Progress in the Application of DNA Microarrays? (Reviews).
Microarray technology has been applied to a variety of different fields to address fundamental research questions. The use of microarrays, or DNA chips, to study the gene expression profiles of biologic samples began in 1995. Since that time, the fundamental concepts behind the chip, the technology required for making and using these chips, and the multitude of statistical tools for analyzing the data have been extensively reviewed. For this reason, the focus of this review will be not on the technology itself but on the application of microarrays as a research tool and the future challenges of the field. Key words: DNA chips, gene expression profiling, microarray, toxicogenomics. Environ Health Perspect 109:881-892 (2001). [Online 16 August 2001]
The Herculean effort to sequence every nucleotide in a genome has generated complete sequences for many of the common experimental organisms, including Saccharomyces Saccharomyces: see yeast. cerevisiae, Drosophila Drosophila: see fruit fly.
Any member of about 1,000 species in the dipteran genus Drosophila, commonly known as fruit flies but also called vinegar flies. Some species, particularly D. melanogaster, and Caenorhabditis elegans. Significant progress has also been made sequencing entire genomes for more complex species, such as mice and humans. The analysis and application of this information have the potential to advance rapidly our understanding of the molecular mechanisms underlying normal cellular processes as well as the molecular basis for disease. A limitation of this information is that complete sequence data merely enable the identification of all theoretical genes within a genome. Sequence information alone does not indicate either the expression patterns for a given gene or the cell type in which it is expressed.
The functional expression of genes may be assessed by measuring the levels of mRNA and their corresponding proteins. Previously, one could assess the expression of mRNA for known genes or unidentified genes or expressed sequence tags (ESTs) using somewhat labor-intensive, low-throughput techniques, including Northern blot analysis North·ern blot analysis
An electrophoretic procedure used to separate and identify RNA fragments. and RNase protection assays. The advent of newer technologies such as quantitative reverse transcription-polymerase chain reaction (RT-PCR RT-PCR
reverse transcriptase-polymerase chain reaction. See PCR1. ) and DNA chips, or microarrays, has enabled rapid and simultaneous comparison of mRNA levels for hundreds to thousands of genes in virtually any biologic sample.
The number of publications employing microarrays has undergone exponential growth Extremely fast growth. On a chart, the line curves up rather than being straight. Contrast with linear. ,since its inception in 1995. The original paper by Schena et al. (1) detailing this technique to monitor gene expression changes has been referenced over 700 times. Furthermore, a search of published literature using the keyword "microarray" or "DNA chip" yields over 800 articles (Figure 1). Most of these articles have focused on studies related to cancer research. Microarrays have also been used to study questions in pathology, cell biology, pharmacology, and toxicology. The technology and methods involved in microarray experiments have been the focus of several reviews (2-9). Therefore, we will summarize briefly the principle of microarray, and then compile a summary of studies in which the application of DNA microarrays has addressed critical questions in different scientific fields as well as discuss several future challenges. Due to the vast nature of this task, this review is meant to provide a comprehensive but not inclusive summary of all expression array studies.
[FIGURE 1 OMITTED]
General Review of Microarray Technology
DNA microarray technology is revolutionary because it provides a platform to perform genome-wide expression analyses across various biologic models. The recent popularity of microarrays stems from the wide variety of research areas into which this technology can be integrated. Because physiologic responses involve complex regulatory networks that affect the levels of gene expression, the use of DNA microarrays to monitor simultaneously the response of thousands of genes allows one to observe genes that act in a coordinate fashion. DNA microarrays will help us better understand the mechanisms of action of compounds, provide insight into functions for genes with no known function, and advance many areas of biologic and biomedical research.
DNA microarrays are generated by either printing presynthesized cDNAs (500-2000 bases) or synthesizing short oligonucleotides (20-50 bases) onto glass microscope slides or membranes, cDNAs for microarrays may include fully sequenced genes of known function or collections of partially sequenced cDNA derived from expressed sequence tags (ESTs) corresponding to the messenger RNAs of unknown genes. Differential gene expression measurements are achieved by competitive, simultaneous hybridization hybridization /hy·brid·iza·tion/ (hi?brid-i-za´shun)
1. crossbreeding; the act or process of producing hybrids.
2. molecular hybridization
3. of reverse-transcribed cDNAs using a two-color fluorescence labeling approach or comparison of two biotin biotin: see vitamin; coenzyme.
Organic compound, part of the vitamin B complex, essential for growth and well-being in animals and some microorganisms. or radioactively labeled samples hybridized on different chips. One may compare, for example, two different tissues, normal versus diseased tissue or untreated versus exposed cells. Scanned images representing the two samples are then overlaid using specialized image-processing software that assigns a color intensity corresponding to the amount of fluorescence or radioactivity. The ratio of the intensity for one sample compared to the other is used as a measurement of whether a gene is significantly different (i.e., induced or repressed re·pressed
Being subjected to or characterized by repression. ) in one sample from the other.
In the past five years, microarray technology has been used as a tool in many studies in cancer research. Many of these reports are listed in Table 1, which categorizes the studies by tumor location. Microarrays have been used in cancer research to address three main objectives: determining the molecular differences between normal and malignant cells; improving the classification of tumors to increase the effectiveness of therapeutics; and identifying mutations in genes that are implicated im·pli·cate
tr.v. im·pli·cat·ed, im·pli·cat·ing, im·pli·cates
1. To involve or connect intimately or incriminatingly: evidence that implicates others in the plot.
2. in tumor formation or progression.
Microarray technology has revolutionized the manner in which cancer researchers identify genes that are differentially expressed during tumor progression. Using breast tissue that was obtained immediately after a modified radical mastectomy mod·i·fied radical mastectomy
Surgical removal of the entire breast and the lymphatic-bearing tissue in the armpit.
modified radical mastectomy , Sgroi et al. (10) examined differences in gene expression in the tumor and normal tissue from a single patient. The tissue was frozen, sectioned, and stained using hematoxylin hematoxylin /he·ma·tox·y·lin/ (he?mah-tok´si-lin) an acid coloring matter from the heartwood of Haematoxylon campechianum; used as a histologic stain and also as an indicator. and eosin eosin /eo·sin/ (e´o-sin) any of a class of rose-colored stains or dyes, all being bromine derivatives of fluorescein; eosin Y, the sodium salt of tetrabromofluorescein, is much used in histologic and laboratory procedures. to distinguish normal breast epithelial cells Epithelial cells
Cells that form a thin surface coating on the outside of a body structure.
Mentioned in: Corneal Transplantation from invasive carcinoma cells as well as metastatic Metastatic
The term used to describe a secondary cancer, or one that has spread from one area of the body to another.
Mentioned in: Coagulation Disorders
pertaining to or of the nature of a metastasis. cells (from an axillary ax·il·lar·y
Relating to the axilla.
Located in or near the armpit.
Mentioned in: Mastectomy
of or pertaining to the armpit. lymph node lymph node
Small, rounded mass of lymphoid tissue contained in connective tissue. They occur all along lymphatic vessels, with clusters in certain areas (e.g., neck, groin, armpits). ). Each cell population (normal, primary tumor primary tumor A neoplasm which, in clinical parlance, is regarded as malignant, arising in one site and capable of giving rise to metastatic or secondary tumors. See Metastasis. Cf Tumor of unknown origin. , metastatic tumor) was isolated using laser capture microscopy to avoid cross-contamination, inclusion of adipose tissue adipose tissue (ăd`əpōs'): see connective tissue.
or fatty tissue
Connective tissue consisting mainly of fat cells, specialized to synthesize and contain large globules of fat, within a , stromal Stromal
A type of tissue that is associated with the support of an organ.
Mentioned in: Wilms' Tumor components, or lymphocytes that may have been associated with an immune response immune response
An integrated bodily response to an antigen, especially one mediated by lymphocytes and involving recognition of antigens by specific antibodies or previously sensitized lymphocytes. to the disease. Isolation of different cell populations J:rom a single patient meant that any observed gene expression changes could potentially be attributed directly to disease progression, a task that would be more difficult if the study had been performed using tissue from multiple women. Sufficient numbers of each cell type were harvested using laser capture microscopy to yield enough RNA RNA: see nucleic acid.
in full ribonucleic acid
One of the two main types of nucleic acid (the other being DNA), which functions in cellular protein synthesis in all living cells and replaces DNA as the carrier of genetic for microarray analysis without using RNA amplification procedures (11,12). (Appropriate cell numbers will vary depending upon the cell type and tissue of origin, and the amount of RNA depends on the microarray platform and the labeling protocol.) RNA amplification should be used with caution to avoid the risk of misrepresentational gene expression biases (12-14).
This study (10) identified genes that were differentially expressed in invasive or metastatic breast cancer cells compared with levels present in normal breast epithelial cells. To increase the statistical confidence in the data, the analysis included data from replicate hybridizations. Many of the differentially expressed genes were verified by quantitative RT-PCR and immunohistochemical assays. A significant proportion (41%, 83 of 202) of the differentially expressed genes were unknown; however, many of the known genes were previously implicated in tumor biology or specifically in breast cancer.
For example, the increased expression of tissue factor (also known as thromboplastin thromboplastin: see blood clotting. or coagulation factor III coagulation factor III Thromboplastin, a heterogeneous group of phospholipids–tissue factors present in the brain, lung, placenta. See Tissue factor. ) has been described previously during angiogenesis angiogenesis /an·gio·gen·e·sis/ (-jen´e-sis) vasculogenesis; development of blood vessels either in the embryo or in the form of neovascularization or revascularization.
n. and metastasis metastasis /me·tas·ta·sis/ (me-tas´tah-sis) pl. metas´tases
1. transfer of disease from one organ or part of the body to another not directly connected with it, due either to transfer of pathogenic microorganisms or to [reviewed by Ruf and Mueller (15)]. In a more recent study (16), increased levels of tissue factor protein have been detailed in the tumor, stroma stroma /stro·ma/ (stro´mah) pl. stro´mata [Gr.] the matrix or supporting tissue of an organ.stro´malstromat´ic
n. pl. stro·ma·ta
1. , and plasma of breast cancer patients. The microarray data demonstrated a 5-fold increase in tissue factor transcripts in primary tumor cells relative to normal breast epithelial cells. This finding corroborated cor·rob·o·rate
tr.v. cor·rob·o·rat·ed, cor·rob·o·rat·ing, cor·rob·o·rates
To strengthen or support with other evidence; make more certain. See Synonyms at confirm. the association of increased levels of tissue factor with tumor progression, and also indicated that tissue factor expression is under transcriptional control. Cumulatively, this study demonstrated that the use of carefully controlled experimental parameters (unamplified RNA from distinct cell populations obtained from one individual patient) in the preparation of samples for microarray analysis can yield a descriptive examination of the transcriptional changes associated with tumor progression.
Microarrays have also been used to study tumor progression in cell cultures. It has been reported (17) that the human melanoma cell line UACC-903 can be reverted to a normal growth rate after introduction of a normal human chromosome 6 [UACC-903(+6)]. In a more recent study (18), fluorescently labeled cDNA probes were generated from mRNA extracted from UACC-903 or UACC-903(+6) cells and hybridized to a DNA chip to identify changes in gene expression associated with the reduced rate of proliferation and tumor suppressed phenotype. The criteria used to determine whether a gene was differentially expressed identified 63 upregulated genes (7.3% of the 870 genes present on the chip) on introduction of normal chromosome 6, whereas 15 (1.7%) genes were significantly downregulated. The levels of 15 of these differentially expressed genes were verified independently by Northern blot analysis. One of the validated genes demonstrating increased expression in the UACC-903(+6) line was p21/WAF1, a mediator of p53-induced growth suppression, which correlated with the reduced growth rate observed in transfected cells. This report exemplifies the quality and usefulness of microarray data and provides further validation of the potential utility of in vitro in vitro /in vi·tro/ (in ve´tro) [L.] within a glass; observable in a test tube; in an artificial environment.
In an artificial environment outside a living organism. models of cancer.
Microarray technology can facilitate accurate classifications of cancer. Historically tumors have been classified by pathologic examination supplemented by special stains and antibodies. Similar to the way in which DNA sequencing is revolutionizing the field of taxonomy, gene expression profiling is increasing the number of markers useful in tumor classification. For example, because of standard immunohistochemical techniques that showed positive staining for neural-specific markers, small cell lung cancers were believed to originate from neuroendocrine neuroendocrine /neu·ro·en·do·crine/ (-en´do-krin) pertaining to neural and endocrine influence, and particularly to the interaction between the nervous and endocrine systems.
adj. tissue (19). Pulmonary carcinoid carcinoid /car·ci·noid/ (kahr´si-noid) a yellow circumscribed tumor arising from enterochromaffin cells, usually in the gastrointestinal tract; the term is sometimes used to refer specifically to the gastrointestinal tumor tumors, which are benign lung tumors, also stain positively for neuroendocrine markers and are therefore hypothesized to arise from neuroendocrine cells. Using high-density cDNA arrays, Anbazhagan et al. (20) supported this theory by demonstrating that pulmonary carcinoid tumors exhibited a gene expression profile similar to that of two neural-derived tumors, oligodendroglioma oligodendroglioma /ol·i·go·den·dro·gli·o·ma/ (-den?dro-gli-o´mah) a neoplasm derived from and composed of oligodendrocytes in varying stages of differentiation.
n. and high-grade astrocytoma astrocytoma /as·tro·cy·to·ma/ (as?tro-si-to´mah) a tumor composed of astrocytes; the most common type of primary brain tumor and also found throughout the central nervous system, classified on the basis of histology or in order of . Surprisingly, the expression profile of small cell lung cancer was more similar to that of bronchial bronchial /bron·chi·al/ (brong´ke-al) pertaining to or affecting one or more bronchi.
Relating to the bronchi, the bronchial tubes, or the bronchioles. epithelial cells than to those of carcinoid tumors, oligodendrogliomas, or high-grade astrocytomas. This finding suggests that small cell lung cancer may actually be an epithelial tumor rather than of neuroendocrine origin. In studies of melanomas, diffuse large B-cell lymphomas, and leukemias, previously uncharacterized tumor subtypes were identified based on differential gene expression patterns observed using microarrays (21-23). Ultimately, more accurate classification of cancerous lesions based on gene expression profiles may improve the therapeutic strategies employed to treat patients by allowing selection of chemotherapeutic agents that target tumor subtype-specific molecules.
Breast cancers are currently classified based on several parameters, including tumor size and stage as well as the level of estrogen receptor estrogen receptor A protein of a superfamily of nuclear receptors for small hydrophilic ligands–eg, steroid hormones, thyroid hormone, vitamin D, retinoids; the presence of ERs in breast CA generally is associated with a better prognosis, as they respond to (ER) expression (24,25). Using several breast cancer cell lines as well as primary tumor samples, Martin et al. (26) identified clusters on a hierarchical tree (groups of genes that demonstrate similar expression patterns) that are associated with each of these clinical features. Grouping--statistical clustering of tumors according to their respective gene expression profiles--enabled discrimination of tumors based on ER status. However, several tumors were not grouped in accordance with the original immunohistochemical data. Not a shortcoming of the gene expression profiling procedure, this discrepancy represents a strength of this technique by providing additional insight into tumor biology. Some tumors are classified as ER-positive based on immunohistochemical analysis, but actually express a nonfunctional protein and therefore should by typed ER-negative. This would indicate that tumors expressing ER (determined by classic assays) but not grouped with other ER-positive tumors by clustering of gene expression data might represent this unique group of tumors. The accurate classification of these tumors using a combination of classic pathologic as well as gene expression techniques would enable physicians to predict whether these tumors would be refractive refractive
capacity to refract light.
a difference between the focal length of the cornea and lens, and the length of the eye, resulting in myopia or hyperopia. to hormonal therapy Hormonal therapy
Use of hormone medications to inhibit menstruation and relieve the symptoms of endometriosis.
Mentioned in: Endometriosis , and allow the consideration, of alternative treatment regimes.
Advances in cancer research can be facilitated by studies that use microarrays to explore the function of genes implicated in tumor progression or genetic susceptibility. For example, women with a germline mutation germline mutation Hereditary mutation Molecular medicine An inherited mutation transmitted via the germline from parent to progeny in BRCA BRCA
One of two genes (designated BRCA1 and BRCA2) that help repair damage to DNA, but when inherited in a defective state increase the risk of breast and ovarian cancer. 1 are predisposed to breast and ovarian cancer ovarian cancer
Malignant tumour of the ovaries. Risk factors include early age of first menstruation (before age 12), late onset of menopause (after age 52), absence of pregnancy, presence of specific genetic mutations, use of fertility drugs, and personal history of breast (27). BRCA1 has been implicated in the response to DNA DNA: see nucleic acid.
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. damage, homologous recombihation, and transcription. To isolate target genes of BRCA1 action, two different laboratories completed high-density array hybridizations using RNA from cells ectopically expressing BRCA1 (28,29). Consistent with the proposed action of BRCA1 in DNA repair, both groups identified genes implicated in the DNA damage response (such as GADD45) as being significantly upregulated in cells overexpressing BRCA1. Further exploration into the molecular mechanisms of BRCA1 action and the effect of gene mutations on its activity will undoubtedly provide more insight into the basis for genetic predisposition genetic predisposition Molecular medicine The tendency to suffer from certain genetic diseases–eg, Huntington's disease, or inherit certain skills–eg, musical talent to cancer.
To detect gene mutations, a variation on array-based technology has been developed. N-mer arrays contain oligonucleotides of specific length, which correspond to a portion of the coding region of the gene of interest. Wild-type sequences as well as single base substitutions at every position are synthesized on a chip. After hybridization, the intensity of each oligonucleotide is assessed; the oligonucleotide with the highest signal corresponds to the actual sequence for the gene being analyzed (30). This technique has identified single base insertions, deletions, and substitutions in three different tumor suppressor genes, BRCA1, BRCA2, and p53 (31,32). This modified application of microarray technology has the promise to deliver high-throughput data with the same accuracy as more popular, gel-based methods of mutation screening while being less time- and labor-intensive (32).
Infectious Disease Infectious disease
A pathological condition spread among biological species. Infectious diseases, although varied in their effects, are always associated with viruses, bacteria, fungi, protozoa, multicellular parasites and aberrant proteins known as prions.
The underlying basis of infectious disease stems from the complex interaction between a pathogen and a host. Understanding the molecular details of this interaction will aid in the identification of virulence-associated microbial microbial
pertaining to or emanating from a microbe.
the breakdown of organic material, especially feedstuffs, by microbial organisms. genes and host-defense strategies. This would enable characterization of the genes involved in pathogenesis and the regulatory mechanisms controlling these genes. Ultimately, this knowledge could guide the generation of new treatment regimes to combat infections. Microarray technology promises to expedite microbial research by aiding in annotation of the microbial genome, examination of microbial physiology, and identification of candidate virulence factors.
Most of the time, the function of bacterial genes is inferred by finding homologs that have been previously characterized in other organisms. The study of genomewide expression patterns will greatly enhance the annotation of gene function: Similar expression may imply related function. Thus, when a gene with an unknown function is clustered with known genes based on similar expression patterns, it is implied that the function of the unknown gene is related to that of other genes in that cluster. This hypothesis was first tested in a study examining the gene expression profile of Saccharomyces cerevisiae, and it demonstrated the coregulated expression of genes that performed similar cellular functions (33). Theoretically, expression profiling will enable the function of unknown genes to be extrapolated, even when sequence similarity has not been established with characterized genes. This is especially true for pathogens because the whole genome has been sequenced for a significant number of these organisms using rapid techniques such as the "shotgun" approach (34-36).
A series of studies demonstrated that the evaluation of mRNA expression profiles by DNA microarray analysis is a powerful approach for characterizing and understanding host-pathogen interactions (37-43). The ability to identify virulence factors using DNA microarrays has been shown by comparing gene expression of pathogen-infected and -uninfected cells. Cohen cohen
(Hebrew: “priest”) Jewish priest descended from Zadok (a descendant of Aaron), priest at the First Temple of Jerusalem. The biblical priesthood was hereditary and male. et al. (39) observed changes in the gene expression profile of the human promyelocytic THP1 cell line THP1 (Human acute monocytic leukemia cell line): This product is used to test leukemia cell lines in immunocytochemical analysis of protein-protein interaction, and immunohistochemistry. after infection with Listeria Listeria /Lis·te·ria/ (lis-ter´e-ah) a genus of gram-negative bacteria (family Corynebacterium); L. monocyto´genes causes listeriosis.
n. monocytogenes, a pathogenic intracellular organism responsible for meningitis, meningoencephelitis, and in some cases gastroenteritis gastroenteritis: see enteritis.
Acute infectious syndrome of the stomach lining and intestines. Symptoms include diarrhea, vomiting, and abdominal cramps. . The underlying premise of their study design was that this gram-positive bacterium is able to penetrate and grow in both phagocytes and nonphagocytic target cells. The infection stimulated transient activation of signal transduction pathways in the host cell, leading to modulation of gene expression. The authors' findings were consistent with previously published data, and also identified several novel genes associated with the infection. L. monocytogenes-regulated genes belonged to different functional categories, including inflammation, chemotaxis chemotaxis: see taxis. , transcription, apoptosis, transduction transduction, in genetics: see recombination.
A mechanism for the transfer of genetic material between cells. , metabolism, and cell cycle. This information will enhance the understanding of the molecular physiology of L. monocytogenes and guide the development of new therapeutic drugs.
Cellular Biology cellular biology
The study of the molecular or chemical interactions of biological phenomena.
Microarray technology has influenced cell biology by enabling characterization of different cellular events at the molecular level (Table 2). This information has increased the understanding of major biologic events such as organ development, homeostasis homeostasis
Any self-regulating process by which a biological or mechanical system maintains stability while adjusting to changing conditions. Systems in dynamic equilibrium reach a balance in which internal change continuously compensates for external change in a feedback , as well as inter- and intraorgan communication.
Studies using microarrays have not only enhanced the understanding of known cellular processes, but also aided the discovery of previously unknown properties or functions of different cells. Iyer et al. (44) demonstrated this through analysis of the response of human fibroblast fibroblast /fi·bro·blast/ (fi´bro-blast)
1. an immature fiber-producing cell of connective tissue capable of differentiating into chondroblast, collagenoblast, or osteoblast.
2. cells to serum. Genes were clustered into groups on the basis of their temporal patterns of expression. Many features of the transcriptional program appeared to be related to the physiology of wound repair, suggesting that fibroblasts Fibroblasts
A type of cell found in connective tissue; produces collagen.
Mentioned in: Skin Grafting may play a larger role in this complex, multicellular mul·ti·cel·lu·lar
Having or consisting of many cells.
multi·cel response than had previously been assumed.
When studying human responses, the goal is to use human-derived tissue that is representational of the organ or system being studied. However, several gene expression studies have identified differences between widely used cell culture models and the tissue of origin. Detailed studies regarding the function of normal cells will help identify limitations of cell models, For example, Walker and Rigley (45) examined gene expression profiles in human peripheral blood peripheral blood Cardiology Blood circulating in the system/body mononuclear mononuclear /mono·nu·cle·ar/ (-noo´kle-er)
1. having but one nucleus.
2. a cell having a single nucleus, especially a monocyte of the blood or tissues.
adj. cells (PBMCs) stimulated with phytohemagglutinin phytohemagglutinin /phy·to·hem·ag·glu·ti·nin/ (-hem?ah-glldbomact´in-in) a hemagglutinin of plant origin.
Abbr. . They found 104 genes to be differentially expressed in response to phytohemagglutinin stimulation. Clustering analysis grouped these genes into major functional categories including detoxification Detoxification Definition
Detoxification is one of the more widely used treatments and concepts in alternative medicine. It is based on the principle that illnesses can be caused by the accumulation of toxic substances (toxins) in the body. , intracellular signaling, vesicle vesicle /ves·i·cle/ (ves´i-k'l)
1. a small bladder or sac containing liquid.
2. a small circumscribed elevation of the epidermis containing a serous fluid; a small blister. trafficking, inflammation, and house keeping. Due to the vast number of studies using PBMCs, it is important that changes in their gene expression profile resulting from different treatment and culturing conditions be studied and characterized. This information will aid greatly in interpreting data from studies using these cells and identify changes in gene expression resulting from variation in the model.
Additional complications of in vitro studies are that cells can differentiate, grow old, or become transformed during experimentation through treatment or growth conditions. Cell differentiation during an in vitro study introduces potential biological variability biological variability Lab medicine The variability in a lab parameter due to physiologic differences among subjects–interindividual BV, and in the same subject over time–intraindividual BV into a data set. Changes in gene expression during differentiation have been studied by comparison of differentiated 3T3-L1 adipocytes and nondifferentiated 3T3-L1 preadipocytes (46). A vast difference in expression patterns was discovered, highlighting the importance of identifying experimental parameters that can confound experimental results.
DNA microarrays have also been used to better understand mechanisms associated with aging by identifying specific genes associated with age-related processes. One study (47) evaluated gene expression alterations in in vitro-aged dermal dermal /der·mal/ (der´mal) pertaining to the dermis or to the skin.
der·mal or der·mic
Of or relating to the skin or dermis. fibroblast cell populations following immortalization immortalization /im·mor·tal·iza·tion/ (imor?tah-li-za´shun) the gaining of immunity to normal limitations on growth or life span, sometimes achieved by animal cells in vitro or by tumor cells. with the telomerase telomerase /telo·mer·ase/ (te-lo´mer-as) a DNA polymerase involved in the formation of telomeres and the maintenance of telomere sequences during replication.
n. catalytic subunit (hTERT). Telomeres are specialized DNA repeats that stabilize the ends of chromosomes (48,49). As somatic cells Somatic cells
All the cells of the body with the exception of the egg and sperm cells.
Mentioned in: Retinoblastoma divide, their telomeres gradually become shorter until a critical length is reached, after which somatic cells enter a nondividing state termed senescence senescence /se·nes·cence/ (se-nes´ens) the process of growing old, especially the condition resulting from the transitions and accumulations of the deleterious aging processes.
n. (50). Microarray analysis showed that senescent se·nes·cent
Growing old; aging. cells express reduced levels of collagen I and III, as well as increases in genes associated with the destruction of dermal matrix and inflammatory processes. The study also demonstrated that expression of telomerase in the normal cells produced gene expression patterns very similar to early passage cells, consistent with the ability of these cells to proliferate and perform normal biologic functions. The investigators indicated that telomerase activity not only conferred immortality in skin fibroblasts, but also reversed the loss of biologic function in senescent cells.
A separate study analyzed the gene expression profile of the aging process in the skeletal muscle of mice (51). The data revealed that aging produced a heightened stress response and lower expression of metabolic and biosynthetic bi·o·syn·the·sis
Formation of a chemical compound by a living organism. Also called biogenesis.
bi genes. These findings are consistent with the senescent phenotype because decreased levels of biologic activity characterize these cells. Interestingly, these investigators also demonstrated that changes in the gene expression profile were prevented by a calorie-restrictive diet, suggesting that increasing protein turnover and decreasing macromolecular mac·ro·mol·e·cule
A very large molecule, such as a polymer or protein, consisting of many smaller structural units linked together. Also called supermolecule. damage could extend the aging process.
Use of microarrays to examine changes in gene expression patterns can also identify regulatory genes and other essential components of different cellular processes. Monitoring RNA expression levels in organisms for which the entire genome has been sequenced (such as yeast) enables a comprehensive examination of functional genomic responses compared to other biologic models where only partial sequence is known. Lashkari et al. (52) generated the first high-density cDNA microarray of yeast open reading frames, whereas Wodicka et al. (53) developed the first high-density oligonucleotide arrays for monitoring the expression of nearly all yeast genes. The sheer volume of data generated using the S. cerevisiae model, including development of mutation, knock-out, and overexpression models, reduces the challenges of testing hypotheses and making associations inferred from gene expression analyses.
Eisen et al. (33) grouped genes expressed in budding yeast into functional subsets by combining gene expression profiling with clustering analysis, using an algorithm designed to arrange genes according to similarity in expression patterns. This study revealed the versatility of microarrays and highlighted the computational tools that can be applied to these data so as to derive biologic associations.
The use of genetic manipulations, in addition to genome-wide transcript profiling in yeast, revealed changes in gene expression underlying pheromone pheromone
Any chemical compound secreted by an organism in minute amounts to elicit a particular reaction from other organisms of the same species. Pheromones are widespread among insects and vertebrates (except birds) and are present in some fungi, slime molds, and algae. signaling, cell cycle control, and polarized A one-way direction of a signal or the molecules within a material pointing in one direction. morphogenesis morphogenesis /mor·pho·gen·e·sis/ (mor?fo-jen´e-sis) the evolution and development of form, as the development of the shape of a particular organ or part of the body, or the development undergone by individuals who attain the type to (54). These experiments showed cross talk and overlap of multiple mitogen-activated protein kinase Mitogen-activated protein (MAP) kinases (EC 184.108.40.206) are serine/threonine-specific protein kinases that respond to extracellular stimuli (mitogens) and regulate various cellular activities, such as gene expression, mitosis, differentiation, and cell survival/apoptosis. pathways such as filamentous filamentous /fil·a·men·tous/ (fil?ah-men´tus) composed of long, threadlike structures.
composed of long, threadlike structures. growth and mating responses. More globally, this study demonstrated the potential to correlate gene expression changes with alterations in physiologic or developmental processes.
Numerous other studies have focused on elucidating components of signaling cascades in biologic models (Table 2). Cumulatively, these studies contribute to a greater understanding of the molecular communication within cells and how those signals mediate cellular processes.
Toxicology and Pharmacology
Identification of environmental carcinogens Carcinogens
Substances in the environment that cause cancer, presumably by inducing mutations, with prolonged exposure.
Mentioned in: Colon Cancer, Rectal Cancer and other hazards constitutes a major challenge in the field of toxicology. The assessment of risk associated with different chemical exposures is limited partially by difficulties relating to cross-species extrapolation (mathematics, algorithm) extrapolation - A mathematical procedure which estimates values of a function for certain desired inputs given values for known inputs.
If the desired input is outside the range of the known values this is called extrapolation, if it is inside then and dose response as well as estimations of exposure levels. Thus, one must identify trans-species, chemical-specific biomarkers that result from quantified exposures to drugs or toxic chemicals. This would improve the extrapolation of data from model systems to potential effects in humans. Many disciplines employ in vitro models to study cell processes and signals; however, to extrapolate extrapolate - extrapolation findings to humans, toxicology and pharmacology require the use of relatively large, complex organisms such as rodents, rabbits, canines, and monkeys. The process of gene discovery and deciphering these genomes is challenging, but current efforts to sequence the genomes of these organisms will greatly enhance the DNA microarray field by offering more defined sequences to monitor in the response of a biologic model to a chemical exposure.
The potential of DNA microarray technology to identify gene expression changes associated with toxic or pharmacologic processes has been the focus of several studies. For example, the biochemical and molecular mechanisms of lead neurotoxicity neurotoxicity /neu·ro·tox·ic·i·ty/ (noor?o-tok-sis´it-e) the quality of exerting a destructive or poisonous effect upon nerve tissue. have not been fully elucidated; however, lead has been shown to interfere with several signal transduction pathways (55-58). Changes in gene expression in target cells is hypothesized to be a mechanism by which this chemical interferes with normal brain development (59). Hossain et al. (60) studied the mechanisms underlying lead neurotoxicity using cDNA microarray gene expression analysis and identified lead-sensitive genes in immortalized human fetal astrocytes astrocytes (as´trōsī´ts),
n a large, star-shaped cell found in certain tissues of the nervous system. A mass of astrocytes is called astroglia. See also astrocytoma. (SV-FHA). Their findings indicated that lead induces vascular endothelial growth factor Vascular endothelial growth factor (VEGF) is an important signaling protein involved in both vasculogenesis (the de novo formation of the embryonic circulatory system) and angiogenesis (the growth of blood vessels from pre-existing vasculature). (VEGF VEGF vascular endothelial growth factor. ) expression in SV-FHAs via a pathway involving protein kinase C Protein kinase C ('PKC', EC 220.127.116.11) is a family of protein kinases consisting of ~10 isozymes. They are divided into three subfamilies: conventional (or classical), novel, and atypical based on their second messenger requirements. and the AP-1 transcription factor, yet independent of hypoxia-inducible factor-1. This report highlights the potential of DNA microarrays for the discovery of novel toxicant-induced gene expression alterations and the ability to dissect dissect /dis·sect/ (di-sekt´) (di-sekt´)
1. to cut apart, or separate.
2. to expose structures of a cadaver for anatomical study.
v. the second messenger pathways and transcription factors mediating these changes. By allowing determination of the mechanisms of toxicant toxicant /tox·i·cant/ (tok´si-kant)
1. A poison or poisonous agent.
2. An intoxicant.
adj. action, such studies will ultimately contribute to models developed for risk assessment in humans.
Microarray experiments using pharmacologic agents have focused on identification of mechanisms for drug action as well as isolation of potential drug targets. A landmark study (61) described a method for drug target validation and identification of secondary drug target effects based on genome-wide gene expression patterns. These researchers generated mutations in yeast genes encoding putative targets of the immunosuppressant drugs Immunosuppressant Drugs Definition
Immunosuppressant drugs, also called anti-rejection drugs, are used to prevent the body from rejecting a transplanted organ. cyclosporin A cyclosporin A /cy·clo·spor·in A/ (-spor´in) cyclosporine.
see cyclosporine. or FK506. Expression profiles were then identified for both mutant and wild-type cells after drug treatment to verify essential components of the drug's molecular mechanism. This research revealed pathways that FK506 affected in a calcineurin- and immunophilins-independent manner by induction of drug-dependent effects in "targetless" cells. The described method permitted direct confirmation of drug targets and recognition of drug-dependent changes in gene expression, including those mediated through pathways distinct from the drug's intended target. This parallel approach in comparison of wild-type and mutant cells may help improve the efficiency of the drug development process.
Currently, there is a limited inventory of expression profiles reflecting the response to chemical treatment in biologic models. This type of information would enhance our understanding of toxicology and pharmacology. The principal hypothesis underlying toxicogenomic studies is that chemical-specific patterns of altered gene expression can be revealed using high-density microarray analysis on the tissues from treated organisms (6). As detailed earlier, gene expression-based pattern discrimination has been effective in tumor classification (21,23, 62-64); however, this problem is more complex in toxicology-based studies that are confounded by target organ target organ
A tissue or organ that is affected by a specific hormone.
n the organ or body part whose activity levels demonstrate change in the course of biofeedback. , dose, and time point variables. This challenge was demonstrated in a recently published effort to distinguish classes of toxicants based solely upon cluster-type analysis of differentially expressed genes in HepG2 cells (65). Initial comparison of gene expression profiles for cytotoxic anti-inflammatory drugs Anti-inflammatory drugs
A class of drugs that lower inflammation and that includes NSAIDs and corticosteroids.
Mentioned in: Antirheumatic Drugs and DNA-damaging agents to a database populated with gene expression profiles from 100 toxicants failed to differentiate between the two classes of compounds. The authors suggest that a lack of replicate hybridizations resulted in low reproducibility of the gene responses. To surmount sur·mount
tr.v. sur·mount·ed, sur·mount·ing, sur·mounts
1. To overcome (an obstacle, for example); conquer.
2. To ascend to the top of; climb.
a. To place something above; top. this challenge, they generated a single gene-expression profile from 13 separate hybridizations using RNA isolated independently from cisplatin-treated HepG2 cultures, producing a set of genes that demonstrated altered expression with relatively high reproducibility. This highlights the need for multiple biologic and hybridization replicates to provide statistical confidence in the gene expression profiles.
We have also verified the hypothesis that chemical-specific patterns of expression can be revealed using microarray analysis (66). We analyzed patterns of gene expression in liver tissue isolated from chemically exposed Sprague-Dawley rats using cDNA microarrays. Biologic and hybridization replicates generated statistically significant information pertaining to the expression pattern of all 1,700 genes on the DNA chip. Clustering analysis and statistical correlation revealed that gene expression profiles produced in animals treated with different agents from a common class of compounds (peroxisome Peroxisome
An intracellular organelle found in all eukaryotes except the archezoa (original lifeforms). In electron micrographs, peroxisomes appear round with a diameter of 0.1–1. proliferators) were similar. As expected, a distinct gene expression profile was produced using a compound from a completely distinct class (barbiturates Barbiturates Definition
Barbiturates are medicines that act on the central nervous system and cause drowsiness and can control seizures.
Purpose ). Not only did our study discriminate among different classes of toxicants on the basis of analysis of validated, statistically significant gene expression profiles, but also corroborated past findings regarding the molecular mechanisms of action for peroxisome proliferators and phenobarbital phenobarbital /phe·no·bar·bi·tal/ (fe?no-bahr´bi-tal) a long-acting barbiturate, used as the base or sodium salt as a sedative, hypnotic, and anticonvulsant.
DNA microarrays will be instrumental in revolutionizing the fields of toxicologic and pharmacologic research. However, data generated from microarray analysis cannot be appreciated fully without computational tools that can efficiently handle and analyze large volumes of data. Thus, the field of bioinformatics has emerged and is actively addressing issues such as detecting microarray targets, calculating intensity from raw image scans, transforming data sets into more manageable forms, performing analyses that extract associations from gene expression levels, and facilitating the emergence of new testable hypotheses.
Data Analysis: Bioinformatics
The applications of database systems, computer programs, and information technology have revolutionized the way in which biologic scientists manage, analyze, and share information and data. The National Center for Biotechnology Information The National Center for Biotechnology Information (NCBI) is part of the United States National Library of Medicine (NLM), a branch of the National Institutes of Health. The NCBI is located in Bethesda, Maryland and was founded in 1988. (www.ncbi.nlm.nih.gov) (67), a division of the National Library of Medicine at the National Institutes of Health, maintains many databases and biologic resources that contain information and data for the scientific community engaged in biomedical research. In addition, several investigative programs in computational biology have been established to leverage theoretical, analytical, and applied computer science research toward addressing complex mathematical and statistical problems inherent in modern day molecular biology molecular biology, scientific study of the molecular basis of life processes, including cellular respiration, excretion, and reproduction. The term molecular biology was coined in 1938 by Warren Weaver, then director of the natural sciences program at the Rockefeller . In essence, the Human Genome Sequencing Project has ascended as a quintessential large-scale, multidisciplinary effort that has benefited immensely from the analysis, interchange, and comparison of DNA sequencing data and results (68).
With the advent of microarray technology to monitor genomewide expression of thousands of genes, scientists have adopted an operations research operations research
Application of scientific methods to management and administration of military, government, commercial, and industrial systems. It began during World War II in Britain when teams of scientists worked with the Royal Air Force to improve radar detection of approach to analyze and manage gene expression data in a production-like setting. The essential component of microarray data analysis is capturing meaningful information regarding gene regulation. These data ultimately will be used to gather heuristic knowledge about a biologic system, toxic agent, or environmental condition affecting human health and disease states (5,6,9,69). The microarray data analysis schema comprises three main processes: image analysis and data acquisition, data processing, and multivariate analysis multivariate analysis,
n a statistical approach used to evaluate multiple variables.
n a set of techniques used when variation in several variables has to be studied simultaneously. (Figure 2).
[FIGURE 2 OMITTED]
The initial stage of microarray gene expression analysis is image analysis and data acquisition. Typically a microarray is scanned in a chip reader using lasers to excite two different cytofluorescent dyes that have been incorporated into the DNA; simultaneously the chip reader collects the separate emission signals with dual photomultiplier tubes (PMT See photomultiplier tube. ). The output current of each PMT is then digitized to form a raw 16-bit gray scale image (8,70). The most current scanning technology performs imaging in the range of 5-10 mm resolution; however, new developments in scanning technology should improve imaging resolution and ultimately enhance the signal-to-noise and dynamic range of detection.
Changes in gene expression are quantified from raw images using image analysis algorithms and data acquisition procedures to detect target regions, compute feature pixel intensity values, subtract background intensity, and compare the pixel intensity values of DNA from a treated sample to that of a control or untreated sample. Normalization In relational database management, a process that breaks down data into record groups for efficient processing. There are six stages. By the third stage (third normal form), data are identified only by the key field in their record. or calibration steps are regularly performed in microarray data analysis to accurately adjust and correct the variability in intensity values extracted from two separate samples according to a standard set of control genes or against all the targets represented on the DNA chip. A final mean ratio pixel intensity value is calculated for each gene target and processed into a standard 24-bit pseudocolor composite image for visualization of the gene expression profile.
Given the high "gene feature" density of microarray chips, one may store pixel intensity values, calculated ratio, and statistics for each gene as records in a tab-delimited text file for subsequent data management and analysis. For instance, the microarray database ArrayDB was designed as a relational database management system relational database management system - relational database to store, analyze, and associate gene expression data with information from remote biologic resources (71). More recently, a comprehensive database has been developed to correlate gene expression patterns with information about pharmacologic compounds (63).
The next stage in microarray data analysis is data processing. Inherent in microarray gene expression data is the nonlinear nature of the data. Low-quality or unreliable data points originate from fluorescent signals below threshold detection levels or anomalies on the microarray chip, or are the result of missing DNA features. Typical microarray data analysis software includes functions to log-transform gene expression data, which essentially stabilizes the variance in the data. In addition, cutoff values may be applied to the pixel size of DNA features as well as to the intensity range of the values to refine the data set for further analysis. These processing features filter microarray gene expression data and generally improve the reliability of results.
Determination of differentially expressed genes is the staple of this processing stage, which adds another level of complexity to the analysis of microarray gene expression data, but promises to play a pivotal role in fundamental microarray gene expression pattern recognition exercises. At the onset of the microarray era, simplistic sim·plism
The tendency to oversimplify an issue or a problem by ignoring complexities or complications.
[French simplisme, from simple, simple, from Old French; see simple statistical methods were used to facilitate the interpretation of complex and large-scale microarray gene expression results. For example, a set number of standard deviations above and below the mean intensity values typically identified transcriptional changes in biologically relevant genes in most published microarray-related studies. In newer, more sophisticated methods, computed confidence intervals are used to determine significantly changed genes from a ratio distribution of gene expression data (72). In this application, differentially expressed genes are identified on the basis of confidence intervals determined from a probability distribution Probability distribution
A function that describes all the values a random variable can take and the probability associated with each. Also called a probability function.
probability distribution of the ratios of intensity values, with significantly changed genes being those that fall outside of the confidence limits. Ratio values close to 1.0 represent genes that are expressed similarly in the two samples being compared. More importantly, differentially expressed genes can be validated by comparing replicate measurements of microarrays and performing subsequent biologic assays to confirm the biologic significance of altered gene expression (73,74). Using this method, the probability that a "validated" gene occurred by chance at a given confidence level can be determined using a binomial distribution model (75).
At this time, these methods do not control for false positives and false negatives, low fold changes, or variation of data across independent replicate experiments, nor do they account for genes exhibiting a bias when detected from microarray fluor-reverse experiments. Fortunately, surveying changes in microarray gene expression data has recently attracted significant attention and gained interest from practitioners in statistics, mathematics, and applied physics communities as well as expert bioinformatics companies committed to applying rigorous and innovative computational error models to measurements of microarray gene expression data. For instance, pioneering analysis of microarray gene expression data is currently underway using various mixed linear models and general analysis of variance models to assess gene statistical significance from microarray gene expression data (76,77). Similarly, a combination of robust additive and multiplicative mul·ti·pli·ca·tive
1. Tending to multiply or capable of multiplying or increasing.
2. Having to do with multiplication.
mul error models is used to account for the uncertainty and variation in measuring gene expression data as well as assign confidence and probability values, weight, and error bars to define statistical significance of individual genes (78). Though these new and practical approaches emphatically meet the computational needs of the microarray community, it remains to be seen how mainstream and conventional these procedures will be in the next generation of commonplace microarray gene expression analysis tools.
The final stage in microarray gene expression analysis is multivariate analysis. In this step, higher-order computational tools and procedures assist with interpretation and visualization of complex multivariate microarray gene expression data. Although there is no definitive rule about which form of multivariate analysis to use on microarray gene expression data, it is critical to understand fully the implicit characteristics of each algorithm so as to exploit inherent advantages of each to gain the most intriguing insight and interpretation of analyzed results.
For example, hierarchical clustering methods are essentially iterative processes to organize objects into groups with similar attributes based on resemblance, proximity, and similarity or dissimilarity measurements. The four basic steps in conducting a cluster analysis Cluster analysis
A statistical technique that identifies clusters of stocks whose returns are highly correlated within each cluster and relatively uncorrelated across clusters. Cluster analysis has identified groupings such as growth, cyclical, stable, and energy stocks. on microarray gene expression data are data collection and selection of variables (genes and experiments) for analysis; generation of a resemblance matrix using a particular mathematical formula to measure the extent of similarity; selection and execution of an iterative clustering method to produce a phylogenetic tree diagram (dendrogram A dendrogram is a tree diagram frequently used to illustrate the arrangement of the clusters produced by a clustering algorithm (see cluster analysis). Dendrograms are often used in computational biology to illustrate the clustering of genes. ) with the branches representing the amount of similarity between clusters; and determination of where to "cut" the tree into a select number of nodes. Recently, robust computational tools and an interactive graphical interface have been developed to facilitate the compilation and visualization of clustered microarray gene expression data (33). Although cluster analysis is a classic and rather simple partitioning technique, its application is relatively new to microarray data analysis and is not supported by any comprehensive body of statistical literature.
Self-organizing maps (SOMs) are another useful algorithm used to interpret and visualize large high-dimensional data sets in two-dimensional space. Basically, SOMs are an array of interconnected cells that become refined to various input signal patterns or classes of patterns in an orderly manner. These artificial neural networks undergo a competitive and unsupervised iterative learning process. When microarray gene expression data are used to train SOMs, structure is imposed on the data, with neighboring nodes defining related clusters. In essence, the SOM constitutes a new paradigm in artificial intelligence and cognitive learning and has recently been implemented into a computer program as a genetic neural network model for interpreting and displaying various patterns of gene expression data (79).
Finally, discriminant dis·crim·i·nant
An expression used to distinguish or separate other expressions in a quantity or equation. analysis is commonly used to determine which variables best distinguish between two or more groups. The general concept underlying the use of discriminant analysis for microarray data is to determine whether classes of gene expression measurements differ significantly with regard to distinct and characteristic gene expression profiles. Microarray data are used to assess and rank the importance of particular genes for discrete sample classification. When identified, hallmark gene markers are used to predict the classifications of test microarray treatments as well as apply robust pattern recognition procedures to large volumes of complex gene expression data. Computationally, discriminant analysis is similar to analysis of variance; however, a novel approach that combines a genetic algorithm and the k-nearest neighbor method has been described to positively identify genes that discriminate between classes of tumor cells (80) and toxicant treatments (66).
DNA microarrays have revolutionized the basic approach to research. This technique has generated collaborations among various scientific groups (pathologists, molecular and cellular biologists, toxicologists, and the like). Additionally, microarrays have brought together experts in engineering, bioinformatics, and statistics. The large and complex nature of these studies will facilitate the partnering of different research institutions in both the public and private sectors.
The popularity of DNA microarrays is derived from the promise that this technology will rapidly advance our understanding fundamental biologic questions. Microarrays have the potential to markedly increase our understanding of not only the process of disease but also the interactions between biologic organisms and their environment.
Table 1. Use of microarray analysis in cancer research. Location of primary tumor/ tumor type Reference Breast (10,26,28,29,31,81-96) Ovary/cervix/endometrium (32,97-100) Prostate (101-109) Colon (29,110-115) Pancreas (116,117) Kidney (118) Blood/lymph (21,23,119-129) Liver (130,131) Bladder (132,133) Head/neck/oral (134-137) Brain (138-143) Lung (20,29,144-149) Skin (18,22,150-152) Rhabdomyosarcoma (153-156) Ewing's sarcoma (157) Multiple sites/tumor types (63,64,158-161) Table 2. Application of microarray technology to different scientific disciplines. Discipline, investigation topic Reference Pathology Pseudonoma aeruginosa (38) Human papilloma virus (42) Human immunodeficiency virus (39) Listeria monocytogenes (41) Salmonella (40) Tuberculosis (43) Malarial parasite (162) Bordetella pertussis (37) Toxicology/pharmacology Carbon tetrachloride (HepG2) (163) Beta-naphthoflavone (mouse liver) (164) 2,3,7,8-Tetrachlorodibenzo-p-dioxin (HepG2) (165) Copper regulation in S. cerevisiae (166) Multidrug resistance in S. cerevisiae (167) Isoniazid (168) Cell biology/cellular signaling Yeast cell cycle (169) Yeast adaptation to growth conditions (170-172) Transcription control (173-179) Functional diversity among kinase A subunits (180) Role of histones in telomeric silencing (181) Kinase inhibitors (182) Effect of clotting factor on fibroblasts (183) Differentiation of embryonic stem cells (184) Erythroid maturation (119) Maturation of human dendritic cells (185) Response of pancreatic cells to glucose (186) Mechanically induced genes in human muscle cells (187) Mid-gestation placenta and embryo associated genes (188) Metamorphosis (189) Functional diversity of T cells (190) Transcript profile of hematopoietic stem cells (191)
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MYB Mind Your Business
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EGR Exhaust Gas Recirculation
EGR Early Growth Response
EGR Extra Grace Required
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UACC Universal Access
UACC Universal Access Authority
UACC United Armenian Congregational Church
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Address correspondence to C.A. Afshari, National Institute of Environmental Health Sciences The National Institute of Environmental Health Sciences (NIEHS) is one of 27 Institutes and Centers of the National Institutes of Health (NIH),which is a component of the Department of Health and Human Services (DHHS). The Director of the NIEHS is Dr. David A. Schwartz. , P.O. Box 12233, Research Triangle Park Research Triangle Park, research, business, medical, and educational complex situated in central North Carolina. It has an area of 6,900 acres (2,795 hectares) and is 8 × 2 mi (13 × 3 km) in size. Named for the triangle formed by Duke Univ. , NC 27709 USA. Telephone: (919) 541-1310. Fax: (919) 541-0146. E-mail: firstname.lastname@example.org
We thank L.T. Bennett, C.J. Tucker, R. Amin, J.B. Collins, G.A. Boorman, and T.R. Devereux for critically reviewing this manuscript as well as providing insightful comments.
Received 4 January 2001; accepted 12 March 2001.