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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">MCO</journal-id>
<journal-title-group>
<journal-title>Molecular and Clinical Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">2049-9450</issn>
<issn pub-type="epub">2049-9469</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mco.2013.65</article-id>
<article-id pub-id-type="publisher-id">mco-01-02-0281</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Targeted activation of PKA and Epac promotes glioblastoma regression <italic>in vitro</italic></article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SUGIMOTO</surname><given-names>NAOTOSHI</given-names></name><xref rid="af1-mco-01-02-0281" ref-type="aff"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-mco-01-02-0281"/></contrib>
<contrib contrib-type="author">
<name><surname>MIWA</surname><given-names>SHINJI</given-names></name><xref rid="af2-mco-01-02-0281" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>TSUCHIYA</surname><given-names>HIROYUKI</given-names></name><xref rid="af2-mco-01-02-0281" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>HITOMI</surname><given-names>YOSHIAKI</given-names></name><xref rid="af3-mco-01-02-0281" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>NAKAMURA</surname><given-names>HIROYUKI</given-names></name><xref rid="af3-mco-01-02-0281" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>YACHIE</surname><given-names>AKIHIRO</given-names></name><xref rid="af4-mco-01-02-0281" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>KOIZUMI</surname><given-names>SHOICHI</given-names></name><xref rid="af5-mco-01-02-0281" ref-type="aff"><sup>5</sup></xref></contrib></contrib-group>
<aff id="af1-mco-01-02-0281">
<label>1</label>Departments of Physiology, Kanazawa University, Kanazawa, Ishikawa 920-8640, 
<country>Japan</country></aff>
<aff id="af2-mco-01-02-0281">
<label>2</label>Orthopedic Surgery, Kanazawa University, Kanazawa, Ishikawa 920-8640, 
<country>Japan</country></aff>
<aff id="af3-mco-01-02-0281">
<label>3</label>Public Health, Kanazawa University, Kanazawa, Ishikawa 920-8640, 
<country>Japan</country></aff>
<aff id="af4-mco-01-02-0281">
<label>4</label>Pediatrics, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa 920-8640, 
<country>Japan</country></aff>
<aff id="af5-mco-01-02-0281">
<label>5</label>United Graduate School of Child Development, Kanazawa University, Kanazawa, Ishikawa 920-8640, 
<country>Japan</country></aff>
<author-notes>
<corresp id="c1-mco-01-02-0281">Correspondence to: Dr Naotoshi Sugimoto, Department of Physiology, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan, E-mail: <email>ns@med.kanazawa-u.ac.jp</email></corresp></author-notes>
<pub-date pub-type="ppub">
<season>March-April</season>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>01</month>
<year>2013</year></pub-date>
<volume>1</volume>
<issue>2</issue>
<fpage>281</fpage>
<lpage>285</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>07</month>
<year>2012</year></date>
<date date-type="accepted">
<day>08</day>
<month>01</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Ras-p44/42 mitogen-activated protein kinase (MAPK) and Akt signaling are the key pathways involved in the promotion of glioblastoma formation. Notably, phosphodiesterase 4 (PDE4) is widely expressed in brain tumors and promotes their growth. PDE4 inhibitors have been reported to suppress glioblastoma growth <italic>in vitro</italic> and <italic>in vivo</italic>. The mechanisms underlying these actions, however, have yet to be elucidated. The aim of this study was to investigate whether intracellular cyclic adenosine monophosphate (cAMP) was able to suppress the Ras-p44/42 MAPK signaling pathway via protein kinase A (PKA) and exchange protein directly activated by cAMP (Epac) in U87MG human malignant glioma cells. Forskolin, an activator of adenylate cyclase, inhibited cell growth and the phosphorylation of p44/42 MAPK in U87MG cells, whereas the non-hydrolyzable cAMP analog 8-bromoadenosine 3&#x02032;,5&#x02032;-cAMP (8-Br-cAMP) considerably suppressed cell growth and phosphorylation of p44/42 MAPK. The inhibitory effects of forskolin were partially prevented by the PKA inhibitor H89. The Epac-selective agonist 8-(4-chlorophenylthio)-2&#x02032;-<italic>O</italic>-methyladenosine cAMP (8-CPT-cAMP) inhibited phosphorylation of p44/42 MAPK. These findings suggest that PKA and Epac are involved in the effect of intracellular cAMP on the Ras-p44/42 MAPK signaling pathway.</p></abstract>
<kwd-group>
<kwd>cyclic adenosine monophosphate</kwd>
<kwd>protein kinase A</kwd>
<kwd>exchange protein activated by cyclic adenosine monophosphate</kwd>
<kwd>glioblastoma</kwd>
<kwd>mitogen-activated protein kinase</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Ras and Akt are signaling proteins that mediate fundamental aspects of normal growth and development in various organs. However, when the Ras and Akt pathways become extremely active, malignant transformation of normal tissue may occur (<xref rid="b1-mco-01-02-0281" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-mco-01-02-0281" ref-type="bibr">3</xref>). For instance, Holland <italic>et al</italic> (<xref rid="b4-mco-01-02-0281" ref-type="bibr">4</xref>) demonstrated that the combined activation of Ras and Akt induces glioblastoma formation in mice. Therefore, Ras and Akt signaling pathways have emerged as attractive targets for the treatment of numerious types of tumors including glioblastoma (<xref rid="b3-mco-01-02-0281" ref-type="bibr">3</xref>,<xref rid="b5-mco-01-02-0281" ref-type="bibr">5</xref>,<xref rid="b6-mco-01-02-0281" ref-type="bibr">6</xref>).</p>
<p>Glioblastoma is the most common type of brain tumor, it is highly malignant and exhibits aggressive invasive growth. Common genetic abnormalities, including Ras and phosphatase and tensin homolog (PTEN) deleted on chromosome 10, in glioblastoma, are associated with the aberrant activation or suppression of cell signal transduction pathways and resistance to radiation and chemotherapy (<xref rid="b2-mco-01-02-0281" ref-type="bibr">2</xref>,<xref rid="b3-mco-01-02-0281" ref-type="bibr">3</xref>). Notably, phosphodiesterase 4 (PDE4) is widely expressed in brain tumors and promotes their growth (<xref rid="b7-mco-01-02-0281" ref-type="bibr">7</xref>). Brain region-specific differences in cyclic adenosine monophosphate (cAMP) levels have been reported to account for the pattern of gliomagenesis, while low levels of cAMP promote glioma formation in neurofibromatosis-1 genetically engineered mouse models (<xref rid="b8-mco-01-02-0281" ref-type="bibr">8</xref>,<xref rid="b9-mco-01-02-0281" ref-type="bibr">9</xref>). PDE4 inhibitor has been shown to suppress glioblastoma growth <italic>in vitro</italic> and in xenograft models (<xref rid="b7-mco-01-02-0281" ref-type="bibr">7</xref>,<xref rid="b10-mco-01-02-0281" ref-type="bibr">10</xref>,<xref rid="b11-mco-01-02-0281" ref-type="bibr">11</xref>).</p>
<p>cAMP is considered to be a ubiquitous regulator of inflammatory and immunological reactions (<xref rid="b12-mco-01-02-0281" ref-type="bibr">12</xref>&#x02013;<xref rid="b14-mco-01-02-0281" ref-type="bibr">14</xref>), modulating several physiological processes via the activation of protein kinase A (PKA) and the exchange protein directly activated by cAMP (Epac). PKA and Epac are molecular players that are downstream of cAMP (<xref rid="b14-mco-01-02-0281" ref-type="bibr">14</xref>,<xref rid="b15-mco-01-02-0281" ref-type="bibr">15</xref>). PDE inhibitors have been reported to increase cellular cAMP levels and, in turn, prevent Akt activity in rat glial and human osteosarcoma cells (<xref rid="b15-mco-01-02-0281" ref-type="bibr">15</xref>,<xref rid="b16-mco-01-02-0281" ref-type="bibr">16</xref>).</p>
<p>In the present study, the effects of cAMP on Ras and Akt signaling pathways were examined in U87MG human malignant glioma cells. cAMP was demonstrated to suppress cell growth and p44/42 mitogen-activated protein kinase (MAPK) activity, which is downstream of the Ras signaling pathway, but not Akt activity in a PKA- and Epac-dependent manner. Findings of this study provide a mechanistic basis for developing therapeutic approaches for treating or preventing brain tumors.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals</title>
<p>Forskolin and Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) were obtained from Wako Pure Chemical Industries, Ltd. (Osaka, Japan). 8-Bromoadenosine 3&#x02032;,5&#x02032;-cAMP (8-Br-cAMP) and 8-(4-chlorophenylthio)-2&#x02032;-<italic>O</italic>-methyladenosine cAMP (8-CPT-cAMP, Epac activator) were obtained from Biaffin GmbH &#x00026; Co. KG (Kassel, Germany). Anti-phospho-specific vasodilator-stimulated phosphoprotein (VASP) (Ser157) and H89 were obtained from Calbiochem (La Jolla, CA, USA). Fetal bovine serum (FBS) was obtained from Invitrogen Corporation (Carlsbad, CA, USA). Anti-phospho-specific Akt (Ser473), anti-phospho-specific p44/42 MAPK (Thr202/Tyr204), anti-&#x003B2;-actin, horseradish peroxidase (HRP)-linked anti-rabbit IgG, and anti-mouse IgG were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>U87MG human glioblastoma cells were provided by Dr Nakata (Kanazawa University, Kanazawa, Japan). Cells were maintained in DMEM containing 10&#x00025; FBS at 37&#x000B0;C in a 5&#x00025; CO<sub>2</sub> incubator.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was performed as described previously (<xref rid="b14-mco-01-02-0281" ref-type="bibr">14</xref>,<xref rid="b17-mco-01-02-0281" ref-type="bibr">17</xref>).</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation was analyzed using the Cell Counting kit 8 (Wako Pure Chemical Industries, Ltd., Tokyo, Japan). U87MG human malignant glioma cells were seeded in 96-well plates at a density of 1&#x000D7;10<sup>3</sup> cells/well. Following a 24-h incubation, the cells were treated with forskolin or 8-Br-cAMP for 24 h. The cells were then incubated with 10 <italic>&#x003BC;</italic>l WST-8 for 2 h. Absorbance of the colored formazan product produced by mitochondrial dehydrogenases in metabolically active cells was recorded at 450 nm as the background value. Cell proliferation was expressed as a percentage of absorbance obtained in treated wells compared with untreated (control) wells.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were presented as the means &#x000B1; standard error of the mean (SEM) from at least three independent experiments. Statistical analysis was performed by analysis of variance (ANOVA), followed by Dunnett&#x02019;s test. P&#x0003C;0.05 or P&#x0003C;0.01 were considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Forskolin downregulates cell growth</title>
<p>Initially, we examined the effects of forskolin, an activator of adenylate cyclase, on cell growth. As shown in <xref rid="f1-mco-01-02-0281" ref-type="fig">Fig. 1A</xref>, 10 <italic>&#x003BC;</italic>M of forskolin, but not 1 <italic>&#x003BC;</italic>M, slightly but markedly inhibited cell growth (&#x0223C;20&#x00025;) in U87MG human glioblastoma cells. Concomitantly, forskolin increased the expression of phospho-vasodilator-stimulated phosphoprotein (phospho-VASP), indicating an elevation of intracellular cAMP levels (<xref rid="f1-mco-01-02-0281" ref-type="fig">Fig. 1B</xref>) (<xref rid="b18-mco-01-02-0281" ref-type="bibr">18</xref>,<xref rid="b19-mco-01-02-0281" ref-type="bibr">19</xref>).</p></sec>
<sec>
<title>Forskolin inhibits p44/42 MAPK but not Akt activity</title>
<p>Ras signals to Raf, mitogen-induced extracellular kinase (MEK), and MAPKs, especially p44/42 MAPK. The effects of forskolin on p44/42 MAPK and Akt were examined. Treatment with 10 <italic>&#x003BC;</italic>M of forskolin inhibited phosphorylation of p44/42 MAPK but not Akt in U87MG (<xref rid="f1-mco-01-02-0281" ref-type="fig">Fig. 1A, inset figure</xref>), indicating that the Ras-p44/42 MAPK signaling pathway is inhibited by forskolin. PKA and Epac are molecular players downstream of cAMP. As shown in <xref rid="f1-mco-01-02-0281" ref-type="fig">Fig. 1B</xref>, the effects of the PKA inhibition completely by H89 blocked the forskolin-induced phosphorylation of VASP, while partially preventing the forskolin-induced inhibition of phosphorylation of p44/42 MAPK. These results indicate that PKA is partially involved in the effects of forskolin on the Ras-p44/42 MAPK signaling pathway.</p></sec>
<sec>
<title>Cell-penetrating cAMP analog inhibits cell growth and p44/42 MAPK, but not Akt activity</title>
<p>To determine whether intracellular cAMP is involved in the inhibitory effect of forskolin, we examined the effects of the non-hydrolyzable cAMP analog 8-Br-cAMP on cell growth and phosphorylation of p44/42 MAPK and Akt. In U87MG, in which PDE4 expression is upregulated (<xref rid="b20-mco-01-02-0281" ref-type="bibr">20</xref>), the non-hydrolyzable cAMP analog 8-Br-cAMP might be more effective compared with forskolin stimulation. Therefore, 1 mM of 8-Br-cAMP considerably suppressed cell growth and phosphorylation of p44/42 MAPK (<xref rid="f2-mco-01-02-0281" ref-type="fig">Fig. 2A and B</xref>). As shown in <xref rid="f2-mco-01-02-0281" ref-type="fig">Fig. 2</xref>, 8-Br-cAMP inhibited cell growth and phosphorylation of p44/42 MAPK in a dose-dependent manner, mimicking the forskolin effect. However, 8-Br-cAMP did not affect the phosphorylation of Akt (<xref rid="f2-mco-01-02-0281" ref-type="fig">Fig. 2B</xref>). These results indicate that intracellular cAMP is involved in the effects of forskolin on cell growth and the Ras-p44/42 MAPK signaling pathway.</p></sec>
<sec>
<title>cA MP-induced p44/42 MAPK deactivation is Epac-dependent</title>
<p>To examine the potential signaling role of Epac, the ability of the Epac-selective agonist 8-CPT-cAMP to inhibit phosphorylation of p44/42 MAPK was examined. 8-CPT-cAMP is a non-hydrolyzable cAMP analog that activates Epac with greater potency compared with PKA (<xref rid="b21-mco-01-02-0281" ref-type="bibr">21</xref>). Recent studies have shown that concentrations of 8-CPT-cAMP as low as 5 <italic>&#x003BC;</italic>M effectively activate Epac in studies using cultured cells (<xref rid="b14-mco-01-02-0281" ref-type="bibr">14</xref>,<xref rid="b15-mco-01-02-0281" ref-type="bibr">15</xref>). In our experiments, 8-CPT-cAMP inhibited the phosphorylation of p44/42 MAPK, but not that of Akt, in a dose-dependent manner (<xref rid="f3-mco-01-02-0281" ref-type="fig">Fig. 3</xref>). These results suggest that Epac is involved in the effect of intracellular cAMP on the Ras-p44/42 MAPK signaling pathway.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Ras-p44/42 MAPK signaling is a crucial signaling pathway in the regulation of growth and development in normal tissues and tumors (<xref rid="b1-mco-01-02-0281" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-mco-01-02-0281" ref-type="bibr">3</xref>). Increased activity of Ras-p44/42 MAPK is found in several human glioblastoma (<xref rid="b4-mco-01-02-0281" ref-type="bibr">4</xref>,<xref rid="b22-mco-01-02-0281" ref-type="bibr">22</xref>). In the present study, the upregulation of intracellular cAMP has been demonstrated to inhibit p44/42 MAPK, but not Akt activity, and proliferation in human glioblastoma cells <italic>in vitro</italic>.</p>
<p>Elevated levels of cAMP in the cell lead to the activation of different cAMP targets, including PKA and Epac. The two families of cAMP effectors provide a mechanism for the precise and integrated control of cAMP signaling pathways in a spatial and temporal manner. PKA and Epac may act independently, converge synergistically or oppose each other in regulating a specific cell function (<xref rid="b18-mco-01-02-0281" ref-type="bibr">18</xref>&#x02013;<xref rid="b21-mco-01-02-0281" ref-type="bibr">21</xref>,<xref rid="b23-mco-01-02-0281" ref-type="bibr">23</xref>,<xref rid="b24-mco-01-02-0281" ref-type="bibr">24</xref>). In this study, PKA and Epac have been demonstrated to be responsible for cAMP-dependent p44/42 MAPK dephosphorylation (<xref rid="f1-mco-01-02-0281" ref-type="fig">Figs. 1</xref> and <xref rid="f3-mco-01-02-0281" ref-type="fig">3</xref>), confirming that cAMP prevents cell growth through PKA and Epac activation in U172 and U87MG human glioblastoma cells (<xref rid="b20-mco-01-02-0281" ref-type="bibr">20</xref>).</p>
<p>In a recent study, cAMP was shown to inhibit the activity of Akt through Epac-PTEN pathway activation in glial and osteosarcoma cells (<xref rid="b15-mco-01-02-0281" ref-type="bibr">15</xref>,<xref rid="b16-mco-01-02-0281" ref-type="bibr">16</xref>). In this study, however, forskolin or cAMP analogs failed to inhibit Akt activation in U87MG glioblastoma cells (<xref rid="f1-mco-01-02-0281" ref-type="fig">Figs. 1</xref>&#x02013;<xref rid="f3-mco-01-02-0281" ref-type="fig">3</xref>). One of the numerous functions of PTEN is the regulation of Akt activity, thus, loss of PTEN function induces Akt hyperactivation (<xref rid="b3-mco-01-02-0281" ref-type="bibr">3</xref>). Since PTEN is not expressed in U87MG human glioblastoma cells (<xref rid="b15-mco-01-02-0281" ref-type="bibr">15</xref>), cAMP is likely to fail to inhibit Akt activation in PTEN-depleted U87MG glioblastoma cells.</p>
<p>In their study, Holland <italic>et al</italic> (<xref rid="b4-mco-01-02-0281" ref-type="bibr">4</xref>) demonstrated that although activated Ras or Akt alone is insufficient to induce glioblastoma formation, their combination induces glioblastoma formation in mice. Therefore, Ras and Akt signaling pathways have emerged as attractive targets for the treatment of glioblastoma (<xref rid="b2-mco-01-02-0281" ref-type="bibr">2</xref>&#x02013;<xref rid="b5-mco-01-02-0281" ref-type="bibr">5</xref>). PKA and Epac activators as well as PDE4 inhibitors seem to be extremely effective for the treatment of human glioblastoma.</p>
<p>In conclusion, we have shown that cAMP inhibits p44/42 MAPK activity and proliferation in PTEN-depleted human glioblastoma cells <italic>in vitro</italic> through PKA and Epac activation. However, details regarding the mechanism underlying the PKA and Epac suppression of p44/42 MAPK have yet to be elucidated. Further studies are required to determine the mechanism of PKA and Epac activation-dependent MAPK inhibition in glioblastoma cells.</p></sec></body>
<back>
<ack>
<p>This study was funded in part by Grants-in-Aid for Science and Culture from the Ministry of Education, Culture, Sports, Science and Technology of Japan.</p></ack>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-mco-01-02-0281" position="float">
<label>Figure 1</label>
<caption>
<p>Change in cell growth and the level of phospho-Akt and phospho-p44/42 mitogen-activated protein kinase (MAPK) (A) in U87MG human malignant glioma cells after treatment with Forskolin (1&#x02013;10 <italic>&#x003BC;</italic>M) is shown. Change in the level of phospho-p44/42 MAPK and phospho-vasodilator-stimulated phospho-protein (VASP) after treatment with Forskolin (10 <italic>&#x003BC;</italic>M), a combination of Forskolin (10 <italic>&#x003BC;</italic>M) and H89 (10 <italic>&#x003BC;</italic>M), or H89 (10 <italic>&#x003BC;</italic>M) (B) in U87MG cells is shown. Each column represents the mean &#x000B1; standard error of the mean (SEM). <sup>&#x0002A;</sup>P&#x0003C;0.05, <sup>&#x00023;</sup>P&#x0003C;0.01 vs. untreated control, <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.05 vs. Forskolin treatment.</p></caption>
<graphic xlink:href="MCO-01-02-0281-g00.tif"/></fig>
<fig id="f2-mco-01-02-0281" position="float">
<label>Figure 2</label>
<caption>
<p>Change in cell growth (A) and the level of phospho-Akt and phospho-p44/42 mitogen-activated protein kinase (MAPK) (B) following treatment with 8-bromoadenosine 3&#x02032;,5&#x02032;-cAMP (8-Br-cAMP) (0.01-1 mM) in U87MG cells. Each column shows the mean &#x000B1; standard error of the mean (SEM). <sup>&#x0002A;</sup>P&#x0003C;0.05, <sup>&#x00023;</sup>P&#x0003C;0.01 vs. untreated controls.</p></caption>
<graphic xlink:href="MCO-01-02-0281-g01.tif"/></fig>
<fig id="f3-mco-01-02-0281" position="float">
<label>Figure 3</label>
<caption>
<p>Change in the level of phospho-Akt and phospho-p44/42 mitogen-activated protein kinase (MAPK), following treatment with 8-(4-chlorophenylthio)-2&#x02032;-<italic>O</italic>-methyladenosine cAMP (8-CPT-cAMP) (0.01&#x02013;1 <italic>&#x003BC;</italic>M) in U87MG cells. Each column shows the mean &#x000B1; standard error of the mean (SEM). <sup>&#x0002A;</sup>P&#x0003C;0.05 vs. untreated controls.</p></caption>
<graphic xlink:href="MCO-01-02-0281-g02.tif"/></fig></sec></back></article>
