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The Journal of Neuroscience, May 15, 2001, 21(10):3515-3520
Retrograde Carbon Monoxide Is Required for Induction of Long-Term
Potentiation in Rat Superior Cervical Ganglion
Karim A.
Alkadhi,
Reem S.
Al-Hijailan,
Kahkashan
Malik, and
Yvonne H.
Hogan
Department of Pharmacological and Pharmaceutical Sciences, College
of Pharmacy, University of Houston, Houston, Texas 77204
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ABSTRACT |
Carbon monoxide (CO), produced in the body by the enzyme heme
oxygenase (HO), has been suggested as a retrograde synaptic messenger
with a prominent role in the long-term potentiation (LTP) of certain
areas of the brain. LTP of sympathetic ganglia is 5-HT3
receptor-dependent and has been shown to require nitric oxide
for the maintenance, but not for the induction, phase. We investigated
the possibility of CO being required for the induction of ganglionic
LTP. Pretreatment of rat isolated superior cervical ganglia with
oxyhemoglobin (25-100 µM) completely blocked LTP. In the
same ganglia, prolonged washout of oxyhemoglobin did not uncover any
potentiation of the compound action potential. Oxyhemoglobin had no
significant effect on the maintenance phase in ganglia with established
LTP. Pretreatment of ganglia with the HO inhibitor zinc
protoporphyrin-IX (ZnPP) (10 µM) completely and
irreversibly prevented the expression of tetanus-evoked LTP. However,
in the same ganglia, after superfusion of CO in the presence of ZnPP, tetanic stimulation readily evoked LTP. No effect was seen on the
maintenance phase when ZnPP was superfused on ganglia with established
LTP. Pretreatment of ganglia with the 5-HT3 receptor antagonist ondansetron (0.4 µM) alone completely and
irreversibly blocked LTP. However, in the presence of CO, ondansetron
did not block LTP. These results suggest that activation of
5-HT3 receptors may be involved in the production of CO.
The results also suggest that CO, probably originating outside the
presynaptic nerve terminal, is involved in the induction of LTP.
Key words:
long-term potentiation; oxyhemoglobin; Zn-protoporphyrin-IX; ondansetron; L-NOARG; 5-HT3 receptor; nitric oxide; heme oxygenase
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INTRODUCTION |
In the mammalian sympathetic
ganglia, a brief tetanic stimulation of the preganglionic nerve induces
long-term potentiation (LTP) that is manifested as a long-lasting
enhancement of the nicotinic pathway as measured by intracellular and
extracellular techniques (Briggs and McAfee, 1988 ). This has been
demonstrated in vivo (Alonso-deFlorida et al., 1991 ; Bachoo
and Polosa, 1992 ; Bachoo et al., 1992 ), as well as in vitro
(Brown and McAfee, 1982 ; Briggs et al., 1985 , 1988 ; Minota et al.,
1991 ; Alkadhi et al., 1996 ; Alkadhi and Altememi, 1997 ; Altememi and
Alkadhi, 1999 ). This LTP is independent of the activation of
either cholinergic or adrenergic receptors and may be
attributable to an increase in acetylcholine release as measured
by biochemical assay (Briggs et al., 1985 ). Although the role of
ganglionic LTP in the physiology of autonomic ganglia is not
understood, recent a report showed that ganglionic LTP may be linked to
the development of stress-induced hypertension (Alkadhi et al.,
1998 ).
Recently, we have shown that activation of serotonin
5-HT3 receptors is necessary for both induction
and maintenance of tetanus-induced ganglionic LTP (Alkadhi et al.,
1996 ). Activation of 5-HT3 receptor, which is
primarily a calcium ionophore (Loomis et al., 1994 ), appears to be a
primary extracellular trigger for the induction of ganglionic LTP, much
like the requirement for activation of NMDA receptors in hippocampal LTP.
In the mammalian superior cervical ganglion (SCG) (Dun et al., 1993 ;
Sheng et al., 1993 ; Morris et al., 1993 ; Okamura et al., 1995 ;
Klimaschewski et al., 1996a ; Mazet et al., 1996 ), as well as in the
avian ciliary ganglion (Scott and Bennett, 1993 ), nitric oxide (NO)
synthase has been demonstrated primarily in the preganglionic nerve
terminals. Compliant with these findings is the recent demonstration that NO is required only for the maintenance and not for initiation of
ganglionic LTP (Alkadhi and Altememi, 1997 ; Altememi and Alkadhi, 1999 ). Therefore, a second similar messenger may be required for the
process of induction of LTP. Carbon monoxide (CO) is also a
membrane-permeable gas that has been suggested as an intercellular messenger with a possible role in LTP in the CNS (Stevens and Wang, 1993 ; Zhuo et al., 1993 ). It is produced by the enzyme heme oxygenase-2 (HO2) when it transforms heme to biliverdin. In sympathetic ganglia, HO2 is reported to be present only in cell bodies and some
dendrites of postganglionic principal neurons, but none was found in
preganglionic nerve terminals (Vollerthun et al., 1995 ). Because CO is,
in many ways, similar to NO, we examined the possibility of involvement
of CO in the induction and maintenance of LTP in the SCG of the rat.
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MATERIALS AND METHODS |
Preparation of ganglia. All procedures involving
animals were performed in accordance with the NIH Guide for the
Care and Use of Laboratory Animals. Sprague Dawley male
rats (200-250 gm) were anesthetized with pentobarbital (50 mg/kg,
i.p.). Ganglia were rapidly excised and carefully desheathed in
oxygenated (95% O2, 5%
CO2) Locke's solution, pH 7.4, containing (in
mM): NaCl 136, KCl 5.6, CaCl2 2.2, MgCl2 1.2, NaH2PO4 1.2, NaHCO3 16, glucose 11, and choline chloride
0.02.
Electrophysiological recording. For recording postganglionic
compound action potentials (CAPs), ganglia were placed in a constant temperature (32 ± 1°C) chamber (3 ml), and the preganglionic
(cervical sympathetic) and postganglionic (internal carotid) nerves
were gently drawn into capillary stimulating and recording suction electrodes, respectively. The ganglion was continuously superfused with
Locke's solution at a rate of 1.3 ml/min. The CAPs were evoked by
supramaximal stimulation of the preganglionic nerve using 0.3 msec
square wave pulses at 0.017 Hz. The CAPs were amplified (Grass Instruments P5 preamplifier), displayed on a digital storage
oscilloscope, and plotted on paper for later measurement.
Protocol. After stabilization of the CAP, hexamethonium (0.4 mM) was included in the Locke's solution
perfusate to partially block the nicotinic pathway to obtain submaximal
CAPs. This concentration of hexamethonium produces >50% reduction in
the amplitude of the CAP. Enhanced synaptic efficacy is best evaluated
in submaximal postsynaptic responses, but submaximal preganglionic
nerve stimulation may result in an increase in recruitment of
presynaptic fibers, which may lead to an apparent increase in synaptic
efficacy. However, no recruitment was observed when supramaximal
stimulation was used (Brown and McAfee, 1982 ). We used a method
modified from Briggs et al. (1985) , in which submaximal responses were
obtained with supramaximal preganglionic nerve stimulation. This was
done by partial blockade of the response to supramaximal stimulation with hexamethonium. Another stabilization period (30-60 min) was allowed for the CAP in the new hexamethonium-induced submaximal amplitude before a brief tetanus (supramaximal pulses of 0.3 msec duration at 20 Hz for 20 sec) was applied. Immediately after tetanus, the amplitude of the CAP was measured at 2 min intervals for the first
10 min and then every 5 min thereafter. Changes in amplitude of CAP
were expressed as percent of the mean CAP amplitude recorded during a
15 min period immediately before tetanus.
Preparation and sources of drugs. Drugs used in this
study were obtained from Research Biochemicals (Natick, MA).
Zinc protoporphyrin-9 (ZnPP) was dissolved in either DMF
(N,N-dimethylformamide) or, in the
majority of the experiments, weak alkaline solution. Stock solutions of drugs were made with distilled water. Oxyhemoglobin (Hb)
stock solution was prepared as previously described (Martin et al.,
1985 ). The CO stock solution was prepared by bubbling CO (100%) into
10 ml of distilled water for 30 min under a fume hood. The final
perfusate was prepared by adding 20 µl of the saturated CO solution
to 20 ml of Locke's solution (estimated, 0.2-2.0
µM) (Zhuo et al., 1993 ).
Statistical analysis. In comparing values under different
conditions, a test of significance was made by using the paired t test, unpaired t test, or ANOVA as
appropriate using the GB-Stat 6.5.2 computer program (Dynamic
Microsystems Inc., Silver Spring, MD); p values of 0.05 or
less were considered significant.
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RESULTS |
Because we have shown previously that NO is not required for
induction of ganglionic LTP (Alkadhi and Altememi, 1997 ; Altememi and
Alkadhi, 1999 ), the alternative would have to be an agent that also has
a strong affinity for and is readily taken up by Hb. Therefore, we
investigated the role of CO in the induction of ganglionic LTP.
Effect of oxyhemoglobin
Being a membrane-impermeable molecule known to have a high
affinity for both CO and NO, Hb is expected to capture either of these
two gases in the extracellular fluid. However, previously, we have
shown that inhibitors of NO synthase reversibly blocked tetanus-induced
ganglionic LTP, indicating the involvement of NO in maintenance, but
not induction, of LTP (Alkadhi and Altememi, 1997 ; Altememi and
Alkadhi, 1999 ). If CO is involved in the induction of ganglionic LTP by
permeating from the extracellular space, then the presence of Hb
will prevent induction. In a series of experiments, tetanic stimulation
of ganglia superfused with Hb failed to express LTP. Washout of Hb in
these ganglia did not result in any significant increase in the
amplitude of CAP (Fig. 1A, 10 ganglia). In all
of these experiments, Hb had no significant effect on baseline CAP.
However, in another series, when a second tetanic stimulation was
applied after removal of Hb, LTP was expressed (Fig.
2, five ganglia). In contrast with its
effect on LTP, Hb did not seem to affect posttetanic potentiation
[(PTP) potentiation seen within 4 min after tetanus] or the
decremental short-term potentiation (STP) that lasts 10-20 min after
tetanus (Figs. 1, 2). Superfusion of Hb during the maintenance phase of
established LTP had no significant effect on the magnitude of this
response (Fig. 1B, seven ganglia). These results
indicate the involvement of an intercellular messenger in the induction
of ganglionic LTP.

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Figure 1.
Effect of the membrane-impermeable, NO-CO
scavenger oxyhemoglobin on LTP of the rat SCG. A, In
ganglia pretreated with Hb (100 µM; solid
horizontal line), tetanus failed to induce LTP. No significant
recovery of LTP was seen on washout of oxyhemoglobin 40 min after
tetanus. Each point is the mean ± SEM from 10 ganglia. When not shown, error bars are within the
symbols. Inset, Records of CAPs from a
representative ganglion taken at times indicated on the graph.
Calibration: 0.4 mV, 20 msec. Points between the
two asterisks are not significantly different from
baseline. B, Superfusion of oxyhemoglobin on ganglia
during the maintenance phase of established LTP produced no significant
effect on this phase of LTP. Each point is the mean ± SEM from seven ganglia.
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Figure 2.
Washout of oxyhemoglobin restored the ability of
tetanus to generate LTP. The presence of Hb (25 µM)
prevented tetanus-induced LTP (arrowhead 1). However,
after washout of oxyhemoglobin, a second tetanus (arrowhead
2) readily evoked LTP. Each point is the
mean ± SEM from five ganglia. Points between the
two asterisks are not significantly different from
baseline.
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Inhibition of nitric oxide synthase
We have shown previously that NO synthase inhibitors reversibly
blocked the expression of LTP, indicating requirement of NO for
maintenance, but not induction, of LTP (Alkadhi and Altememi, 1997 ;
Altememi and Alkadhi, 1999 ). Figure 3
represents two new series of experiments to confirm previous results.
Superfusion of ganglia with L-NOARG before tetanus
prevented the expression of LTP for as long as the inhibitor was in
contact with the ganglia without affecting PTP or STP. However, when
the inhibitor was washed out, a robust LTP was revealed (Fig.
3A, eight ganglia). Additionally,
L-NOARG readily and reversibly inhibited
established LTP (Fig. 3B, four ganglia).

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Figure 3.
Removal of the NO synthase inhibitor
L-NOARG resulted in reversal of inhibition of ganglionic
LTP. A, LTP blocked by L-NOARG (50 µM; solid horizontal line) was fully
restored when the inhibitor was washed out. Each point
is the mean ± SEM from eight ganglia. B,
Superfusion of L-NOARG (50 µM; solid
horizontal line) on established LTP resulted in complete, but
reversible, inhibition of ganglionic transmission enhancement.
Inset, Records of CAPs from a representative ganglion
taken at times indicated on the graph. Calibration: 0.4 mV, 20 msec.
Each point is the mean ± SEM from four ganglia.
Points between the two asterisks are not
significantly different from baseline in both series.
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Inhibition of heme oxygenase
To investigate a possible role for CO in the induction of
ganglionic LTP, we blocked the production of CO in the ganglion. Pretreatment of ganglia with the HO2 inhibitor ZnPP caused an irreversible inhibition of expression of LTP (Fig.
4A, 13 ganglia). As
with Hb, ZnPP did not seem to block the PTP or STP (Figs. 4, 5). Again, as with Hb, ZnPP had no effect
on established LTP when superfused during the maintenance phase
(Fig. 4B, five ganglia). These results suggest that
CO may be required for the induction phase but not the maintenance
phase of ganglionic LTP.

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Figure 4.
Effect of inhibition of the CO-generating enzyme
HO2 on ganglionic LTP. A, Superfusion of the HO2
inhibitor ZnPP (10 µM; solid horizontal
line) before tetanus completely and irreversibly blocked
expression of LTP. Inset, Records of CAPs from a
representative ganglion taken at times indicated on the graph.
Calibration: 0.4 mV, 20 msec. Each point is the
mean ± SEM from 13 ganglia. B, ZnPP produced no
significant effect on ganglionic transmission when superfused during
the maintenance phase of established LTP. Each point is
the mean ± SEM from four ganglia.
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Figure 5.
The presence of CO renders ZnPP ineffective in
blocking ganglionic LTP. A, ZnPP (solid
horizontal line) given before tetanus (arrowhead
1) completely blocked ganglionic LTP. In the same ganglia,
after superfusion of CO solution (0.2-2.0 µM;
solid horizontal line) and in the presence of ZnPP, a
second tetanus (arrowhead 2) evoked a robust LTP. Each
point is the mean ± SEM from five ganglia.
B, A similar series in which two tetani were used in the
presence of ZnPP but without CO is shown for comparison. Each
point is the mean ± SEM from three ganglia. After
each tetanus, points between the two
asterisks are not significantly different from baseline in both
series.
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Furthermore, Zn-PP did not affect the CAPs of ganglia in which
transmission was potentiated by pretreatment with the guanylate cyclase
stimulator sodium nitroprusside (four ganglia; data not shown).
Effect of exogenous carbon monoxide
If, in fact, CO is required for induction, then in ganglia in
which HO2 is blocked by ZnPP, the presence of exogenous CO would be
expected to obviate the need for a viable HO2 for induction of LTP. In
a series of experiments in which ganglia were pretreated with ZnPP
failed to express LTP, CO was superfused in the presence of the
inhibitor. The gas had no significant effect on the CAP when applied
after the first train. However, when a second train was applied, a
robust LTP was expressed (Fig. 5, five ganglia). Applied alone, CO had
no significant on the CAP (evoked repetitively at 0.017 Hz) of
naïve ganglia (three ganglia; data not shown)
If CO is the retrograde messenger required for the induction of LTP and
if its production is secondary to activation of
5-HT3 receptors, then if supplied exogenously,
its action should not need activation of 5-HT3
receptors. We superfused CO solution on ganglia pretreated with the
5-HT3 receptor antagonist ondansetron (0.4 µM), which, by itself, irreversibly blocks the induction of LTP by tetanic stimulation (Fig.
6A). In the presence of
both ondansetron and CO, tetanic stimulation readily evoked LTP (Fig. 6B).

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Figure 6.
The 5-HT3 receptor antagonist
ondansetron did not block ganglionic LTP in the presence of CO.
A, Ondansetron (0.4 µM; solid
horizontal line) completely and irreversibly blocked LTP of the
SCG. Each point is the mean ± SEM from four
ganglia. B, In the presence of CO (0.2-2.0
µM; solid horizontal line), ondansetron
failed to inhibit LTP. Each point is the mean ± SEM from four ganglia.
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DISCUSSION |
The present results strongly suggest that CO may be required for
the induction, but not maintenance, phase of LTP in the SCG of rat.
Neither Hb nor ZnPP affects PTP or STP, which shows that these
treatments specifically block the induction of ganglionic LTP.
Furthermore, baseline ganglionic transmission does not seem to require
CO because neither ZnPP nor exogenous CO has any significant effect on
the CAP, indicating that CO plays a role only in LTP. If CO were acting
as a retrograde synaptic messenger, then its action would be limited to
the time up to the end of the tetanus required to induce LTP.
Consistent with this notion, our results showed that the HO2 inhibitor
had no effect on established LTP and therefore was not involved in the
maintenance phase. A similar retrograde messenger role for CO has been
suggested for the induction of LTP in the hippocampus based on results
from effects of the HO2 inhibitor ZnPP (Stevens and Wang, 1993 ; Zhuo et
al., 1993 ; Ikegaya et al., 1994 ; Poss et al., 1995 ).
It appears that both gases are involved in ganglionic LTP; CO is
required for the induction phase, and NO is required for the
expression-maintenance phase. That NO is required for maintenance, but
not induction, of ganglionic LTP is demonstrated by the present and
previous results. When an inhibitor of NO synthase was applied before
or after tetanus, although it seemed to have completely blocked
LTP, full recovery of LTP resulted when the drug was removed (Alkadhi
and Altememi, 1997 ; Altememi and Alkadhi, 1999 ). In contrast, washout
of HO2 inhibitor, applied before tetanus, did not result in recovery.
Furthermore, the lack of action of ZnPP on established LTP suggests
that it is unlikely that CO is involved in the expression-maintenance phase of LTP.
Another indication for the respective roles of NO and CO in ganglionic
LTP is the localization of the enzymes responsible for production of
these gases. There seems to be a specific differential distribution of
the enzymes HO2 and NO synthase in autonomic ganglia. In these ganglia,
the enzyme HO2 exists in the perikarya and dendrites of principal
neurons but not in axons or presynaptic nerve terminals (Vollerthun et
al., 1995 , 1996 ; Zakhary et al., 1996 ; Magnusson et al., 2000 ). In
contrast, NO synthase exists in sympathetic preganglionic neurons
(Blottner and Baumgarten, 1992 ; Dun et al., 1992 ; Valtschanoff et al.,
1992 ) and has been localized mainly within preganglionic nerve
terminals in sympathetic ganglia (Dun et al., 1993 ; Morris et al.,
1993 ; Saito et al., 1994 ; Anderson et al., 1995 ; Okamura et al., 1995 ;
Klimaschewski et al., 1996b ).
In both the CNS and autonomic ganglia, exogenous NO, by itself, can
produce prolonged enhancement of synaptic transmission without the need
for tetanic stimulation (Bohme et al., 1991 ; Scott and Bennett, 1993 ;
Southam et al., 1996 ). In contrast, exogenous CO in sympathetic ganglia
(present results), as well as in hippocampal slices (Zhuo et al.,
1993 ), must be accompanied by tetanic activation of presynaptic nerve
fibers to produce enhancement of synaptic transmission. Thus, CO seems
to be necessary but not sufficient to initiate long-term enhancement.
Although the molecular mechanisms for activation of HO2 are not known,
there is evidence suggesting that this enzyme may be activated by
interaction of neurotransmitters with their respective receptors (Glaum
and Miller, 1993 ; Nathanson et al., 1995 ). Thus, it is possible that
the production of CO in ganglia is induced by activation of the
Ca2+ ionophore 5-HT3
receptors. Consistent with this possibility is the finding that, in the
presence of 5-HT3 receptor antagonists that
completely and irreversibly inhibit LTP (Alkadhi et al., 1996 ),
exogenously applied CO followed by tetanic stimulation evokes a robust
LTP. This indicates that CO works downstream from 5-HT3 receptors in sympathetic ganglia. We
suggest that, as a result of activation of these receptor-channels,
Ca2+ enters into specific postsynaptic
regions where it activates PKC, which, in turn, rapidly phosphorylates
and activates HO2 for the production of CO required for the induction
of LTP in the ganglion (Doré et al., 1999 ).
Because both gases have strong affinity for Hb, the finding that Hb
blocks the induction of LTP is equally compliant with either CO or NO
functioning as a retrograde messenger. Therefore, for LTP induction,
one could argue that NO, rather than CO, could have come from outside
the nerve terminal to initiate changes that lead to sensitization of
the NO synthase to produce more NO, on demand within the terminal, for
the maintenance phase. Based on this hypothesis, application of Hb
during maintenance phase would have no effect. However, this
alternative explanation is unlikely, because the reversibility of the
blocking effect of NO synthase inhibitors when applied either before or
after tetanic stimulation (Alkadhi and Altememi, 1997 ; Altememi and Alkadhi, 1999 ) indicates that the LTP induction process is not blocked
by these inhibitors. In contrast, the HO2 inhibitor ZnPP, when applied
before tetanus, completely and irreversibly prevented the induction of
ganglionic LTP. Together, these results indicate that CO, and not NO,
is required for the induction of ganglionic LTP.
The inhibitor ZnPP has been reported to have other effects, unrelated
to inhibition of the enzyme OH. First, the drug has been reported to
inhibit NO synthase in the hippocampus. This is unlikely to be the case
in the present experiments, because reports show that ZnPP inhibits NO
synthase only at much higher concentrations (up to 1000-fold) than
L-NOARG (East and Garthwaite, 1991 ; Meffert et al., 1994 ;
Prabhakar et al., 1995 ). Second, because of the reported ability of
ZnPP to inhibit soluble guanylate cyclase (Luo and Vincent, 1994 ;
Zakhary et al., 1996 ), it is possible that the effect of ZnPP may be
independent of CO but is attributable to direct inhibition of guanylate
cyclase. However, it has been shown that, at the level of the
concentration used in the present study, ZnPP is unlikely to produce
inhibition of guanylate cyclase (Luo and Vincent, 1994 ; Zakhary et al.,
1996 ). Furthermore, the present experiments clearly showed that ZnPP
has no effect on previously established LTP, which requires activation
of guanylate cyclase as has been demonstrated previously (K. A. Alkadhi, unpublished observation) (Briggs, 1992 ; Scott and Bennett,
1993 ; Southam et al., 1996 ). Additionally, failure of ZnPP to inhibit
sodium nitroprusside-induced enhancement of ganglionic transmission
indicates that guanylate cyclase is not inhibited by ZnPP in our
experiments (Verma et al., 1993 ).
In conclusion, we present evidence indicating that CO may be involved
in the induction of ganglionic LTP and that the production of CO is
downstream from 5-HT3 receptors, which suggest
that activation of 5-HT3 receptor may be involved
in the production of CO.
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FOOTNOTES |
Received Sept. 29, 2000; revised Feb. 8, 2001; accepted Feb. 8, 2001.
This work was supported by a University of Houston PEER grant
and National Institute of General Medical Sciences Grant 1K14HL02478.
Correspondence should be addressed to Dr. Karim A. Alkadhi, Department
of Pharmacological and Pharmaceutical Sciences, University of Houston,
Houston, TX 77204-5515. E-mail: kalkadhi{at}uh.edu.
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