Chondrocytic differentiation of mesenchymal stem cells sequentially exposed to transforming growth factor-beta1 in monolayer and insulin-like growth factor-I in a three-dimensional matrix.
Abstract: This study evaluated chondrogenesis of mesenchymal progenitor stem cells (MSCs) cultured initially under pre-confluent monolayer conditions exposed to transforming growth factor-beta1 (TGF-beta1), and subsequently in three-dimensional cultures containing insulin-like growth factor I (IGF-I). Bone marrow aspirates and chondrocytes were obtained from horses and cultured in monolayer with 0 or 5 ng of TGF-beta 1 per ml of medium for 6 days. TGF-beta 1 treated and untreated cultures were distributed to three-dimensional fibrin disks containing 0 or 100 ng of IGF-I per ml of medium to establish four treatment groups. After 13 days, cultures were assessed by toluidine blue staining, collagen types I and II in situ hybridization and immunohistochemistry, proteoglycan production by [35S]-sulfate incorporation, and disk DNA content by fluorometry. Mesenchymal cells in monolayer cultures treated with TGF-beta1 actively proliferated for the first 4 days, developed cellular rounding, and formed cell clusters. Treated MSC cultures had a two-fold increase in medium proteoglycan content. Pretreatment of MSCs with TGF-beta1 followed by exposure of cells to IGF-I in three-dimensional culture significantly increased the formation of markers of chondrocytic function including disk proteoglycan content and procollagen type II mRNA production. However, proteoglycan and procollagen type II production by MSC's remained lower than parallel chondrocyte cultures. MSC pretreatment with TGF-beta1 without sequential IGF-I was less effective in initiating expression of markers of chondrogenesis. This study indicates that although MSC differentiation was less than complete when compared to mature chondrocytes, chondrogenesis was observed in IGF-I supplemented cultures, particularly when used in concert with TGF-beta1 pretreatment.
Publication Date: 2001-08-24 PubMed ID: 11518286DOI: 10.1016/S0736-0266(00)00054-1Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research involves a study on the transformation of mesenchymal stem cells (MSCs) into chondrocytes (cartilage producing cells) with two treatments. Firstly, the cells are treated with a protein, transforming growth factor-beta1 (TGF-beta1), in a one-layer setting, and then with insulin-like growth factor I (IGF-I) in a three-dimensional growth environment.
Methodology
- MSCs were sourced from horses’ bone marrow and chondrocytes. They were cultured in a monolayer with or without an infusion of 5ng of TGF-beta1 per milliliter of medium for six days.
- The cultures treated and untreated by TGF-beta1 were then moved to set up a three-dimensional fibrin disk, an environment infused with 100ng of IGF-I per ml. The cells were further divided into four treatment groups.
- After thirteen days of exposure to the two-step treatment, the cultures were assessed through various methods such as toluidine blue staining, collagen types I and II in situ hybridization and immunohistochemistry, proteoglycan production by radioactive sulphur ([35S]-sulphate), and monitoring DNA content in the disk by fluorometry.
Observations and Findings
- The MSCs treated with TGF-beta1 in the monolayer setup were observed to proliferate for initial four days, showed a change in cell shape, and grouped as clusters.
- The treatment showed a two-fold increase in proteoglycan content in the medium; proteoglycans are molecules important in building cartilage tissue.
- The MSCs which were first treated with TGF-beta1 and then exposed to IGF-I in three-dimensional culture demonstrated a significant rise in the production of disk proteoglycan content and procollagen type II mRNA, key markers of chondrocytic activity.
- However, despite noticeable activity, the chondrogenesis in MSCs was still lower than that in the mature chondrocyte cultures.
- Surprisingly, solely treating MSCs with TGF-beta1 without a sequential IGF-I treatment was less effective in stimulating chondrogenesis.
Conclusion
- This research suggests that the two-step treatment of mesenchymal stem cells (MSCs) with TGF-beta1 and IGF-I effectively triggers chondrogenesis, the transformation of MSCs into cartilage-forming chondrocytes.
- However, the degree of transformation was found to be less comprehensive compared to mature chondrocytes, despite the fact that chondrogenesis was noticeably higher when IGF-I was used after TGF-beta1 treatment.
Cite This Article
APA
Worster AA, Brower-Toland BD, Fortier LA, Bent SJ, Williams J, Nixon AJ.
(2001).
Chondrocytic differentiation of mesenchymal stem cells sequentially exposed to transforming growth factor-beta1 in monolayer and insulin-like growth factor-I in a three-dimensional matrix.
J Orthop Res, 19(4), 738-749.
https://doi.org/10.1016/S0736-0266(00)00054-1 Publication
Researcher Affiliations
- Comparative Orthopaedics Laboratory, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
MeSH Terms
- Animals
- Cell Culture Techniques / methods
- Cell Differentiation / drug effects
- Chondrocytes / chemistry
- Chondrocytes / cytology
- Chondrocytes / physiology
- Collagen / analysis
- Collagen / genetics
- Fibrin
- Gene Expression / drug effects
- Glycosaminoglycans / analysis
- Horses
- Hydroxyproline / analysis
- Immunohistochemistry
- In Situ Hybridization
- Insulin-Like Growth Factor I / pharmacology
- Mesoderm / cytology
- RNA, Messenger / analysis
- Stem Cells / chemistry
- Stem Cells / cytology
- Stem Cells / physiology
- Transforming Growth Factor beta / pharmacology
- Transforming Growth Factor beta1
Citations
This article has been cited 72 times.- Min S, Byeon Y, Kim M, Lee Y, Lee SH, Lee Y, Farooqi HMU, Lee HK, Paeng DG. Production enhancement of human adipose-derived mesenchymal stem cells by low-intensity ultrasound stimulation.. Sci Rep 2022 Dec 21;12(1):22041.
- Miceli M, Maruotti GM, Sarno L, Carbone L, Guida M, Pelagalli A. Preliminary Characterization of the Epigenetic Modulation in the Human Mesenchymal Stem Cells during Chondrogenic Process.. Int J Mol Sci 2022 Aug 30;23(17).
- Schizas NP, Zafeiris C, Neri AA, Anastasopoulos PP, Papaioannou NA, Dontas IA. Inhibition versus activation of canonical Wnt-signaling, to promote chondrogenic differentiation of Mesenchymal Stem Cells. A review.. Orthop Rev (Pavia) 2021;13(2):27098.
- Wen C, Xu L, Xu X, Wang D, Liang Y, Duan L. Insulin-like growth factor-1 in articular cartilage repair for osteoarthritis treatment.. Arthritis Res Ther 2021 Oct 30;23(1):277.
- Dai W, Wu T, Leng X, Yan W, Hu X, Ao Y. Advances in biomechanical and biochemical engineering methods to stimulate meniscus tissue.. Am J Transl Res 2021;13(8):8540-8560.
- Fülber J, Agreste FR, Seidel SRT, Sotelo EDP, Barbosa ÂP, Michelacci YM, Baccarin RYA. Chondrogenic potential of mesenchymal stem cells from horses using a magnetic 3D cell culture system.. World J Stem Cells 2021 Jun 26;13(6):645-658.
- Harman RM, Marx C, Van de Walle GR. Translational Animal Models Provide Insight Into Mesenchymal Stromal Cell (MSC) Secretome Therapy.. Front Cell Dev Biol 2021;9:654885.
- Barati D, Gegg C, Yang F. Nanoparticle-Mediated TGF-β Release from Microribbon-Based Hydrogels Accelerates Stem Cell-Based Cartilage Formation In Vivo.. Ann Biomed Eng 2020 Jul;48(7):1971-1981.
- Monaco G, El Haj AJ, Alini M, Stoddart MJ. Sodium Hyaluronate Supplemented Culture Media as a New hMSC Chondrogenic Differentiation Media-Model for in vitro/ex vivo Screening of Potential Cartilage Repair Therapies.. Front Bioeng Biotechnol 2020;8:243.
- Zanotto G, Liebesny P, Barrett M, Zlotnick H, Grodzinsky A, Frisbie D. Trypsin Pre-Treatment Combined With Growth Factor Functionalized Self-Assembling Peptide Hydrogel Improves Cartilage Repair in Rabbit Model.. J Orthop Res 2019 Nov;37(11):2307-2315.
- Biz C, Crimi A, Fantoni I, Pozzuoli A, Ruggieri P. Muscle stem cells: what's new in orthopedics?. Acta Biomed 2019 Jan 25;90(1-S):8-13.
- Wang X, Lin Q, Zhang T, Wang X, Cheng K, Gao M, Xia P, Li X. Low-intensity pulsed ultrasound promotes chondrogenesis of mesenchymal stem cells via regulation of autophagy.. Stem Cell Res Ther 2019 Jan 22;10(1):41.
- Chen M, Guo W, Gao S, Hao C, Shen S, Zhang Z, Wang Z, Wang Z, Li X, Jing X, Zhang X, Yuan Z, Wang M, Zhang Y, Peng J, Wang A, Wang Y, Sui X, Liu S, Guo Q. Biochemical Stimulus-Based Strategies for Meniscus Tissue Engineering and Regeneration.. Biomed Res Int 2018;2018:8472309.
- Huang X, Zhong L, Hendriks J, Post JN, Karperien M. The Effects of the WNT-Signaling Modulators BIO and PKF118-310 on the Chondrogenic Differentiation of Human Mesenchymal Stem Cells.. Int J Mol Sci 2018 Feb 13;19(2).
- Van Bellinghen X, Idoux-Gillet Y, Pugliano M, Strub M, Bornert F, Clauss F, Schwinté P, Keller L, Benkirane-Jessel N, Kuchler-Bopp S, Lutz JC, Fioretti F. Temporomandibular Joint Regenerative Medicine.. Int J Mol Sci 2018 Feb 2;19(2).
- Chen CH, Kuo CY, Chen JP. Effect of Cyclic Dynamic Compressive Loading on Chondrocytes and Adipose-Derived Stem Cells Co-Cultured in Highly Elastic Cryogel Scaffolds.. Int J Mol Sci 2018 Jan 26;19(2).
- Miyamoto Y, Kanzaki H, Wada S, Tsuruoka S, Itohiya K, Kumagai K, Hamada Y, Nakamura Y. Asporin stably expressed in the surface layer of mandibular condylar cartilage and augmented in the deeper layer with age.. Bone Rep 2017 Dec;7:41-50.
- Goldberg A, Mitchell K, Soans J, Kim L, Zaidi R. The use of mesenchymal stem cells for cartilage repair and regeneration: a systematic review.. J Orthop Surg Res 2017 Mar 9;12(1):39.
- Wang IE, Bogdanowicz DR, Mitroo S, Shan J, Kala S, Lu HH. Cellular interactions regulate stem cell differentiation in tri-culture.. Connect Tissue Res 2016 Nov;57(6):476-487.
- Liebesny PH, Byun S, Hung HH, Pancoast JR, Mroszczyk KA, Young WT, Lee RT, Frisbie DD, Kisiday JD, Grodzinsky AJ. Growth Factor-Mediated Migration of Bone Marrow Progenitor Cells for Accelerated Scaffold Recruitment.. Tissue Eng Part A 2016 Jul;22(13-14):917-27.
- Green JD, Tollemar V, Dougherty M, Yan Z, Yin L, Ye J, Collier Z, Mohammed MK, Haydon RC, Luu HH, Kang R, Lee MJ, Ho SH, He TC, Shi LL, Athiviraham A. Multifaceted signaling regulators of chondrogenesis: Implications in cartilage regeneration and tissue engineering.. Genes Dis 2015 Dec;2(4):307-327.
- Goldman SM, Barabino GA. Hydrodynamic loading in concomitance with exogenous cytokine stimulation modulates differentiation of bovine mesenchymal stem cells towards osteochondral lineages.. BMC Biotechnol 2016 Feb 1;16:10.
- Zhou Q, Li B, Zhao J, Pan W, Xu J, Chen S. IGF-I induces adipose derived mesenchymal cell chondrogenic differentiation in vitro and enhances chondrogenesis in vivo.. In Vitro Cell Dev Biol Anim 2016 Mar;52(3):356-364.
- Mansour JM, Lee Z, Welter JF. Nondestructive Techniques to Evaluate the Characteristics and Development of Engineered Cartilage.. Ann Biomed Eng 2016 Mar;44(3):733-49.
- Sato Y, Mera H, Takahashi D, Majima T, Iwasaki N, Wakitani S, Takagi M. Synergistic effect of ascorbic acid and collagen addition on the increase in type 2 collagen accumulation in cartilage-like MSC sheet.. Cytotechnology 2017 Jun;69(3):405-416.
- Bishop CJ, Liu AL, Lee DS, Murdock RJ, Green JJ. Layer-by-layer inorganic/polymeric nanoparticles for kinetically controlled multigene delivery.. J Biomed Mater Res A 2016 Mar;104(3):707-713.
- Hu P, Pu Y, Li X, Zhu Z, Zhao Y, Guan W, Ma Y. Isolation, in vitro culture and identification of a new type of mesenchymal stem cell derived from fetal bovine lung tissues.. Mol Med Rep 2015 Sep;12(3):3331-3338.
- Correa D, Somoza RA, Lin P, Greenberg S, Rom E, Duesler L, Welter JF, Yayon A, Caplan AI. Sequential exposure to fibroblast growth factors (FGF) 2, 9 and 18 enhances hMSC chondrogenic differentiation.. Osteoarthritis Cartilage 2015 Mar;23(3):443-53.
- Karimi T, Barati D, Karaman O, Moeinzadeh S, Jabbari E. A developmentally inspired combined mechanical and biochemical signaling approach on zonal lineage commitment of mesenchymal stem cells in articular cartilage regeneration.. Integr Biol (Camb) 2015 Jan;7(1):112-27.
- Snyder TN, Madhavan K, Intrator M, Dregalla RC, Park D. A fibrin/hyaluronic acid hydrogel for the delivery of mesenchymal stem cells and potential for articular cartilage repair.. J Biol Eng 2014;8:10.
- Alexander PG, Gottardi R, Lin H, Lozito TP, Tuan RS. Three-dimensional osteogenic and chondrogenic systems to model osteochondral physiology and degenerative joint diseases.. Exp Biol Med (Maywood) 2014 Sep;239(9):1080-95.
- Mariani E, Pulsatelli L, Facchini A. Signaling pathways in cartilage repair.. Int J Mol Sci 2014 May 15;15(5):8667-98.
- Jakobsen RB, Østrup E, Zhang X, Mikkelsen TS, Brinchmann JE. Analysis of the effects of five factors relevant to in vitro chondrogenesis of human mesenchymal stem cells using factorial design and high throughput mRNA-profiling.. PLoS One 2014;9(5):e96615.
- Somoza RA, Welter JF, Correa D, Caplan AI. Chondrogenic differentiation of mesenchymal stem cells: challenges and unfulfilled expectations.. Tissue Eng Part B Rev 2014 Dec;20(6):596-608.
- Baghaban Eslaminejad M, Fallah N. Small Molecule-BIO Accelerates and Enhances Marrow-Derived Mesenchymal Stem Cell in Vitro Chondrogenesis.. Iran J Med Sci 2014 Mar;39(2):107-16.
- Zahedmanesh H, Stoddart M, Lezuo P, Forkmann C, Wimmmer MA, Alini M, Van Oosterwyck H. Deciphering mechanical regulation of chondrogenesis in fibrin-polyurethane composite scaffolds enriched with human mesenchymal stem cells: a dual computational and experimental approach.. Tissue Eng Part A 2014 Apr;20(7-8):1197-212.
- Lo Surdo JL, Millis BA, Bauer SR. Automated microscopy as a quantitative method to measure differences in adipogenic differentiation in preparations of human mesenchymal stromal cells.. Cytotherapy 2013 Dec;15(12):1527-40.
- Eslaminejad MB, Karimi N, Shahhoseini M. Chondrogenic differentiation of human bone marrow-derived mesenchymal stem cells treated by GSK-3 inhibitors.. Histochem Cell Biol 2013 Dec;140(6):623-33.
- Kim K, Lam J, Lu S, Spicer PP, Lueckgen A, Tabata Y, Wong ME, Jansen JA, Mikos AG, Kasper FK. Osteochondral tissue regeneration using a bilayered composite hydrogel with modulating dual growth factor release kinetics in a rabbit model.. J Control Release 2013 Jun 10;168(2):166-78.
- Mueller MB, Blunk T, Appel B, Maschke A, Goepferich A, Zellner J, Englert C, Prantl L, Kujat R, Nerlich M, Angele P. Insulin is essential for in vitro chondrogenesis of mesenchymal progenitor cells and influences chondrogenesis in a dose-dependent manner.. Int Orthop 2013 Jan;37(1):153-8.
- Li S, Hayes AJ, Caterson B, Hughes CE. The effect of beta-xylosides on the chondrogenic differentiation of mesenchymal stem cells.. Histochem Cell Biol 2013 Jan;139(1):59-74.
- Lo Surdo J, Bauer SR. Quantitative approaches to detect donor and passage differences in adipogenic potential and clonogenicity in human bone marrow-derived mesenchymal stem cells.. Tissue Eng Part C Methods 2012 Nov;18(11):877-89.
- Khanmohammadi M, Khanjani S, Bakhtyari MS, Zarnani AH, Edalatkhah H, Akhondi MM, Mirzadegan E, Kamali K, Alimoghadam K, Kazemnejad S. Proliferation and chondrogenic differentiation potential of menstrual blood- and bone marrow-derived stem cells in two-dimensional culture.. Int J Hematol 2012 May;95(5):484-93.
- Kim S, Kang Y, Krueger CA, Sen M, Holcomb JB, Chen D, Wenke JC, Yang Y. Sequential delivery of BMP-2 and IGF-1 using a chitosan gel with gelatin microspheres enhances early osteoblastic differentiation.. Acta Biomater 2012 May;8(5):1768-77.
- Kock L, van Donkelaar CC, Ito K. Tissue engineering of functional articular cartilage: the current status.. Cell Tissue Res 2012 Mar;347(3):613-27.
- Gadjanski I, Spiller K, Vunjak-Novakovic G. Time-dependent processes in stem cell-based tissue engineering of articular cartilage.. Stem Cell Rev Rep 2012 Sep;8(3):863-81.
- Seo S, Na K. Mesenchymal stem cell-based tissue engineering for chondrogenesis.. J Biomed Biotechnol 2011;2011:806891.
- Mwale F, Rampersad S, Richard H, Guoying Y, Al Rowas S, Madiraju P, Antoniou J, Laverty S. The constitutive expression of type x collagen in mesenchymal stem cells from osteoarthritis patients is reproduced in a rabbit model of osteoarthritis.. J Tissue Eng 2011;2011:587547.
- Spiller KL, Maher SA, Lowman AM. Hydrogels for the repair of articular cartilage defects.. Tissue Eng Part B Rev 2011 Aug;17(4):281-99.
- Hwang NS, Im SG, Wu PB, Bichara DA, Zhao X, Randolph MA, Langer R, Anderson DG. Chondrogenic priming adipose-mesenchymal stem cells for cartilage tissue regeneration.. Pharm Res 2011 Jun;28(6):1395-405.
- McCann MR, Bacher CA, Séguin CA. Exploiting notochord cells for stem cell-based regeneration of the intervertebral disc.. J Cell Commun Signal 2011 Mar;5(1):39-43.
- Fortier LA, Barker JU, Strauss EJ, McCarrel TM, Cole BJ. The role of growth factors in cartilage repair.. Clin Orthop Relat Res 2011 Oct;469(10):2706-15.
- Raabe O, Reich C, Wenisch S, Hild A, Burg-Roderfeld M, Siebert HC, Arnhold S. Hydrolyzed fish collagen induced chondrogenic differentiation of equine adipose tissue-derived stromal cells.. Histochem Cell Biol 2010 Dec;134(6):545-54.
- Barnouti ZP, Owtad P, Shen G, Petocz P, Darendeliler MA. The biological mechanisms of PCNA and BMP in TMJ adaptive remodeling.. Angle Orthod 2011 Jan;81(1):91-99.
- Miller RE, Grodzinsky AJ, Vanderploeg EJ, Lee C, Ferris DJ, Barrett MF, Kisiday JD, Frisbie DD. Effect of self-assembling peptide, chondrogenic factors, and bone marrow-derived stromal cells on osteochondral repair.. Osteoarthritis Cartilage 2010 Dec;18(12):1608-19.
- Zhang ZH, Li HX, Qi YP, Du LJ, Zhu SY, Wu MY, Lu HL, Yu Y, Han W. Recombinant human midkine stimulates proliferation of articular chondrocytes.. Cell Prolif 2010 Apr;43(2):184-94.
- Mullen LM, Best SM, Brooks RA, Ghose S, Gwynne JH, Wardale J, Rushton N, Cameron RE. Binding and release characteristics of insulin-like growth factor-1 from a collagen-glycosaminoglycan scaffold.. Tissue Eng Part C Methods 2010 Dec;16(6):1439-48.
- Connelly JT, Vanderploeg EJ, Mouw JK, Wilson CG, Levenston ME. Tensile loading modulates bone marrow stromal cell differentiation and the development of engineered fibrocartilage constructs.. Tissue Eng Part A 2010 Jun;16(6):1913-23.
- Salinas CN, Anseth KS. Mesenchymal stem cells for craniofacial tissue regeneration: designing hydrogel delivery vehicles.. J Dent Res 2009 Aug;88(8):681-92.
- Bilgen B, Ren Y, Pei M, Aaron RK, Ciombor DM. CD14-negative isolation enhances chondrogenesis in synovial fibroblasts.. Tissue Eng Part A 2009 Nov;15(11):3261-70.
- Guo X, Park H, Liu G, Liu W, Cao Y, Tabata Y, Kasper FK, Mikos AG. In vitro generation of an osteochondral construct using injectable hydrogel composites encapsulating rabbit marrow mesenchymal stem cells.. Biomaterials 2009 May;30(14):2741-52.
- Vidal MA, Robinson SO, Lopez MJ, Paulsen DB, Borkhsenious O, Johnson JR, Moore RM, Gimble JM. Comparison of chondrogenic potential in equine mesenchymal stromal cells derived from adipose tissue and bone marrow.. Vet Surg 2008 Dec;37(8):713-24.
- Matsuda C, Takagi M, Hattori T, Wakitani S, Yoshida T. Differentiation of Human Bone Marrow Mesenchymal Stem Cells to Chondrocytes for Construction of Three-dimensional Cartilage Tissue.. Cytotechnology 2005 Jan;47(1-3):11-7.
- Steinert AF, Palmer GD, Pilapil C, Nöth U, Evans CH, Ghivizzani SC. Enhanced in vitro chondrogenesis of primary mesenchymal stem cells by combined gene transfer.. Tissue Eng Part A 2009 May;15(5):1127-39.
- Pei M, He F, Vunjak-Novakovic G. Synovium-derived stem cell-based chondrogenesis.. Differentiation 2008 Dec;76(10):1044-56.
- Steinert AF, Nöth U, Tuan RS. Concepts in gene therapy for cartilage repair.. Injury 2008 Apr;39 Suppl 1(Suppl 1):S97-113.
- Pei M, Luo J, Chen Q. Enhancing and maintaining chondrogenesis of synovial fibroblasts by cartilage extracellular matrix protein matrilins.. Osteoarthritis Cartilage 2008 Sep;16(9):1110-7.
- Madry H, Weimer A, Kohn D, Cucchiarini M. [Tissue engineering for articular cartilage repair improved by gene transfer. Current concepts].. Orthopade 2007 Mar;36(3):236-47.
- Schulz RM, Bader A. Cartilage tissue engineering and bioreactor systems for the cultivation and stimulation of chondrocytes.. Eur Biophys J 2007 Apr;36(4-5):539-68.
- Xiang Y, Zheng Q, Jia BB, Huang GP, Xu YL, Wang JF, Pan ZJ. Ex vivo expansion and pluripotential differentiation of cryopreserved human bone marrow mesenchymal stem cells.. J Zhejiang Univ Sci B 2007 Feb;8(2):136-46.
- Kawamura K, Chu CR, Sobajima S, Robbins PD, Fu FH, Izzo NJ, Niyibizi C. Adenoviral-mediated transfer of TGF-beta1 but not IGF-1 induces chondrogenic differentiation of human mesenchymal stem cells in pellet cultures.. Exp Hematol 2005 Aug;33(8):865-72.
- Zhang Y, Wang C, Liao W, Li Z, Guo X, Zhao Q, Duan C, Xia R. In vitro chondrogenic phenotype differentiation of bone marrow-derived mesenchymal stem cells.. J Huazhong Univ Sci Technolog Med Sci 2004;24(3):275-8.
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