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Circulation. 2004;110:2889-2895
Published online before print October 25, 2004, doi: 10.1161/01.CIR.0000147731.24444.4D
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(Circulation. 2004;110:2889-2895.)
© 2004 American Heart Association, Inc.


Molecular Cardiology

Deletion of p66shc Gene Protects Against Age-Related Endothelial Dysfunction

Pietro Francia, MD; Chiara delli Gatti, MD; Markus Bachschmid, PhD; Ines Martin-Padura, PhD; Carmine Savoia, MD; Enrica Migliaccio, MD; Pier Giuseppe Pelicci, MD; Marzia Schiavoni, MD; Thomas Felix Lüscher, MD; Massimo Volpe, MD; Francesco Cosentino, MD, PhD

From Cardiovascular Research & Cardiology, Institute of Physiology, Zürich, Irchel and University Hospital, Zürich, Switzerland (P.F., C.D.G., M.S., T.F.L., F.C.); Division of Cardiology, 2nd Faculty of Medicine, University "La Sapienza," Rome, and IRCCS Neuromed, Pozzilli (IS), Italy (P.F., C.S., M.V., F.C.); Department of Biology, University of Konstanz, Germany (M.B.); and Department of Experimental Oncology of the European Institute of Oncology, Milan, Italy (I.M.-P., E.M., P.G.P.).

Correspondence to Francesco Cosentino, MD, PhD, Cardiology & Cardiovascular Research, Institute of Physiology, University of Zürich-Irchel, CH-8057 Zürich, Switzerland. E-mail f_cosentino{at}hotmail.com

Received January 7, 2004; de novo received May 13, 2004; accepted July 14, 2004.


*    Abstract
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Background— Enhanced production of reactive oxygen species (ROS) has been recognized as the major determinant of age-related endothelial dysfunction. The p66shc protein controls cellular responses to oxidative stress. Mice lacking p66shc (p66shc–/–) have increased resistance to ROS and a 30% prolonged life span. The present study investigates age-dependent changes of endothelial function in this model.

Methods and Results— Aortic rings from young and old p66shc–/– or wild-type (WT) mice were suspended for isometric tension recording. Nitric oxide (NO) release was measured by a porphyrinic microsensor. Expression of endothelial NO synthase (eNOS), inducible NOS (iNOS), superoxide dismutase, and nitrotyrosine-containing proteins was assessed by Western blotting. Nitrotyrosine residues were also identified by immunohistochemistry. Superoxide (O2) production was determined by coelenterazine-enhanced chemiluminescence. Endothelium-dependent relaxation in response to acetylcholine was age-dependently impaired in WT mice but not in p66shc–/– mice. Accordingly, an age-related decline of NO release was found in WT but not in p66shc–/– mice. The expression of eNOS and manganese superoxide dismutase was not affected by aging either in WT or in p66shc–/– mice, whereas iNOS was upregulated only in old WT mice. It is interesting that old WT mice displayed a significant increase of O2 production as well as of nitrotyrosine expression compared with young animals. Such age-dependent changes were not found in p66shc–/– mice.

Conclusions— We report that inactivation of the p66shc gene protects against age-dependent, ROS-mediated endothelial dysfunction. These findings suggest that the p66shc is part of a signal transduction pathway also relevant to endothelial integrity and may represent a novel target to prevent vascular aging.


Key Words: aging • endothelium • free radicals • nitric oxide • genes


*    Introduction
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Shc proteins are adaptor proteins that exist in 3 different isoforms with relative molecular masses of 46, 52, and 66 kDa. P52shc/p46shc is involved in the transmission of mitogenic signals from tyrosine kinases to Ras.1 p66shc has the same modular structure of p52shc/p46shc (SH2-CH1-PTB) and contains a unique N-terminal region (CH2); however, it is not involved in Ras regulation but rather functions in the intracellular pathway that converts oxidative signals into apoptosis. Indeed, embryo fibroblasts from mice carrying a targeted mutation of p66shc (p66shc–/–) are more resistant to oxidative stress–induced apoptosis.2 p66shc–/– mice have an approximately 30% increase in life span and reduced early atherogenesis after long-term consumption of a high-fat diet,3 suggesting that p66shc is implicated in aging and in the pathogenesis of aging-associated diseases in mammals. The biochemical function of p66shc remains, however, largely unknown. Recent reports demonstrated that p66shc acts as a downstream target of the tumor suppressor p53 and is indispensable to the ability of activated p53 to induce elevation of intracellular oxidants and apoptosis. Under basal conditions, p66shc–/– cells have a reduced rate of intracellular oxidant formation and mitochondrial DNA alterations, which suggests that p66shc acts through regulation of the intracellular redox state.4

Accumulation of oxidative stress–damaged macromolecules with age has been documented consistently in tissues of different species and hypothesized to be the proximal causative mediator of age-associated diseases.5–7 Among different tissues, aging vessels are known to accumulate oxidative damage and undergo functional impairment.8–12

The bioavailability of endothelium-derived nitric oxide (NO) represents a key marker of vascular health. The activity of the L-arginine/NO pathway is a balance between synthesis and breakdown of NO by its reaction with superoxide anion (O2). Under physiological conditions, the production of this molecule is not affected by O2. Hence, the endothelium-derived NO may exert its well-known vascular protective effects.13 However, excessive generation of O2 rapidly inactivates NO, leading to the formation of high concentrations of peroxynitrite (ONOO), a very powerful oxidant.14,15 Peroxynitrite easily penetrates across phospholipid membranes and produces substrate nitration, thereby inactivating regulatory receptors and enzymes such as free radical scavengers.11,16,17

Decreased availability of NO plays a major role in the aging vessels.8,9,11 However, the cellular and molecular mechanisms underlying age-associated NO decline have not been fully elucidated and might involve (1) gradual loss of antioxidant defense mechanisms11; (2) changes in expression or activity of endothelial NO synthase (eNOS)10–12,18; and (3) increased breakdown of NO because of enhanced O2 production.11,12,19,20 Furthermore, the reported age-dependent upregulation of the inducible form of NOS (iNOS) might contribute to increased ONOO formation and thus to the oxidative damage of vascular tissue.10,12,16,21 The observation that p66shc regulates cellular redox state and life span prompted us to investigate whether p66shc–/– mice are protected against age-associated endothelial dysfunction.


*    Methods
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Animals
Eighteen healthy young (6 to 7 months old) and 18 old (17 to 18 months old) p66shc–/– and 18 young/18 old 129WT (wild-type) male mice were obtained from the Department of Experimental Oncology of the European Institute of Oncology (Milan, Italy). Control and knockout mice shared an identical genetic background because both mice lines are of the same 129Sv strain. The cohorts of WT mice used in our experiments as controls with respect to the p66shc–/– derive from 129Sv mice maintained in the same housing conditions as the p66shc–/–. Mice were fed ad libitum and maintained on a 12:12-hour light–dark cycle. Systolic blood pressure was measured in conscious mice by a tail-cuff method with the use of a pulse-transducer (model LE 5000, Letica). Blood samples were taken in chilled EDTA tubes for determination of lipid profile, glucose levels, and peripheral blood cell count.

Surgical Procedures
All of the experimental procedures were in accordance with the guidelines of our Institutions (Department of Experimental Medicine & Pathology, University of Rome "La Sapienza," and Cardiovascular Research, Institute of Physiology, University of Zürich) and were approved by the local authorities for animal research. On the day of the experiment, mice were anesthetized through the intraperitoneal administration of 50 mg/kg sodium pentobarbital and then were euthanized. The chest and abdomen were opened with a medial sternotomy. The entire aorta from the heart to the iliac bifurcation was excised and placed in cold Krebs-Ringer bicarbonate solution (pH 7.4, 37°C, 95% O2; 5% CO2) of the following composition (in mmol/L): NaCl (118.6), KCl (4.7), CaCl2 (2.5), KH2PO4 (1.2), MgSO4 (1.2), NaHCO3 (25.1), glucose (11.1), and calcium EDTA (0.026). The aorta was then cleaned of adhering tissues under a dissection microscope, frozen in liquid nitrogen, and stored at –80°C or was used immediately for organ chamber experiments and in situ measurement of NO production according to the study protocol.

Organ Chamber Experiments
Aortas were cut into rings (2 to 3 mm long). Each ring was connected to an isometric force transducer (SCAIME), suspended in an organ chamber filled with 25 mL control solution (37°C, pH 7.4), and bubbled with 95% O2/5% CO2. Isometric tension was recorded continuously. After a 30-minute equilibration period, rings were gradually stretched to the optimal point of their length–tension curve (2±0.2 g) as determined by the contraction in response to norepinephrine (10–6 mol/L). Concentration–response curves were obtained in a cumulative fashion. Several rings cut from the same artery were studied in parallel. Responses to acetylcholine (10–9 to 10–5 mol/L) and calcium ionophore A23187 (10–9 to 10–6 mol/L) were obtained during submaximal contraction to norepinephrine (10–6 mol/L). The NO donor sodium nitroprusside (10–10 to 10–5 mol/L) was added to test endothelium-independent relaxation. Relaxations were expressed as a percentage of the precontracted tension.

Measurement of NO
Direct in situ measurements of NO were carried out as described.22 Immediately before NO measurements, the active tip of the L-shaped porphyrinic NO microsensor was placed directly on the surface of the endothelial cell monolayer. For maximal stimulation of eNOS, the calcium ionophore A23187 was injected into the cell culture dish to yield a final concentration of 10–6 mol/L.

Determination of eNOS, iNOS, Manganese Superoxide Dismutase, and Nitrotyrosine Expression by Western Blot
Aortas were isolated and immediately snap-frozen in liquid nitrogen. The frozen aortas were pulverized and solubilized in lysis buffer containing 2-mercaptoethanol. Proteins were separated on denaturing SDS—8% (eNOS and iNOS) and 12% (manganese superoxide dismutase [MnSOD]– and 3-nitrotyrosine–containing proteins)—polyacrylamide gels overnight. Equal amounts of proteins (30 µg/lane) were loaded. To verify the equal loading, the gel was stained with Coomassie, and the intensity of the protein bands was examined. Separated proteins were blotted onto an activated piece of nitrocellulose (Immobilon-P, Millipore). Membranes were blocked for 1 hour at room temperature with a buffer containing 5% milk powder. Blots were incubated with anti-NOS3 rabbit polyclonal antibody (1:1000 dilution; Santa Cruz Biotechnology, Inc), anti-NOS2 mouse monoclonal antibody (dilution 1:1000, Santa Cruz Biotechnology, Inc), anti-MnSOD rabbit polyclonal antibody (1:2000 dilution, Upstate USA, Inc), or anti-nitrotyrosine mouse monoclonal antibody (1:1000 dilution, Upstate USA, Inc) for 1 hour at room temperature. Membranes were then incubated with the secondary antibody (horseradish peroxidase–conjugated anti-mouse/rabbit immunoglobulin antibody; Amersham Pharmacia Biotech) at a dilution of 1:2000. Prestained markers (Bio-Rad Laboratories) were used for molecular mass determinations. To compare target protein expression with the expression of a control protein, we analyzed the expression of {alpha}-tubulin using an anti–{alpha}-tubulin mouse monoclonal antibody (dilution 1:5000, Sigma-Aldrich). All bands were detected by enhanced chemiluminescence (ECL+, Amersham International).

Blots were densitometrically quantified using the public-domain NIH Image 1.6 program developed at the National Institutes of Health.

Measurement of Superoxide by Coelenterazine-Enhanced Chemiluminescence
O2 concentration in aortic tissue was determined by using a coelenterazine-enhanced chemiluminescence method. Each tissue sample (5 mm in length) was placed into 2 mL modified Krebs-Ringer solution, pH 7.40, and prewarmed to 37°C for 1 hour under a supply of carbogen. Immediately before measurement, rings were transferred into scintillation tubes filled with 500 µL Krebs-Hepes solution, pH 7.40, at 37°C. Coelenterazine was added to give a final concentration of 5 µmol/L. O2-generated chemiluminescence of coelenterazine was detected with a thermostated single-tube luminometer FB12 (Berthold Detection Systems). For quantification, the peak value after 10 minutes was taken and expressed as relative light units (RLU).

Immunohistochemical Detection of 3-Nitrotyrosine
Small blocks of thoracic aortas from young and old p66shc–/– and WT mice were embedded in OCT and stored at –80°C. Slices of 5 µm were cut, blocked with PBS/1%BSA for 1 hour, incubated for 1 hour at room temperature with anti-nitrotyrosine rabbit polyclonal antibody (5 µg/mL dilution, Upstate USA, Inc), stained with diamino benzidine, and counterstained with hematoxylin. Slides were viewed with an Olympus BX51 microscope.

Statistical Analysis
In all experiments, n equals the number of mice per experiment. Results are expressed as mean±SEM. Statistical evaluation of data was performed by using the Student t test or ANOVA followed by Bonferroni test, as appropriate. A value of P<0.05 was considered statistically significant.


*    Results
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Characteristics of Animals
Systolic blood pressure, lipid profile, blood glucose levels, and peripheral blood cell count are shown in Table 1. p66shc–/– and WT mice did not display any significant differences. Small and not statistically significant variations in the blood cell count occurred with aging in both WT and p66shc–/– mice. Similar findings in WT mice already have been published.23 No age-dependent changes of systolic blood pressure, blood glucose, or lipid profile were found in either WT or mutant mice (Table 1).


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TABLE 1. Characteristics of the Animals

Age-Associated Changes of Vascular Function
Endothelium-dependent relaxation to acetylcholine was markedly reduced in old versus young WT mice. Surprisingly, p66shc–/– mice did not show significant age-dependent impairment of endothelial function (Table 2, Figure 1a). Similar responses were obtained with the receptor-independent agonist calcium ionophore A23187 (data not shown). Endothelium-independent relaxation to sodium nitroprusside did not differ in mutant and WT mice (Table 2). Furthermore, the contractions in response to norepinephrine (10–6 mol/L) did not differ between WT and mutant mice (Table 2).


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TABLE 2. Comparison of Different Parameters in Young and Old WT and p66shc–/–



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Figure 1. a, Age-dependent changes in endothelium-dependent relaxation of WT and p66shc–/– aortas. Line graphs show concentration–response curves to acetylcholine. Results are presented as mean±SEM; n=7 in each group. M/L indicates mol/L. *P<0.05 vs young WT. b, Bar graphs showing peak concentrations of NO in young (gray bars) and old (black bars) WT and p66shc–/– mice, respectively. Results are presented as mean±SEM; n=4 to 6 in each group. *P<0.05 vs young WT.

Age-Dependent Changes of NO Release
We assessed NO release from aortic rings after stimulation with the calcium ionophore A23187 (10–6 µmol/L). In the WT mice, maximal NO levels decreased significantly in old animals (Table 2, Figure 1b). In the p66shc–/– mice, instead, similar levels of NO release were found in young and old animals (Table 2, Figure 1b), which indicates that aging does not significantly affect NO availability in the absence of p66shc.

eNOS and iNOS Expression
Because NO availability is determined by the levels of NOS enzymes, endothelial and inducible NOS expression was assessed. Young WT and p66shc–/– mice did not show significant changes in the expression of eNOS (Figure 2a). Furthermore, we did not observe age-related changes of eNOS expression in either WT or mutant mice (Figure 2a). Conversely, old WT mice displayed an almost doubled expression of iNOS versus the matched young individuals, whereas no age-dependent changes of iNOS expression were found in p66shc–/– mice (Figure 2b).



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Figure 2. a, eNOS protein expression from aortas of young and old WT and p66shc–/– mice. Bar graphs show densitometric analysis of Western blot of eNOS protein in young (gray bars) and old (black bars) WT and p66shc–/– mice. Results are presented as mean±SEM of eNOS/{alpha}-tubulin expression ratio; n=6 in each group. b, iNOS protein expression from aortas of young and old WT and p66shc–/– mice. Bar graphs show densitometric analysis of Western blot of iNOS protein in young (gray bars) and old (black bars) WT and p66shc–/– mice. Results are presented as mean±SEM of iNOS/{alpha}-tubulin expression ratio; n=6 in each group. *P<0.05 vs young WT mice.

SOD Expression
To determine whether an upregulation of antioxidant defense mechanisms might explain the increased NO bioavailability in p66shc–/– animals, we assessed the expression of the pivotal free radical scavenger SOD. Western blot analysis did not reveal any age-dependent difference in MnSOD expression (Figure 3). Cu/Zn SOD expression levels were comparable as well (data not shown).



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Figure 3. MnSOD protein expression from aortas of young and old WT and p66shc–/– mice. Bar graphs show densitometric analysis of Western blot of MnSOD protein in young (gray bars) and old (black bars) WT and p66shc–/– mice, respectively. Results are represented as mean±SEM of MnSOD/{alpha}-tubulin expression ratio; n=6 in each group.

Vascular Superoxide Production
Aortic O2 production was assessed by using a coelenterazine-enhanced chemiluminescence method. A significant increase of O2 production was observed in the aortas of old WT mice compared with the young animals, whereas no significant age-dependent changes were found in p66shc–/– mice (Figure 4).



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Figure 4. Age-dependent changes in O2 production. Bar graphs show amount of chemiluminescence generated by aortas from young (gray bars) and old (black bars) WT and p66shc–/– mice. Results are presented as mean±SEM of aortic O2-generated chemiluminescence (in relative light units [RLU]); n=6 in each group. *P<0.05 vs young WT mice.

3-Nitrotyrosine Content
Western blot analysis for total 3-nitrotyrosine–containing proteins revealed an increased prevalence of nitrated tyrosine residues in the aortas of old WT mice (Figure 5a). By contrast, nitrotyrosine immunoreactivity detected in young p66shc–/– mice remained unchanged in old animals (Figure 5a).



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Figure 5. a, Western blot analysis of protein nitrotyrosine content in aorta homogenates from young and old WT and p66shc–/– mice. Bar graphs show total background-corrected band densities normalized to the vascular {alpha}-tubulin content of young (gray bars) and old (black bars) WT and p66shc–/– mice, respectively. Results are presented as mean±SEM of nitrotyrosine/{alpha}-tubulin expression ratio; n=6 in each group. *P<0.01 vs young WT mice. b, In aortas of old WT (upper panel) and p66shc–/– (lower panel) mice, immunostaining for nitrotyrosine (brown staining, diamino benzidine) was detected both in the endothelium and the media. Hematoxylin counterstaining.

Nitrotyrosine residues were also measured in situ by immunohistochemistry with a polyclonal antibody against 3-nitrotyrosine. Aortas from old WT mice exhibited a markedly enhanced immunostaining both in the endothelium and smooth muscle cells compared with age-matched p66shc–/– (Figure 5b).


*    Discussion
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*Discussion
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The main finding of our study is that long-living p66shc–/– mice are protected against age-related endothelial dysfunction. Investigation of the underlying mechanisms revealed that deletion of the p66shc gene lowers aortic O2 production, thereby reducing NO breakdown and increasing its bioavailability. Several lines of evidence support this conclusion. As expected, endothelium-dependent relaxation to acetylcholine was markedly reduced in old versus young WT mice. Interestingly enough, p66shc–/– mice did not show significant age-dependent impairment of endothelial function. Preservation of vascular function was not due to a selective protection from muscarinic receptor impairment or a difference in guanylate cyclase activity, because we observed a similar extent of vasorelaxation in WT and mutant mice when we used the receptor-independent agonist calcium ionophore A23187 or the endothelium-independent agent sodium nitroprusside.

To investigate whether the preserved endothelial function in the old p66shc–/– mice was associated with increased bioavailability of NO, we assessed NO release from aortic rings after stimulation with the calcium ionophore A23187. In the WT, maximal NO levels age-dependently decreased, whereas they remained unchanged in p66shc–/– mice.

The hypothesis that in p66shc–/– mice such preserved NO availability might be due to an upregulation of the main free radical scavengers has been ruled out because the expression of MnSOD and Cu/Zn SOD was comparable in old and young animals.

As far as eNOS expression is concerned, conflicting data have been reported on the regulation of eNOS during aging, possibly because of vascular bed and species-dependent differences.8–12 It was reported that eNOS is upregulated with age as a compensatory mechanism to counterbalance oxidative stress.10,11 On the contrary, there is evidence that age-induced decline of NO release is coupled with eNOS mRNA and protein downregulation.12 In the present study, WT and p66shc–/– mice did not show significant changes in the expression of eNOS. Therefore, it appears from our data that changes of eNOS expression are not responsible either for the age-related decline of NO release in WT mice or for its enhanced availability in p66shc–/– mice. By contrast, analysis of iNOS expression revealed marked differences among WT and mutant mice. Expression of iNOS increased significantly in the old WT mice, whereas no age-dependent changes were found in the p66shc–/– mice. This finding might contribute to explaining the preserved NO availability and vasorelaxant responses observed in old p66shc–/– mice. Indeed, age-dependent upregulation of iNOS is involved in ONOO formation and hence may lead to increased oxidative damage of aging vascular tissue.10,12,21

Because O2 is the main inactivator of NO, we next tested the hypothesis that in p66shc–/– mice a decreased vascular production of O2 contributes to increased NO availability. In this regard, an enhanced O2 production was observed in the aortas of old versus young WT mice, whereas no significant age-dependent changes were found in p66shc–/– mice.

In aged vessels, the reaction of NO and O2 leads to ONOO formation and, in turn, increased protein 3-nitrotyrosine content.11,12,24,25 Accordingly, nitrotyrosine immunoreactivity detected in young p66shc–/– mice remained unchanged in old animals. Nitrotyrosine residues were also measured in situ, by immunohistochemistry with a polyclonal antibody against 3-nitrotyrosine. As shown, nitrotyrosine immunoreactivity was detected in both endothelium and smooth muscle cells of aged animals.11,12 However, aortas from old WT mice exhibited a markedly enhanced immunostaining compared with age-matched p66shc–/–. The age-dependent tyrosine nitration process is responsible for inactivation of several enzymes.26–29 It was recently shown by our group that in aged animals nitration of MnSOD occurs.11 In the present study, we did not selectively assess MnSOD activity and its level of nitration. However, because our results show lower O2 production and reduced protein nitration in aortas from old p66shc–/– mice, it is likely that in these animals MnSOD might be preserved from nitration and, hence, from inactivation.

In conclusion, we report for the first time that inactivation of the p66shc gene protects against age-dependent, free radical–mediated endothelial dysfunction. Such prevention of endothelial impairment might contribute to the extended life span of p66shc–/– mice. Although other unknown p66shc-related processes might be involved in the observed effects on endothelial function, a different modulation of intracellular redox state is the most likely explanation. However, important questions remain. Can the preserved endothelial function and longer life spans of the p66shc mice be extended to humans? Why do mammals have a p66shc at all, if mice that lack it live longer? Indeed, phenotypical and histopathologic analysis revealed no obvious abnormalities in the p66shc–/– mice.2,4 Accordingly, systolic blood pressure, lipid profile, blood glucose levels, and peripheral blood cell count did not significantly differ between WT and mutant mice.

Because oxygen free radical production is a distinct trait of the biology of aging, we propose that the p66shc is part of a signal transduction pathway also relevant to endothelial integrity. These findings shed some light on new putative interventions to prevent vascular aging.


*    Acknowledgments
 
This work is supported by grants from Swiss National Research Foundation (31-68'118. 02 and 32-67202.01), the Italian Ministry of Health (ICS 030.6/RF00-49), and the Swiss Heart Foundation. Ines Martin-Padura is the recipient of an American-Italian Cancer Foundation fellowship.


*    Footnotes
 
Presented in part at the 76th Scientific Sessions of the American Heart Association, Orlando, Fla, November 9–12, 2003, and published in abstract form (Circulation. 2003;108[suppl]:IV–254).


*    References
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*References
 
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