(Investigative Ophthalmology and Visual Science. 2000;41:561-567.)
© 2000
by The Association for Research in Vision and Ophthalmology, Inc.
Production and Accumulation of Thrombospondin-1 in Human Retinal Pigment Epithelial Cells
Hiroko MiyajimaUchida1,
Hideyuki Hayashi1,
Richiko Beppu2,
Motomu Kuroki2,
Mitsue Fukami2,
Fumiko Arakawa2,
Yoshihiro Tomita2,
Masahide Kuroki2 and
Kenji Oshima1
1 From the Department of Ophthalmology and the
2 First Department of Biochemistry, School of Medicine, Fukuoka University, Japan.
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Abstract
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PURPOSE. To investigate the production and release of thrombospondin-1 (TSP-1),
a natural inhibitor of angiogenesis, by human retinal pigment
epithelial (RPE) cells to clarify the possible role of TSP-1 in
maintaining intraocular angiogenesis.
METHODS. Human RPE cells were isolated from a human cadaveric eye and cultured
in medium with 5% newborn calf serum. TSP-1 messages in the purified
RNA of RPE cells were analyzed by reverse transcriptionpolymerase
chain reaction (RT-PCR). Intracellular TSP-1 peptides were detected by
cytofluorographic analysis. TSP-1 peptides in the culture medium on RPE
cells were measured by sandwich enzyme-linked immunosorbent assay
(ELISA). TSP-1 specific immunofluorescent staining was tested in RPE
cells cultured on glass slides and in a human retinal tissue specimen.
RESULTS. mRNA specific for TSP-1 was found in RT-PCR products from RPE cells,
and it showed a time-dependent increase from the beginning of the
culture. Intracellular staining for TSP-1 was identified by flow
cytometry. The sandwich ELISA identified a time-dependent increase of
TSP-1 peptides in the culture medium of RPE cells. Immunostaining for
TSP-1 was observed in the cytoplasm of RPE cells cultured on glass
slides. Positive immunostaining of TSP-1 was observed in the cytoplasm
of the RPE layer in the human retinal tissue specimen.
CONCLUSIONS. RPE cells can produce and release TSP-1 in vitro, and TSP-1 accumulates
in the cytoplasm of RPE cells in vivo as well as in vitro. The
production of TSP-1 by RPE cells is influenced by the state of
proliferation and/or cell density. TSP-1 appears to be an important
control factor in retinal and choroidal
neovascularization.
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Introduction
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Thrombospondin (TSP)-1 is a cell-attachment factor with
cell-specific affinity.1
2
3
Of the five known subtypes of
thrombospondins,4
TSP-1 is the most common, being present
in the
granules of platelets5
6
7
and released in blood
clotting.8
9
Several cell types,10
11
12
13
including corneal endothelial cells,14
produce TSP-1,
which apparently accumulates around the extracellular matrix. TSP-1
enhances cell adhesion of fibroblasts15
and various
carcinoma cells16
but prevents cell invasion of a variety
of cell types and prevents tissue angiogenesis. It also inhibits
adhesion of vascular endothelial cells17
18
and cell
invasion, as well as tube formation of vascular endothelial
cells.19
20
21
22
A lower concentration of TSP-1 stimulates
tube formation in vivo,23
and TSP induces microvascular
invasion in vivo.24
Thus, TSP-1 is considered to be a
modulator of angiogenesis.
In human eyes, TSP-1 was reported to be localized between the RPE layer
and Bruchs membrane25
and in the epiretinal membrane in
several diseases.26
27
Bruchs membrane separates the
microvasculature of choroidal blood vessels from the retina. In their
physiological state, choroidal blood vessels do not advance beyond
Bruchs membrane into the retina. However, in several diseases, such
as wet-type age-related macular degeneration, new blood vessels develop
in the choroidal vasculature and break through Bruchs
membrane.28
29
This progression of new blood vessels is
considered a consequence of an anatomic or functional breakdown of
Bruchs membrane.30
31
Functional and morphologic
disturbance of RPE cells apparently also precedes this subretinal
neovascularization. Thus, a physiological antiangiogenic barrier on
Bruchs membrane and the involvement of RPE cells in maintaining the
barrier are suggested. TSP-1, with its antiangiogenic activity, may
play some biologic role on Bruchs membrane. However, the source of
the TSP-1 occurring on Bruchs membrane has not been demonstrated.
Therefore, we tried to determine whether TSP-1 is produced by human RPE
cells.
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Materials and Methods
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Cell Culture
Human RPE cells were isolated from a human cadaveric eye according
to the method described by Flood et al.32
Two cell lines
of RPE cells (RPE1 and RPE2) were established from two individuals and
cultured in Dulbeccos minimum essential medium (DMEM) with 5%
newborn calf serum (NBCS) at 37°C in 5% CO2
with 100% humidity. TSP-1producing HL-60 cells33
34
were cultured in RPMI 1640 culture medium with 10% NBCS and retinoic
acid (10 ng/ml). Human T lymphocytes were isolated from human blood
preserved at the Japan Red Cross Blood Center, separated as a floating
population using a kit (Cellect/Human T-cell; Biotex, Edmonton,
Alberta, Canada), and cultured in DMEM with 10% NBCS.
Reverse TranscriptionPolymerase Chain Reaction (RT-PCR) Analysis
for TSP-1
Total cellular RNA was prepared as follows. The cells were
homogenized with a direct application of 1.5 ml RNAzol B (Tel-Test,
Friendswood, TX) in a tissue-culture flask with a
75-cm2 bottom. Cellular RNA was purified
according to the instruction manuals for RNAzol B. The RNA
concentration was measured by optical density at 260 nm.
Single-stranded cDNA was synthesized from 5 µg purified RNA by adding
murine reverse transcriptase and dNTPs from a commercially available
kit (Ready to Go T-Primed First Strand Kit, Pharmacia Biotech, Foster
City, CA).
PCR was performed in a solution containing final concentrations as
follows: 1.25 units Taq DNA polymerase (Perkin Elmer, Foster
City, CA), 10 mM Tris-HCl (pH 9.0), 50 mM KCl, 1.5 mM
MgCl2, 200 µM dNTP (Perkin Elmer), and 50 pM
each of forward and reverse primers. TSP-1 primers used were 5'-AAC CGC
ATT CCA GAG TCT GG-3' and 5'-TTC ACC ACG TTG TTG TCA AGG
GT-3'.35
PCR (Perkin Elmer) was conducted for 10 seconds
at 95°C, for 15 seconds at 56°C, and for 40 seconds at 72°C for
25 cycles.
The amplified products were electrophoresed on 0.8% (wt/vol) agarose
gels before staining with ethidium bromide, and the stained gels were
exposed to ultraviolet light for observation and photographed. The
experiment was repeated twice.
Antibodies for TSP
A mouse monoclonal anti-human TSP-1 antibody and a rabbit
polyclonal anti-human TSP antibody were obtained from Sigma (St. Louis,
MO),36
37
and Athens Research and Technology (Athens,
GA), respectively. The specificity of the antibodies was
examined by Western blot analysis according to the method of Qabar et
al.38
As shown in Figure 1
, both polyclonal and monoclonal antibodies were bound to TSP-1 of
approximately 180 kDa purified from platelets (lanes 2 and 4). From the
spent medium of the RPE cells, only one band with the same apparent
molecular weight was detected with both antibodies (lanes 3 and 5).

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Figure 1. Specificity of rabbit polyclonal antihuman TSP antibody and mouse
monoclonal anti-human TSP-1 antibody. TSP-1 purified from human
platelet (lanes 2 and 4) and concentrated
culture medium of RPE cells (lanes 3 and
5) were electrophoresed on 7.5% sodium dodecyl
sulfatepolyacrylamide gel electrophoresis (SDS-PAGE) gel, and
transferred to nitrocellulose membrane. TSP-1 was detected with rabbit
anti-TSP (lane 2 and 3) and monoclonal
anti-TSP-1 (lanes 4 and 5) as described
in the Materials and Methods section. Lane 1: molecular
weight markers.
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Cytofluorographic Analysis of Intracellular TSP-1
RPE cells separated from the 25-cm2 culture
flasks by 10 mM EDTA and retinoic acidtreated HL-60
cells33
34
suspended in calcium- and magnesium-free
phosphate-buffered saline (PBS). After centrifugation at
400g for 5 minutes, approximately 1.5 x
106 cells were resuspended in 0.1 ml PBS, fixed
by 5.5% formaldehyde, and permeabilized by saponin-based
permeabilizing medium (IntraPrep, Immunotech, Marseilles,
France).39
The cells were then incubated with 40 µl
rabbit polyclonal anti-human TSP-1 IgG (5 µg/ml) or with control
unimmunized rabbit IgG at 4°C for 30 minutes, washed with PBS, and
incubated with 40 µl fluorescein-conjugated goat anti-rabbit IgG
antibody (10 µg/ml; Cappel, Aurora, OH) at 4°C for 30 minutes. The
cells were washed and resuspended in 1 ml PBS, and single-color
fluorescence flow cytometry was performed (FACS Calibur; Becton
Dickinson, San Jose, CA). The experiment was repeated twice.
Collection of the Culture Medium of RPE Cells
RPE cells (1.2.3 x 105/ml) in DMEM
with 5% NBCS were seeded onto 24-well plates and incubated at 37°C
in 5% CO2. At 4, 8, 12, 16, and 24 hours after
incubation, culture medium was collected and frozen in -20°C until
it was measured. The cells were washed twice with PBS and tripsinized.
The number of cells in each well was counted with an automated cell
counter (Tokyo Kohden, Tokyo, Japan). Samples were produced in
triplicate, and the experiment was repeated three times.
Enzyme-Linked Immunosorbent Assay for TSP-1
An enzyme-linked immunosorbent assay (ELISA) for TSP-1 was
performed using a sandwich method. Each well of a 96-well ELISA plate
(Corning, Cambridge, MA) was incubated with 100 µl of 1 µg/ml
rabbit polyclonal anti-human TSP-1 IgG overnight at room temperature
and blocked with blocking solution (Block Ace, Dainihon, Osaka, Japan).
The sample solution (100 µl) was added to each well and incubated for
1 hour at 37°C and washed twice with a washing buffer (0.05% NP-40
in barbiturate-buffered saline). The wells were incubated with 1
µg/ml mouse monoclonal antibody for 1 hour at 37°C, washed, and
then incubated successively with 1 µg/ml biotinylated horse
polyclonal anti-mouse IgG (Vector, Burlingame, CA) and 1 µg/ml
horseradish peroxidase-avidin complex (Vector). The bound antibody was
detected by the addition of o-phenylenediamine diluted in
methanol with 0.03% hydrogen peroxide. The absorbance at 490 nm of
each well was measured by a microplate reader (Bio-Rad, Hercules, CA).
A standard concentration curve was plotted from the measurement of
purified human TSP-1 in graded concentrations from 1 to 1024 ng/ml. The
concentration of TSP-1 in each sample solution was determined from the
standard curve, and the production rate of TSP-1 at each time point was
calculated.
In the standard culture medium with 5% fetal calf serum, a maximum of
2 ng/ml TSP-1 was detected with ELISA in a cell-free condition.
Therefore, the value for secreted TSP-1 in culture medium was
calculated by subtracting the value in cell-free medium from the value
of spent culture medium.
Culture of RPE Cells on Glass Slides
The cells were trypsinized, separated from the flask, collected
into the culture medium, and seeded onto glass slides of four-chamber
separated wells (Nunc, Napierville, IL) and cultured in DMEM with 5%
NBCS for 12 hours at 37°C in 5% CO2.
Human Retinal Tissue Specimen
A human eyeball obtained at autopsy from a 61-year-old Japanese
male donor without ocular disease was dissected, and the posterior
segments were embedded and fresh frozen in optimal cutting temperature
(OCT) compound. Eight-micrometer-thick sections were cut by a
cryomicrotome for histopathologic examination.
Immunofluorescent Staining of TSP-1 in Cultured RPE Cells and Human
Retina
The histologic sections were air dried, fixed in 4%
paraformaldehyde, and washed in 50 mM tris-buffered saline. The
sections were then incubated with blocking solution (Block Ace;
Dainihon) for 30 minutes at room temperature. RPE cells and retinal
tissues were incubated with rabbit polyclonal anti-human TSP-1 IgG (5
µg/ml) for 1 hour at room temperature. RPE cells were then incubated
with biotinylated swine polyclonal anti-rabbit IgG (Vector) and
alkaline phosphatase (Vector). For monoclonal antibody staining, cells
and tissue sections were incubated with mouse monoclonal anti-human
TSP-1 IgG
chain (1 µg/ml) and biotinylated goat polyclonal
anti-mouse IgG antibody (Vector). Alkaline phosphatase was reacted with
fuchsin (Merck, Darmstadt, Germany) for 7 minutes at room temperature
and washed. The nucleus was stained with Meyers hematoxylin. The
sections were covered by a coverslip and observed by light microscopy.
Sections of human retina were incubated with rhodamine-conjugated goat
polyclonal anti-rabbit IgG (Vector) for 1 hour at room temperature and
washed three times. Specimens were sealed by a water-soluble,
nonfluorescent sealant and covered with a coverslip. Finally, the dried
specimens were observed under a confocal scanning laser microscope
(Zeiss, Oberkochen, Germany) and photographed.
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Results
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Expression of mRNA for TSP-1 on RPE Cells
On agarose gel electrophoresis, mRNA specific for TSP-1 was found
in RT-PCR products obtained from both of the two cell lines of cultured
human RPE cells as a single band corresponding to a length of 688 bp
(Fig. 2)
. The intensity of the band on RPE2 cells was slightly higher than that
of RPE1 cells. The band on RPE1 cell line before incubation was faint
but became stronger with time, reaching peak intensity 6 hours after
incubation (Fig. 3)
. A single band was also found on the RNA from HL-60 cells used as a
positive control. No band was found on the gel of RNA from T cells
(which are known to be incapable of producing TSP-1). A single band
representing ß-actin, which was probed as an internal control, was
found on all RT-PCR products from different cell types.

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Figure 2. Expression of TSP-1 and ß-actin mRNA on two lines of human RPE cells
(RPE1, RPE2), HL-60 cells, and T lymphocytes. A TSP-1specific PCR
product is seen as a 688-bp band on agarose gel, indicated on cDNA from
RPE1 cells (lane 2), RPE2 cells (lane 3),
and HL-60 cells (lane 4), but not on cDNA from T
lymphocytes (lane 5). ß-Actinspecific products as an
internal standard were seen as a 525-bp band on cDNA from RPE1 cells
(lane 6), RPE2 cells (lane 7), HL-60
cells (lane 8), and T lymphocytes (lane
9). Lane 1: molecular weight marker.
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Figure 3. Expression of TSP-1 and ß-actin mRNA in RPE1 cells at various
intervals after the start of incubation. TSP-1 mRNA in RPE cells was
seen at 0 hours (lane 2), 3 hours (lane
3), 6 hours (lane 4), 12 hours (lane
5), and 24 hours (lane 6) after incubation. The
expressions of TSP-1 mRNA gradually increased from time 0, reached peak
intensity at 6 hours, and decreased at 12 hours. No difference was seen
in the expression of ß-actin mRNA at 0 hours (lane 7),
3 hours (lane 8), 6 hours (lane 9), 12
hours (lane 10), and 24 hours (lane 11)
after incubation. TSP-1 mRNA reached peak intensity at 6 hours after
incubation. Lane 1: molecular weight marker.
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Intracellular Staining for TSP-1
Intracellular staining on flow cytometry identified a positive
pattern of TSP-1specific fluorescence in the two cell lines of RPE
cells incubated with fluorescein-conjugated antibody to TSP-1 or the
vehicle buffer (Fig. 4)
. Intracellular staining was also positive on HL-60 cells (Fig. 4)
.

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Figure 4. Intracellular expression of TSP-1 on RPE1 cells, RPE2 cells, and HL-60
cells. The shift of flow cytometry fluorescence histograms of RPE cells
that were incubated with unimmunized IgG (thin line) and
rabbit polyclonal anti-human TSP-1 (thick line)
represents intracellular expression of TSP-1.
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Release of TSP-1 into the Culture Medium
A sandwich ELISA assay identified a time-dependent increase of the
TSP-1 peptides in the culture medium of RPE cells (Fig. 5) . Four hours after the start of the culture, 6.7 ng/ml TSP-1 was
detected in the culture medium. At 8 hours, 14.3 ng/ml TSP-1 was
detected in the same well. The concentrations of TSP-1 in each well
gradually increased with time, reaching 24.2 ng/ml at 12 hours and
peaking at 41.7 ng/ml at 16 hours. The rate of TSP-1 release began
decreasing at 24 hours, although each cell number increased with time.

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Figure 5. Release of TSP-1 from RPE cells to the culture medium and the number of
RPE cells at the beginning of the culture. RPE cells in DMEM containing
5% NBCS were seeded in a 24-well plate. The TSP-1 concentrations at
each time point in the culture medium were measured by sandwich ELISA.
, average number of cells (vertical bars, ± SD) in a
culture well at each time interval.
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Immunolocalization of TSP-1 on Cultured RPE Cells and Human Retina
Tissue
On immunostaining of a histologic section of RPE cells cultured on
glass slides, positive staining for TSP-1 was observed in the cytoplasm
of the cells (Fig. 6)
. On histologic section of the human retinal tissue, strong
fluorescence was observed in the cytoplasm of the RPE layer, and patchy
fluorescence was observed on some parts of Bruchs membrane (Fig. 7)
. No remarkable fluorescence was observed on the neuroretina, choroid,
or sclera (Fig. 7)
. Although immunoreaction was more marked on the
cells and tissue sections stained with the polyclonal antibody than
that stained with the monoclonal antibody, localization of
immunoreactions was identical.

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Figure 6. A light micrograph of cultured RPE cells on the glass slides
immunostained for TSP-1. Positive immunostaining
(purple) for TSP-1 was seen in the cytoplasm of cultured
RPE1 cells (A) and RPE2 cells (B). (C)
Negative control using nonspecific isotypic antibody.
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Figure 7. An accumulation of TSP-1 in the cytoplasm of RPE cells in a section of
the human chorioretinal layer. A micrograph of phase-difference
coherent images overlaid on laser-scanned fluorescent images from a
histopathologic section of the human chorioretinal layer. Rhodamine
fluorescence was observed on the cytoplasm of the RPE layer. No
remarkable fluorescence was observed on the neuroretina, choroid, or
sclera.
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 |
Discussion
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Our results show that RPE cells produced and released TSP-1 in
vitro and that TSP-1 accumulated in the cytoplasm of RPE cells in vitro
and in vivo.
Several different cell types are known to produce TSP-1. Among ocular
cells, corneal endothelial cells probably produce TSP-1, because
positive immunostaining for TSP-1 has been observed in
them.14
40
Although corneal tissue is avascular, vascular
growth can be induced by several pathologic processes in which the
tissues physical structure or cell function are disturbed. It has
been suggested that corneal cells may play some role in maintaining the
transparency of the cornea by inhibiting vascular
growth.41
Also, pathologic choroidal neovascularization with progression toward
the neuroretina is frequently seen in eyes in which RPE cells are
undergoing senescent functional and morphologic changes.28
These findings suggest that RPE cells play a role of inhibiting
choroidal angiogenesis. TSP-1 is known to inhibit angiogenesis
profoundly, both in vivo and in vitro.19
20
21
22
TSP-1
molecules and RPE cells coexist on the avascular epiretinal membrane in
several diseases.26
27
Possible natural mechanisms for
halting angiogenesis have been found in vivo and in vitro. Cytokines
mediate cell-to-cell signals for regulating cell
proliferation.42
43
Pericytes inhibit angiogenic activity
by contacting vascular endothelial cells through the activation of a
latent form of transforming growth factor-ß.44
45
46
Alteration of the extracellular matrix can induce morphologic changes
of angiogenic vascular endothelial cells, also halting
angiogenesis.47
These findings suggest that RPE cells may
modulate choroidal vascular growth by supplying TSP-1.
Bornstein48
has defined extracellular protein molecules
dedicated to modulation of cell behavior by interacting with many
extracellular molecules and with cell surface receptor as matricellular
proteins. TSP-1 was expressed by migrating RPE in proliferative
vitreoretinopathy membranes and RPE-derived TSP-1, together with other
matricellular proteins, has been considered to play a role in
development of proliferative vitreoretinopathy.49
Our
results suggest an additional or alternative role for RPE-derived
TSP-1, because it is also expressed on nonmigratory RPE cells.
The biological influence of TSP on angiogenesis is still
controversial.4
23
It has been reported that lower
concentrations of TSP-1 induces the tube formation of vascular
endothelial cells in vitro, whereas inhibition occurs in higher
concentrations. Furthermore, hypoxic stimulation and increased
concentration of extracellular matrices including TSP-1 enhance the
release of angiogenic growth factors as vascular endothelial growth
factor and fibroblast growth factor-2 by RPE cells.50
It
is hard to determine whether the TSP-1 produced by RPE cells stimulates
or inhibits the angiogenesis in vivo. However, it has been clear that
neither choroidal blood vessels nor retinal blood vessels proliferate
and migrate toward the RPE layer though TSP-1 accumulated surrounding
the RPE layer. Therefore, TSP-1 may play some role in maintaining
differentiated blood vessels.
Although data are specific to TSP-1, it has been reported that the
biologic activity of all types of TSPs is similar,51
52
and TSP-1 is the most prevalent TSP molecule found in vivo. Therefore,
it is reasonable to speculate that RPE cells may produce other
varieties of TSP. Also, TSP-1 may be produced by retinal cells other
than RPE cells. That there is no evident accumulation of TSP-1 on
retinal blood vessels and retinal neuronal and glial
cells53
suggests that RPE cells are the major retinal
components producing TSP-1 physiologically.
Our study did not allow us to determine whether RPE cells in the
physiological state continuously produce TSP-1, although the positive
immunostaining of the intracellular TSP-1 of RPE layer suggests that
they do. However, a decrease of TSP-1 after an initial increase was
shown in both the cultured medium and mRNA of RPE cells. This finding
suggests that the production of TSP-1 may increase in pathologic
conditions involving RPE proliferation and migration. Decreased
production of TSP-1 in conditions of cellular quiescence as the cell
density increases has been reported for other TSP-producing
cells.54
The decrease of TSP-1 on the culture medium may
be due to degradation after secretion. Furthermore, it is also known
that the antiangiogenic activity of TSP-1 is mediated by CD36, a
TSP-1binding receptor.55
56
57
TSP-1 expression has been
shown to be upregulated by stimulation to CD36. Several
TSP-1producing cells express CD36,58
suggesting that
TSP-1 is a factor in the autocrineparacrine
mechanism.42
43
Finally, it has been reported that CD36 is
expressed on RPE cells and mediates the modulatory action of
phagocytosis of RPE cells.59
Further accumulation of
knowledge on modulation of TSP-1 production by RPE cells and its
biologic effects may elucidate key physiological maintenance mechanisms
and pathologic processes.
 |
Footnotes
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Submitted for publication February 23, 1999; revised June 8 and August 10, 1999; accepted September 13, 1999.
Commercial relationships policy: N.
Corresponding author: Hiroko MiyajimaUchida, Department of Ophthalmology, School of Medicine, Fukuoka University, 7-45-1 Nanakuma Jyonanku, Fukuoka, Fukuoka 814-0180, Japan. hhayashi{at}fukuoka-u.ac.jp
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