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Council for Tobacco Research

1986 Report of the Council for Tobacco Research - U.S.A., Inc. [St]

Date: 1986
Length: 97 pages
CTRMN012648-CTRMN012744
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25 Sep 1995
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Ctrmn00010849-2859

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Hobbs, W.D., Ctr
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118
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ANNUAL REPORT
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006
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yvr30a00

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Page 1: yvr30a00
ANDREWS C. -FiCE PRODUCTS CAPITOL HEIGHTS, MD (K)
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~ ~ ~ ~ ~ ~ ~ ~ a 4~ a k W -i Cr% .D 1~1 f' I • _. . . ~ . : ; I ; ~' ~ : . ~ •. . REPORT ' of THE COUNCIL FOR , . TOBACCO RESEARCH - U. S. A. , Inc. I . I 1 , . ,. . t .
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A] i% tnN• UI huUlan CCIt.. UWhlpk' yl•a.l IYIN•. .Uc ulvu/vaJ In Ihl. 111N1NNIN'MM :nN1 :N ka.l live Ke1N% arc leyuuavl LN IIN' .IN•l lh. UNLNN1 ul IIIhJVlukl 111,1,11J1ed IyNA UI vWU 'IINK live I1C/h\ II:IvC (Ny'111ud.n.vl l.y IINIIa't I/L11 4 kNl/lll• .IINI tIN' /IINh'INNII' N111N'INY'% UI 141419 1/1 IINY/I hava• INa'11 tk'/a•111111NVI I'.:N II .+1 IIN'M' 4 LNN',I )!i'IN'\ W/lI ha• U%etl ItN Ilvl•Il'11IN1'\%INNI ttI IN.III'l/1 •IINI 11 1% ,11111N / IIJI-I IIIJI IIN' 1N111/1t.11NN1.UNI 1I/.11.N11'l//:ItNNI t111IN'-l' 1N.Nl'111% W/II IN.llllk' 111%/1•I11 Inl../IN IqUIIN'11Nal/y ul n1NIrwNkca/aanlrp.U/ UIt•Id,Uy.Na'. IIUYl1NYA. I C Ih.•l.NUrtul../('ruN.•r NNnrl't'1111 Sj9 SSS, 11/11S Other tupllllrl: ll S I'Nhhl IlrJhh krvilc anal IIN' II S IkpJ/t1tN•nl ..I I IN'lyy I'/UIII IIN' IA't1,11111N'1111d 1'JIINdufy, 11J111.Nd 1lntvrfaly Mrdll:d l't•tllrt, CI,N/LNd. ('A 1I 1 IS
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1\1•KI \111/N 11I I III ('I IA1I'1 1 11 IIIIMAN I l'1 1 I I 1.IIh1 MIA VIKIIS I l l'/ I p`( 1'111t/N1: \I 1)111 Nl'1, A%A I IIN1 III/NAI I'K(111 IN IN I N lll HI( lll•( ( t)1l • 1149111.111 I l l'll I. ull tn1.1 vlnl. Ivl\' I I I I I I V(1 J v1t11% .r"lN 1.1k'J wllh .I.IN11 1 l. II 1. uAl nn.1. t nNl.nn. ,1 I..n)• iy>,•N I. ,NhnF Ir,InN I( 1)K 1 IIn IIN- 1' clNl ..1 n. ) rn.•uN• 1r•Iwl•rn IIN• . nl rr1•N.n •NNI I1N• (' k.n)• 1.•I nnN./l lt'Ir•a11I I K 1 I IIL IMeco Ic.N1NIF• h..nN• t'IN.rk. .1 111 {,I1.1 IN.NIm Lk'.q n.drd 1.1111 Ih:N ha% htYn uN1.1a.11c.1 a% .1 Ir/.1 Ivt• 1.11111..11'k'lIN'll/ LN 11•IIIV111N1.N1I11N11IIN•' 111I•V 11.1 K In:1I.IN'INN/K'INNI LIN.w/1:1% (Id111 N I/v.11N111 Wl' /N.w /. INNI rise l'\INC%%NN1 ..1 Ihe l'IN1111k.'ll' II•III' lINI1/1F V'lI1N'1N t' .1% a•111I,I/.1 INIdr111 tn I ulN'rhlIN11..11 'Ihc p41r I1rl.lfln IN.NIw'CJ 1/1 h•NN•//J 1. %IN.M11, um/11• IIK IN.N.41IJm INaNN/ IClhnqll/C, 111 Irl.acal hN.l1.fNal :/lNvny h) 11. :Il./hly lu I/.ul. ,N1/.•dr .1 I/II V I I IK ahkNanlphcnNU) :wclyhrrn.h•tIV pL1.N/Nl 111.11 1. ./a14y 1n1.•rt.111 J Inl.. IIN• )•t9MNlll' 4.1 IINNhC I. tell. 1110, %In1uJ:uuwy N Nvnv t.Nd.I It• dl•Nc.II•J w nluu ! hl :111rr /u.NN/, .u'yl.tlnp rise INr../1Nlny a1 r dNrl1 1,44 1.11 1.111 IIt 11.111, .N nv•ul.m.d /IN• I111 V I 1 I K I IN' IN/NIIN 1NN11.I 1.111' /11 Iar):l• qu.lnl tlr, ul /..•h. I..I•.dwr wllh rise r.Ip1J IN.N.qd.1.1 Iu.NIn a..ry hN It. hNd.11!Nal •Nlh.lty, ANn1IlI I•N 1111•11l' IIN' .11/.lly11\ ..1 11111Illul•/n1. JIuI rise l'hN1d.1111.n .d 1111• IlNdl•.ulat /IN't 11.1t11m/1 1.I (1 •111, h I I Y,I1/.111 GN./l1 I / 11.11 1'I.r rrJu1A. .•I Ih. N,.It••n.d A. nJ. un •I S. r, rr.. . IISA Vol NI J11!? 111N., (),1 .1N•1 h/N(. It.Nll rise I•IIMN,11.Ny td M.dclul.u Vu..l..)•y. N•dNNwl ('.In..cl 1/1.111n1c, IIrdN.A.1, MII 1'KI111 IN KINA%I 1' 1'1111SI'11( IKl 1 A I 11 IN 4I I ht LS 1 1 N I 111 IINIK'('l/1•11 I11G1 K11 (1'/I/R ANIIII.I IIININN(. RI (.11/ A11 I IIN('lh/NAl K1.('11'1/1K IIl ININ I'1 NIH NI k111 IIANI\AI\ Illll'%IIIN•I111N11/N1dll.rn1l•111N'1N1'.1IIdN..IdNN\I.NN.u.d1IN'I1;1 tclclN..1a1111t h5•1 bY ININI•1/11.1/1dV' l,, rise INNIIIaI I II/ 0•( Itllllldll 1.4 .I /Cll'1NIN a I)NA IN .1 ulul•Inl e1N INhng a// ALI 6S4 wr. ctlNC..a J m hctcrulul t.u..cll.. In.cll lulc. e*INC.any INNb 1111• 'Ihr 654 :InJ AL1 hW recepllN%. Iu1N'/NN1:1I cell .urlare Ihr 654 « aclNtN. wcle rcJuccJ /N werc N4:Illy k1.1, hut werc 1N11 Jl•fralkcl, tulluwinr :la'IivalilNl ul INlllcnl Alna.e (' hy plNNhlll c.ICr.1 i*PA)• w/N•rea. Ala 654 recelN/N% Werc nnal/cclcJ Ilw.c Jala .uyEc.l IhJI prl.lcln l/na.c C rc/!u1.11c% hy.alNl ulwkpcnik la rcccpllN h1/Nbng :uNl intcrnahi:H/1N1 v1a 11IN1S/11NNyIa1NM 1/I Ihr 1/S4 uI Ihl 1:( il' IN.kNIY'e1111N I(el':IIIK 1a if imlucc. It1lr/nahnININ1 ar/J IkkraJNlun ul 1hc Ala 04 L(~1 rct'Irp111r. a1 kaa Iwv itNh•Iwmknl nN•{ h.mlau. t-an .rrve Iu .IMna1 1u.a 1.1 Ium INUIaI 1.( i1• rccclMu/. I /n. (' I , ('IKn, W S , I +,iar, (' S , ('aqrnlcr, (' 11 , (;///, (J N , hva/1.. K M , 011111 KlLentclJ, M (: ('rfl 44 R19 R48• 19146 (Itbrr srOport: N•rlNlnal In.tllules o( Ilcahh and the Anlerican Cancer ti1K Irly I runl rise I uk.uylwN' Rl•Kld:ll.Ny 111ok.Ky 1'/uKraln atNl hepartnlenl u( (lKmlary. I1NIVCr.ny .d 1'..b1.NN1j• S•In I/N•ra, Ij Ldl., Muk•t-Idar F(N.k.Ky anJ ViruloKy 1 a1Nr Ld.NV. I1.. %.dl 1110011014 1./ 1..11./ r.N1 11N• IInW,/1J Illq•hra MrJl..f In.ntutc, I a L•Ile 1 1 1111• 1GI Klt('i l'111K 51KIt('f(1KIi, KI:GIII.ATIUN ANI) Pll'IUNI'IAI. KO11. IN MAI IGNANI'Y Krlruvlt;/l nrN I[cIN'%:IQ' Jl'IIVI•J IrlNll ll'IIt1IJf IN.NII .IIN'1/),yIN'~ IIL11 /ll.ly IIIIN INNI tn tNNn1.t)1r111d.n 1 tuwlh cunN.d I11C CIINIa'1111.11 rIUW1h I7N 1401 1I ('I I/t't l'INu/ 1% rise 1N.Nu.NNn1•l'IN' uI rrl.lf, INNh Ib~4']\ 11111111lNIN.NI'll/ 1)11NIIIl' A111•1.l• .hl/llly. j INUIta•Ily .11.u1•.I hy yarl.ll rl•lluvn:11.NN Frlll•. I ln• Il( i1 rC\'IyNIN iN a II:u1.nN-1nlh1•uN• EIv..qN.NI•In wnh .1N ralrtn.ll 1.0- hullhN~ 1kN11.un alN/ d cyllqd.l.nul IcpuN Ih•.1 1. INN/N.k.FINI~ w11I1 .NIN'r Iyt1m11N' k11M%C• 1'Il.ll I•hk% 1IN' I'.(iI' h11NI111g :ItNI 1-.111...{11 Il'111111/•1I Nh/l 11 :Ill' IINN/l!I/I III IIC 1111111Nta/// l/l ll'FIII.II/NNI '1IN• I'( I• IaY t'IN.N Is IC)•/II.IIaYI hy yal'Idl 11K1 halll~llla %1111111I:111NN/ hy I1)!d1NI h11N11/1r aMI %CIhI.IN.~I.h.Nyl a11tN1, 111I/1h1INN1 hy IN'lt'111k.pN/l IIINN111NNYL/II/N1 a1N1/klW//rl•F.UI:ItNN/ hy I/)':I/NI I I.I' hnNll///! N11/1111.II1'a 4' Vl'/.1I l':1/Iy l•Yl'll/a, IlN IINIII/I] 1/1NNI111:11/1IyI11NN111tI /1'11111111N Wt'1 111 A 141 l.ll. A 1'I Aln•/v :N tlvuy a1yNUlhl'. widl 11N• 11 & recrlNlN auJ ...nN• .N1N 1 ly/.h//N' I,111•IN'~, IN111I1/% 1a:I 11N11:1111111a11/ a% 111:1/1 hC V•1.:1/:11t•J IIIr1111hC I'.l i1 /h l'IN.N AIIh.Nq•11 rise rldl• d IN.N.1 ..N. I!CIIC a In 1111111:1n III.II11,41dIN'y la Ilk t111111h'll'Iy Ik•InN d, /tN N'dN'J 11111111r'1a 401 11 .1' /CtC11tIN\ all' INrvn1 /o .eve/rl lypc. c/1 hurl/an 1mu..u/. thl'll'a1NC~~NN/ oI ISIiIICH'ININa, aa qlllra 111 I11///1a111'lINh//1NINI I:INY1NN11.1 A 111 crll.. % ,ul au}!nN•nt tell Flalwlh Ira au+c u1 uN ra•a.c.1 1.N n1a1NN1 all la•hvr Iya1N1 Ir. rp 11N 1IN111.k'\l'• (N'IN• m11111111114,41141111 -1\ Ihl' IIN'l'h:111/m111/1Nh•t1y1/1I! IWl•fl'\INl'~~NNI ..I I-1/1 /a'll'IM.N% sit A•/ II l\•IIa a1NI ill MNIk /!IN.IIId\t11111J /INIII/IIN/II IIIIINN• IINN1111NN1, I) M a1Nl (:/1l, (: N ('.nN rr .S'url.•r. •1/J1: 7h7 7KK, INMS. (Ah-r.rppni: Nanun,d In.li(uk ul Ar111ri1/.. I)iahclc., a11J Ulpt•.uvr auJ KNIIN•y I)/N•aN', :NNI rise AI/N'lll'J/I ('a1Nl'r ti111'1ely. I r.NU rise Ikp:uttlN•nl ld McJlci/rc, (Inivcr.ily ul ('ali/INnia, Sall I)ICp11, SlINN1I ul MrdN ule. 1.1 lull.l lil l f('I'S OF 1.1'Ih1:KMA1•(7KOWTII I-A('fOK K1:(•I'sPl'lIK ('l /N('I:N I KA I7( )N ON '1'I/MUKI( 7I:N1('I I Y 111• A411 l'Y.1.1•S IN Nllhli Mll'li '1a Ir.l Ihe rc1a111Nl.hip helween Ihc t'INk'e1Nra1NN1 UI e1MJl•IIII:II Iy11M1I1 1.NkN 11.1:1 11..cp11N\ a1N11u11NN 1,'ltlwlh III I'IWI, WC IIKa\urC11/11C ra1C 1.1 I(II/W/I11.1 V VC/J/ IINII'IN'/NII•nlly Iwllok•J A411 rr1/11/K\ /n allly/n/c nl/ce 'Ihl..elir1 u1 A•( 11 tkwlal Ya11d111\ Wlllt IIIIh'11111/ l•\Irnl\ 11I I•.(iI' /cl'l•1.1.N KC/1e a//111hht'alNN1 WNI IN/Nt'N1 rnlN.'• \NNl Wl•IC In1111a1N1'lI //l/t1 alhytlln' /nnY a1NI 1IIl' I/IIIe 111 MIINI IIIIIMN 1111111:IINN1 .1MI Idll' ul ~r.Iwlh wr re nlca.urrJ Kradt. a/ the.e eRpennlenl. inJlcale lhal lhc Ik•~rrc o/ yl Ilc anqd/I1ra1NN1 and clNnentraellN/ IA 1:(i1• reccp1/1r% are Jlrec/ly clNretaleJ wlth dN- Rrowlh ld Ihc.e cell% ar ..IhJ tunNlrs in hlnl animats. ('rNnpkmelNar y I)N A hyhtlJva Ii1N1 analy.i% revealeJ tNl t hange /n the e>ttenl/d Kcne anlphlil:alilw I/NI r\INr..Nln /u inlp1ar11eJ {ell. vrr.ul e.c/.cJ IunNNa nIN any ev/lknl•e ul lurther ra•Ilr Icananl•rnN NI roo vnv.. A h/Kh clNn-cntur/nn r.11'GI• ret'ep11Na alylean lu /x'llltatc Ihe Krnwlh 1.1 NN1Nn tell. In 1.01 " r1N1 /n rlun It• , 17 •
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~.ula.n. 1 IS , l'L.nm, M I• M.II I 1•1MI, ( I . JIIII (:d/, l: N f.ux. r N. a dr. lr 46 1/111 .17115, t.-1N.•1111M'1 PlNh (Ifhrr tup/N.rt AnM•rrt Jn ('•Nl.ct \.M Irl) uM1 Ih. NJtamal In.tllutr\.d IlrJllh 1l..nl 11M• 1k•I.J11NM•NI o1 Ml•dMtIM•. Ilal.claly ul ('aldlNnla. 1Jn 1hr}~•, \IINN.I 1.1 M,'.11, 11M'. 1 .1 /.•I1.1 ( IIKIINI(' INIIAI A1UIN \1111111 S IN MI(T4 (1 lit'I I'('Iti 111' 111N(i ll KM 1\I'11111K1 1/1 !KI ( 11 ;AK1 I'l ISMI )KI'. (1N WSTI11 /l'IIIIt X l• 111/Anlc'IUUuI , MIl I' CI•uNI.IUIm-,I,'IIM.,1/1l'tINM111NNtv wllh Krldu,ly n•Irt,•/Mr :Kl lq•.ncl/a. vo,'n• 11m.,11,,,%IM,,,• ! 1/\1 It t/11I /(11/11 N( IIIIAIII( u1111I , Il'111Jk' Illlt,• IIM/v' NI V11./ /r,-.11 wh.d: ,q•.u,llr .In..l.• 111 ,ML11tNN1, 1!/1) 111NC w.•ta \IIJIII \'\IMIKVI, .IINI 11't Nu, r wlli IN 1,1 .1. .Ix'11 ..NNftd. (IM• IN,.I,MId cntJlkd c.lxlanr. 1n1ac 11/ tnx.l: Ih.1 .16uu ,'alw.aul•I.NIJJ.IIIy li,Lly.rwrfL. 1.4 I11/wCt'L. JIMI.111V•Ivull,• t,'m..INmI' IuN t• Nntd Ik ..111 A Lu 1•i uulnlw'1 ul Jom/Jl. wJ% uavl at III,U IIM•./IMd•r E: ta r.dlun .NMI ,NNNIxI h..hlrrll• .y.irm. ..NIIJ It• 1.•./iJ .uN1 t•v,durlcJ JIN1 yr1 INllt'Mk' •1/•/11•1N.1111 /`multl...i .Q1Nn.d. 1../ o-y.-NH' a..iF.nllll• •NN.Lf I.N J u1.IMN IMNIN.O .d IIM'1/ III,'1111M' I I• IM•~//LNI n) •NN.Lt• pJna uLIM . ~•...••IUnJICJ In 1~• JIrNH 1!t ~1111 p 1• 1.A.d ILt11N 111.IIf 111.111,'1 11111/• LLIY 11M' .N11y IInIF l.NM ,'1\..tlti t.l'.1 wl'1l' lh.ll!IMryYI d../ll,',1 I•1/ .Nk'/MR.1/, I/NNIL1, I A M I A L.I.d 1•1 1'/,.1 `/IN ~IIN.LI' c\I..4'd nNlc .Illd 1,.I Ltl .It.uu ryN... d uw r... Ir LcJ wldl AA(' I IN d111r1r1x r It•Iw,'Ca Ila• .xN.li .Ind ,II.Nr1 ,'IIN...d M.1. INd .l.dl.l/..tIl) .1/•nlb. Jul ,11 /'' (1S, IIIII IIM' 41.61.1 II1.111IN' (IIIIMN~.111/11..1 wlttt J~IMNa / L/trlM ) o/11M• .Nx.lc cy....'d ErINq11/' p1/ 11M• J.11.1 w,'ll• 1.) vJn.N/, uN dNNI. Nx ludlnl• .Ml.dy.l. r.l .uhw1. •.I 11M• IxyNIL1/NN1 nl .muN.d. A.1/•uda.lnl Nlll(',1"' 111 IIK 11N1.1,'INl' ul tun} I.NM/l w,1. 1.I/N'11l',I III.NN' '11L., 1 Il..wa'\l't. 1I11v.I1II\'IIIMI' w.,v IM1/ IINIINI III Illl' (M.INILIIN 11 •1v.1 wIM•k' 1N .1, .1 Il'm/II I.) ,Illy .NIN.'/ .111.IIy4'• IIINk'1 IIM'\l' t'\IM1m11e: IINNI11NN1'., !KI 111:.111'llt N1N.1•t' M.N/I,I 4'1'1111./ I1.lvl' wl'./1~ 1.1111/M/~1'llh :M/lllly 111 t1MN1K 11111F 'I-NN' I NIM'/ , It.nlFr. ,Ivv.M 611c1I wilh NIMI/.l' a'tIM/.ittl• wefl' ilk h'JMYI IIN'Mk'IN'l' /II IN1!IIM•uM•,1 alvt•Id.n nr,MUqA1J1'l' •M11/11t11i.111tM1• t1It11, IIM'lh.l, 31/1.I IM'Jll JIMI tklA hlNU•Jauul.l. I I..NI'VC1, IIM' IIN ak'111,' 1.I Ill•1111111/%, IN'111:/tl-ppaclM.:uMcr\ /c F. , kuAcmla~. ly.upM. ~.IIl.N11.1\, :IIM1 fl'llllthlNl IeII Vlfl'1t111:1'1.:nN11N1ItIMN1•Ity l'INII!l'+INNI wa% %1):1111 1:1/11Iy 1111`/1l•/ 1/1 1111 vh.llll l'\IMrK11 :n11111aI\ Ilrtlry, (• 1:uM1 K.NIn. 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I1a:11uk-nt I IIt1IN•IIINNa', Iht' JUIIN1r\ \uEFc\t Ih•It Ihc IIIIL\hIN111N11NK'Nff A I I', I.Illu Il/.ly Lt' 11\l•I11I .1\ ./111,11111'l /ll Ff11w1I1 tN Il')'/c\\NMl t1I Ill'Urt.hla\It/111J :11NI IN.\\Ihly ININ'f 111111. N \ M.In.. I M I v,lu.. A I . M, I uNKhhN, A(' , 1 Y AnpNI, (; 1, Hldln}.1,1. I I , .11111 ( 11.I•Nl'. It !h, N. 11 / n~Rurd 1••urn,d ••/ AtrJu urr 3121211 04111 ISIIS, 1'/RS (lrhrr.upp.rf NJu..n.d In.ulmr\ ul IlrJldt, 11 S Ikl+lrtnlcnl ul I IN rFy, Rrn I r.loA Irl/ P,1/11k'1\Illl., lIk' AIIV,IINa'II Ia•ah1kll..yy ('Cnlcf Id tiawltNra.lrlln I'a•nn.ylv,NU.1, a/kl dk• K.•n.11.1 M, 114101.11,1 ('IulJrcn'. ('h.ulllc. I/••nl Ilk• I1i1.Jllnk•nl t,l IINKhI•U/i\Iry anll BN.(+hyal'., l/n/vrr.ny nl I'rnn.ylv.ln/.l Sa INwd .4 Mr,IN I/N•, .Ind lik• ('hll.hcn'\ ('JrKCr Rc.carch ('rnlrl, I'IIdJJI•ILhIJ M AI'1•IN/ ; I 111 K/ )I/(/ 11'IN (t %I fi(IUNI I/:I NI•. IN MAN AN11 MI /IISl•. I h/11Nl,q.m I I SI1/ /\ aulop.val t,l Iw.. .Nhunn• .t rnJ (t 1'fcvNlu\ly, wc navc o1.qq. tt IIk (\I I.. Fa /k• II. 1.NU1rn a h1.nIN....uk• h rlNl IINNI\l' tllf..nkrMNIK J In 1l61. \11N IV wi 11.11. I• M ./Iit l IIN II1/111.1/1 I . /k 1 . .1 l IntllIMt.,NIN.' I J1 11N 1)N W\l I i) I/ I \III( )l 111 ',i1N' Ilr I IIN'V• 11.11./ \11F't•a'\I 111..1 lhC I5i'IIIl F.a•IN' Ill'\ /11 a ltNl\l'rVr1/ 1u11,.11'r 1•I.Nqr Mt1h Ilk• I•t'Ik-. IIN rmyl,l\r 1 .11141 2, Ilrrvr Ftalwlh LNWr. •Nk IIN.' (N.N.NnN.•I'1yN- N1.1. N,/,/•.r • N I . . 1 •d \,4Ndte, (, // •rrh/ A/.-h, u/.n (., r/. n. 1 I 21 1/ 111) I I I I'•xh (Ifhrr lupl.rrrt' I1••w•INI III/FIN'. MrJ1a.J 111•I/nll. N.Ilnnl.d In.lnNli..a1 Il..dd. rlkl Ilk• hl.ulh Id IhNN•. 1 nnn dlr I h'1•.111nN•In ut ('rlhd.ll .nNI SInN 1111.11 Nnd.•F1 • I11: I l/nvr/vly Ilr.dlh \t N ntr l'rnlrl, %.111 Anlunlu ..) It'l.1\ 111i('1 l11 1.1IJKlX'Y11:/1('f1VA11ON(1N 1'111iIOKMA11ONOF I11 I 1.K//1 Y I'1(' I I/M/ )K ('I:1.1. A( i( iKt•.l ;A I FS IN Yll RU Wa11a•/ IunNN.cII.II x 11/'tcll.l/llllirkuhrlyda117"('ma\brrcJtuvcacwn111J1 1\'111/Nk'•II t',41NtJlt' al'll\ ('/ x I/h tcII\f111II w11h /lr W/I/NNIt 1IN .ynlhcla' IruAtN ylc a IN'lIM1 ,111/.N IJIn I M I 1' ( 2 x III 'M) a1/ h11.In1'I, ally N11/ Vl' t INN t'nlfJt/1N1\ nI IIk' II/JM11 l'1NII.Ft'INNh alk'11N1 .IIII.NIan1, ('Sa Ahhlcy!Jll.nl, IIkI1Nl'II by (IK lhl'/INrJ11/JtIJ/N\, wJ. Iklc.lcl( allrl 1 nun by a plrlckt JyKtcKtNltctcr a1N1 by \IlNlying cyltKcnu/lnt•c INl'1411a1NN1. I Ik' tl'\INIO\l' wa\ a/11I1I111CJ Ill llll' INl'?l'11l'C Ill l'yHKhala\m II I S/lgtI1/I/ I unNN acll% alNdal It Nkn111N•d in /lrc aKltreKalc\ hy Ihcir nNNpMdolty Iw hy auaNaJluK- IJldly allrr Ldr•Iluly wnh '/l t11yn1Nh/lr I11t11.Nlyh Iuf1NN.clle wrrc 11kINIwN;Nid ullu Ihi I lr .q•/•Ir/'•llt'.. IM'll' wa\ (N. JI•INl't /rlhlc cI1JnFc nl llx nun/lK r nl a/•Frcyalc. 1•.laN'd 1. Iw.. n INI.an . r11. 11N/o\t•lvr. I c.nk• Ill hunlrn hla•.1\I tunNN ccI1.1I + 11t I In) l/n In 1• 11 uun •I Inn•• .1. I.I.-1 witr N„ •ntrN.d• J Inln 11N1." Nr.l~ plrp.da'. w/llNn 1// 1 11un .d Itlllllll SII ll it1IN;1 Vl'MNII IaCl1/r IU ali/vall' cunlplruk'nl AylncFall..N ltNlr I:/IiII w1111 •I lia'tIC.IV• 111 a1111111Ia'lIN'llt INYIN/IytN atllVlly I( II.,1 I IIl' JI!1•/CI:JINNI Ir.N 111//1 wa\ 11401 l'y11A11\1l k111111NN tl'II. WIkYI l'valUallYl by I IY11:111 hlUl' t'l/ II/\1t111,/1 hy "( •1 la'h'.14' Wl' \INNIINle tI1aI hKal I\IIIkN t'a'II\ 4:a/1 hl' IIN/NINN:IIIYI /nh1 Jt!1•Ia•FJlI'\ IINIIKtI wha•n ku/..k'ylc\ ate .lbnlulalcal hy iI1v/1N/ alllaa/a1/1• Wr Ir/\lldrlc 111.11 nl I1.IVJN III•If :k11Va1NN1 t1I Ila'1/I1t111111I\ 11111'III JIIt'll II1C hk':1I1/a1nN1 a/I l//• 1•I.It1111! 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III/INN rl'II\ al'flt.\ Iha' v:IN'l1IJf WJII /\ J1111111NN1r111 \Ia't1 III IIM a'Va.111111N1 401 l':UN'a'r IIk'Ia\la\l• SIllll' II/IINN ll'II\:NI:N II INa'Ittl'1111aIIy I.t \IIIM'/l /11NIMII:/I nLNflq at .NC. 401 c1k111111c11aI 1n111ty alltl rv11aC11/N1 in 1-rlr1., we I1:1ve uv'd rn C.Irhh\IN'II in /'rl•.r 11NNIa'I 111 1111ltIN111ary a'/NhNI1l'11a1/1allql!l' 1/1l'RJ111nN' 1IN' l'lirah OI CIkM11IhIt:1I II/IUfy NI 1lfl' IIK'7I1/a1NN1 a/111/1k'lavla\h 461 t'/N'11Ia1U11; 11111NN Ca'It\ rr11l1vr ('S 1111. t6 mkr wcrc Flvcn a.myk i.v. 1111vc l/l hktillnyt'in (1211 nikiAgl t11 n/ultlplr l p inMcINN1.111/1oXrkK, Iwil•c weekly Inr 6 wlkt Fivc Jay% ahcr thc .u/glC /np't u,N11N J Jay. ahcr Ihr la.l 1 p iuKtlaNl, 2 X N/' 1'"1' MMIIKII'11;yufNhlle IJIK'Ia•II I/INO\Jta'U111:1 ccll% nr unlalrlcd rell% wcre injrcleJ i.v. Twll lo $ Iimc. •r\ ntany Irhrlcal cr II\ w.•ra• IINIn1I In IIK' luny. /11 hklNny.•in Itcaled anmul a, al/cr 2•t h. 'I wo alkl I wk allc/ inpviuttt uul:dx•kJ hhfm urlun l ccll., 14 /o S(inlcs uNne nkla.laltc IunK . uLNllc. wclc C/NUncd in hll'INUyI'/u IrralcJ anlmals Ihae inrllMnd.. Mllrhlllatll•ItI<• analy\/. UI hl\Inh1gN'al ka1NNl. JknNNlNra1c1l1ha11hc Ilera•e/Nage u/ lung area IK-culaosed by IunkN in hlaNnya'in IrcatcJ aninlal. wa. hclwecn 1 anll k/1ime. IhN of a olttrnl.. Analya. //l IwIwklNlalvcl/lar lavayc /IUill] /1CInINIVra1C11 S•/1/1lI i11t7Ca\Cot 1/( Iulal /IrlNC/0 cufllc/ll aMI leakage nl prcvNNl\Iy InlttilcJ'"I-IahckJ alhumin, IrNIk'a11n1,' nk•ta'a\C11 CnIh1/IN• IIaI I1Cflltl':Ihlh/y 1'.Ia'ltrlNl nnl't1/Vlllint' ella/t1/11:11MN1/1l lungv nl hIClNllyl/n /rl':/It1/ /IIICC Ih'IINNI\Ira/l'11 a'INIulhChal rtlfal•INMI w/lh CR(kMWC u1 Ihe uala'llyin/; bavnk•ul nk'nlhra/le I•JC['tfll/l /n/Cn1\t'llpy Id'Y10hy111k11nC Iahl'IIYl /unkM lrll., LKJICJ hy au1/Y.NIN11•fJl.hy, IlC11NNNIrJICII IIICH alla1h/11[M IIICtINNCaI ha]aI I./11111'a 1)JIJ lurol 11N'Y' Cll\'r///ll'111\ In 1 flvr WI.INNIIIIC hY1Nr111..1.Iha1 cnlhdlK•lirl dau1J1•r r,ul LN 1161.414, Ilk' /Ik'la\L1.1. U/ a IIl11IJ11n1, IUIINN ItII% Off.''. W , l't al ('.rn/cr Rrlrurlh 46:8Y1-R97, hchfuary 1986 Other support: Natamal ('alN•cr In.li/u1e ol ('anada 1'v/lln 111r Ikpannlcnl nf 1'J11kduKy, (lnivctvly ld ManN.A1J, Wln/lqr•g, M..nn..l.r. ('ana11J 27
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1'III MtINAKY INI1 nMk1AII()N(i1 NI NAI1 ti(lll M()1A("11(' A('I1V1I1• I(!H IIIMIlK( III \AN1)1'K1)At(IIIS1lIN(iMl'IASIASI\ 1'IivNNI.\IuJl..h.r,iJ.'nNnl.IratrJ.IIIN'IINN.KIII LIt1,11 I,N IIIIINNtt'II\11tr11I1.1111 NL11.N 1 Iti 111,NN .d a vn.LNi . I4i t.luw• Illa• lnnl• 1. r IIrq1M•nt \nr ul t/1t1.Nnn1.1tN'u .uNI ,d a,mtLnv INUrnlr\, wr I..d,rd 1•11 IIIIINII l;ll IIN.'IINNaI lil' LNIIN\ 1/1 alv;uLu Inll.ulna•1 t..l l r+nJ.ui\ .INd a' \.IIU11N'r11Iq' 1'I Il'l l a01 11•II.1t11111J11,N11N1 Ilse I1 N.III/.11NN1 .1114I IIN'l.t\l.l \L.d,u,ul.Nnq•.yN1•.IN/ t11N11..Nlr.m•Ilcll+ IIIIIJIf7Nhl•Jlllllt'1111N1\Irlalllll•111IMN1 +u.IM 11\1, N1111 111 I It IaNnt k•+ In 11 1 nd .Itrlk wal.:rl wcll• Flvrn I,r ('S 11111 b nnl; 111.11 Ml1; AIII,'i1 I\'IN,I'11 is h.nNl _`K .I.ly+ Ldct. *I1k IINaI nundt•t .d tclh Icl,•v;1;J tn IN••n.INr.dla nl.N Llv.q•i tlluJ\ la,v h,Nn K x 111• In 2441 K II1'• into w'.1\ III:RIIII.tI .11 t aLll. Niurt.yJnl\.Nt,N11111'rI 11N 11NNC 111.111 7V; 111 thl IIII)JIIIIII.IHNY.;11. In dN• In.l w;r1 MIN 111I11'Il' W.d\ .1 )•It'.614-1 IILN/ J211 (uld rl\C its the k•vc-h /d ylutlr+tlnluuA.lv In Lll.yi 11011.1. 11n!catNN1 .rl w.lla/ .11MN' 1.111µVI a nldd u11L1oun.u.NV rc.lr.u.r 111.01 \ItI,\Nk•II I.IIN•II) III II••y11;11 1I1.11111\1\, Ilse 1,InNN IYII\ ,k'1IN111\II.III'.I ,IN'IINN.NIII Il l••NV \ I,r Llv.l!•; NII~'111.IL1111\ If1N11 d111111.11\ with 1111IJnM'rI IIII•I'+• .11NI Ilse 111•1)•11•11NIi ul tc.IhqlN' a.Nll LII\rl •111illly w/th Ilse numll;r ul nl•uluqdul+ if 11 M1) IN ttN.ll t'\INI.11;a;II\11 11 ~JII•IIIIMNWIII/III:N/,IIIII.11•l'\It I1IIS) Int1:1V1'INNI\IIItI'IINNI,It ! • N! 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Ib1111v In Ilse human hyNtl.IhlNl vancll with 11k v.. ..n ..1 rla .. Ir it ..., 6•ai. .6u..... ..mnu I .,m1 , .n1\ LJI \,'.h.Nl\ JINI (uw JNnng ..Ih.. 1•.... . . 1.. . . . . , ... I .1.• , ,.. ....n .1• m..n.n.N..l tb.d Ivul•h.r iytl- AIIII .Illlvny •ItNI nllhNlbllny wcrc IN•ntrblr Inut+ atNl this Allll InJu.n,m 1. tcFul.da'd by .1 I;w Ft•tlr kti i. Ixl\.Ihly by nllr IN at 111c 11NN1 twU M.NI,IIINm. n11N'1 nlvl'\II!•.Ihrr01\o1111.1ii111.1114P11N'I.IIN,h+lll,klIMN1Nf:ItC1I:1+1)•nNNd.11 11.11- IoN•.N1,1...t• ra+Irmv tcLlhnn.hlp ht'Iwavn AIIII :NUVUy .I/NI the nluolll•1 Id u):nirlr\ .IUU1,iJ, :IIIINNII•hano.Nk'Ldrla' IIIICIIINIIVHI11dI Vallahdrly m Allll:wllvuy w.t\,11.\; tai,I.ulNrop tnal;la.d .nN•I•i/\ w11I1 \IIIIII:If +I/NlAltlg III+ItNIC\ I IN'1C It1Vl•+11/'.111U11\ NII•1•i+IrJ 111.01 Ecllillt Ln Iul.lnr li\Iwra+lbli 11N a ulaplf IIGKtIINI l1I 1111C111NhNN111.1I \:111.IIIIIIty tI1.11 1\ NNklr•n,k nt ot Ilse d.,.; ri.ltirn\a cllclI+ Guu,N,, 11 I. •!',rrcr•rr. R•:nttl Mlnuw:NL/. I 111 ak• G11r+, 1' 1.uNl I'rlu. K W. Icll\ I InJn•r.luul.-uarplihclnr d• f:rrr,•Ir•ae Acrnn m t/N• Mrnrurr I•t•INalrxr..n. New YrN{.: I'k•nulu 1'uhh+lunr, ('.NINN.uNm. 1'IK 1, Irp I/l •11S (l/hrr lNlrpni/. (I 1 I'NhIN IIa':1t1I1 %l•rvNl• a1kl 1)M• Allll'll;an (']IN;f tIK I;ly I I,NU Ilse I A'11•11111N'l1I 4.1 I'.\lll•I IIIN'111:1I I IN'1:IIICIIIIi+ :uld ( ir.lcc (:uN;l I)nl)! 1'c1114-t • I k'If•11111k'lll uI MuIii11I•11 FtNrlUgy. •:IINI Ihl' I 11•IYU1nICnl U) I1111111IM1k 1 f y• N,..wcll 1'.N A. MCIINNbd In.tlpllc• New Yu11 Slauc Iklwnuknl ul Ilcallh• Htdlalu l4(INAkY 0L11('IIN()NII)A11: AND AKYI \1tIJ'A'1'ASt:S IN IIII:N I I('AI. 'I WIN\ 01 Ill AI)1)I N('AN(l:K 1'A•1'l1:Nl.ti ~IINIk'+\INlwlll~ Ihal h1:Nkkr caa•cr I+.uia•ol+havc unuwally hiyh kvil+ul u/ln.uy ~S I!I1N'/N/NIIILI\C arNl ;IlyI+t111:11a+C] A IIINI I( h•ll H/ 111C \ul;~•,a'+INNI Ihdl (1h•N' 11/111a1y Cn/)IIN'+/n:ly 11;111N Ill;lIl' in hI;Nkll•r a'a1kCf t'It1/kTy. All alla'fnJ11YC l'~Ir1:111:1INN11/I IIN' hlkh kvcl./ll 11N•+r orncuy cn/yun+ in hI Nkkr aanccr Mlia•nth i+ Ihat dk JI\a•av Ilv11 cau+c+ Ilse a•h'va1NU1 tiup'c 11k kvch no Ihc+c cn/ynlcs ate Kerwlaally rklcnnurJ• nwa+urmF IIk cn/ynk% ollkallby iwkrNia'al Iwrex.d hl:wkk•r c:ulrcr I/atla•ru. can Ic.t wlk•Ihir hl~h k vcl+,rcurrcJ prNw lo h1 rtllkr carKCr. 1•/vc hcallhy• alrnua al i,llwtm,ll hl:«klcr cauar- palK n1.. a/pclhcr wnh matclkJ nwnnll.• were IrKa+lnl•a) (UN In11Cny it ghllUfININId+C• afy1WUJ1a+l'+ A a1MI If. a1MI 1wo alhl'f IyG/NN11aI CII/yllll'+ a.; ulnrul.. u• arr) (i-palaailhala+c+ '111c nlran Icvcl+ol all live cn/ymc+ wcrc rnM vcry ddlcrcnl ul (hc adwim and ctmlrul+• +uKXcsliap llul hiKh kvch ul urinary Cn/ynM. ,Ih+crvcJ lu hlalhkr rrrwcr prtKnth are a clNl+a•yucnrc ol Jr.caae ralhct than ua'I:urnng INi1N lu Ji+c lv •rI1J alNnrlhubnr to tlv ctiukKty. PIUK.•n• H. Yarhlv. s ar111 Tahran• I). Omr is Rrlrvul h 14 1624 IM12h• 11114. 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A11 I1I1'I AI1ON (11 A MII)1)1 1: K1:1'1':1111V1 DNA SI'(JIIhN('H l'1 A%S /)IIKIN(7 1)1111'KI NIIA111)N IN I KII:NI) LKY'IIIKIN.I.IIKI•.MIA CI•.1 I S Wr havr .•aJama'J tla• ulydlyLltNa1 p:01a•rn. wnhln nnakllt• trlwlitivr.ryul•/ar.lo 1•/Icnllrrydmllru\conJtrll. Muu.c lnl.•r•prrvl/ l.mity I(MIt' 1):IndaKuroPthal cw tctl/rll l+v a t 1t11 hll 1/ n ll,ml Ira}nr nt .lnncd iolu I+HH 12: a. pla.nud 1.1 ti I 1, Jlr h//h Il'\, IINMI/IN'II u/ I rlrrnJ actl DNA d/Jn ro IN.r1uJ1 u.aa• 1)NA llw• paorln 111 uN th.1.dN•u 1•/r.. nt ul 1•1 \ I I h..rlN.l..l•..u. ...pN'rN r. w.l. L/ulnl 1.0 Ir• %1Jh1a J1u1n/• crll divlaarn, I r_•%I/lllalltally inhrrltrd, and .lahk during Jlllrrrnliauon Inducrd hy IIMI(A- 'fu11t•ry, h1 1: , alal .1)nldl. S S f 1' llS 1 cra•r a 17M I 1?S1/ 254 ,(lcluhrr 1'111J. Other suppnq: Nahllnal (n.tllulc./d I Icahh Prlnnthr Ikl+:ulna•nl u1 Ma.lccular I(lulugy• HraAnun Kr.rJU111n.Inulrul Ihc('ny 111 I1\Illa•, 1hl•nIr• ('a 1"1 K11( "111KAI. l)K( iANI/Al I( IN Of IN 11'KSO'hKSI'.1) KIiIM:II I'IVIi 1'1.1 MI:N1S 1'KI SI'N1 IN 1111:1)NA 01 MN~ MU.I(Y'(1111J I W111It1/kYIaNN/JI a1hltlAya t)t Ilk 1ralInINN1 IrY~9lNllh 1/1N11 111r DNA ul A(/H IIIII\111111\ Ia•Va'JIr1I :1 t'lalihlt•R \Iqy'Ir% \IlrallN' ~+:Itllrn IIr1aI1N'rlI IrIn11/Na1\JIl'Ihlr It' It11t1vrv'ql/l•/acv 'IM•p,Nlcrn.havclt•anu.rJa.rKuwk'/nI11ClI1rlY11a1//ha'JIIIaIUI J ynaql u1 Iau:N/Iy mlrt.la•rv.1 rcpr:nrll DNA a•IlurrK•c% Itharwtcrlicd hy a 1151/ Iqr I•l.rHdln II:11!nIr/1111IGN hBYr hrr1l %Iu11MJ by nN1kY'uh/r l'kalnll,'• Irmtlt (Nnl In:11+111111: anll ErlMnl/lc tinulhcru hkl/hnr. 'Ihr.e .IUJic. .Mlw 1hN 111c cklllcal rc/xt•.a•ntJllvr. Ilrll,'111J1r 11.1411 an :IMIIMI:1111 gtIN11111I yl11kYN'r% that \II:Ifc Mn/M1I1/gy w11I1 :IMalt 2'.( 111 IIIr IIMa1V rr/NnIN•. IM• yylll•IMY•\ 1111 n1N l1ffIrJ1 IU %IlUrl' IMNIMIII/)!y WIIII ItN11Nt' intcryx•r.rd laluily I IMII•-1) nla wn6 Ihr maplr Al'rlch .:Nrlhlr .cyurlnr. IN 1111a1V'- 1 hry a/Mtar Iu hr part I)/ 71 p/M111/1I I711,'t.'f rt'Ilrhllvt' clcuw•nh dlJl /. Mldl /Nn;NIIy 1111r1NIIMr1I :IIMI hr:Ivlly 1111.'IhylAla'1I III IMIr/11;1) IIMUN 11\\Ill' 11r1hr1r, 1\I 1: , :nlal 8M11rIr, S. S. /tna Iro.rn u rl Ifl.q.hl Ilnl A/'fa/ 711l:272•21(2, 14K•1 Other xuppar(: N:IIamal In.hlu(c% ul Ilrtlhh. I•aao dk• 1 k•p,ulnlrm l.l Mllkcular 1(ild.rgy• llct knlan Kr.rjr. h In.Ululc nl dlc ('uy ul IhMr, 1)urrtr, CA 1 `Ii1.1:("1'I Vl i 1'l h)til'l l( )K Y I All( )N l)/' I l1 IMAN DNA MI:IIIYI:fKAN111 KASk NY I'I(()11i1N KINAti1:C Ilunlan DNA na•111yltran.fcra.r, 1hr rrvynlr IMrulthl 1u hr fcyulnNhk' I/N 1M' Mnllaln' //IIN'r11:1MY Id pallrrn. Id DNA nlc/hyl:Nwrn, i. Jn cllel,twr .nh.t/Jlr I/N I+MLplanylalNm by IwlNrul Ama.r C. 'llri. Ixuvlak% a p/au.ihk IIM'rI1:/r1wN' (//Il, Ill• IwIY'/11h1• iN /I/a/1rI In//aa I/IaNIMN/nl; IIINMMIl a'%It•/%, whM'h.Inlluh/le In/Nrul A1nJ.a• iuw) ulawam.d I1J11.•rn. ut DNA nla•/hy1.INa1 uhrn Irh.r/ va•J in Iran.l.anw•d a c11. Ihl':adl Klc/.h, A, Kllaah, I'. l., %utArr. K li,• LINISnn/h, S S Ff.IIS Lrnrn 11711,21 114 151, M:uch I')I(tr. lJ(bn iupport: Nallunal ImWulc% ul I Iralrh fnan thr Ik•pJ/tnK•nt.ld Ilwn.ric Krvaf.h JINI Muk•cul•u 1(lull.yy, 1lralu/,m Kc .carch In.lltulc 441 IM• ('Ily r/1 111qt•• IhlJuc, ('A I1
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SIII'I•KL•Stitt)NIN• IltMItKUGI'Nl('IIY WI111('ONI1Ni1I'1)f•.XI'KIiSSN)NO1' I11t'.a 11:1 rua 1)N('(K;I N1: IN 1.1111.At)I)IR ('AK(lNOMA 1111MAN 11I(KIHl1.A\I IIYHKII/( 1'1-) \ A hlnu•tn lum,n tt•11 InMr 11 11 calMr..lnt: Jn aatlvrlyd l ILI rut .aN..FtIM wa. lua•d wllh J u.aulJl hno/•m Id.ndde.l tcll It/M• Ihl. hl.Nm Ia•.ultrtl In hy1qlJ. Ih.d luhavt•d J. IaA11AhN11N'.I.r11f ul lulNur MII IJlhtl lu Inrin IuuMU• tn uutk Cldlynnal nntr Ahrt IrIK••Ilyd ar11 p.l..ayr• Iwa IunMwlFrnic.rgt/:gJnh..1 dN• hyMldm au..r nm tlltlll/t' IIK h'at'I% .IIa'%lql'%,N11111I:Nt1\:1taYll' Il'J.rr1\t11KNAa/N111%11n111'In11f11ttlNa'• p!1, wa•/r .1un1.a In dN• I I arll 1nM•. Ill. IMNIIU11MK11,'t•nN. IIy1NNh. [11MI Ihl II/IIN./1)rlna' .a•rla•r.uN. I INA nau.lrt tMel. ul thr hylx/th wrrr prrl..rnM•J wIdl,Ntrvak•ct a IlJ nft p1.l.nud a1w1.n1N 1.. ,uNl nJn.lrt tJOt. rioprr.vng a 2 lnld Irvrl ul a Ila ret rcl.lrlvr (.1 dM• hyMtd tl'Il% Wt'It' hn11N11t1//1•1//UJ/11 tha' n1nlnlnNNlga'llll I.IN'/M11yt1C Wr .Iq•I;t'•1 IIIJI t'\IMl'%%pN111I IIN• .M IIYC l 11.4 Ir1: tMNt.rI'/1a' 1%IMu11N Mill LN Ihr IIIJIII!ll,lltl 11,11/, Lual.llaql.d IIN•v ltu/a•u1 trlh l;t•Lrt• A 1; . IA1, C I . M.u.hJll, (' I . MWnlntJKr, F. / I'nN n,hug. ../ rh. N.nr..nul Ar n.h'rna' .•I.G an,.., USA >RJ 52114 5211. )ldy 14Rh (hhrr .appol' NJIwnJI ('JIM rr In.hlulr and 11N• 1'hlhp Jnt) ('IJrl..r Fay 1'und I LNII IIN' I)t'IM/t11N'111 1.1 MN IuhuduKy JrMI M.dra ulJr (:rna•tN •. ('ullrKr ..1 Mrtllaol. • It111V1'/\Ily Irt ( •II/I.Mtll•1, ItY11N 11'l l('IIVI IKAN%I I K u1 1NI)IVII)IIAI IttIMAN ('IIKI)M/1SUM1:1 I' ) KL('11'II N 1('1 1 I\ TwlI hypra,mlhaM t>1M..pMa/1M1w11rrn.IrrJ.r ak•ha lrnl human arll InK •. 1)')K/ A l l 2 Jt/d 11111111441 lh 1 l r. wrrr .I:dd y n.ul.lrt Ird w dh p\ V 2 Mpr • a pIJ.mNI a um amrnl IIN' N'IaV1.1hIa' Illall,l't Ia,luvNhrn.r•ll tanlhuM: }:uan11M: LIN..111MMttMNyl IIJII.h'IJY (Ivl. 4:/n) IIY1Mr.JnlhuN• JnurMyNrrln IhytnlNbllc tra.tjnl nan.hlrluant. •Jru.r with a IICIhN'IMyalla h)' a1MIt1M1a/1RY1/1Mhtly%1111!h'.tN11.K1'J%I/Ml:dlnulhpk.avtplr+tltlllr IrL1%It11lI %rt11M'IMC• I Ih'K (r:11NI1N/11J111~ :N Ilvl'ly r1t(NC~~ IIN' IA'11 ~'fr/ /1411~rf Slnyk tllnrtlNNtNIN.'% IIINII IWU tI11Ia'ta'nl II (111}lll 1(l1t 1r:IMlIN111:u/1% a/1111NM I)'1S Al/. IIJ/I% IIMnl:lnl• c1.nlallnnr t1N• IntCgfalral pIJ.nIN1.CyltCllac.. wCrr 1ranJCnCJ via mN rlNrll- Illrthalrll lllnulM/WNiM' If:1/1%Irr IL IIY1M1i:Inlhlna' IlhtNf111tNIMNyI Iran\ICr:IK al•'lll ll'In uwa/.r A'/ a rll. 'IlN Ir:/n./rnrJ haunan ahnMIM.WMUr~ wrre i.knldtral a. 2.4 JnJ 22 hy u.mr a NNIIh/117N11n1 /d (; I/ %I:I/nlny• (G hJMhng• IMlrll/y11K nnaly.i.• :nNl in arn/ hylNnh/.nMa/ '1111, .y.tr/ll i% hrinp u.a•il la, l/r•nr a hhtary ul Inlrr.pr.it•. /nnn.rll hyluNl a hNN'\• l':N h lt•/ll,//nlttg a ufIN11N' tlll)•Ir IlUllla/l ahrIMINIM/l\Ir //1 J IIMIIIw hJt k yttw/Nl 11N• t.unpla'Ir hlMJty w111 la'INCK'lll 111r rlllt/l' Ihu/nrn katy/•/yl~r tiJaon• 1• 1• 1/rv•d.Jln• 1: S• I.r/p/tl'. (; V, tiJ/na'%IIII/IJ• 1 II • a1NI .Ildll nhl~l'. I I Af.drl nL/r nl.l (.'lluLn Hml.rxv S11/ 140 W(.• I'/N5 l)thrr aup/r.rrr Nnh,m.d ('.uNt•f In•Ilhlla• .uld NJU.ueal ImlAUlr..d Ilr•ddl / •, i1.. / 4 1. • .... .., . , ~1. ...1....1. , ,n.l \1..1• • nl n 1 11r.ht fur. . .. . . . . . . 1 I'11A1;IN•V11 S AS('AK('IN(X;IiNS MAI.I(;NAN1 IKANSI(1KMAIIuN I'Kt /I N t( 'I' 1) 1( Y I I I IM A N NI:11'I K( )I'1111 S hl .1 .11641" .d 1hc 1('I.III,w/ lt•Iwrt•n chrlMlil' 111/I•1111111•11NN1 :I/NI t Jlt IuuI!rlN•l/1. 111I •1MqIV' (IIq111/L1~1~ n) thl' 1111 It ) 1 kMN' II II/N' (I11I 112 lCI1II wCtl' rRlh,Il'll (U hunlJu tN•ul1„I.InI. .t1N1lll.ufd N/ .yn11N•.1/r rr:Nilva• .Ryl!Cn lol. u1N•Jt.dc. ur Itr ,1 tt'll ht'r ru/%n/Alt .y.lt'nI Ft•rN•t.lllul! .olt•In\Mk• Ioianlhula• ala1J,IM• IIIu. hY1M1aau111If11•1 Al/Cl t' \Ih 11111t'. IIN' II I I 112 1,011 wa•/r t•tlhrr I/I:Na'1I /II IN%IN' Ct/I1111t• tN 1n1UtK.I1Jla'IV lly.'t 11,11 IuNI J1111nna uu,k• InNr H.nh nwllln:lnl JINI It•niFn IunNn% tkvchqr•d In Iht• nn— U/tl•t ItYI wllh Ilr.qfd lt•11.. 1411 1MIl tn IINNr /nla•t la•d w11t1 aYMlUuI arll.; In.NN• u1n1./na t' acll. Fl.rwll Il,q/l uilt' Ik•/1•F/I /IIIIMK ~Ilhµ•IIIN•IIIIy Ik'vt'kll4'tI a I/G/IIFl/:ml pha•INHyIr• M•dl)•n.lnl lr.m.l.anl.darn wa% alwaMrrvrd Itl ha•Jtt•dtrllf u111w ralt•rlnN•n1. u/ l w.. Wrnnn•ul. S A, Wc/dti•/F, A It ,('IJIk. 1:. 1' . alNl Srnaarl, I' P 1, n n. r 227 1: 11 I.` 11, p/l{S (Jthrr aupln.rt: AuM nt.ul (':uN.•r G.aN•ty. Na1Nel.d IN.litu/a'.Id 11r.dd/. 1•Jwln Ih•un. :IINI IIN' I'1Iw111 Wt'It%ta'/ I•..u1NI.N/uM1 I•Itt1111IN' IhY11,1,a1kr1!v ( )M'ulUl!y tl/lll, MJ%%:NIIUV•11% (;rIN't:1I Ih1%1111JI ('JINa•1 1•ru Irr, JINI IR•p.u1nN•nt 411 Ml'IINIIK• IIJfv:11aJ MClI1CaI tiaIMN1I, HomNul AU(;M1:N11 1) I•XI•KI _1.%ION ()I;Nl)KMAL. r nn, I5 S111+1('ll•N I I(1K ('()1KANX1'()KMAIIIINUhKAI'I:MHNYI)('1{L/. WIIh A M1IIANI rua ( ;1:N1: I IN• aU1INU\ %IUIINtI I/lr CIIa'l•t a11 ,Ylieta'tI (InaY' 1411N'll/lr a1111 rtlNl'\%NMl 111NM1 Ihl' ahiltly tlf 1 n/lr IL INININNr 11N' Ifa11~I1Nn1:1tNM1.11 MK/II.II fal a•///tNy1t l l'Il, WIM'n 11 w•/, ay>f.knlrnlyd hy I:bna 1111r nun:ml r-11 rutl ~rnr Irtwo Iai'1'24 hLNkk/ aJlt nMnu.l t'CII\) Wr h•\la•tI y'Ya'rJI 1 M1Y' al/rloa'kNIr111/tM11/MK1/1aI:1/1t1111nMM 11%%1N'% /l1 t 1164 At'n arNl hunun twiynl a/Nl h1u11J Ihat alnly 1.1.4rnw hlrt/Vl•aI Iltnll a IN/I%:/I Iy1/11fINMnJ 111 wI/N'I1 all Jv/an Ia'llk.hl% VIIU% IINII! Irt/111n7I Il'11l•a1 rr.wkm wnhul t1N• ht.1 arelt 1un,a/ in t11r .an1: tran.a'r1yNNNW) 14iCn1a/MM1/ had CWrJMlu/nmll! :w•hvny Nu aa'llvny wJA alh.crvrtl whll ntlrnl:J. hN krn atlJ hunun r-nrr/ alkl-.• Iwu INhrr Mu.JI lylulllaall•1, rnl•r :dk•k'.11.1.bnr, JIMI I.L(nq'1 I a/lll Iw11 hlll/lan. nrt•, vn'Iw% IIISNM/I'o J/NI 1)A1 mw I InNU 1141111.411 /NtWtMYtalk•f111JI (u1/NN artl lulr ('O1//1.1/, in whNb . mtr 1. unry.blN'tl %.MIN• UI IIN'4' 1n1N1Wl' alk•kv IIx1 /llr IPIk1w///1! ahl'IYINNI" 111.11 •ur l/r 111N'1111y IIMIIM/ //1111/1MM .k'IIVI'll tInt'/ - IMI//ll 11N11pINn1\ alirlll/ll! IIN' t'IN.Mk'tI IM.N.'//l 11.1 Irut, 1, a 1rurlt'ulct) .hWlufr wnh k/.. ol 111r /u.l• n1wMIN1/nK Caal 411 4nt, •uNl I)Mrna•. 1. a/Ml pruvir:/l iulrrtalitul within ur rw•al lhr nt, kN u.11.1.1n/at a1MI I I(vr/1, / Thr hdklwin~ Iwur.prnnlrMal aMxo:/a hr.lalN alra) that c.wran.hwlnmK aa uvuy w.l. alirh9ly rrlalrtl 1u 16r 1ran.a'filNNlnal aalivny td thr allrlr. ln cullurrd ral a rll. 11/ w/M'u rlntnn.lralyd /nlu KJI 2.rll., (1.4rnr1 wa. nwrr hlKhly t•Rpfr\v'aI 110.110 IIN' ..IIN•1 1iluallvr/ Jlk•Ir., JINI lu) JuKulr/Nrd a•aprr%mam nl IISKrnv/ • I)111.nu ,..1 /nnnl•d hauon It /MHm,d t hN {,l•n . rrn, hI•N"raI 111N/Cr IIN' 11J//N I//NNN.JI a.q111uI ,.1 fru,.. u.J I.NIM Irtnnu.tl Irlw•Jt. .n u1t Il'JNYl rtlNt'%N.41 ,.I /MNIIIJI /11U111•NI ..nt, IuMk / thr lu 14
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IIIKIk t' 11) .111'll.n II..I rnh.lnl cr cl.•ow•nl w J, w t•+/t1lW/lll'+I by 4-+NI J11,Iu11nJ11n11 J+ Ilv /IY Wt' IINw hkh'.I /I1.11 .L11•/Ik'l1ll'+Il'IINI'l11+N11.I l'vl'/1.1 twN111.1I1 +rl\f Fl'Iw' 1\ lltlll. Il't11 11" it (+vll% •//w11I1Jl •MI+IIIw111..I \1/1w 111/.1I:1Itt'fJ11+NN IflYh/l'1111y I.Mltl+l lll 11111kN +h'llll+l .111/ Ill .111' 1k'l1lk'f Ik'++'~,.11y Iw+/ m/lllllt'111 1.N IIk' I:ilw' I++.N1111111' 1.11 rlidNy+. tt•II 1.d1.1/11I.N111111F IH++14'•IIP• I 1•r. Vk' I.S.Ilw.1b, M Wfd.lw.ly. I),:nwl 1•a/MMI. II I Al+d++ul+u .u+.I (+llr+l.u Ifr.•L•kl C11!1 1145 11K(l, 14RS IAhrr vlpp+nr' 11k• Gr.u)•r Il+.qk•r Kr.rJr.h 1'11un11Jp.M1. N.Itl+.n.11 In.lllull•. uI I lr•dlh J1k1 nuscr/t Jn l'.wl. rr \+k Irly 1n.nl llw IApJ11nw•wl u1 Alydwnk•. ('.mlrr Kr.rarth Irl.ntu1r.11wI Il+.w.ud IINf•II.•. M. dk .11 Iw.IM1nr I JIMN./1.N y• I1t'11:Iftllw 1/1 +d Ml.Jlkl hon/u/wdu/•y . 1 bl/v.•f .ny .d t JIII•N111.1. `./n I 1.Uk,lt+r A lyl. (il 11l 11KlINI1)A I IIIN INIIIIII l()K RI It11('1 S II11 INUU('llON /IY III•.N/11f+.I1'1KFNI:(11 A h11 KII l11)A1 I1)N I/Nl (111 IAI I'K(11I:IN ANI1 1)NA 111NI)1N/1 IN ('lW 1 Itlr ulhn•tllvr ++I llk• 1N1•vnt nklV w.l• /o rvrhlJlt• the L...th/lny +.I Irdutlnr c:ncuw-rrow Ily +d tr on+n h•yl+-1k• 1111•1 al 1.01, hy 11k• uv ul `.S 111 l l:wl'lyI I1 FIu- .aro 1.4 (l.( dd.kl+Nk• 11IA(;1)I.1 1111t INCV/nu..tlkly Ilt'/IwNmhatt•tI II1J1 I)A(iI1I.• a 111Pt urW w UI 1) I'IIk Jr++ 1.4 I•It tlwll .{.Iw.wn w+he a nJtnral 1nhlhdnf llt g1Ut U1.N/1+1J.C, tau.rlt a 71r< u•dlwli+m In dl. IIK1111'1wt'+1) IIIJII///Wry IUIIwM In.11N11+Mt 111 fall by 7.12 dlalrlhyllt o/~ 11 ~/nthl Ja r Ik IOM 11 A I l'u.whut/ll.tral/an ul 1)Al 71)1. alw tt•dut c+1 the ilwhw u1N1 411 a(1)11.d +wa+drlal Ilrlllein .Iwrwn 101r a.as'IatrJ wnh cart/nugelk •r. arwl 1nuwN Il:r/w••i., :awl ularlcdly rrdlw•cd huw/u1K a.l 11MNA In Ilrk:m 1)NA (n /lw• plrv n1 .ptJy we havi eu:lnntk•d Ihr rlletl ul hA( i1 )I. Cn'Jlhllt/lmt•/1nN1/N1 the llwhlt II+NI IrI Illl• INKUlf1aIIM/Nl'l//JIwI1hh11wI//1F)II/K)!:n/l)NA In/)K r•JI. OA(i111.wlq+re..rJhy 7S'%• 11k' 11wIW'I/INI (lI t/w' INkuII'I:II IM+Nflll by ;1 t:1rCIrM1)!l•nll• Ill/w PI 111' 1)A(il)I. :IINI ralwa1111+h/1wI111F'LIIN):InI)NA.1 l' hy S(1 71Yi••llerl'Iwltnt;Iw1I111'nr(,':Ineiatllinta) I)A(il)1 a1heJr% lu at't •J. An 711tJ l'JItIM.FCn /kprrwlnlg Im Ihe 1Nra11 C.:un,IkJ I)AGIy1. app'•uN tn:wi Jv Jn anu t:aluw/ren by nlhlhllmg tkFhlturum(lrtw.n ul hy Jn..ylalcJ nlrtJt*dn.. 4,1 1'All. Ilw•rchy IfkrrJ.lnp 1IltU1t11/t:It11N1 and t•JnIm+)-rnit• tlt•.nJlkC NSduI:+A. / . 11J/r.lu.rl WJIa./ck. h/ . J1kI Wchb, 1 I• In Cl+kr. M W:MNI I)t•nnl.. A 1/edv 1/'++h'r/n+hvrr Ar.Nrt+nu //l.b+a+nn++nl Nnulr IJrt+ nkln+•+Id/ Sl n//a+.non urr l'lhrmlln t. ('h+nn+ f+•r l:wlnn unJ C+n+ i+a•Arr+rtlt. ('ululntwl.• t)11 11Jllrllr 1'rtll. 14114• (q/ 4J7 4W Othrr tu/rpnrt: N:Innn.d l'alkrr In.llwlc I/.Nn Ill+• I>.'p.Nlm:ol .,1 1'!ry.ud..p1+.11 lYk'nu.tfy Jnd thr (•+Nnlul•Ik•mlvr ( uwrf 1 rn1,r . 1 Ibu. \Ld. 1 hU.+ Iv1Y. (•.Iu/.J•N. 1 1)I1 IAKY(J 11('AKA I1 MI.UTA'11•-I)KU1)11('IIIyNOI•SI:NSIIIVIIYO1 MIIKINI %IKAIN% 11/( III MIl'AL('AK(•IN(Ki1:NI %I', Srl unt (S )'Iul u1++nldJV• :w nviry i..Mlwn 1r. Jlllrr quJnhl.ulvrlv In dw• h+ll+.w NIF .Ir.un. ul Inat. h.IrJ m InJrl ul uk'Ir.lanl' :ktlvlt~ l'111. ('S7111 ib IIAI 11•. I)IL\/_. Il'K •M N('AK• Allk Ilw• Itvrl ut IIw l•11/\11k /u 11w• nwnnlr .1/..u1. 1. .Iwrwn tnl+.Itl•1./th• wnh 11k• ul1nJty 1•wt.Uun ul 11 {tL/.1.luwl.. w/uth 1u luru /cllrl l. Ilk' t•Iw1++Fl'1kNIl Ictrl 111 Ja+h+.yrn. 1)w•IJry aJh/uln I) yIlwJra/r. 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Ih:11 •Jllyl:llc 1)NA we k/wlwn Io irahkr nnll:uwwl. m hrrh•rIJI Jlwl anlnla cell.. '1 he prtciv nalure nrwt hw•alilln ul nwrldlyd I)NA a•qarlwr% iu .Iw h ulu1J111. an /dlrn Jdhruh u/...cnnm. In thi% repln/ a 111 ha.c pJn +,/IFlwlw•r (/Iu+n11I 1n•lcr) I% heateJ with 1! 1-tr/xrt- harv11f1.N.y1e/1c- 7.11 JihyJr.w/ull V,fo r/w.% - iJe rnll ul.t•nrd inlu teptiralive hlrm ONA ul phage Mlt by Ilparuwl at a vIwtlb: re~t11t1wN/ ]Ul• fa/ lu•nl luu,.+lr :Ire Ir:ularrby) wllh 1/N• retuulhirlant 1)NA cIwllJnnul; Ulr :d{.ylateJ targc). prllteeny vir•rl 14Jyuev are .rkrleJ. .rwi tltclr 1)NA.:Irc .ahwtlyd hl I)NA lt'y1/C1wT:1/1JIyvN it (lll' fe):nNlt/t UI11.4NIIlr In1l'nwNl I•/N Uk alAylJlyd lo.rn. u.cJ ol Ihl..hwly• 111e I')NA .rolurln•e analyttlv ol p/ogeny vurl 1)NA .Iklwrd d/Jl nurk•IN ltk dck ulMl. wa re INeK M 111 ew ry l'hNll' Cti1n11K l1 I hCll Ih h INNN +w t 11lrCd IIrnIWrlly• hul fwN l•J%t-lu.rvely,:11(i ('clu.lcr rrl!w.M, v:up•d /run/ l ur 24 ba.r pNU, m kuy:lb. .Irl uklu+k Mwh tntyel and rwwn;uka nwktillnk. A.ar'INMI lyllc ut /rp•1//. wllkh rc.lulrr% uw/.t ld the /N1y/naI nuclrcMwk hiles in I11w atlylJlrl/ /nvrrl. /. •+f.a ilnph.•J hy dk• 1)NA v+11MIw e IIJI\' IItNJ111C1/ Wei. S I. C . Ik..u, S M . Il.rvey. K li • glwl Wnlt• .S H /'r.r .'r+hn.o:t+I dl.' N+uunwl Ar ud+•rurv u/ 511rM1 rl. flSA 111 SI)1(1. tYqll• 141W Other suDporf: 11 S Ik pannlem o( Energy. Arncriran ('.rlrer tia: icly and NJnunJl (•aIKer loshlule hr+wl+ dw• I-r.nLhn Ml I ran MrnwwlJl Ke.rJrch Inalrule, the 1 A•p.utnlrnl ++1 11wt 1w•1n iary rnll lhr I1rn M•ly I JILNJwNy /IN ('JUtcr Krvsrth, Iln/vrr.ny ul ('/utJy+. 1 41 •1t 1
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11. The Respiratury System NA("11 KIA AC%Ix'IA 11 Is WI111 t)IISIkII('IIVI- I•III Mt)NARY I)ISUMI 11 A1111KA I I 1.\ I RA('1 1 1 111 AK 1'K111H1("I C I IIA f SI IA1111 A I Ii Mtll IN SI l Hl III/N ItY I XI'1 ANI1111 (i1IIN1•.A I'I(i AINWAYS ('rtt.nn t cll Ilra• hh/.d.. 11\NO M.Nh tulturC% ul /'lrudlNlLNw1\ IIrIlI~11wH11, /..' nr.qrluln. rn/lerrl .u •nwl \n. pr....a. u./.urknwwriur.Umul.lt..Ctrrtwkl.d /:IYI.taNl u /'ak•1 hy r.IdJOt...1 E Inlw•.1 p.F u.w Ik'J I Iw: .unndJh.ry r/lrl t 1. reN rrlJll•J w. h..w uv .N J.ml.ll!f tu Ilk• JhNy 1111K..%.1. Jl wl'II :1% 1.N11J I1C 11t'ICf11Nlk'J hy 1111r•IVlllk 1111.11 rlJUnn..h..n •d tlK• C.1.1J1d. ,d1.1 Calr..ul. IIJ.Ia•I/i IwI.1/a'.I INN11 (.J1hrntI wnh .1 lu.t.Ny ./1 tbl..n/. IlhllllkIlvr hllll• IIIV'.IV 11' .anlr/n..\.. Il.nn ly•11. 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I+a• J111r1rn1 114,111 Ilw.v r1..Irn.drJ 1.% /'.. uJ. •.n.nn.. I lw•y Jrt' C lnruk•sy 1•It.dl• 1u Ik•.d .InJ %IIN.1}C, .111J IIK \.11..w 11) 1.. •1unuIJ1: N'a N 11.N1 1, 1...1 .NI .a1..1d1urt• 1'lt•11n1ul:uy Ft'1 IIIU,.1kN/ enJk nll•. 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IN.\ r\% III IN/.h'..Iylk" //IIIIfy aIk1111MItJl•rrJ fl•11JIf A\\II I.Nlay• %t'VI'/JI .11.',1, ..•rln lu IR• .yti•n to IrwJ1J1ur Invl'mII!alNkl I Ik'K .ur IuJulhlkl 401 rnlphya•/n.l I.v INIk•1 fl.l.l.l.r., Ma•.hJnl.u/..u111 tunnul oI rcpJ/r IN.hC%.l'\ :dlrr r1.1.61a• mlu1l. I R•vrhqmk•u1 ..1 unpl..v..1/o:u{,Cf. 4.1 IW/gunlr cL1.lulytrc oqury, JIw1 I v.uuulJhun.d uw.1.i..d (mq• udl.uwu.na.o ( mnldr ll. I .1 Anw rrn ur/ N. 1 rrN• n/ kr ynr.u.N t I)lltvl..• 1.14 4 IS 417. 1'/K6 Ofbrr .uppp.rl: 1I S I'uhhc Ill•JI1h SrrvK'r I ru111 1IM I1.'I../IIIIK'111 .d McJKOK•, '1hr )rw•Lh Ilu.pnal Jt WJ%hu/Elnu I lnl.rr.ny Mraht cJ ('rntrr. SI 1Mc ) 1 %1:O11] N('I: 111. I'1.RIVAS('lI1 AR LIQIIIU A('('llMltl.ATll)N IN I Il)1111) INI I A I1:1) Ix x; I.1/N(i LUNIS I/w It rd.rurKh,waaular inlrr.titilml ol Ihc lung in a Irqt!,!tlal vp:kr that rsp,/u,I. uml pldukN/rry clk lua wuh dlc 1\wlnalkm td IJr~r Ikrsal cu11. 'fo awly 1br Iunr ltklr v /11II I/NIIG1111N1, wr tnll•lurd nlnr i.IdalrJ Jllg Iunp hlhr. wuh llyuk/ tu 1461.11 111111! capJrltv. rapwlly Irt.ir Ulrnl in (/yuiJ N. a/tcr ialLNiun IK'ri.r1. ol 1 IIMI min• IIk•n plwwuFraplwJ ?11 hhk'1.. n1 c:Kh hrlt al 1( I/IIalnlhl'a1NM. 1'ItMll (lK' 111kN/.I!r,ll\hv Wl' nK'awrcJ lhc raliu td cull arra 140 vC%xl arra (Hlr arlrric% arkl vCUI% td 1111S N/un1 JIJnk•Irr Wr h\ulwl Iha111N lull Lu vrv\CI arca r/tw/ atlJnwJ n mauuuun vahK• ul t.1, WI1KI1 wa~ IIIJr11l•Mh•/11 ni vl'~\l'I N/t• Iluwcvcr, t1K h1.I cull.lu rratlr nl:uumnn.vr wtrtr 11w\./• awMad vc.a•1. ul 11 1-41 S nnn J/anrtrr, WI,rtc.. culk :IdN11kI I•Itlrr vr.w•1. 1/1kJ owac .luwly Nu cul1, wrrc v/.IMI• arl\unJ vc..a•1../nJlkr th,ln 11 1 ulul d/Jnw•Irr Alll'1 •(S Il/lll t UIIv (LwI hM11KlI intN1/1MI'MI'X•.d nll vc..C I.laryr //IIJn /1 S nun JlJl/k'Il'1, INII I/J1I IaN111a'II ItU111w1 /NIIy (N% .1/ YCn1\ 111k1 41% tul wtcrlr% u/ .nl,lll/r r11JOk•Ia•r Wr .umdrk•d 11K• aA/vyvrJ talr alkl pJUrtn u( cull Kruwlh uany rlrl lrll;J analuF /uwrkl. I Ik hllu/g p:/11rn1 :ud nwkkI rnJly.c..urkr.11ha1 114111141 c/ur/rJ 11K• illtrr.tluuu/ Itum an ai( palc .uc a.Nk-iatrJ w1t11 :utrrlr% ul 11 I 1 11 nun Jl,n/k•1r/, yxraal Iu aJlx•CUt ./1r., a1k1 rvrnlually trachcJ tl/r Mdt hdwn 7hr r.luuJlrJ It t/v,l. rular uUrr.IiUal Ihtw tc+i.lanrC Jly'rra.rJ 14111 InIJ with tull rMpanaun O.nlw.un. R I . I.JI I.N.A. % 1 a1w11tJUh. N l' /.NOnnl u/ AppL. J/'/n v,.l..K\ Mh l l H 1101, 14M1. 1' 1 41
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OIb.. lupp..a ('.d/1,nM., kr.cJll h Jnd A1cJl..d I 111N au..u I und ..1 Ihr AnN•rn../n I lllll• A,- L/INNI. .IINI ka'N'.ll. II I..IIILIt1.N1 .I/NI AILR Jt/an I IIt111111111't• 11/ IIN' SI INN1I slt A1a.1N NN•. I lNla•Lllv ,•I l.IIII,N/ll.t. `.1/1 I LIIN Nl.+ 1/,mIIIN I ,NJN.\.1M11L11 Hl'N'.IIlIII11.1111111'JINIIA'1f.11t111Cl1t,.1111yaukp•y.Ilnllrr.uy ..1 ( Jh1.N111.1. N.u+ I IJ+N 11111 1.It11W'111NA 11 111 1'IkIVA\l'111.Ak('lII1S IN1.1()(111)INIIAl1J)I>1K: I I INl. I 1 tlll \ Ill /lll' t'.111\ .Lp•,', .•1 INII/INN1.1/y l'Ik•111J. t'{t'C\% I1111n1I Il•Jvlllr II1N IN1111NNLIly tl.hJn/•r lr•v l..NaIIII/I/LNl'~ /11IIK 1\'IIM.NNIM+vJ4UIJ/ It1t,'f.111/1111/ vvlN'IC /) 1.41101 Ln/•r IruM.,N.IN.\.INI/L11 .u11. IIN' Ir't11N.NNINN.1%aULlr 11/1l'I.IIt1u1111h1'la'I.NI' .NI• .1. .1 1.. IN.•laal low Jn .14Na'. I11N11 JIVI'..I.Ir IhNNhll/! low /JIC ./1 1/,111N/ .1.\wnl/1.dNN1 .NNI Ilp' 11441141 .11NJ1•t' a.Ip.N/ly 411 IhC lAlll. 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INe.cnl 1'haplt'ylu+cJ N I'111 wcrr I.ilk'J rapNlly arNl t4NUplrtcly wl/hln MI min by I'AM wllh fN w111NNd At M A E/calrl IxtqNNli.m ul S Innrut wcrc kilk'J by 1'AM akNrc Ihan rn 1hc prc+clN'c ul AI M Alvtrda/ h/ln/g Illatl'rIJI (IINII IICaI1t1y hutlHll+ (hU\ n(Iltl•at+ HI have /Nr tk'/INN1+1/:1hil• cllccl tN11N.+1 tk•Irrlv aEa1n.111N•+e hxlcfia 7•hc Jillcrcnrc+ hctwccn.NU rc.uh% aoJ IIN..c ul ralhcr +IuJN•s u+rnl! ALM /awn r:N% may tclalr /u /nlcr.pc. N•+ Jdlrrr/N r. /n IlN' l'INI/INN/INM f11 AI M ~ IlNt+vm, S, Mu.lw•/• 1) M,(NUCe, A., and L/N•rrw r, l: ('. Amrn, urr !(rra•.r rI Hr.prr.lhuv I)i,rrutr 13•111) 1(6 1411, 1996 (lthtr support: Vclcran+ AJnuni+Ir:MNIn and 1hc Natamal 61+lilu/e. u1 11r,J111 I'HN11 IIN McdltJI \crvlcr llnlrltauo, and PulnNlnary I)i.eJ.e Sc.h,rnl• Vrlc,Jn. AJnum.trJlN N/ Mrlbc rl l'e nlrr .:uNI the 1 k'p:lltulrlu. u1 Mt•r114 olr, MN rn dru doy v. Jo.l InlmurN.luFy, IIJyUn ('..II.1•r Irl Mt.b.nlr, IhN/+lun Ir 1 47
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I V11)I N( I Af:A1N\I 1 I IIKI)IK/1 NI' MI ItIAIIONlrt. I'KI)1'KANl/l/q ININIt I 1)AIKWAI' IIYI'1 KKI'A(-IIV1I1 1(1 A( 1 1) I( 11111 INI III t111A1N'1IIN'll/a'111•mlN•a plr%, IMt+/N./lad.d Iriatllll•n1 (/11 IFII' I.I! ' 1 v 11.11Iy I/N/t'.tU'll /l'.Nl/v/l) 1.+ /IIII:IarINN/~ Jtl'Iy1tIN/11n1' Inlu\11+n tN :N'f1/V111/ill 1m1.1 ' muN In J t nolp.n.J.lr tkl'ra t• NrdIN•r I1 W 7SSt 1 S my kp '/ v 1.111 «71' 1 1 InF Ag 1 v 1. 1101 I+m1.N+.1 1% nIF A)' •/ V/ INilrl•at/1Kn1 m111/CIN-rJ INt.INJUnItJ-. l'llill.NI n1Na.i1n1N Ii.Nt/adv •dtla+U)•h IIW)SSa- al\dl.hl•J hNlanmrla I)~It•nea.hvlly Ih1. .ur)•r.l. 111.11 INU1N.11N.1..1 /NJllt Cd IIn1-l:IrInIC hyllCrfeal Ilvlly 111 11N• 1'UUN•J 1111! 1. 1144 nN'dl•Ip•J Ly Irld,+lnc/ll•. wIN•1rJ. h1.IJUnnIC hYllerteJltlVlly n1.1y I+a' AlurLl.• ( l,v.rmJ../ l'laurn.N 1.1.IJ l'launNn nI..AI •t11:SS/1 SS?. 1')%A Ilthrr Irpprrt: NJh++n•d I1t•Jrt, I unF JnJ I111NN1 In.l/lutc 1 aNn IIN• I k'll•uU1N•nt• ..1 MiJN IrN•, 111yvt+luFy JtN) I.nvw+nnN mel I/: Jldl. 1 hn Vrr.Ity UI (/lN 111n.A1 S\ INNd .d Mr.ht uN•, ('uh alnau. 1)11 11'1/K/11KII.NI It, P1/11 NIIA11 S AIRWAY KI SP(1NSIV1'.NI•.SS IN 1'I(•l/ ANt ) IN t'/IRl) Wt .tlNhrJ Ihc t•Ilt'a 1. 1.1 kul.l.lrlrnc It, 41 I II,/ Im gunlc.l pIF alrway Inu..Ic /l'%tIINNIVe1N'%% p/ I1/ ,. JINI III I lfll. Kt•.plN/.ivc/li.% rn 1 rlv. WJ% J.v v.cJ by nN•J.ulnlg \III'l /l/a' alf w.lV Il'~IaL11Nl' ( tiK.lw I IIIM+II /nt1./Vl•IN/U%.N t'lyh IN/I1rp• 111Iu\NN1111 S IIIL.IN ~- 111a•hicd,.p'/ll•nll•/NI,Iy hH•JIIUII)! F!I/IIICJ 1111!• Wc ItqnJ IhJ1 :k•'uadlvcJ 1.1 I1,• in a l1Mtl'//1tH11/N1 t11:N /IyII h./111N11•tll'l'/ IN/ I1NK'hnl' 1K:Iw.cMllwlI N VutN1Y11/1aI Illtll•YN 1/1 MtNN I11:J It.'Jl llV/ly 11/ 1 v A('h wllhol % t11,n ul IL :NI1111111%IfU1NNl Ke.pl/n•Ivt'rn.. • tn 1'rlL. W:1\:I%%l•%N1I hy IIN•:IWII/IF INN/K/l/l' a/+n11J111tN1 t1I IIM' I:U1/1l'J I11F It:NIII•JII\ u1111r1 \II/IIIIIJ111N1 I1y e11IN'r at/elllll'JI IN cI1Y1111:1I IIeIJ %11111uI1. Ihi%l' %IWIN•a In .In.. \IN/wl'II III:II :1 t1NNl•111/.111/111 t1I 1.1 It, Ihal tIN'II did INN laU%l' l'INIh:n'INNI, INNI'IN Jll'II alfway 111114 k' t'INI11;N (NNl lll A('h a1NI K('I, INII INII N/ rNNI•IInM111111t1C 1111% l•IIl".I /d I'I It, wa..uh.tandJlIy reduccJ I+y nllcdlplrlr ( )u Jala.uKy,c.-1. thJl anNNln1• 4011. I It, thJl arc IlN/ovlvc. INNK/Nllfaltlll' u/ rn•n Ix in 1,0060. n/ay JirccAy INarnuaa drc rl'\IMNI\IVCtN'~a III JII WJy V1N1111I1 I/IIIM Il' lo INhI•r hrtNw INN•IIn.lrtichN.. IINNIII', 1 1'. :11111 AIIIrll1\, ( (I. 1'n~alurlnn.lull 11151 %Y')'NI%, May N/%h Other .tuppllrl: NJIi/mJ1 Ilralt, I ung and hhNNl In.lilute and tllc Anwrican I un% A../N-IJtN+n I'n/ul t1K I h•p:utnN•u1• tll MiJN lrle. 1'hy.aduF y and I•.nvla.nna•nlJl I Ie:J1h• I In/va/aty ul ( InrlnnJll S.INNd 1+I MCJItInI', ('/IN Int/Jl/, I lII tn Ln 1(' (:MI' Alltll 1S111•ti IFA INI)II('1 1)Sl.OW A('I II)N m I'l )ll NIIAI C IN ('ANINI II(At Ill Al lSMIt1('1 1: J t „y ,.•., n J o% (' S' Cya I/t' /Ia11N11+IN+~I+h.lll /IGMI'/ inllucta:rJ IIN• clcllrunlc.Il,uu..d cllcl l. .4 ta'//Jl'IIIyL///111NN1111111 ( I I'.A) /NI a:11111N• IrJt'IN•:/I ~/INN/III InuN Il' Wt' ItN/1NI 111.01 'lI n1A1 ll.A tk•Itid.lurcJ Jluway NINNNh /IIINI'IC icll. IrlNll S%' ( IIIV (nN'an.' S I) / N. J•1 '' n1V and t':1114•J lIMNIt:111NINN at-INNI INlll'INIJk IAP%1 Ill tk•Vl'I/II/ whll II Wl'll' It /? IuV nl Jrn/lhrlak• I IN'a• AI•.. anJ Ihe pha.ir aNNr:N tnNl. ch•l ul. Jlly t l+nl+IrJ 1.. 1114111. Ml'li 1/NJIIy a1N+b.IN•J In Md/cr clNNaminy, 0 1 InM t(;M/' ( )In /uN1u1F..ul:/rc-.1 thJl t(;MI' n1:uLt•,Ily allia% dlc chanllcl. IIKJlallllE II.A nN11NC.1 AI's lu ,ulw,ly a11NN1111 11111%a li KahJld., I S, Alrn/./l• (•.(p1.IC11Nlul, J M . and SIx•/rLlli+, N. F ranlavur l.NrrrNd n/ 1'/Nlrtnrn nl..Xl• 11.11:2'N/ 412. (')Kl1 Ulher.app.rrr: NJtNNI./l llr.nl, Lung and NhNN11n.Ululc, NJINNIa11m111u1c.4011 le.dtll arN111N• M/Mrl.an I.un% A..INwutNl 1 unn t1N• Orp,111uN•luI ul MiJN ule, 1'l/y.Ndu9y, and 1•.nvutmnlcMJl I lcahh. I lnlva•1 ./ty ul l'nN 1011.111 S.INNd Id McJK/nc, ('INalnnal/, O11. 1:111d'IS O1 I I:IIKO1'K11•.NI:I), ANI) AN'fA(7()N/tiI'S (11; AKA('l1IIN)NI(' A('II) MI•:1 AIN /LISM ANI1 CAI_('Il1M I'.N I KY ON (i111N1:A 1'1(: •1 KA('I II:AI- MIIS('1.1: KI•SI'(/NSIVI'.NI•.SS Wl' \11nIN.•l) Ihe CIICI•1\ Ut a/1Ia1!IN1/%If IN aral'h11kN111• ai'IJ IIN•IaIN/I/%111 and a ak-luul l•ntly tNl (he rc./NNlavelk>.111 airway ./INNIIII n1UwIl' IU al'l'lyk'IN1t11N: /A('ll/. lawa.• ~/11111 JINI MNl•ININ (1111/1K Kl'~INN/NYC/Il'~~ In VN11/ wa\ a~~e\KJ hy IIh:NUl/l/)! 1MNIIN) IN.'t•INIII:N'1NNI IIt I;UIIII•a INI,' Ifal"Ih•JIIt, IININk: UIIIN1l'hl•Ill/l'aI \11/11UIJINM Wl' I/N/IN) III:N IINMNIICIII.N /n IN+IeM1:11eJ the reN1lNl%e 1// Jifway IIWVI'Il' 111 A('I1 and K('I. INIt rNN III /NNl•//lnl'/+IIIIIK. (IK I/NIIN1KIhIK/n~~U111NlY1IIIM(•IN411MNI IIIfN'WIY/ wa~ 1/11111711CJ Ity INllll IIW 7tS(' at/11 UIl.•lhplrlp. Af IllcurrCJ with inJtN/1CIh:N•in IllctrcJlnlerN, we alw It1U1111 III:11 a/NNN'tN11r:N'1/1e .•INIa•cnlra111N1 111 ICUhtNr/erh I), 1I•111,) INNI'/111J11•l/ /IIl• r/r.INN1.Iv/:INV.I./ /tal'/w'aI nluxk lo INNh A('h and KCI. l)ur 11a1a.ugFe.l tha/ i1N4r nll'1h:N'Ur and 1:17),- INNenlia/NN1/N (,9nIMa I+il,' airway Inu4•Il' r.•.INNl.ive/le.. N, CCrtanllN/NN-INIlIN1.Uia•uNn nWy he nMJ1a1eJ. at Il'a%l in rar1, by enhalNrJ ellu:k'l'llu- hIr ('a' ' rouy 71Nlrlle. 1 1; and Ahohll, (' (:. J'r1.InlKl.uNhrrl Lrn4..nrrnr. o.nl MrvGl'inr 24 2(1'1•277, 19%A. Other sappni: Nalitalal I lcart, l.ung a/1J HkNNI In.hlulc, NJbIN1a11n.tUlulc. u/11eJhh and llx Aulcnran I.unF AvuN•Iati1N1 Frlnn tIN' 1)t•p:lrtnK nl. ul MCJN'ine. Phy.alh/l: y and I:/IvlrlunnN•nlJl l la•Jhh. I)nlvt•Ln y ul ('uNrnoatl tilMad ot Medla/n, ('uN•in/lau, O11 INI)l)ML:11IA('IN IN('KI'.ASL'ti NKON('11IA1• KIiA('fIVtl'Y AFI IiK I:XI'O1UI(I: T(l SI/I(711K1•SIIULI)(Y/.ONli 1•I:V/a.~ We invc.tlgaleJ the cllcrh Id ilNknnc/hx'in un hr/Nlchl.l rearlrvny Jltcr .au/N• exprvurc (:InrN•a plK. in }aNlp.lul .It were tucJtcJ wnh uNk/nN•t11ar/11 I N/ /n1:r1F 11'1 and \tlNt/eJ IICIINI• JtNI ? 1/ a/lr/ J 2 h cya..ure Ilt cNhcr I S.•1 1 I/ IMNn t'nnk I Ia•.r av
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annu.d. wrtr rimlparrJ Ia .mularly c>tlN..cJ Knnlp. that wcrr unlreatcJ kratnvity wr. JrlrrlnnNd hy nk•a.ullng t/1rldlC ,InwJy rrtl.larlCr Itiltaw) u(1lm Inlravt•rNa,t atrtylth.hln• udu.nm 1'n,.r nwlumrlh:K'm haJ rMr rtira un catw•t SRrw ui mu.. al mn rr:w hvlty In all unhratrJ guurca plK.la - 12/ r.lrt.(J to 1 S Lpm ut.Nlt•. tlNrl• wJ.IN. Vl;lht anl t hall'•t• /n `{(Jw lN mwt'af1n/C rcat llvny In clNllrr.l, rll Irt•a1cJ annu.J. c.IN.vc11t, 1 S MNn .IN.wcJ a.uh.tanbal irn'rc.l.c in re:kuvuy I lw..r trc.lil'11 a1/t111Jk l'\IM1y',I In I 111.I.m .h,.wrJ \II;n1IlCant Clrvall.Ntt in ti/(Jw, IIIJI.1111! Intrrtnrtalnm...l t h.u,yr. ,n Ilx•Ir rr.n r,vtly Jrlficutl Wr I.NN Iluh' IhJI IINhknN•II1.1, 111 1rc.daM•ul IlN rl':,N', IN,NI. Iu.J rc.N hvny in Kurnea pl~. es(n..rd 1...uhthrt•.h,dJ unua Ifvt'1• Afm6.t• (' rl ,d l•.,.tVnl;6uului. l.'u4nu,rnr. un.t AL'Je. rn/ ZI 7S4 2f.K, 1•!RA OIh.r tup/xrif Nrtu.n.J I lr.nt. I unK arw111Nrwl ln.htute. Nabunal In.tllulc• ul I Ir,d1h .nNl l]a• AnNrh.m I onp A..,tlatnwt I aml dk I k•p.nlnN•nn,d Mrlh. urc• 1'hy.i.drrKy anJ 1'.nvulmmental I lcallh• I Inlvrr.uy t,l ('lnt mn.rtU St IN..4 ..I McJn nrc. ('Int mnru. 1/11 K' INltlt( 11) AI II NAtU)NX IN AIRWAY MI1%('I.F. k1 SI't/NSIV1•.NI•`C 1(1 I I I t'1RIt'AI. 11111) SI tM1U.A III1N We mvt.UKatrJ Ir,..,hlr prr arwl L.a.yn.qrn cltct t. tul K' uKluttJ llcpd.uv:r lum.m It•ncl /tathral .m.r.th nlu.tlc II1M/ rc•IOa-mlvt•rk%% L.tIN.IlnctKn .luuula- tum lo a%%e%% t•kltronK•.h.nnn.l atlvey. lell nr•/uhranl• p•Ncutral (F._) anal Icnlnm 1 1_1 wrte %rmullarK•.,u.ly rct.n.kJ m Lulh'r t unt.nnu/r h• 12. In, lN 24 mM K' ht':urc anJalll•fl•Il'lltllal11rkk11111uIJIhN1/1'I 1I~NrluFrMNl~atl•Iy1.IM.tlrll•IA( hI InhueM K' ./._ wa. SR 1' 1 U nIV /urcan •SI'1 In 12 mM K' . t_ was JrpdanirJ Il. 52 1• 119 t11V, hatJl I_ 111J IpN tlNnge• anlt tMNh eRt Ilalury IIIntInNlal IMNt'rlllal• and t.Nr1r:N'flle te\h,MIK\ 1.. 1:1'S al .MNt .hmutu. Jutatnm wrrc Iarpa Ihan In fa lnM K' Nu.ut'h pdrnuau.m .N t urred al a h/l hrt K' , ahMNrl h rr.f 1oK F anJ'I _ mt rr.l.cd ptol;re.avrly aMtve 12 mM K' '1hc tt'n.ntvuy o/ Irne1 TSM hr exulecnnu. A(ll aM+carrJ una11cc1cJ by K'. ru tklcmrnr whrlher the hyperrear,m.iverlcv% in 12 mM 1( • was Jur• in Itart. Itu auKnlcnlcd A('h rrtcau Irtum Intiamural airway rkrvr., e.(r•nmenle wrrt J.Nrc u.InK TSM INCparalwm. InruhafeJ with I 'IIk)Mthnc N.Inramlrc /'11/A('h rclra.e al fe•t anJ dufinF I:hS AIIMwFh reslinK l'IIlA('h rrlcax ilw'rca.rJ INttytc.avely in highrr K' , release evld,cJ by GI•S was tnaanlal in 12 mM K' arul lkt hneJ m hlKher clNwrnualaNl.. We nNklulk that vrull ekvatwn% in the esuat'cllu- lar K' ctNn'en/ra1nN1 auKnKm re•Itnmivene..ld 1he anway.• by itwreaang Ilx rrlca.e 4.1 M'h MNh al tc•1 anJ JnlinR IiUS Irunl intr.nwral cMlhrKrKic nrrve lrrmi-lal. I:Ir/,q•r /IMft•am:% in K' ap(Kar hn ce rnhlh/aNy• pah.IMy due 1u vol1a11clktN•rtknl cllt•tl. thal...ur MNh (Nr anJ hi.LyniINltally Murl.rr• (' er al J,NUn.J n/ Arpll.d /'bclu'6rxv 614 11 61 67, 14N6 (Nher rrppnrt: Nata.n+I I(carf, l.ung and HhwNl lnctnulr• NatnN1a11n.lilulrl ul lkallh a1N11I11' A1/N'tNJn I.u111,• A%Nq'Ia1NN1 1 r.nu 11w 1 A'I.aHnN'nh ul A1r.htule, I'hw,.hq•V :lMl l'nvIn1n/1N'nIJ/11,'aIth• Il/ltv.•r%lly .d I int.nu./lU %. 1n...1 nl Al,dn uN•. (.n, ,nu,d,, f)II I A 1'.11i('1S//l MII(YISM.RI'.M(/VAI.ON(i111N1:At'1(; AIRWAYSMINIIII M1I1t'1 I Nl til'(/NSIVI:N1•\S I I1N• tnntU.lthlr rr.lNm%r lu hl.lalnnrr• att•Iy1t M.hrw /A('h/. K( l tut rlrt Int.d ht•IJ .thmul•.hnn /1.I \1 w•1, rKanunrJ in pa/rrJ trat•IKal rlnl!. IINN /d r:wh tt•u,y lk•na.kd by aiNCO.:J mbbinE 1. whlt h werr nNmmrJ lu mu.a k ch:wdr r. hllyd wld% a tuuhuu.Nr.ly .Nr.dcJ Idly.aduplt,J .:.It adouun at 17"(' :/tCtlnlYal UI 11N' /l'%I.n.11.11 y/IIUC.N31 IIN Il'a%l'J Illr 4Y1%IIIVIIy .-1 :Itl w•ly ulu.. Ir tu A('h. hl.t.umnr :mJ I I S. bul rN.l lu K('1 '11w hvl+t•r.rn.mvuy u1 .k•nu.lr.l r,ul. lu h1.lamuM• .md 1.1 S w:,% p,t•.nc•r dl.ln lu A('h Alr/qmlt rrdu. cJ Ilw hra llllllll hylk'1 N'/l ~l1wnV .~hv'IViJ 1 1'rrucatlnl! IIII.n 1 INl'I/.IG/IUN1~ with IIMhNIII'II1:1CIn :1111!Illrntl'tllhrl/ rN..1,. 1.1 S. In.l.unnN• ,NMI A('h •1 IINI,N111'tI1J,1/1 ru17nN•IIId11,N1..1 11NI.1/,II/N' allfl 1'.1'ti nwlutrJ rr.tN.n.r. w..I p,t•,nrr In INrparau.N.. wnh.,ut rINt1N•Iwm S Wr t,Nnlu.k 111.11 tlw• anway mutu.:l .u.ly ht• a.%..1.drJ wrlh a Ia.1.N 111.11 IcJutr% anw.ly \IInN1111111111t11' rr.pNrvrvrrw•t. 1.1 vluuul.u,N1 Afurlu.. (' ('llnn ul .C, rrru .• 70 571 575. 1'/N6 (lthir tufrynNf: Nab.m:J Iicarl, I.unE anll HkNnl lnaitutr, Nafi.mal lo.htulr. ot I1r.dd1 an11 Il/e Allk•IN'all Lu/ll; A\MK1:11uN/. I'rnnn tlk Ikp.utmrnlN ol McJirilk • I'hy.udttgy and liuvu/mmrntal I lr:dth • Unrvrraty ol ('/nt Innau Stlwrd u/ McJlctnc. ('tm'innatl. t)11 O. INI)(I('1'U('l1ANGli IN HK(1N('IIIAI. It1iA(TIVIl'Y lO MIiI'l1A('/lt)I.INh ANI) AIRWAY INI LAMMAII()N IN III1MANti lltr irKrea.e in airway rcvpun.iveneav inJureJ by (), estpNure in Jl.l;. i% a...N'1 aletl with airway elwlhrlial intlamnuNilm, aseviwknreJ hy an Imrra.e ru the mnnlnr.d tlrolnl111111\ IIM.Iy//NNI11Mmul'k:at k•ul.nl'ytest IlN/ntl in elNlhl•IIJII hn.IttK% a1M1 11t IM.Nt 1h11:Wetllat IJva)!l' Ituul We inve.tiRaleJ in K/ healthy human .uhleal. whrlhrr 0. intlured hylwrrcy>,m.ivcnr.% wao similarly a.akialeJ wNh airway In/lanmranun hy etanunmp chanEc% in Ihe lype% uf cells recnvcteJ in hnNU•IMralvcnlar laval.K• /llnd uhlannJ allrr caphure In air lw In 0. (/1 4 rw (/ A I.Ilml. We alv. IIN•avUll'd tht• nNKrnlralnmo,o/ t'yrhN..yrrna.r and hp/>tyKcnavc ntrlalNdncvu/ arxhnhmw• at at or lavuge 11uK1 We urca.arrJ auway reapm.rvenevv hl InhrkJ rnclhwiNdurr arn..u1 hettNe atNl iUl•t l•1N11 l•akIwNU1e an1l 11l•tl/Nnll91 MtNM'h/4IYeN1Itl Iaval!e I h(rtrr Wr laumi nwwe neuulMdul. In the IavaKr IIuNI brNU O, e.1llr.eJ sublrtl.• c.ls•.I:dly lu (hl1.C in wlMNll (U, cR/Mhl/lr pttN)w'cJ an tnctc..c in airway rcarmavrne.% We ahu hNInJ SI',nllh'anl IrK'rCa%es In the l•IN1lY11lralNN1oo tlf IttIN1yKlanJln\ I:,• I'.,r, and /IIr.NII Mr.anc H, in (avaKe Ilur) IuNn t)• eaplNeJ .ubjecl. 1 hrx re+uhs cM.w /hat In buman wbjed.l), InJu/eJ hylll'ne\INN1~IVCr1eN t/1 rllethll'hllhne /\ a~NIr1:111Y/ w/lh a///11tIU~ al nc 411410111% 111111 11N• altWayt a1NI WIIII l1UnKtt Ill lhe levek III NNIIr t yl hN.styFI'/IJw rnelalrrlue...l .rat hnwmn ., 941 111) 1 S t
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S. Itirl . 1. Hq•hy It G ,\IU1hJrF•• M• Jnd N...L•l. I A L.mrl.d n/ -11•ph..l /'/n.t../.•t;t (IMJI I1?1 (1!h. 1•/Kh thhrr luppart: N•ttnm•tl Ilr•ul• I unl• ,nN11)kwhI Ill,lllllli. (•IhLA111J An Kramiat-. H...nJ. I L.m. ( lal..l..lnlu, Vt1L I)IVl.wn. Kt•.a•Jrlh. JnJ Ilw' NJluu/.d ('y.Jt. I Ihln.t, 1 .nnlJ•Nn~u I 1nn111p' ( .n.1u,v•t.. u1Jr Kr,r•na h 1n,1dulc a111I I)l'Ilan11N'llt n1 Mrdn nM•. I lnlWr.ny 4.1 ( .d11nInIJ( t.rn I I.m. /.. t. I K Y 111144 K'Y 11 \ 1 Kt )M ('II:AK1 I'I 1' \M(1K1•KS 1'/)N 1 AIN M11K1. G1 IIIn11111/N1' nN11( AIAI ASI nNl)I'K/)1I'('I I NIK)11I11IMI ( I I I S IKI)M1I11)K/K:INI•IKl/Xl1)1 Itl I'Ilk IIIANIK)IKlI11KIK'YII\IKI)M NI )N\Ml IKI k\ Katv l,l I.h,l•Ih111~N1, It'1'.INIIIII,• low Jhlhly d InuJla•llulJr rtylhl.w ylr IKIII'1 Jn11 utalJnh tu .k'.1CJV' I1 IIM•1•Ih.Ina• nla'd/Jla'J mplty Irl lunl! IL.IIrV INvr prulUlNrd /n1.la••1n1t/1. KItI',/nn.•tul.tnl,ulp•Itlt-nl,wtthlunr lh.c.l.r Wc1111mJUcdklt('hum IJ IF'JIII1y, •1Fa• J/aI I~a mkl u1.11a111•d at/!Jrt'll\• \IIM.Lt•f, 11111talnl•al nwur Ip • II INI I;lut•INlaroa• it, 1• 11 1 µMrE 111•h vrl.u. S 11 ' I) I yMly IIKhI:/11Jla1ala.r 121'/,S 11 • K 1117 u/al./F 11)•h vt•r.u, 222.617 • 7.IK11 unllay IIrh) than Jld kltl' Irunl Mn1,lIN.Lt'1• III a..n11.1,1. Kltl Ilmll . I~Jt1'lll' ,ItM.La'r\ JII/I /Mn/a11M.Lrr\ ttN11:11/N'II 1hl' %.InN• •hllvdlr,.'1 1•lu1•dlmalr Ir'aaalJ,a' 121 1' 1? Inln./y 111;h vrnua 2414 • S S u/ul•1F Il~hl kll/ In•m . y.n. n: .ul.'Lct. .d... p/.dct hJ Mrvulr pulnwrnJry attl•ry t•Ink-lll.•tlJl l a 11, In . nhtur Il~ ut h~dl../•.'n It I~u.k III l/) Ir'nrr Ip • I7 oS11h.u1 JIJ KIS( Iu.In nuu.nw Lrl.lt! (• t~ I'{ I•I. I~.It,nl vt't.u. 11 V• S 7'% Inulrttum/ 11n• rl•.ull..u)•1•.'•1111•It .d1a1•m.Ml, nl KIl( J//IN.an1.1111, IIIJy /l'Ih'lt l'alM.,ltrr J/I/llUt J/IIYI .u.vt•Iltlhth/v 1.1 na1J.m1 mJual•.I lnlwy I.ah, K M, Itrrgrl, I M, Ilrrhlt•1, (' I. JIH/ K.pIn.•. I! Ana'rh.ul K.•ln•u'.•/ Kry.u/m.n• fh.r.r.r 13•/r! :KI :K4. 1996 (It~lel rY~r1I/t: N:IIN.n.1) IIIa11I11I1•\ UI IIl•:Ilth, /Lllh'/1l'all L11111,' A\N1l'Ia1NM, Ihtwlu1 & l LJUlhlr, aoQ I :unhr:ulah, low I n/n1111r Ik•p•utnti•nlI uI Mrdlcinr JIIJ Pl•lhJlrll'a :1n111IK Wl•hh•W:Itlnl; I ung I11V11 tu1r, llnlvcr.Ny.,l ('uhlraJll llrallh Scirnl:c.(•cnler, Ilrnvrr, I'KlK'IiS%IN(; /)F /1N(;I()IIiNSIN ANI) O)IIIiR 1'IiPfll)IS ITY TNIi I.11N(:S 1lfxk t.tarnhnh Illr mlrr:R II/MI% 111 M/Iuhh• Ur t'Irl'ulah/llf l'IM1111NICn1] III low It•111n angnNrnan ty.lcnl Jle/ lhr kalhkrrtn klmmn .y.lrm with 1r111t1Jr clenlwmrnt. t. Inq>,Ir 1J111 14t'al/w IMNtt %y,lt•111a IuMINM• ill ICltal 111 \IN/N' IC~/•Ctl~, a% h1aN/ INNtINMM•a 11Uwrvcr, (•Vrn Ihl'tr .y.tcmlc al'lalrl. may Iqr.unR rnlitally uU1111rtJn1 rr:r1 flunm with t'rllulat l:nmlrlncnl% lhrt afr rna un/ltwndy JLlnhuteJ wlNlin urEatlm ur wlthln Ilarta'u lar trll lypl•.1.% a ylvcn lug:ln ut li..uc One unlttue Inturr.,l Ihc pulnNlnary liriula- t/un I. Ihr « neuLJhlc .clctllvNy n( N% ulclalyd/.m ul Ihr.e prpl/Jc. Ovrr tIK pa.t .rvrurJ yc•u, J.1.'t h.-1 the nw•IJh.dl.tn .I \tnmm and Jn~n.trn.nm I by Iwllnwlnary t•nd.allrlluut It,l.r 1.'rn 'k•hlyd Ilw• hwu. ..1 Ihr. lutlwn 11,1. Irrn .n Iwfi/1uuJry rn.l•d1H h.J •. 11. .h.. 1, .. 1•. 11.. Iv Iw.+. ,. J vIlr. n1 vJ.u.w tlvr ,uh.U/a r. CIUJu•. 11•Lr ,la•w n 11•.n ~ trl•NIh 1'•d .. 11..•i tl.. Iuup .•011.- t uo,ah•ICd :1 vcry t unlldr. .nhd hh:N. rl•.KI.N l'Jh.lh)l• 11l l'tlrl•IIIr1V la.l rraahnn. 411 hl}h a'L•t1lVlly, Ih•rh•111, t'V.•n ,Ila•\Ihally IIII, lI1JINl•t t'IJ1I% lhl• LIN.wtI lllaf,llll'r11111%• IIIINt1.111a :111NI 11k'L.IM.II,111 Id low M.Hlyklnnl •/nFullrn,lu I:alnly ul pa•IMUk•. 111 low IN/IIIMn1:/1y culul.u/a.n .nld Ina la.k•..1 d/a u.a.ro ol Irt 1•nl advarlcc. in Nlc .tluly ul ra•Irv,In1 IwllalunJ/ y a•niynw•, I IK u1lllly all t tlhnll'lI In1I11NML1t y t•/Itk11IN•I/JI IrII, J%:I llwrk•1 .y./rm 1.:11.1. cv,rluJlt•d :ul.l arnJllu a llnll .d •1.Ik•cr. u1 low L•dldrrln Lltun :uu) rruln JnE1.Nl•n.n.n .y.h•ul. J1r /rvlrwrJ Jnd dl.an,v.t Ke.ur. (I \ hl I 1,hn1•lu. A I,nld 1 I,IIrr. A It /rd. J IIIUI/IIMN.I r l/'/n lud..A l 7/r.• Kr y'rr.r n.n .Il.r. m/. Anlrnunl I hy.u.luflcal 11w Icly, IvKS, Iql 1%, I(r•/. (hher wp/r/rrt: NJh.•n•d In,lnule. ul 11r,111h I/U//I IIN• Ita'Iq//111t1'11/1d Mrd•.-ns•• Ihllvrraly t/1 MIam/1. b.w/1.11 Mrd1a l/nr, Ml,utu. 11. MI.-InHUI II' n(`IIV11'Y (11: 1'1II.MlINAKY I'.NIN)1'111.I.IlIM. 1 M111Hq.AII1INS()I' S7K11('111KIcANI)1'lIN("IIUN I'.1NkNIMI1.1I l'l•II, IIIJy a nu/llhrr OI al'llva• r1/Ir,I1My :/l l a% a hrnicr wldl hnnl.•.1 11Ctllll•Jhlhly; IIICy ht.ql•\a l'Iflltlall/lo: hIM111111M\ a/M11Nhrt hnl:lt'llva' /llala•ILII, WIII1 1,•rl•:111'Iha'It•IN'y J1111 N•h•thvlly; Ihl•y %hatl' 111r rr-q1111N11Hhty IUf hl•/INl,tdtll rr,ud,.n, with IrII\ :IrMI llnll(Mllll•111, 11I hkMlll, MII u1Nh•r IMNII/JI t't1/11I/1MM\ 1/11l•rJa 1 VIYy 111t11' wldl hkt.Ml lr1l% la hhrld htNnr t'h1111nK I:r.11K• Thc ruiyn/c%, t•niyllw• nllnltn.u., tCCClltln., arMl IrAna1h111 INUh•/11\ rl•-q11w\Ihk: IIU IIIC In/ll'INIK 11I //IICtJt'InUI.. /11 c//llu 1hrhJl l'CIIV w11I1 l'Irl'11IJ1/111; Ntwa/N'l•\ arC /II /IIAny l'aK% klNlwn tiaM/lr .1/ I)IC aK'Inc .uh.lalll•r% rclravJ hy r1lJlqhrhal rr/1e havc alw/ lurn JlwunrelNrrl, hul umkwdNCdly many rrntaur lu hr rh.m ovr rrJ lhc arlive an/1tlaunlhnKrnchy IN etwkNln•hum I.Ilr.d/a. bly dur in pan Iu rl•Ira.r 111 prlNlxyrhn, hu1 even whcn pnr.lx'ychn i. InhlhnrJ l•MIIItINhnlll tlltl'% /MN ht•l'l/lllr Ih11w/1h11I,•l•nll.•. In /:M'1, unly whrn r1lJllllll•hal lrlh nl v11r11 ate ItJll\h1rItIC1I tI1/1hl'y I1CtYN11C IhfIM11h11o•rnll•. IlnJrr Ihl'\c l'1111//11VIJ/Nl•% Ihr pl/l:lrlly u/ Ihe r1lJlrlw•liunl nlay hr kla arllllhe JLlillclnwt hrlwcrn Ihr I;lyl'ul'alyu un Ihl' IIIIIIIna) \ulI1KC a1N111M IM%C/lll•nl nICn/1lfa/ll• rIWIC/1:1b. IMI IIM al.luminal .InLnr Illay hl•l't1/11C l'1tn1uK1I 'IIIC lull ra11I,`C III /1r1111Cr1/r\ U/lll IUlll•INNN I/I 1hl• IN/r/11,1I ylyt'Ir'alys are tu11 ltwlwn, hu1 h i% rlcar Iha1 rnJ/Nhclium can play an ali/vc tulc lu 1114? cvr/N% k•adlng /u Im.ruvav'ular ul'c1u.Nln and Janlarr. lhr cmkNhrh:d .ur/:llr rvrr wh/CI1 hhMt11 INNIIIaIIy IIuwC un111111rrIC11 can hl•l'1u1M a Iucu% hw Ixut'uagulant anJ rlanpknlrnl-hnkrd rearlnm., and arl'h chankr. l/lay hr• alclwnpanlcJ hy a dl.artay 1.1 the glyrtr:dya 11 a IrIn/q1uK lo yltrulalr Ihal lhr FIyc/RJlyu 1% i/nlwat•ull m Ihr Il•t'1/I!Illlnl// llrlll'C.,V•, It•Iwrrll Cnik.llM•II:11 CCIk a/NI hhlllll Cla•Illrlll~ an11/1/.11 ./lh•/./14nh I/I IM•/IMN1Jl/l' NMI 11111t1111M.h1' K IMda•nllal JIC :NlIn1111J/Ul•II hy aI1C1a1nN1V I/t low t•/IIk1 1111:hal gIytu.Jlyu Rt•Irn, U S Annrrd Rrl•irn'..J/'hvtrnlnKl 4i.2h1-277, 19116. Other suOporT: NJtn.nal Ilrart, l.ung unJ 11kwIJ Inaululr I r/an Nlr (kpartuw•nl ul Mt•.ha ulr• (lllrvl•r,lty t.l MIJnu St IuM/l a/ Mrtht /la•, M/•nm• 11 S1 I S1
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kl ('1 1•I(1N MI IIIA 11.1) I(INI)IN(7 OI' ('ly ON ('lI1.M(1NAKY I NIM)IIII I IAI // l l S N.NIIIJ) IIINLIIII.IF•1'1I INII/INlnuy cnJtNh.lr•d ccll% a/qh•Jr /u (w umuun/du~.a.Jly pnvlk•rl•J in thJl dN•y 16. IaN cit lNC.% re.clNtN. Ilse IlN• I t INN1aN1 nI II;(7INN ItN (' Ih II..wcvt•r. IIN'v IrtrlN..n hruwllc unma.lyd twl erN11NIN•IIJI .cll. InlurrJ h•/ vo.ll Inlr.tata.N r.la/.urc at whnc acll Iy.:NC. Wc IN/w, prc.clu cvak•ntr lu nalnJlc IkJI ('ly hNal. 1.1 Ih•l llN IclclNtN.lNllhc,InlaCC 44 /NNIIIJI hL'NIIIIy l'INIINhlILllll•I . IIk hlnJuly 1% du.c lklt•lak•nl, rcvcrahlc a/N) %alulahle I'unhl'nINNI' t/u1 llJla ,IN w IIIJI hualn/F 0.1 ( ' ly nt cnJ. •IIN'II:II t CII, 1, v1.11hC 111atJRCMIu\ 1\Ir11.N11/1 Ilse IIN.IrI Idc eaN vcl IIN 1 k11N11.1/ IN':NI ft').'I/Nl• I IIII, h1/Nhnl,' III ( h1 h/C1NkNhl•I/IIIII wINIkI 11Jv1• Ilse l'IICI I 11I cywt.m~ 1. It.clN.w. IhJI IIN/W thcn hirNl ln Ig(i ut citculJUny ulurwnc l.•nqtlc.c. Ih.u I t h'tcIN.N, ;NC /n 1x1 cula..cd L.hllwn by rlr.cne hN11W1aN1 WIIII JI hlqaly a...h Iwlctl ('ly. n.. hnahnF lh'runrJ u.ln~.l v n.IhirJ rrylhuN ylr. Wld/ I('Ir :CI% In.lhtln •uN/ lr•m.l.l J..ay. I)ur a•.ult• IININJIC that ( hl hlnlhnl,' IU CIa1.dIM'Iltllll Im..Nk ..1/1a Jn. LN I.n .dlv/oy UnrnulN clwlqdrae.lwl pulna.oJry vc,.cl. Jlal .uJy Ir• 1t111Mwt.1111 a/ IIN' U1114/taal Jlhl /Nt./YC..aNI r/ IIN• InOJmnlJltNy Ie.IMl/lv' /henl•. so l. X.Mllli. I) H JIN/ Rlan. fl •\ 18,11" un.l( '.!! 111411 11 IM• 1'/Mf. Illhrr lupp..tt It \ 1'uhht IlrJllh \.IVNc 1 1.•m 11N• 11ul.crvly ..1 Munrl C. h..d 1.1 Mc.tl. na:. I)t•prnna•n1 tu/ Mcda ulr. Ml.unl- RI'.A('111)N` A 1 1111 1'UI MONAlt1 I NIN)I I11 I IAI. ( 1 11. StIKI A('1'. Slnlc 1'MJ. it h./. It•tt•uN' cvld:nl ttul a wak• v.1r1c1y sit hnNhcnu..d (e.NU.N1. trttlr.ndlf.ullJtCt•I v.ntulJlCrN1.NIN'hufn Manynl111C.erCatllNl.•J(Illl'Jrt..IN.Ur l IN11/111NNt,ly Il' g ./IN'IJIM/IN' IN1tT%,InF t1I vaw1a.ilvc .uh.laN e.) whllc tNhcr% tN'l ur cplaNhcally IC F.l'IINC,VNwf 111 11nh'tla/,'ulJ/ll a'hvlllC] an111nleral•II/NN with t'INllllll•- nMnl) (*Crtem ut IaNh tyle% ul rcxlalnt arC IN.w u1NkrSaald in lair Jc1Jd a1Nl in 1CIn1. 411 UnNlu1C huAbtNl llNtClalntn.. Ilse (e\1 (hal Il/lktwc IIN:u]e. I) INI a1lNinwluc InterallaNlm td cnJtNhc11J1 wrtace (N•IMIJa.c en/yn.ei with h1/NNl lNNne uhpylclNak IN N 11M N1C%• anti Z) t M In1lul'IaN1111 INIh 11a~,'11I~111 .N'1/v11K, and l'INII(Ik11KM an1l II/It1111nC 11N111hNKni teICININ\ l't111Kt1UCnt 111 CINkNhI•hal InlUry. The e1NslN/ll' alhvlllc\ a(l/ll':/r rel:dcd in p:ut ht Jl.array u11/rc nlNmJlly highly INgani/cJ Klyl:ucalyt. 01 the canlinu- INI% x'llv/lle.• Ilse na" ckarly unikr.hNld •are the intcrx taNl% of erNkllheliunl with Iwo uh~ltltlNak.•thchlwnaNlchraJyklnlna/N11heINIlMwnalrleanKiMC/l.in) AnKiwwcnan I 1, t'INIVC/1el) III/I/ Ilse VNMIIIre1MN IawltaMK a/ll.'aHl'IINn II. and hradyAlnln• a vaaNk INl'\MN IMNIINNM, 1. In..Itva/eJ hy an~aNCn.m clNlveHmK enrytne Illc latrrr enryroc i.lh.IN1.cQ tln Ihc crNkNhelial .urlwc .uch Ihal /l hav vutually Iree .cces% a/1u hhNNl• Mwrle.uMllate. A%a l'INNeyuenCe• Cnl1lNhChulll lJlr1 he sa1/I lU re6ulale the MN/nINIJI t/nlqa/.ua.n td hhwNl nalving Iklwn.treanl In Ihe Ca,e (iI 11uIONlnary CrNkNhlhuill• tk.wn.lreau hkaul i. ,y.ICn/iC artetlil hkNw1 Hln.r II \.rht Rlin I W 1,. ..• 0.•l...l..l 1.....•h•.e.•! l...nl tll....l n• /.t.ur I r.n/'/nan. I1'eN5 I•I•, •I i (Itlerr cuppnrh NJllun•d I(cart• I.unl; anJ Flkwwl In.titulc arNl thr NJh..nJl In.lnulr, 4.1 I tr:111i1 I 1.•II/ Ilse I)l'll.//lllh'1N .II MlVI1l111C• Ilnlvl•1\Ily nl M/a11111tIN11.I OI Ml'1I1111N'. M1.11111• II IIII I NIN )111I 1 IAL SIIKI-M'1: ANI) RI'SI'1)N11.C ll) IN11tRY I•I/IIIMNLI/~ 1/11i1uV;INIII:/rCMkNhI'IIaICI•II,JrI•IJalwn111plclyanJ.I/vcr.dl-mIIN• cvcul. 1h•N k•.al lu v:IV11IJr JJnlay.e in Ilse nr11JU1n1.WNy rc.laNl.c IIN• cnd..dh•h.d ,II/I.N'l•. IaN111.11Iy 111.11111.a/h/F,ll';IIIy INlvlk'gCII :nNt VCry ;N'IIVCIy a/1111I1/11111IN.1!a'lla • t•NI rC.lrnal ln cC11J1n.lUUld/. FCIICrJlly inprraNl., by It•cunlUll!.trtNll!ly puN..JI•ulJal :IINIhyI'\INt'„//IF'IT:11hI(•lhll'Cl•ININ. Lll,l•III:NT111/11JL't',,.N'IIV:NI'tIl'/akNIN'ILIItI'II• t•1/1 I•I.SVNk' .1 1.N1111aN1 MNllll• ;nNI \UINII:Itll/ll ItN t'.N11I111N'II ht•IINh1.11h' :I1NI 1.N1111L' nN• I hnlyd 1c••N Ilnn. Sol h Icln.hNnlatuNlh t/t l•INItNIN'II•II 111•N'tINN1, n1./y nl...lv.• •1I11•1.11/1NN 111 Ilse t'/NhNI1a'I1.II )!Iyl'Ih'Alyk :/rNI• 10 :Nk111NN1• /•I;ly hl• 11111h111.1111 LN Ilse t•1111..1111h111 •N1NI t11,Iq.,.II ul 11161F!IN ytUKYI 11.111hul;lle• Whal /, CICar 1, 111.11 d 1, /aN •mq.lt .Iba-ult• a1 t'1a1.r1IN'111111I 111.11 I/J\ a Ih'all/ll! .NI 111. 1N11tIN1N[ ld tnlLnnal,N/wy ,11111/111 INII 111.11 ,n11N 1111.1I •/1NI II//IM'INN•;11 /l•\INnIN', III II11• l'INIINIII'I/.11 \1111:N l' Itt 1///1// y. If,ultln)• 111 •1Ih'1lYl Clhll'„NN/ nl Ih•/Ia1,IJlll' :nNI //1/111111a/IugIC IpNI'1111.1I• //1.1v I1.IVt• J/I unlrw6n11 It•Jlnll; uu Ilse Iulc 411 Ilse cnikNllChlun UI IhC rl'I;ulJtlun ul nu.1..v.1..lA.n IN'111N'JlnlNy Rlun. Il 1 t I yd.'noa.n I'r.n r.•.lulgt 45 11/1 111%• 19fSA (hh.r .uppp.rf: N•nNNIJI In,llluil'% III I Il•ahh. 1 ru/u Ilse 1 k•pannN•nl ul McJ/cirn • llnlvcl.ily ol Mlaun St hthd ol Mcdlrlnc• AhJnu. 11. I't11 M()NARY 1.NIx)II11•.I.IAL('1: .LI.KII I.ING HY IIIIMAN NIi1IIK1)1'1111.` PIriSIItI.I•. INV/)I VI.MI:N1 (11 IIYI)Rl)XYL RAUI('AI. Ilulaan hhNIJ ncuUnpllilz .tinwlalcJ by a varicly ul ayenl% wcrc .INrwu 1., h•Ivr cyhtlu.rc cllcclo uN MlvnK INIInaNlary artery enJl111N•hal rcll. I:Ilc.hvc ay.wn.l. t1NI1Nk11 1n•nnlnc cnnlpk•se.• Iql,amied ly1laN:n/ arNl IZ ('1ICIIaIk'CJIa/yI ItIW1IMII ;ccl.uc lln.imndalcd hunlan nculnqlhils anJ nculnlphd..tinwlalcJ wld/ N;twln) l IIN•IIINMIy) h•IKyI 111N'nylJlanillC cN with p1a1clc1ar1ivlNlnK Ial1tN /:Ilk•d al nalucC ]I);11/1na/N 1•IIIIIIIg l'vCn IMNII;h Xt'rehNy rCICa\L' OI IyMtNNUaI CB/y1111'] t4't'unl'tl 111 nanllarlnK Ihc cl/c. t. ul Ilse Jillercnl ag/N11.1.. e/ak/lhelial ccll Adling .Ih/wrJ a trucr rlNrc1:11NNIw1lhlhl•IN/NhN1 11111 111 1LO.II1a11w/1111hC1,•enCFa1aM111(1.• IUNkNhI'IIJIcI•II 1,1111r1f by .unlulJled human IN•uu.qlhik was inhihilcJ by raMla.e hul INN by .I/y1N•Jrl 1/yp.m I/lhlbnur IN.upcr.IRiJI• dl.nnaa.e Ki1hnK was rlsu u1h/1wICJ by 1wu w'av/•nrrr. IN• N d/nh111yllha,ua•a yral I/ nla/alihd1 ul hylh//.yl radN•al .IN/ by lk•Ic/u+JnlnN• IIN',yl./ll•. arl ItlNl tIN'IJIIN I//III%nlurUlCl/ lk.•ICr11f1n1111111• n1C\ylate wa\ NIrn11NJ111Iy Ic.% e/kluvc in IwtNCClullt the enJlAhrhal ccll. a}•a/m1 f<dlinp. Agcnt. Iha/ wrrc INtNCI llvc JKam.l cnJlNhclial ccl) Ad1inE dIJ IaN inlcrlcrc with Ihe Kc/lcralawl ul l 1' lu .unwlalcJ neulnqlhltc. These resull. suKEe.1 that kukacyle induceJ enJlNhchal cell it dlmF in rerrucan he in.hN'eJ hy slwne hu11aN all aKtNli.l. (.N Ileulnlph/1n ara1111J/ /la• kllhng 1% uaylCen Ikpcmknl and nuy tlc Jncrtly Juc Iu hyJru.yl raJN aI pu«h/. uun Va/Jlu• 1• 1•hk+el• 1 I' (; , I111• l; (1 , JntiRINn. (I .1 t5
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II.h•o.ll.N1 INI'r\f.cull.'n 5.1/h1 AS(, /J.I, 1'/RS (I/IIPr aulr/N.rf: I bIN.Cl+ny .N MIl hll••NI uNI lhi I Imvrl.dV .d MlJtnll 1 uNn IIN• I Ial,du11N,11 ,.I M„h111N•. 1h,1.\'Ial) ,•1 M1.11nr1 \111,M1t „1 McJ1l luN•. M/.Nlll• 11 1)IKI ( l t 1 I 11 1\ 111 I f fr/ / 1 NIN)lt)XIN t)N SIKlll't11K1. ANI) I'I KMI VI!I 11 \ Ilt 1•!11 MI/NAKt I NIH/1III'.I.IAI MI1Ntq Al1:K\ ANI1 /llt I NIKfIIII t IAI ! A11 K 1/1 INIIMAI.I:XPLANI% I!M' \hl,'\ I+IIIIa 111/./I. 11N•1.1h11IN. :1/M! 1,11y+NthIFN• l'!Il't 1+1,1 / to IM'III 11Mt . 1'II •'llth, 1/1\1111N1 !nIV11M' IN1I11MN1.1/y \•IMkNIN'!/aI IIMNMI!.lyl't\ a1MI /M11!M' 1111.N I l'/NIIN!M'!1.1) I./y\'1 1111N'lnN• puhlNnl.n) a11flV Inhnl.drar!,t111, waYt'r.Jn11/N•d I 1NhNhr!IJ! IIM,/N,!.IVI'1\ 1•.Ih1.rd t// I..•II l'/NI 1!1 !u/I. It 111. It I, !(i• ,IIMI !I/ N(• llll!) !IN 24 IN1111+ IN IIN• ,Il.vIN r 1/1 1N,1 NN• Ir1.11 \.d1 .rlunl l l('S/ .IN.wrl) a Ik,.c .k Ih /Nkm Ir.l.m• r. :1% tk•nNN1.u.1N'J h% nlunlh'1 .•! IyI/NNN l.•II, afNl LN/.uc lkhyltfo)!r/>.Lr frkav t1t.d wa. rllh.nllyd hV •Nklitll,N .,1 1('` 1111.I:Nya!ul IH/NIua111N1 wa. uN'rravJ INlly In 111r INl'N'/Nl'.'I II'S I INIINnun.d.ucJU.ad,11111N1t':NrInIN'ft/MJh1hIy IlINkNIK!Lllaa'!I+ INI n/ulha•IhJ...a• Idll•r.I,IJIC/l /n a1N'uNN•ql.lll.lnlhrr. wldl fatlN.aa'live Italrr.ln 111r ulqh•1 wt•!1 J+q•I,d/.an1 ?t'{ 11h tl':Na' 1/1 f.Nr 111 l'1111/!1hIJ111N1 IIINIIII+ /n hlwrl wc11/IINUN• 1/1 uplh•t w.'IU 1d 11 wJla•1 J!Irt 2 .I/MI I INN/I• 11NI/hJINNI W/lh rINI.NU\111 1 1 INNIf+' l'INI,Nava 1/ %t) 1 11 (11 In I SI'. INI t'INMN1111n 1/ hV ! 111151 an,I 1•IIM4 llla la'•IV 111 l't1/1/IlI,1.111.N1 1,1 ' I:II!N/IIIIII N Ilt/,'t' IMNtI+ I! tNNl/%' t'INI1N1/it1/1 !/ -!!I - 1111(• IMII'11th,11111111 1) P ' 111121 AII IINIt':IN' /11IIytI/:111I11' IINMI1Nta1N'l' w:.+:11N1 +t't'l/:11 1 IMN11 I kY 11.Nt 1111\ 1/1+t.y/y l.t /!M't'INt.•1!M'I1: I LIVI'1 ,11 11111111aI l'RrI:1111++IN1wl'tI IIII.IIJIIINFV n/ llla' 1nlrllt'11111.11 (INNIL•U..NNI t\!h11a1 \!1.N11•:. frplr4•111nt!• \.n11.N' 11.10 /INII'JV'.! IHI,nN/ll•INY .•1 l V1.•LI.L/nN 111.N1N /d, nN. 1.'.N lll•n.lhun. a1N1 l)Nr IdJVnic INUlnlal,o. .11 lU •lnd (It N1t1w1r. 11•'ll, 2 INnll+ftl.lYlNl'.'1 \t•11 dr.uh w•1. 11N1111I I II/I+. rINkNU\ill t JIIV'+ InN Iw..l ..HI1 InN'1.AN/h. lN I'HIoN.u.u t t•IMI,. IIN•hat.r11..1n,1 .11111N IY.IV' 1111h'111N'.Ih1I11\ .'1 111: r1NhNIM•th.d 1.1y1'1 I ht' In11/1) •\, I/t• In 111r Jha•IN r ol I(\!nlf 1. ruh.nN rd hy If. .Nl.tmun A1rytla A• II ( I. R\.ul. I t S JtN1 IIr1Eh.uu. 1: 1. AnlrrM In J.'ul•NJ ..1 1'ulh.rl.rkv 122 1A!) IiI. I'IRh Il/flrr aYpptlrf: N:IIIINIJ! I Il•:It!. I.unl; :IINI I(hMhl In\IIIU1l• :IINI 11M KtIN: 1'INIIIlIa111M 1'1\Nn Ilx' 1k•p+ftntrn11t1 Mrd/.illr• (!nivrf.lly t,l Miawi SahlNd uC McJlritN'. Mlaml• 1t. ( il t l('1 K'()K 11( ()11/ MI 1h111.A I it IN 1/) I•K/ IS 1 A('Y('1 IN I•K(/1111(' I 11)N IN ('U1.I 1!K1'.1) I(()VIN1• PUt.M( )NAK Y h.NI x/111I•1.IA1. ('1 lh.• INr.rlnt +tINIy hJ% l'l<a1111111'lI IhC ahliny t.l Flua'/N'tMiruilb ul IINMhIy Illr ININIiN u1Nt Irl IHO.lacychn hy rnikNhrllal cr11. llrrivcl) lfltnl INrvinr IN/InNHUIy altrt N'. 1(uN1u1F' .hNhe. wllh / 11 ~lrranlrlhJ.INIC I/IJII alyd Iha! Iht•.r a'eltc pr..r..rJ hlyh- alhe,llv h/N.hny +dr• I,N ! IIN 1N ININ INd. lA' , a1qH.ltultalrty J nM) l hc trll. frla•a.rJ Iv.1.1.1... IN, nN•.L.n~.l .1'/l,h.!•N.dh J. n+ hVdt..h+l+ ININIINI fr Ilch/ hlu+ldl'!.uN!111 .t.,nut .N,! L. .. S 1.1111 INI ul.ntn.H tt,lh SIInM In.1.lyA/oa1, I It yM 1.11a1uN11nINq,hlnl A`11ft7.N I lo S µpoi1 :II:NIIIIkNIIa :NNI 11t•.J/nr/11J+nn\'. 11./ 21111t11• +I/IrIHI'+yII t1111+1.M )l llll fl'h'Jy I/l ll'+IhNly Itl hr:NlyAllllll .IINI NNhIpINnr In •1 Jl/+l• 16•IM'n1k'ul ul.l/nur/ IIN• .u1qNr.avr Itl!a1+ Irylalrll 21 1/1 1.01 11111 raplr..uln Maauu.d 1Nhdn1NN1 nl I]I.M/)I,uun nNlua'rd INILLN'y111n la•Ira.r wa. .Ilynovul.ll.l) hS'i .nM11hJ11.1 /1NN.IIIMN\' I/NIIIar,I N'k'a+C w•1\ uppt11tu11a1t•ly IS5{ IIN:d Nlhd.uN•H N'•1+ /MN /.IIM'/\l'.I IIt.I/.h.N1/NNN' :11 21/ nM IIIIIIIIIIa'tI !N:III)I.111111 II/Ihltl'.I tt't: a+l' .,I (NINI:M )t IIII IIV •II,IN.,\1111.11\'Iy •tS'4 INI! h:MI /NI a'!IlY! INI NIIN1111NN1' I/NIINa'II !l'h•.I+a' Nt'nIN'1 !•hMlh..uM.NJ In/Nhlh•,/ INU.1:ICy.hn /rk'aM in rr.IHql%r Iu:NJIhNkNUI .1\ NI 111NN1 \ t1U1ca11.N1..1/N11o1N11tNNNy1nN•lIlPubnHCa'11.11r.dr(1wid1?th/M.k•It.NIM•t11.1 NNN' !altl'11 !II /IMh!IIV In..+1.N'yl tl/l /l'k':IN' wIN'l1 Mkk'aI (11 Ilr\h l'IMk11IN•IIJI tl'!1• Wt' l lnh IINk' 111.11 tk•;•1111\'1I1•1urIN'. 1111'INNI'11!1:/IMN1+ I/Lrly hr IH/III(Nl' VIIIuaI!y lallll,!l•Il' !111NI1/11! +111' In't1111•11N y. 1111111111% :1)!.1111+1 /IMIINrII Il'k'a+l 1/1 IN.I11:N yl II/I /1.NI/ Ih/\/lll' IN/IIIM111:I/y t'1MhNI1l'!1.11 ll'!/• I11I11h111tN1 aI1111':11\ III Ill't'llr :/1 1!N' k•Vt'I IrI 111t1.1„'II11!.1/ a/,It IINI.NHI .M IlI /l'Il•.1+t• I IowrVa•r. wl havr 11~1•n unal.lr lu ulNJ/n Ik•hnnrvl• t•aNl.'IM P I.N 1!N' IN.NIIN'INNI111 .1 401.41 taN/Ndl•t1da1 IIINIy1lNdlpa+r ud111,11.N hy r11wkN1M'l/•11t CIl. Ill /1'+IhN1y Il/ IIN'N• !.rW IINNt'111f:/111N1+111 \ll•1.Hll ('tlnahIry. 1) 1. Ht.ul. (I .ti' :aNl Kyan• 1 W. 1h. Jnnrn.d../ I•h.N.nu...h.xa.nMll: yf.•ronl•lunf /h.•rup.'uti. l 2.4J11/ hSt1 655, 1vxS (Nhci iuppmf: ( IS 1'uhlw I Irallh tirrvNC a111111N• I.ut'llk' 1'a1Lrr Mall,ry (11a1/lahh• 'Iru.1. I'/tN111IN' I)a•It:N111N•tli ul Mrllirillr• (lnivrr.ily nl Mianli SrhlNd u/ hlydlruN•, Mr.Inu, I'I.. / SING1.1: AI'I('AI. MI•MIIKANI: ANION ('l1ANN1'.I ti IN PRIMARY ('111.111K1•..ti //1• ('ANINI:17(A('111:A1. I:I'fl'111:1.111M 'II/ Invr.uEalr 1hr rrllular nN•a'hani.nl rr.plNlabk fIN Ihr alH.al nN•n1h1a11r ('I rINNI1N'LuN•C In alrway ClHilla'lla. wr uVrJ Ihr Ilalch-t•hun11/l'r11nn1Ul• 1l/ audy .nlFtr NNI lllJllrN'I% /n IN1111afy .uhutrs 401 a>aninr Ir:NiN•al rpilhrliunl lllr rt•tls aun1a/1N•d aN auaNl.h:111/N•I 1I1:11 II:MI a%I/I);h' ChJnnl'I l'tNNI1N10/1rC 111 iI11N11,111118/l'Iy 29 pti al /1.)!a l/vr v111!aFr% ul.ymuktrN'a1 145 mnN11/I ('I ad1Ni1N1.. lll .yumlrlricJl ('1 ..dutNln. Ihr t•talv./ .inFlr 111:1/11N'I l"11t1Cnl•VUha(,'C rl'Ia1NN1 W8V nINlll/lraf, w11h l'tNNI11t1a/NC In rtra.my al tk•INrI•Irvllll% vuhayr. 'Illc a'hanllrl wa% inluhl/rd by JqdN nyl:uoulr 2 l'athll\ylah' :1/NI :1111I11:Ntllr•')-l'7111M/;yhl• al'NI at ~INN'llNtalllM\ a//1/1lar 111 IIM.+I' Il' yulrrll tu ulhihll Irauw•IHdlr hal ('I .rcrrlNNl 'lllr t'hanllrl wa. !INIIN/ /n hr.hly L/rL11cJ ccll., l.utaN•d a-cll. In ru/lurr, a/N1 in Ihc ypla'aI nlrullxallr ul rINlllurn/ aa•a+ HI t a•Il. Whrl/ a11:ICIN•/I IU Iha' rfll !llr chanrlrl Wa. :N'tlvalCJ by alkht1/N1 u1 /NpH1Nl'll'/N11 in V11/11r• MI/ nIN aII l'J+l•\ 11!!l•n 11 WJ+ IMN hhM•IVl'tI 11111111•n u111/1 IIN' If:IN I1 w.l+rLt 1+,'1) luan 11N• ct'11 I IN' \ I1,1t11N'I W,1+ IM,1 .h/N1I,'ly vtlllar.a• I`,.Nrd, /MN wJ% il :N u11'1y /C/•ul.nrd Ly u/lrtnal (•J 11111N' r ll 1+,v1. 1mNlr tNM alN/hp111J/NN1 I IN• /a•wh. dN., t1./nIN'1 IuJy Ih• /t'.INN1.1/11.• hN 1!N' ,111/l JI ( I l INNIIM 1,IIN'r 111 CaININ' 11JaIN':II l'I1/1!N'I111111 W.dJv. Af 1 1'/lur.'rt Are hn I ur.q.r.at l.rurn.J 1./ PM vuL.xt' 1071Suppl 2) ti11A SI22• h/tth (Jfher luppetrt: NJbonal In.111ulr. 11f llrallh ('r.Nn Ihr I:dhH.It.Ny ul 1 I,IIIN•11.d I/.InyhN1. 1)rp.NU1M•N1 uI hnt•IU.J M:dl. nN', ! hH vcn/ly ul 1.•wa ('..Ilrl•r /11 M..IM IIN•• (uNa 1'/ly •/, I S 7
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('AI ( 11tM AI'IIVAI) I) I'I/tASS11IM ('IIANNUt SIN ('ANINI: AIRWAI' WI N/1 It M11%( I I~ I Anw,ly .nl.Nd111nuvtr..•11, (/n1111,11111K ILkhCJhN 1111" It' wl9l' Ilhly'Im'.I hy Ih..lina'nl wllh t••Il.lprn.nc lal cL/.1.1.c ( ill. wrlt• kkntlfl.d .1../n.NNh nnl.aIr hy dN n hlndrnf .,1 Jnu .nNr.Ih nnlvIa• Y 1•u.lllnl 11NNNN 1041.11 .1n1114111k'% .11kI hy IIk'll a..1111.1.!kNl u11c.14NIV' I.r rkClyltlN/tllk' 2 . Iht.' pJ1th a1.1u1p Irtlmlyu. wJN u.a•J Ila .hklv nlFl% thnnlla•1 l llllt'llh 1/1 tt'I1 :Ill.klk'tt ]n1t IMII.NCII 14111IN'%VI Ilk'il/lll.lla' I(N' . Irnnl I l.umwm ./nF I. t helnx 1 a nltcnl. h,kl J cINIJu.tatar ui 2M. • 12 pS Illk'•nl • S 1) n ll tll •ynulk'IntJl I(S I/IM K N/IUtNNII. I ]t1f rCYCrVIt tYNI'n11.1I 491 11k•.h.uuk•1 w.l. an.JtrllJ tly Lnre tlk•/nkal grJJIC/N% hN ('1. NJ atN) ('J JINI wa% tkta•tnunrd i ll 1111I11'I) hy IIK t Ik'/11/tJI K F/,NIa'M IIIUa. 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Itl„Ihk ullluill.'c Id 1JI/1~Jll'l11 X/1f11tVC Kn,lNy nrrvr, J/NI van.Nt, IMUrIqICp1Nk, INI utrtCrir nwwJlly /n tvva ('Jll,ali 1111 JUV'J N1I11hI1N11111I the ufl'IC//l' 4.4101144.1141411 :/1 II/ n11N1I lk•'. whla II IIN• h11;I1Cr t JI/WN'In J1Nl' ( IIN) IIIINJ l6'') i11Jw•CJ 7n intuJl mhlhltl.N1, whlch wa, Iu11UwCtl by J hNll; IJ,UUF' ,tlmulJtNN1 ul nNM1111y '1 hC CJINai1:U1 CllCal. wrtC Jh,Cnl In aJp,rl- cin INrlrrJt.d Jmulrh 'th. ('(iK) IuhthncJ orarric anur:N ulN1., while NKA.JUVJ rlung IJ.IU1ti,lunuLulun.llNNNlbly 'IIk('(~kl' Itr/NKA.IIc.I.w./t,U11IN:wu/m aJINJN111I/CJICJ 7111111JI• l:klllll'l/t,IIII/IIIJINNI IJ IIIC 111I1•rtlN /IK,CI/ta1N )•JIIfINNI tru,.•J Jn UunJl N111JNtNN1 411 uwClcrN• tlN/llllty, whKh was IUI/uwCJ by . IunF Id,lull; ,lln/ulJtlun UI r.NllrxlJtty 'llU, Ihrvt 11UnuIJl11N1 CvIII,CJ rC.INNI]l wr.,ull plC,t'ut JItCr P/a•lrCrlnN•Ut w1U1 ~.UJIN•Ih/Ju1l• IS nl(; 1);'1 JINI JuqNrll' ll nll! 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IN/wa'V\f, WJ, IN'IIIN'/ J vJl!,II Il'IIl•l /NIt J/J 11 Ytill/ 1.1/a•,IIII I/INII :Il'lIV:/1NN1 1/1 l'a'1111:11 ICr/111/1JI, I/I .IIIa.'1l'111 I1Iq'/, W/III ,U11M'111N'lll ra•Il'J,C ul NN•.hrNN. (IINN /I1l• IICIIIlI1Cfu) CIlJinl!, JI/C U/ rnINIIUUUI ,INt•J,1 ul /N•tvC /nyNll,r, In,l.:IJ, cJp.Ji:la..ruk111u he N'JJIIy rCYN/q'111/110Ih1' %y,IC111N cn.ulr INIn, Ihu\ Jal/ll); at I+C/IIIhI'IJI CnJl/lg\ 1.11'JU,C MINhIN/l'INI,Ir/11/1N1 JINI IJ/11ytJ/JIJ (iJtn.r, K., MrAluly., l' K, Sarta, A., ./IJ f NnJla'rx, I M NuNln'n S. hNnrJrJM,x' 1 Ar/ /ul•.•.1 r./ I•lNInrNN.d~~w !!! hS 64, WNA Of/Kr.YpplB/: Au,116/t11CN'llNhl kc,ra/a h I unJ., 1Wl'llhh Ml'111~ aI ka',l'JIt h l u1111 1:1) :IINI llt. SwrJl,h l%dw.au l'INnp,/ny I/lNU Ihc IkIlrrlula•IN ..I 1'llrrlnJrulalgy, KJU.IN1.Ar Indululc, SNLi1N.ho, lwclk u 1 AIII()N//MIl' M1 ('/1AN1%MS IINUI KI.YIN(:('AI'SAII'IN INUII( 1 1)//kAl SI:N1A11/)NS AN111A1 1VA11(/N IN MAN 11 1 1. 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VMl'IIINNII/N l'11IIJIkC\ IIN' YINIIIJa/1IY' li\IN111K' alI IICIItJI \llllt\ /11 /Jt JIN1J 111 It( 1 l,'Ma'11111N1111t' JIM/.•/1 IL/•1. a-\ Iha' \I..M . aN111N./N'liI /1/ IIN' a/N/1/Ja I/IC Il'\/NNI\t' all IJ1 JINIJ Ia1 /N11a'ININ I•hllik' ./..••.I.d.aJ M1111 mllNa •.1 1'Yall•a'uUU• aJl.lU/ll / II//uNNy\k'lIN'/111adJ.N//N" udu1J1A Ilk'IIIyIJ11u11/1I IIKIIIh18/1l• IIIMI\II/NII11111I\:IIkI11C/Nt'\K\ tIk' llNlll.kllli It'\INI/I\t' la. K('1 AtN) lU INNCIr/1N:I111111kC I McdnlNluk l'11I1JIWC\ :IIM/ /.-INNINq'y]Il•IIk'IIINILkiUlk• IIl' INC.\C. K('I\I/n1111JICd inllUt UI Cah'lUUI aUl/ ral :NN(J .U/lr. /. MY•IlUUOnIC hJ\ INI r1I.t1 4641 iJlumu t•Illu. Ic\ICJ agarll\I ialt/utn t•IlJntlrl hllki/ng arrnl., I IIK1111.N1111C (t'/IUiC\ Ilk' 111111h1111Ni CJU\fYl by II/IIIJ/CIII Jlkl t I111NININ11.1/111t hU1 1149 (11•d iru\t•J bv Ih1ll R.N vaJl/JUnI 11 h INNIUIJiI'lI 111.11 uk:lhylJlrcl Inlan/r.11J1.\ ul 111N/\IllallllNl IIk'Ihyl•IILN1 i1111aihl' Ihi IUIk11/N1 tll Illt•IIIhlJlll' 1J1i1u111 t11J111k'I\ I J1k1.N1, I: I,/)wcn\, 1. . allcl J'...(n', R. V K I'h.nnlu...l.•~c 32 I'NI !111, 1'NI4 Ihhrrsr.pplnt:II % 1'uhllt II.•dlhSctvkc IYUIII lif I)a'1/,11111N:/11 Iu) I11Jr/n,kulUl,'y, VJ1Nk'll)111 IIIl/Yt•Llly StlNNd u1 It1ca(la Ulr, NJ.h.dlc, IN 1 H1ii111 AIIt/NO1• At'1 1lL.l'111q.INl:HI'I I A11:1 HI)hl H( )1)I NI ll H1.111(11111 ItY 1'HI:JI NAl'l I(' HI.•CI:I'II1H1, MI:1111UNINI: I.N1.1 1'1IAI IN ANI) S1/1t11 AN('1: i' 71k• hudulF\ ul 11u\ \Iwly 1/N)k'Jtl' tlk' IIIIC/JII/I/I UI :/ INIIIN'll\I•/lk Ii1JINNl.hq1 Itlwrrll dl. It•kJ.c 111 Al'h, MI:K Jld \I• I'hl\ IrIJulNl.lllp :uJy 1k• all plly\Ndall!l. JI U11l11NIJ/N t' I/I (IIC ICI:III•111111/ all IIM Il•IIUK Ut A( i 11 Ihr anN1u/11 u1 A('h In dk• \ynJpUc FJp 1\ luw, J INI\lllva k.JhJll. (lrq) i% 11/1!I!ctCd, cau\mE IIN: rcl.•J.a• ul 11' .•11bc•1 YIIteY IIy 111 Ily J/II\I/IIIIh11NN1 I•Ih'MNIK/NNI I./IW A('h t1111'\ INN %I//IIUI•Ill' IIk' IN'I•Jllvi IrrJbJl~11NIp Ilrlkc,INIM1:Kivck~xd,kcNhN~lurrr11au1anlululnaNyJ.t»lulll MI:A IN/ Iha It'ICJ\t' t1/ \I' I hN rClt••lYl•lI SP Wlluhl IIM7l•J\l' Iuf1I1C1 Il'ICJ\C /11 Al I/ hy 1tKfCJ\IIIF IIM 111N.IAC 111 ('J' '.') I1/\ 11nk't•\\ WIN1IIIlINM1111K U/NII il ik•11/• /cla•J\l' Id AI *h w'a./rJt11.J AI th/\ pnnl. dlr IuF/Yankluol ul Al'h n1111e.ynJlNlc }Jp w.Nl1d Il/Etirl •1 IN•fJuvr IcttiAuti, 1/Ny1, w.IutnlE Uk rckJ\r /d MGK, whirh /o lu/u w/wld lulnl Jny Iul11N:r trkr\c ul ACII NNI SI' by /kyraJ\ulg Iil. u1NJL. 411 ('J •' I lk•\. It•.vlhJa A Sy\ICnI] \l'CU/ llt II/;IJIC II111N/I;IIIW// lhlll'rCiM IylYl'Yl1I 111u\1J1111k1t'tY'IN/II\ ~II1111'. ll. V K A.llvuN rY el HrhulvaNUl 14.d..1;1• 30.1047 11156, 19116. Other sappurt: NJl1unJl Ibl.ellulc% ol Ilcahh I'fIM111IK I)L'pJnnknt tut I'Iwrnlax'ulogy• V.1/klCil11I1 IIIIIVCt]Ily 1tINN/I u/ McdNUk•. NJ.hvdk, '1 N HI:VII:W l'11111 IN1'H(:1(' Xl'1I1 MS ANI) M111.111'1.1'. ('11(I1 INI H/ i1(' HI:('I:1'I ()HS IN 1 N'lII .AH 11111i1a AaflylalN/h/K 1.5('hl( tha.1111t• •Nt•Iy111./U\ICIJ+i\ Jlkl Ihu11/K\L'IJ\a'. INaUI U/ tlN/k'J• /11\ t1I1Jly IMNIy aIN1111I1'l :I/NI 1a'1111J ./1 M'Yt/JI Yi/la-hlJl~\ I11 a1Nn~.1, A/ II IIIJy ti l Yt' J\ J N'/l+.l/ y II.J/I\111/11.'/ J\ w~ II J\ J II N JI INN IINIIN' . IIN' III/N /1• N1 .11 .111. II I• ul I{u
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1N1111;111k'JIaII I Ik' Iu/111NN11.1 A(I1 J\ (IN' (MfJ,y11111J1I1i111' IkUrlNlall,lll/tll'f J11IK 111• JIKI 111/Jty 1r.ly 1. wcll r.IJhI1.I1:J llkr nluvrrlnli tc.ClNan tIn tht In. .urNnh mN,aIl• Jra ,InUIJI Ill dK n1UKJnnK rl'. \IN.N] (AL lyl\ u1 tw.1 w,ly CIJ.,IhI JU.N11 JI .d11:1 .11NNNI1 n111,1I1'+IuwJlll, IIK'i/ I/IICIJIitrlll wlth Jr..N1h1, JIMI JIIIJFulll,tl I11n 11oF ,IINIIi , 11,1/1/' IJaINrLIIt'I;1I JIn.1rIN11,1, JINI IIK 11 li1\I1IJl"l'llk•111 hy :II;.NII,IV IINIK Jlt' tlLll 11111N.11111K Ita;In.N\ 111 IIk'IIIINJ/k, ./I //11-11I/Jly IMNIy ttlllll.ll'R J/l' hl'tl'ltl}IYMYNI• I/Nlla•11111)• IIMNi 1I1J/I.NK' ,ulNylt• 11I I/IuyJt//lll Il•tl'ININ• A VutNylk' /NIK•1 tI1JU M2 /l'l; IN.n, 111.1) 1k1/1t .11 1/k' lNl',ynJlllk ,11f, lli PJIJ1y11111J1IkfIN' /k'1 vl',, Whla II I1,tv. ycl 1.. Itf 11,vi .1/1'.11;.1 11V11F ,lKt IIIC JI(.N/I,1, alltl JIIIJI,'1NIh1• ( IM/I111a'll!K 111aiLa'1,, .IMI InM• •N a'l) hl.ul.la•l.tv J/kl ,M ily1.1M.t/1kr.ICrJ]C• JIIICt yuanlllJllvrly a11J 1yUJhl,dlvily m 1.•unJ..d dd i. 1. m.Ik•l Ir. I I..W; vl'f, alllal'f/lll' IYII, a1C l IMIIIIKij;K /11 JII Vl•/1t'IN.11a ,Iti'. /a'. AIIIMNII•II IIK'y In•Il.a• up 1'•( Ui /C1111J1 tICUIINb• IIK'y 111IItk'IkC tIk' •ktlvlly ui J n1.1j1n11y ul FJUI•h.wl .;Il, (IMII11K11•Ir rlla•ll. in gJnfhJ Jt. IIkNI1JK'.I IIItINI)'h nNu I111N .IINI I/II/,a,1/111K 1.•a.11NN. IIINt1uI lIK'.a lylt',UI IIM.Iuk•11!K Il•.rIN111..11r IM'll'ill F; Ik'.NI• I IN'y II,IY; yl•i MI IA IIIVI'\Itl!JIi1111N IIk'1t \UINyIt'\ U\/ll#t ,lll'. IIK Jt!1N11,1, JINI •In6q•.ml.l. A111NIU/'1111N• t.dr.d a IMdNK•Il'k Il'1111JI 14 WIN1V III IIk' IN.kII„/11r a1 vl.u.4 111IIN111./1N1/1 1, tN.1 I,/N.N/1. IIk'll 11111uI 111 FJI/I!IMNI tl'll. ~'a/k•IJlly uKl. J,a•V IIk' 1.11; 1.1 VIMIIILIni.N/, .NI/Vn) 11/ IIK' IIU/11I4•/ .II J\INNI /NNl'/1I/JIV in IIFI/I l'VII{,;al rl',INIIIN'• I IIII,, IIK t IN.IIIK'/(!Il 111111111 v'; Ill, 1.111MMIIly IIh IIVI'IJII /K'Ur.NIJI /111N11 H/ IIN F.IIIF'INNI lcl1. 11.1196 Ilk' Il't;IN1VV• tK•Ill• L1N6wtw'I/JI .a•IL.u1 Lh.rl vr..r1% i1NdJ111 n1u...nln1, la•.i1N111., wlnah JI. J.hv,llcd hy A(711u aau.a ICIJ4JILN1 AhlMlugh tctloJl hLMhl vr.v'I. Iau.IJr /r..l)•uv,/hir 111J1,Mt:rt.h. VF'll, 1111I1.AKIC\ /IK'II1111V Jikl llylt'rIl'IhIVC I11,CJ11', 1N. /IILMII1J11..111, JVJ11.1I1I; .NI IIk' t1111,aJ1111K li\t'IN.N\ 111 IIk'K Vl'\NI• ~ullrr. l1 1' N.urNr I hr hrnrrl.Jl.'j O. ul.u /'h.rrr.br..'l.•K1 It'1 2111 '4., 1'/K% (lthrr luppurl: tI % I'uhlla IIiJItI, \./.Nr •u1.1I1k' N•dNtuJl In.ulul.,..1 IlrJldl 11,6401 IIK• I1a'I..Uiul:ut .N 1'lIJImJ.l.lugy, VJIkk1t1111 I1nlViivly Sa1NNrl U1 A1CdNnK, NJ.hvdlr. I N KINIi l l('1111' ('11(MI'1" (11'I AKI'. IN I M)I'AMINI .k( Jl' NI'.IIkUNl O1• A/l)t1SI: k1.(:I()NAI. 1:11•L('1SO1' MI'11' NtaIkO1OXI('ilY In Jn r111Nt /ulkla•rmuk• lhr.It.Ihclly.A MI'fl'/MI'1'I" loslcrly w/lh tc.lt•r11u (IK' III.lu111111C/rll \y,ll'ItK, IIk: CI/Ct1401 INNn MI'l l' I/tJtlIKn11N/l'IIIMI'1" u/NJAr in d/r.u~rtwuallJu11Jr1alyluhrr.Icu11fA1.Nl.1lymlrcwa.cRala~ncJ Kn1au.Jn,lly,1% ul 1'II1MI'I" uiNJl,r I/MIIaJIvII a rrJulU1N1 lrl V_ vJllx. in 1MIIh .ItlJlum 119'.f•, I' t/11S/JntlullJ.kaytutr•r.1.1.A'.i,1'• 1)1K) MI'IPifl'JIIIK/IIQIlI1NN,ll;nlf/<JUlly JIK•I IIN K_ Ill l'l1IK'l ll'1'NNI, ahlNN/b'h MI'P' Jt \ 1111111Ia1C\ t11 t4Nh l1IIJ\ 11Ny lUI4'il I; JINI .n L1t11U/. thQK 1111pWnuk•tgK• .y.tl'nl, )MIw t1111CIC/N X n\ntvny IU tlk• IN urU/URK ny .11 MI'll'/MI'1" 1rrlb;a,l1 .1Id 1 nr.qrr.ul 12• 11/ 11`/• 1'/Nh I L.NI Ilw (• Itl. 1 1.•r N, ul-L..u1.lly NJth..t/ 1 hIIIN' IN.l/lull' Iul I',).lu.d//a ka .c•u,h N.uJ •11.r.,1 ^+\ I:PI•I :( TOF AMI'l l l': f A M INI: UN I MI•:) IIYI. 4 1'III:NY1. 1,2,1,n 77CfkA111'UkOPYk1UINI:IMI'I I'1 NI:UkO1OXI('l I'Y IN MIl'Ii A/111/IK'LIIIIIIK' ILI,I4;II,IN/N'lllul'llha'r IMlll'111/Jil'.N IIHNtY1 Jj•.uu.l Mi'I I'1N•un- h/Rla /ly 111~ IIIIN' l.Nl/ti 1.1 lllJllfl'\ 111 1h111,11111111' JIMI II\ IIK'1.1IIIrilli, W:1, i R.11111,M'.I Jll;l MI'1 P, .I/Nltlk'LIIIII/K', IN M1'1 P l/lt/\ a11111Ik'IJIIIIIK' :Ia1n11/11,IiJ111111 k..ull. up I;l'\1111J1111MIi1 ItMMI1111N1V .I I'Ia11uIJ1 tll'111;INN1 :IIMI tl'IiJN't11 t/1111J/1111K' h) I/t 1111'/1.F J/IIIIIK'LIIIIIIK'• Ilkrl'.IK•lI MI'II'IKY111N.1\kny IKl'ul\ Allll/lk'iJlllll/l' Illlitl/IN1\ ,11 2 ~ IIIF,/l.~ INa'vl'111V IIK .I;.Illll' III li..~l,llllllll' IMh\IIIIy hy hhkl•Nll' 111 IIK UINJ{,t aI MI'I' , IJlllll Ibrn hy JII IIIIIIIIIIIU1111I /IMN/IRIIIIIIk' 1qN1J,l'. N.7 Jlrn. // rl ul Nrur.r/.h.unNNUL.k: I 2SI111')]7'/til, I9X6 IY.InI tIK• /'cut;r 11./ NCUIn41K•UN,try. NJII/Jn S KhIK In.illulC 11U /'.y.h1.d1N kl• vJl.h• WJId', LIJn.I, NY 1 11'1'I'l•I 1/1 NI('UIINI'. ANI) AMI'III IAMINI:1)N'IIII NI'ttk/lI(/\p'11 Y 111• N A11.111Yi. J I'111:NYL 1,2.1,6 Ili/kA11Y1)kl)1'1 kIU1N1.IMI'll'l IN MI('1•. I lk' INl',l'111 Il',IIII, IIIIW IIk' IMNt'/111Jt111F l•II\\111/ J11111i11•I://II//N' LII IIk' ./I1/111y Irl MI'II'luak.huy.lnll•/IIII/KIFIC/1NWIN1,1/1\ItIJIt1//1UI 1I1C/1N11/K A augirluliau.nlld MI'Il/ lll 111E.LF, rl•111.INh11J1) Il•.h/t'Yl) Iih i11MI11/e 1.1 1'111111J/t1k1111, A IIIJ/1.;1 I.N d.yl,lnlnllr 1. nn1a.J., hy 2J'X WIICII U-a/1/l111CIJ11U11M 1111 Ing/1,1;, , t I wJ. I:IV;n a/ 1111n INMN (U AII'IM, Ihr bnklml; ut 1'I I'111i//IMiII, Illl'J,uH'll 1-S /18y, Ld['1 , W,1, Ia'JU.I'.I Ly 1N'A II 1% IN.IIM/K/i IhJI Ihe Illl'l'hanN/11 UI Ill/\ IMNC/116dNN/1N111N1/1Iy nwulvr.:ul /lktl'J,CII tC1;JV' III /1..1IJ11111K Ily II:N11111k'IJll/l/ll', 3UM1 lice /.kI1CJI /IK'IIIJI:.I IN/K l'VyY AIIINNII;II tIK/Nl/la Jhl/ Irka.e. dkywululc 11/N11 IIN \IrIJ111/11, 1/11 t'llial NJ• uh.r/vCJ wlk•u It wa% alnnw.lcrrd prkN lu MI'11' 'lhr 1•kl, ul cllral I. IN.Ill.ddy /a•I:Il;al 1.1 ,INNI 11U1J111N1 401 aR111N1 ni II/11111n1' a1N1 IIk' /INkll'\I l'Ill'tl tNl It'Ia•JK ItI lhlila/nulr a% ao/n11JICJ (., 11w1 ul anllllk'IaNntll•. S.•r.hrr/, /I e•t ul N. walrh.urrru. n/n/ r 250111211 1214. 19146 1•lom dk• ('cnirt lltr NrurlKik•nlnmy• 'llk: NJIhJn S Kluli lo.utulr lur ('.y. h/,u11. kc.rat.h, WJId'. 1,IJIIII, New Y/N11. 1111'Ik1lX/if1 kAl)l('AI A11I)IAII'UAI11kA'1I11N1)1 SYNAI'1/1\IHv11 MI•.MNkANI \Iklll'/11k1: AN/)111(ill AII'INIIY y I'Y'IAMIN1111111\ki(' A('11) I11'1'AK1: A1.NIN' 41111, JI .yoJlNu..NUJI Illk 1111; JINI II/Ik I1N/11 Jli JIII'IiII N I/a'/l l' tlM.,i.l 1.. hyLIR,It/tI1//N.'/\•1/111r/1K' .NIIIJN /111'~/X111h'i/K•IJI;d .Nbvr uRyj•,/1'//„ /,,,IN..i ,l4V K'V I IN' ,I/IIa11111' .ri IMNI1111f ,NIJ/NN' Vl•Vh Il- JINI 111.1,111J nK1111N.1Na' Pub'll•d hy 1I1'X /\I II I t/, rlNk nl I IM' Jhl'/J/Nn1.I/ .)n.qNl. v;.K 1. .11U. tult 1.. .lub K. I 1{1
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Jlkl AhuuJ. f 1nw.NJ.~/Alry•hrJ('.Inb..InKv 12411 _'IMI, 19KA Orhrr Iupport: NJtNNIrl Inanulcs sit IIcr1AI alkl dlc Vctctalts AJmuustrJlNN1 1/.NU dk' I h'L.uluk nt. nl M:.hl nlc Jlkl 1'hrnnx.d..l!y. • SIJnhNd I In/vcfslly 1l h,N.l u1 MrJ., nx •LxJ•.t.l 1'/1 .u.d Ilk Va la t.nls 4J.NImsuJUnn MrJk rl l'cuta/, 1'.d.u AIN., 1\ ....1 .1,. 1•.1u...,.,d ..t 1 1...... ... 1 u.....da ..1 IL.LJ.( •.huul.u V..IN.a...l- Sl)1111111: GIIANYLAII_• ('Y('LASI:1'KUM HA'f I.UNI] I:XIS7:1 AS A III:I I:K(d)IMI:K eIhc suluhlc hNm .,1 9uanylrtc cyrlrsr Ih(' J A 1.2) Irun/ ra/ IunF: IIJS Ik•.n (NIIIIK'II IHI Mnlb)(CIK'Ity I1y INIC-A1C111111111uM1Jlhll/ly l'IUINIIJ1UI,qJ11111C INIKI'\I1UIC ( IN• INII lhi.l M.IUhh• F,u.111yIJt\ t yl IJN: ha\ \IIC\ 1I1i :K II VIIIC\ t1I '( 12 a/NI •1') I 11t1N1I 1.1 i ya IK ( ih1l' hN/1N;11 IR'f 11111111111! IN.NI'In W III1111J111;J111'%C a/kI IIIJI;IK•111/111 N111% :/\ J a.ll N I.N , Il'%IRYl/vl•Iy I111% Il•INl'X'111\ :I INIf1INJINN111I a111N.11t111/Jl/'Iy ! INNI h.hl w11I/ .1 S11'6 Il'1.1V\'/y I11N 11J11va't'11/y1/K IIJ%:111NIh'IUIJI Wl'IF,INnI I~IIINN1J/kI:Iti1.11.e\I,NIII/a..1 4 K I/III J\ t{iK'Inlllk'.I .NI SIIIM1.1g1'I I tiK (i WNNIIW gel lll'llnl':IINNI i I1r.NtIJ1..l•1.11.hy S...huul d.kkry) sul/Jk• INr1y.NlylJ/llkh• gel clcrluMdNnasls rewlls In Iwu IN.arnl .IJlulnl; h.llN/s w/1h nk.lraulrl wclghls ul K!,INN1 a/N) 7111NN/. '111c IlNt//lc.l ...luble furnyl.llr cyaLl.r w.ls rlw suhµclcd lu 11rt1vc plly,KtylJUlll1\• gel c1:111upluaa•sls, Isak•Lv Ilk hN 11,1111: t'ICa 11N11•!tl I1.1111Y CIN.NIIJIUgIr1Aly, Jlkl (:l (' JI•Jlusi :III//Illy lIU1N11J1..1'/.11.hy IIk'%l' a\k111NNWI INn11N.11NN11NlKrlIU/C% a.N/I1/11K•a111N' INl'• i1kC 401 J./n/!I\' IN.NI'1n 1wv{L iunKnknl wldl t•n/yUle .kUvl/y '111f (wa/ .ubuUll. N'IIJIJ/\YI /N/ NMhl/tll .6rA'iy) sullJlc INdya\/yLanKk 1!a•I l'h'\/H.~IINNt'~I~ Wl'/\' AN.N/1 1.111rV\ .hllt'tl'lll IN1111.11y MItk1U1C\ hy 1 1111 1 111 /N.hIt1111/1F, WIII111NNNhhN1./) JINI 1Nr1y l1.NWl .111111MNhl', INillJil'al Jga11N1 INII/IK11 M/IUhIC rIIr/1ylJil' l'yl'IJk J/NI IIy Ik'1N1.11' 11WI4N111: wIII/ IA111J1111/t N/U1.111l.N.Ni /1\ t1u/rIH VI( INU/l'NK I/l'JIIIK•111 I I1.:.I.d.111a'1/1 .NIStIJ1\• IIIJI s.rluhk gurnylJlc.yaav INU/IIC11111NII taI IUIIr IN a IN'ICLNIIIIK9 lum IkMCJ.d 141.411111 Jtk1 711,/NN1 JJII.N/ suhunlls wlltl JI]I¢ICO/ INUnJ/y sllu.tulrs KrmisJl/, Y, SrI1rA1, 5• N:IAJIIC• M, 1'alullcrl, ) A-, Kulkl, 'I' ,('hrug, II 1' , WrWnIJn, S A Jlkl MmnJ, F. t 11L.' l..wrwl.1 ltn.la.Knul (7lrnnstry 2A1/Ih1:72.M 7!•11• 19K6. Other supp.nt: Nrlunlrl Imhtulcs ul llcahh a/kl lhe Velcrans Mhlunl\uruun 1141110 1IN' I)a[IaJl111k'11h u) MCJK'/nC aMI PII.Ir111J1't1I111;y, 11J/II.Nd ( hl/rvcrsuy 1l h.N.i u/ MrJla ulc, S/rnlwJ• ('A, alk/ Uk: Vclcrana AJounisltaulNl MrJKaI l'cntcl, 1'Jlu Ahu, ('A IN11.S17N11 Kf('1.1'Il)K 1'OK III:AI Sf Altl.Ii I:N'1'I:K/ifl)XIN //1' F.X(Y1F.Kl('Nl,l ('Ul ! IS •I7(71fI7.Y ('11111M.L•1)'fU A Nl)V1•1. 1•l)KM I11• 1'AK I1l'lI1.A 11: (;l1ANY1.A'1'1: ('Y('LASIi A IN/vl'I I1N111 ul I+Jltl.ulrlc Euauy/a/e a'y.lav IIg111Iy c.NlpkJ by t ylus{,a L•t.ll i.N111NN11'111N 1.11\•ll•IN.N% LN hl'JI \IJhIC l'MCIaN1/R1/1I1I 11NIkhkl•{I hy I. \111.'I1. 11LI...lI l'.1/11A I/N11N11111/k'111INJ,k'% I/11111/-J1111/l'%(/IIJI /IIIKYI\:/ bqcsuorl PJnI. u1Jlr lcumrylJlc \yIIJK wi\ Il'a1a/J1111./ N1Iuh1I//a1NM1 wllh/la•la'11;C111 ahNll', W/III INlly 11/'A 1.1 IIk' 11N./1 en/yn/. J.uvuy hclul; r.u:K/cJ wltll (.ulxol 1'X lllkkl %I//IIIr1 (.NNIIIIUIN, 111'.1 ..1 Ihi.CU/yU/Cwas..dul+lh/CJIa.nIrrllungUlrndwallC] ~1'IICJaWIlnnlullnl;Il.u.kCnUJ INNIS t)1 NkhUlll lhlaNll{C lu IIIC c.Ir,K'u\N1 Iwllcr resuheJ /n I;tcal/•t sulubdvJn.•u .d II:n1K ulJll' 1!uJ11yIJ/\' \ y/ IJK IIINU /lnc.Imal UICmINJ//~ s AII/NNII!h l' RILN IN111 ..l Illli ~ 1111dI IIk4111M.11N% w1/I1.1\'If11V'/ll JINI %JII fCaulll•1I/1/1!li./ll'1 tuI11I1//1N/1u11u11•u.tn11JN lyl IJV', a 1111.111 IIJl11au11111 IIk' C/I/yY111' Jall\I/y 1.'/11J//kY1 J-k IJti.l W/II11I1r I•.uu. u IJ/C /1J11N•n 1 h/s Ja 11v.ty wJ. ..NUpkl/•ly 11'.1.I.N11 1n ...lubdlndux. .1111 J..a.. (/ ..1 11•/
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U J:IC/pCnla JIh1 th.NN11+IK. 1'J111tu1Jll' FuJnyIJIC tytlJM• J/IJ IIIC 1'1• rCa'CIN1N v.Iuhl- IVa'J by J:It'll;l'lll I:IJnKJ IIN'Ir Jhlhlla', lal INIhlult Cyl Ilt (iMl' JIMI huNl 11", /r.lrt: - Ilva•ly Ihlwr.a'r, %l IJJcJ u1 /a/1lJt. I+JrIwulJlC EurnylJl: aytlJ.r lo Iklall;rnl ra U,la h III a U1111.h1, FI/J/IylJli t yl IJV' It•,/,IJ11t Ill MIIUI11I1I.11NN1 rC1/1J11NV1 (u1k11U11J) J/Il) a1Nq.kJ lu Ilw 11 r:atlM,N ,nwa• a•tvynla• oallvJlluu hy 1'1 wJ. un,JlctlrJ hy vJINNI. l'a11.N1NN1 IN.Mt'Jltft', IIk• 141„1INIIly (11.11 else S1 flaalNlH J/NI (1JrIN1lLlli I;UJIIyLtI: a ya LIY' wCll' Illf ,JIIN' 111aiia 1/1e wJ, l•tld,N.J S'1 hnwhog rtNl t ya ha ( iMl' INUIu. u1N1 wa/r vp,nrta•J by .lihnlly aha/o1J1uflJld/y I/n (ill' JErruv 1ulolJ/ly. yamylJlc ayalJ.a• nufr:u.J r, J NR) IMMI JJINNI INlde/n, whlk Illc,l ICIa•1+111/ InIFrJtCJ .1. J /III,INN) J.IhINI p/1NrU11+n ~il IIIIIJl/1N1 .ININIIJtu~,rJllhy A1,1/, Iha+l t\Jluvf JI•.Ul, .1/a h,1.. y,t•IIIUIK' .IINI N a(IiyI/t1,1IC1111Nk' I/IIIIh/1ClI I;u 111yIJll' l yl IJaI' .M IIYJINIII hy 1 I, N 11I1/N/: Ila'a I 1+1l ll'a a'IN,N I11/Mt1111! //1 S*I I hl',l' JJIJ \Ul:l;l'\/ IIIJI FI/JIIyIJII' a y\ LIM' .IINI IIN• 1) li t rININ .ua• ulak•Iw'nikul p/ll/clo. a Iwpl..l hy cy/l/.ll'kIJI a u1t11N1/K111, /1111N'111 1N.1nC, /11 Itll: ,1111.J n1U. I,.J WJIJNnm. tiA , A/n/,/, I, KJnu.Jll, Y.l'hrog.l. Y,(iJll:py. 1.l)'llJnliy. I' . tiaIMM,I1111., l, , JIMI AIIII,LI F h1li, U.•n ,ln,f hnnNUlul 51111 1i// litr, 1'JN6 (1/At•r aupp..t: NJu,NIJ) In.tllut:, d IIrJIth Jnal 111c VrIrIJn. AJtInnl.tlJhun I t111111IK I)allJllllh'111„11 Mc.Ia uK, 191.lullra Id,ll•y, Jlpl Mla/+d+ud,/l!y, xIJlll,uJ IINI vrl.ny tiaMrd+ll McaltNllh', 11JIILNJ, ( A, JIIJ IIIc Varlrtro. AJnuuldtJluN1 Mr.btJl ('ulllrl, I'Jla Alla, l71 ('Yl l I(' l i11AN1)1IN1 MuN( )1'111/11'I IA 11' AS A MI:I )IA 1(1K O1 V ASl 11)11 •A I Il 1N AI1I11N/I;I1 tyl hl I;uJ/NNIt/N IINNN1111N1NIIIIJII' 1( IMI'/ w:1\ 1/r,t Jl'M'IIheJ 11111111I/11!1 CJI ,dltlllk', IINNI' IIIJn (wu Jta'Jlla% :1 fU, 11s t11IC In R/NIIC 11hy,nikl(;la'J) 111a11Y„C~ IIJ, /lnly haaNlla :IIIINICII) /1/ Illl' p.1.1 Icw yc:n. '1h1. tclJllvrIy vl.lw IkvcIlq)IIN•nl t. IN./IlJbly J1lrlhulahk lu else ktw lvNlacMrJlhNl% u/ /ht; nulkd/alr tn 11..uc., lhc t uo/plcR :Unl In,C/1.Il1Yl' nK1IMla1. Ja'711Jhk JurIlll; lhl: l'Jrl y f1uJIC).:ulJ the INJx% nwny mvr.ll• EJaNs h•nl rcF•r/Jmk 11. pll,ahk lunrlnNl. 'I hr IJttcr was u11JuuAlrJiy mliurlw'.J by else nlJny .uadrnllr% u/ else rylha' (iMl' ay.t/an with Ih:u u1 cy.hr AMP Jnd else :ntCntNM a ya'hl AMP hJ% rrlalvrJ Juring Ihl. pr/i1tJ Whlk anrk/rlr. r11J vlultiJnik. IKIwt~/11IK,. Iwa Cy~INnIN'k1111a1~ ~yal~lllf aMltRl,l, (hl' l'yl'ha (iMI'.yaclN p/a vnl• /IN/1l' a1N1111kR/lll', lJul' I,t (hl' CR/,ll'IkY nI 1fv\IJI 11111:///ynll'• Il',IMNl,lhli I.N 11• 1y111IN:,lI I1/, LlN/wn IIIJI /hl' a'INlvl'mIN1/11 I;uJfMt,/lll' I/tl/hlr,IlllJll' 1(iI I'1111 a ytht l iA11' 1. a JIJ1yn J hy JI IrJ.1 1wll Lltn/ynlr hwlos al KuruylJlr t•ya IJ.r I IN' A1 Ic11a , 11hy,/l'IKI1l'111h'.II, :n1al :It11/1Yllil' J11111tCfllfD ItI Ihl' lyllrw/ht' J/IJ 111cu1hlJ/ll' J..III Irll'J i,.Icnty/1K. Jll' quite J/llt'/l:nl IIK ICIJIIvt JIWIUIJIN'l' UI else .I/lubk JIIJ pJna Id,ur rn/yul. 1% vrnrhk lu Jlllrlrnl ll..ur. JIIJ ylr.lr. Whdc lalr,tul,d Iaulu.J JuJ ,a•unr la.,,a'„ INC.I.//IIInJIa•Iy IIM' IIJIINUIJIc /Nll:n/yllh rIMI 11IJli h'1, a 1NnJlll lhi N1I11h1a• 1,11 a'11/%11N', t1M1,1/1„,h', ,Ila 11 J, VJN IIIJI ,IINIINII IIIuN Ia' I/,IYa.• INN11/NMY1/y11M'\ I-I/IIIN I 111..1. 111, /.'1'11I•111.•/1,II,'•N11./IIIN'N'I,.la'll/y/1N',/\Il//llt'IIIIIilalll IIN'NIII/Llil'11/~IIN' .qq\al.uul.l,l. ultll,dlla,mlt•.p11aJ1fJt/y1,,N/laftlii LIJIa.J,.uaI+J\nn/1. ualak. JIUI IN,+11JhIy IIyJ111RyI Ifll r:hI1lJI J/NI V1111C I11NI1hyf114, ()11 fili INIIa•1 IIJIhI, IIK' I/J111a ul,lle 1,.4'nc y nla• t rn IIC Ja'l / vJll'J wllh il:a•IIL .IICh J. /: a. ll.•t It I/,U ,„b IIcJ1 .blbk l'/lll'11,1./\II/, Jllll+llilfll/l,, JINI hClllln (':1111111,, 11111/1,, 1111N'/ Il'l1,IR Jb'l'lll,, JINI Ja'll'/ gtul. JIw hrvc llaoq,l.R /:IIr1:1.INl lhc alnvlly ul I>1NI1 /v.lrniynlr. Alulu.l. F llnonal nl ( 71n1,,11IhnrVlAunun 78 I S, 1'1Sh (1t6rr supplrt: N,du+nJl Imululr..d IIcJl111 JIIJ dk: Vclcl,ul, AJnlNU,u:llluu IYU1111IN' I/a'11,N1111t•11t,./1 M:JIit11•' JMI IMIJIIIIJa7JU1!y, 11JIII.NJ IfIl/va'I,IIy 1a IUnl/ ,.1 Mrdallw•, SIJIIIaNJ, l'A, J/NI else VCIa'fJll\ AJ/IIIIII\IIJ111N1 Medical ( a'llla:f, I'JI+1 Ah.u, ('A ("IIAI(A('lI'KI/A 11(1N(11''llll• KI'l'1•1'tl)K 1'l/K III:Af 1'IAltl li 1'.NI I'KOIUXIN 1'Kt1M l.A('llf'Hll7ll.1 ('(!IJ IN KA1 INI1:111NE ( hr Irt a•IIIIN tlN else hl'JI ,IJhk r111c1,Nuuu 11 f) 11a/n1 1 t, ll,'l l, lml ,,,l/ w,l, M/IIIINhh'J wnl/ I 11h11/I I'X I1/N11/J1 11n1',IIII:I) INu\I/ IMNtk'1 /IK'111IN.11K', J111I a II,nJa (i //v.J Ihr IN/NII/I}' ltlKl/:, J/IJ aoak/X .Ilralllally ul t11c .Iduhdva•d ICCCINaN wr/r v11111JIIy /,k'1i11a.1I1aa1IN1,C nINJ11KJ WIIII IIk' /lll'111I1/J111' h.NnlJa:aa•IMu/ I'ut1IN'11/NNc, (IK fl' f UIJINN11/I IIh Ita'a'/N.K'%:/I h/llly by t'JI1/Ni, was :/1v11/1J1/11:11/NYI JI la•t ,./111h1I1/J /UNI, /INIIlJ11111! J l'IN1,l'IV,111/N111I IIh' 11/R1nI1/11J//1g %Ill':IIIC/ ICIIIIWJ) 1/1 1111' IaVa'/Nl/f I/aN1111,111~1/1IN:11K1'11Y11.Nlllh'/ll (ia'IIIIIr:11nN/:nlJ~ut'11/1,l'1k11,11yFIJJh'lll,l'JIIIN'IItJIN/II ml/aha, }Jve ./ tilllLl', f:rhu] III S. S 11111:1/N) J KJ/IIkIn:nNNl l'l1a'I/K'/l'li) IlI 1 111 hN else MJIIMIIII'J ICaa.'lNtN I he htlt'kY'IfN 11114111 01 IIK fCl'CIN1N WJ\ Jk-tl'111111KJ ,1, 1 S 11,1111! 1a'It11.Nk11 INl'ki111a Illau\IIII! ~ka1/11/11Mlll'~I~. III all l11 IIMM KIIJIJIhN/1itI/ /Uyllc.. Ihr S'I~ 1c. rlNul .IUlwral J.inl!k IIrJI UI Jt plvlly Ihrl wJ%a•ka/ ly .ayl,ualrJ hum 111J11u1 gu:InylJlc.ytlJ.e. WIICt1'•'1•S I w:/% a'tt/l.%-IIIILCJh/hru]h-IMNakf IIM/IIINJ/p'• w/tll Jlalaruuundyl .ul><rale, else alhnlly•Irhtkl) ra•a'rpH/t >uluhllvcJ wlth (I 1'{ I u- h1111-I'X CIWtJ UI L%IIIIIIJI INI,IIIINI :1% IIM /lillve IClYl11Ht IM 1,'CI IlhrilNln CI111NIIJ4Ir/J phy. Alwly.i% lal Ihr alhnny-IncckJ nyr11/1K by .IlJluln akllk~ayl \IIl1alc- pMJy,NIy Iamak Krl ekclrlq>fwlrra. In else prC.rllic aul fCJw'ing agC1a and by auaKrahula.qdly revc-rkJ I11u plrvllrea11 Ihlrr .Illta'tha'ally IrlwkJ LAyllalllak% wnh JIqlJlavn ue/ira u (:N wr/}hl' nl M1),INNI, 68 /NNI, r/1J MI,INNI. '111cat trwh" vuKgcN IhJI Ihr 11 rrlrlN../ L.uluh111vrJ by I•u1NOl .1'X In nn :Itpvc 1401111 w11I1 INCXf V:11NN1 UI u% rrgldru/+n by a'anlNl. Alvl, Ihr Y'f tccrplUf B Klll/ lhk IflNll IIpIN'ulJla' IUinylilC ay\IJM' /INIIIJ Inlg IIIJI lhr tl'l'l'ININ 1, l'1NlI/kJ la/ lhW :It1/VJINM111) 1',uJ/1yI://C a•ytlJ.a• I/y rll J\ yr1 UlMkll/ll'J IIINlI1Jn1,n1 I h/el' 1UI11111/1 Ill'I1111k-1 111Jy l'IN1%1/1UIl• :1 h/1NJ111g la'I;NNI UI Illl' Il'CCININ Ku1M/, I, IaJ1111,J/.1, Y, WJkI111,1/1, S A,( iJ11:11y, J, 1a INNNIII, ( i ,IINI AIULI.I. I /hr /,.N,n,d ../ HI„In,Se„d ('llr'uu.ba• 2Alt II 14711 1J7A, 19ti6 Uthtr luppai: NruouJl lu,/lulc, 111 Ilcrldl r1/J else Vclr/rm AJnuo/.11J1uN1 I'1/N/11IM' I)CI+J1111N'11t+ 411 MCtIn 11N', I'11./1t/1.N ULry•) , JrIJ Ma n1lNa/lup~ 11JNlo1,l 1 41n vt'1\/ly %t IMII/I I+I M,'1IIl llN', JINI IIM' Vt'ta.•/J/I, A.I//I/II/,IL//LN/ M..I/. JI • ('l'Ilti/, I'.Ik/ Ah,l• ( A 1 I`tl ~ I+I
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('11M1'AKIJ(1N ( H- IIINI )IN(: ANI) ('Y('1.1(' GMI' A('('1JMI II.A771 IN nY Al K1A1. NA 1 KI(IKI:I K' 1'I:Yftl)l:s IN L•NIXy111V1.IA1. ('I:I.l.s Rat '") Ir1+.IcJ ruWl rWlnurctw' Irrt.w IANh (8-I 1/1 wa. u.rJ to nkuul) ANI• rruyNrx. aNr auhurcJ hr.vuk :wwtrc ctN>,wIN•IWI cella ti1N:rnct: buwhng ul "'I ANI• r/ 17"(' hratNdlucnt cnJutlklWl lcllt w.. sa/urrhk and ul high rlhnrty SrrtahrtJ ruJly- .r. nl low cyuddwwm hrnJrog Jrt. nxhulcJ thut enJaNhclral ccllk curuJrn a an1 L•.Ir.. r.t INrNhng +rlc. wrlh r A', ul 11 I! 4)(11 nM. Thi.1t (rarLrulJr chwre u1 crwANtk•It: 1.rll. hrJlfaNNl ~ /I/NIr.../NrN./kracll IlrclwrkrarfpMcn.ylaN.uuryklmgwuh''. ANI• huNlnr6 wr. hum.ur rtn.J rWlnutcu. Iw•plMk IhANP1= atrWl nJlrrurctn IJatrN (ANI• IR (111 Jn~.ptilNm II ruaqrlNm 111 .> .IriaK+elwin '11k wcrle.r aaml.uwr, rl/ N.Ih•INIn I, hrtl J A, ul 11 4S nM, whu h wr. unly A fulJ hrglkr uWn thc K, LN IrANI' JrNI ANI• Ix 11) ANI IN 11/ rnJ hANI' rn Ihe pre.en.c a•l ll S nrM rv~twrybrwthyl 1Jt11hll,l• /w.Mlual•J J IS ?II Io1J rn.tcr.c m t y.lwGMY l.Nncn/ a1 111 pM rrwl r NW.r 011.1114111 I11IJ t'4'NINNI ul l yl IN 1:M1' Jt K/ nM 71k awwcrurrrwwt. rryuuc.l lu a•Ira u r hrll rIWR/rrIJI Uh q•J.C rn. y.h. (:MI' low hANI', ANh IM 111, rUaqwlwm 1, rlruq+rp Uu 11 JrNI rrrnhti•LIm 111 wa•te 11 1t1, 11 IS, > S/M), 1// awl 5 1/ nM, rcar•ruvrly Ahhawgh ruNqirlNon I rrrrJ r. r prrlWl JK.NUa, il was unrbk low Jntrgumic dw a•Ilrat ul ANUIN IIIaNraylh. l:MP1.N11WINN1 lhe]CIInJInb`f Wggefllitrll'nJU1tKI1JIleII• hrvc urultupk .rN) Iun.INmJlly Ji.luwl ANF binding sites 1.rurWn, 1) C rrk) Murwl. F Hr.N hr.nu ut r fh. yIn rr. u A, ru NSS TI 79. 1'1NA (lthrr tNppurt NrruNrrl lu.nura..d II:Jhh rsr1 r1K Va'Iirrns AJnnor.IrrluNr 1 tunr IIw ( A(urlnr'm+ ul M. Jh urw rrNl 1 IWr.ura.dnyy. S1rn1.NJ I loivcr.ny Sa luw.l ul Ma'lIN IIR', 11JIII.NaI, ( A, JnJ low Va'll'LtlN AJrumr.,rrwNa Ma•Jr.rl ('crui r, I'rlu Altu, l'A ('O 1'llKll I('AIII/N OI- AN AIKIAI. NAIKIIIKI:II(' 1•A('IUK K1:(-I:1'IOK ANI) I'AK 11('(II.A I7: (:(/ANYI.AI l: ('Yl'LA1t:1 Kl)M KATLUN(i Arr r/llrl nJlrrUra•I/l' IJIIrN IANt•I rl'l'l•INaN IrlNll r:d lung W:I. ]Illuhlh/aJ with I u1NU) 1'X and IwrdicJ by xyucntWl a huwnJlaigt •rphrr .Irp% awr ( i Il' agcau.c. /)1: AI:• tie111411'cI, 111MI1y1 JI(JIUy, i1Mt wheat I,'l'llll JI;I;IUtinln-il;]rthl' 7'hc ANI• rr:rlw.w wa% cnn.hcJ 14,IMM1 IuW Ibc IwrdtcJ rraclwaN hr] a hlnJlrlb (/rUhk and INUIwrUl'] IIIJI l'rNil']IMNNI ht low rllunly :rrw) .pecrLarly IamnJ rn rncnJxrncS arNl t'rutk Jclcrycul e.lrx'1> PIt1yM'ryh/lllrlk 1,'ll 1kC11111fINNl'1U a/111h' 11UI1IICJ pl•(Nrit/1Nl in 1hl' INl'.CIKC ad s.N)ruru Jrrkayl wllrtc and JNhaNhrcihd .hUWCJ IhC INCKINY ttI IMrI' InJMN )NlwCin hJ/Ml w/lll J nMrklulrl Irlr\\ a/l 1-1) JNM) JJIIIMI\ Wlkll pIt1IN/I /Nal41r:a1rrNN Wa'ra nMUbJlcJwnh`1 ANI ,r)kn.un.Irnl,cJwilhJr.rwlrumrnlyl.uttrrtc,tlK 1'/11MN1 JrhaNtlwawemwr../r.th.JllyraJnJaltkJ 1M.hrghrllrnrlyhrnJarg .nclrw A.NI•a.a I+urdreJ with pJrtr.'ulJla gu.rnylde.yllJ.c. 1'Jtlnulrlc gu:nlylJle.yalJ.c wJ.lNnrla•cl hr J.(r'ldre..Uvny ut 19 puwd cy.lw C,MI' INa.lu.'cJ/nnnlmg o11NrNCUt uldrnng Mn (:I 1' r. wh.urlc 1 hr% trlwl•.cnlcJ a IS IMM/ Iu1J IwrdiaalNNr crMUprrrJ lu Ur ram.J lung nK•ndwak• Iar1+.uJuun with I utaul /'X (KI 1Mt/1N:aINN1 high htrlawnl]IKl' INIurJ lhuunJt..frr/dry Jrwl ) lµ.r.J .ku.ny grr.hrnl .cJrnN:nlrtN.n .tuahc. 01 low ~mrdr.J INCprrrruNr JL.— ri •ulra J Na ... nnl uu.nr •.1 .IRr di. ANI huNhng rnJ FI/JNyIJ1a' a y IIM V.N II\11/\ IhrllwNlh AN) INnJmp u1Jr a umldr  1'rr.wn r t Jbry ANf bunhng urrur. rl Ilk cslcrrWl nknrMrtk +utlJCC and a yl Ii. (:MI' Syudr.r. at low rnlernJl nrenrhrJrk sutlale ul /hr.Irrn.Nwortwark g1y..qwaNCw KuiNr, I' : ArNlrc.cn. I W, Karnl.;rla, Y, W;rlJuurr, S. A.('hJnl;. (. Y, Srlw•lr, 1. Ixmtnrn, 1) C . Nrlrrk. M,:aw) AfwuJ, F 1'hr Juu.n,J r/ Hruh.l;N rJ ('hrmurry 2N(13).SM17 511121, I')Nb OrAel support: NrINNIJI llhlllull•.111 NCiIIh JIMI the VClerrll. AJuunr.tuthun hr..nr tlk 1)a'prrurknl, ul McJn'nk• and !'1WnuxaJ.rEy, SLurhwJ Ilmvcrvty S.luhd u1 MrdM uK. %IrnlurJ, l'A, arwl the Vctcran. AJnnnr.uateNr Medical ('cotcr. I'alu AII.., ('A It1K1~t 11 IN. 1'11( /11'l11)/>I/'~I I:KASI': INIIIItII()K1, ANI) ('Y('I 1(' AMP ANAI (11:11NllltflI 1'K1)I.II'I:KAlIt1N lH• ('111:1'(1K1-.I) 1/()VINI: Al1K 114' I:NI 101 111 i1.1A1. ('1:1.1 S '11w ruk ul t y.•Irr AMP /NI l'INIINIICI/JI cell 11rUhlerrlNN1 WJ. Irlvl'.111(.ucJ, .or.c (I1i a l l'IIf l'Jrr hC l'4/w11CJ Itt hll;hflNlCl'111t:rINN1) a/I hlryaalllrl;ll'JI JIMI It1/r1111:N.rl.lgk.J agcnt.IhJ/ alter cyclic AMP nk1.INdtsur ('hNkJ huvuk awtrc crNhwlw•Irrl ..•Il, wrrc pIr1eJ a 25,1MM/ cclls/ lSnun Jt.h.nJ gruwn IaN S Jay. in Ilrt prc+rrw r aJ p1Nr.pluwhc. IcrJ.c /1'11fi/ inhrhqlK., hwaulm, rw cyi Irc AMI' awNrg. 'I fk 1'I )I: uJubrpw. dyqu JruMrk, 'LA 67 711, r.aawlylnkUrylaynihuk /IIIMX) anll /hmq>trylhnr inhrhrtc.l.cll 1,•LrW1I1 081 a lYNhl't11f:11NN1-Jl'(wniknl /II:ItMII'r. 1)IIIyrIJ://rNrk IN/MINieJ a U1'.(. and J SI/'A Inhrhruawr a SµM atw112 SµM, whrk hrl;her rlwwenttauaNt~ w.Ya'ryhAolr. AI il. IlrrrlruU. plr.ru.rrrNrrWrulaNrrnogc(SI/ 1/MIpMldrnyrlryllincrnhdNlcJ.c111NU1d ctrhat by IS 2b'.: , whik INMX and tlk highly .pccdre iyclrr AMP plNnlduNl/Ca- IcrJ.c Inluhuaw, 'LK 111711 rnhrMleJ gruwdt by (rll- 1K/'2..rN1 •11/ -SIN6•, rcyrrclrvcly. 1'aN.t,uhu (SpM) urcrcaxJ cyclic AMP kvcl.:urJ ryrht AMI'•AnW.c .:trvuy nuom by 2 S-Iu1J •rml 2.1u1J In the ah.ence u/ IM)1: inhrhrlaN. /:w%Aolor pnNlul•cJ a 21M%. gruwllh rnhrMuaNt at 1/ SµM ald a MM>,, irJNhnwNt at IIIpM. The IaN.6uhn Ju.e re yMN11e curve wa% nIN irllellY) by /IllYrplryllna, Iwl wJS.hr/tcJ Iu IIw Icll I/y yhNURI. nWlcly I/11aIJ wrlh JrpyrnlJnNrk anJ ZK 62 711 and S-IuW wnh IIIMX 1•aw.lulm ISpM/, hy ilxll Ixualu.•cJ a Ltt•hdJ mcreax rn cyclw• AMP In Ihe INC.ence u/ S/rM IhcaMAryllrnc. Jrpyrulauudr. INMX, wIJ %K 62 711, cytlu AMI' wa% wcrca..J hy 1rNShulw2//, 2,6, l.S,.rNlh h-hrW,rellA'CI/VCIy. M Itr1NINrl'yl'hl AMPJINII)1IN/rytyl cyclic AMI' Ix/NlurrJ a SS'1f% uw160'i• Mruwlh rnhlbnnrn.l KMIpM. 'I IN: ly.lrt liMl' aoaM.Ko were k.. eltcrlrvc inhiMawm uf gruwlh IIS !(M161 (Arr rc.uh. aknnru.nar that cyclK' AMP rrWlug% atal IrhJrnuclthrKra'al ypCnls dul ckvilr wbrrallulrr a ya la AMI' levcl% rnhrbd tell I;tarwlh and Wgt,`C.1 that cycbc AMI' rnwy IN: an rnnlNNlrul crNl.rl;caw% rc1;ul,xaN u/ crNMNIwIrJI cell puhlcrJlarn I4'/Irl/all, I) (' , 1•r..'u., K K Jrwl Alur.rJ, F J.wrnaJ r.J ('rffulur /'hvu#•l..gr 127:217-2i 1, 1'qu. Olha support: N.twnal fn+tntulc> o/ IkJhh and Ihc Velet.ns AJnuurv,trruun 1-11NI/ low I)a'IIJIt11K'/11. aI MCJllllll' :/INI IMIJn1/,KUhrl;y, titr111./1J I I/IIVa•thlly 1. h...1..1 McJw'u,<. 1(JrdurJ, ('A. JrN1 tiw: Vctcr,ura AJunorurrurrn McJaa l cntrr, I'rI,. Alw, l'A ' 1_'t 1_'_
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I)I'.SI'NSI11/AII(/N ItINIIk/N;l 1'(-1 KIN IN VA1('lI1.AR SMI)1)1II Mltti('I I: I i((!M RA I ANl) III/MAN ('yanylJa a ya L1.. /N II/I;II %IlCJ aU1R'InJ1At1 ILN IMNI~ ..tN.InN'J I/uln 1.11 Ih.N.a /. :anlJ .N hmnJn .I/L.uJ1y .tftcll.. IMChI'JICJ w/lh ndt.ll'lyacnll C10h111ncJ J u1Jt{.Ca1 ll\Ya'It%lll/,11N1/1 tU Ja1/VJI1.111 hy nNl..)•lyal'/111, IIIIII/INIIaa/Ja', Jlat 1111114. uaal.• illlw l'Va'1, •NIIY,111n11111 ..duhic Eu,lny1.11t lyaIJa by Jf:N111Junta JakI wJ. uu,dlr.trJ by INrlll•J1nNUl ld YI•.v'I, wI1111ut1..Elyarnn 1'11rti1C/11MNf,:Ia1/VJINN1ul .uluhi. 1•u.any IJk• a y.l.lv hy (N.N.yrNl.hyult IX wJ% nlcruJ..J 4 hdJ wIN•n vr..rl. wra• INa•/frJlrJ wlth oNln'lylcno \„luhla• Eu,mylJle I:ya1J%r partially ptlnhrJ Inun olu,.yl•aann INa'11cJ1('111,11 1IMNJ.N' •aN1.11/y I/II/It111MIJNtY'1I11IJINln With J%Il'Ctlla 11MNMIaIu11.1I .11111 1.NIy C.hdNll'./ I\'1.1.1a-nl Ikvn.11vJIMN1 tu n1lrJle mdUCf(I NIIVJhun IIk••l J./IC .1d1./tN11u/rlya:nN NNIuarJ.l~y/lalll/Jh/N/1/Il!U.IIIy1Jll'aylL/N1UJa1/Y.1'./I/IILy 1/11/11Y.1~111I/IJLN\/qNa'Mllt% J~IJLII'JIIY'/JIaN11/I/I1e 1'll/y11N' I/Ia.N11/J~1,.N/IYJ 1•Nll/y INU1.qYnl.hylu/1\ ul 1•11.11/yIJN' Yy/IJY' I//I/NII/MyNa'111111JICJ I/NNII 1t11/rN1!Iyaa'1111 INa• Ipvla•J..1a/NlllnlYr..rl.wJ./Md./l;/ulNJnllyJdlCrfut 1hl..ul;gc'.t.IhJ111N•uN•ahJ f11.1n./1 INlquirN1111ylm ,a 11VJ11,N1 al/ FuJnylJte I y.IJl4 1. Jdla'rl'nt 111.111111. /IN'. h.lU1Hn with I/II/IN.1~.4IIIJLN• Aa11YJINNI ul pJrbaulJle guanylJir 1.'yal•t+c by I ul,lul 1'X. IN•1n1n u/ Ju1Jl nJUlullll. IJl11N WJ%INd %11411INJIIIIy JIIII'il'lll W/th a'll/y11K /Nl'11JIa'J h,NU I1d11.Fly.cllN p/c11.J1a-J.N a.NUru1 YCYVfli III1/111JI JIMJ huN/Jn 111u.• IuuuElyl. clln u1.hN aYi Jl'v'INIII/.IIaNI .N 1.11 tlaNJa la J.N1J 111 I1U111J11 I.N.Nl.11y J/ll'fy ICSI'h0-111 J 1cl,llh.a ly %1.1IIIa• IIa/Il l 411.11 Jhi IJIa111 ./I Nlluhla' I;UJ/IylJll' l ya IJII' \Ua I/ IIIJI tI1N a il/y/11l' 1. •Ir•a111l,Jly If.. al-N.II/YC 1.1 Jl11YJ111N1 by 11111UY,I%.NJIIJIINN. WIN'll'J% 111. rllcal. ut lNltcr JatlVJtlnt\ III IIN• cu/ynN' JrC l'tlhll UIMIIJIIgCIJ IN Itlall'JK'J WJIJnIJn, S A, R,q•.y+.Nl, R M. Glu.lwrl:, R. Alwad. F Ih,alu'nN„d 1'h,u.mn,d,•gt 151!11/ IS?S ISIi, I'/R(1 (hhri IMpparr: N.dn.uJl h1.u1u1:...1 IlrJldl .,/IJ lhr V.IrIJn. AJunul.It,uaN1 I H/III Ihl" I)l'1IJ111/K11hu1 Ma'lha IIN' JIIJ I•IIJIIIIJa.Ih.)'y, 1IJIILIIII 1111IV1't11/y, ti1•1111H11J• CA. JIMJ (ile Va'Ic/JU. AJminl\bJll,.n McJI, JI l'culcr. I'Jlu Ahu, ('A IIII:NIII'l('Al1UN t)I MUI:l11'1 1 IIINI)ING1111iS I-(IN A"IKIAI. NA 1 RII IK1:11(' i•A('ll)N BY AI i'INI I 1' l'Kl)SS I.INKIN(i IN ('1/1:I lIK1:1) I:NI M )111G1.IA1• ('1:1 J S In J INrYN1u..tuJy, we LwIM11hJ1 Jtu1qR•l+tm I wa.lnurll wrJl.rl 11:('„ •51M1 upll t11JnJInJIuJ111urrlN I:wNNiANF-(R IlJlII:('„-I) 3 /IM/Jtinl'ICJ%/III!lyallC(iMi'll/ Y'uhUrl'Jl'/N1111IN'IWIICIIY t11du.~.ludy,wcu.rJthcrla.O hulml;rrrgcnlJLU..1nun1- Jyl .u1N•rJta In /ovl'~II(;JIC wlN'11N:/ d1e J/IICICIN C. NI •M I/vny wCrY' JuC tu 1IN• pICN'INa' ol nwltlplr ANI• rrr.•IwaN. Whrn YIt'A ul thc ANI' h11Nt1/1); \/ll•] INI Y/MIININ'I/•1I ICII\ wa•rt.Naap1.J hy Iyru.nlc JuNqtayNln I Jllcr cr.,.. ImAu1b. tIN•tc wJ. uu Jdll•IrNa.• n/ IIN'a1NNl'1111JIMN11t~1aNlr• l'Uf~C(./ANI'-IM IIIw1lhlrgJlJtucy.ha l~Ml•Jacwuu IJIN.u III a.N11fJ.1. wlkn 4h'1(• ul (he I/uNhng.nr. wrrc Ik'cupirJhy cru.% lul/,rJ AN1•• 1M 11/. J(IIN4 J../cJ.r In 111. nw.m/Jl.y. hc (:MI'rr.plNl.r wJ1 ad).rfYCJ :dtcr lhr I...AJNI..n ..I AN) Ill 11/ IIN.a ta.u11. .ul•1•c.l 16.d ANI' /M 111 1~ hw.hul 1.. Jn J.Lhll..u.d .,1, /1„1 1.46111 .1.k'. IMd a It:. 1/Yrly INlkl AIIuNly a 1./.- ludul/.• ,.1 ''1 4N1 ./,•..1.•/1. 1...1 ., 1/ .. `.d/• .t u, t1.. I.d•. INl{• .•t 1w...Na'..d A/ fJ. 1MM/ •ual 1 b/.... al l, .....d. 1. •/1 ..•/ /1n 1\N/ t.u..im/.,/.. Il.ul .,N .1/ M.IIIM/ I,1. 1u , 1./.. .. .. . .,.t..1.....1 1., 1»•11, Il,....rh .•h,,,l. L/ln 1 IA 1/'/ ,NII ./u.l ANI' IR 111 A,-111) ntJl AhlNlul;h // 1 pIJ Iyru.uN•-JlrayN•INllt I A I ' I1 InlNhurJ 1JhcItulF ul IIk MI INMI JJILNI mqc lu IKJIIy 1IN' %1111Nt JrFla•r J. ANI' 1N I 11. 11 IN.. J1N-l'J,NIIy J-1 Iutal I/N Il'JV' Ili l yChm: ( iMl'. inup,IrcJ lu J JIM1IuIJ uN /rJ.W wldl ANI' /B 11/ I IN•K' /a'a111I\ \tlfFl'\I IhJt II1l' /Nl INN111J1IIN1 %ItC 1% IMd CalU1/Ia7I 1•11:u•n/yLJ: cya IJ.a• JNJ a ya IN (;A11• Iu/nIJINNI 'I ylu.ulr AI' I IA, •/1/ n/.1/ wJ. INUI tl wa J1.1 JI almq4'UUE l.N IIN• 141.1111111 ,I•dMNI .Ilt thrn ANI' IK I 11 A, - 11075 Ilntl 11. a Ju.r Ih. 1'.('_ LN cy,ha (iMl'.t1•nldJthun LN 1yal.uk AI' I 1 -IINI IuN/ JIMI ANI' 11( 11/111 1 IMI) I% CI,Iy1 I,.IIK A, VJh/f% IIN IIN' I 41010 JJILNI INUN•1/1• IIIU %IIC IN/.hJh1y /ucJ/.d.. dk n1Jl/,a•J .utuulJUun ul rya IN GMI' ()ul /c+uh% alY ua/n.urlc IhJI .•1MhNIN'I1.1I 1 i II• a.N16u111w,1 huMhN)• .Ili. IIN ANI• /N 11) JIMI %lll!1'l'N II6d IN/Iy IIK' IC%% JINIINI,1/11 Ila• (A/ I I/)/NN1//, 11. Il'al'IN.N t,IU111CJ h/1t/N Jl'11VJIMN/./I t;UJ11yIJtl' lyalJ\l' I clll IJn, I)(' . Audtraru, I W, Ku1M1, I . 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'I'1k cllcd+ nl IISV I a1Nl nkr.k% vlto% lNl ('1A ININIUC/lun wcfC mN /kpclnktN Iw allctalNN1t in dle IN.NIu.1NN1 ul ..- .N Yy nllc/lcr.rn by t11c n11CCICJ l'INIINIKIIaI l'eII\. 1111C1'INNI W/lll IISV-I 4111.1 /NN .IlnluIrtc cfNMNIwltal ccll. lu Iclca+c any lklcclabk mlcr/cflNl In l'/Nlitam, /1h ,ulwula/rn/..rl the nlca.lc% mlcclcJ.cll. clNltalncJ tnlly /i mlcrlCr.Nl• a linuwn iuhlhu.N .rt ('1•(' GA1 Ikvclupnknl •I1N:.c %IuJll'% %III;gCm Ih.lt ('1A INUl1UlINN1 by l'/NkNIN'IIa1 [CIIV L.h rcl Uy ahcrcJ hy u1lc.ual wuh HSV l a1Nl nlea.kv vlru. AII allCta1NN11111'1A IN.NIuI' tNN/ lu/ghl .unttllwtc lo changes /n myckqNNC.u Ihal Inyucnlly al.u/uprny vurl /NltatNNl In huUWnl 1 (icl..Nl, S 1. , I IlcJnlrlu• 1) M, and lin.•1, f/ fl hwnwl../ Clrrnn ul lrn-.•lnKunuu 76.1.1112 1 I 1'NI, I'/MS. O(h!r lYppu/f: Nat1o11a) (Ih111u1C) UI I kJ11I1 .IINI Ihl.• ,U)IN/ 1•lwlNlau.N1 1•run/ 11N• 111v1.1.N1 ..1 IIrf1lrN.tugy (hNUluEy. I/luvl•r.ply Ilu.pqrl. .d ( lr..lauJ. ('Il'vfIrINI• I/1I. .IINI (IK I)IVl\1M111\ UI IIItC\ IIINI\ I11N.IN \ r/1NI I ICIIIr111I•.I;y (/IN ul.yv . 14/.pArl..I IIN' 111N..yaly ..1 I'flli/\ylV,l//ir• I'111LN)CII1111a
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AN111f1 N1Y ANI) IMMUNI: ('OMIN I.XI:S INUII('1: I ISS(11: I•Al'II/K 1'KUI)11("IIt1N IIY IIl1MAN 1:NIK)'1I111.IAL(1:1.IS 1'rtlrnl. wllh.yslcml. Iu1Nts rfydwuuwsus IS1.1:1 hrvc an u1crCJ.rJ nN ak•IN C ul JllrtulJllJvcauu.durmdwr..•s (11rnlc.h.ol~nlhywhhhlhnanhls~sJrvrlupwllN.c /1JU.nis 1. uul,INrwn W. IuJ (NrvNNl.ly I1h.etvcJ thJl Ihe srrJ ul pJllrnl. w/dl SI I: l IN11Jlt/ J1111IN-dN'\ J1NI /11 1 / 1111 111' l'IN111/Il'Rl•. Ihll l'71n 111111) III ClnkNhl'IIJI ll•II, I1ra Ju.r cIMLNIt•hrl a.•II. \rn .}rldN•,vC t1..uC IJ.Lrr, a p11CIN JCIlvJ1.N Ut aUJl;u1r1UN1, WC .tWINVI lIy V IIl'l 11rI Il;( . 1./1UI.ICRI'. JINI KIJ ItUn/ (1JIICM\ w11I1 SI I:1N11I11' IN.NIuI INNI ..1 llssu. Ix/.N by dK.C u•11. Iluwnrn wt1h11,ca) vClnMb l'MhNhCI1JI CCII) IINUh,11C.1 w11111wr1 a}:glryJlrJIF(i111A Ig(illtf $1u4Un1t) elablwJlrplmuJ1;ulJUlJ.uvnyul r.l.r.r IkI1rINkIn nlmuwr All IN1.uJEu1JrN xiivlly was /ou1N1 nl lht lutt/.ulrlr cal I1J11NNI, JWIINNN' WJ. YY'ICIC.I I/ILr 1hl' 111C1)1Ufn M711n1U111 Clllla'.11MN111111f.K...1FUIJnI •N IUvny /CyunCd 6 4r K hl, JW/ It.IN.N1wINNl wa. tINJI1y WIIIIqICJ hy dN: J.I./It1.Nl .rl i yl krll- sJ/nNll .N' ,M I//MNIIy. 111 I) I1K' t11C1CIkC .lI gCI /Ihl'/Cil IIIJII•k'1\ JU~nN'll/l'll IN.NIIMINNIIIIIN.M.1J/;UIJ/II.MIIYllyhyl'INItMIKI1JIll'II\)~IIIWIJiI•1I1/yIIA II:I. I IN!u 1IN'IIrI 11•II IN1N..rI;UIJ11) :hllvlly wJ./Nrl /nJ~1lvJll'll hy IIIIM/IIU1N..~N..I.yI111NN1.11J~1, ICw1/1Ca111K INCy1h C0.11 '.N f.N VII 1100 Ih C aI1rff.Nn1, and wJ.11Cu1/J11I1'.1 hy J,IM•.llll Jnn n.NK IJ.IrN J11l1INq)y I.INkNh\IIdI ICIL IIKuliJll'tI with KfJ ILN1/14 .rI Itl hrlll•111• wuh SI I puNlua rJ IlK 1. J.cd Jnww/d. ul Ilsu. IJ. LK /:.NIq1JreJ with 211Nwnul.rrJ Ip ,111125) Irr.lNNls.ll lw.r 1I I:.CfJ 1IN11JIn111F; ItNNMNIKfII II,'(I, I(~A, /N Ib'M, J1 wl'II J. ILNINNh HNtlJlllllll; I fl...N111.IC0C.. Cxh a1111UIJtC.1 C,N)1NIICIIJI CCIL IU IMU1hNC IINNC (I..UI' IJ.I+M IIun.111r1IJ/ II•hINN1./xtI1:WY1 INN11/w11 MNt1uI a•fJ IhrsC.IWl.cs .k•uNroslrrtr dIJ1 C/NIrNIN-IIJI .clls will IN.NIu.c IhC IN.N.urgulJnl 1lssut IxuN JUrr CRIN.W/CIUJnh C11.I.N111'11JI.CIIJ11111rrJ/C,.NI1'li..NNJWOII;NUOwllc.uloplc><.. -111c IN.NIINILNi..I (1,.W' I•NNN hy l'INI.NIM'IIJI lC1I, it .11C.1.I 1111t11u/M vJNuIJf 111)uly InJy Llry r lule m Illy drvl•Iryutr•lu ul Ih/ulut..vs /n IrJUrnls wdh St 1'. •1,tnlw•nhrum, ti 11 . I nllu, K. JnJ ( In. .. ll !t Ill. J..ulnul.•JlrnrnwlnlnCs 1l701I'V(_1 1S 1)• 1'/Kh Iphti suppul'f: NJlnrNrl hl.l/lulrs .4 Urrllh 1'IUU1 i11C IICIIUIuIuI!y (1/Nulul;y 1l'lllull, I)C1rJrLlll'ill 411 McJlrulc, Ilu.purl .ul dN: Ilnlvcr.ny uI IYun.ylvrnla, 1'h1l,NklphlJ AN1Il3I:N11• ANAI.YS11/N-III:MA1()I'1111:SIS V. ('l1AKA('1•I:KfLAIIuNO1- My III AN7IGI:N I:XPKI:SSII)N IfY NORMAL LYMI'IK)FII:MA•Illl'011i17(' I'K( Ki1:Ni 1t)I! 1bC My II) }IyCU1MINC111 N i01 IKIIIrh.INllClll Cl•II WIIJII' Jnlll!Cll l'R(Ml•.M'.I Iw.l /I.Jlly by u/N//11.rcunJlrJ 1111.1m) %:clls, alnslnuling 1'JI• 4'X• .,/ WNnul rJull f>,NN• tnrnuw ku\ury/rs Wl' Ua'll .CVCtiI //111111/1N.IIIr,/CYI and in v11f/1 tuI111rC 11KIINNL 441 Jluly/C II1C CaINC..NNI 11I II111 unIl111C :UIIII!\91 .NI J vJ/hly 411 Iynq11N111rnululNNrni IN.11!CUN.N .CII. (..LN,y LN1111111,' acl/. 1(l•(') lur l,'r:Inuhrly1C/1NNNNJy1C aukNUr. /l•It'liMIrlNlrryduu/J.u1.N11rs1111'lI I:Iwrl.IxrlMNntn.ndyMy 1/11N1sn/vC ('1{' wllll hil!IKI IN.d/lc•IJ11vc IMNC1nIJl wCrC UNNC .tl.Nll;ly My IO IN.,/nvC Ihrn (•1'( • wldl I,rwC/ INal11c1.N.v.IrN, nir.rl JINI IIN..a' lu/ nU\Cd bIN•JI;C rIN11.1.1.1.C11 c..LNla•. WCIC ... u rn.n. uu,l..rrr.l. K1. Ill I...r/r.c (. 11. In.rwulnu117 ('li • t iM nurn11.C/ .u .hwl 1. rw r.. ,..Ir.u• '1"• r 1/ r w. n L..md 1.. 111- Mt Ill L..Nmvc. •1. wCll• Iy/111rIN.NI INC.IU..N..k'I/IN'.I by (II:// 1 rN111'111 ul 1n11.n1W kv/ Iclnunrl J.'usynua IruUJyl /lrn. /.rJSr IN.Nr Nu1Wr C1ylI11U/1I IMIYuiNM\ 1(•1•U lil welc hac/uFa•Il.a.u. Iu/ Jnlll:rn CSINC\.NN1 JINI I11.1 My III JIIIIFlY11NUgyC.NVI•Iy, 1/111.II.IIICI Wllh .NI\.IIN7/11! u..Nw.l /IlN/rl .IJ fl' I 11l• My I11.11111F.Y1 IIC111111.1J11ipl llk•Illlhl JINNI .IINI INIr1/1l J11.N1 rr/ IM'/11J1r1 INrN•IN IN..1•!'IUUN IU111/Ct .IUJy .N INNa•lllt•d l(1Uk,d Jlllllh Jhrn1 I IN• . r,..lr (NVIJn.. rd 111. My Ill J1111gCn, 11NNCUVI'r, III:Iy hl• a INUIK LN dlllarlnlrlNrn h/drJ I.IlulJl rsrnls Sturu,.. I(' . K.rwl:y. S 1). l.r Ku.s.r. V 1•., 1hJ1A1., S I, SluJll, KK . ru.l ( 11•nl, t I li llti r lm. nhd Ilrm.u..L•~ 1 1J.K7K-KK(,, 1'IKh Other fu/1/Iall: N,IINNI•1I III,IIIUIC\ uI I Il'rhh JINI IIK A/IKtli Nn ('J/N CI S.K/a ly . I I..n/ 11w l% dhn. I l. q rk In, M.•JIC,J (•.•nlrt . I h v l slun. ul F'C.I1r11 N" ()IIrUL.I!y:u1J 1 s l K'r Inl. nlJl IlrnlrN.lu) y, luhns Ilryl(,/n, lln/vrfslly Sainw/l ul MrJIr111c, IIr11u1NN.. A11) 11AI.YI.AII•1)GI.Y(•OI.II'IU AN'11(iliNSl)N IIIIMAN I I:Uf:I:MI(' ('1:1.1. LIN1:.1' M.Illy FIJIIULK'yll• IINNI.C I/NNNIa'iN1aI J/IIIINNhI•\ Il'k..g/I/lC 111C I,IIIN.IIy tI1JIC .Cll1U••K'l' I Iu.u.yllJau.:wnwlc, (iJl/ll 411•t/.ul1)(i1rNA., whlah .N'cuf% ul .cII sufl,ne FIyCU111nd. rlNl /;IyClqlrarin. In gctntal, Ihcx :In111Nd1.. 1111141 1.. bL1.1 ICII. ILN/I 11111.1 IlJlh'nl\ w//I1 JlU1C n1yCI1/111:1mN' k:ul.l'/llla, hul INN I/r IINr,C W IIII .N IIIC Iy111111NN.'y1N k'ul.l•IIIIJ NCUIJIII//InIJw IrCi11111tnI,IM/wCvl•r,llr,atl':I.C\l•RIr.1\I/la•.1111//s r111117C111N1IMNI1111y1'I1UH1 d/Nl Iy11/111nn1/CCIIs h11he Ixe.c/a swJy, lllr I;Iy.u11plJ.la.m I I Iy/11111N/111 J/N) /NI/IIy111111NW1 IlunYn l'CII IIIIC\ wCrC l•It:1111/11C11 I/n (IM' INt•Kml• 1.1 uo.l.dylrla.Lu1J.IJIy1rIrJ I Iua1.ylLahr.alnl/n .Cyue/nc% u.inK a 11nn Iryr/ 0114.101.4 IIh;rJlAly unlnuWlslanuug n1.11NNf. Nillr ol Ihe ce/l Iult% wcrc a1v11r.tc.l by nN/ura I/IIIIIU/N/IIWNCK"l'iM'C INNh Ik:I1NC 711111://ll9 IICUra1111nnIJ~l' IICNII/LL•111 Nu/lw ul dk sIR It ccll a/1J T arl) hlw% had Iklcctallk- nrultrl ur aialylJlcJ glylulqnd Jnuy,cu In clnllrJ.1, .L.NII ul ]Cv.n JIIJ live INA.d ]lvrn WNdyuqIMNJ CCIl ItIIC.ILw1/1CUnrl JU.1 .iJ1yIJIrJ glyrullplJ an111;c11s, tl:.ple"lvcly. 'lllc+r rr.uhs JKrrcJ, ul gaw•Irl, wuh (INNC LNIINI hy indirect IIII/IIu1NrdlWnl'XClll'C. 1l0.'y IIMI rCINC.C/111Iq• IIL1 .In.•.1 .k•lu IN111rJINN11111h1•]C DIJIyIJIC1II,'IyCn1/11nIslN11W1nJn k'YLClllh't:CIIs. ~11W\, 1// MNIK iVU • ilntcJ.rJ •rntlhllJy hulJlnti lu tautan11nn4.c-Irr.ICJ trlla aall 11e c.plJUWJ by IiN; I+n.rllre ul .uIyIJIcJ glyaufipiJ mlllgcn. ti1N1JI/11(,, S I. . SpnJlnik, P. F., ('twn, (' L, 111111. li I) . S.hwrut, I 1' . rlNl ( i1nNIN116, V h.l/M'nmrnm/ ll.nau.d..gl• 1•1 t.t 1 647. 19116 Other suppurt: Nru.NlJl In.lllulcs u/ IkJldl 1•IUn1111r NatNNUI ln.leulr ol Allhnns. Ihatw•tes. rlNl l)ly,auvc JIIJ K 1.hN•y Nrtlulu) lnsblulrs al l lrrllh • BcllN•.Jr, MI1, d1. ( hv/.NNI o/ I'cJlru N ( hN ol.ry•y , I IN• l hl.uky!y (•cmr1, kdu/S l lryrlln. l lulvrtsuy ti.IN.d ui Mc.IN nl% I/r111nuN.•. MI ), J1N1 111e IhIu/1aN-ul UI MC111a1111•, I),Ut11NN11I1 Ml•.IIIJI SIINN.I, IIJ/Nlv\-1, NII Wl It/,
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IN l'lINtf kl l l'.ASI./lh Ir, A('Il/GI Yl'l)l'k1)II:IN kNA SI1)lll'N('I.S 11/11W1 I 11)1:1 I/ Y WI111 i l ll: Al'll I I I'11Ak%1'. K1:.11't)N11: IN Vll'() I IN.' J\llla' h11.IV' Il'Ja INN111) f.ll I1Va I 111 WI4 UIJllCl/u\ IUflk'11111K t IIJIICIlI(C 1r.1J1+ ql J?11 1,114111 h11/1//kfl'J+a' 1// u, Ja1li 1•Iya..IN1Al'1/11uA(1I') IukNA Wc u111vIrJ Ilu. ll'+INx1v 1.1 r'IJhllall 0. xaI11aN1+ JI•INUINIJII' IIN \IWIy UI kNA I/Jn\Ikxl UI 1'ff1U u\lll); hyhndvJlnx/ wNh 1' Lllt'IrJ l'4.N1 a11tI /NUaN/ uAla' ..•ylk•ll.r+ ('ualJnnnJllun 1.1 uualrJl INap.u.d/uo. hy /II11111N.UN' JhvNttiJ iy11>t+la+lnl. kNA wJ% alunmJl:J hy Jclrll::ul tlnvn/: Ilk ul .ur.. 11k11hJINNt CINIJIINNU IIIJI /1N1+1 ICIICaII'J IIk' In In.. .IJIC IrqlnfrJ kNa.c It1I111)NIN IlN/lllla'J l11N11 plxrlNJl. 1N.Iyv111y1pyrto11a1/Nk• /1/ ple vrnl uulkaf +wilhnt;, JIa1 JIII1dnNt./t A1P Unikt lhr.c.uauln.i.ukc+. /.Alil'.a• IIIN'1Nl'+ wa'll' IIJ/I+INNiI'J INIiy t1/N/11l/tIte11111M )It11N/IJIa'J IMa')4/1a111N1+, wa'li hN11NI aNJy /n INJyIAI I KNA. JINI wrfr dN• +Jnk +Ilr a+ aulhl:nur .yhy.ld.nul nIkNA (Ivu..aN/ ul tNJyvmyll.ynuhaMnl. IrwlteJ in tckd.r ol MNIN' ..A171' a'yu.•u.a•% n/ +111JIh'/. I/axl' IN'Iil//l!t'ININI+IN.IyIA) 1(NA. J/N) kalaft .11 +1111k' IIA(II' \.YI/k'INl'+ Wa+I.hY'fviJ 11.1111 aINI/LII INl'/1JfJINNI• (h1/1++kN1//I At)' Il'+ulll'J 1111\',lII1.11aN1111 IIIJhna• LAIJ' IukNA I.I IIN' nuaku+ In alNllld.l Iu nA(iI' u1KNA, uan.INx1 IJ JI INIIIII/I 111kNA WJ+ Jl'l/a'J+aal I aX 1/1 Iu11R11I/l1f If\Jll'J INl'l/JIJhaN1\ IIk' IJII!t'+! LA(71' m111x1 wJ. 1ad IINnNI m kNA uJn.IrxlcJ h11/n trrJlcJ nualCl tlt .Illapla'Ic t1k•111un1 IIK 1 1 11 1 1111 IUUlJ1111111; I/J'IIk'111+ IcIIIJINCJ In IIIe nlxku+. 1Jtgay m ItiJy IA/ kNA Ilt a.Ifra.Nla.ll'IU wllhlrca• 1111fU11 1.NItcIIyh/1JIFa111N111I /111/1Nt+alhk'INl'• wJ. 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