We previously reported that LMO3 and HEN2 act as oncogenes in neuroblastoma development through up-regulating MASH1 transcription by interfering with HES1. To confirm these results in vivo, we generated transgenic mice of these genes. Lmo3 or Hen2 was expressed under the control of Wnt1 promoter, which is expressed in the central nervous system and neural crest of the sympathoadrenal lineage from which neuroblastoma develops. Heterozygous Lmo3 and Hen2 transgenic mice (Tg (Lmo3) and Tg (Hen2)) developed hydrocephalus at higher frequency than for the wild type mice, and all heterozygous double-transgenic mice (Tg (Lmo3; Hen2)) developed hydrocephalus. Therefore, Lmo3 and Hen2 may be involved in and have synergistic effects on hydrocephalus development. Although aqueduct stenosis occurred in all genotypes, it was mild in Tg (Lmo3; Hen2) mice. Furthermore, hydrocephalus was detected at E18.5 in Tg (Lmo3; Hen2). These results suggest that the causes of hydrocephalus are not only aqueduct stenosis but also disorder of neocortical development. A similar phenotype was reported in Robo1/2(-/-) mice, in which Hes1 expression level was decreased in ventricular zone progenitors. Thus, it is suggested that the expression levels of Lmo3 and/or Hen2 could determine the fate of stem cells by inhibiting Hes1 function during nervous system development and might be a trigger of aberrant neurogenesis in vivo.
We previously reported that LMO3 and HEN2 act as oncogenes in neuroblastoma development through up-regulating MASH1 transcription by interfering with HES1. To confirm these results in vivo, we generated transgenic mice of these genes. Lmo3 or Hen2 was expressed under the control of Wnt1 promoter, which is expressed in the central nervous system and neural crest of the sympathoadrenal lineage from which neuroblastoma develops. Heterozygous Lmo3 and Hen2transgenic mice (Tg (Lmo3) and Tg (Hen2)) developed hydrocephalus at higher frequency than for the wild type mice, and all heterozygous double-transgenic mice (Tg (Lmo3; Hen2)) developed hydrocephalus. Therefore, Lmo3 and Hen2 may be involved in and have synergistic effects on hydrocephalus development. Although aqueduct stenosis occurred in all genotypes, it was mild in Tg (Lmo3; Hen2) mice. Furthermore, hydrocephalus was detected at E18.5 in Tg (Lmo3; Hen2). These results suggest that the causes of hydrocephalus are not only aqueduct stenosis but also disorder of neocortical development. A similar phenotype was reported in Robo1/2(-/-) mice, in which Hes1 expression level was decreased in ventricular zone progenitors. Thus, it is suggested that the expression levels of Lmo3 and/or Hen2 could determine the fate of stem cells by inhibiting Hes1 function during nervous system development and might be a trigger of aberrant neurogenesis in vivo.
Neuroblastoma is one of the typical childhood cancers and originates from the sympathetic
cell lineage of the neural crest [10, 11]. The LMO (LIM domain only) protein family is composed
of four members, LMO1, LMO2, LMO3 and LMO4. Although LMO proteins lack DNA-binding activity,
accumulating evidence suggests that they are involved in the transcriptional regulation of
specific target genes in collaboration with other transcription factors [2]. Genetic analyses demonstrated that LMO1 and LMO2
contribute to the genesis of immature and aggressive T-cell leukemia [12], whereas LMO4 was implicated in the development of breast cancer
[13, 14].
Previously, we reported that LMO3 is expressed at significantly high levels
in human unfavorable neuroblastomas relative to favorable ones, and has oncogenic potential
in neuroblastoma [1]. LMO3 formed a complex with
neuronal-specific basic helix-loop-helix (bHLH) transcription factor HEN2 (Helix-Loop-Helix
protein 2), which was also expressed at higher levels in unfavorable neuroblastoma than in
the favorable type, raising the possibility that LMO3 may form a complex with HEN2 and play
an important role in the genesis and development of neuroblastoma through transcriptional
regulation of as-yet-unidentified target gene (s).A proneural bHLH transcription factor termed MASH1 (Mammalian Achaete Scute Homolog 1)
plays a critical role in the development of sympathetic neurons and is highly expressed in
neuroblastoma [6, 7]. A bHLH protein termed HES1 (Hairy and Enhancer of Split 1) acts as a negative
regulator for MASH1 [9]. We have already reported that
there could be a functional relationship between LMO3/HEN2 and MASH1 in neuroblastoma, and
found that LMO3/HEN2 attenuates HES1 function and enhances the transactivation of
MASH1, leading to an aggressive phenotype of neuroblastoma [8].In this study, transgenic mice of Lmo3 and Hen2 were
established in order to study their roles in the development and tumorigenesis of the
nervous system using promoter of Wnt1, which is expressed in neural crest
cells and the central nervous system. It was suggested that oncogenic Lmo3
could cooperate with Hen2 to induce aberrant neurogenesis, hydrocephalus,
in mice.
Materials and Methods
Mice
This study was carried out in strict accordance with the recommendations in the Guide for
the Care and Use of Laboratory Animals of the Ministry of Education, Culture, Sports,
Science and Technology of Japan. The protocol was approved by the Committee on the Ethics
of Animal Experiments of Chiba Cancer Center (Permit Number:14–14). All efforts were made
to minimize suffering. All mice had the C57BL/6J background.
DNA constructs
To generate pWEXP-3C-HA-Lmo3 or pWEXP-3C-FLAG-Hen2,
HA-Lmo3 or FLAG-Hen2 transgene, the full-length cDNA
was amplified from mouse brain cDNA library by PCR and cloned into the
Wnt1 expression vector pWEXP-3C [4]. The transgenes were digested with restriction endonuclease
SalI before microinjection.
Production and genotyping of transgenic mice
C57BL/6J-Tg (Wnt1-HA-Lmo3) (Tg
(Lmo3)) and C57BL/6J-Tg
(Wnt1-FLAG-Hen2) (Tg (Hen2))
mice were generated by the microinjection of linear DNA fragments into pronuclei of
BDF1 (C57BL/6J × DBA2J) zygotes. Genotyping of transgenic mice was carried
out by PCR using rTaq (Takara) under the following conditions: 95°C 5 min (1 cycle); 95°C
20 s, 58°C 20 s, 72°C 45 s (25 cycles) (FLAGF/Hen2R), or 95°C 5 min (1 cycle); 95°C 20 s,
66.5°C 20 s, 72°C 45 s (25 cycles) (HAF/Lmo3R). Primers used for the analysis were as
follows: FLAGF, 5′-ATGGACTACAAGGACGACG-3′; Hen2R, 5′-TTGAAAGCCTCCACTCGGATG-3′; HAF,
5′-ACCCATACGATGTTCCGGATTACGC-3′; and Lmo3R, 5′-GGATCCTCAGCGGACCTGGGGTGC-3′.
Reverse transcription-PCR analysis
Total RNA was prepared from tissues by using the RNeasy Mini Kit (Qiagen) and NucleoSpin
totalRNA FFPE (Machery-Nagel) following the manufacturer’s protocol. Reverse transcription
was carried out using random primers and SuperScript II (Invitrogen) and iScript cDNA
Synthesis Kit (Bio-Rad). Following the reverse transcription, the resultant cDNA was
subjected to PCR-based amplification. The cDNA was amplified for 95°C 5 min (1 cycle);
95°C 20 s, 58°C 20 s, 72°C 45 s (40 cycles) (FLAGF/Hen2R), 95°C 5 min (1 cycle); 95°C 20
s, 50°C 20 s, 72°C 45 s (40 cycles) (HAF/Lmo3R2), 95°C 5 min (1 cycle); 95°C 20 s, 56°C 20
s, 72°C 45 s (35 cycles) (Mash1F/R), 95°C 5 min (1 cycle); 95°C 20 s, 60°C 20 s, 72°C 45 s
(35 cycles) (Hes1F2/Hes1R2), 95°C 5 min (1 cycle); 95°C 30 s, 50°C 30 s, 72°C 30 s (40
cycles) (Actb (actin, beta) F2/R2), 95°C 2 min (1 cycle); 95°C 30 s, 60°C 2 min (30
cycles) (Gapdh (glyceraldehyde-3-phosphatede hydrogenase) F/R). RT-PCR Primers used for
the analysis were as follows: Lmo3R2, 5′-CTGATTGCAAAGCTGACAGG-3′; Hes1F2,
5′-ACACCGGACAAACCAAAGAC −3′; Hes1R2, 5′-TGTCTGCCTTCTCTAGCTTGG −3′; Mash1F,
5′-GTTGGTCAACCTGGGCTTT-3′; Mash1R, 5′-GCCATGGAGTTCAAGTCGTT-3′; Gapdh F,
5′-ATCTTCTTGTGCAGTGCCAG-3′; GapdhR, 5′-ATCTTCTTGTGCAGTGCCAG-3′; ActbF2,
5′-ACCTCATGAAGATCCTGACC −3′; and ActbR2, 5′-CGTTGCCAATAGTGATGACC-3′. The products were
subjected to agarose gel electrophoresis. cDNA integrity was confirmed using
Actb or Gapdh.
Immunohistochemistry and morphometry
The brains were fixed in 4% paraformaldehyde at 4°C overnight. Dehydrated samples were
embedded in paraffin and sectioned, which were stained with hematoxylin and eosin.
Specimens were incubated with primary antibodies diluted in blocking buffer overnight at
4°C. The following primary antibodies were used: mouse anti-NEUN (1: 500, Millipore,
MAB377), mouse anti-GFAP (1: 500, SIGMA, G3893), rabbit anti-OLIG2 (1: 200, IBL, 18953),
rabbit anti-IBA1 (1: 500, Wako, 019–19741). The numerical density of immunoreactive cells
was counted by setting the ROI in the periaqueductal gray matter.
Statistical analysis
Statistical significance was calculated by 2 × 2 Chi square test (Fisher’s test). A
P-value<0.05 was considered statistically significant and a
P-value<0.01 was considered highly statistically significant.
Results
Transgenes are expressed under the control of Wnt1 promoter in transgenic
mice
In order to express Lmo3 and/or Hen2 in neural crest
cells, from which neuroblastoma develops, we selected Wnt1 promoter since
it was reported that Wnt1 is expressed in migrating neural crest cells
and the central nervous system [5]. The transgene
HA-Lmo3 or FLAG-Hen2 was inserted into the expression
vector pWEXP-3C, which was kindly supplied by Dr. McMahon (Harvard Univ.) [4]. Transgenic lines were confirmed to express
transgenes by RT-PCR using cDNA prepared from tissues (eyes of P0 mice and E9.5 embryos)
that express Wnt1 as templates (Fig.
1).
Fig. 1.
Constructs in which transgenes HA-Lmo3 and
FLAG-Hen2 are expressed under the control of
Wnt1 promoter.
Plasmids pWEXP-3C-HA-Lmo3 and pWEXP-3C-FLAG-Hen2
comprise HA-tagged full-length Lmo3(A) and FLAG-tagged full-length
Hen2(B) cloned into the pWEXP-3C expression vector (13) in order
to the express transgenes under the control of Wnt1 promoter.
Expression of transgenes in mice was confirmed by RT-PCR using tissue cDNA prepared
from the eyes of P0 pups or E9.5 whole embryos (A and B).
Constructs in which transgenes HA-Lmo3 and
FLAG-Hen2 are expressed under the control of
Wnt1 promoter.Plasmids pWEXP-3C-HA-Lmo3 and pWEXP-3C-FLAG-Hen2
comprise HA-tagged full-length Lmo3(A) and FLAG-tagged full-length
Hen2(B) cloned into the pWEXP-3C expression vector (13) in order
to the express transgenes under the control of Wnt1 promoter.
Expression of transgenes in mice was confirmed by RT-PCR using tissue cDNA prepared
from the eyes of P0 pups or E9.5 whole embryos (A and B).
Hydrocephalus developed in transgenic mice expressing HA-Lmo3 and/or FLAG-Hen2 under
the control of Wnt1 promoter
Hydrocephalus occurs in heterozygous
C57BL/6J-Tg(Wnt1-HA-Lmo3)
and
C57BL/6J-Tg(Wnt1-FLAG-Hen2)
mice (Tg (Lmo3) and Tg (Hen2)) and also heterozygous
double- transgenic mice (Tg (Lmo3; Hen2)) at about 3 weeks of age or
earlier (Fig. 2). The frequencies of hydrocephalus in each of the wild type, single- or
double-transgenic mice were 0% in wild type, 13% in Tg (Hen2), 9% in
Tg (Lmo3) and 100% in Tg (Lmo3; Hen2) mice (Fig. 3). The frequencies of hydrocephalus in each of the single- or double-transgenic mice
were significantly higher as compared with wild type mice by Fisher’s test (WT vs.
Tg (Hen2), P=7.567 × 10−11; WT vs. Tg
(Lmo3), P=7.351 × 10−8) (Fig. 3). According to the Jackson Laboratory, the frequency of
hydrocephalus is under 0.01% in mice with the genetic background C57BL/6J. Since the
frequencies in Tg (Lmo3) and Tg (Hen2) mice were higher
than that in the wild type mice, each gene may be involved in the development of
hydrocephalus. Furthermore, all Tg (Lmo3; Hen2) mice developed
hydrocephalus. The difference of frequency between Tg (Lmo3) and
Tg (Hen2) was not significant by Fisher’s test
(P=0.329). However the frequency in Tg (Lmo3; Hen2) was
significantly higher than that in Tg (Lmo3) or Tg (Hen2)
(Tg (Lmo3; Hen2) vs. Tg (Hen2),
P=3.252 × 10−9; Tg (Lmo3; Hen2) vs.
Tg (Lmo3), P=2.948 × 10−11; Fisher’s test).
These results suggest that LMO3 and HEN2 may have synergistic effects on the development
of hydrocephalus.
Fig. 2.
Hydrocephalus develops in transgenic mice expressing Lmo3 and/or
Hen2 under the control of Wnt1 promoter.
Brains were prepared from heterozygous Lmo3 and
Hen2 transgenic mice (Tg (Lmo3) and Tg
(Hen2)) and their littermate wild-type (WT) mice (A and B). Hydrocephalus
developed at about 3 weeks of age in Tg (Lmo3) and Tg
(Hen2) (A and B) and heterozygous double-transgenic mice (Tg
(Lmo3; Hen2)) (C).
Fig. 3.
Frequencies of hydrocephalus in Tg (Lmo3) and Tg
(Hen2) are higher than that in the wild type and all Tg (Lmo3;
Hen2) mice develop hydrocephalus. Frequencies were calculated by dividing
number of hydrocephalic mice (single-, double-transgenic mice or WT mice) by total
number of transgenic mice or WT mice. The P-value was calculated by
Fisher’s test.
Hydrocephalus develops in transgenic mice expressing Lmo3 and/or
Hen2 under the control of Wnt1 promoter.Brains were prepared from heterozygous Lmo3 and
Hen2transgenic mice (Tg (Lmo3) and Tg
(Hen2)) and their littermate wild-type (WT) mice (A and B). Hydrocephalus
developed at about 3 weeks of age in Tg (Lmo3) and Tg
(Hen2) (A and B) and heterozygous double-transgenic mice (Tg
(Lmo3; Hen2)) (C).Frequencies of hydrocephalus in Tg (Lmo3) and Tg
(Hen2) are higher than that in the wild type and all Tg (Lmo3;
Hen2) mice develop hydrocephalus. Frequencies were calculated by dividing
number of hydrocephalic mice (single-, double-transgenic mice or WT mice) by total
number of transgenic mice or WT mice. The P-value was calculated by
Fisher’s test.
Causes of hydrocephalus are not only aqueduct stenosis but also disorder of cerebral
development
Hydrocephalic brains were examined by HE and immunohistochemical staining in order to
evaluate the pathogenetic mechanisms of hydrocephalus. In hydrocephalic brains of the
three genotypes, the cerebral aqueduct was stenotic compared with that in the wild-type
(WT) littermates (Figs. 4A, 4B and Table 1). The average area of the cerebral aqueduct in hydrocephalic brain sections
was smaller (0.0038 mm2) than that in WT mice brains (0.0078 mm2).
However, in double-transgenicmouse brain, the extent of stenosis was milder. In order to
analyze pathogenesis of aqueduct stenosis, the periaqueductal gray matter was precisely
evaluated by immunohistochemistry with antibodies against marker proteins for neurons or
glial cells (NEUN: neurons, GFAP: astrocytes, OLIG2: oligodendrocytes or progenitor cells
of astrocytes/oligodendrocytes, IBA1: microglia; Fig.
5). There were no differences in cellular components between hydrocephalic and WT
mouse brains. The hydrocephalus phenotype was observed in Tg (Lmo3; Hen2)
mouse embryos at E18.5 (Fig. 4C), but not at
E13.5 Tg (Lmo3; Hen2) mouse ones (data not shown).
Fig. 4.
Causes of hydrocephalus are not only aqueduct stenosis but also disorder of
cerebral development. Hydrocephalic brains were examined by HE staining. In
hydrocephalous brains of Tg (Lmo3) and Tg (Hen2)
mice (A and B), cerebral aqueduct was stenotic compared with that of the wild-type
littermates (B). In Tg (Lmo3; Hen2) mice with hydrocephalous brain
(A and B), the extent of stenosis was mild (B). Hydrocephalus developed in
Tg (Lmo3; Hen2) mice at E18.5 (C). Scale bars=1,500
µm (A),=300 µm (B) and=600 µm
(C), respectively.
Table 1.
Summary of phenotypes of brains in hydrocehalic mice and their wild-type
littermates
Genotype
HE stain
Density of immunoreactive cells
(/mm2)
general
aqueductus cerebri
NeuN
GFAP
Olig2
Iba1
Tg (Lmo3; Hen2)
severe hydrocephalus
mildly stenotic
24
56
200
100
WT littermate
normal
normal
16
58
373
108
Tg (Hen2)
severe hydrocephalus
stenotic
30
98
247
80
WT littermate
normal
normal
30
134
163
72
Tg (Lmo3)
severe hydrocephalus
stenotic
24
72
263
90
WT littermate
mild hydrocephalus
normal
32
68
280
100
Average areas of aqueductus cerebri from 4 brains were 0.0038 mm2 and
0.0078 mm2 in hydrocephalic mice and their wild-type littermates,
respectively. Numerical density of immunoreactive cells was counted
(/mm2).
Fig. 5.
Immunohistochemical analyses showed no significant differences between
phenotypesDistribution and number of neurons (NEUN), astrocytes (GFAP),
oligodendrocytes or progenitor cells of astrocytes/oligodendrocytes (OLIG2) and
microglia (IBA1) around the aqueduct did not differ between hydrocephalic mice and
their wild-type littermates. Scale bar=300 µm.
Causes of hydrocephalus are not only aqueduct stenosis but also disorder of
cerebral development. Hydrocephalic brains were examined by HE staining. In
hydrocephalous brains of Tg (Lmo3) and Tg (Hen2)
mice (A and B), cerebral aqueduct was stenotic compared with that of the wild-type
littermates (B). In Tg (Lmo3; Hen2) mice with hydrocephalous brain
(A and B), the extent of stenosis was mild (B). Hydrocephalus developed in
Tg (Lmo3; Hen2) mice at E18.5 (C). Scale bars=1,500
µm (A),=300 µm (B) and=600 µm
(C), respectively.Average areas of aqueductus cerebri from 4 brains were 0.0038 mm2 and
0.0078 mm2 in hydrocephalic mice and their wild-type littermates,
respectively. Numerical density of immunoreactive cells was counted
(/mm2).Immunohistochemical analyses showed no significant differences between
phenotypesDistribution and number of neurons (NEUN), astrocytes (GFAP),
oligodendrocytes or progenitor cells of astrocytes/oligodendrocytes (OLIG2) and
microglia (IBA1) around the aqueduct did not differ between hydrocephalic mice and
their wild-type littermates. Scale bar=300 µm.
Expression of Hes1 did not change and Expression of Mash1 was slightly decreased in
the head tissue of double transgenic mice
Whole head tissue of Tg (Lmo3; Hen2) were then examined by RT-PCR at
E13.5 in order to check the expression of the transcriptional target of
Lmo3 and Hen2, Mash1 and the
transcriptional mediator of Mash1, Hes1. The transgene
HA-Lmo3 was expressed as well as FLAG-Hen2 in
Tg (Lmo3; Hen2) mice. Endogenous Mash1 and
Hes1 expression was then checked. As a result, no change was detected
compared to the wild type control in Hes1 expression (Fig. S1). On the
other hand, expression of Mash1 was slightly decreased compared to the
wild type (Fig. S1). Previously, overexpression of both LMO3 and HEN2 were shown to
attenuate HES1 function, resulting in the induction of MASH1 in
neuroblastoma cell lines [8]. LMO3 and HEN2
attenuate HES1 function, but HES1 expression does not decrease
necessarily [8]. Mash1 expression
in embryonic brains of Tg (Lmo3; Hen2) was different from the previous
in vitro study. This is possibly because the negative feedback
interferes with Mash1 expression [8] or other transcriptional targets of Lmo3 and
Hen2 could exist in vivo. Comprehensive study, such as
Chip-seq analysis with LMO3 and HEN2 antibodies would give us clear answers to this
question in the future study.
Discussion
In this study, transgenic mice of Lmo3 and Hen2 were
established in order to study their roles in the development and tumorigenesis of the
nervous system using promoter of Wnt1, which is expressed in neural crest
cells and the central nervous system.The frequencies of hydrocephalus in Tg (Lmo3) and Tg
(Hen2) mice were higher than in the wild type ones, respectively (Fig. 3). Furthermore, all Tg (Lmo3;
Hen2) mice developed hydrocephalus. Therefore, it seems that each gene is
involved in the development of hydrocephalus and they have a synergistic effect on this. In
Tg (Lmo3; Hen2) mouse brain, the extent of stenosis was mild (Table 1 and Fig.
4B). The cellular component surrounding the periaqueductal gray matter showed no
significant difference between hydrocephalus and non-hydrocephalus from any genotypes,
suggesting that reactive changes might not be caused by inflammation, circulation disorder,
etc. in the periaqueductal gray.Hydrocephalus occurred in E18.5 Tg (Lmo3; Hen2) embryos (Fig. 4C), but not in E13.5 Tg (Lmo3;
Hen2) ones (data not shown). These results suggest that the causes of the
hydrocephalus are not only aqueduct stenosis but also abnormalities during cerebral
development. From E12.5 to E16.5, proliferation and migration of neural progenitors proceed
in murine fetal cortices. Thus, Lmo3 and Hen2 might
interfere with development of the neocortex and consequently the formation of the neocortex
may be disordered. In order to clarify the causes of this, analysis of fetal brain
development is required.In Robo1/2 knockout mice (Robo1/2), the
thickness of cortex and density of ventricular zone (VZ) were decreased [3]. Loss of Robo1/2 function leads to a
depletion of VZ progenitors and to an abnormal increase in the numbers of intermediate
progenitor cells (IPCs) in the developing cerebral cortex. The expression of
Hes1 was significantly reduced in the cortex of E12.5
Robo1/2 compared with that in controls. A reduction in
Hes1 levels could explain the decreased level of VZ mitosis and the
increase in IPCs found in the Robo1/2 cortex because
Hes1 expression is thought to maintain the status of progenitor cells in
the VZ. We have already reported that there could be a functional relationship between
LMO3/HEN2 and MASH1 in neuroblastoma, and found that LMO3/HEN2 attenuates HES1 function and
enhances the transactivation of MASH1, leading to an aggressive phenotype
of neuroblastoma [8]. Therefore, in double-transgenicmice, they cooperate and inhibit HES1 function and could induce aberrant neurogenesis,
decrease cortical thickness and induce hydrocephalus. To clarify this relationship between
hydrocephalus and the inhibitory effects of Lmo3 and Hen2
on HES1, analysis of cortical development is necessary.It was suggested that oncogenic Lmo3 could cooperate with
Hen2 to induce aberrant neurogenesis, hydrocephalus, in mice. This may
occur by a similar mechanism to that shown in neuroblastoma, disorder of peripheral nervous
system development. The expression levels of Lmo3 and/or
Hen2 could determine the fate of stem cells by inhibiting HES1 function
during nervous system development and might be a trigger of aberrant neurogenesis in
vivo. This might be a common mechanism that induces aberrant neuronal
development, leading to neuronal disorder in central and peripheral nervous systems.
Authors: J E Visvader; D Venter; K Hahm; M Santamaria; E Y Sum; L O'Reilly; D White; R Williams; J Armes; G J Lindeman Journal: Proc Natl Acad Sci U S A Date: 2001-12-04 Impact factor: 11.205
Authors: Eleanor Y M Sum; Davendra Segara; Belinda Duscio; Mary L Bath; Andrew S Field; Robert L Sutherland; Geoffrey J Lindeman; Jane E Visvader Journal: Proc Natl Acad Sci U S A Date: 2005-05-16 Impact factor: 11.205
Authors: C Gestblom; A Grynfeld; I Ora; E Ortoft; C Larsson; H Axelson; B Sandstedt; P Cserjesi; E N Olson; S Påhlman Journal: Lab Invest Date: 1999-01 Impact factor: 5.662