 and 815. In this region, there are a total of 37 serine
and threonine residues, of which 33 show exact conservation between rat
and human. After transformation of GSTNHE-1 constructs into the BL21
strain of Escherichia coli, cultures were grown to sub-log
phase and induced for 3 hours at 37°C with 1 mol/L isopropyl
-D-thiogalactopyranoside (Sigma Chemical Co). GSTNHE-1
was not synthesized by the Escherichia coli in the soluble
fraction, so purification from inclusion bodies was necessary. After
induction, cells were collected, sonicated, and centrifuged.
The pellet was washed once with 1 mol/L sucrose; resuspended with
10 mmol/L Tris (pH 7.4), 2% Triton X-100, 5 mmol/L EDTA, and
100 mmol/L NaCl; and incubated overnight at 4°C. After
centrifugation, the pellet was resuspended with 3%
SDS, and the SDS then was removed by chromatography on
Extracti-Gel D Detergent Removing gel (Pierce Chemicals). Protein
concentrations were determined by Coomassie staining of proteins
separated by SDSpolyacrylamide gel electrophoresis (PAGE).
GSTNHE-1 represented approximately 90% of the proteins
in this preparation (Fig 1
). To confirm results obtained
with GST-NHE(516-815), we also used the rabbit NHE-1 as a substrate.
The fusion protein was a ß-galactosidase construct containing the
terminal 178 amino acids of the rabbit NHE-1 (approximately 637 through
815 of the human), kindly provided by Dr Larry Fliegel (University of
Alberta). This fusion protein, termed COOH178, was prepared exactly as
described previously.32
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Preparation of Cell Lysates for NHE-1 Kinase Experiments
and Western Blot Analysis
Cells were incubated at 37°C in HEPES-buffered DMEM containing
100 nmol/L Ang II, 200 nmol/L PMA, or vehicle alone for various times.
For experiments in which intracellular Ca2+ was chelated,
cells were preincubated for 30 minutes in Ca2+-free,
HEPES-buffered Hanks' balanced salt solution (HBSS) containing 1
mmol/L EGTA and 75 µmol/L acetoxy-methyl ester of BAPTA
(BAPTA-AM, Molecular Probes) in 0.1% dimethyl sulfoxide at 37°C as
previously described.30 After agonist stimulation, cells
were harvested by aspirating the medium and washing with ice-cold
phosphate-buffered saline. Cells were lysed by the addition of 0.5 mL
ice-cold lysis buffer (50 mmol/L NaCl, 50 mmol/L NaF, 50
mmol/L sodium pyrophosphate, 5 mmol/L EDTA, 5 mmol/L EGTA,
2 mmol/L sodium orthovanadate, 0.1% Triton X-100, 0.5 mmol/L
phenylmethylsulfonyl fluoride, 10 µg/mL leupeptin, and
10 mmol/L HEPES, pH 7.4), followed by immediate freezing on
ethanol/dry ice. The cell lysates were then thawed on ice, scraped,
sonicated, and centrifuged at 14 000g at 4°C for
30 minutes. Supernatants were used immediately or stored at -80°C.
Protein concentrations were determined with a Bio-Rad Protein Assay
Kit. For Western blot analysis, lysates were subjected to 10%
SDS-PAGE, transferred to nitrocellulose, and immunoblotted
with anti-phosphotyrosine ERK1/2 antibody (New England Biolabs). PD
098059 [2-(2'-amino-3'-methoxyphenyl)oxanaphthalen-4-one] was
obtained from Parke Davis.
NHE-1 Kinase Activity Assay
NHE-1 kinase activity was analyzed by an in-gel-kinase
assay described previously,33 with slight modifications.
Briefly, cell lysate supernatants (approximately 10 µg protein) were
resolved on a 10% SDS-polyacrylamide gel containing 0.15 mg/mL
GSTNHE-1. After electrophoresis, the gel was washed twice with buffer
A (50 mmol/L HEPES, pH 7.4, and 5 mmol/L ß-mercaptoethanol)
containing 20% 2-propanol to remove SDS. The gel was then
reequilibrated in buffer A for 1 hour, followed by two 30-minute washes
in buffer A containing 6 mol/L guanidine-HCl. Subsequently, proteins
were renatured with two changes of buffer A (500 mL each) containing
0.04% Tween-20 at 4°C for 16 hours. The gel was then incubated in
buffer B (25 mmol/L HEPES [pH 7.4], 10 mmol/L
MgCl2, 100 µmol/L sodium orthovanadate, 5
mmol/L ß-mercaptoethanol) for 30 minutes at 30°C. The
phosphorylation assay was performed by placing the gel
in buffer B containing 50 µmol/L ATP and 50 µCi
[
-32P]ATP for 1 hour at 30°C. The reaction
was terminated by immersing the gel in 5% trichloroacetic acid and
10 mmol/L sodium pyrophosphate. The gel was washed extensively to
remove unincorporated radioactivity, dried, and then subjected to
autoradiography. Autoradiographic signal
intensity was quantified by densitometry in the linear range of film
exposure with the National Institutes of Health Image program 1.49.
Data Analysis
Data are reported as mean±SEM. Results were
analyzed by one-way ANOVA or the Wilcoxon signed ranks
test. Statistics were computed with SYSTAT. For comparison of group
means after computation of the ANOVA, a contrast was set up to yield F
and P values. Post hoc analysis was performed by the
Tukey-Kramer honestly significant difference test of pairwise mean
comparisons. A value of P<.05 was considered
significant.
| Results |
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To determine the extent to which 32P incorporation in the
in-gel-kinase assay represented protein kinase
autophosphorylation versus substrate-specific
phosphorylation, we performed an in-gel-kinase assay in
gels containing GST only (Fig 2
, right). The only kinase that
demonstrated phosphorylation was at 90 kD. However, the
phosphorylation was only approximately 5% of that
observed after Ang II stimulation with GSTNHE-1 as substrate. A
similar result was obtained when the in-gel-kinase assay was performed
in a gel containing no protein (data not shown). These results indicate
that autoradiographic intensity on the in-gel-kinase assay
represents predominantly phosphorylation of
GSTNHE-1 (
95%) rather than phosphorylation of GST
or kinase autophosphorylation.
A 90-kD Kinase Has Greater Activity in SHR Than WKY
VSMCs
To compare NHE-1 kinase activity in WKY and SHR VSMCs, we
stimulated growth-arrested cells with Ang II and identified NHE-1
kinases by in-gel-kinase assay with GSTNHE-1. Similar to
Sprague-Dawley VSMCs, Ang II stimulated NHE-1 kinases of molecular
weights 42, 44, 56, 62, and 90 kD in both WKY and SHR VSMCs (Fig 3
, left). Also similar to Sprague Dawley VSMCs, the kinase
with maximal activity was at 90 kD, and it exhibited a small degree of
phosphorylation in a GST in-gel-kinase assay (Fig 3
, middle). To demonstrate further the reproducibility of this technique,
we studied the same cell lysates by in-gel-kinase assay using a
ß-galactosidase rabbit NHE-1 fusion protein (COOH178). Similar to
results with GSTNHE-1, a prominent 90-kD kinase was identified
that showed enhanced activity in growth-arrested and Ang
IIstimulated SHR VSMCs (Fig 3
, right).
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Further studies focused on the 90-kD kinase for several reasons. First, the activity of this kinase was higher in growth-arrested SHR than WKY VSMCs. This difference in function in growth-arrested cells is similar to previous studies that showed a higher resting pH in SHR VSMCs16 and greater phosphorylation of the NHE in SHR VSMCs under basal conditions.23 Second, among several NHE-1 kinases in WKY and SHR VSMCs, the 90-kD kinase showed the greatest increase in activity after Ang II stimulation (3.8±0.9-fold for SHR and WKY combined, P<.01, n=8). Third, the 90-kD kinase was the most active kinase observed by the in-gel-kinase assay.
Comparison of 90-kD kinase activity in WKY and SHR VSMCs revealed the
following important results. In growth-arrested cells, 90-kD kinase
activity in SHR VSMCs was 1.8±0.2-fold greater than in WKY VSMCs (Fig 4
, P<.05, n=5). Stimulation of the 90-kD
kinase by Ang II was greater in SHR VSMCs. Specifically, 100 nmol/L Ang
II for 5 minutes stimulated the 90-kD kinase (relative to WKY basal
90-kD kinase activity) by 2.6±1.2-fold and 4.5±1.7-fold in WKY and
SHR, respectively (Fig 4
, P=.07, n=5).
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Time Course for Activation of 90-kD Kinase in WKY and
SHR VSMCs by Ang II
We previously observed that the time course of ERK1/2 activation
by Ang II was significantly different in WKY and SHR
VSMCs,30 with ERK1/2 activity being
inactivated more rapidly in SHR VSMCs at 20 minutes. To
determine the time course for the 90-kD kinase activity, we stimulated
growth-arrested VSMCs with 100 nmol/L Ang II. In response to Ang II,
there was a rapid stimulation of 90-kD NHE-1 kinase, with peak activity
at 5 minutes and inactivation by 20 minutes (Fig 5
). At
both 5 and 20 minutes, 90-kD kinase activity in SHR VSMCs was higher
than in WKY VSMCs, but the time course for inactivation was similar.
These results are based on three experiments and so statistical
analysis was not performed. Activity of the 90-kD kinase
returned to baseline by 60 minutes and showed no reactivation at 180
minutes (data not shown).
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Ca2+ Chelation Inhibits 90-kD Kinase
Activity in SHR VSMCs
Because activation of the NHE in VSMCs has been reported to be
Ca2+-dependent,34 we investigated the effect
of Ca2+ chelation on 90-kD NHE-1 kinase activity.
Growth-arrested VSMCs were incubated in Ca2+-free HBSS
containing 75 µmol/L BAPTA-AM and 1 mmol/L EGTA for 30
minutes before stimulation with 100 nmol/L Ang II. This pretreatment
completely inhibits the Ang IIinduced rise in intracellular
Ca2+ concentration.30 Ca2+
chelation increased the basal activity of the 90-kD kinase in WKY VSMCs
(Fig 6A
) but appeared to have little effect on Ang
IIstimulated 90-kD kinase activity in WKY VSMCs. It was not possible
for us to analyze statistically the effects of BAPTA on Ang II
stimulation of the 90-kD kinase in WKY VSMCs because of the effect of
BAPTA on baseline activity. In SHR VSMCs, Ca2+ chelation
also slightly increased the basal activity of the 90-kD kinase
(1.2±0.1-fold relative to SHR control, Fig 6
, P>.1, n=3).
Of interest, Ca2+ chelation completely blocked activation
of the 90-kD kinase by Ang II in SHR VSMCs (Fig 6B
, 1
.1±0.1-fold
increase, P<.05 versus Ang IItreated SHR without
BAPTA-AM, n=3). Thus Ca2+ chelation significantly inhibited
Ang II stimulation of the 90-kD NHE-1 kinase in SHR VSMCs.
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PKC Downregulation Causes Minimal Inhibition of 90-kD
Kinase Activity in SHR and WKY VSMCs
Ang II stimulation of Na+-H+ exchange in
VSMCs is both PKC-dependent and PKC-independent.35 Because
the 90-kD NHE-1 kinase was activated by PMA in Sprague-Dawley
VSMCs (Fig 2
), we investigated the role of PKC in Ang IImediated
activation of the 90-kD kinase. For PKC inhibition, PKC was
downregulated by pretreatment for 24 hours with 1 µmol/L phorbol
12,13-dibutyrate (PDBU). We have previously shown that PDBU treatment
completely inhibits ERK1/2 activation by PMA but not by Ang II in WKY
and SHR VSMCs.30 However, PKC downregulation caused little
inhibition of Ang IIstimulated 90-kD kinase activity in WKY and SHR
VSMCs (Fig 7
; 27% and 23% inhibition, respectively;
n=2).
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PD 098059, an MEK Inhibitor, Inhibits 90-kD
Kinase Activity in SHR and WKY VSMCs
A potential role for ERK1/2 in Ang II stimulation of the 90-kD
kinase was suggested by the findings that 90-kD activation was
Ca2+-dependent and PKC-independent, similar to
results obtained previously for ERK1/2.30 A recently
developed compound, PD 098059, has been shown to inhibit MEK-1 and
thereby prevent growth factor stimulation of ERK1/2.36 To
determine the role of ERK1/2 in Ang IIstimulated 90-kD kinase
activation, we treated growth-arrested WKY and SHR VSMCs with 30
µmol/L PD 098059 for 30 minutes before stimulation with 100 nmol/L
Ang II. Treatment with PD 098059 partially inhibited Ang IIstimulated
NHE-1 kinase activation in WKY and SHR VSMCs (Fig 8A
;
48% and 63% of control, respectively; n=2). Under these conditions,
activation of ERK1/2 by Ang II in WKY and SHR VSMCs was inhibited to an
even greater extent (Fig 8B
; 80% and 85% of control, respectively;
n=2). These results suggest that the 90-kD kinase is regulated in part
by an ERK1/2-dependent pathway.
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| Discussion |
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A requirement for phosphorylation-dependent pathways in the activation of the NHE is suggested by a large number of studies. Data from Sardet et al37 indicate that the rapid activation of the exchanger by mitogens is associated with increases in its phosphorylation. Phosphorylation of the exchanger is associated with a shift in pHi dependence toward more alkaline pH values and an increase in maximum activity at acidic pH values.37 More recent work with NHE-12 26 28 has established that the carboxyl portion of the exchanger has both stimulatory and inhibitory domains. As shown in Pouysségur's laboratory for the human NHE-1,26 progressive deletions of the carboxyl portion of the exchanger first cause an increase in activity and then a decrease in activity. Deletion mutational analysis of NHE-1 and comparison of phosphopeptide maps after growth factor stimulation revealed that all major in vivo phosphorylation sites, including growth factorsensitive ones, map to the cytoplasmic tail (amino acids 636 through 815).26 However, it should be noted that direct phosphorylation of the exchanger by growth factors is unlikely to be the only mechanism of activation.26 28 Because the 90-kD kinase phosphorylated both COOH178 and GSTNHE-1, which share amino acids 637 through 815, the present study indicates that this kinase phosphorylates serines and threonines located between amino acids 638 and 815. Future studies with the use of site-directed mutagenesis will be required for determination of which amino acids are phosphorylated and what effect this has on NHE-1 activity.
There are several reasons why we believe the 90-kD NHE-1 kinase
represents a novel kinase, distinct from the well-known kinases
discussed below. The 90-kD kinase is unlikely to be a member of the PKC
family because Ang IImediated activation was relatively unaffected by
PKC downregulation despite the fact that PMA stimulated 90-kD kinase
activity. In addition, the 90-kD kinase is larger than most described
PKC isozymes, and the calcium-dependent PKC isozymes (
, ß, and
) would not be active in the in-gel-kinase assay, which lacks
phospholipids and calcium. It is not likely to be a cAMP-dependent
kinase because purified cAMP-dependent protein kinase failed to
phosphorylate COOH178.32 Finally, although
calcium-calmodulin kinase has activity toward COOH178 in
vitro,32 its molecular weight is 55 kD, and it would be
unlikely to be active in a kinase assay in the absence of calcium and
calmodulin. Thus, we believe that the 90-kD kinase may be a
novel protein kinase.
The analysis of signal transduction pathways required for Ang
IImediated activation of the 90-kD kinase fits well with previous
information regarding Ang IImediated activation of the NHE in VSMCs.
Specifically, we and others have reported a dependence on
Ca2+, no dependence on PKC, and increased activity in
SHR.16 18 34 38 Many studies suggest that the
PKC-independent pathway in VSMCs involves a Ca2+-dependent
signaling pathway. For example, exposure of VSMCs to the
Ca2+ ionophore ionomycin transiently increased
pHi and amiloride-sensitive 22Na flux, which
was abolished in the presence of EGTA.28 34 Huang et
al39 demonstrated that activation of the NHE by thrombin
in PKC-downregulated neonatal rat aortic VSMCs was sensitive to
reductions in intracellular Ca2+. In VSMCs from adult rats,
Berk et al40 showed chelation of intracellular
Ca2+ inhibited thrombin-induced activation of the
exchanger, similar to the findings of Huang et al.39
Little et al34 reported that activation of the NHE by
exposure to serum could be markedly attenuated by
calmodulin antagonists, and Wakabayashi et
al28 showed that the exchanger contains a novel binding
motif for Ca2+/calmodulin. These results
suggest that activation of the NHE in VSMCs depends on
Ca2+/calmodulin-dependent processes. Four
mechanisms may be proposed to explain the increased activity of the
90-kD kinase in SHR VSMCs. First, there may be a gain-of-function
mutation in the kinase itself. Second, expression of the 90-kD kinase
may be increased in SHR VSMCs. Third, there may be increased activity
of an upstream regulatory (stimulating) kinase, in particular a
Ca2+-dependent kinase. Finally, there may be decreased
activity of a regulatory (inhibiting) phosphatase in SHR VSMCs. It is
of interest that Ca2+ chelation with
BAPTA-AM increased the activity of the 90-kD kinase in growth-arrested
VSMCs (Fig 6
), suggesting that a Ca2+-dependent phosphatase
may be important in regulating its activity.
In summary, the present findings support the simple concept that increased activity of an NHE-1 kinase (or decreased activity of a phosphatase that regulates an NHE-1 kinase) is responsible for increased basal activity of the exchanger in SHR VSMCs. Future work to identify the 90-kD kinase will be required to determine its role in NHE regulation and the pathogenesis of hypertension.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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| Footnotes |
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Received March 25, 1996; first decision April 18, 1996; accepted June 4, 1996.
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