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J Mol Cell Cardiol 33, 131–139 (2001)

doi:10.1006/jmcc.2000.1285, available online at http://www.idealibrary.com on

Reactive Oxygen Species Mediate Alpha-


adrenergic Receptor-stimulated
Hypertrophy in Adult Rat Ventricular
Myocytes
Jay K. Amin, Lei Xiao, David R. Pimental, Patrick J. Pagano,
Krishna Singh, Douglas B. Sawyer and Wilson S. Colucci
The Cardiovascular Section, Department of Medicine, Boston Medical Center and The Myocardial
Biology Unit, Boston University School of Medicine, Boston, MA, USA
(Received 11 October 2000, accepted in revised form 16 October 2000, published electronically 4 December 2000)

J. K. A, L. X, D. R. P, P. J. P, K. S, D. B. S  W. S. C. Reactive Oxygen
Species Mediate Alpha-adrenergic Receptor-stimulated Hypertrophy in Adult Rat Ventricular Myocytes. Journal
of Molecular and Cellular Cardiology (2001) 33, 131–139. Norepinephrine (NE) causes hypertrophic growth of
cardiac myocytes via stimulation of alpha1-adrenergic receptors (1-AR). Reactive oxygen species (ROS) can act
as signaling molecules for cell growth. Accordingly, we tested the hypothesis that ROS mediate 1-AR-stimulated
hypertrophic growth in adult rat ventricular myocytes (ARVM). NE increased the level of intracellular ROS as
assessed by lucigenin chemiluminescence or cytochrome c reduction, and this effect was prevented by the
superoxide dismutase (SOD)-mimetic MnTMPyP. NE also caused the induction of MnSOD mRNA. 1-AR stimulation
with NE (1 ) in the presence of propranolol (2 ) for 48–96 h caused a hypertrophic growth phenotype
characterized by a 36±3% increase in 3H-leucine incorporation, a 49±14% increase in protein accumulation,
a six-fold induction of atrial natriuretic peptide mRNA, actin filament reorganization, and the induction of MnSOD
mRNA. These responses were all prevented by pretreatment with the 1-AR-selective antagonist prazosin (100 n)
or the SOD-mimetics MnTMPyP (50 ) and Euk-8 (100 ). MnTMPyP had no effect on 1-AR-stimulated 3H-
inositol phosphate turnover or the hypertrophic phenotype caused by the protein kinase C activator phorbol-12-
myristate-13-acetate. Thus, ROS play a critical role in mediating the hypertrophic growth response to 1-AR-
stimulation in ARVM.  2000 Academic Press
K W: 1-adrenergic receptor; Myocyte; Reactive oxygen species; Superoxide dismutase; Hypertrophy.

Introduction and members of the mitogen-activated protein kin-


ase family.4–6
The adrenergic agonist norepinephrine (NE) stimu- It is now apparent that reactive oxygen species
lates a variety of biological responses in cardiac (ROS) such as superoxide and hydrogen peroxide
myocytes including hypertrophic growth and the may act as intracellular signaling molecules for
re-expression of fetal genes.1–3 These effects are biological events including cell growth.7 For ex-
mediated by the activation of 1-adrenergic re- ample, ROS have been shown to mediate the hy-
ceptors (1-AR) that are coupled via G proteins to pertrophic effect of angiotensin in both vascular
a variety of signaling molecules including phos- smooth muscle cells8 and cardiac myocytes.9 Like-
pholipase C, protein kinase C, calcium, PI-3-kinase wise, we found that a modest increase in intra-

Please address all correspondence to: Wilson S. Colucci, M.D., Cardiovascular Section, Boston University Medical Center, 88 East
Newton Street, Boston, MA 02118, USA. Fax: 617-638-8712. E-mail: wilson.colucci@bmc.org

0022–2828/01/010131+09 $35.00/0  2000 Academic Press


132 J. K. Amin et al.

cellular ROS caused by inhibition of superoxide cence was observed. In some experiments the SOD-
dismutase (SOD) can stimulate growth, fetal pro- mimetic Mn(II/III)tetrakis(1-methyl-4-peridyl)por-
gram expression and apoptosis in neonatal rat car- phyrin (MnMnTMPyP)13 was added at a final con-
diac myocytes.10 It is not known whether ROS are centration of 50 .
involved in mediating the effects of 1-AR in cardiac
myocytes or other cell types. Therefore, the purpose
of this study was to test the hypothesis that ROS Cytochrome c reduction
mediate the hypertrophic effect of 1-AR stimulation
in adult rat ventricular myocytes (ARVM). Cytochrome c reduction was measured as de-
scribed.14 The media was changed to Tyrode’s with
glucose. Cytochrome c was added at a final con-
centration of 80 , with or without SOD at a final
Methods concentration of 300 U/ml. NE was added for 1 h
and the media was removed, centrifuged to remove
Myocyte isolation and culture any debris, and analyzed for the proportion of
reduced cytochrome c by measuring the absorbence
ARVM were prepared from male Sprague–Dawley at 550 and 600 n. The difference between paired
rats as previously described.11 Rod-shaped myocytes plates with and without SOD was taken as SOD-
were plated in serum-free, defined medium (DMEM inhibitable cytochrome c reduction. As NE can
supplemented with 2 mg/ml BSA, 2 mmol/l -car- redox cycle and react with O2− itself, cytochrome
nitine, 5 mmol/l creatine, 5 mmol/l taurine, 0.1  c reduction was also measured in cell-free plates
insulin, 100 IU/ml penicillin, and 100 g/ml strep- that contained media and NE.
tomycin) on 100 mm laminin-coated plates at a
density 100–150 cells mm2 or on 24 well plates at
a density of 50 000 cells/well. The media was 3
changed 1 h after plating to remove unattached H-leucine uptake and protein accumulation
cells, and the attached cells were incubated (37°C) 3
for 18 h prior to addition of NE or other reagents. H-leucine uptake and protein accumulation were
Ascorbic acid (10 mol/l) was added to all plates measured as previously described.15 3H-leucine (1
to prevent the auto-oxidation of NE. Ci/ml), NE and other reagents were added to
ARVM plated in 24-well plates. After 48 h, cells
were washed twice with PBS, precipitated with 5%
trichloroacetic acid at 4°C for 1 h, and tri-
Lucigenin-enhanced chemiluminescence chloroacetic acid-precipitable radioactivity was
measured by scintillation counting. To measure
ROS production was measured by lucigenin-en- total cellular protein content, ARVM were washed
hanced chemiluminescence.12 After treatment with with cold water, solubilized with NaOH (0.4 N) at
NE, ARVM in serum-free DMEM were lysed in room temperature for 1 h, and an aliquot was
physiological buffer (in mmol/l: NaCl 119, HEPES analyzed for total protein using the Bradford method
20, KCl 4.6, MgSO4 1, Na2HPO4 0.15, KH2PO4 0.4, (Biorad).
NaHCO3 5, CaCl2 1.2, glucose 11.1, pH 7.4) and
sonicated with three 10-s bursts on ice. Protein
concentration was determined using the Bradford Northern blot analysis
assay, and aliquots containing 50 g of protein
were brought to a volume of 170 l with lysis Total cellular RNA was isolated as previously de-
buffer. Lucigenin (50 mol/l; bis-N-methyl- scribed.15 Total RNA (20 g) was size-fractionated
acridinium nitrate; Sigma, St. Louis, MO, USA) was by gel electrophoresis, blotted onto a nylon mem-
added to the aliquots and allowed to equilibrate for brane, and hybridized for 24 h with cDNAs for rat
several minutes at 37°C. Luminescence, measured prepro-atrial natriuretic factor (0.6 kilobase pair of
with a Turner 20/20 Luminometer (Turner, Sunny- coding region) or human MnSOD (courtesy of J.
vale, CA), was integrated over 30 s intervals for Wispe, Cincinnati, Ohio, USA)16 labeled with alpha
32
a total of 2.5 min at room temperature. NADH P-dCTP by the random priming method. Signal
(100 ) was added to the reaction and the meas- intensity was determined by densitometry, and blots
urements were continued at 30-s intervals for an were reprobed with a cDNA for 18 S ribosomal
additional 5–10 min until a maximal lumines- RNA to normalize for RNA loading.17
ROS-dependent -adrenergic Signaling in Cardiac Myocytes 133

Histochemistry

ARVM plated on laminin-coated glass coverslips


were fixed in 3.7% (w/v) paraformaldehyde for
30 min at room temperature, rinsed with PBS,
and permeabilized with 0.1% Triton X-100 for an
additional 15 min. Following an additional rinse
with PBS, cells were incubated with fluorescent
phallotoxin (Molecular Probes, Eugene, OR, USA)
to stain for filamentous-actin. Coverslips were
mounted on slides with Slow-Fade (Molecular
Probes) and viewed using fluorescence microscopy
(Nikon Diaphot microscope).

Inositol phosphates

Total inositol phosphate formation was measured


as described.18 Briefly, ARVM were labeled with 3H-
inositol (3 uCi/ml for 24 h) in inositol-free media.
The cells were then washed twice with HEPES-
buffered Krebs buffer (20 m HEPES, 4 m
NaHCO3, pH 7.4, 37°C) and preincubated at 37°C
for 15 min in the same buffer containing 20 m LiCl
substituted for NaCl. Prazosin (100 n), MnTMPyP Figure 1 Hypertrophic effect of 1-AR stimulation in
(50 ), propranolol (2 ), MnTMPyP (50 ) ARVM. Treatment with NE (1 ) for 48h stimulated
protein synthesis as reflected by 3H-leucine uptake (A) and
and combinations thereof were added 15 min prior cellular protein accumulation (B). The 1-AR-selective
to the addition of NE (1 ). The reaction was antagonist prazosin (Pz; 100 n) prevented NE-stimu-
stopped 15 min after addition of NE by adding 1 ml lated protein synthesis, whereas the -AR antagonist
of ice-cold choloroform:methanol solution (1:2, v/ propranolol (Pro; 2 ) had no significant effect. Data
v). After incubation at −20°C for 2 h, cells were presented are the means of 5–7 experiments. (∗=P<0.01
v controls; #=P<0.05 v NE).
collected and lysed by sonication. The samples were
mixed with 0.5 ml of water, and 1 ml of the aqueous
phase was applied to a column (3 ml Dowex AGI-
X8 anion exchange resin, 200–400 mesh, formate or a one-way analysis of variance followed by the
form). The inositol phosphates were eluted and Student–Newman–Keuls test for multiple com-
radioactivity was quantified in a 0.5 ml aliquot of parisons, as appropriate. A P-value <0.05 was
the final elution by scintillation counting. considered significant.

Materials
Results
-norepinephrine, dl-propranolol, ascorbate, and
phorbol 12-myristate 13-acetate (PMA) were from Alpha1-AR stimulation causes hypertrophy in ARVM
Sigma (St. Louis, MO, USA). MnTMPyP13 was from
Calbiochem, Inc (San Diego, CA, USA). Euk-819 was Exposure to NE (1 ) for 48 h increased 3H-leucine
a gift from Eukarion, Inc. (Beverly, MA, USA). 32P- uptake by 42±6% (P<0.01 v control; n=8) and
CTP was from New England Nuclear, Inc (Boston, increased total cellular protein content by 30±8%
MA, USA). (P<0.01 v control; n=6) (Fig. 1). As previously
described,6 this hypertrophic effect was abolished
by the 1-AR-selective antagonist prazosin (100 n)
Statistical methods and was not significantly affected by the 1-AR
antagonist propranolol (2 ) (Fig. 1), confirming
All data are presented as mean±... Statistical that NE-stimulated protein synthesis is mediated
analysis was performed using the Student’s t-test predominantly by 1-AR in ARVM.
134 J. K. Amin et al.

Figure 2 Effect of NE on ROS in ARVM. (A) ARVM were


exposed to NE (1 , 1 h), washed and lysed. Baseline
lucigenin chemiluminescence was recorded and NADH
(100 ) was added at 2.5 min (solid arrow). The ex-
ample shown is representative of three similar ex-
periments in which NE increased chemiluminescence
55±11% (P<0.05 v untreated cells). Addition of the SOD-
mimetic MnTMPyP (50 ) at 7.5 min (dashed arrow)
returned chemiluminescence to baseline. (B) Exposure to
NE (1 ; 24 h) caused a three- to four-fold induction of
MnSOD mRNA in ARVM. Shown is the most abundant
1.0 kb message from one of two similar experiments.

NE stimulates ROS production in ARVM

In myocytes exposed to NE (1 ; 1 h) NADH-


dependent O2− production was increased by
55±19% (P=0.03; n=3) as assessed by lucigenin-
enhanced chemiluminescence (Fig. 2A). Addition Figure 3 Effect of the SOD-mimetic MnTMPyP (MnT;
50 ) on -AR-stimulated 3H-leucine uptake (A) and
of NADPH as a substrate resulted in minimal lu- cellular protein accumulation (B). (C) depicts the effect
cigenin-enhanced chemiluminescence under either of the SOD-mimetic Euk-8 (Euk) on -AR-stimulated 3H-
control or NE-treated conditions (data not shown). leucine uptake. Data presented are the means of 4–6
The subsequent addition of the SOD-mimetic experiments, each performed in triplicate (P<0.05 v NE/
MnTMPyP (50 ) caused a rapid decrease in Pro). (∗=P<0.05 v controls; #=P<0.05 v NE/Pro).
chemiluminescence to the baseline value (Fig. 2A).
ROS were also assessed by cytochrome c re-
duction14. Exposure to NE (1 ; 1 h) increased cardiac myocytes.20 In ARVM, treatment with NE
the magnitude of SOD-inhibitable cytochrome c (1 ; 24 h) increased the level of MnSOD mRNA
reduction by 320±41% (P<0.05; n=3) (Fig. 2B). by three- to four-fold (v control; n=2) (Fig. 2C).
Ascorbate (10 ), which was added to the reaction
to prevent the oxidation of NE, had no effect on
basal SOD-inhibitable cytochrome c reduction (data Effect of SOD-mimetics on 1-AR-stimulated protein
not shown). Likewise, NE alone, in the absence of synthesis
cells, had no effect on SOD-inhibitable cytochrome
c reduction (data not shown). Pretreatment with the SOD-mimetic MnTMPyP
The expression of MnSOD, an important anti- (50 ; 30 min)13 completely inhibited the 1-AR-
oxidant enzyme in cardiac myocytes, is increased stimulated increases in 3H-leucine uptake and total
by oxidant stress in several cell types, including protein accumulation (Fig. 3). MnTMPyP alone had
ROS-dependent -adrenergic Signaling in Cardiac Myocytes 135

Figure 4 Effect of the SOD-mimetic MnTMPyP (MnT; 50 ) on the -AR-stimulated induction of ANP mRNA in
ARVM. (A) shows a representative northern blot using cDNAs for ANP and 18 S RNA. (B) shows the mean data
normalized to 18 S RNA (∗P<0.03 v NE/Pro; n=3).

no effect on 1-AR-stimulated 3H-leucine in- NE (1 ; 15 min) caused an 82±34% (P<0.01)


corporation or protein accumulation. increase in 3H-inositol incorporation which was
Pretreatment with Euk-8 (100 ; 30 min), an abolished by prazosin (100 n), confirming that
SOD-mimetic that is chemically-distinct from this effect is mediated by 1-AR (Fig. 6A). MnTMPyP
MnTMPyP,19–21 likewise abolished the 1-AR-stimu- (50 ) had no effect on NE stimulated 3H-inositol
lated increases in 3H-leucine uptake (Fig. 3C). Euk- incorporation.
8 alone had no effect on 1-AR-stimulated 3H-
leucine uptake.
Phorbol ester-stimulated hypertrophy
SOD-mimetics inhibit the effects of 1-AR stimulation on Exposure to phorbol-12-myristate-13-acetate
molecular and structural phenotype (PMA); 25 ng/ml) for 48 h stimulated a 30±7%
increase in 3H-leucine incorporation (Fig. 6B) and
Exposure to NE (1 ) with propranolol (2 ) caused actin reorganization, though not as striking
for 48 h induced the expression of prepro-atrial as that seen with 1-AR stimulation (Fig. 5E). Nei-
natriuretic peptide (ANP) mRNA by approximately ther PMA-stimulated 3H-leucine uptake (Fig. 6B)
six-fold (Fig. 4). Pretreatment with MnTMPyP nor cytoskeletal reorganization (Fig. 5F) was in-
(50 ; 30 min) alone had no effect, but completely hibited by pretreatment with MnTMPyP.
prevented the 1-AR-stimulated increase in ANP
mRNA level (P=0.03 v NE/propranolol, n=3).
In ARVM, hypertrophic stimuli induce a typical
phenotype characterized by cytoskeletal rearrange- Neonatal rat ventricular myocytes
ment and cell spreading.27 1-AR-stimulation for
72 h caused actin reorganization associated with In neonatal rat cardiac myocytes, 1-AR stimulation
cell spreading, whereas control myocytes remained with NE 1 ) with propranolol (2 ) caused hy-
rod-shaped with retention of an organized sar- pertrophic growth as reflected by an 48±4% in-
comeric pattern (Fig. 5A–C). Pretreatment with crease in 3H-leucine uptake (P<0.05; n=3). 1-
MnTMPyP (50 ; 30 min) completely prevented AR-stimulated 3H-leucine uptake was abolished by
1-AR-stimulated cytoskeletal rearrangement. pretreatment with MnTMPyP (−4±7%; P<0.05 v
MnTMPyP alone had no effect on cytoskeletal or- NE/propranolol; n=4).
ganization. Euk-8 (100 ) likewise prevented 1-
AR-stimulated cytoskeletal rearrangement (data
not shown). Discussion
The major new findings of this study are (1) that
Inositol phosphate turnover 1-AR stimulation increases the level of ROS in
ARVM, and (2) that SOD-mimetics prevent both
Stimulation of 1-AR activates phospholipase C via the increase in ROS and the hypertrophic response
Gq, leading to the turnover of inositol phosphates.21 caused by 1-AR stimulation. Taken together, these
136 J. K. Amin et al.

Figure 5 Effect of an SOD-mimetic on 1-AR and PMA stimulated actin filament reorganization in ARVMs. ARVMs
were cultured on laminin-coated glass coverslips for 96 h. Filamentous actin was stained with rhodamine- or bodipy-
phalloidin. Panels A–C and D–F represent two separate experiments. (A) untreated; (B) treatment with NE (1 ) and
propranolol (2 ); (C) NE, propranolol, after pretreatment with the SOD-mimetic MnTMPyP (50 ). (D) untreated;
(E) treatment with PMA (25 ng/ml); (F) PMA after pretreatment with MnTMPyP (50 ). Photomicrographs are
representative of at least 4 similar experiments. Scale bar=50 m.

observations suggest that ROS play a central role 1-AR stimulation increases ROS in ARVM
in mediating the hypertrophic phenotype caused
by 1-AR stimulation in adult cardiac myocytes. By lucigenin chemiluminescence there was in-
creased NADH-dependent ROS generation in lysates
of cells treated with NE for 60 min. Addition of the
SOD-mimetic rapidly quenched the lucigenin signal.
1-AR-stimulated growth in ARVM Likewise, in intact cells NE caused an increase in
SOD-inhibitable cytochrome c reduction, another
NE is a potent stimulus for the hypertrophic growth measure of cellular generation of ROS. Because NE
of ventricular myocytes.1,2,6 This effect is associated can redox cycle, it was important to demonstrate
with the induction of protooncogenes such as c- that NE alone, in the absence of cells, had no effect
myc,22 the re-expression of fetal genes such as skel- on SOD-inhibitable cytochrome c reduction. While
etal -actin3 or atrial natriuretic peptide,23 and the ascorbate, which was used to prevent the oxidation
reorganization of actin filaments.24 In short-term of NE, can reduce cytochrome c directly, we found
(i.e. 1–3 days) cultures of ARVM25 and neonatal no effect of ascorbate on basal SOD-inhibitable cyto-
rat ventricular myocytes,26 it has been shown that chrome c reduction. Moreover, ascorbate was added
NE causes hypertrophic growth entirely due to to both the control and NE-treated cells to prevent
stimulation of 1-AR. With prolonged time in cul- any direct effect of ascorbate on cytochrome c that
ture (e.g. [6 days), ARVM exhibit a change in might confound these results.
phenotype that is associated with the development We further found that 1-AR stimulation for 24 h
of a growth response to 2-adrenergic stimulation.27 increased the expression of MnSOD mRNA. MnSOD,
The ability of the highly 1-AR-selective antagonist the predominant isoform of SOD in cardiac myo-
prazosin to prevent NE-stimulated protein synthesis cytes, is upregulated by oxidant stress in a variety
confirmed that, under the conditions used in these of cell types including cardiac myocytes.20 This
experiments (i.e. short-term culture), the hy- observation provides further support for the con-
pertrophic effect of NE is mediated predominantly clusion that 1-AR stimulation increased in-
by 1-AR. tracellular oxidative stress.
ROS-dependent -adrenergic Signaling in Cardiac Myocytes 137

as intracellular signaling molecules.7–9,31–33 For ex-


ample, in fibroblasts ROS have been implicated in
mediating the growth effects of stimuli that act
through ras.7 In vascular smooth muscle cells ROS
generation by NAD(P)H has been shown to be a
critical step in angiotensin-stimulated cell pro-
liferation.8,31 Likewise, the hypertrophic growth re-
sponses to angiotensin and tumor necrosis factor-
 appear to be ROS-dependent in neonatal rat
cardiac myocytes.9 We recently showed in cardiac
myocytes that a modest increase in ROS due to
partial inhibition of SOD caused a hypertrophic
phenotype, whereas a larger increase in ROS res-
ulted in apoptosis,10 thus supporting the thesis that
ROS can act as signaling molecules in cardiac
myocytes.

Role of ROS in hypertrophic growth

In ARVM 1-AR-stimulated hypertrophy, ANF


mRNA expression and actin re-organization were
all inhibited completely by the concurrent addition
of either of two chemically-distinct cell-permeable
Figure 6 Effect of MnTMPyP (MnT) on -AR stimulated SOD-mimetics, MnTMyP13 and Euk-8.19 Taken to-
3
H-inositol incorporation and PMA stimulated 3H-leucine gether with the demonstrated ability of 1-AR-
incorporation in ARVM. (A) 3H-inositol incorporation. stimulation to increase ROS in ARVM, these ob-
Data are shown as the mean of three experiments nor- servations strongly implicate ROS as mediators of
malized with NE treatment as 100% response v untreated
as 0% response. (∗P<0.01 v NE; #P=ns v NE, n=3).
the hypertrophic response to 1-AR stimulation.
(B) PMA stimulated 3H-leucine incorporation. Data are Using a similar approach, it was demonstrated
shown as the mean of three experiments and presented that ROS mediate the hypertrophic response to
as the percent change from unstimulated cells. (∗P<0.05 angiotensin and tumor necrosis factor- in neonatal
v untreated; #P=ns v PMA alone; n=3). rat cardiac myocytes.9
These observations do not delineate the source of 1-AR-stimulated hypertrophy has been studied
1-AR-stimulated ROS. The lucigenin data suggest extensively in cardiac myocytes from neonatal rat
that a NADH/NAD(P)H oxidase system may be ventricle.1,2 We found that SOD-mimetics inhibited
involved. This system has been shown to play an fully the ability of 1-AR stimulation to induce the
important role in mediating the growth response hypertrophic phenotype in both adult and neonatal
to angiotensin in vascular smooth muscle cells.8 rat ventricular myocytes, indicating that the role
However in ARVM, there was little lucigenin signal of ROS is not developmentally-determined.
with the addition of NAD(P)H (relative to that
generated by the addition of NADH). An important
source of NADH-dependent enzymatic activity is the ROS-dependent 1-AR signaling
NADH-ubiquinone-reductase complex, or complex
I of the mitochondrial electron transport system. The redox sensitive step(s) in the signaling pathway
Interestingly, mitochondrial respiration is a po- for 1-AR-stimulated hypertrophy remains to be
tential source of ROS that was recently implicated determined. An SOD-mimetic had no effect on the
in failing myocardium,28,29 apparently due to dys- 1-AR-stimulated turnover of inositol phosphates,
regulation of complex I activity. suggesting that the ROS-sensitive step is down-
stream from the receptor and does not involve
coupling to inositol phosphates. In cardiac myo-
ROS as an intracellular signaling molecule cytes, 1-AR also couple to mitogen-activated pro-
tein kinases (MAPK)5,34,35 and one or more isoforms
ROS are well-recognized mediators of cell damage.30 of protein kinase C.36 Since some MAPKs37–39 and
There is growing evidence that ROS may also serve protein kinase C isoforms40 can be activated by
138 J. K. Amin et al.

oxidative stress, one or more of these signaling 4. LM VJ, T J, A D, S A,
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Gq- and ras-dependent pathways mediate hyper-
We found that a phorbol ester stimulated protein trophy of neonatal rat ventricular myocytes fol-
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