The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Passey, R. J.
Right arrow Articles by Hume, D. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Passey, R. J.
Right arrow Articles by Hume, D. A.
The Journal of Immunology, 1999, 163: 2209-2216.
Copyright © 1999 by The American Association of Immunologists

A Null Mutation in the Inflammation-Associated S100 Protein S100A8 Causes Early Resorption of the Mouse Embryo1

Robert J. Passey*, Elizabeth Williams{dagger}, Agnieszka M. Lichanska{dagger}, Christine Wells{dagger}, Shengping Hu*, Carolyn L. Geczy*, Melissa H. Little{dagger} and David A. Hume2,{dagger}

* School of Pathology, University of New South Wales, Sydney, Australia; and {dagger} Departments of Biochemistry and Microbiology and Centre for Molecular and Cellular Biology, University of Queensland, Queensland, Australia


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
S100A8 (also known as CP10 or MRP8) was the first member of the S100 family of calcium-binding proteins shown to be chemotactic for myeloid cells. The gene is expressed together with its dimerization partner S100A9 during myelopoiesis in the fetal liver and in adult bone marrow as well as in mature granulocytes. In this paper we show that S100A8 mRNA is expressed without S100A9 mRNA between 6.5 and 8.5 days postcoitum within fetal cells infiltrating the deciduum in the vicinity of the ectoplacental cone. Targeted disruption of the S100A8 gene caused rapid and synchronous embryo resorption by day 9.5 of development in 100% of homozygous null embryos. Until this point there was no evidence of developmental delay in S100A8-/- embryos and decidualization was normal. The results of PCR genotyping around 7.5–8.5 days postcoitum suggest that the null embryos are infiltrated with maternal cells before overt signs of resorption. This work is the first evidence for nonredundant function of a member of the S100 gene family and implies a role in prevention of maternal rejection of the implanting embryo. The S100A8 null provides a new model for studying fetal-maternal interactions during implantation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The S100 proteins are low m.w. calcium-binding proteins belonging to the EF hand superfamily (1). One member of this family, S100A8, is a secreted protein and acts as a potent pure chemoattractant for mouse and human neutrophils and macrophages (2, 3). At least two other members of the S100 family also possess chemotactic activity (4, 5). Intradermal injection of the S100A8 protein into rats or mice elicits a sustained inflammatory response closely resembling delayed-type hypersensitivity responses (2, 3). The S100 gene family also includes S100{alpha}, S100ß, calbindins, and calcyclins (6) and forms a cluster of linked genes in the mouse and human genomes (1). Human S100A8 (also known as MRP8, calgranulin A, L1 light chain, cystic fibrosis Ag, and calprotectin) is the most closely related member of the human S100 family to mouse S100A8, although the level of homology is <60%, and the human protein lacks chemotactic activity (3). In both species, S100A8 forms complexes with S100A9 (MRP14) in the cytoplasm of neutrophils and macrophages in various states of differentiation and activation and has been implicated in calcium-dependent regulation of myeloid cell function (7). In other studies in the laboratory we have found that S100A8 mRNA and protein is massively induced in the lung in response to i.v. injection of bacterial LPS (our unpublished data).

The first isolation of the mouse S100A8 and S100A9 gene reported upon the restricted expression of the two genes in the fetal liver (8). More recently, we have demonstrated that both genes are expressed exclusively in this location from around 10.5 days of embryological development (10.5 days postcoitum (dpc)3). Expression was not observed during yolk sac hematopoiesis and was also absent from mature macrophages that leave the liver in very large numbers during development (9). This pattern was consistent with in vitro studies in which both S100A8 and S100A9 mRNAs were induced transiently in bone marrow cultures stimulated with the macrophage-specific growth factor, CSF-1 (10). In this study we sought to define the possible roles of S100A8 by targeted disruption of the mouse gene. Given the very restricted pattern of expression of S100A8 during embryogenesis and its biological activities, we anticipated that a targeted disruption of the gene might cause a late embryonic lethality if macrophage/granulocyte production by the liver was perturbed, or it might compromise some aspect of inflammation or LPS responsiveness in adult animals if fetal expression was redundant. Because of the large size of the S100 family, it was possible that the function of S100A8 might be substituted by some other family member and no phenotype would be evident. A more extensive examination of sites of expression of S100A8 during embryogenesis herein revealed that the gene is also expressed in extra-embryonic tissues immediately following implantation, where it might regulate fetal-maternal interactions. In keeping with this hypothesis, we show that 100% of null embryos are resorbed by the mother at exactly the time that S100A8 is expressed.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Location of S100A8 mRNA

Whole mount in situ hybridization using digoxygenin-labeled (DIG) riboprobes was performed on embryos at the stages indicated as described previously (11). S100A8 (CP10/MRP8) and S100A9 (MRP14) cDNA plasmids are detailed in Hu et al. (12). In each case sense and antisense mRNA probes were produced; any signal detected with the sense probes is noted in the figure legends. For the analysis of the implantation sites, individual decidua were hemisected along the longest axis using a scalpel under a dissecting microscope before fixation in 4% paraformaldehyde and processing as described previously for embryos (11). Following hybridization and extensive washing, the DIG was detected using alkaline-phosphatase-conjugated anti-DIG Abs followed by histochemical staining which yields a blue-purple color. The pattern of expression of S100A8 and c-fms observed in Fig. 2Go was observed in at least four independent litters at each developmental age; the approximate gestational age (dpc) was confirmed by examination of the stage of development of the embryos. Typically, multiple litters of each gestational age were combined, then 8–10 embryos were stained for expression of each marker examined. The timing of gestational age is based upon the assumption that coitus occurred at midnight on the evening before confirmation of a vaginal plug.



View larger version (112K):
[in this window]
[in a new window]
 
FIGURE 2. Expression of S100A8 and c-fms mRNA in sites of implantation. Sites of expression of mRNA were detected by whole-mount in situ hybridization using digoxygenin-labeled RNA probes as described in Materials and Methods. Dark blue/purple formazan product indicates the sites of gene expression. For A–C, decidua were removed from the uterus and cut sagitally just lateral to the midline to expose the embryo. (Bar in A, B, D, and E = 300 µ). A, Expression of c-fms mRNA in 7.5-dpc embryo; note the expression of the gene in cells completely surrounding the embryo (the primary trophoblasts) as well as extensive expression in the ectoplacental cone (epc). Occasional staining of the embryo itself (middle embryo in B) is due to nonspecific trapping and was also observed with the sense probe. B, Expression of S100A8 mRNA in a subset of cells surrounding the embryo at 7.5 dpc. Unlike c-fms, S100A8 mRNA is not expressed in the cells of the EPC, but is restricted to cells apparently infiltrating the deciduum. C, The 7.5-dpc embryos stained for S100A8 mRNA were embedded in paraffin, sectioned, and counterstained with neutral red. Blue stain denoting S100A8 expression flanking the EPC is restricted to large mononuclear trophoblast-like cells. D and E, Localization of c-fms mRNA (D) in the placenta (stripped of decidual tissue) of an 11.5-dpc embryo, viewed from the maternal side, reflect the very high levels of expression in trophoblast giant cells observed previously (8 ). By contrast, S100A8 mRNA is undetectable except for a reticular pattern confined to the surface of the maternal face (E). Sections indicate this staining is associated with the vasculature (data not shown).

 
Targeted disruption of the S100A8 gene

The S100A8 targeting vector described in Fig. 1Go is based upon a positive-negative selection strategy in which cells are initially selected for recombination using G418 resistance and then nonhomologous insertions are selected against because of their retention of the viral thymidine kinase gene using ganciclovir (13). Following homologous recombination at the S100A8 locus, the coding sequence is replaced by 1.8 kb of neomycin phosphotransferase (neo) gene driven by the phosphoglycerate kinase 1 (pgk1) promoter. Transfection of R1 embryonic stem (ES) cells (a gift from Dr. A. Nagy; Samuel Lunenfeld Research Centre, Toronto, Canada) by electroporation, selection of candidate homologous recombinants, screening by Southern blotting, and generation of chimeras by the morula aggregation method were performed as described by Monkley et al. (14). We selected two independent targeted ES cell lines (clone 52 and clone 79) for further study.



View larger version (26K):
[in this window]
[in a new window]
 
FIGURE 1. Targeted disruption of the S100A8 gene in the mouse germline. A, Targeting strategy used to disrupt one allele of the S100A8 gene in ES cells. G418-resistant transfectants of ES cells, selected secondarily for the absence of the thymidine kinase gene, were screened by Southern blotting for appropriate shift in restriction fragment length as indicated. Four homologous recombinants were identified. Two of these were used to produce chimeric animals. The transmission of the introduced mutation was monitored subsequently by PCR (see Materials and Methods). A Southern blot of DNA from heterozygous animals probed with a 350-bp probe from the 3' end of the targeting vector gave the same restriction pattern as wild type, indicating that no rearrangement or deletion of the gene at the 3' end occurred in the targeted allele. B, Results of PCR screening of a litter from a mating between two heterozygous animals, showing the presence of the wild-type S100A8 allele in all of the progeny.

 
Genotyping of S100A8 null mice

Identification of the targeted allele in mice was based upon detection of the neo gene using the primers described (14), and identification of the wild-type, S100A8 allele using the primers 5'-GCTCCGTCTTCAAGACATCGT-3' (+22 to +41) and 5'-GGCTGTCTTTGTGAGATGCC-3' (+898 to +880). For genotyping of preimplantation embryos, the uterus was flushed at 3.5 dpc and blastocysts were placed into 200 µl microcultures in DMEM + 10% FBS for up to 7 days. During this time the blastocysts hatched, and trophoblast migration was observed. Genotyping was performed on DNA isolated from hatched blastocyst cells.

Immunolabeling of disaggregated decidual cells

For immunostaining, embryos were removed and decidua were washed in PBS, cut into small pieces, and drawn through a 23-guage needle. Decidua were incubated in Petri dishes in 0.1% collagenase, 0.2% dispase (Boehringer Mannheim, Indianapolis, IN), 20% FCS in PBS for 60 min at 37°C. The digest was drawn through the 23-guage needle, pelleted, and washed. The single cell suspension was blocked with 5% rat serum, then incubated with PE-conjugated anti-Mac-1 Ab (Caltag, South San Francisco, CA), washed, and analyzed on a FACSCalibur (Becton Dickinson, Mountain View, CA) flow cytometer.

Transfer of embryos into lacZ-expressing mothers

For the investigation of infiltration of embryos by maternal cells, 3.5-dpc embryos were collected from S100A8 (+/-) matings and transferred into pseudopregnant 253 strain female mice, which express nuclear lacZ in all cells under the control of the HMG-CoA reductase promoter (15). The mice were sacrificed at 6.5–9.5 dpc. Decidua and embryos were bisected as for in situ hybridization, fixed, and stained for lacZ expression as described (15). They were then embedded in paraffin wax, sectioned at 8 µ and counterstained with Neutral Red.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
S100A8 but not S100A9 is expressed in the vicinity of the ectoplacental cone (EPC) at 6.5 to 7.5 dpc

Previous studies indicated S100A8 is expressed for the first time in the mouse embryo together with S100A9 in presumptive myeloid cells in developing liver around 11.5 dpc (8, 9). As a prelude to performance of targeted disruption of the gene, we examined the expression of S100A8 mRNA at earlier stages of development. This study revealed a second site of S100A8 expression in extraembryonic tissue. Following initial attachment and implantation of the mouse embryo, the polar trophectoderm proliferates to form the EPC and extraembryonic ectoderm, from which the various differentiated secondary trophoblast cell types arise. In many respects, EPC-derived trophoblasts resemble granulocytes and macrophages. They are capable of extensive phagocytosis (16) and like macrophages, express the gene encoding the receptor for CSF-1, the c-fms protooncogene (11). Whole mount in situ hybridization on hemisected decidua at 6.5–8.5 dpc provides a three-dimensional perspective of gene expression in the implantation site. The application of this method, which is used routinely on mouse embryos, to gene regulation in the implantation site has not been reported previously to our knowledge. The c-fms mRNA was detected within primary trophoblasts infiltrating surrounding tissues from the full perimeter of implanted embryos at 6.5 dpc, throughout the EPC and extending outwards from that pole into the deciduum. By contrast, S100A8 mRNA was only detected in very small subsets of cells that seemed to delineate the external perimeter of the EPC (not shown). By 7.5 dpc, the c-fms positive cells were more extensively infiltrated into the deciduum surrounding the embryo, particularly around the EPC (Fig. 2GoA). S100A8 was clearly restricted to a halo of cells surrounding the EPC. The distribution apparently partly overlaps the distribution of c-fms but the method is not amenable to double-labeling to confirm identity (Fig. 2GoB). Sections of in situ-stained embryos demonstrated that the S100A8-positive cells flanking the EPC were large mononuclear cells with abundant cytoplasm (Fig. 2GoC). The S100A8-positive cells were indistinguishable from cells expressing the CSF-1R (c-fms) in sections (data not shown, see Ref. 8), though less numerous, but one cannot distinguish unequivocally between maternally derived decidual cells and trophoblasts at this stage. A separate intense S100A8 signal at the very tip of the EPC was present in all decidua (though visible to varying extents in individual half-decidua depending upon the plane of hemisection). Histological examination of this region confirmed the presence of large numbers of neutrophils (not shown). Maternally derived neutrophils are present within the uterine lumen (17), and these, together with activated macrophages, may contribute to the localized inflammatory response during initiation of blastocyst implantation (18). Murine neutrophils (19) and activated macrophages (9) express high levels of S100A8 mRNA.

The induction of S100A8 mRNA of the expected size in decidua was confirmed by Northern blot analysis (data not shown), indicating that the signal was unlikely to be attributable to cross hybridization with any other S-100 gene. At 8.5 dpc, S100A8 mRNA expression in the vicinity of the EPC was no longer detectable by in situ hybridization or Northern blot analysis (data not shown). Whereas c-fms mRNA was maintained at very high levels in trophoblasts and trophoblast giant cells (Fig. 2GoD) at later stages of embryonic development (10.5–11.0 dpc), S100A8 mRNA expression was only detected in cells associated with the vasculature at the maternal face of the placenta (Fig. 2GoE). In contrast to the situation in the liver, where S100A9 was co-expressed with S100A8 in myeloid cells (14), S100A9 mRNA was not detected in the vicinity of the EPC at any stage except in decidual neutrophils (data not shown). Although most studies in human and mouse have indicated coexpression of the two S100 proteins, at least one other precedent for expression of secreted S100A8, in the absence of S100A9, occurs in mature macrophages responding to bacterial LPS (9). The cells expressing S100A8 and S100A9 in the fetal liver are also not necessarily coincident and appear morphologically distinct (8), although double labeling is required to confirm this proposal.

Resorption of S100A8 null embryos occurs between 9.5 and 13.5 dpc

To address the possible functions of S100A8 in myeloid and trophoblast cells, we created a disruption of the S100A8 gene in the mouse genome. The mouse S100A8 (MRP8) genomic DNA sequence reported by others (20) has been confirmed in our laboratory. The targeting strategy is outlined in Fig. 1Go. Because the gene is comparatively small, the introduced mutation removed the majority of the coding sequence and no functional protein product was possible. The targeting vector was transfected into embryonic stem cells, and after positive-negative selection (for G418 resistance and ganciclovir-resistance respectively) the transfectant clones were screened for correct targeting of the S100A8 gene. Two homologous recombinants were used to produce chimeras by morula aggregation, and male chimeras from both lines transmitted the null allele with high frequency to their progeny. Heterozygous animals revealed no obvious gross phenotype, and mated normally. After S100A8+/- mice were interbred, analysis of the progeny derived from both of the two independent targeting events in separate ES cell lines revealed homozygous normal (+/+) and heterozygous (+/-) offspring in the ratio 1:2 (Table IGo), indicating that the null mutation was embryonic lethal. Additional timed matings were conducted for each of the lines and the progeny genotyped at various times during embryonic development. Combining the results for all embryos examined from 10.5 to 13.5 dpc, homozygous normal, heterozygous (+/-) and resorbing embryos that could not be genotyped (presumably null) occurred in the expected ratios of 1:2:1 (Table IIGo).


View this table:
[in this window]
[in a new window]
 
Table I. Genotype of progeny of matings of heterozygous S100A8 null mice1

 

View this table:
[in this window]
[in a new window]
 
Table II. Genotype/phenotype analysis of embryos derived from mating heterozygous S100A8 null mice

 
Development of S100A8 null mice is normal until they are resorbed by the mother

At 6.5 and 7.5 dpc, intact embryos could be extracted from all decidua. PCR genotyping revealed an excess of apparent heterozygotes over the expected 1:2:1 ratio, which is probably an artifact due to the sensitivity of PCR and the difficulty of completely avoiding maternal tissue which could result in both +/+ and -/- decidua being scored as +/-. Any detectable signal was scored as positive. The problem could be avoided with quantitative PCR, but the key point is that the ratio of definite homozygous wild-type to null mutants is one, indicating that there is no selective loss of S100A8-deficient embryos. This conclusion is supported independently below. The definitive S100A8 null embryos were completely indistinguishable from their wild-type or heterozygous littermates in terms of size or developmental stage at 7.5 dpc.

To confirm that pre-implantation development and trophoblast development was normal, blastocysts were isolated at 3.5 dpc, hatched in vitro, and subsequently genotyped. This experiment detected the expected 1:2:1 ratio of wild-type, heterozygote, and homozygous mutant embryos (Table IIGo). The hatched blastocysts, including the (-/-) embryos, were indistinguishable from one another, and large trophoblasts were adherent to the substratum surrounding the inner cell mass in each case (data not shown).

Infiltration of the embryo by maternal cells and of the deciduum by fetal cells

By 8.5 and 9.5 dpc, despite the lack of any obvious gross abnormality, the ratio of embryos genotyped as null compared with wild type was significantly less than one. This pattern suggests that homozygous null embryos contain greater numbers of cells of maternal genotype that can be detected by PCR, possibly presaging the overt resorption that becomes visibly obvious only 24 h later (9.5–10.5 dpc; Table IIGo). Transplacental leukocyte infiltration occurs in normal pregnancies (21) but appears to be strictly controlled (22) and is presumably below the limits of detection by PCR in wild-type embryos.

To seek evidence that the apparent excess of heterozygotes detected by PCR was indeed due to infiltration by maternal cells, we transplanted 3.5-dpc embryos from heterozygous matings into mothers in which a nuclear lacZ transgene is expressed in all cells (15). This experiment also permits the detection of cells of fetal origin infiltrating the deciduum in normal implantation sites. Fig. 3GoA shows a normal implantation site at 8.5 dpc, the maternal cells expressing nuclear lacZ are excluded from the EPC region, whereas fetal cells with red nuclear staining (i.e., absence of lacZ) can be detected infiltrating the deciduum, corresponding in location to the S100A8-positive cells detected by in situ hybridization in Fig. 2Go. Conversely, Fig. 3GoB shows an embryo in early stages of resorption, at 8.5 dpc, demonstrating extensive infiltration by lacZ-positive maternal cells. Apart from this embryo, where there is macroscopic evidence of early resorption, and others in which resorption was already complete, in eight litters examined we did not detect lacZ-positive cells infiltrating morphologically normal embryos using this approach and thus did not provide a clear explanation for the PCR genotyping. It may be that maternal leukocytes are contributed from extraembryonic sources during dissection, or the number detectable by PCR is below the limits of detection by lacZ staining or the cells infiltrating initially express lacZ at low levels.



View larger version (154K):
[in this window]
[in a new window]
 
FIGURE 3. lacZ staining to monitor maternal infiltration of the embryo and fetal infiltration of the deciduum. The 3.5-dpc embryos were transferred to 253 strain lacZ-expressing pseudopregnant mothers and nuclear lacZ activity was detected as described in Materials and Methods. A, Normal implantation site from an 8.5dpc S100A8 (+/?) mouse. Cells of fetal origin (red nuclei) can be seen migrating away from the EPC and infiltrating into the adjacent deciduum (arrows). B, Typical early stage of resorption in an 8.5dpc embryo from the S100A8 (+/-) heterozygous cross. Extensive infiltration of the EPC and the embryo by lacZ-positive (blue) cells (arrows) is evident.

 
Identification of S100A8 null embryos by localization of S100A8 mRNA confirms that development is normal until resorption occurs

Apart from direct genotyping, the only alternative approach to identify S100A8-/- embryos is to examine expression of the S100A8 gene. Whole-mount in situ detection of S100A8 mRNA on hemisected decidua from a series of 7.5-dpc embryos from heterozygous crosses (Fig. 4GoA) showed no S100A8 signal in regions flanking the EPC in 11/46 decidua examined, whereas the signal was detected in every one of the embryos from wild-type matings examined in the course of localization of the gene in Fig. 2Go. The disappearance of the S100A8 signal in the expected 25% of embryos from a heterozygous (+/-) cross further argues that the cells expressing the S100A8 gene in the region flanking the EPC (Fig. 4Go) are of fetal origin and confirms the evidence based upon PCR genotyping that null embryos develop normally to this point.



View larger version (99K):
[in this window]
[in a new window]
 
FIGURE 4. Normal development and decidualization of the implantation site of the S100A8 null mouse to 7.5 dpc. A, Comparison of hemisected decidua from S100A8-/- (left) or S100A8+/? (right) implantation sites at 7.5 dpc. In both cases, S100A8 mRNA has been localized by whole-mount in situ hybridization. Identification of -/- embryos was based on the absence of detectable S100A8 mRNA in the vicinity of EPC. This phenotype was observed in 11/46 embryos. The staining at the very tip of the EPC was present in all embryos examined and was of maternal origin. Embryonic and decidual development in the S100A8-/- is indistinguishable from the normal. B, Representative flow cytometry profile for expression of CD11b (Mac-1 Ag) on isolated decidual cells. The two apparent classes of CD11b-positive cells separable on the basis of size (FSC-H) probably represent granulocytes (R1) and macrophages (R2). The range of values for percentages of cells within each of the gates is given at the right of the panel. Note that the range varied between litters, presumably reflecting minor differences in precise gestational age and rapidity of the decidual reaction. No clear outlying values were observed in any of the three litters (total, 29 embryos).

 
The decidual reaction and trophoblast outgrowth occurs normally in S100A8 null embryos

The decidua of S100A8-/- embryos identified based upon the absence of S100A8 mRNA, and the embryos within them, were indistinguishable from the (+/?) embryos and decidua of littermates. No gross deficiency in the EPC was evident, and decidua were the same size and shape as those of wild-type embryos (Fig. 4GoA). It is possible to obtain further differentiation of trophoblasts in vitro by taking explant cultures of the EPC (23). A series of heterozygous matings was performed, and 7.5-dpc EPC explants were cultivated for 4–7 days as described without exogenous growth stimulus. All cultures formed adherent trophoblast-like cells, and there was no clear difference in the extent of growth or spreading that would identify a subset of putative S100A8 null EPC cultures.

To assess the decidual reaction further, we digested 29 individual decidua from three separate heterozygous matings with collagenase/dispase and identified myeloid cells by flow cytometry. A representative profile is shown in Fig. 4GoB. Two populations of cells of different size and light scattering properties expressed the type 3 complement receptor (CD11b, Mac-1 Ag) present on granulocytes and macrophages. There was remarkably little variation in the numbers or proportions of the two cell populations between littermates (Fig. 4GoB). The data indicate that there is no gross effect of the null mutation on the initial myeloid cell infiltration of the decidua.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The S100 family contains some 20 functionally and structurally related proteins, including at least two other members (calbindin and mts1) expressed in trophoblasts (24, 25). S100A8 has previously been detected only in myeloid cells. In this paper we have provided the first evidence that S100A8 is expressed specifically in a subset of fetal cells in the vicinity of the EPC and that this expression is required for normal implantation. Soares et al. (26) and Rickenberger et al. (27) have reviewed natural and introduced mutations affecting murine trophoblast development and implantation. Introduced mutations with some similarities to the S100A8 null include the trophoblast transcription factors, Mash-2 (28), Ets-2 (29), ERR-ß (30), Hand1 (31), Mfa1 (32), and TFEB (33). However, each of these mutations differs from the S100A8 null in that the target gene is also expressed elsewhere in the embryo proper and/or there is a clear defect in growth and development of the embryo itself or the placenta tissues before the onset of resorption. In fact, the nature of the cells expressing S100A8 in the vicinity of the EPC is somewhat unclear. Most of the genes noted above are either expressed in a similar manner to c-fms, which we have used herein as a trophoblast marker, or are not expressed until later stages of placental development and trophoblast differentiation. Activated decidual cells are also concentrated in the vicinity of the EPC, shown clearly by induced expression of the TIMP-3 metallo-proteinase inhibitor (34), and these cells are not readily distinguished morphologically from trophoblasts. Hence, on the basis of cell morphology and limited precedent, S100A8 expression could have been either fetal or maternal in origin. In this paper, we have shown that there are fetally derived cells infiltrating the deciduum in the vicinity of the EPC (Fig. 3Go), and the data in Fig. 4Go confirm that the S100A8-positive cells are of fetal origin. Indeed, it would be difficult to see a mechanism for early embryonic loss in the S100A8 null if the cells expressing the gene were maternal. One gene that does resemble S100A8 in expression pattern is urokinase plasminogen activator, which is induced around 7 dpc surrounding the EPC, in a halo of cells presumed to be migrating trophoblasts (34).

Given the lack of any overt defect in either embryo or trophoblast development in vivo or in vitro before resorption of the S100A8-/- embryo we propose that S100A8 is secreted, as occurs in activated macrophages, and contributes to the regulation of fetal-maternal interaction. In support of this hypothesis, recent studies in our laboratory (S. Leung and C. L. Geczy, unpublished data) have shown that although abundant S100A8 protein can be detected in decidual extracts at 8.5 dpc, S100A8 apparently does not accumulate within cells in the vicinity of the EPC (as evidenced by immunocytochemistry in which decidual neutrophils provide a positive control). As noted in the Introduction, we have shown that S100A8 mRNA is massively inducible in mouse organs following i.v. LPS injection (our unpublished data) indicating that expression in mice, as in humans, is associated with inflammation. The decidual reaction to embryo implantation is essentially a form of acute inflammation (17, 18, 35). The data in Fig. 4Go indicate that the primary decidual reaction occurred normally in S100A8 null mice, not surprisingly because much of the process occurs in response to blastocyst hatching, well before S100A8 is expressed maximally at 7.5 dpc.

The actual process of resorption in S100A8 null embryos must occur very rapidly, because among the hundreds of implantation sites we have examined (Table IIGo), the one shown in Fig. 3GoB is the only one in which the embryo was not either completely normal, or completely destroyed. A similar pattern of resorption is observed in a natural model of early embryo loss, the CBA/J x DBA/2 cross. In this model, embryonic development is also completely normal until 8 dpc, and embryo loss has been attributed to activation of macrophages and/or NK cells, or to ischemia due to vascular thrombosis (36) and inflammation (36, 37). S100A8 could contribute to the prevention of such pathology in a normal implantation site. It is chemotactic at low concentrations and the macrophages elicited have a particular phenotype including efficiency of uptake of lipid (38) and a high phagocytic index (our unpublished data), properties similar to those described for circulating monocytes in normal pregnancy (39). Hence the S100A8 secreted in the vicinity of the EPC could regulate the state of macrophage activation and procoagulant activities, thus protecting the embryo from immune attack by maternal cells. Alternatively, or in addition, high levels of S100A8 may be protective by virtue of its ability to be readily oxidized by reactive oxygen intermediates including hypochlorite, the major oxidant produced by activated granulocytes (40). By analogy, the anti-oxidant defense provided by thioredoxin functions is an essential protective factor against oxidative stress to embryos, though the thioredoxin null mutant dies earlier than the S100A8 null (41). In the future it will be of interest to compare the S100A8 null with the CBA/J x DBA/2 cross as a model for early embryo loss, particularly once the null allele has been crossed onto the appropriate inbred genetic backgrounds. PGE2, CSF-1, leukemia inhibitory factor, FasL, IL-1ß, TGF-ß, and IL-10, have variously been attributed roles in regulating infiltration of the embryo by maternal cells and the latter two prevent resorption in the CBA/J x DBA/2 model (22, 36, 42). Among these candidate regulators, S100A8, a known regulator of myeloid cell function and inflammation (2, 3, 38, 40, 43), is unique in being expressed at precisely the critical time and place where infiltration of the embryo by maternal cells must be regulated.


    Acknowledgments
 
We thank Drs. Brandon Wainwright and Steven Delaney for helpful discussion, advice and assistance at the outset of this project.


    Footnotes
 
1 Grant support was provided by the National Health and Medical Research Council of Australia. The Centre for Molecular and Cellular Biology is a Special Research Centre of the Australian Research Council. Back

2 Address correspondence and reprint requests to Dr. D. A. Hume, Department of Microbiology, University of Queensland, Q4072 Queensland, Australia. E-mail address: Back

3 Abbreviations used in this paper: dpc, days postcoitum; CSF-1, macrophage colony-stimulating factor; ES cell, embryonic stem cell; EPC, ectoplacental cone. Back

Received for publication March 26, 1999. Accepted for publication June 3, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Schafer, B. W., R. Wicki, D. Engelkamp, M. G. Mattei, C. W. Heizmann. 1995. Isolation of a YAC clone covering a cluster of nine S100 genes on human chromosome 1q21: rationale for a new nomenclature of the s100 calcium-binding protein family. Genomics 25:638.[Medline]
  2. Lackmann, M., C. J. Cornish, R. J. Simpson, R. L. Moritz, C. L. Geczy. 1992. Purification and structural analysis of a murine chemotactic cytokine (CP-10) with sequence homology to S-100 proteins. J. Biol. Chem. 267:7499.[Abstract/Free Full Text]
  3. Lackmann, M., P. Rajasekariah, S. E. Iismaa, G. Jones, C. J. Cornish, S. P. Hu, R. J. Simpson, R. L. Moritz, C. L. Geczy. 1993. Identification of a chemotactic domain of the pro-inflammatory S100 protein CP-10. J. Immunol. 150:2981.[Abstract]
  4. Jinquan, T., H. Vorum, C. G. Larsen, P. Madsen, H. H. Rasmussen, B. Gesser, M. Etzerodt, B. Honore, J. E. Celis, K. Thestrup-Pedersen. 1996. Psoriasin: a novel chemotactic protein. J. Invest. Dermatol. 107:5.[Medline]
  5. Komada, T., R. Araki, K. Nakatani, I. Yada, M. Naka, T. Tanaka. 1996. Novel specific chemotactic receptor for S100L protein on guinea pig eosinophils. Biochem. Biophys. Res. Commun. 220:871.[Medline]
  6. Fano, G., S. Biocca, S. Fulle, M. A. Mariggio, S. Belia, P. Calissano. 1995. The S-100: a protein family in search of a function. Prog. Neurobiol. 46:71.[Medline]
  7. van den Bos, C., J. Roth, H. G. Koch, M. Hartmann, C. Sorg. 1996. Phosphorylation of MRP14, an S100 protein expressed during monocytic differentiation, modulates Ca2+-dependent translocation from cytoplasm to membranes and cytoskeleton. J. Immunol. 156:1247.[Abstract]
  8. Lagasse, E., I. L. Weissman. 1992. Mouse MRP8 and MRP14, two intracellular calcium-binding proteins associated with the development of the myeloid lineage. Blood 79:1907.[Abstract/Free Full Text]
  9. Lichanska, A. M., C. M. Browne, G. W. Henkel, K. M. Murphy, M. C. Ostrowski, S. R. McKercher, R. A. Maki, D. A. Hume. 1999. Differentiation of the embryonic mononuclear phagocyte system: the role of transcription factor PU.1. Blood 194:127.
  10. Goebeler, M., J. Roth, U. Henseleit, C. Sunderkötter, C. Sorg. 1993. Expression and complex assembly of calcium-binding proteins MRP8 and MRP14 during differentiation of murine myelomonocytic cells. J. Leukocyte Biol. 53:11.[Abstract]
  11. Hume, D. A., S. J. Monkley, B. J. Wainwright. 1995. Detection of c-fms protooncogene in early mouse embryos by whole mount in situ hybridisation indicates roles for macrophages in tissue remodelling. Br. J. Haematol. 90:939.[Medline]
  12. Hu, S. P., C. Harrison, K. Xu, C. J. Cornish, C. L. Geczy. 1996. Induction of the chemotactic S100 protein, CP-10, in monocyte/macrophages by lipopolysaccharide. Blood 87:3919.[Abstract/Free Full Text]
  13. Mansour, S. L., K. R. Thomas, M. R. Capecchi. 1988. Disruption of the proto-oncogene int-2 in mouse embryo-derived stem cells: a general strategy for targeting mutations to non-selectable genes. Nature 336:348.[Medline]
  14. Monkley, S. J., S. J. Delaney, D. J. Pennisi, J. J. Christiansen, B. J. Wainwright. 1996. Targeted disruption of the Wnt2 gene results in placentation defects. Development 122:3343.[Abstract]
  15. Tan, S. S., E. Williams, P. P. L. Tam. 1993. X-chromosome inactivation occurs at different times in different tissues of the post-implantation mouse embryo. Nat. Genet. 3:170.[Medline]
  16. Albieri, A., E. Bevilacqua. 1996. Induction of erythrophagocytic activity in cultured mouse trophoblast cells by phorbol myristate acetate and all-trans retinal. Placenta 17:507.[Medline]
  17. Brandon, J. M.. 1993. Leukocyte distribution in the uterus during the preimplantation period of pregnancy and phagocyte recruitment to sites of blastocyst attachment in mice. J. Reprod. Fertil. 98:567.[Abstract/Free Full Text]
  18. McMaster, M. T., S. K. Dey, G. K. Andrews. 1993. Association of monocytes and neutrophils with early events of blastocyst implantation in mice. J. Reprod. Fertil. 99:561.[Abstract/Free Full Text]
  19. Iismaa, S. E., S. Hu, M. Kocher, M. Lackmann, C. A. Harrison, S. Thliveris, C. L. Geczy. 1994. Recombinant and cellular expression of the murine chemotactic protein, CP-10. DNA Cell Biol. 13:183.[Medline]
  20. Nacken, W., M. P. Manitz, C. Sorg. 1996. Molecular characterization of the genomic locus of the mouse MRP8 gene. Biochim. Biophys. Acta 1315:1.[Medline]
  21. Piotrowski, P., B. A. Croy. 1996. Maternal cells are widely distributed in murine fetuses in utero. Biol. Reprod. 54:1103.[Abstract]
  22. Hunt, J. S., D. Vassmer, T. A. Ferguson, L. Miller. 1997. Fas ligand is positioned in mouse uterus and placenta to prevent trafficking of activated leukocytes between the mother and the conceptus. J. Immunol. 158:4122.[Abstract]
  23. Kanai-Azuma, M., Y. Kanai, M. Kurohmaru, S. Sakai, Y. Hayashi. 1993. Insulin-like growth factor (IGF)-1 stimulates proliferation and migration of mouse ectoplacental cone cells, while IGF-II transforms them into trophoblastic giant cells in vitro. Biol. Reprod. 48:252.[Abstract]
  24. Ford, H. L., S. B. Zain. 1995. Interaction of metastasis associated Mts1 protein with non muscle myosin. Oncogene 10:1597.[Medline]
  25. Shamley, D. R., G. Veale, J. M. Pettifor, R. Buffenstein. 1996. Trophoblastic giant cells of the mouse placenta contain calbindin-D9k but not the vitamin D receptor. J. Endocrinol. 150:25.[Abstract/Free Full Text]
  26. Soares, M. J., B. M. Chapman, T. Kamei, T. Yamamoto. 1995. Control of trophoblast differentiation: lessons from the genetics of early pregnancy loss and trophoblast neoplasia. Dev. Growth Differ. 37:355.
  27. Rinkenberger, J. L., J. C. Cross, Z. Werb. 1997. Molecular genetics of implantation in the mouse. Dev. Genet. 21:6.[Medline]
  28. Guillemot, F. A., A. Nagy, J. Auerbach, J. Rossant, A. Joyner. 1994. Essential role of Mash-2 in extraembryonic development. Nature 371:333.[Medline]
  29. Yamamoto, H., M. L. Flannery, S. Kupriyanov, J. Pearce, S. R. McKercher, G. W. Henkel, R. A. Maki, Z. Werb, R. G. Oshima. 1998. Defective trophoblast function in mice with a targeted mutation of Ets2. Genes Dev. 12:1315.[Abstract/Free Full Text]
  30. Luo, J., R. Sladek, J. A. Bader, A. Matthyssen, J. Rossant, V. Giguere. 1997. Placental abnormalities in mouse embryos lacking the orphan nuclear receptor ERR-ß. Nature 388:778.[Medline]
  31. Riley, P., L.-A. Cartwright, J. C. Cross. 1998. The Hand1 bHLH transcription factor is essential for placentation and cardiac morphogenesis. Nat. Genet. 18:271.[Medline]
  32. Kraut, N., L. Snider, C. Chen, S. J. Tapscott, M. Groudine. 1998. Requirement of the mouse I-mfa gene for placental development and skeletal patterning. EMBO J. 17:6276.[Medline]
  33. Steingrimsson, E., L. Tessarollo, S. W. Reid, N. A. Jenkins, N. G. Copeland. 1998. The bHLH-zip transcription factor Tfeb is essential for placental vascularization. Development 125:4607.[Abstract]
  34. Harvey, M. B., K. J. Leco, M. Y. Arcellana-Panlilio, X. Zhang, D. R. Edwards, G. A. Schultz. 1995. Proteinase expression in early mouse embryos is regulated by leukemia inhibitory factor and epidermal growth factor. Development 121:1005.[Abstract]
  35. Orlando-Mathur, C. E., T. G. Kennedy. 1993. An investigation into the role of neutrophils in decidualization and early pregnancy in mice. Biol. Reprod. Fertil. 48:1258.
  36. Clark, D. A., G. Chaouat, P. A. Arck, H. W. Mittruecker, G. A. Levy. 1998. Cytokine-dependent abortion in CBA x DBA/2 mice is mediated by the procoagulant fgl2 prothombinase. J. Immunol. 160:545.[Abstract/Free Full Text]
  37. Haddad, E. K., A. J. Duclos, W. S. Lapp, M. G. Baines. 1997. Early embryo loss is associated with the prior expression of macrophage activation markers in the decidua. J. Immunol. 158:4886.[Abstract]
  38. Lau, W., J. M. Devery, C. L. Geczy. 1995. A chemotactic S100 peptide enhances scavenger receptor and Mac-1 expression and cholesteryl ester accumulation in murine peritoneal macrophages in vivo. J. Clin. Invest. 95:1957.
  39. Sacks, G., I. Sargent, and C. Redman. 1999. An innate view of human pregnancy. Immunol. Today 20.
  40. Harrison, C. A. M. J., J. Raftery, P. Walsh, S. E. Alewood, S. Thliveris Iismaa, C. L. Geczy. 1999. Oxidation regulates the inflammatory properties of the murine S100 protein S100A8. J. Biol. Chem. 274:8561.[Abstract/Free Full Text]
  41. Matsui, M., M. Oshima, H. Oshima, K. Takaku, T. Maruyama, J. Yodoi, M. M. Taketo. 1996. Early embryonic lethality caused by targeted disruption of the mouse thioredoxin gene. Dev. Biol. 178:179.[Medline]
  42. Cross, J. C., Z. Werb, S. J. Fisher. 1994. Implantation and the placenta: key pieces of the development puzzle. Science 266:1508.[Abstract/Free Full Text]
  43. Geczy, C.. 1996. Regulation and proinflammatory properties of the chemotactic protein, CP-10. Biochim. Biophys. Acta 1313:246.[Medline]



This article has been cited by other articles:


Home page
J. Immunol.Home page
S. Y. Lim, M. Raftery, H. Cai, K. Hsu, W. X. Yan, H.-L. Hseih, R. N. Watts, D. Richardson, S. Thomas, M. Perry, et al.
S-Nitrosylated S100A8: Novel Anti-Inflammatory Properties
J. Immunol., October 15, 2008; 181(8): 5627 - 5636.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M.-A. Raquil, N. Anceriz, P. Rouleau, and P. A. Tessier
Blockade of Antimicrobial Proteins S100A8 and S100A9 Inhibits Phagocyte Migration to the Alveoli in Streptococcal Pneumonia
J. Immunol., March 1, 2008; 180(5): 3366 - 3374.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
H. Y. Sroussi, J. Berline, and J. M. Palefsky
Oxidation of methionine 63 and 83 regulates the effect of S100A9 on the migration of neutrophils in vitro
J. Leukoc. Biol., March 1, 2007; 81(3): 818 - 824.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
D. Foell, H. Wittkowski, T. Vogl, and J. Roth
S100 proteins expressed in phagocytes: a novel group of damage-associated molecular pattern molecules
J. Leukoc. Biol., January 1, 2007; 81(1): 28 - 37.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
K. J. Greenlee, D. B. Corry, D. A. Engler, R. K. Matsunami, P. Tessier, R. G. Cook, Z. Werb, and F. Kheradmand
Proteomic Identification of In Vivo Substrates for Matrix Metalloproteinases 2 and 9 Reveals a Mechanism for Resolution of Inflammation
J. Immunol., November 15, 2006; 177(10): 7312 - 7321.
[Abstract] [Full Text] [PDF]


Home page
JDRHome page
H.Y. Sroussi, J. Berline, P. Dazin, P. Green, and J.M. Palefsky
S100A8 Triggers Oxidation-sensitive Repulsion of Neutrophils
Journal of Dental Research, September 1, 2006; 85(9): 829 - 833.
[Abstract] [Full Text] [PDF]


Home page
ReproductionHome page
R. Sherwin, R. Catalano, and A. Sharkey
Large-scale gene expression studies of the endometrium: what have we learnt?
Reproduction, July 1, 2006; 132(1): 1 - 10.
[Abstract] [Full Text] [PDF]


Home page
Biol. Reprod.Home page
J. C. Havelock, P. Keller, N. Muleba, B. A. Mayhew, B. M. Casey, W. E. Rainey, and R. A. Word
Human Myometrial Gene Expression Before and During Parturition
Biol Reprod, March 1, 2005; 72(3): 707 - 719.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
K. Hsu, R. J. Passey, Y. Endoh, F. Rahimi, P. Youssef, T. Yen, and C. L. Geczy
Regulation of S100A8 by Glucocorticoids
J. Immunol., February 15, 2005; 174(4): 2318 - 2326.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
T. Vogl, S. Ludwig, M. Goebeler, A. Strey, I. S. Thorey, R. Reichelt, D. Foell, V. Gerke, M. P. Manitz, W. Nacken, et al.
MRP8 and MRP14 control microtubule reorganization during transendothelial migration of phagocytes
Blood, December 15, 2004; 104(13): 4260 - 4268.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
L. C. Kao, A. Germeyer, S. Tulac, S. Lobo, J. P. Yang, R. N. Taylor, K. Osteen, B. A. Lessey, and L. C. Giudice
Expression Profiling of Endometrium from Women with Endometriosis Reveals Candidate Genes for Disease-Based Implantation Failure and Infertility
Endocrinology, July 1, 2003; 144(7): 2870 - 2881.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
J. A. R. Hobbs, R. May, K. Tanousis, E. McNeill, M. Mathies, C. Gebhardt, R. Henderson, M. J. Robinson, and N. Hogg
Myeloid Cell Function in MRP-14 (S100A9) Null Mice
Mol. Cell. Biol., April 1, 2003; 23(7): 2564 - 2576.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
M.-P. Manitz, B. Horst, S. Seeliger, A. Strey, B. V. Skryabin, M. Gunzer, W. Frings, F. Schonlau, J. Roth, C. Sorg, et al.
Loss of S100A9 (MRP14) Results in Reduced Interleukin-8-Induced CD11b Surface Expression, a Polarized Microfilament System, and Diminished Responsiveness to Chemoattractants In Vitro
Mol. Cell. Biol., February 1, 2003; 23(3): 1034 - 1043.
[Abstract] [Full Text]


Home page
BloodHome page
R. T. Sasmono, D. Oceandy, J. W. Pollard, W. Tong, P. Pavli, B. J. Wainwright, M. C. Ostrowski, S. R. Himes, and D. A. Hume
A macrophage colony-stimulating factor receptor-green fluorescent protein transgene is expressed throughout the mononuclear phagocyte system of the mouse
Blood, February 1, 2003; 101(3): 1155 - 1163.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
X.-J. Du, T. J. Cole, N. Tenis, X.-M. Gao, F. Kontgen, B. E. Kemp, and J. Heierhorst
Impaired Cardiac Contractility Response to Hemodynamic Stress in S100A1-Deficient Mice
Mol. Cell. Biol., April 15, 2002; 22(8): 2821 - 2829.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
S. R. Himes, H. Tagoh, N. Goonetilleke, T. Sasmono, D. Oceandy, R. Clark, C. Bonifer, and D. A. Hume
A highly conserved c-fms gene intronic element controls macrophage-specific and regulated expression
J. Leukoc. Biol., November 1, 2001; 70(5): 812 - 820.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
K. BURKHARDT, M. RADESPIEL-TROGER, H. D. RUPPRECHT, M. GOPPELT-STRUEBE, R. RIESS, L. RENDERS, I. A. HAUSER, and U. KUNZENDORF
An Increase in Myeloid-Related Protein Serum Levels Precedes Acute Renal Allograft Rejection
J. Am. Soc. Nephrol., September 1, 2001; 12(9): 1947 - 1957.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
K. Xu, T. Yen, and C. L. Geczy
IL-10 Up-Regulates Macrophage Expression of the S100 Protein S100A8
J. Immunol., May 15, 2001; 166(10): 6358 - 6366.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
K. Xu and C. L. Geczy
IFN-{gamma} and TNF Regulate Macrophage Expression of the Chemotactic S100 Protein S100A8
J. Immunol., May 1, 2000; 164(9): 4916 - 4923.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
G. R. Thomas, E. A. Costelloe, D. P. Lunn, K. J. Stacey, S. J. Delaney, R. Passey, E. C. McGlinn, B. J. McMorran, A. Ahadizadeh, C. L. Geczy, et al.
G551D Cystic Fibrosis Mice Exhibit Abnormal Regulation of Inflammation in Lungs and Macrophages
J. Immunol., April 1, 2000; 164(7): 3870 - 3877.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
I. S. Thorey, J. Roth, J. Regenbogen, J.-P. Halle, M. Bittner, T. Vogl, S. Kaesler, P. Bugnon, B. Reitmaier, S. Durka, et al.
The Ca2+-binding Proteins S100A8 and S100A9 Are Encoded by Novel Injury-regulated Genes
J. Biol. Chem., September 14, 2001; 276(38): 35818 - 35825.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Passey, R. J.
Right arrow Articles by Hume, D. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Passey, R. J.
Right arrow Articles by Hume, D. A.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS