Effect of hemolysate on calcium inhibition of the (Na+ + K+)-ATPase of human red blood cells

Effect of hemolysate on calcium inhibition of the (Na+ + K+)-ATPase of human red blood cells

Vol. 111, No. 3, 1983 March BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS 29, 1983 Pages EFFECT OF HEMOLYSATE ON CALCIUM INHIBITION (Na+ +...

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Vol. 111, No. 3, 1983 March

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

29, 1983

Pages

EFFECT OF HEMOLYSATE ON CALCIUM INHIBITION (Na+ + K+)-ATPase Douglas Department

and Michael

Wayne State

'Detroit, Received

February

OF THE

OF HUMAN RED BLOOD CELLS

R. Yingst

of Physiology,

970-979

J. Marcovitz

University

Michigan

School

of Medicine,

48201

14, 1983

The sensitivity of the (Nat + K+)-ATPase in human red cell membranes to inhibition by Ca*+ is markedly increased by the addition of diluted cytoplasm from hemolyzed human red blood cells. The concentration of Ca*+ causing 50% inhibition of the (Nat + Kt)-ATPase is shifted from greater j?a;hz; uM free Cazt in the absence of hemolysate to less than 10 uM free Ca hemolysate diluted 1:6U compared to --in vivo concentrations is added to the assay mixture. Boiling the hemolysate destroys its ability to increase the sensitivity of the (Na+ + K+)-ATPase to Cazt. Proteins extracted from the membrane in the presence of EDTA and concentrated on an Amicon PM 30 membrane increased the sensitivity of the to Ca*+ in a dose-dependent fashion, causing over 80% (Nat f Kt)-ATPase inhibition of the (Nat + Kt)-ATPase at 10 $I free Ca*+ at the highest concentration of the extract tested. The active factor in this membrane because it had no effect on the (Nat + Kt)-ATPase extract is Ca*+-dependent, in the absence of Ca*+. Trypsin digestion prior to the assay destroyed the ability of this rotein extract to increase the sensitivity of the (Nat + Kf)-ATPase to Ca 8t .

It (1)

has been known

and the

(Nat

for

some time

t K+)-ATPase

(Nat

t Kt)-ATPase

from

free

Ca*'

50% inhibition

causing

has been estimated to the

concentration

other

cells

membranes

of the

reported

that

(Nat

from

inhibits

the

(Nat

cells,

+ K')-pump

100 IJM (5)

which

50% inhibition

human red cells

+ K+)-pump

(Nat

of resealed

of

is

970

intracellular

reasonably (Nat

close

+ Kt)-ATPase

More

recently

human red cell

ghosts

Abbreviations used: Hepes, N-2-hydroxyethylpiperazine-N'-Z-ethanesulfonic acid; EGTA, ethyleneglycol-bis(B-aminoethyl ether)N,N'-tetraacetic EDTA, ethylenediaminetetraacetic acid. 0006291X/83 $1.50 Copyright 0 1983 by Academic Press, Inc. All rights of reproduction in any form reserved.

does the

in human red cells

of the (2).

+ K')-pump

as it

The concentration

(3,4).

of Ca*+ causing

unsealed

Ca*'

of human red blood

to be approximately

in white

the

(2)

that

it

acid;

was

and

BIOCHEMICAL

Vol. 111, No. 3, 1983

containing

Ca2+- sensitive

the

cellular

Ca*+ is

free

approximately (Nat

ten

t K+)-pump

sensitivity cells

may simply

afforded

by the

does

explain

not

pump in

resealed

explain

this

showed

the

measuring if

the

Cazt

the

in

improved

the

difference

ghosts

it

broken

membranes

(Nat

contains

arsenazo

ghosts

+ K+)-ATPase that

had been washed activity. a factor

the Ca2+

compared

to

intact free

reasoning,

between of broken

the

Ca2+

however, (Nat

+ K+)-

membranes.

To

the

resealed

ghosts

cytoplasm

diluted

20 fold

free

The present which

either

higher

Similar

intra-

Ca2+ (6),

of intracellular

III.

to Ca*+ contained

+ K+)-ATPase

hemolysate

resealed detection

(Nat

for

The apparent

may be significant

sensitivity

10 PM free

in Ca*+ sensitivity

and the

to monitor

estimated

t K+)-ATPase.

t Kf)-pump

RESEARCH COMMUNICATIONS

ITI

than

previously

use of entrapped

difference

(Nat

on the

(Nat

arsenazo

50% by less thdn

(Nat

reflect

a higher

whereas

lower

or the

of the

chromophore

inhibited

fold

AND BIOPHYSICAL

increases

of cytoplasm study the

prior

was designed inhibitory

which

to to test effect

of

t K+)-ATPase.

MATERIALS

AND METHODS

Membranes used in the experiments shown in Figures 1, 2, and 3 were prepared according to Muallem and Karlish (7). Two to four day old aircontaminated bank blood was washed 3 times in 10 volumes of cold 172 mM Tris-HCl (pti 7.6 at 22'C) by centrifuging for 1 minute at 12,000g at 4°C in a Sorvall RC-56 with an SS-34 rotor (Newtown, CT). The buffy coat was removed by aspiration after each wash. Cells were centrifuged at 12,DOOg for 5 minutes, the supernatant was removed, and one volume of packed. cells were hemolysed in 10 volumes of distilled water at 0°C and stirred for five minutes. This solution was centrifuged for 10 minutes at 45,OOOg, and the supernatant which constitutes the hemolysate was aspirated and frozen at -20°C for later experiments. The ghosts were washed and centrifuged three times in 20 volumes of ice cold 1 mM MgC12 and 2 mM Hepes-Tris (pH 7.4 at 22°C) at 45,000g for 5 minutes and then suspended in 25 volumes of a solution containing 2 mM Hepes-Tris and 5 mM EGTA-Tris (pti 7.4 at 22°C). This solution was frozen for 30 min in liquid nitrogen, thawed and incubated for 30 min at 37"C, then refrozen and reincubated, a procedure designed to remove proteins such as calmodulin which may bind to the membranes in a Ca-dependent fashion (7). The ghosts were then centrifuged, washed four times in the solution consisting of 1 mM MgC12 and 2 mM Hepes-Tris and frozen at -20°C for future experiments. Membranes used in Figures 4 and 5 were prepared by the Dodge procedure Two to four day old air-contaminated bank blood was washed 3 times in (8). equal volumes of 310 ideal mOsm sodium phosphate buffer, pH 7.4, by centrifuging for 1 min at 12,OOOg at 4°C. The buffy coat was removed by aspiration after each wash. After the last wash the cells were centrifuged for 5 minutes at 12,000g and all of the supernatant removed. Approximately 20 ml 971

Vol. 111, No. 3, 1963

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

of these packed cells were combined with 20 ml of the 310 mOsm buffer, mixed and then rapidly poured into 560 ml of ice cold 20 mOsm sodium phosphate buffer, pH 7.4. This solution was stirred on ice for 5 minutes and centrifuged 40 minutes at 40,OOOg at 4°C. The supernatant was decanted, the button on the bottom of the tube aspirated off, and the membranes washed two more tiIWS in 30 volumes of the 20 mOsm buffer. The resultant ghosts were combined into 4 centrifuge tubes and washed 2 more times in the 20 mOsm buffer centrifuging at 40,OOOg for 30 minutes. In order to remove proteins that bind to the membrane in a Ca-dependent manner, the membranes were suspended in 5 volumes of 0.1 mM EDTA, 1.0 mM Tris, pH 8.0 and incubated at 37°C for 30 minutes following the procedures of Mauldin and Roufogalis (9). The mixture was cooled for 5 minutes and centrifuged for 20 minutes at 40,OOOg. The supernatant was saved (EDTA extract see below) and the membranes resuspended to the original volume with 5.0 mM Tris:HCl, 15 mM NaCl, pH 7.2 and frozen at -20°C. Before an assay the ghosts were thawed and washed 3 times in 30 volumes of 5 mM Tris:HCl, 15 mM NaCl, pH 7.2, centrifuging at 30,OOOg for 5 minutes. The membranes were then suspended in the same buffer and added to the assay at the appropriate time. The supernatant obtained after the first centrifugation following the EDTA extraction was concentrated 6 fold on an Amicon PM 30 membrane under nitrogen pressure at 25 psi. It was then diluted 10 fold with 5 mM Tris:HCl, 15 mM NaCl, pH 7.2 and reconcentrated under the same conditions. This procedure was repeated twice more to assure that all the phosphate and EDTA was washed through the PM 30 membrane and out of the sample. The final protein concentration of the extract was approximately 1 mg/ml. Inorganic phosphate was analyzed by the method and protein according to Lowry (11). Free Ca2+ and the total concentration of EDTA, Ca2+, and Mg2+ (12) appropriate associations constants from Martell and 37°C and 0.17 M. All chemicals were reagent grade. muscle prepared to be low in Ca2+ and "vanadium free"

of Brotherus et al. (10) Mg2+ were calculated from using constants for the Smith (13) corrected for ATP was from equine (Sigma, St. Louis, MO).

RESULTS The effect the

presence

Figure

1.

ATPase,

activity

inhibits

absence (Ca2+ the

and absence The membranes

the

which

of Ca2+ on the ATPase

(Nat

of ouabain

types

the

In the

of Ca2+ stimulates 1).

contain

activity

Mg2+ - ATPase.

(Fig.

from

the

Ca*+,

increases

ATPase,

and increases

in the

(2)

the

human red blood of ATPase

measured

(Nat

in

presence presence

+ Mg2+)-ATPase

inhibitory

is

activity:

effect

shown

(1)

mixture

the the

in the and (3)

(Nat

+ K+)10,

of Ca2+ on the

(Ca*+

(Nat

minus

concentration

containing

of Ca2+ on the

in

of ouabain

of Ca2+ and ouabain increasing

in

Mg2+-

activity

of ouabain;

and inhibits

to assay

effect

cells

+ K+)-ATPase,

of hemolysate

stimulating

membranes

of Ca2+ and presence

in the

hemolysate the

of human red cell

absence

activity

absence

(Cazt

Adding

UM free

three

t K+)-ATPase;

minus

t Mg2+)-ATPase,

ATPase

of hemolysate

measured

the

activity

25 and 50 t Mg*+)-

+ K+)-ATPase

Vol.

111,

No.

BIOCHEMICAL

1983

3,

Ouob co*+ Herno,

Fig.

(Fig.

1.

Kf)-ATPase

0 IJM free

or

the

component

of

free

the

of the

- + 2525 - -

-t 00 ++

- + 5050 - -

(Nat

and

-+ 1010 ++

-+ 2525 ++

-+ 5050 tt

(PM)

hemolysate

on

is

maximal

of

the

hemolysate

to

10

The

increased

by

(Nat free

the

inhibition similar

shift

in caused

to

that

effect

only

the

1 is

shown

and

is

Cazt-inhibition

+ K+)-ATPase Ca2+

no

on

either

the

(Na+

At

0 uM

1).

+ K+)-ATPase

inhibition

is

(Fig,

has

Figure

evidenced

Ca2+

hemolysate

in

2).

$I

the

presented

is

experiment

- + 10 10 - -

-ATPase

data

hemolysate

this

Mg 2i-ATPose

Ca2+

(Fig.

in

0

Ca

Mg*+

hemolysate

increase

(No'+ K+)-ATPose (Co*++Mg*')-ATPose

- + 0 0 - -

At

effect

Ca2+

m m

RESEARCH COMMUNICATIONS

The effect of Ca2+ and hemolysate on the (Nat + K+)-ATPase, (Ca2+ + Mg2+)-ATPase, and Mg2+-ATPase in human red cell membranes. The assay was conducted by first preincubating the membranes for 10 minutes at 37°C in the assay mixture. The reaction was initiated by the addition of ATP to a final concentration of 1 I#!. Fifteen minutes later the reaction was stopped and the concentration of inorganic phosphate analyzed. The final assay volume after the addition of the ATP was 0.6 ml and contained 204 ua membrane orotein. 18 nF1 NaCl, 30 ai KCl, 112 mM choline Cl, 20 at! Hepes-Tris, 5 n@lEDTA, 0.2% bovine serum albumin, pH 7.3, and where a propriate, 5.5 mM Mg (0 free Ca2+), 1.84 mM Ca2+ and 3.68 mM f4g$+ (10 uM free Ca2+, 500 LIM fr e Mg2+), 2.99 p Ca2+ and 2.56 r&l Mg2+ (25 PM free Ca2+, 500 PM M#+), 3.79 mM Ca +, 1.79 mM Mg2+ (50 UM free Ca2+, 500 UM free Mg +I, 0.5 mM ouabain, and 0.1 ml hemolysate, representing a 60 fold dilution of the original cellular contents. The rate of ATP hydrolysis was calculated as phosphate liberated per mg membrane protein per minute after subtracting off less than 1.3% of the ATP found hydrolyzed in the absence of membranes. Mean values with standard deviations are given for triplicate samples. These results from one experiment are representative of 4 others.

1).

The

AND BIOPHYSICAL

in

amount

from

50

the

presence by

the

found

973

in

not

Figure

2.

affected

by

produced of UM free of

hemolysate in

ouabain-sensitive

9 other

Ca2+

by

the

necessary

for

in

absence

Ca*+ hemolysate at

the

the (Fig.

10

separate

UM free

50%

2). Ca2+

experiments

of The in

t

Vol. 111, No. 3, 1983

BlOCHEMlCAL

0

Hemol. Fig.

using

2.

AND BIOPHYSICAL

0

10 IO

25 25

50 50

- +

- t

- t

- t

RESEARCH COMMUNICATIONS

(pM)

The effect of Ca2+ and hemolysate on the (Na+ + K+)-ATPase. The data are from Figure 1 and were calculated for a given set of conditions by taking the difference between randomly matched values plus and minus ouabain, and then calculating the mean and standard deviations of these differences. The standard deviations are larger for the conditions where both CaZ+ and hemolysate are present because the values are differences between two larger numbe s due to concomitant stfmulati n of the (Ca2+ + Mg2')-ATPase by Caht and hemolysate (Fig. 11. Cakt and the hemolysate interacted in a significant fashion (P < 0.051 to alter the activity of the (Nat + K+)dTPase, as shown by a two-way analysis of variance.

similar

concentrations

of hemolysate

under

comparable

conditions

(data

not shown. Boiling ability

to

(Fig. the

the

hemolysate

increase

the

3) and only (Ca*+

Mg2+)-ATPase of the

(Nat

In the of the

(Nat

as did

+ K+)-ATPase

(data

not

(data

its

not the

was carried

it

to the membranes

of Ca2+ on the ability

shown).

in place

hemolysate,

above experiments + K+)-ATPase

effect

reduced

calmodulin the

to adding

inhibitory

slightly

+ Mg2+)-ATPase

0.2 PM of purified

prior

of hemolysate

but

did

not

the

activity

experiments, simulated

increase

its

(Na+ t K+)-ATPase

to stimulate In other

destroyed

the

of

adding the

(Ca2+ +

Ca2+ inhibition

shown). effect

of the

out using 974

hemolysate red cell

on Ca2+ inhibition membranes

prepared

by

Vol.

111,

No.

6IOCHEMlCAL

3, 1983

AND BIOPHYSICAL

0 0 -tB

Hemol. Fig.

3.

a procedure were

prepared that

increase

the

that would Ca2+ deplete

the

lo lo 10 -tB

(PM)

The effect of boiled hemolysate on the (Nat + K+)-ATPase at 0 and 10 $4 free Cc?+. The experiment was carried out as described in the legend to Figure 1 except that in this case the preincubation was 15 minutes and 120 mM NaCl, 20 mM choline, and 232 ug membrane protein were substituted for the value of those constituents listed in Figure 1. The concentrations of both membranes and hemolysate are similar to that shown previously, but are from different preparations. The hemolysate sample marked "B" is from the same stock as that marked "t", but was boiled for 5 minutes prior to the assay, filtered on Whatman #2 paper, and then added in the same volume as "t". The ouabain-sensitive differences for each condition are between six values with ouabain randomly matched with six values without ouabain as described in Figure 2.

which

proteins

0

RESEARCH COMMUNICATIONS

depletes

in

this

might

removal

increase inhibition. membranes

in

bind

sensitivity of

the

manner also

Ca2+

membranes

such

of

an

attempt

the

membrane

of

the

(Na+

of

To

test

if

of

the

protein

these

calmodulin

to

to

components

probability

bound

prior

in

the an

procedures which

increases

975

other

The

(Nat effect

which

It

manner was

anticipated

+ Kt)-ATPase

assay

of

the

remove Ca*+

membranes

cytoplasmic

a Ca*+-dependent

+ K+)-ATPase. to

observing

remove

(7).

inhibition

hemolysate

and

on

calmodulin

also of

the

Vol. 111, No. 3, 1983

Fig.

(Na'

4.

resultant

Methods). ATPase

at

increased up

to

extract

had

Dodge protein the

effect

0 and

10

uM free

percent

in

membranes

mixture

Then

the 80%

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

The effect of proteins from the membranes of Dodge ghosts on the (Na+ + Kf)-ATPase at 0 and 10 uM free Ca*+. Each panel shows one of four similar experiments with each point representing the mean and standard deviation of three values. The protein extract contains proteins that were removed from Dodge ghosts incubated at 37'C in 0.1 mM EDTA, 1.0 mM Tris:HCl, pH 8.0 and subsequently separated from the membranes and concentrated on an Amicon PM 30 membrane, as described in the Materials and Methods. The assay ghosts are those from which the proteins were extracted. Note, the protein extract has no effect on the (Na+ + K+)-ATPase measured at D $I free Ca*+, whereas it inhibits the (Na+ + K+)-ATPase in a dose dependent manner when 10 uM free Ca is present in the assay. This suggests that the extract increased Ca-induced inhibition of the (Na+ + K+)-ATPase. The assay was cdrried out under the conditions specified in the legend to Figure 1, except that in this case the incubation time was 40 minutes and 20 mM NaCl, 10 mM KCl, 89 mM choline Cl, 20 mM Pipes:Tris, and 120 to 160 &ml membrane protein were substituted for the value of those constituents listed in Fig. 1. In all four experiments the extract and the Ca*+ interacted in a si nificant fashion (P < 0.05) to alter the rate of the (Na 9 + Kf)-ATPase, as demonstrated in a two-way analysis of variance.

+ Kt)-ATPase,

the

BIOCHEMICAL

of

concentrated

and

sensitivity

of

indicating

that

on

washed the the

concentrated

the

extract (Fig.

inhibition

effect

at

(Nat

on

(Nat an

The

uM free

(Fig.

in

an

Amicon

PM 30

measured

on

4).

(see

+ K+)extract

Cazt

from

less

than

20

percent

absence

of

Ca2+

the

In

inhibition

976

filter

the

membrane

from

and

that

XM 100

distinct

(Na+

(9)

show

(Fig.

to

the

EDTA

data

+ Kt)-ATPase

Amicon

is

extracted on

was

10

+ Kt)-ATPase

component

first

4).

manner the

were

was

Ca2+

a dose-dependent no

(8)

the 4). had by

the

Similar no

Ca*+

non-calmodulin

effect (data

extracts on not

the shown),

activator

BIOCHEMICAL

111, No. 3, 1983

Vol.

cQ+

of

the If

f

the

the

Mg*+)-ATPase

to

which

concentrated

Ca2+

is

stays

extract

its

membranes,

ATPase

-

The rate of (Na+ + K+)-ATPase activity at 0 and 10 $i free Ca*+ in the presence and absence of the membrane extract, and in the presence of extract that had been digested with trypsin. The protein was digested by adding 1 Pg of trypsin/25 pg protein and incubating at 37°C for 12 hours.The (Nat+ K+)-ATPase was carried out as described in Figure 1 under the conditions of Figure 4, except that the membranes had a final concentration of 211 Kg/ml. Each value is the mean of the difference between 3 samples without The bars ouabain minus 3 randomly matched values with ouabain. This experiment are the standard deviations of these differences. was repeated four other times with similar results.

(Ca*+

(9). to

5.

RESEARCH COMMUNICATIONS

0 m

Extraa Trypein Fig.

AND BIOPHYSICAL

ability

is to

destroyed

on top digested

alter

(Fig.

of

the

an Amicon

with

XM 100

trypsin

sensitivity

prior of

the

membrane to

(Na+

adding t

Kf)-

5). DISCUSSION

The than

above

calmodulin

binds

to

the

sensitivity favor boiling Ca*+

results that

is

membrane of

of

could

the

present in

is

the

hemolysate

sensitivity

of

in

+ Kf)-ATPase that

the

explained

by

the

of

manner, to

digesting

a Ca2+-dependent

cytoplasm

a Cazf-dependent

(Nat

a protein

be

the

destroys

the

ability

(Nat

+ Kt)-ATPase.

by

membrane

This 977

and

inhibition

of

human

red

increases Cazt.

extract either

protein

proteinaceous

cells,

the Evidence

in to

blood

other

affect

trypsin

in or

the factor

is

it

Vol. 111, No. 3, 1983

BIOCHEMICAL

Cazt-dependent,

because

of Ca*+.

are

not

There

calmodulin.

membranes second

The first

is that

be established

directly

depends

on the

the

protein (Nat

free

variety

presence

it

could

sensitivity

of the

(Nat

reltionship

between

the

the

be involved

generation

and the

point

it

to play the

t K+)-pump (Nat

in the

could

is

which It

is must now

extract

that

via

a mechanism

Ca*+-dependnent

acts

effect

of

by changes

Such an increase regulatory

increased muscle,

and the

inhibi-

Ca*+ sensitivity

be regulated

an important

in smooth

inotropic

low

range.

protein

t K+)-pump

of hypertension

The

due to a single

effect

the otherwise

in the physiological

if

to the

(14).

membrane

of this

where

instance,

is

factors.

increase

be anticipated For

is

significance

to the

protein

hemolysate,

Ca*+ inhibition

the

presence

(Na+ t K+)-ATPase,

stable

of other

this

calmodulin

of the

or whether

in the

that

to be heat

hemolysate

would

Ca*+

of cells.

thereby

the

+ K+)-ATPase

t K+)-ATPase

intracellular

purified

effect

increased

+ K+)-ATPase

of the

is known

the

that

(Nat

RESEARCH COMMUNICATION:

to suggest

adding

the

physiological

is

sensitivity

that

calmodulin

(Nat

The possible tory

is

in both

on the

the

of evidence

destroyed

whether

present

affects

on Ca*+ inhibition

boiling

because

component

only

two pieces

had no effect

signifiant

that

it

AND BIOPHYSICAL

it

Ca*+

could

alter

Na+/Ca*+

of cardiac

in

role

the

exchange

in a

the system

glycosides

of

(15)

and

and

(16).

ACKNOWLEDGEMENTS I thank This

work

and with part

Mrs.

Daniela

was supported funds

contributed

by a PMA Foundation

M. Polasek

for

by a Grant-in-Aid in

part

Research

excellent from

technical the American

by the Michigan Starter

Heart

assistance. Heart

Association

Association

Grant.

REFERENCES 1. 2. 3. 4.

Hoffman, J.F. (1962) Circulation. 26, 1201-1213. I.M. (19611 J. Physfol. (London). Dunham, E.T., and Glynn, 274-293. Skou. J.C. (1960) Biochim. Biophys. Acta. 42, 6-23. Whittam. R. and Blond, D.M. (1964) Biochem. J. 92, 147-158. 978

156,

and in

Vol. 111, No. 3, 1983

5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

B. (1977) Acta. Biol. Med. Ger. Gardos, G., Szasz, I., and Sarkadi, 36, 823-829. Yingst, D.R. (1982) Fed. Proc., Fed. Am. Sot. Exp. Biol. 41, 974. Muallem, S. and Karlish, S.J.D. (1980) Biochim. Biophys. Acta. 597, 631-636. Dodge, J.T., Mitchell, C., Hanahan, D.T. (1963) Arch. Biochem. Biophys. 100, 119-150. Mauldin, D. and Roufogalis, B.D. (1980) Biochem. J. 187, 507-513. Brotherus, J.R., Moller, J.V., Jorgensen, P.L. (1981) Biochem. Biophys. Res. Commun. 100, 146-154. Lowry, O.H., Rosenbrough, N.J., Farr, A.L. and Randall, A.J. (1951) 3. Biol. Chem. 193. 265-275. Wolf, H.U. (1973) Experientia 29, 241-249. Martell, A.E. and Smith, R.M. (19741 Critical Stability Constants, Amino Acids, p. 204, Plenum Press, New York. Cheung, W.Y. (1971) 3. Biol. Chem. 246, 2859-2869. Biedert, S., Barry, W.H., and Smith, T.W. (1979) J. Gen. Phys. 74, 479-494. Blaustein, M.P. (1977) Am. J. Physiol. 232, C165-C173.

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