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Journal of Lipid Research, Vol. 45, 2235-2244, December 2004 Overexpression of apoC-III produces lesser hypertriglyceridemia in apoB-48-only gene-targeted mice than in apoB-100-only mice
* Departments of Medicine, Columbia University, New York, NY
10032 Published, JLR Papers in Press, September 1, 2004. DOI 10.1194/jlr.M400185-JLR200
1 Present
address of K. Conde-Knape: Hoffmann-La Roche, Nutley,
NJ.
2 Present
address of K. Okada: Department of Internal Medicine, Showa University School of
Medicine, Tokyo, Japan.
3 To whom correspondence should be addressed. e-mail: nss5{at}columbia.edu
The adaptive value of apolipoprotein B-48 (apoB-48), the truncated form of apoB produced by the intestine, in lipid metabolism remains unclear. We crossed human apoC-III transgenic mice with mice expressing either apoB-48 only (apoB48/48) or apoB-100 only (apoB100/100). Cholesterol levels were higher in apoB48/48 mice than in apoB100/100 mice but triglyceride levels were similar. Lipid levels were increased by the apoC-III transgene. However, triglyceride levels were significantly higher in apoB100/100C-III than in apoB48/48C-III mice (895 ± 395 mg/dl vs. 690 ± 252 mg/dl; P < 0.01), whereas cholesterol levels were higher in the apoB48/48C-III mice than in apoB100/100C-III (144 ± 35 mg/dl vs. 94 ± 30 mg/dl; P < 0.00001). Triglyceride clearance from VLDL was impaired to a greater extent in apoB100/100C-III vs. apoB100/100 mice than in apoB48/48C-III vs. apoB48/48 mice. Triglyceride secretion rates were no different in apoC-III transgenic mice than in their nontransgenic littermates. ApoB-48 triglyceride-rich lipoproteins were more resistant to the triglyceride-increasing effects of apoC-III but appeared more sensitive to the remnant clearance inhibition. Our findings support a coordinated role for apoB-48 in facilitating the delivery of dietary triglycerides to the periphery. Consistent with such a mechanism, glucose levels were significantly higher in apoB48/48 mice vs. apoB100/100 mice, perhaps on the basis of metabolic competition.
Supplementary key words apolipoproteins C apolipoproteins B hyperglycemia transgenic postprandial period
Apolipoprotein B-48 (apoB-48) is the principal structural protein of intestinal lipoproteins. In humans, apoB-100 plays this role for liver-derived lipoproteins. However, in mice, approximately two-thirds of liver-derived lipoproteins are also based on apoB-48. ApoB-100 and apoB-48 are the translated protein products of the same gene, present in humans on chromosome 2. ApoB-48 is produced by editing of the apoB mRNA, with insertion of a stop codon and synthesis of a truncated protein with 48% the length of apoB-100
(1). A homeostatic rationale for
the maintenance of two forms of apoB is unclear. ApoB metabolism in humans has
recently been comprehensively reviewed (2). Postlipolysis remnants of intestinally derived
lipoproteins associate with apoE and are rapidly removed from the circulation. In
contrast, VLDL (apoB-100) remnants in part escape this fate and circulate for
prolonged periods as the cholesterol reservoir LDL. Therefore, the importance of
apoB-48 has been presumed to relate to this rapid clearance of postprandial
lipoproteins and that of apoB-100 to the ability to form LDL. However, labeling
studies have not found evidence of faster clearance of apoB in apoB-48 vs.
apoB-100 triglyceride (TG)-rich lipoproteins (37).
In contrast, the metabolic fates of lipids associated with apoB-48 or apoB-100
TG-rich lipoproteins have not been compared in humans because of the
exchangeability of lipids across lipoprotein species, which has constrained the
performance of such studies. The study of gene-targeted mice of otherwise similar
genetic backgrounds is a general methodology that can enhance our understanding
of the effects of genetic isoforms of a protein uncontaminated by both
intraindividual (the presence of both isoforms) and interindividual
heterogeneity. To study the question of the adaptive value of apoB-48 in postprandial TG metabolism, we crossed the human apoC-III transgenic mouse, a model of hypertriglyceridemia, with mice harboring a gene-targeted apoB allele that expressed apoB-48 only (apoB48/48) in both liver and intestine or with mice that only expressed the full-length form of apoB, apoB-100 (apoB100/100), in both sites. ApoC-III is a 79 amino acid protein with a molecular mass of 8.8 kDa that is encoded by a gene in the chromosome 11 apolipoprotein gene cluster. Three plasma isoforms differ by the linkage of zero, one, or two molecules of sialic acid to the threonine residue at position 74 (8). ApoC-III delays the clearance of TG-rich lipoproteins by interfering with both the receptor-mediated uptake of lipolytically modified lipoproteins (remnant clearance) and with lipolysis, by decreasing the affinity of TG-rich lipoproteins for glycosaminoglycan-bound lipases and by the biochemical inhibition of lipases (912). The importance of apoC-III in increasing TGs has now been validated by clinical correlation (1315), the study of the deficiency state (16), genetic association studies (17), and both transgenic (1820) and gene-knockout (21) mice. We hypothesized that the presence of increased apoC-III in these mouse models would exaggerate phenotypic differences between apoB-48 and apoB-100 that relate to the clearance of TG-rich lipoproteins. We studied four genotypes: apoB48/48 homozygotes, apoB48/48 homozygotes transgenic for human apoC-III (apoB48/48C-III), apoB100/100 homozygotes, and apoB100/100 homozygotes transgenic for human apoC-III (apoB100/100C-III).
Animals Human apoC-III transgenic mice (CIII) backcrossed for at least eight generations to the C57BL/6 background were used to generate the transgenic/gene-targeted mice (18). Gene-targeted mice secreting either apoB-48 only (apoB48/48) or apoB-100 only (apoB100/100) in a mixed C57BL/6 129S F2 genetic background, generated as described, were obtained from Dr. Stephen G. Young (Gladstone Institute, San Francisco, CA) and were maintained in this background (22, 23). CIII mice were crossed with the apoB48/48 or the apoB100/100 mice to generate mice homozygous for the apoB48/48 or apoB100/100 gene-targeted alleles and heterozygous for the human apoC-III transgene (apoB48/48C-III or apoB100/100C-III). Animals were housed in an approved animal care facility with a period of light from 7:00 AM to 7:00 PM. Mice were fed a standard mouse chow diet containing 4.5% fat (10% of calories) and 0.02% cholesterol. Access to food and water was ad libitum except where indicated. Fasting blood was drawn in the afternoon 6 h after food removal. Nonfasting blood was drawn at 9:00 AM. Animals were anesthetized with methoxyflurane for retro-orbital plexus phlebotomy and femoral vein intravenous injections.
Analysis of plasma lipids
Lipoprotein composition
Fat tolerance testing
VLDL remnant clearance studies
Clearance studies were performed in male mice. One million counts
per minute of the dialyzed apoB-48 preparation was injected into six
apoB48/48 and six apoB48/48C-III mice fed
chow. Similarly, 106 cpm of the dialyzed apoB-100 preparation was
injected into six apoB100/100 and six
apoB100/100C-III mice fed chow. Tracer apoB in plasma was
determined at 30 s and 5, 10, 20, 40, 80, and 120 min after injection by SDS-PAGE
of whole plasma followed by autoradiography and
TG and apoB production rates
VLDL TG clearance Five male animals of mean age 12 months were studied for each genotype. Counts in whole plasma were determined at 30 s and at 5, 10, 20, 40, 80, and 120 min after injection. The rate of clearance of TG was modeled by the disappearance of TG from plasma, as described, assuming the value obtained at 30 s to be 100% of the injected dose (26).
Statistical analysis
Plasma lipids We crossed gene-targeted mice that expressed either apoB-48 only or apoB-100 only with a model of hypertriglyceridemia, transgenic mice overexpressing human apoC-III. Plasma lipid levels in the morning (fed state) and in the afternoon (fasted state) are presented for male mice in Table 1. In the fed state, overexpression of apoC-III in the apoB48/48 background resulted in a 94% increase in cholesterol levels compared with apoB48/48 mice (157 ± 34 mg/dl vs. 81 ± 18 mg/dl; P < 0.00001). Overexpression of apoC-III in the apoB100/100 background resulted in an 82% increase in cholesterol compared with apoB100/100 mice (109 ± 21 mg/dl vs. 60 ± 15 mg/dl; P < 0.00001). The higher cholesterol levels in apoB48/48 mice vs. levels in apoB100/100 mice, both for nontransgenic (P = 0.01) and apoC-III transgenic (P < 0.00001) mice, were significantly different. Similarly significant differences were observed in the fasted state.
In contrast, apoB100/100C-III mice showed higher relative TG levels, compared with nontransgenic littermates in the fed state, than did apoB48/48C-III mice [802 ± 231 mg/dl (apoB48/48C-III) vs. 106 ± 35 mg/dl (apoB48/48); 1,054 ± 394 mg/dl (apoB100/100C-III) vs. 128 ± 33 mg/dl (apoB100/100)]. Although the fed-state TG levels of apoB100/100 and apoB48/48 mice were not significantly different, apoB100/100C-III mice had 31% higher fed-state TG levels than did apoB48/48C-III mice (P = 0.005). Findings in the fasted state were similar. Overexpression of apoC-III either in the apoB48/48 background or in the apoB100/100 background had no significant effect on glucose levels compared with nontransgenic littermates. However, in the fed state, glucose levels were 20% higher in apoB48/48 than in apoB100/100 mice (138 ± 28 mg/dl vs. 115 ± 38 mg/dl; P = 0.04) and levels were 16% higher in apoB48/48C-III vs. apoB100/100C-III mice (144 ± 28 mg/dl vs. 124 ± 33 mg/dl; P = 0.03). In the fasted state, apoB48/48 mice had 29% higher glucose levels compared with apoB100/100 mice (180 ± 32 mg/dl vs. 140 ± 28 mg/dl; P = 0.002) and 34% higher levels in apoB48/48C-III vs. apoB100/100C-III mice (193 ± 19 mg/dl vs. 144 ± 32 mg/dl; P = 0.0001). Analysis of the females (Table 2) indicated that absolute TG and cholesterol levels were overall lower and that any differences in TG were lesser and not significant for both apoB48/48 vs. apoB100/100 and for apoB48/48C-III vs. apoB100/100C-III mice both in the fed state and in the fasted state. Differences in cholesterol levels were also lesser in females but remained significantly higher in both the fed and fasted states in apoB48/48C-III vs. apoB100/100C-III females. Glucose levels were similar in the males and females, other than lower glucose levels in the apoB100/100C-III females, and were significantly higher in apoB48/48 vs. apoB100/100 mice and in apoB48/48C-III than in apoB100/100C-III mice. Because of the more pronounced lipid phenotype in male mice, all subsequent experiments were performed in males.
Plasma lipoprotein fractions VLDL composition is shown in Table 3. VLDL from apoB48/48C-III mice had an increase in the absolute amounts of all lipoprotein constituents [FC, cholesteryl ester (CE), TG, PL, and protein] compared with apoB48/48 mice, as would be expected. When compared on a relative basis, there was a significant increase in TG with decreased protein in apoB48/48C-III vs. apoB48/48 mice. VLDL from apoB100/100C-III mice were also increased, showing an increase in the absolute amounts of all lipoprotein constituents compared with apoB100/100 mice. On a relative basis, TG was higher and protein was lower in apoB100/100C-III vs. apoB100/100 mice. On a relative basis, VLDL from apoB100/100 were not strikingly different from apoB48/48 VLDL but did have statistically significantly more TG. On a relative basis, VLDL from apoB100/100 C-III mice were not different from apoB48/48C-III VLDL. The estimated core-to-surface constituent ratios in all groups were similar, suggesting that all of the VLDL preparations were in the same lipoprotein-particle size ranges.
The IDL+LDL fraction (Table 4) from apoB48/48C-III mice had 3-fold more of all constituents
on an absolute basis vs. apoB48/48 mice, but there were no
significant differences on a relative basis. In contrast, the IDL+LDL fraction
from apoB100/100C-III mice was significantly enriched only in
TG in absolute mass; this increase was present also on a relative basis
compared with apoB100/100 mice. Comparison of IDL+LDL
fractions between apoB48/48 and
apoB100/100 mice indicated that
apoB100/100 IDL+LDL had greater absolute amounts of CE, TG,
and protein compared with apoB48/48 IDL+LDL. However, there
was no compositional difference on a relative basis. Comparison of
apoB48/48 C-III vs. apoB100/100C-III
IDL+LDL indicated greater absolute amounts of all constituents except for TG in
apoB48/48 C-III IDL+LDL. In contrast, on a relative basis,
the apoB100/100C-III IDL+LDL was significantly more TG
enriched. The core-to-surface ratios were not significantly different between any
fractions. It appears that apoC-III overexpression is associated with a tripling
of IDL+LDL of essentially unaltered composition in the
apoB48/48 context but with the development of TG-enriched
particles, but not of more IDL+LDL, in the apoB100/100
context.
HDL levels (Table 5) from apoB48/48C-III mice were about the same compared with apoB48/48 mice. On a relative basis, apoB48/48C-III HDL had less FC and CE but more TG and protein compared with apoB48/48 HDL. The core-to-surface ratio was lower for HDL from apoB48/48C-III mice, indicating smaller particles. In contrast, HDL levels from apoB100/100C-III and apoB100/100 mice were about the same and their relative composition was similar. Comparison of apoB48/48 and apoB100/100 mice showed more HDL in the apoB48/48 mice, based on FC, CE, PL, and protein. On a relative basis, apoB48/48 HDL had more FC and CE but less protein and, perhaps, TG. Core-to-surface ratios were significantly higher in apoB48/48 vs. apoB100/100 HDL, indicating larger particles. This ratio was not significantly different in apoB48/48C-III vs. apoB100/100C-III HDL, and the amount and composition of the particles were also similar.
Gel filtration chromatography of plasma from apoB48/48 C-III and apoB48/48 mice showed increased cholesterol in both the VLDL and IDL+LDL lipoprotein peaks of apoB48/48C-III mice compared with apoB48/48 mice (Fig. 1A) . In addition, VLDL from apoB48/48C-III mice showed increased TG (Fig. 1B). These results were similar to those obtained after the isolation of these lipoproteins via ultracentrifugation. ApoB100/100C-III plasma had more cholesterol and TG in VLDL than did apoB100/100 plasma (Fig. 2A, B) . As had been seen by ultracentrifugation, there was little increase in IDL+LDL in apoB100/100C-III plasma.
VLDL remnant clearance To investigate the mechanism underlying the increase in cholesterol observed in apoB48/48C-III compared with apoB100/100C-III mice, we examined the clearance of remnant-like lipoproteins obtained either from apoB48/48 or apoB100/100 mice that had been fed a very high-cholesterol, cholic acid-containing diet for 1 week. These particles are TG-depleted and cholesterol-enriched and are a model for postlipolysis remnant lipoproteins. As shown in Fig. 3A , pooled data from apoB48/48C-III mice showed higher levels of labeled VLDL apoB that were significantly different at all time points compared with apoB48/48 mice. In contrast, apoB100/100C-III mice showed higher levels of labeled apoB100/100-VLDL apoB only at the 5 min time point compared with apoB100/100 mice (Fig. 3B). Least-squares curves were fitted to the individual data for each animal, and the mean percentage of apoB cleared from 0.5 to 20 min was calculated. Consistent with the appearance of the pooled data, 53.3 ± 13.12% of tracer apoB present at 0.5 min was cleared by 20 min for apoB48/48 mice vs. 29.44 ± 9.51% for apoB48/48C-III mice (P < 0.001). Results were 72.46 ± 5.83% for apoB100/100 vs. 63.00 ± 19.40% for apoB100/100C-III (P = NS). However, fractional catabolic rates (FCRs) were also calculated for the individual animals (pools/hour) and were 5.86 ± 55% for apoB48/48 mice, 4.46 ± 84% for apoB48/48C-III, 23.22 ± 47% for apoB100/100, and 8.40 ± 67% for apoB100/100C-III. The decreases in calculated apoB FCRs with apoC-III overexpression were not in keeping with the percentage cleared calculation, and statistical comparisons of the FCR values revealed that the decrease was significantly different only in the apoB100/100 vs. apoB100/100C-III comparison (P < 0.01) but not in the apoB48/48 vs. apoB48/48C-III comparison.
VLDL TG production studies To further investigate the mechanism responsible for the observed greater increase in TG in apoB100/100C-III mice compared with apoB48/48C-III mice, we examined TG production rates via the injection of the lipolysis/clearance inhibitor Triton WR-1339. As shown in Fig. 4A, B for pooled data, there was no difference observed in the increase of TG over time between apoB100/100C-III and apoB100/100 mice or between apoB48/48C-III and apoB48/48 mice. TG secretion rates calculated for the individual animals were 4.54 ± 1.66 mg/dl/min for apoB48/48, 4.35 ± 0.54 mg/dl/min for apoB48/48C-III, 3.69 ± 0.95 mg/dl/min for apoB100/100, and 4.80 ± 1.19 mg/dl/min for apoB100/100C-III. There were no significant differences in TG secretion rates between any of the groups.
Fat tolerance testing To determine whether a specific impairment in the clearance of intestinal lipoproteins was responsible for the higher levels of TG in the apoB100/100C-III than in the apoB48/48C-III mice, fat tolerance testing was performed. As shown in Fig. 5 , there was impairment of postprandial TG clearance related to overexpression of apoC-III. However, this impairment was present equally in both groups and was independent of apoB48/48 or apoB100/100 background.
VLDL TG clearance studies The possibility was evaluated of the presence of a greater effect of apoC-III in the apoB100/100 context on the clearance of TG present in infused VLDL. In plots of pooled data, apoB48/48C-III mice had impaired TG clearance compared with apoB48/48 mice, as would be expected (Fig. 6A) . However, the relative impairment observed in apoB100/100 C-III mice vs. apoB100/100 mice appeared greater (Fig. 6B). VLDL TG FCR values calculated for the individual animals (pools/hour) were 5.61 ± 2.10 for apoB48/48 mice, 3.15 ± 3.04 for apoB48/48C-III, 6.17 ± 2.41 for apoB100/100, and 0.50 ± 0.08 for apoB100/100C-III mice. Statistical comparisons of these FCR values revealed that the apoB48/48 and apoB48/48C-III values were not significantly different, whereas the apoB100/100 and apoB100/100C-III values were highly statistically different at P < 0.001.
In the current investigation, we have applied the method of metabolic characterization of genetically modified mice to the study of the effects of apoB-48 and apoB-100 on plasma cholesterol and TG metabolism. ApoC-III, which impairs both lipolysis and remnant lipoprotein clearance (28), was introduced as a variable via a human apoC-III transgene to highlight the relevant differences between apoB-48 and apoB-100. The apoC-III transgenic mice were extensively backcrossed to the C57BL/6 inbred strain. However, the apoB48/48 and apoB100/100 gene-targeted mice were in a mixed, but simple and comparable, genetic background (C57BL/6 129S F2 mongrel for both). Although we acknowledge the limitation imposed by this, we do not think it likely that this fact would explain the large, consistent, and biologically plausible differences between our groups. Cholesterol levels were higher in apoB48/48 mice and increased to a greater extent in these mice with introduction of the apoC-III transgene than was observed in the apoB100/100 context. FPLC and ultracentrifugation revealed that the increased cholesterol in apoB48/48C-III mice was found both in VLDL and in IDL+LDL. The modestly increased cholesterol in apoB100/100C-III mice (vs. apoB100/100) was found only in VLDL. In a likely mechanism for the increased cholesterol in apoB48/48C-III mice, pooled data from kinetic studies indicated a marked effect of the apoC-III transgene to delay the uptake of cholesterol-enriched apoB-48 ß-VLDL, whereas there was very little effect of the transgene in apoB100/100 mice injected with apoB-100 ß-VLDL. This difference was not evident in the FCR values calculated from the individual animals. FCR values are determined primarily by tracer disappearance rates during the rapid early phase of lipoprotein clearance, even when comparatively little tracer is cleared during this period. However, the apoB fractional clearance values from individual animals were derived from the same curves and were quite different in the apoB48/48C-III mice vs. apoB48/48 mice, whereas they were similar and statistically indistinguishable in apoB100/100 C-III mice vs. apoB100/100 mice. These observations, and the plasma lipoprotein data, may be more reflective of the biologically relevant differences between our groups. In contrast, TG levels were about the same in apoB48/48 and apoB100/100 mice and increased more in the apoB100/100 context with the introduction of the apoC-III transgene. In both apoB48/48C-III and apoB100/100C-III mice, the increased TG was only present in VLDL. The differential effect on TG levels also appeared to be produced principally at the level of clearance: the apoC-III transgene produced a markedly greater effect to decrease the FCR of VLDL TG in the apoB100/100 context than in the apoB48/48 context. This difference was also evident in the pooled data. The presence of the transgene produced no difference in VLDL TG production in either the apoB48/48 or the apoB100/100 context. The transgene also produced obvious worsening in tolerance (relative increase in TG levels) of an oral fat load, but there was no difference between apoB48/48C-III and apoB100/100C-III mice in that regard. We speculate that the oral fat tolerance test was not able to discriminate a difference in TG clearance between the apoB48/48C-III and apoB100/100C-III models because of the importance of the extent of increased TG from hepatic VLDL in determining plasma TG levels in the postprandial setting (29). Véniant et al. (23) observed that, compared with apoB+/+ apoE0 mice, the body weights of apoB100/100apoE0 mice were slightly lighter and the apoB48/48apoE0 mice were heavier. Although such a difference would not explain higher TG levels in the apoB100/100 context, it is worth noting that there were no differences in body weight between any of the four genotypes that we studied (data not shown). The adaptive value and conservation of apoB-48 would thus be explained by the metabolic efficiency produced by its facilitation of peripheral lipolysis with the prevention of a need for the subsequent reexport of dietary TG by the liver. The rapid clearance of postprandial lipid appears to be explainable solely by that efficient lipolysis, without any positive contribution of apoB-48 lipoprotein structure to the efficiency of apoE-mediated lipoprotein particulate ("remnant") uptake. In contrast, the adaptive value and conservation of apoB-100 would be explained by its more efficient particulate uptake, a consequence of the relatively greater importance, in the case of apoB-100, of the adjunctive role of mediator of core lipid delivery via receptor endocytosis. Studies showing increased action of lipoprotein lipase on apoB-48-containing vs. apoB-100-containing TG-rich lipoproteins have been reported, consistent with our observations (30, 31). In addition, significantly higher TG levels in apoB100/100 vs. apoB48/48 mice were also described in the original description of these mice, and a trend toward higher cholesterol levels in apoB48/48 mice also appears to be present (22). Glucose levels were not reported. An unanticipated result of our study was the significantly higher glucose levels in the apoB48/48 mice than in the apoB100/100 mice. This difference was seen in both males and females despite the more robust lipid phenotype in the male mice, as has been commonly observed (32, 33). Further work is planned to address the basis of this observation. However, this difference may be secondary to the differences in lipid metabolism that we observed. ApoB-48 TG-rich lipoproteins appear more resistant to the TG-increasing effects of apoC-III but more sensitive to the remnant clearance inhibition. In combination, this may permit apoB-48 to facilitate more complete peripheral lipolysis and deliver a greater fraction of the TG in the apoB-48 TG-rich lipoproteins to muscle. In our model, this may have led to greater metabolic competition and lesser glucose uptake by this tissue as a consequence (34, 35). In contrast, apoB-100-containing TG-rich lipoproteins would deliver a greater fraction of their TG load to the liver via remnant clearance, in part as a result of the direct interaction of lipoprotein receptors with the apoB-100 receptor binding domain. In humans, this would lead to no net delivery of TG to the liver, because essentially all VLDL originate there, but would lead to significant net delivery of cholesterol, accumulated in VLDL via the action of CE transfer protein (36). Expression of this specific apoC-III transgene has previously been shown to have no effect on plasma glucose in otherwise normal animals, as we also have observed (37). Any mechanism that would impair remnant lipoprotein uptake and increase the partitioning of TG from TG-rich lipoproteins to skeletal muscle might have similar consequences. Indeed, overexpression of apoC-I, an inhibitor of remnant lipoprotein clearance, has been shown to produce hyperglycemia (38), as we recently confirmed in a modestly overexpressing liver-specific transgenic mouse model that did not exhibit the lipoatrophy that had been observed in the prior report (39). Diabetes has been observed to be associated with impaired fat tolerance, manifested in part by increased postprandial apoB-48 remnant lipoproteins (40, 41). It may be that this observation, in part, is reflective of an independent mechanism that is contributory to diabetes and is not solely its consequence.
This research was supported by National Institutes of Health/National Heart, Lung, and Blood Institute Grants R01 HL-70006 and R01 HL-56232 to N.S.S. The authors thank Steve Holleran for expert computer analyses. Manuscript received May 14, 2004 and in revised form August 10, 2004.
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