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Production of androgens by microbial transformation of progesterone in vitro: a model for androgen production in rivers receiving paper mill effluent.


We have previously documented the presence of progesterone progesterone (prōjĕs`tərōn'), female sex hormone that induces secretory changes in the lining of the uterus essential for successful implantation of a fertilized egg.  and androstenedione androstenedione /an·dro·stene·di·one/ (-di-on) an androgenic steroid produced by the testis, adrenal cortex, and ovary; converted metabolically to testosterone and other androgens.  in the water column and bottom sediments of the Fenholloway River, Taylor County, Florida Taylor County is a county located in the state of Florida. As of 2000, the population was 19,256. The U.S. Census Bureau 2005 estimate for the county is 19,622 [1]. Its county seat is Perry, Florida6. History
Taylor County was created in 1856.
. This river receives paper mill effluent and contains masculinized female mosquitofish. We hypothesized that plant sterols sterols (ster´ôlz),
n.pl steroids having one or more hydroxyl groups and no carbonyl or carboxyl groups (e.g., cholesterol).
 (e.g., [beta]-sitosterol) derived from the pulping of pine trees are transformed by bacteria into progesterone and subsequently into 17[alpha]-hydroxyprogesterone, androstenedione, and other androgens. In this study, we demonstrate that these same androgens can be produced in vitro in vitro /in vi·tro/ (in ve´tro) [L.] within a glass; observable in a test tube; in an artificial environment.

in vi·tro
adj.
In an artificial environment outside a living organism.
 from the bacterium Mycobacterium smegmatis. In a second part to this study, we reextracted and reanalyzed the sediment from the Fenholloway River and verified the presence of androstadienedione, a [DELTA]1 steroid with androgen activity. Key words: 17[alpha]-hydroxyprogesterone, androgen-dependent gene expression, androstadienedione, androstenedione, biotransformation biotransformation /bio·trans·for·ma·tion/ (-trans?for-ma´shun) the series of chemical alterations of a compound (e.g., a drug) occurring within the body, as by enzymatic activity.  of progesterone, environmental androgens, Fenholloway River, Florida, Gambusia Gambusia

small, 1 inch long, pale fish which eat mosquito larvae and are used in their control.
 holbrooki, masculinized mosquitofish, Mycobacterium smegmatis. Environ Health Perspect 112:1508-1511 (2004). doi:10.1289/ehp.7161 available via http://dx.doi.org/[Online 22 July 2004]

**********

The presence of environmental androgens in biologically effective concentrations was first demonstrated > 20 years ago when a population of the eastern mosquitofish, Gambusia holbrooki, was discovered in which the females were all masculinized (Howell et al. 1980). Since then, other populations of masculinized mosquitofish have been discovered, all living in small coastal streams in Florida that receive paper mill effluent (Bortone and Cody 1999). The presence of androgens in pulp mill effluent does not appear to be unique to Florida. Larsson et al. (2000) recently reported male-biased sex ratios in embryos of the marine live-bearing live·bear·er  
n.
A fish, especially of the family Poeciliidae, that bears live young rather than depositing eggs.



live
 eelpout, Zoarces viviparous viviparous /vi·vip·a·rous/ (vi-vip´ah-rus) giving birth to living young which develop within the maternal body.

vi·vip·a·rous
adj.
, exposed to paper mill effluent off the coast of Sweden.

In the last 3 years, some of the androgens in a river containing masculinized, paper mill effluent-exposed mosquitofish have been identified. In an earlier study, we used an androgen-dependent gene expression assay to detect, and mass spectrometry mass spectrometry
 or mass spectroscopy

Analytic technique by which chemical substances are identified by sorting gaseous ions by mass using electric and magnetic fields.
 to identify, androstenedione (AED AED - Automated Engineering Design ) at a concentration of 0.14 nM in the water column of the Fenholloway River (Jenkins et al. 2001). Parks et al. (2001) used a similar androgen-dependent reporter assay and radioimmunoassay to detect an androgenic substance, presumably pre·sum·a·ble  
adj.
That can be presumed or taken for granted; reasonable as a supposition: presumable causes of the disaster.
 testosterone, in samples from the Fenholloway River, Taylor County, Florida, In a subsequent study, we (Jenkins et al. 2003) identified higher concentrations of AED (2.4 nM) and its biosynthetic bi·o·syn·the·sis  
n.
Formation of a chemical compound by a living organism. Also called biogenesis.



bi
 precursor progesterone (155 nM) in sediment samples from one of the sites of the Fenholloway River studied by Parks et al. (2001). Durhan et al. (2002) presented evidence that there are other androgenic compounds, not clearly identified, in the Fenholloway River below the paper mill.

Orlando et al. (2002) noted that the levels of AED in Fenholloway River water did not seem to be sufficient to cause masculinization masculinization /mas·cu·lin·iza·tion/ (-lin-i-za´shun)
1. normal development of male primary or secondary sex characters in a male.

2. development of male secondary sex characters in a female or prepubescent male.
 of the fish, and they hypothesized that the masculinizing effects from paper mill effluent might result from inhibition of the enzyme P450 aromatase. This aromatase is responsible for the biosynthesis Biosynthesis

The synthesis of more complex molecules from simpler ones in cells by a series of reactions mediated by enzymes. The overall economy and survival of the cell is governed by the interplay between the energy gained from the breakdown of compounds
 of estrogens Estrogens
Hormones produced by the ovaries, the female sex glands.

Mentioned in: Acne, Polycystic Ovary Syndrome

estrogens (es´trōjenz),
n.
 from androgens such as AED and testosterone (Thompson and Sitteri 1974). If aromatase activity in mosquitofish exposed to paper mill effluent was inhibited, the concentrations of endogenous androgens would increase and potentially cause masculinization. Orlando et al. (2002) showed the aromatase-inactivation hypothesis to be false, finding that brain and ovarian aromatase activity in the mosquitofish in the Fenholloway River was significantly greater than that of controls. The androgenic substances in the Fenholloway River appeared to be increasing aromatase activity in the brain and ovaries Ovaries
The female sex organs that make eggs and female hormones.

Mentioned in: Choriocarcinoma

ovaries (ō´v
 of these fish.

After demonstrating the presence of high levels of progesterone in the river sediment, we (Jenkins et al. 2003) hypothesized that some or all of the androgens in paper mill effluent and river sediment were generated by microbial microbial

pertaining to or emanating from a microbe.


microbial digestion
the breakdown of organic material, especially feedstuffs, by microbial organisms.
 degradation of phytosterols from the mill pulp. To test this hypothesis, in the present study we incubated a common soil bacterium, Mycobacterium smegmatis, with progesterone. Androgenic activity of chemicals in the medium was detected using an androgen receptor transcription assay and was quantified by high-pressure liquid chromatography (HPLC HPLC high-performance liquid chromatography.

HPLC

high performance liquid chromatography.

HPLC High-performance liquid chromatography Lab instrumentation A highly sensitive analytic method in which analytes are placed
). Some of the androgens found in the microbial incubation study were not previously detected in our analyses of sediment from the Fenholloway River (Jenkins et al. 2003). To determine if these previously unidentified substances were indeed present in the Fenholloway River, in the present study, we reextracted and analyzed the sediment using an androgen receptor transcription assay, HPLC, and liquid chromatography mass spectrometry (LC-MS).

Materials and Methods

Microbial incubations, extraction, and HPLC separation. Mycobacterium smegmatis (strain ATCC ATCC American Type Culture Collection, see there  14468 from Presque Isle Cultures, Erie, PA) were grown in 200 mL Bacto Nutrient broth (3 g beef extract plus 5 g peptone/L; Difco Laboratories, Detroit, MI) at 24-25[degrees]C to yield a cell density of 4 x [10.sup.6]/mL. To determine M. smegmatis density, we prepared dilution plates using the pour-plate technique, and we used a Quebec colony counter (Fisher Scientific, Atlanta, GA) for viewing and counting the isolated colonies.

Progesterone (P0130; Sigma Chemical Co., St. Louis, MO) was added to each culture to yield a 1-mM solution. Before progesterone was added and on days 0, 2, 4, 6, 8, 12, 15, 20, and 36 after progesterone was added, triplicate 3-mL samples of the slurried media were extracted in 12 mL 100% methanol (HPLC grade). The vortexed extract was centrifuged (1,000 x g, 10 min) and passed through a 0.3 mL washed C-18 solid-phase extraction cartridge (Varian Instrument Co., Walnut Creek, CA). The eluant el·u·ant or el·u·ent
n.
A substance used as a solvent in the process of elution.
 was dried under nitrogen gas before fractionation fractionation /frac·tion·a·tion/ (frak?shun-a´shun)
1. in radiology, division of the total dose of radiation into small doses administered at intervals.

2.
.

Each extract was fractionated on a 4.6 x 15 cm C-18 column (Varian Instrument Co.) using a 35-min HPLC methanol linear gradient with 0.25% O-phosphoric acid and 100% methanol. The gradient increased from 20% methanol at 0 min to 100% methanol at 20-35 min. Ultraviolet detection of column eluants was at 235 nm, and identification was based on co-migration with standards. Quantification of steroids was based on peak area relative to standards, and data are presented as the mean of triplicates ([+ or -] SE; micromolar) (Jenkins et al. 2003).

Efficiency of steroid extraction. The percent recovery of extracted steroids in all bacterial sample fractions was determined by sequentially extracting the samples a second and third time in methanol, followed by solid-phase extraction and quantification by HPLC. The percent yield of progesterone, 17[alpha]-hydroxyprogesterone (17[alpha]-OHP), AED, and androstadienedione (ADD) at each level was 86.7 [+ or -] 2.9% (mean [+ or -] SE).

Androgen receptor transcription assays. The agonist activity of compounds separated from bacterial media extracts by HPLC was determined in transient cotransfection assays using a luciferase luciferase
(loosif´rās´),
n an enzyme present in certain luminous organisms that act to bring about the oxidation of luciferins; energy produced in the
 reporter gene (He et al. 2001; Jenkins et al. 2001; Kemppainen et al. 1992). Briefly, monkey kidney CV-1 cells (0.42 x [10.sup.6] cells/6-cm dish) were transfected using the calcium phosphate DNA DNA: see nucleic acid.
DNA
 or deoxyribonucleic acid

One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes.
 precipitation method with the human androgen receptor expression vector expression vector
n.
A vector, such as a plasmid, yeast, or animal virus genome, used to introduce foreign genetic material into a host cell in order to replicate and amplify the foreign DNA sequences as a recombinant molecule.
 pCMVhAR (50 of 100 ng/dish) and the luciferase reporter rector under control of the mouse mammary tumor virus Mouse mammary tumor virus (MMTV) is a milk transmitted retrovirus like the HTL viruses, HI viruses and BLV. It belongs to the genus betaretroviruses. MMTV was formerly known as Bittner virus  promoter (MMTV-luc, 5 [micro]g/dish). Cells were incubated for 24 hr at 37[degrees]C with dihydrotestosterone dihydrotestosterone /di·hy·dro·tes·tos·te·rone/ (DHT) (-tes-tos´te-ron) an androgenic hormone formed in peripheral tissue by the action of 5 on testosterone; thought to be the androgen responsible for development of male primary sex  (DHT (Distributed Hash Table) A method for storing hash tables in geographically distributed locations in order to provide a failsafe lookup mechanism for distributed computing. ; 0.01, 0.1, of 1 nM concentrations) or 10 [micro]L additions of HPLC fractions. Representative luciferase, activity assays are expressed in optical units relative to the no-hormone control. The MMTV-luc assay performed in CV-1 cells demonstrates human androgen receptor-mediated gene activation (Kemppainen et al. 1992).

Collection, quantification, and purification of androgens from the river sediment. Sediment was collected from the Fenholloway River on 12 June 2003 where it crosses Highway 361A, east of Perry, Florida, 3.6 km downstream of the paper mill settling ponds. A long-handle 2.8-mm mesh dip net was used to collect samples from the top 20 cm of sediment. Water was allowed to drain thoroughly from the net, leaving only pore water in the sediment sample. Five 50-mL samples of the sediment were immediately mixed with 200mL 100% methanol (HPLC grade). Within 24 hr the sediment samples were filtered through acid-washed glass wool and vacuum-filtered through 0.8 [micro]m cellulose nitrate cellulose nitrate
n.
A pulpy or cottonlike polymer derived from cellulose treated with sulfuric and nitric acids and used in the manufacture of explosives and plastics. Also called nitrocellulose.
 membranes (Whatman, Maidstone, UK). The filtrate filtrate /fil·trate/ (fil´trat) a liquid or gas that has passed through a filter.

fil·trate
v.
To put or go through a filter.

n.
 was passed through methanol-washed solid-phase extraction cartridges (Mega Bond Elut, 6 mL, C-18; Varian Instrument Co.). The eluant was dried under [N.sub.2] gas, Fractions were reconstituted in methanol for HPLC fractionation and in ethanol for the androgen receptor transcription assay. Steroid quantification was based on peak area in HPLC relative to coeluting standard steroids and was represented as mean of five samples [+ or -] SE.

Liquid chromatography--mass spectrometry of river sediment. We used LC-MS to verify the identity of androgens in the HPLC, C-18 column fractions from the Fenholloway River sediment that induced androgen receptor-mediated transcriptional activity and were preliminarily identified based on co-migration with standards. Individual HPLC fractions were dried under [N.sub.2] gas and reconstituted in 100% methanol for LC-MS verification on a Shimadzu VP system (Shimadzu, Kyoto, Japan). We used a 10 cm x 2.1 mm, C-8 Aquapore column (Applied Biosystems, Foster City, CA) with a 12 min linear 0-100% methanol gradient in 10 mM ammonium acetate to separate the components. Eluants were passed into an electrospray interface of a PE Sciex API III triple-quadrupole mass spectrometer (PE Sciex, Foster City, CA). Multiple reaction monitoring was used for the final comparison of unknown compounds with standards. In this procedure, the parent ion was selected with the first quadrupole A quadrupole is one of a sequence of configurations of electric charge or gravitational mass that can exist in ideal form, but it is usually just part of a multipole expansion of a more complex structure reflecting various orders of complexity.  and passed into the second quadrupole containing argon argon (är`gŏn) [Gr.,=inert], gaseous chemical element; symbol Ar; at. no. 18; at. wt. 39.948; m.p. −189.2°C;; b.p. −185.7°C;; density 1.784 grams per liter at STP; valence 0.  gas. Collision of the parent ion with the argon produced fragment ions. Monitoring of a specific parent ion by the first quadrupole and ion fragments by the third quadrupole constituted the multiple reaction monitoring method. Elution elution /elu·tion/ (e-loo´shun) in chemistry, separation of material by washing; the process of pulverizing substances and mixing them with water in order to separate the heavier constituents, which settle out in solution, from the  of the selected parent-fragment pair at the same chromatographic chro·mat·o·graph  
n.
An instrument that produces a chromatogram.

tr.v. chro·mat·o·graphed, chro·mat·o·graph·ing, chro·mat·o·graphs
To separate and analyze by chromatography.
 retention time as a standard confirmed the identity of the steroids.

Results

In situ In place. When something is "in situ," it is in its original location.  production of androgens from progesterone by M. smegmatis. M. smegmatis incubated with progesterone (1 mM) produced steroidal products that paralleled HPLC standards 17[alpha]-OHP, AED, and ADD. Figure 1 illustrates the HPLC chromatograms from 0 days (Figure 1A), 6 days (Figure 1B), and 20 days (Figure 1C) of incubation and the progressive production of 17[alpha]-OHP, AED, and ADD. Figure 2 shows the androgen receptor transcription assay for samples removed at day 0 (Figure 2A) and day 6 (Figure 2B), illustrating the accumulation of androgenic components. The sample from day 6 (Figure 2B) contained all unidentified component in the 12-min fraction that stimulated androgen receptor-mediated transcription as well as the steroids in the 19- to 24-min fractions. The 12-min fraction component did not match the elution time of any of our steroid standards and remains unidentified. Figure 3 graphically represents the production of steroids in the incubation medium over the 20-day incubation period incubation period
n.
1. See latent period.

2. See incubative stage.


Incubation period 
. The concentration of 17[alpha]-OHP steadily increased from day 0 through day 12. The highest mean concentration of 170[alpha]-OHP (23.0 [+ or -] 0.7 [micro]M) was detected on day 20. The apparent drop in concentration at day 15 may have resulted from a sampling error. The 12-, 15-, and 20-day mean values do not differ significantly from each other (analysis of variance, p = 0.070). AED concentrations increased from day 0 to day 6, with a maximum mean concentration of 7.2 [+ or -] 0.8 [micro]M. AED levels remained steady until day 12 and declined thereafter. ADD concentrations were consistently lower than those of AED, except at day 8, when the mean was maximal at 5.2 [+ or -] 0.5 [micro]M (Figure 3).

[FIGURES 1-3 OMITTED]

Verification of androgens from river sediment. After the tentative identification of AED and ADD from M. smegmatis incubations, sediment from the Fenholloway River was extracted to determine whether these androgens were present. Figure 4 illustrates the androgen receptor transcription assay activity induced by fractions from a gradient HPLC separation of a crude extract of sediment. From. the HPLC separation and agonist activity results, fractions containing ADD (22 and 22.5 min), AED (23 min), and progesterone (25 mm) were isolated. The verification of AED and progesterone by LC-MS has been previously published (Jenkins et al. 2003).

[FIGURE 4 OMITTED]

The principal steroid of the 22 and 22.5 min fractions was verified as ADD by LC-MS and compared with an ADD standard (Figure 5). The parent compound of the sample and standard had a molecular weight of 285 and fragmented to two ions: 285/121 and 285/151. The ratio of the parent ion and two fragment ions (285/121:285/151) was 4.12 for the standard and 4.11 for the sample.

[FIGURE 5 OMITTED]

Steroid levels in the Fenholloway River sediment. The concentrations (mean [+ or -] SE) of progesterone, 170[alpha]-OHP, AED, and ADD in sediment samples from the Fenholloway River were 150.3 [+ or -] 39.9, 11.1 [+ or -] 2.2, 4.0 [+ or -] 1.0, and 2.6 [+ or -] 0.4 [micro]M, respectively. Steroids were quantified from HPLC chromatograms based on the peak area in five replications compared with standard peak areas. These values were similar to previously cited values (Jenkins et al. 2003).

Androgen receptor transactivation Transactivation is an increased rate of gene expression triggered either by endogenous cellular or viral proteins - transactivators. These protein factors act in trans (i.e., intermolecularly).  by ADD and AED. Transcriptional activity induced by commercially purified forms of the androgenic microbial products that were verified in the sediment of the Fenholloway River was compared with DHT (Figure 6). The relative potencies of ADD and AED to act as agonists in the mammalian androgen receptor-mediated transcription assay were essentially identical. Agonist activity induced by 1 nM ADD or 1 nM AED was nearly equivalent to the response obtained using 0.01 nM DHT, indicating a 100-fold less potency of ADD and AED relative to DHT.

[FIGURE 6 OMITTED]

Discussion

The results of this study are consistent with our hypothesis that steroids detected in the Fenholloway River water and sediment derive from microbial biotransformation of phytosteroids in the waste stream from the wood pulping process. Nagasawa et al. (1969) showed that many genera of microorganisms, including Arthrobacter, Nocardia, Protaminobacter, Serratia, Streptomyces Streptomyces (strĕp'təmī`sēz), bacterial genus of the order Actinomycetales, members of which resemble fungi in their branching filamentous structure. Various species produce such antibiotics as streptomycin and various tetracyclines. , Mycobacterium mycobacterium

Any of the rod-shaped bacteria that make up the genus Mycobacterium. The two most important species cause tuberculosis and leprosy in humans; another species causes tuberculosis in both cattle and humans.
, and Microbacterium, contain the enzymes necessary to convert cholesterol and other C-17 sterols to AED and ADD. Other investigators have shown that microbial degradation of plant sterols and cholesterol can produce ADD (Marsheck et al. 1972; Roy et al. 1991). Conner et al. (1976) cultured Mycobacterium species with tall (pine) oil sterols and showed that ADD was the principal product. Thus, the presence of ADD in the Fenholloway River water and sediment could result from the metabolism of phytosterols by a variety of bacterial strains. By slowing the reactions using a cooler incubation temperature (25[degrees]C), we were also able to identify the intermediates. Based on the rate of accumulation of the intermediates during the reaction (progesterone > 17[alpha]-OHP > AED > ADD), the implied sequence of in vitro production of these androgens from progesterone by a culture of M. smegmatis is shown in Figure 7. Figure 3 illustrates that the pathway continues with a decline of ADD beyond day 8 of incubation, implying the presence of additional reaction steps that metabolize me·tab·o·lize
v.
1. To subject to metabolism.

2. To produce by metabolism.

3. To undergo change by metabolism.



metabolize

to subject to or be transformed by metabolism.
 ADD.

[FIGURE 7 OMITTED]

Progesterone and AED were recently identified in relatively high concentrations in the sediment of the Fenholloway River at a site that received no inflows other than paper mill effluent (Jenkins et al. 2003). Peck et al. (2004) demonstrated that the sediment of rivers below sewage treatment plants in the United Kingdom are major sinks for steroidal estrogens derived from sewage. Conner et al. (1976) showed that the river sediment below a paper mill contains an abundance of phytosterols. The present study demonstrates that phytosterols have been converted to progesterone via microbial activity and progesterone to the androgenic compounds AED and ADD.

With respect to the masculinization of mosquitofish in the Fenholloway River (Howell et al. 1980), ADD could be a more important androgen than AED, which has been shown to be present in the water column and sediment of the Fenholloway River (Jenkins et al. 2001, 2003). Data in the present study indicate that AED and ADD have similar abilities to induce mammalian androgen receptor-mediated transcription. However, AED is more rapidly aromatized to estrogen. ADD has all inhibitory effect on P450 aromatase ([k.sub.i] = 0.32 mM; [k.sub.inact] = 0.91 x [10.sup.-3]/sec) and may irreversibly inactivate in·ac·ti·vate
v.
1. To render nonfunctional.

2. To make quiescent.



in·acti·va
 aromatase by forming enzyme-substrate covalent bonds (Covey and Hood 1982). The 1-androstene prohormones (including ADD) can be converted to 1,4-androstadien-17[alpha]-ol-3-one (boldenone). The rates of aromatization a·ro·ma·tize  
tr.v. a·ro·ma·tized, a·ro·ma·tiz·ing, a·ro·ma·tiz·es
1. To make aromatic or fragrant: swirled the wine to aromatize it.

2.
 of ADD and boldenone to estrogen are about half those of the 4-androstenes (Steele et al. 1977). Because ADD is resistant to aromatization, it would be expected to have a longer and more effective androgenic half-life and thus be a more potent androgen in vivo.

The production of ADD by microbial degradation of phytosteroids may also have more widespread implications than its effects on aquatic wildlife near paper mills. The microbial degradation pathways seen in this study also occur in the intestine of humans and wildlife, where the native bacterial flora could provide the appropriate enzymes for steroid biosynthesis. Escherichia coli has been shown to degrade cholesterol to AED and ADD (Owen et al. 1978). ADD has been isolated from the feces of cattle after subcutaneous injection of progesterone (1 mg/day for 5 days) (Miller et al. 1956). Owen et al. (1978) concluded that progesterone was sequestered se·ques·ter  
v. se·ques·tered, se·ques·ter·ing, se·ques·ters

v.tr.
1. To cause to withdraw into seclusion.

2. To remove or set apart; segregate. See Synonyms at isolate.

3.
 by the liver and converted by microbes in the intestines to ADD. It appears that dietary phytosterols may have human health benefits in terms of improving blood lipid profiles (St-Onge and Jones 2003; Vorster et al. 2003) and in reducing the risk of some cancers (Messina and Barnes 1991; Philpotts 1997). If ADD and other [DELTA]1-androgens are generated in the human gut from the degradation of phytosterols to steroidal precursors, other effects on human health may need to be considered.

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Any of a group of naturally occurring or synthetic organic compounds with a steroid ring structure, having a hydroxyl (—OH) group, usually attached to carbon-3.
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Ronald L. Jenkins. (1) Elizabeth M. Wilson. (2,3,4) Robert A. Angus, (5) W. Mike Howell, (1) Marion Kirk, (6) Ray Moore, (6) Marione Nance, (1) and Amber Brown (1)

(1) Department of Biology, Samford University, Birmingham, Alabama, USA; (2) Laboratories for Reproductive Biology, (3) Department of Pediatrics, and (4) Department of Biochemistry and Biophysics biophysics, application of various methods and principles of physical science to the study of biological problems. In physiological biophysics physical mechanisms have been used to explain such biological processes as the transmission of nerve impulses, the muscle , University of North Carolina, Chapel Hill, North Carolina Chapel Hill is a town in North Carolina and the home of the University of North Carolina at Chapel Hill (UNC-CH), the oldest state-supported university in the United States. As of the 2000 census, it had a population of 48,715. As of 2004 its estimated population was 52,440. , USA; (5) Biology Department and (6) Comprehensive Cancer Center Mass Spectrometry Shared Facility, University of Alabama at Birmingham UAB began in 1936 as the Birmingham Extension Center of the University of Alabama. Because of the rapid growth of the Birmingham area, it was decided that an extension program for students who had difficulties which prevented them from studying in Tuscaloosa was needed. , Birmingham, Alabama, USA

Address correspondence to R.A. Angus, Biology Department, University of Alabama at Birmingham, Birmingham, AL 35294-1170 USA. Telephone: (205) 934-4799. Fax: (205) 975-6097. E-mail: raangus@ uab.edu

This work was supported in part by the U.S. Environmental Protection Agency Environmental Protection Agency (EPA), independent agency of the U.S. government, with headquarters in Washington, D.C. It was established in 1970 to reduce and control air and water pollution, noise pollution, and radiation and to ensure the safe handling and  through grant R826130 (R.A.A.) and by National Institutes of Health Public Health Service grant HD16910 (E.M.W.).

This report has not been subjected to government agency approval required for peer and policy review and therefore does not necessarily reflect the views of the agency, and thus no official endorsement should be inferred.

The authors declare they have no competing financial interests.

Received 5 April 2004; accepted 22 July 2004.
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Title Annotation:Research / Article
Author:Brown, Amber
Publication:Environmental Health Perspectives
Date:Nov 1, 2004
Words:3739
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