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1 Indiana University School of Medicine, South Bend Center for Medical Education, University of Notre Dame, Notre Dame, Indiana 46556; and 2 Regulatory Peptide Center, Department of Biomedical Sciences, Creighton University Medical School, Omaha, Nebraska 68178
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ABSTRACT |
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The
cardiovascular effects of endothelin (ET)-1 and the recently sequenced
homologous trout ET were examined in unanesthetized trout, and vascular
capacitance curves were constructed to evaluate the responsiveness of
the venous system to ET-1. A bolus dose of 667 pmol/kg ET-1 doubled
ventral aortic pressure; produced a triphasic pressor-depressor-pressor
response in dorsal aortic pressure (PDA); increased central
venous pressure, gill resistance, and systemic resistance; and
decreased cardiac output, heart rate, and stroke volume. These
responses were dose dependent. Bolus injection of trout ET (333 or
1,000 pmol/kg) produced essentially identical, dose-dependent
cardiovascular responses as ET-1. Dorsal aortic infusion of 1 and 3 pmol · kg
1 · min
1
ET-1 and central venous infusion into the ductus Cuvier of 0.3 and 1 pmol · kg
1 · min
1
produced similar dose-dependent cardiovascular responses, although the
increase in PDA became monophasic. The heightened
sensitivity to central venous infusion was presumably due to the more
immediate exposure of the branchial vasculature to the peptide.
Infusion of 1 pmol · kg
1 · min
1
ET-1 decreased vascular compliance but had no effect on unstressed blood volume. These results show that ETs affect a variety of cardiovascular functions in trout and that branchial vascular resistance and venous compliance are especially sensitive. The multiplicity of effectors stimulated by ET suggests that this peptide
was extensively integrated into cardiovascular function early on in
vertebrate phylogeny.
fish; vascular capacitance; unstressed blood volume; mean circulatory filling pressure
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INTRODUCTION |
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ENDOTHELINS (ET) are a family of 21-residue polypeptide hormones first isolated, sequenced, and cloned by Yanagisawa et al. (25). ET-1 is a well recognized and potent constrictor in many mammalian vessels (9, 10). When injected into mammals in vivo, ET-1 often evokes transient hypotension followed by more long-lasting hypertension (20). This biphasic response was generally attributed to the initial release of endothelium-derived relaxing factor, most probably nitric oxide, from endothelial cells (6, 24) followed by a direct ET contraction of vascular smooth muscle cells (19). Mammalian ET-1 has also been found to have significant cardiovascular effects in fish (5, 15, 16, 21). Olson et al. (15) observed that a bolus injection of 667 pmol/kg body wt ET-1 into the dorsal aorta of Oncorhynchus mykiss produced a triphasic pressor-depressor-pressor response. Although this approach demonstrated the trout cardiovascular reactivity to ET-1, it did not clarify the mechanism behind the changes in dorsal aortic pressure (PDA).
Branchial and systemic vessels are in series in teleosts. Therefore, changes in PDA can be caused by many markedly different cardiovascular perturbations, such as systemic constriction, branchial dilation, or increased cardiac output (CO) as a result of increased venous return. As an example, angiotensin II and urotensin II increase trout PDA by increasing systemic vascular resistance (RS; 8, 13), arginine vasotocin increases PDA by increasing both systemic vascular resistance and venous return (2), and epinephrine increases PDA by increasing systemic vascular resistance and venous return and decreasing gill resistance (RG; 27). Therefore, further evaluations using fish outfitted with cannulas to monitor PDA, ventral aortic pressure (PVA), and central venous pressure (PVen) while concurrently measuring CO are necessary to determine the site(s) of the systemic pressor activity of ET in trout.
In the present study, PVA, PDA, PVen, and CO were measured in unanesthetized trout during the injection or infusion of mammalian ET-1. Because results from these experiments indicated that ET-1 may also affect venous pressure, an additional series of experiments were conducted to specifically evaluate the effect of ET-1 on venous function. The recent availability of trout ET (tET; Ref. 23) permitted comparison of the effects of mammalian and homologous tET in trout. Both ET-1 and tET were found to be potent branchial constrictors, and both peptides showed dose-dependent modulation of cardiovascular function. ET-1 was also found to affect venous function by decreasing vascular compliance (VC), whereas it did not affect unstressed blood volume (USBV). These findings lend strong support for involvement of ET in hemodynamic regulation and especially implicate branchial resistance vessels and systemic capacitance vessels as effector sites for the hormone.
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MATERIALS AND METHODS |
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Animals. Rainbow trout (Oncorhynchus mykiss, mixed Kamloops strain; 0.3-0.8 kg) of either sex were purchased from a local hatchery and kept in circulating 2,000-liter tanks at 12°C and under appropriate seasonal light-dark cycles. Fish were fed a maintenance diet of commercial trout pellets (Purina) up to 48 h before experimentation.
Pressure/flow experiment. Methods for cannulation of the ventral and dorsal aortas and ductus Cuvier and placement of a transonic flow probe have been described in detail (14). Trout were anesthetized in benzocaine (ethyl-p-aminobenzoate; 1:12,000, wt/vol) before surgery. The dorsal aorta was cannulated percutaneously through the roof of the buccal cavity with heat-tapered polyethylene tubing (PE-60); the gills were not irrigated during this brief (<1 min) procedure. Thereafter, gills were continuously irrigated with 10°C aerated water containing 1:24,000 wt/vol benzocaine during placement of other cannulas and the flow probe.
The pericardial cavity was exposed with a midline ventral incision, and the right horn of the ductus Cuvier and the ventral aorta were nonocclusively cannulated with 5-cm-long, 0.51-mm-ID silicone tubing (Dow Corning veterinary grade; Konigsberg Instruments, Pasadena, CA). The free ends of the cannulas were connected to 60 cm of PE-90 tubing. All cannulas were filled with heparinized saline (100 USP units/ml heparin in 9.0 g/l NaCl) and connected to Gould P23 pressure transducers. A 3S Transonic flow probe (Transonic Systems, Ithaca, NY) was placed around the ventral aorta, distal to the site of the cannula insertion, and connected to a Transonic T206 flowmeter. The ventral incision was closed with interrupted silk sutures and sealed with cyanoacrylate gel (Super Glue gel). The venous (ductus Cuvier) and ventral aorta cannula and flow probe lead were exteriorized and secured to the fish with silk sutures. The fish were revived and placed in black plastic tubes immersed in a 1,500-liter experimentation aquarium with aerated, through-flowing well water at 12°C. Experiments were conducted 24 h after surgery, and a four-way stopcock in the dorsal aortic or venous cannulas served as the site for drug injection and/or infusion.
Analog pressure signals were recorded with Hewlett Packard 7853A
patient monitors (Palo Alto, CA). Digitized signals of pressure and
flow were collected at 0.1-s intervals, and 1-s averages were stored on
computer. The pressure transducers were calibrated with a water
manometer, and the flowmeter was calibrated in situ at the end of the
experiment by pump perfusion of the ventricle with 12°C saline at
known flow rates. Heart rate (HR) was derived from the CO pulse flow.
RS and RG were calculated by
dividing the respective pressure gradients by CO, i.e.,
RS = (PDA
PVen)/CO
and RG = (PVA
PDA)/CO. Stroke volume (SV) was calculated from CO and HR:
SV = CO/HR.
Resting pressures and CO were monitored for 1-2 h before
experimentation to ensure stability; control parameters were recorded for a minimum of 5 min before infusion. ET-1 was infused for 50 s at a
rate of 0.3 ml/min to clear the dorsal aortic cannula (~0.25 ml
volume) and to provide a small priming dose and then at a rate of 1 ml · kg body
wt
1 · h
1
for 1 h. The infusion doses were 0.1, 1, and 3 pmol · kg
1 · min
1
into the dorsal aorta and 0.3 and 1 pmol · kg
1 · min
1
into the ductus Cuvier of ET-1. Bolus doses of 100, 333, and 667 pmol/kg body wt ET-1 and 100, 333, and 1,000 pmol/kg body wt of tET
were administered into the dorsal aorta followed by a 0.3 ml saline
flush. Data were recorded for 1-2 h after the bolus was injected
or after infusion was terminated.
Vascular capacitance. Vascular capacitance curves were constructed from measurements on conscious trout in vivo using the ventral aorta occlusion method to establish zero-flow CO conditions as described previously (27) and summarized below. Trout were anesthetized in benzocaine, and the dorsal aorta and ductus Cuvier were cannulated as described above; the cannulas were filled with heparinized saline. An inflatable vascular occluder was fitted around the distal bulbus and ventral aorta, and the venous cannula and occluder tubing were exteriorized and secured to the fish. Details on the construction of the occluder can be found in Zhang et al. (27). The fish were revived and placed in black plastic tubes and immersed in holding tanks. Experiments were conducted 24 h after surgery.
PDA and PVen were measured in unanesthetized
fish before and during occlusion of the ventral aorta. Inflation of the
occluder (~5 s duration) produced a rapid decrease in PDA
and increase in PVen, indicating zero-flow CO;
PVen was assumed to be mean circulatory filling pressure
(MCFP) at this point. Ventral aortic occlusion was then released, and
the blood pressure reached preocclusion levels within two or three
beats. Vascular capacitance curves were obtained by measuring MCFP at
80, 90, 100, 110, and 120% of normovolemic blood volume (assumed to be
35 ml/kg body wt). Whole blood from a donor fish was used for volume
expansion and all volume adjustments were made via the dorsal aorta
cannula. Ventral aorta occlusion was initiated within 30 s after each
blood volume perturbation, and the volume was restored to normovolemia within 30 s after pressure measurement. The order of volume withdrawal or addition was randomized. The interval between each volume
perturbation, during which the fish were normovolemic, was 15 min. Thus
the fish were exposed to hyper- or hypovolemia for only a short portion of the experiment. During the control period, the fish were infused with saline at 0.25 ml/h. The fish were then infused at the same flow
rate with ET-1 (1 pmol · kg
1 · min
1),
and the entire pressure-volume protocol was repeated. ET-1 was infused
for a minimum of 30 min before capacitance measurements. All saline and
ET-1 infusions were made via the venous cannula.
Two vascular capacitance curves were determined from the blood
volume-MCFP relationships for each fish: one during saline infusion and
a second during infusion of ET-1. Capacitance curves are not linear
(26), therefore VC and USBV were determined at three blood volume
intervals: 80-100%, 90-110%, and 100-120% by regression analysis of the three consecutive pressure-volume data points within each interval. By convention, MCFP was treated as the
independent variable; therefore, the slope of the resultant volume-pressure line was equal to VC (
volume/
pressure), and the
intercept of this line with the blood volume axis at MCFP = 0 was
assumed to be the percentage of the total blood volume in the
unstressed compartment (18). This percentage, multiplied by the actual
blood volume, equals the predicted USBV. The product of percent blood
volume times estimated actual blood volume (35 ml/kg body wt) permitted
conversion of VC and USBV into actual volumes, i.e., milliliters per
millimeter of mercury per kilogram and milliliters per kilogram, respectively.
Statistics. Comparisons were made with appropriate paired or
unpaired Student's t-test or repeated-measures ANOVA.
Significance was assumed at P
0.05. Values were expressed as
means ± SE or means + SE in Figs. 1-5, 8, and 9.
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RESULTS |
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Cardiovascular effects. The effects of a bolus injection of 667 pmol/kg ET-1 on cardiovascular parameters in unanesthetized trout are
shown in Fig. 1. ET-1 injection caused a
triphasic (pressor-depressor-pressor) response in PDA. The
ET-1 bolus transiently increased PVA, PVen, RS, and RG with
RG increasing 10-fold and RS
nearly doubling. CO, HR, and SV all decreased in response to the ET-1
bolus. These responses were absent or reduced at lower doses of ET-1
(100 and 333 pmol/kg, not shown). Higher doses produced obvious
distress in the trout and were not pursued.
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The cardiovascular effects of 1 and 3 pmol · kg
1 · min
1
infusion of ET-1 into the dorsal aorta are shown in Figs.
2 and 3;
infusion of 0.1 pmol · kg
1 · min
1
ET-1 was without effect (not shown). Infusion of 1 pmol · kg
1 · min
1
increased PVA and RG, whereas the other
parameters were unaffected. Infusion of 3 pmol · kg
1 · min
1
markedly increased PVA, PDA, PVen,
RG, and RS and decreased CO and
SV. HR did not change.
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ET-1 infusion into the ductus Cuvier at a rate of 0.3 and 1 pmol · kg
1 · min
1
of ET-1 (Figs. 4 and
5) had a greater effect on the
cardiovascular parameters of unanesthetized trout than did comparable
doses infused into the dorsal aorta. Infusion of 0.3 pmol · kg
1 · min
1
(Fig. 4) increased PVA,
RG, and PVen, although the
PVen response was an apparent artifact of the infusion. At
1 pmol · kg
1 · min
1,
every parameter except PDA was affected; PVA,
PVen, RG, and RS
increased, whereas CO and SV decreased.
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Vascular capacitance. The relationships between blood volume
and PDA during saline or ET-1 infusion and under normal or
zero-flow CO are shown in Fig. 6. Blood
volume expansion in saline-infused controls significantly increased
PDA at 110 and 120% of normal blood volume by ~15 and
30%, respectively. The effects of ET-1 infusion on both resting and
zero-flow PDA were greatest when blood volume was expanded
to 120%; here, PVen was nearly doubled (not shown). Blood
volume depletion below 100% did not affect arterial pressure, whereas
PVen continued to fall in an almost linear relationship.
Ventral aorta occlusion lowered PDA from 23.7 ± 0.3 to
16.5 ± 0.3 mmHg (n = 7; P
0.05; Fig.
6) and raised PVen from 3.0 ± 0.2 to 4.1 ± 0.3 mmHg
(P
0.05) at 100% blood volume. During zero-flow
CO, the effects of blood volume perturbation on PDA and
PVEN in saline- and ET-1-infused fish were similar to the
changes observed before the ventral aorta occlusion, albeit at lower
pressure. In addition, it was interesting to note that the pre- and
postocclusion PDA differences were less at greater blood
volumes.
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Capacitance curves for ET-1 infusion and control saline infusion are
shown in Fig. 7, and USBV and VC calculated
from capacitance curves of individual fish are listed in Table
1. ET-1 infusion produced a clockwise
rotation of the compliance line (Fig. 7). This rotation reflects a
decreased VC by ET-1 at all blood volumes. USBV calculated from the
regression of the capacitance curves at 80-100%, 90-110%,
and 100-120% of normal blood volume was unaffected by ET-1 (Table
1).
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Because of limited availability, tET was administered only as bolus
injection into the dorsal aorta of unanesthetized trout using 333 and
1,000 pmol/kg doses (Figs. 8 and
9, respectively) to bracket the initial
667 pmol/kg bolus of ET-1. Both 333 and 1,000 pmol/kg increased
PVA, PDA, PVen,
RG, and RS and decreased CO.
The 1,000 pmol/kg dose also decreased HR and SV. Furthermore, the 1,000 pmol/kg bolus produced a triphasic effect on PDA
(pressor-depressor-pressor), similar to the response produced by ET-1
(Fig. 1 and Ref. 15). A 100-pmol/kg bolus of tET did not significantly
affect cardiovascular parameters (n = 6; not shown).
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DISCUSSION |
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The present study shows that ET-1 is a potent pressor peptide in trout and that it has dose-dependent effects on the trout cardiovascular system at a number of foci, including branchial and systemic resistance vessels and systemic capacitance veins. Qualitatively similar responses are produced by the recently sequenced tET, and these provide the first assessment of the cardiovascular effects of homologous ET in any fish and they affirm the validity of the present and prior studies performed on trout when only the heterologous peptide was available.
Previous studies showed that a 667-pmol/kg bolus of ET-1 produces a triphasic pressor-depressor-pressor response in the trout dorsal aorta (15), and this was confirmed in the present study (Fig. 1). The triphasic response did not occur in either the ventral aorta or central veins, therefore, it was the result of disproportionate changes in branchial and systemic resistance. Figure 1 shows that there are at least two factors that contribute to the PDA response: 1) ET-1 is a more potent branchial than systemic constrictor and 2) convection of the ET-1 bolus results in temporal stimulation of distinct resistance elements. Considering the ET-1 bolus increased RG >10-fold, whereas RS only doubled supports the first contention. Enhanced branchial responses were also observed after ET-1 infusion (Figs. 2-5) and a tET bolus (Figs. 8 and 9). Furthermore, it was not uncommon for low doses of ET-1 to affect RG but not RS (Figs. 2 and 4). Temporal distribution of the ET-1 bolus could have contributed to the triphasic PDA in the following way: ET-1 injection into the dorsal aorta would result in initial exposure of the systemic resistance vessels and thereby produce an initial rise in PDA. After the ET-1 traverses the systemic circulation, it is delivered to the gills where it has an even greater effect on RG. This results in an increase in RG-to-RS ratio, thereby increasing PVA and lowering PDA. The source of the third pressor phase is less obvious and may result from a combined increase in CO and a reduced RG-to-RS ratio. Alternatively, the third phase may be due to a baroreceptor response to the preceding systemic hypotension, as is known to occur after bradykinin injection (14). Infusion of ET-1 obviates these temporal transients and prevents the triphasic response.
Infusion of ET-1 into the ductus Cuvier had a greater effect on PVA than did ET-1 infusion into the dorsal aorta (Figs. 2 and 5), presumably because there was less opportunity for dilution or tissue inactivation of ET-1 before it entered the gills (12). However, high ET-1 doses increased PVA irrespective of injection mode (Figs. 1, 3, 5, 9). In most instances, as PVA increased CO fell. The decreased CO was most consistently correlated with a decreased SV, the latter resulting from an excessive afterload (11). Although bradycardia was observed during an ET-1 bolus, it did not occur during ET-1 infusion and, therefore, HR appears to be a secondary reflexive response to the hypertension rather than a contributory determinant of CO. Similarly, the increased PVen would be expected to increase, not decrease, CO. Thus the effects of ET-1 on PVen can be explained by a combined decrease in venous compliance (see below) and decreased ventricular ejection.
The excessively elevated afterload produced by ET-1-mediated increases in RG undoubtedly contributed to the elevated PVen; however, ET could also have direct effects on the venous circuit. In fact, trout veins in vitro are nearly 10 times more sensitive than trout arteries to tET (23). Although it is technically difficult to examine venous function in vivo, this can be accomplished with vascular capacitance curves (7, 17, 18) and the method has been successfully applied to trout (14, 26, 27). Figure 7 and Table 1 show that ET-1 decreases VC at all blood volumes, whereas it does not substantially effect venous tone. Decreased venous compliance will increase PVen, thereby increasing venous return and CO. The physiological significance of an increased venous return is unclear in view of the seemingly discordant increase in RG; however, lower and perhaps physiological levels of plasma ET may permit selective regulation of the more sensitive venous system.
Central venous pressure, and therefore venous return and CO in mammals, can be increased by either an increase in venous tone or a decrease in venous compliance, and these two factors are not necessarily mutually inclusive (7, 17, 18). It has also been observed in trout that vasoactive hormones may act independently on tone and compliance, i.e., arginine vasotocin increases tone without affecting compliance (2), atrial natriuretic peptides increase compliance but do not generally affect tone (14), whereas epinephrine simultaneously increases tone and decreases compliance (27). In mammals, the actions of ET-1 on MCFP are indirectly mediated by the sympathetic nervous system (22); this does not appear to be the case in trout, however, as ET-1 only affects venous compliance (Table 1; Ref. 27).
The relative physiological impact of venous compliance and venous tone changes as blood volume changes. The effects of venous compliance on central venous pressure are minor at low blood volumes but become more important as blood volume is expanded, whereas venous tone uniformly affects venous pressure at all blood volumes (3). This implies that the physiological action of endogenous ETs on the venous system of trout is designed to either enhance central venous pressure as blood volume is expanded or to minimize the contribution of ET to venous pressure during hypovolemic states.
Although the first inclination is to assume that the effects of ET-1 on venous pressure are orthograde, i.e., they are important determinants of venous return and CO (perhaps to counter increased RG and RS), it may also be important to consider the retrograde effects of elevated venous pressure, especially as they pertain to the kidney. Brown and Amer (1) showed that ET-1 has potent antidiuretic actions in the in situ perfused trout kidney, and it could be inferred from their studies that ETs promote volume expansion in freshwater trout. However, in intact freshwater trout, ET-1 infusion did not produce antidiuresis (15). This discrepancy can be explained by an inability to control venous pressure in the perfused preparation and/or the volume status of the intact fish. Thus, in the perfused preparation, venous pressure is equal to atmospheric pressure and not controlled (1) and the effect of ET-1 on renal preglomerular arterial vasoconstriction, hence glomerular filtration rate (GFR), will be unopposed by postglomerular blood pressure. However, it is possible in intact fish that the concomitant increase in renal venous pressure offsets preglomerular constriction and GFR is sustained. In this context, the importance of ET-1 on venous compliance becomes evident. During hypovolemia, ET-1 has minimal effect on venous pressure, and the antidiuretic decrease in GFR is unopposed by venous pressure and volume is restored. However, as trout become volume expanded, the effects of ET-1 on venous pressure increase and GFR may be sustained, or may even be increased, during hypervolemia.
In our companion study (23), we isolated tET from trout kidney because the ET-1 immunoreactivity was highest in this tissue. It is not known whether renal ET is due to tissue accumulation of circulating tET or if ET is actually synthesized by the trout kidney. Furthermore, if ET is synthesized by the kidney, is it for intrarenal regulation or for release into the systemic circulation or both? In regard to systemic distribution of tET, there is an interesting analogy between vasoconstrictor ET and the vasodilator natriuretic peptides. Both are stored and can be potentially released into systemic venous blood, and both have profound, but opposing, effects on gill vascular resistance (this study; Ref. 14). Although it remains to be determined if these two systems are physiologically interactive in branchial vessels, we propose a mechanism whereby natriuretic peptides become significant in mitigating the adverse effects of ET on ventricular afterload. In this model, if renal ET secretion increases to the point where PVA exceeds the mechanical ability of the heart, PVen will increase, which will distend the atrium and stimulate release of natriuretic peptides from the atrium and possibly ventricles (4). Because vasodilation by natriuretic peptides preempts the vasoconstrictory action of most peptide agonists in trout vessels, including ET (Ref. 14; Olson, unpublished observation), untoward increases in RG can be effectively capped when they reach the point where SV is impaired. This may, in fact, account for the rapid reduction in RG and restoration of CO after an ET-1 bolus despite continued ventral aortic hypertension (Fig. 1).
Perspectives
The present and previous studies (5, 15, 16, 21) clearly support a role for ET in blood pressure and blood volume regulation in fish. Furthermore, the multiplicity of effectors stimulated by ET suggests that this peptide was incorporated into cardiovascular function early on in vertebrate phylogeny. It is also likely that a variety of additional physiological attributes of this peptide family remain to be discovered.| |
ACKNOWLEDGEMENTS |
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The authors express their gratitude to Dr. D. Duff for technical assistance.
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FOOTNOTES |
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This work was supported in part by the National Science Foundation Grant IBN-9723306.
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests and other correspondence: K. R. Olson, SBCME, B-19 Haggar Hall, Univ. of Notre Dame, Notre Dame, IN 46556 (e-mail: olson.1{at}nd.edu).
Received 4 June 1999; accepted in final form 10 September 1999.
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