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| ABSTRACT |
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subunit that had fast inactivation removed by the incorporation of the IFMQ3 mutation in the III–IV linker (West, J.W., D.E. Patton, T. Scheuer, Y. Wang, A.L. Goldin, and W.A. Catterall. 1992. Proc. Natl. Acad. Sci. USA. 89:10910–10914.). A total of 16 single and 2 double mutants were constructed and analyzed with respect to voltage dependence and kinetics of activation and deactivation. The most significant effects were observed with substitutions of the fourth positive charge in each domain. Neutralization of the fourth positive charge in domain I or II produced the largest shifts in the voltage dependence of activation, both in the positive direction. This change was accompanied by positive shifts in the voltage dependence of activation and deactivation kinetics. Combining the two mutations resulted in an even larger positive shift in half-maximal activation and a significantly reduced gating valence, together with larger positive shifts in the voltage dependence of activation and deactivation kinetics. In contrast, neutralization of the fourth positive charge in domain III caused a negative shift in the voltage of half-maximal activation, while the charge-conserving mutation resulted in a positive shift. Neutralization of the fourth charge in domain IV did not shift the half-maximal voltage of activation, but the conservative substitution produced a positive shift. These data support the idea that both charge and structure are determinants of function in S4 voltage sensors. Overall, the data supports a working model in which all four S4 segments contribute to voltage-dependent activation of the sodium channel.
Key Words: voltage sensor deactivation expression mutagenesis
Abbreviations: RBIIA, rat brain IIA
| INTRODUCTION |
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and two accessory β subunits (Catterall, 1984
subunit alone is sufficient to produce functional sodium channels (Noda et al., 1986
subunit has been determined. The channel consists of four homologous domains that are 50–70% identical at the amino acid level (Noda and Numa, 1987
The voltage sensor hypothesis predicts that positive charges within the sodium channel S4 segments, and possibly other residues, determine the voltage-dependent properties of the channel. The involvement of S4 positive charges in voltage-dependent gating of sodium channels was first shown by Stühmer et al. (1989)
. They found that neutralization of S4 positive charges in domains I and II of the rat brain II sodium channel shifted the voltage dependence of activation and decreased the apparent gating valence, consistent with the hypothesis that the charged residues serve as voltage sensors. However, analysis of the role of the S4 residues in potassium channels has clearly demonstrated that there is not a direct correlation between the individual charges and the gating valence, although there is a relationship between the number of positive charges and the gating charge (Papazian et al., 1991
; Liman et al., 1991
; Logothetis et al., 1992
, 1993
; Tytgat et al., 1993
). In addition, substitutions of hydrophobic residues in either sodium or potassium channels can have even larger effects on gating (Auld et al., 1990
; Lopez et al., 1991
; McCormack et al., 1993
; Fleig et al., 1994
). The best estimates for the size of the gating charges in the Shaker potassium channel (Schoppa et al., 1992
) and the skeletal muscle sodium channel (Hirschberg et al., 1995
) are that
12 charges must move across the field during activation, which is easier to explain if all four S4 segments are involved in gating (Hirschberg et al., 1995
). Recent experiments have shown that the domain IV S4 segment of the sodium channel (Yang and Horn, 1995
; Yang et al., 1996
) and the S4 segment of the Shaker potassium channel (Mannuzzu et al., 1996
; Larsson et al., 1996
) actually move during gating, and that some of the charged residues directly contribute to the gating charge (Perozo et al., 1994
; Aggarwal and MacKinnon, 1996
).
Most of the studies examining the role of the S4 charges have been carried out on the voltage-gated potassium channel, which functionally contains four identical S4 segments. It is probable that sequence divergence of the four domains in the sodium channel resulted in differential roles of each of the S4 segments. Such specialization would be consistent with the original formulation of Hodgkin and Huxley (1952)
, in which potassium channels contain four identical gates, whereas sodium channels contain three activation gates and one inactivation gate. It has previously been proposed that the S4 region of domain IV plays a unique role in coupling sodium channel activation to inactivation (Chahine et al., 1994
; O'Leary et al., 1995
). More recently, Chen et al. (1996)
examined the importance of the S4 charges in the all four domains of the human heart sodium channel, confirming that the S4 region of domain IV is uniquely involved in sodium channel inactivation.
To investigate the role played by the four S4 segments in the voltage dependence of activation and deactivation, we constructed charge-neutralizing and -conserving substitutions of the second and fourth positive charges in the S4 segment of each domain of the rat brain IIA (RBIIA)1 channel. We show that the positively charged residues in all four S4 segments contribute unequally to the voltage-dependent properties of the channel, consistent with the hypothesis that the different domains have specialized roles in gating.
| MATERIALS AND METHODS |
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subunit of the RBIIA voltage-gated sodium channel that had the IFMQ3 mutation in the III–IV linker, which removes fast inactivation (West et al., 1992
1 µg/µl. Sodium channel β1 subunit RNA was prepared by in vitro transcription from a plasmid containing the cDNA flanked by β globin sequences.
Expression of Channels in Xenopus Oocytes
Oocytes were removed from Xenopus laevis females and treated for 90–120 min with 2 mg/ml collagenase in OR-2 buffer (82.5 mM NaCl, 2 mM KCl, 1 mM MgCl2, 5 mM HEPES, pH 7.5) to disperse the follicle cells. The oocytes were washed in the same buffer to remove residual collagenase, and then washed in ND96 (96 mM NaCl, 2 mM KCl, 1.8 mM CaCl2, 1 mM MgCl2, 5 mM HEPES, pH 7.5). The activation of sodium channels expressed in oocytes is very slow at negative potentials in the absence of the β1 subunit, and does not reach complete saturation at potentials near the threshold of activation (Patton et al., 1994
). To facilitate measurement of peak currents and activation kinetics over a wide voltage range, oocytes were co-injected with RNA encoding sodium channel
and β1 subunits at an approximate molar ratio of 1
:10β1. The dilution of
subunit RNA was determined empirically to achieve current amplitudes in the range of 0.5–5 µA. An excess of β1 RNA was used in these experiments to assure that functional differences could not be attributed to limiting amounts of this subunit. The oocytes were injected in the center of the vegetal pole. Injected oocytes were incubated in ND96 containing 550 mg/liter sodium pyruvate, 0.5 mM theophylline, and 50 µg/ml gentamicin for 2 d at 20°C before electrophysiological recording.
Electrophysiological Recording
Voltage clamping of Xenopus oocytes was performed using the DAGAN CA-1 high performance oocyte clamp, DigiData 1200 Interface (DAGAN Corp., Minneapolis, MN) and pCLAMP software (version 6.0.3; Axon Instruments, Inc., Burlingame, CA). Oocytes were perforated with a 25-gauge needle in the center of the vegetal pole and were mounted on the voltage clamp stage fitted with a perfusion cannula connected to a syringe pump filled with internal solution. The internal solution was (mM): 88 K+, 10 EGTA-CsOH, 10 HEPES-CsOH, and 10 Na+, pH 7.5. The external solution consisted of (mM): 120 Na+-methyl ethane sulfonate (MES), 10 HEPES-CsOH, 1.8 Ca++-MES, pH 7.5. Care was taken to exclude chloride ions in making these solutions to avoid potential interference from native oocyte chloride channel currents. Agarose bridges coupling the headstage to the bath were filled with 0.5% low melting point agarose in 1 M NaOH-MES (pH 7.5) and were fitted with 100-µm platinum wires to improve frequency response. The headstage manifold wells were filled with 1 M NaCl. The temperature in these experiments was regulated at 15°C by a Peltier device coupled to a feedback controller (HCC-100A; DAGAN Corp.). Voltage was monitored through a 0.2–0.5 M
microelectrode filled with 3 M KCl, which was inserted through the animal pole of the oocyte.
Oocytes were maintained at 15°C and clamped at –100 mV for at least 5 min to allow temperature equilibration and full recovery from inactivation. Current–voltage data were acquired using a sampling rate of 50 kHz with a filter frequency of 10 kHz. Depolarizations from a holding potential of –100 mV ranged from –90 to +55 mV in 5-mV steps, and lasted 57.5 ms. In the case of some mutants, the voltage range of depolarizations was modified to compensate for shifts in v1/2. Instantaneous tail currents were acquired with the same sampling and filter frequencies using a two-pulse protocol. The first step was a depolarization to +20 mV for 1–3 ms to achieve maximal activation. For mutants that had large positive shifts in activation, this prepulse was to +60 mV. The second step was a 33.7-ms depolarization ranging from –90 to +55 mV in 5-mV steps. All data were acquired using P/4 subtraction and capacitance compensation. The series resistance ranged from 1 to 1.5 k
.
Data Analysis
Electrophysiological data were analyzed using pCLAMP software. Maximum inward tail currents were measured after repolarization to –100 mV for each current–voltage data record. Nonlinear curve fitting was performed using Sigmaplot (version 4.0; Jandel Scientific, San Rafael, CA), which uses the Marquardt-Levenberg algorithm for nonlinear regression. The fraction of activated channels was calculated by measuring the peak inward current after repolarization to –100 mV from depolarizations ranging from –90 to +55 mV, and normalizing the values to the maximum inward current. Normalized current–voltage relationships were fitted with a two-state Boltzmann function,
![]() | (1) |
where I/Imax is the normalized current after repolarization, v1/2 is the half-maximal voltage of activation, and zm is the apparent gating valence.
Activation kinetics were measured by fitting the rising phase of current traces during step depolarizations to a single exponential equation,
![]() | (2) |
where I is the current, A is the initial amplitude, (t – k) is the interval over which the fit is applied,
m is the time constant, and C is the baseline. The voltage dependence of the activation kinetics was analyzed over a voltage range of –30 to +30 mV by fitting the data to an equation describing a single voltage-dependent exponential:
![]() | (3) |
where
0 is the time constant at 0 mV membrane potential (corrected by subtracting the baseline,
min), k is the constant of voltage dependence, and
min is the lower limit of the activation time constant.
Deactivation kinetics were measured by fitting the instantaneous tail currents to the single exponential equation,
![]() | (4) |
where
d is the time constant for deactivation and I, A, (t – k), and C have the same meanings as in Eq. 2. The voltage dependence of the deactivation kinetics was measured by fitting the data to a voltage-dependent single exponential equation,
![]() | (5) |
where
–50 is the deactivation time constant at a membrane potential of –50 mV (corrected by subtracting the baseline,
min), k is the constant of the voltage-dependent variation of deactivation kinetics, and
min is the lower limit of the deactivation time constant. The average and standard deviations for each voltage-dependent parameter were determined by individually fitting the data. Statistical significance was evaluated using Student's unpaired t test.
| RESULTS |
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Mutations of Positive Charges in the S4 Voltage Sensors Can Affect the Voltage Dependence of Activation Kinetics
The voltage dependence of sodium channel activation is reflected in the behavior of activation kinetics over a defined voltage range. Fig. 4 shows the time constants obtained by fitting the current data obtained from IFMQ3 with a single exponential equation as described in MATERIALS AND METHODS. The value
min is the minimum approached as v becomes more positive and the constant k defines the voltage dependence. The value of k can be used to calculate the voltage step required for an e-fold change in
m for the condition when
min goes to zero, since the relevant issue is the effect of the charge, not the limiting
min. The term
0 represents the value of
m when there is no potential across the membrane after subtracting
min.
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0 between each of the mutants and IFMQ3 can be expressed as a shift along the voltage axis, assuming that there is no difference in k between the mutant and IFMQ3 channels. Although this assumption is not completely correct for most of the mutants, the values for k are similar enough between the mutants and IFMQ3 so that the calculated shifts are generally valid. That is, the value of the shift changed by <1.7 mV depending on whether the mutant or IFMQ3 value for k was used for all of the mutants except 1K4Q:2K4Q. For that double mutant, the calculated voltage shift was 24.7 mV if the mutant value for k was used.
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m, and the combination of the two resulted in a shift that was approximately the sum of the individual changes. Therefore, neutralization of either of these charges shifts the voltage dependence of both activation and activation kinetics in the positive direction.
Substitutions of the comparable charges in domains III and IV resulted in less dramatic effects on the kinetics of activation. The 3R4Q mutation resulted in a positive voltage shift in
m, in contrast to the negative shift in the voltage dependence of activation that was observed for the same mutant (Table I). The 4R4Q mutation caused a negative voltage shift in
m, and this mutant did not demonstrate any significant shift in the voltage dependence of activation. Combination of the two mutations (3R4Q:4R4Q) resulted in a channel with kinetics similar to those of IFMQ3, which is not surprising considering that each mutant shifts
m in the opposite direction.
Voltage Dependence of Deactivation Kinetics Is Altered by Some Positive Charge Mutations in the S4 Voltage Sensors
Upon returning to hyper-polarized membrane potentials, activated sodium channels rapidly deactivate. The rate of deactivation slows in a voltage-dependent manner as the membrane potential becomes more positive. Fig. 6 shows the time constants obtained by fitting the instantaneous tail currents obtained from IFMQ3 with a single exponential equation as described in MATERIALS AND METHODS. The term
–50 is the time constant at a membrane potential of –50 mV after subtracting the baseline (
min), k is the exponential constant, and
min is the minimum time constant approached at increasingly negative potentials. As with activation, k can be used to calculate the voltage step required for an e-fold change in
d for the condition when
min goes to zero, and differences in
–50 can be expressed as shifts along the voltage axis, with the same assumptions as described earlier for
m. The value of –50 mV was chosen arbitrarily because the
d values become extremely large and subject to greater error at 0 mV.
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–50, voltage shift, k, and the voltage required for an e-fold change are shown in Table III. As was the case for the voltage dependence of activation and activation kinetics, neutralizations of the fourth positive charges had the most significant effects. Neutralization of the fourth charge in domains I or II resulted in a positive shift in
d, and neutralization of the fourth charge in domain III (3R4Q) resulted in a large negative shift. However, the charge-conserving mutation of the same residue (3R4K) caused a shift in the positive direction of comparable magnitude. The opposite effects of the charge-neutralizing and -conserving substitutions at this position are comparable with the results observed for the voltage dependence of activation. Substitution of the fourth charge in domain IV (4R4Q) resulted in no significant changes, as was the case for the parameters examined previously. However, combining the mutations in domains III and IV (3R4Q:4R4Q) resulted in the largest negative shift in deactivation kinetics.
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| DISCUSSION |
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It is clear from previous results with sodium (Chen et al., 1996
) and potassium (Papazian et al., 1991
; Liman et al., 1991
; Logothetis et al., 1992
, 1993
; Tytgat et al., 1993
) channels that each of the charges in the S4 regions are not equally important for activation gating. In this study, elimination of charges at only five positions altered the v1/2 for activation, and elimination of the charges at only two positions (1K4Q and 2R2Q) decreased the gating valence. The changes in gating valence must be considered approximations because these values were determined from the slope of the Boltzmann fits. Limiting slope analysis is a more accurate means of determining zm, but it is necessary to measure current at extremely low probability of opening to approximate limiting slope (Sigworth, 1995
). The measurement of such small currents was too unreliable in these experiments to provide informative data, although the general trends determined from limiting slope analysis were comparable with those determined from fits to the Boltzmann equation (data not shown).
Even if limiting slopes were used, it is not possible to accurately determine the extent to which any one charge functions as a voltage sensor for activation by this type of analysis, for a number of reasons. First, many of the mutations significantly shift the v1/2 for activation, indicative of a change in the relative stabilities of the resting and activated states. This change could result from an interaction between the charged residue and an amino acid of the opposite charge elsewhere in the channel in one state, as has been shown to be the case for the Shaker potassium channel (Papazian et al., 1995
). The net effect could be a reduction in the apparent gating valence. Second, the apparent overall gating event may be largely determined by one charge or domain that dominates the kinetic process. Therefore, the conductance–voltage curve will reflect the movement of that one gate, and neutralization of charges in other domains may have no effect on the measured gating valence. Finally, if any one charge represents just 1 of the 12 charges that move across the field during activation of the sodium channel (Hirschberg et al., 1995
), then neutralization of that charge will remove
8% of the total gating charge. A decrease of 8% would not be detected by the analysis of conductance–voltage curves. The most definitive approach to determining the role of each charged residue in gating is to examine the effects of the mutations on the gating currents, as has been done for the Shaker potassium channel (Perozo et al., 1992
, 1994
; Sigg and Bezanilla, 1997
). These studies are in progress.
Of the mutations that shifted the v1/2 for activation, the most pronounced effects were observed when the fourth charge in each of domains I, II, and III was neutralized. It might be expected that neutralization of a single charge in a domain that contains fewer charges would have larger effects. Domain I contains only four positive charges, domains II and III each contain five positive charges, and domain IV has eight positive charges. The mutations in domains I and II shifted the v1/2 in the positive direction, indicating that these two mutations stabilized a resting state compared with an activated state of the channel. Consistent with this interpretation, both mutations also resulted in positive shifts in the time constants for activation (
m) and deactivation (
d). The double mutant combining these two neutralizations resulted in shifts in the v1/2 and time constants in the same direction, only larger, indicating that the effects of the two neutralization mutations are at least additive.
On the other hand, neutralization of the fourth charge in domain III (3R4Q) shifted the v1/2 for activation in the negative direction, suggesting that an activated state has been stabilized compared with a resting state. The negative shift in
d is consistent with this interpretation, but this mutant also exhibited a positive shift in
m, which is the opposite of what would be expected. It is clear that this residue in domain III is particularly sensitive to the structure of the amino acid, because the charge-conserving mutation (3R4K) demonstrated large positive shifts in v1/2 and
d, and a small positive shift in
m. Therefore, substitutions at this position alter the conformation of the protein either in both resting and activated states, or in a transitional state between the two, accounting for the slowing down of both activation and inactivation. The 3R4Q mutation significantly increased the time constants for activation (
0) and deactivation (
–50), consistent with an increase in the energy barrier for the transition. Neutralization of the charges in domain IV had the smallest effects on activation, with only a minor shift in v1/2 for 4R2Q and no shift for 4R4Q.
Most of the mutations that affected the kinetics of activation and deactivation had comparable effects on the two time constants, with the notable exception of 3R4Q as described above. However, it is not possible to compare the absolute values of the time constants for activation (
m) and deactivation (
d) because there is essentially no overlap in the voltage regions for which the two were determined. The time constants for activation (
m) were determined at potentials equal to or more positive than –30 mV (Fig. 5). In contrast, the time constants for deactivation (
d) for most of the mutants were determined at potentials equal to or more negative than –40 mV (Fig. 7). The maximum values for
m were
10 ms at –30 mV, and the maximum values for
d were
2 ms at –40 mV. Because these voltages were in the regions in which each time constant was most rapidly increasing, we do not know if this apparent difference represents a real feature of the channel kinetics.
Two previous studies have also examined the effects of mutations that neutralize the S4 charges in the sodium channel. Stühmer et al. (1989)
studied the effects of mutations in domains I and II in the rat brain II channel using macropatch recording of Xenopus oocytes. Chen et al. (1996)
investigated the effects of mutations of the first and third charges in all four domains of the human heart 1 channel using two-electrode voltage clamping of oocytes. All three studies used different electrophysiological recording techniques, and Chen et al. (1996)
examined a completely different channel (the rat brain II and IIA channels are identical in the four S4 regions). In addition, both of the previous studies examined sodium channels with fast inactivation intact, whereas our experiments were carried out with fast inactivation removed. Despite these differences, the results for the wild-type channel are remarkably similar in all three cases. For the voltage dependence of activation, Stühmer et al. (1989)
obtained v1/2 of –32.7 ± 7 mV, Chen et al. (1996)
obtained v1/2 of –31.9 ± 0.79 mV, and we obtained v1/2 of –29.1 ± 2.7 mV. With respect to gating valence, Stühmer et al. (1989)
based their analysis on three identical gating charges, so their values should be equivalent to 1/3 of the other two. Multiplying the values from Stühmer et al. (1989)
by three, they obtained zm of 6.3 ± 0.6 e0, Chen et al. (1996)
obtained zm of 5.6 ± 0.4 e0, and we obtained zm of 5.1 ± 1.1 e0. It might have been expected that removal of fast inactivation would shift the v1/2 of activation in the negative direction (Cota and Armstrong, 1989
; Gonoi and Hille, 1987
). However, this is not the case in all preparations (Nonner et al., 1980
; Oxford, 1981
; Stimers et al., 1985
; Wang and Strichartz, 1985
; Wang et al., 1985
), and it was not previously observed for either the rat brain II (Stühmer et al., 1989
) or IIA (Patton and Goldin, 1991
) channel.
The results of the three studies are summarized in Table IV. In domain I, there appears to be a trend such that charges closer to the cytoplasmic side have more effect on the gating process. Neutralization of the charge at position 3 or 4 resulted in a significant depolarizing shift in v1/2 and a significant decrease in zm, whereas neutralization of the charge at position 1 or 2 did not have a significant effect on either parameter. In contrast, neutralization of each of the charges in domain II significantly shifted v1/2 in the positive direction, and neutralization of each of the first three charges significantly decreased zm. All of the mutations in domains I and II that had significant effects on v1/2 shifted it in the positive direction. On the other hand, neutralization of either charge 1 or 4 in domain III shifted v1/2 in the negative direction, indicating that the presence of either of these charges stabilize a resting state. Only the neutralization of charge 3 in domain III reduced zm. Neutralization of charges 2 or 3 in domain IV shifted v1/2 in the positive direction, and neutralization of charge 1 or 3 reduced zm. These results suggest that there is a fundamental difference in the roles of each of the four domains with respect to activation gating, but that all are involved to some extent.
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| ACKNOWLEDGMENTS |
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This work was supported by grants from the National Institutes of Health (NS-26729) and the National Science Foundation (IBN9221984). A.L. Goldin is an Established Investigator of the American Heart Association.
Submitted: 26 February 1997
Accepted: 23 July 1997
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R. Horn, S. Ding, and H. J. Gruber Immobilizing the Moving Parts of Voltage-Gated Ion Channels J. Gen. Physiol., September 1, 2000; 116(3): 461 - 476. [Abstract] [Full Text] [PDF] |
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M. F. Sheets, J. W. Kyle, and D. A. Hanck The Role of the Putative Inactivation Lid in Sodium Channel Gating Current Immobilization J. Gen. Physiol., May 1, 2000; 115(5): 609 - 620. [Abstract] [Full Text] [PDF] |
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F. J.P. Kuhn and N. G. Greeff Movement of Voltage Sensor S4 in Domain 4 Is Tightly Coupled to Sodium Channel Fast Inactivation and Gating Charge Immobilization J. Gen. Physiol., August 1, 1999; 114(2): 167 - 184. [Abstract] [Full Text] [PDF] |
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J. R Groome, E. Fujimoto, A. L George Jr, and P. C Ruben Differential effects of homologous S4 mutations in human skeletal muscle sodium channels on deactivation gating from open and inactivated states J. Physiol., May 1, 1999; 516(3): 687 - 698. [Abstract] [Full Text] [PDF] |
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J. R. Balser Structure and function of the cardiac sodium channels Cardiovasc Res, May 1, 1999; 42(2): 327 - 328. [Abstract] [Full Text] [PDF] |
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J. P O'Reilly, S.-Y. Wang, R. G Kallen, and G. K. Wang Comparison of slow inactivation in human heart and rat skeletal muscle Na+ channel chimaeras J. Physiol., February 15, 1999; 515(1): 61 - 73. [Abstract] [Full Text] [PDF] |
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M. R. Smith, R. D. Smith, N. W. Plummer, M. H. Meisler, and A. L. Goldin Functional Analysis of the Mouse Scn8a Sodium Channel J. Neurosci., August 15, 1998; 18(16): 6093 - 6102. [Abstract] [Full Text] [PDF] |
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L. Tang, N. Chehab, S. J. Wieland, and R. G. Kallen Glutamine Substitution at Alanine1649 in the S4-S5 Cytoplasmic Loop of Domain 4 Removes the Voltage Sensitivity of Fast Inactivation in the Human Heart Sodium Channel J. Gen. Physiol., May 1, 1998; 111(5): 639 - 652. [Abstract] [Full Text] [PDF] |
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E. Marban, T. Yamagishi, and G. F Tomaselli Structure and function of voltage-gated sodium channels J. Physiol., May 1, 1998; 508(3): 647 - 657. [Abstract] [Full Text] [PDF] |
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N. Mitrovic, A. L. George Jr., and R. Horn Independent Versus Coupled Inactivation in Sodium Channels: Role of the Domain 2 S4 Segment J. Gen. Physiol., March 1, 1998; 111(3): 451 - 462. [Abstract] [Full Text] [PDF] |
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R. D. Smith and A. L. Goldin Functional Analysis of the Rat I Sodium Channel in Xenopus Oocytes J. Neurosci., February 1, 1998; 18(3): 811 - 820. [Abstract] [Full Text] [PDF] |
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K. J. Kontis and A. L. Goldin Sodium Channel Inactivation Is Altered by Substitution of Voltage Sensor Positive Charges J. Gen. Physiol., October 1, 1997; 110(4): 403 - 413. [Abstract] [Full Text] [PDF] |
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