
[Cancer Research 60, 6737-6743, December 1, 2000]
© 2000 American Association for Cancer Research
HGF/NK4, a Four-Kringle Antagonist of Hepatocyte Growth Factor, Is an Angiogenesis Inhibitor that Suppresses Tumor Growth and Metastasis in Mice1
Keiji Kuba,
Kunio Matsumoto,
Kazuhiko Date,
Hideo Shimura,
Masao Tanaka and
Toshikazu Nakamura2
Division of Biochemistry, Department of Oncology, Biomedical Research Center, Osaka University Medical School, Suita, Osaka 565-0871, Japan [K. K., K. M., T. N.]; Department of Surgery 1, Kyushu University Faculty of Medicine, Maidashi, Fukuoka 812-8582, Japan [K. K., K. D., M. T.]; and Department of Surgery 1, Fukuoka University School of Medicine, Nanakuma, Fukuoka 814-0180, Japan [H. S.]
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ABSTRACT
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We reported that NK4, composed of the N-terminal hairpin and subsequent
four kringle domains of hepatocyte growth factor (HGF), acts as the
competitive antagonist for HGF. We now provide the first evidence that
NK4 inhibits tumor growth and metastasis as an angiogenesis inhibitor
as well as an HGF antagonist. Administration of NK4 suppressed primary
tumor growth and lung metastasis of Lewis lung carcinoma and Jyg-MC(A)
mammary carcinoma s.c. implanted into mice, although neither HGF nor
NK4 affected proliferation and survival of these tumor cells in
vitro. NK4 treatment resulted in a remarkable decrease in
microvessel density and an increase of apoptotic tumor cells in primary
tumors, which suggests that the inhibition of primary tumor
growth by NK4 may be achieved by suppression of tumor angiogenesis.
In vivo, NK4 inhibited angiogenesis in chick
chorioallantoic membranes and in rabbit corneal neovascularization
induced by basic fibroblast growth factor (bFGF). In
vitro, NK4 inhibited growth and migration of human
microvascular endothelial cells induced by bFGF and vascular
endothelial growth factor (VEGF) as well as by HGF. HGF and VEGF
activated the Met/HGF receptor and the KDR/VEGF receptor,
respectively, whereas NK4 inhibited HGF-induced Met tyrosine
phosphorylation but not VEGF-induced KDR phosphorylation. NK4 inhibited
HGF-induced ERK1/2 (p44/42 mitogen-activated protein
kinase) activation, but allowed for bFGF- and VEGF-induced
ERK1/2 activation. These results indicate that NK4 is an angiogenesis
inhibitor as well as an HGF antagonist, and that the antiangiogenic
action of NK4 is independent of its activity as HGF antagonist. The
bifunctional properties of NK4 to act as an angiogenesis inhibitor and
as an HGF antagonist raises the possibility that NK4 may prove
therapeutic for cancer patients.
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INTRODUCTION
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HGF,3
originally identified and cloned as a potent mitogen for hepatocytes
(1
, 2)
, plays both a biological and a physiological
role in development and in tissue regeneration
(3, 4, 5)
. In malignant tumors, HGF induces invasive,
angiogenic, and metastatic responses through the c-Met/HGF
receptor tyrosine kinase (6, 7, 8, 9, 10)
. In many carcinomas,
HGF plays a role as a stroma-derived mediator in tumor-stromal
interactions that confer invasion and metastatic potentials in
cancer cells (10, 11, 12)
, whereas the generation of an
autocrine HGF-Met loop is involved in the development of several types
of tumors including sarcoma (13)
. Missense mutations in
the c-met are causative genetic disorders in patients
with sporadic and hereditary papillary renal carcinoma
(14)
. These mutations resulted in the constitutive
activation of Met and in the enhanced transformation of tumor cells
(15)
, whereas HGF was also suggested to enhance the mutant
Met-mediated transformation (16)
. Thus, blockade of
HGF-Met signaling may be one strategy to inhibit tumor invasion and
metastasis.
HGF is composed of the
chain, which contains a
NH2-terminal hairpin and four kringle
domains and the catalytically inactive serine protease-like ß-chain
(2)
. Recently we prepared an antagonist for HGF by
proteolytic digestion of HGF (17)
, and this
HGF-antagonist, called HGF/NK4 (or NK4), is composed of the
NH2-terminal hairpin domain and subsequent four
kringle domains of the
-subunit of HGF. NK4 binds to the c-Met/HGF
receptor, but does not induce tyrosine phosphorylation of c-Met
(17)
. NK4 competitively inhibits biological events driven
by HGF-Met receptor coupling, including the invasion of distinct types
of tumor cells (17
, 18)
. On the other hand, NK1 and NK2,
previously characterized HGF variants, have partial agonist and
antagonist activity and elicit motility and the invasion of tumor cells
and endothelial cells (19, 20, 21, 22)
.
Angiogenesis, the formation of new blood vessels from preexisting blood
vessels, is a critical process involved in embryonic development,
tissue regeneration, and pathological conditions such as tumorigenesis
and diabetic retinopathy (23
, 24)
. Many investigators
reported the essential role of angiogenesis during tumor progression
(23
, 25) . Studies led to the thesis that angiogenesis is
regulated by a balance between angiogenic and angioinhibitory factors
(25
, 26) . In the activated endothelium, angiogenic growth
factors predominate, whereas vascular quiescence is achieved by the
dominance of angioinhibitory factors including angiostatin, endostatin,
thrombospondin, platelet factor IV, the
NH2-terminal fragment of prolactin, etc.
(25)
. Physiological and pathophysiological roles of
angioinhibitory factors, as well as mechanisms by which these
polypeptides inhibit angiogenesis, are largely unknown; however,
several angiogenesis inhibitors have been shown to inhibit tumor growth
and metastasis (27, 28, 29, 30)
, and there are angiogenesis
inhibitors under clinical trials for cancer treatment
(29, 30, 31, 32)
.
We now have evidence that NK4 is an angiogenesis inhibitor. NK4 not
only antagonizes HGF-induced angiogenesis but also abrogates the
angiogenesis induced by other angiogenic inducers. The antiangiogenic
activity of NK4 is likely to be exhibited through a mechanism distinct
from its initially characterized potential to act as an HGF-antagonist:
the blockade of HGF-c-Met coupling. We report here that NK4 suppresses
tumor angiogenesis, growth, and metastasis in mice.
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MATERIALS AND METHODS
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Materials.
Human recombinant HGF was purified from the conditioned medium of
Chinese hamster ovary cells transfected with human HGF cDNA (2
, 33)
. Polyclonal anti-human HGF antibody (1 µg/ml) completely
neutralized the biological activities of 1 ng/ml HGF (17
, 18)
. Human recombinant bFGF and VEGF165 were obtained from R & D
Systems (Minneapolis, MN). Human NK4 was prepared as described
elsewhere (17)
. The level of endotoxin in the purified NK4
was determined to be 0.431.02 ng/mg using a Limulus
amebocyte lysate kit from BioWhittaker. Accordingly, the level of
endotoxin in endothelial growth media containing 1000
nM NK4 (the maximum dose in our system) was
<0.067 ng/ml. This amount of endotoxin alone had no cytotoxic effects
on endothelial cells [not shown and as described (34)
].
Cell Culture.
Human adult dermal microvascular endothelial cells and human
lung-derived microvascular endothelial cells were purchased from
Clonetics (San Diego, CA) and grown in EBM-2 supplemented with 5% FBS
and endothelial cell growth supplements (Clonetics). Human pulmonary
artery endothelial cells, purchased from KURABO (Osaka, Japan),
were cultured in endothelial growth medium (EGM; KURABO). Rat coronary
endothelial cells were isolated as described (35)
. Culture
plates for endothelial cells were coated with 0.1% gelatin (Difco,
Detroit, MI). Human dermal fibroblasts initially proliferated outward
from dermal tissue obtained during plastic surgery. These cells were
used within passage number 48. MDCK epithelial cells
were a generous gift from Dr. R. Montesano (University of Geneva,
Geneva, Switzerland). NIH3T3 fibroblasts, LLC cells, and Jyg-MC
cells were obtained from RIKEN Cell Bank (Tsukuba, Japan). Rat
coronary endothelial cells, human fibroblasts, MDCK, and NIH3T3 cells
were cultured in DMEM supplemented with streptomycin, penicillin, and
10% FBS.
Cell Proliferation, Migration, and Invasion Assay.
Endothelial cells were plated at 5 x 103
cells/cm2 onto
gelatinized 24-well tissue culture plates and cultured for 24 h.
The medium was replaced with 0.5 ml of EBM-2 containing 5% FBS, and
cells were cultured in the absence or presence of NK4, 10 ng/ml HGF, 3
ng/ml bFGF, 10 ng/ml VEGF, or their combinations. After 72 h,
cells were dispersed by trypsin and counted by Coulter counter. To
measure the proliferation of nonendothelial cells, human dermal
fibroblasts, LLC cells, and Jyg-MC cells were plated at 5 x 103
cells/cm2,
whereas NIH3T3 and MDCK cells were plated at 2.5 x 103
cells/cm2, on 24-well
plates and cultured for 24 h. The medium was replaced with DMEM
supplemented with 5% FBS and 10 ng/ml bFGF, test samples were added,
and the cells were then cultured for 72 h.
Migration of endothelial cells was evaluated using a modified Boyden
chamber assay, as described (12
, 36)
. The cells were
serum-starved in EBM-2 medium for 12 h and plated at 12 x 104
cells/cm2 onto
the polycarbonate filter with 5-µm pores (Costar, Cambridge, MA)
coated with 13.4 µg/ml fibronectin (Orgagnon Teknika Corp.,
West Chester, PA). Test samples were added to the medium in the outer
cup, and the cells were cultured for 5 h. The number of the cells
which migrated to the undersurface of the filter was quantified by
counting cells in five randomly selected microscopic fields
(x200) in each well. In-vitro invasion of carcinoma cells
was measured using a Matrigel invasion chamber (Becton Dickinson,
Bedford, MA), as described (12)
.
Immunoprecipitation and Western Blot.
Tyrosine phosphorylation of c-Met or KDR was analyzed as
described elsewhere (18)
. Briefly, human adult dermal
microvascular endothelial cells were grown on 100-mm plates and
serum-starved overnight before treatment for 10 min with various
concentrations of NK4 with or without bFGF, VEGF, or HGF (10 ng/ml
each). Cell lysates were prepared, and equivalent amounts of protein
were incubated overnight with a monoclonal antibody against
phosphotyrosine (PY99; Santa Cruz Biotechnology, Santa Cruz, CA) and
then incubated for 2 h with protein G-Sepharose. The
immunoprecipitates were separated by 6% SDS-PAGE and electroblotted
onto polyvinylidene difluoride membranes, and the proteins were
probed with anti-c-Met antibodies (C-12; Santa Cruz
Biotechnology) or anti-KDR/Flk-1 antibodies (C-1158; Santa Cruz
Biotechnology). Immunoreactive bands were visualized by the enhanced
chemiluminescence system (Amersham). For detection of phosphorylated
ERK1/2 (p44/42 MAPK), total cell lysates were separated
by 12% SDS-PAGE and transferred to polyvinylidene difluoride
membranes. Blots were developed with phosho-specific antibodies
against ERK1/2 (New England Biolabs, Beverly, MA). After being
"stripped," the membranes were reprobed with antibody against
ERK1/2 (Santa Cruz Biotechnology) as a loading control.
Tumor Study in Mice.
Male nude mice 6- to 8-weeks-old (BALB/c nu/nu; Japan SLC, Inc.,
Hamamatsu, Japan) were s.c. implanted with 1 x 106 LLC cells or 5 x 106 Jyg-MC cells. After 4 days, an osmotic pump
(Alzet 2002; Alza Corp., Palo Alto, CA) containing NK4 or BSA or saline
alone was surgically implanted near the tumor, and NK4 or BSA solution
or saline alone was continuously infused for 10 or 14 days into the
s.c. region near the tumor mass. The size of tumors in all groups was
measured using a dial caliper, and the volume of tumors was determined
using the formula width2 x length x 0.52. To analyze external lung metastases, mice
were infused with NK4 solution or saline alone for 14 days, as
described above, then the mice were killed on day 28 after tumor
implantation.
Tumor tissues were fixed in Carnoys fixative for 4 h or
overnight in 70% ethanol at 4°C and embedded in paraffin according
to standard histological procedures. For blood vessel staining, tissue
sections fixed in Carnoys fixative were pretreated with 5 µg/ml
Proteinase K at 37°C for 15 min and incubated with antibody against
von Willebrand factor (Dako, Glostrup, Denmark). The sections were
sequentially incubated with biotin-labeled secondary antibodies and
avidin-biotin peroxidase complex, as described (37)
. The
number of blood vessels was counted under a light microscope at x200
magnification using at least 20 randomly selected fields per section.
For detection of proliferating cells or apoptotic cells, tissue
sections fixed in 70% ethanol were analyzed as described elsewhere
(18)
. Statistical analyses were performed with unpaired
Students t test (two-tailed). P < 0.05 was
considered to be statistically significant.
In Vivo Angiogenesis Assay.
Antiangiogenic activity of NK4 on CAM was assayed, as described
(29
, 38) . Briefly, fertilized white Leghorn chicken eggs
were incubated at 37°C for 5 days, and a methylcellulose disk
containing test material was placed within a sterilized silicon ring on
CAM (38)
. The eggs were incubated at 37°C for 2 days.
The white fat emulsion (Intralipos; WelFide Co., Osaka, Japan) was
injected into the chorioallantois, and the vascular networks in the
CAMs were blindly scored by two independent investigators for the
presence or absence of an avascular zone (>3 mm in diameter)
surrounding the implant. Statistical analyses were performed
with the Fishers exact probability test. P < 0.05 were
considered to be statistically significant.
The antiangiogenic activity of NK4 was also assayed in the rabbit
cornea, as described (39, 40, 41)
. Slow-releasing pellets were
prepared by incorporating HGF, bFGF and/or NK4 into a 20-µl casting
solution of an ethylene-vinyl acetate copolymer (EV40) in 5% methylene
chloride. A microsurgical pocket (2 x 4 mm) was
produced in the lower half of each eye of male albino Japanese rabbits
such that a peripheral pocket ended at 2 mm from the limbus. A single
pellet was deposited in the bottom of the pocket. Eyes were examined in
a blind manner by slit-lamp microscopy every other day. An angiogenic
response was scored positive when blood vessels from the limbal plexus
occurred and capillaries progressed to reach the implanted pellet
within 68 days, as described (40)
. Statistical analysis
was performed with the
2 test. P
< 0.05 was considered to be statistically significant.
Data Analysis.
Statistical analyses were performed with unpaired Students
t test (two-tailed) unless mentioned otherwise in the text.
Differences were considered to be statistically significant at
P < 0.05.
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RESULTS
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Suppression of Tumor Growth, Angiogenesis, and Metastasis by NK4.
We demonstrated previously that NK4 inhibits HGF-mediated growth and
invasion of human carcinoma cells (18)
. In the present
study, we attempted to elucidate the antagonistic effect of NK4 on
metastasis in murine tumor models. For this purpose, we selected two
metastatic murine tumors, LLC and Jyg-MC mammary carcinoma,
because these cell lines express the c-Met/HGF receptor (not shown).
In vitro, HGF, bFGF, and NK4 had no effect on proliferation
and survival of these tumor cells (Fig. 1A
, and not shown). On the other hand, both HGF and bFGF stimulated
invasion of tumor cells, whereas NK4 specifically antagonized the
invasion of these tumor cells induced by HGF but not by bFGF (Fig. 1B)
. When LLC and Jyg-MC cells are inoculated s.c. into
athymic mice, both tumors formed nodules (2040
mm3
in volume) 4 days after implantation, and
metastatic nodules in lung surface become visible 34 weeks after
implantation.

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Fig. 1. Effects of NK4 on proliferation and invasion of LLC cells
and Jyg-MC cells in vitro. A, effect of HGF, bFGF, NK4,
and their combinations on proliferation of tumor cells.
B, inhibitory effect of NK4 on invasion of tumor cells
through Matrigel in the absence or presence of 10 ng/ml (110
pM) HGF or 10 ng/ml (550 pM) bFGF. Each value
represents the mean ± SE.
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To test the effect of NK4 on lung metastasis, NK4 or vehicle (saline
alone or with BSA as a protein control) was infused continuously for 2
weeks, using an osmotic minipump, from the 4th day after tumor
implantation. The mice were autopsied and the number of metastases in
the lung surface was counted on the 28th day after the implantation.
Despite the failure of NK4 to suppress tumor cell growth in
vitro, continuous infusion of NK4 dose-dependently inhibited the
growth of LLC primary tumors. The volume of NK4-treated tumors
was inhibited to 62.5% at 10 µg/day (P < 0.05) and 30.1% at 25 µg/day (P < 0.001)
on the 28th day as compared with findings in control tumors
(n = 4/group; Fig. 2A
). Lung metastasis was strongly suppressed by
NK4-treatment in a dose-dependent manner; the number of lung metastases
in control mice (12.9 ± 1.35) decreased to 54.8%
(P < 0.05) and 9.46%
(P < 0.0001) in NK4-treated mice at 10
µg/day and 25 µg/day, respectively (Fig. 2B)
. Similarly,
NK4 (25 µg/day) also suppressed primary tumor growth and lung
metastasis of Jyg-MC to 53.6% (P < 0.05)
and 35.3% (P < 0.05), respectively
(n = 4/group; Fig. 2
). Infusion of BSA in
saline at 25 µg/day for 2 weeks did not significantly change the
tumor volume and number of lung metastases of both tumors (not shown).
Although NK4 inhibited tumor metastasis, the result raised the question
as to how NK4 suppresses growth of these primary tumors, inasmuch as
HGF and NK4 have no direct effect on the proliferation of tumor cells.

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Fig. 2. Suppression of primary tumor growth and lung metastasis of
LLC and Jyg-MC by NK4. A, inhibition of primary tumor
growth by NK4. B, suppression of lung metastasis
by NK4. Photographs show lungs of LLC-bearing mice.
Bars, 2 mm. LLC cells or Jyg-MC cells were s.c.
implanted in mice, and NK4 solution or saline was infused continuously
for 14 days from the 4th day after tumor implantation
(n = 4/group). At 28 days after tumor
implantation, mice were autopsied and the number of metastases in the
lung was measured. *, P < 0.05;
**, P < 0.01; ***,
P < 0.001. Each value represents the
mean ± SE.
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To address this question, LLC primary tumors were excised on the 14th
day after implantation (10 days after NK4 or saline administration),
and the proliferation index of tumor cells in situ was
quantified by immunohistochemistry of PCNA. Although the volume
of primary tumors in NK4-treated mice (NK4 reached 10.4 ± 1.41 ng/ml in the blood in NK4-treated mice) decreased to 43%
of the control (n = 6; P < 0.01), the proliferation index was not significantly changed by
NK4-treatment; this was consistent with in vitro results
(Fig. 3)
. Thus, we speculated that NK4 suppresses tumor growth by inhibiting
the host compartment, such as angiogenesis, rather than the tumor-cell
compartment. To examine this possibility, we measured the microvessel
density in tumor tissues by von Willebrand factor
immunostaining. The number of von Willebrand
factor-positive vessels in NK4-treated tumors decreased to 55.8% of
that of control tumors (P < 0.001), and some
tumor vessels in NK4-treated mice were disrupted and had a short
diameter (Fig. 3)
. Furthermore, TUNEL assay showed that
NK4-treatment led to a 2.25-fold increase in the number of apoptotic
cells (P < 0.001; Fig. 3
). These
findings are consistent with previous studies which showed that
an angiogenesis inhibitor suppresses tumor growth by increasing
apoptosis of tumor cells (37
, 42)
. Thus NK4 seems to
suppress primary tumor growth mainly through inhibition of tumor
angiogenesis.

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Fig. 3. Inhibitory effect of NK4 on tumor angiogenesis of LLC in
mice. Photographs show a typical immunohistochemical
appearance in tumor tissues from control saline-infused mice
(a, c, and e) and
NK4-infused mice (b, d, and
f). Proliferation, apoptosis, and angiogenesis were
detected using anti-PCNA antibody (a and
b), a modified TUNEL method (c and
d), and anti-von Willebrand factor antibody
(e and f), respectively.
Bars, 50 µm. Graphs show change in
PCNA-positive cells, TUNEL-positive cells, and blood vessel number in
the tumor tissue. Four days after the implantation of LLC cells, NK4
(25 µg/day) or saline alone was continuously injected into the s.c.
region near the tumor mass using an osmotic pump. Ten days after NK4
treatment, tumors were resected and examined histologically
(n = 6/group). Data represent the
mean ± SE; ***, P < 0.001.
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Inhibition of Endothelial Cell Growth and Migration by NK4.
We next investigated the effect of NK4 on proliferation of human dermal
microvascular endothelial cells. During a 3-day culture, HGF stimulated
cell growth to a 2-fold-higher level over controls (without growth
factor), and NK4 dose-dependently inhibited endothelial cell
proliferation. Such inhibitory effects of NK4 were likely attributable
to HGF-antagonist activity (43)
. However, NK4 also
significantly abrogated the stimulatory effects of both bFGF and VEGF
on endothelial cell proliferation, and the increase in cell number was
blocked by 1000 nM NK4. Likewise, in the absence of growth
factors, the number of cells increased to a 1.5-fold-higher level,
presumably by 5% FBS; however, the basal increase in cell number was
inhibited by 1000 nM NK4. Heat-treated NK4 (100°C, 10
min) lost inhibitory activity in regard to endothelial growth.
To determine whether NK4 has similar inhibitory effects on other
endothelial and nonendothelial cells, we examined the effects of NK4 on
the proliferation of several types of cells (Fig. 4B)
. Three distinct types of endothelial cells (human
lung-derived microvascular endothelial cells, human pulmonary artery
endothelial cells, and rat coronary endothelial cells) were cultured in
the presence of bFGF with or without NK4. Dose-dependent growth
inhibition by NK4 was seen in these three types of endothelial cells,
whereas effectiveness differed somewhat for each cell type; the most
potent inhibitory effect was seen with human microvascular endothelial
cells. A similar inhibitory effect of NK4 was seen when these
endothelial cells were cultured in the presence of VEGF (not shown). On
the other hand, the proliferation of nonendothelial cells (human dermal
fibroblasts, NIH3T3 mouse fibroblasts, MDCK canine renal epithelial
cells), which were stimulated by bFGF, was not suppressed by NK4 at all
(Fig. 4B)
. Likewise, NK4 had no inhibitory effect on
proliferation of these nonendothelial cells stimulated by 10% FBS (not
shown).

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Fig. 4. A, inhibition of HMVEC
proliferation by NK4. The cells were cultured with 3 ng/ml bFGF, 10
ng/ml VEGF, or 10 ng/ml HGF with or without various amounts of NK4 for
72 h. B, effects of NK4 on proliferation of various
endothelial cells and nonendothelial cells. Cells were cultured in the
presence of 3 ng/ml bFGF, with or without various amounts of NK4 for
72 h. HMVEC-L, human lung-derived microvascular
endothelial cells; HPAEC, human pulmonary artery
endothelial cells; RCEC, rat coronary endothelial cells;
HDF, human dermal fibroblasts; NIH3T3,
mouse fibroblasts; MDCK, canine renal epithelial
cells. C, inhibition of HMVEC migration by NK4.
The cells were cultured with 3 ng/ml bFGF, 3 ng/ml VEGF, or 10 ng/ml
HGF with or without NK4 for 5 h. D, distinct
effects of anti-HGF antibody ( -HGF Ab)
and NK4 on HMVEC growth. The cells were cultured in the absence or
presence of 3 ng/ml bFGF, 10 ng/ml VEGF, or 3 ng/ml HGF with or without
300 nM NK4 or 10 µg/ml anti-HGF antibody for 72 h.
Each value represents the mean ± SE.
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Because migration of endothelial cells, as well as cell proliferation,
is an essential component responsible for angiogenesis, we next
examined the effects of NK4 on the cell migration of human dermal
microvascular endothelial cells (Fig. 4C)
. Endothelial cells
were seeded on a filter membrane coated with fibronectin, and the
number of cells that migrated through the membrane was measured.
Migration of endothelial cells was stimulated by bFGF, VEGF, and HGF,
whereas migration of the endothelial cells driven by these growth
factors was strongly inhibited by NK4, mostly to the basal level at 300
nM NK4. Taken together, NK4 has an inhibitory
effect on endothelial cell growth and migration stimulated by bFGF and
VEGF as well as by HGF, and the antiproliferative activity is likely to
be specific to endothelial cells.
Effects of Neutralizing HGF-antibody on Endothelial Growth and
Migration.
Although NK4 inhibited endothelial growth and migration
stimulated by bFGF and VEGF, its antagonizing activity for HGF might be
involved in the endothelial-inhibitory action of NK4. To address this
issue, we tested the effect of neutralizing antibody on the growth and
migration of endothelial cells (Fig. 4D)
. In contrast to
NK4, anti-HGF antibody did not inhibit bFGF- and VEGF-induced
endothelial growth. On the other hand, the stimulatory effect of HGF on
endothelial cell growth was almost completely inhibited by anti-HGF
antibody, equally to NK4. Similarly, endothelial cell migration
mediated by bFGF and VEGF was not affected by anti-HGF antibody (not
shown).
Effects of NK4 on Receptor Tyrosine Phosphorylation and ERK1/2
Activation.
To investigate the possibility that the binding of NK4 to the Met
receptor may modify ligand-receptor interaction and subsequent
activation of signaling events, or that NK4 itself may interfere with
ligand-dependent activation of the receptor for angiogenic growth
factors, we examined the tyrosine phosphorylation state of c-Met in
endothelial cells. HGF, but not bFGF or VEGF, specifically
activated c-Met in endothelial cells by increasing the phosphorylation
on tyrosine residues, as shown by immunoprecipitation and Western
blotting (Fig. 5A)
. NK4 inhibited HGF-induced phosphorylation of the Met
receptor. On the other hand, NK4 alone, in concentrations up to 1000
nM (67 µg/ml), did not induce tyrosine
phosphorylation of c-Met, and NK4 (300 nM) also
failed to activate c-Met in the presence of bFGF or VEGF.

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Fig. 5. Effects of NK4 on receptor tyrosine phosphorylation and
ERK1/2 (p44/42 MAPK) activation. A, effects of NK4 on
activation of c-Met. HMVECs were treated with NK4 alone or in
combination with HGF, bFGF, or VEGF (10 ng/ml each) for 10 min. Cell
lysates were immunoprecipitated with anti-phosphotyrosine antibody and
blotted with anti-c-Met antibody. B, effects of NK4,
HGF, and VEGF on activation of KDR/VEGF receptor. HMVECs were treated
with NK4 (300 nM) alone or in combination with VEGF or HGF
(10 ng/ml each) for 10 min. Tyrosine phosphorylated KDR was detected as
described above. C, effects of NK4 on activation of
ERK1/2 (p44/42 MAPK). HMVECs were treated with NK4 (300 nM)
alone or in combination with bFGF, VEGF, or HGF (10 ng/ml each) for 10
min. Activation of ERK1/2 was assayed by Western blots of cell lysates
with antibodies against phosphorylated ERK1/2 (top) or
total ERK as a loading control (bottom).
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Next, to assess whether NK4 modifies the activation of the VEGF
receptor, we measured the phosphorylation state of KDR, the activation
of which is largely responsible for VEGF-mediated endothelial growth
and migration. VEGF, but not HGF or NK4, stimulated tyrosine
phosphorylation of KDR (Fig. 5B)
. In contrast with the
blockade of HGF-Met coupling by NK4, the VEGF-induced phosphorylation
of KDR was not inhibited by NK4. Because activation of ERK1/2 (p44/42
MAPK) is closely involved in the process of angiogenesis induced by
various angiogenic stimuli, we next analyzed activation of ERK1/2 (Fig. 5C)
. HGF, bFGF, and VEGF induced prominent activation of
ERK1/2, whereas NK4 did not inhibit the bFGF- or VEGF-induced
activation of ERK1/2 but did inhibit HGF-induced ERK1/2 activation.
Therefore, NK4 does not inhibit early intracellular signaling events
driven by bFGF and VEGF, yet NK4 inhibits bFGF- and VEGF-induced
angiogenic responses in endothelial cells.
In-Vivo Antiangiogenic Activity of NK4.
To study the angiostatic activity of NK4 in vivo, NK4 was
tested using CAM (Fig. 6A)
. In controls, CAMs with avascular zones were never
found. However, NK4 inhibited new blood vessel formation in a
dose-dependent manner as determined by the formation of avascular zones
(Fig. 6A)
; at a dose of 60 µg NK4/disk, avascular zones
were seen in 61.5% of embryos (P < 0.01).
Importantly, the inhibitory activity of NK4 on angiogenesis in chick
CAMs diminished when NK4 was tested after heat-treatment. BSA (60
µg/disk) had no inhibitory effect on angiogenesis in the CAM assay.
The results indicate that NK4 has antiangiogenic activity in
vivo as well as in vitro.

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Fig. 6. A, inhibitory effect of NK4 on
angiogenesis in chick CAMs. Representative appearance of chick CAMs
implanted with a disk containing saline or 20 µg of NK4
(left). For each CAM, a methylcellulose disk containing
sample was removed and photographed. Bars, 1 mm.
Dose-dependent inhibition of angiogenesis in CAMs by NK4 (**,
P < 0.01; right). The
number of CAMs with avascular zones over the total number of CAMs is
indicated above each column. B,
suppression of rabbit corneal neovascularization by NK4. Appearance of
neovascularization in cornea (left). A pellet containing
bFGF 100 ng or bFGF 100 ng plus NK4 1000 ng/pellet was surgically
implanted in rabbit cornea. Bars, 1 mm. Dose-dependent
suppression of bFGF-induced neovascularization by NK4 (*,
P < 0.05; right). The
number of vascularized corneas over the total number of corneas is
indicated above each column.
|
|
To further confirm the antiangiogenic activity of NK4 in
vivo, the effects of NK4 on bFGF-induced neovascularization were
tested in the rabbit cornea assay (Fig. 6B)
. Application of
100 ng of bFGF induced neovascularization in 70% of the
corneas (7 of 10), whereas simultaneous application of NK4
dose-dependently inhibited bFGF-induced neovascularization. NK4 at 1000
ng significantly inhibited bFGF-induced neovascularization to 22%
(P < 0.05). Heat-treated NK4 had no effect
on bFGF-induced neovascularization, and NK4 alone had no effect on
neovascularization in the cornea. Application of HGF in the cornea
assay induced neovascularization and NK4 had inhibitory effects on
HGF-induced neovascularization (not shown).
 |
DISCUSSION
|
|---|
Originally we prepared NK4 as a competitive receptor-antagonist
devoid of its own HGF-related activities. NK4 inhibits biological
activities of HGF, including mitogenic, motogenic, and morphogenic
activities (17
, 18)
. Together with our present finding
that NK4 functions as a specific angiogenesis inhibitor, NK4 is
bifunctional: it acts as an HGF-antagonist and also as an angiogenesis
inhibitor. These distinct functions seem to occur through distinct
mechanisms, because the inhibitory effects of NK4 on angiogenesis
induced by angiogenic factors other than HGF are unlikely to be
mediated via its potential to competitively block coupling between HGF
and its receptor, c-Met. In fact, the blockade of coupling of HGF and
the c-Met receptor by an anti-HGF antibody did not result in inhibition
of endothelial proliferation and migration stimulated by other
angiogenic growth factors. Neither bFGF- nor VEGF-induced angiogenic
response was mediated by the activation of c-Met in endothelial cells.
In addition, bFGF- or VEGF-induced angiogenic signals in the early
phase are not blocked by NK4, because NK4 allowed VEGF-induced KDR/VEGF
receptor tyrosine phosphorylation and bFGF- or VEGF-induced ERK1/2
activation. Thus, a likely explanation is that NK4 may exert
angiostatic signals through putative binding molecules on endothelial
cells, although we cannot rule out the possibility that the c-Met
receptor may participate in bFGF/VEGF-mediated angiogenesis through
unknown mechanisms.
With regard to the structure and function of NK4, it is
noteworthy that NK4 has a significant structural similarity with
angiostatin, a potent angiogenesis inhibitor (29)
.
Angiostatin is an internal fragment of plasminogen that encompasses the
first four kringle domains, and the amino acids sequence homology
between four kringles of NK4 and angiostatin reaches 47%. Previous
studies showed that individual kringle domains of angiostatin, the
fifth kringle domain of plasminogen, and the prothrombin kringle-2
domain have antiangiogenic activity (44, 45, 46)
. Our
preliminary results indicated that antiangiogenic activity of NK4 seems
to reside within kringle
domains.4
These results suggest the possibility that a structural motif conserved
in some kringle domains may be involved in inhibiting angiogenesis.
However, it is equally probable that NK4 inhibits angiogenesis through
a mechanism distinct from angiostatin, because NK4 inhibits DNA
synthesis and induces cell cycle
arrest,5
whereas angiostatin increases endothelial apoptosis without inhibiting
DNA synthesis (34
, 47) .
Of particular importance in the present study is the in vivo
inhibition of tumor metastasis by NK4. The metastatic cascade
is composed of multiple steps: (a) induction of
angiogenesis; (b) dissociation of tumor cells;
(c) invasion through the extracellular matrix;
(d) intravasation; (e) transport in the
circulation; (f) arrest in a distant capillary bed, and
(g) extravasation followed by the establishment of secondary
foci (48)
. In our experimental model, inhibition of lung
metastasis might be the result of suppression of early events
(i.e., angiogenesis and invasion) in the primary tumors,
because NK4-treatment was terminated 10 days before evaluation of lung
metastasis, and this no-treatment period might have allowed for the
growth of secondary tumors (Fig. 2A)
. Considering the
bifunctionality of NK4 (HGF antagonist and angiogenesis inhibitor), we
can raise the possibility that NK4 may have suppressed lung metastasis
by both actions: one, the inhibition of tumor angiogenesis, and the
other, the blockade of HGF-mediated dissociation and invasion of tumor
cells. There are several reports that aggressive angiogenesis in
primary tumors correlates well with the high frequency of distant
metastasis in cancer patients (49
, 50)
. Reduced
angiogenesis by NK4 in the primary tumors may have decreased the
incidence of intravasation of tumor cells, the result being inhibition
of lung metastasis. On the other hand, HGF potently stimulates
dissociation, migration, and invasion of tumor cells (12
, 51, 52, 53)
, and the induction of extracellular protease networks
(such as urokinase-type plasminogen activator and a variety of matrix
metalloproteases) by HGF is involved in invasion and subsequent
metastasis (18
, 53
, 54)
. Indeed, HGF potently stimulated
in-vitro invasion of LLC and Jyg-MC cells through Matrigel
(which mimics basement membrane), whereas NK4 blocked the
HGF-induced invasion of these tumor cells (Fig. 1B)
.
Thus, the blockade of HGF-Met coupling by NK4 might have suppressed the
invasion, motility, and subsequent intravasation of tumor cells,
leading to the inhibition of lung metastasis, in our model.
Cutting off the vascular supply for malignant tumors by an
angiogenesis inhibitor is expected to be a promising form of cancer
therapy. On the other hand, an angiogenesis inhibitor will not modify
the invasive and metastatic phenotype of cancer cells, though
angiogenesis-dependent tumor invasion is suppressed by halting
angiogenesis in some cases (55)
. A number of studies
indicated a critical role for HGF in the invasion and metastasis of a
wide variety of malignant tumor cells (6, 7, 8, 9, 10)
, and
inhibition of HGF-Met coupling or signal transduction from the Met has
been implicated as a therapeutic strategy to prevent cancer invasion
and metastasis (18
, 56, 57, 58)
. On the basis of the
bifunctional characteristics of NK4 to target both tumor angiogenesis
and HGF-mediated invasion, the possibility that NK4 can function as a
therapeutic for subjects with cancer warrants ongoing studies.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Dr. S. Mizuno (Department of Oncology, Osaka
University, Osaka, Japan) and Dr. Takao Nakamura (Department of
Ophthalmology, Osaka University) for technical assistance with the
immunohistochemistry and the rabbit cornea assay, respectively. We are
grateful to Dr. K. Zaret (Division of Biology and Medicine, Fox Chase
Cancer Center, Fox Chase, PA) and to M. Ohara for helpful
comments.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This study was supported by a research grant for
science and cancer from the Ministry of Education, Science, Sports, and
Culture of Japan, a research grant for cancer research from the
Ministry of Welfare of Japan, and research grants from the Princess
Takamatsu Cancer Research Fund, the Tokyo Biochemical Research
Foundation, the Foundation for Promotion of Cancer Research in Japan,
Takeda Science Foundation, Nissan Science Foundation, and the Mochida
Memorial Foundation for Medical and Pharmaceutical Research. 
2 To whom requests for reprints should be
addressed, at Division of Biochemistry, Department of Oncology,
Biomedical Research Center, Osaka University Medical School, Suita,
Osaka 565-0871, Japan. Phone: 81-6-6879-3783; Fax: 81-6-6879-3789;
E-mail: nakamura{at}onbich.med.osaka-u.ac.jp 
3 The abbreviations used are: HGF, hepatocyte
growth factor; EBM-2, endothelial basal medium; FBS, fetal bovine
serum; MDCK, Madin-Darby canine kidney; CAM, chick chorioallantoic
membrane; bFGF, basic fibroblast growth factor; VEGF, vascular
endothelial growth factor; KDR, human Flk-1; MAPK, mitogen-activated
protein kinase; LLC, Lewis lung carcinoma; Jyg-MC, Jyg-MC(A) murine
mammary carcinoma; PCNA, proliferating cell nuclear antigen; TUNEL,
terminal deoxynucleotidyl transferase-mediated nick end labeling;
HMVEC, human dermal microvascular endothelial cell. 
4 Unpublished results. 
5 Our unpublished data. 
Received 11/30/99.
Accepted 10/ 5/00.
 |
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N. Nakano, S. Higashiyama, H. Ohmoto, H. Ishiguro, N. Taniguchi, and Y. Wada
The N-terminal Region of NTAK/Neuregulin-2 Isoforms Has an Inhibitory Activity on Angiogenesis
J. Biol. Chem.,
March 19, 2004;
279(12):
11465 - 11470.
[Abstract]
[Full Text]
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T. Goi, M. Fujioka, Y. Satoh, S. Tabata, K. Koneri, H. Nagano, Y. Hirono, K. Katayama, K. Hirose, and A. Yamaguchi
Angiogenesis and Tumor Proliferation/Metastasis of Human Colorectal Cancer Cell Line SW620 Transfected with Endocrine Glands-Derived-Vascular Endothelial Growth Factor, As a New Angiogenic Factor
Cancer Res.,
March 15, 2004;
64(6):
1906 - 1910.
[Abstract]
[Full Text]
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S. Yoshida, T. Harada, M. Mitsunari, T. Iwabe, Y. Sakamoto, S. Tsukihara, Y. Iba, S. Horie, and N. Terakawa
Hepatocyte Growth Factor/Met System Promotes Endometrial and Endometriotic Stromal Cell Invasion via Autocrine and Paracrine Pathways
J. Clin. Endocrinol. Metab.,
February 1, 2004;
89(2):
823 - 832.
[Abstract]
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M. Krix, F. Kiessling, S. Vosseler, N. Farhan, M. M. Mueller, P. Bohlen, N. E. Fusenig, and S. Delorme
Sensitive Noninvasive Monitoring of Tumor Perfusion during Antiangiogenic Therapy by Intermittent Bolus-Contrast Power Doppler Sonography
Cancer Res.,
December 1, 2003;
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[Abstract]
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S. J. Kim, M. Johnson, K. Koterba, M. H. Herynk, H. Uehara, and G. E. Gallick
Reduced c-Met Expression by an Adenovirus Expressing a c-Met Ribozyme Inhibits Tumorigenic Growth and Lymph Node Metastases of PC3-LN4 Prostate Tumor Cells in an Orthotopic Nude Mouse Model
Clin. Cancer Res.,
November 1, 2003;
9(14):
5161 - 5170.
[Abstract]
[Full Text]
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X. Wang, P. Le, C. Liang, J. Chan, D. Kiewlich, T. Miller, D. Harris, L. Sun, A. Rice, S. Vasile, et al.
Potent and selective inhibitors of the Met [hepatocyte growth factor/scatter factor (HGF/SF) receptor] tyrosine kinase block HGF/SF-induced tumor cell growth and invasion
Mol. Cancer Ther.,
November 1, 2003;
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[Abstract]
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[PDF]
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Y.-W. Zhang, Y. Su, O. V. Volpert, and G. F. V. Woude
Hepatocyte growth factor/scatter factor mediates angiogenesis through positive VEGF and negative thrombospondin 1 regulation
PNAS,
October 28, 2003;
100(22):
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[Abstract]
[Full Text]
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M. A. Brockmann, A. Papadimitriou, M. Brandt, R. Fillbrandt, M. Westphal, and K. Lamszus
Inhibition of Intracerebral Glioblastoma Growth by Local Treatment with the Scatter Factor/Hepatocyte Growth Factor-Antagonist NK4
Clin. Cancer Res.,
October 1, 2003;
9(12):
4578 - 4585.
[Abstract]
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T. Merkulova-Rainon, P. England, S. Ding, C. Demerens, and G. Tobelem
The N-terminal Domain of Hepatocyte Growth Factor Inhibits the Angiogenic Behavior of Endothelial Cells Independently from Binding to the c-met Receptor
J. Biol. Chem.,
September 26, 2003;
278(39):
37400 - 37408.
[Abstract]
[Full Text]
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T. Manabe, K. Mizumoto, E. Nagai, K. Matsumoto, T. Nakamura, T. Nukiwa, M. Tanaka, and T. Matsuda
Cell-based Protein Delivery System for the Inhibition of the Growth of Pancreatic Cancer: NK4 Gene-transduced Oral Mucosal Epithelial Cell Sheet
Clin. Cancer Res.,
August 1, 2003;
9(8):
3158 - 3166.
[Abstract]
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M. Numasaki, J.-i. Fukushi, M. Ono, S. K. Narula, P. J. Zavodny, T. Kudo, P. D. Robbins, H. Tahara, and M. T. Lotze
Interleukin-17 promotes angiogenesis and tumor growth
Blood,
April 1, 2003;
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[Abstract]
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K. S. Kim, Y.-K. Hong, Y. A. Joe, Y. Lee, J.-Y. Shin, H.-E. Park, I.-H. Lee, S.-Y. Lee, D.-K. Kang, S.-I. Chang, et al.
Anti-angiogenic Activity of the Recombinant Kringle Domain of Urokinase and Its Specific Entry into Endothelial Cells
J. Biol. Chem.,
March 21, 2003;
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N. Wajih and D. C. Sane
Angiostatin selectively inhibits signaling by hepatocyte growth factor in endothelial and smooth muscle cells
Blood,
March 1, 2003;
101(5):
1857 - 1863.
[Abstract]
[Full Text]
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T. Kikuchi, M. Maemondo, K. Narumi, K. Matsumoto, T. Nakamura, and T. Nukiwa
Tumor suppression induced by intratumor administration of adenovirus vector expressing NK4, a 4-kringle antagonist of hepatocyte growth factor, and naive dendritic cells
Blood,
December 1, 2002;
100(12):
3950 - 3959.
[Abstract]
[Full Text]
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M. Saimura, E. Nagai, K. Mizumoto, N. Maehara, Y. A. Minamishima, M. Katano, K. Matsumoto, T. Nakamura, and M. Tanaka
Tumor Suppression through Angiogenesis Inhibition by SUIT-2 Pancreatic Cancer Cells Genetically Engineered to Secrete NK4
Clin. Cancer Res.,
October 1, 2002;
8(10):
3243 - 3249.
[Abstract]
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Y. To, M. Dohi, K. Matsumoto, R. Tanaka, A. Sato, K. Nakagome, T. Nakamura, and K. Yamamoto
A Two-way Interaction between Hepatocyte Growth Factor and Interleukin-6 in Tissue Invasion of Lung Cancer Cell Line
Am. J. Respir. Cell Mol. Biol.,
August 1, 2002;
27(2):
220 - 226.
[Abstract]
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Y. Saijo, M. Tanaka, M. Miki, K. Usui, T. Suzuki, M. Maemondo, X. Hong, R. Tazawa, T. Kikuchi, K. Matsushima, et al.
Proinflammatory Cytokine IL-1{beta} Promotes Tumor Growth of Lewis Lung Carcinoma by Induction of Angiogenic Factors: In Vivo Analysis of Tumor-Stromal Interaction
J. Immunol.,
July 1, 2002;
169(1):
469 - 475.
[Abstract]
[Full Text]
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D. Tomioka, N. Maehara, K. Kuba, K. Mizumoto, M. Tanaka, K. Matsumoto, and T. Nakamura
Inhibition of Growth, Invasion, and Metastasis of Human Pancreatic Carcinoma Cells by NK4 in an Orthotopic Mouse Model
Cancer Res.,
October 1, 2001;
61(20):
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[Abstract]
[Full Text]
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K. Matsumoto, H. Yoshitomi, J. Rossant, and K. S. Zaret
Liver Organogenesis Promoted by Endothelial Cells Prior to Vascular Function
Science,
October 19, 2001;
294(5542):
559 - 563.
[Abstract]
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