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Biological clearance system for advanced glycation end products (AGE) -Insulin signal regulates endocytic uptake of AGE-proteins

Research Project

Project/Area Number 09470225
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field 内分泌・代謝学
Research InstitutionKumamoto University

Principal Investigator

HORIUCHI Seikoh  Department of Biochemistry, Kumamoto University School of Medicine, Professor, 医学部, 教授 (10117377)

Co-Investigator(Kenkyū-buntansha) ARAKI Eiichi  Department of Metabolic Medicine, Kumamoto University School of Medicine, Lectur, 医学部・附属病院, 講師 (10253733)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥13,200,000 (Direct Cost: ¥13,200,000)
Fiscal Year 1998: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1997: ¥9,200,000 (Direct Cost: ¥9,200,000)
Keywordsadvanced glycation end products (AGF) / diabetic complications / macrophage / scavenger receptor / insulin / intracellular signal transduction / P13 kinase / insulin receptor / スカベンジャー受容体 / lyn / MAP kinase / AGE / スカベンジャー受容体(MSR) / インスリン受容体(HIR)
Research Abstract

In Maillard reaction, glucose or reduced sugar reacts with proteins to form Schiff base and Amadori products. These early products are then converted to advanced glycation end products (AGE). AGE-modified proteins are characterized physicochemically by fluorescence, brown color and cross-linking, and biologically by specific recognition by AGE-receptors. Among three proposed AGE-receptors, we demonstrated that MSR-A (macrophage scavenger receptor class A) plays a major role in endocytic uptake of AGE-proteins by macrophages and macrophage-derived cells. AGE-proteins are known to underwent a rapid plasma clearance upon intravenous injection, which was explained by efficient endocytic uptake of liver sinusoidal endothelial cells. In vitro experiment showed that efficient endocytic uptake of AGE-proteins by these cells was enhanced by the presence of insulin. To investigate the mechanism for insulin-enhanced endocytic uptake of AGE-proteins, we constructed CHO cells which were overexpressed both by MSR-A and HIR (human insulin receptor). Endocytic uptake of AGE-proteins by these transfected cells was enhanced by insulin in a dose-dependent manner, whereas CHO cells overexpressed with both MSR-A and mutant HIR did not show the insulin-dependency. Furthermore, insulin-enhanced endocytic uptake of AGE-proteins by these CHO cells was inhibited by PI3 kinase inhibitors such as wortmannin and LY294002, but not by rapamysin, a pp7OS6 kinase inhibitor which was located down stream of PI3 kinase. Insulin did not affect the number of MSR-A on the cell surface of these cells. These results indicate that insulin binding to insulin receptor followed by intracellular signal pathway from IRS-1 to PI3 kinase plays a major role in the insulin-enhanced endocytic uptake of AGE-proteins, probably by increasing the rate of endocytic turnover of MSR-A-mediated endocytic uptake of AGE-proteins.

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (72 results)

All Other

All Publications (72 results)

  • [Publications] Kumiko Mizutari et al.: "Photo-enhanced modification of human skin elastin in actinic elastosis by N^ε-(carboxymethyl)lysine,one of the glycoxidation products of the Maillard reaction" J.Invest.Dermatol.108. 797-801 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Toshinori Murata et al.: "The relationship between expression of advanced glycation end products and vascular endothelial growth factor in human diabetic retinas" Diabetologia. 40. 764-769 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ryoji Nagai et al.: "Hydroxyl radical mediates N^ε-(carboxymethyl)lysine formation from Amadori product" Biochem.Biophys.Res.Commun.234. 167-172 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Bard Smedsrod et al.: "Advanced glycation end products are eliminated by scavenger-receptor-mediated endocytosis in hepatic sinusoidal Kupffer and endothelial cells" Biochemical Journal. 322. 567-573 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takayuki Higashi et al.: "The receptor for advanced glycation end products mediates the chemotaxis of rabbit smooth muscle cells" Diabetes. 46. 463-472 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hiroshi Suzuki et al.: "A role for macrophage scavenger receptors in atherosclerosis and susceptibility to infection" Nature. 386. 292-296 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Jing Meng et al.: "Glycoxidation in aortic collagen from STZ-induced diabetic rats and its relevance to vascular damage" Atherosclerosis. 136. 355-365 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kazuyoshi Ikeda et al.: "Determination of glycated albumin by enzyme-linked boronate-immunoassay(ELBIA)" Clin.Chem.442. 256-563 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hideki Hakamata et al.: "Isolation of macrophage-like cell mutants resistant to the cytotoxic effect of oxidized low density lipoprotein" J.Lipid Res.39. 482-494 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hirofumi Matsuda et al.: "Molecular cloning,functional expression, tissue distribution and activation by acetylated LDL in macrophages of rat acyl-coenzyme A:cholesterol acyltransferase" Biochem.Biophys.Acta.1391. 193-203 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yi Ding et al.: "Reduced expression of the macrophage scavenger receptors in macrophage-like cell mutants resistant to Brefeldin A." Biochem.Biophys.Res.Commun.243. 277-283 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hisashi Sakaguchi et al.: "Role of macrophage scanvenger receptors in fat-induced atherosclerosis in mice" Lab.Invest.78. 423-434 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ryoji Nagai et al.: "Conversion of Amadori product of Maillard reaction to N _<ε->(carboxymethyl)lysine in alkaline conditions" FEBS Letts.425. 355-360 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kazuyoshi Ikeda et al.: "Immunochemical approaches to AGE-structures: characterization of anti-AGE antibodies" J.Immunol.Methods. 215. 95-104 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hiroyuki Sano et al.: "Insulin enhances macrophage scavenger receptor-mediated endocytic uptake of advanced glycation end products" J.Biol.Chem.273. 8630-8637 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Noriyuki Sakata et al.: "Increased advanced glycation end products in atheroscleroric lesions of patients with end-stage renal disease" Atherosclerosis. 142. 67-77 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshiteru Jinnouchi et al.: "Glycolaldehyde-modified low density lipoprotein leads macrophages to foam cells via the macrophage scavenger receptor" J.Biochem.123. 1208-1217 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshida,S.et al.: "Immunohistochemical study of human advanced glycation end-products(AGE)and growth factors in cardiac tissues of patients on maintenance dialysis and with kidney trasplantation" Clin.Nephrol.49. 273-280 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takemi Kimura et al.: "Localization of identified advanced glycation end product structures,N _<ε->(carboxymethyl)-lysine and pentosidine,in age-related inclusions in human brains" Pahol.Intenational.48. 575-579 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ken Matsuse et al.: "Immunohistochemical detection of advanced glycation end products in pulmonary fibrosis" J.Clin.Pathol.51. 515-519 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Tatsuro Ishibashi et al.: "N_<ε->(Carboxymethyl)lysine accumulates in soft drusen and choroidal neovascular membranes" Arch.Opthalmol.116. 1629-1632 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Noriyuki Sakata et al.: "Immunohistochemical localization of different epitopes of advanced glycation end products in human atherosclerotic lesions" Atherosclerosis. 141. 61-75 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ling,X.et al.: "Immunohistochemical distribution and subcellular localization of three distinct specific molecular structures of advanced glycation end products in human tissues" Lab.Invest.78. 1591-1606 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Masahiko Kushiro et al.: "Accumulation of N-episilon-(carboxymethyllysine)and changes in glomerular extracellular matrix components in Otsuka Long-Evans Tokushima fatty rat: a model of spontaneous NIDDM" Nehpron. 79. 458-468 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 佐野裕之 他(分担): "糖尿病の最前線(新臨床医のための分子医学シリーズ,門脇孝編)糖尿病性最小血管症とAGE(page 140-154)" 羊土社, 199 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nagai, R.et al.: "Conversion of Amadori product of Maillard reaction to N-episilon- (carboxymethyl) lysine in alkaline conditions" FEBS Letts.425. 355-360 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ikeda, K.et al.: "Immunochemical approaches to AGE-structures : characterization of anti-AGE antibodies" J.Immunol.Methods. 215. 95-104 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sano, H.et al.: "Insulin enhances macrophage scavenger receptor-mediated endocyticuptake of advanced glycation end products" J.Biol.Chem.273. 8630-863 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Jinnouchi, Y.et al.: "Glycolaldehyde-modified low density lipoprotein leads macrophages to foam cells via the macrophage scavenger receptor" J.Biochem.123. 1208-1217 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshida, S.et al.: "Immunohistochemical study of human advanced glycation end-products (AGE) and growth factors in cardiac tissues of patients on maintenance dialysis and with kidney transplantation" Clin.Nephrol.49. 273-280 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kimura, T.et al.: "Localization of identified advanced glycation end product structures, N-episilon- (carboxymethyl) -lysine and pentosidine, in age-related inclusions in human brains." Pathol.International.48. 575-579 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Matsuse, S.et al.: "Immunohistochemical detection of advanced glycation end products in pulmonary fibrosis" J.Clin.Pathol.51. 515-519 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ishibashi, T.et al.: "N-episilon- (Carboxymethyl) lysine accumulates in soft drusen and choroidal neovascular membranes" Arch.Opthalmol.116. 1629-1632 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sakata, N.et al.: "Immunohistochemical localization of different epitopes of advanced glycation end products in human atherosclerotic lesions" Atherosclerosis.141. 61-75 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ling, X.et al.: "Immunohistochemical distribution and subcellular localization of three distinct specific molecular structures of advanced glycation end products in human tissues" Lab.Invest.78. 1591-1606 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kushiro, M.et al.: "Accumulation of N-episilon- (carboxymethyllysine) and changes in glomerular extracellular matrix components in Otsuka Long-Evans Tokushima fatty rat : a model of spontaneous NIDDM." Nehpron. 79. 458-468 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nakayama, M.et al.: "Immunohistochemical detection of advanced glycosylation end-products in the peritoneum and its possible pathophysiological role in CAPD." Kidney International. 51. 182-186 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Higashi, T,et al.: "The receptor for advanced glycation end products mediates the chemotaxis of rabbit smooth muscle cells" Diabetes. 46. 463-472 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Smestrod, B.et al.: "Advanced glycation end products are eliminated by scavenger-receptor mediated endocytosis in hepatic sinusoidal Kupffer and endothelial cells" Biochem.J.322. 567-573 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Suzuki, H.et al.: "A role for macrophage scavenger receptors in atherosclerosis and susceptibility to infection" Nature. 386. 292-296 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Mizutari, K.et al.: "Photo-enhanced modification of human skin clastin in actinic elastosis by N-episilon- (carboxymethyl) lysine, one of the glycoxidation products of the Maillard reaction" J.Invest.Dermatol.108. 797-801 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Murata, T.et al.: "The relationship between expression of advanced glycation end products and vascular endothelial growth factor in human diabetic retinas" Diabetologia. 40. 764-769 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nagai, R.et al.: "Hydroxyl radical mediates N-episilon- (carboxymethyl) lusine formation from Amadori product" Biochem.Biophys.Res.Commun.234. 167-172 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Imai, N.et al.: "Histological localization of advanced glycosylation end products in the progression of diabetic nephropathy" Nephron. 76. 153-160

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Matsumoto, K.et al.: "Immunochemical evidence for increased formation of advanced glycation end products and inhibition by aminoguanidine in diabetic rat lenses" Biochem.Biophys.Res.Commun.241. 352-354 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sugimoto, K.et al.: "Localization in human diabetic peripheral nerve of N-episilon-carboxymethyllysine-protein adducts, one of advanced glycation endproducts" Diabetologia. 40. 1380-1387 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Meng, J.et al.: "Glycoxidation in aortic collagen from STZ-induced diabetic rats and its relevance to vascular damage" Atherosclerosis. 136. 355-365 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ikeda, K.et al.: "Determination of glycated albumin by enzyme-linked boronate-immunoassay (ELBIA)" Clin.Chem.442. 256-263 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ryoji Nagai et al.: "Conversion of Amadori product of Maillard reaction to N ε-(carboxymethyl)lysine in alkaline conditions" FEBS Letts.425. 355-360 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kasuyoshi Ikeda et al.: "Immunochemical approaches to AGE-structures:characterization of anti-AGE antibodies" J.Immunol.Methods. 215. 95-104 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hiroyuki Sano et al.: "Insulin enhances macrophage scavenger receptor-mediated endocytic uptake of advanced glycation end products" J.Biol.Chem.273. 8630-8637 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Noriyuki Sakata et al.: "Increased advanced glycation end products in atheroscleroric lesions of patients with end-stage renal disease" Atherosclerosis. 142. 67-77 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiteru Jinnouchi et al.: "Clycolaldehyde-modified low density lipoprotein leads macrophages to foam cells via the macrophage scavenger receptor" J.Biochem.123. 1208-1217 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshida,S. et al.: "Immunohistochemical study of human advanced glycation end-products(AGE)and growth factors in cardiac tissues of patients on maintenance dialysis and with kidney trasplantation" Clin.Nephrol.49. 273-280 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Jing Meng et al.: "Glycoxidation in aortic collagen from STZ-induced diabetic rats and its relevance to vascular damage" Atherosclerosis. 136. 355-365 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kazuyoshi Ikeda et al.: "Determination of glycated albumin by enzyme-linked boronate-immunoassay(ELBIA)" Clin.Chem.442. 256-263 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hideki Hakamata et al.: "Isolation of macrophage-like cell mutants resistant to the cytotoxic effect of oxidized low density lipoprotein" J.Lipid Res.39. 482-494 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hirofumi Matsuda et al.: "Molecular cloning,functional expression,tissue distribution and activation by acetylated LDL in macrophages of rat acyl-coenzyme A:cholesterol acyltransferase" Biochem.Biophys.Acta.1391. 193-203 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yi Ding et al.: "Reduced expression of the macrophage scavenger receptors in macrophage-like cell mutants resistant to Brefeldin A." Biochem.Biophys.Res.Commun.243. 277-283 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hisashi Sakaguchi et al.: "Role of macrophage scavenger receptors in fat-induced atherosclerosis in mice" Lab.Invest.78. 423-434 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Takemi Kimura et al.: "Localization of identified advanced glycation end product structures,N ε-(carboxymethyl)-lysine and pentosidine,in age-related inclusions in human brains" Pathol.Intenational.48. 575-579 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ken Matsuse et al.: "Immunohistochemical detection of advanced glycation end products in pulmonary fibrosis" J.Clin.Pathol.51. 515-519 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Tatsuro Ishibashi et al.: "Nε-(Carboxymethyl)lysine accumulates in soft drusen and choroidal neovascular membranes" Arch.Opthalmol.116. 1629-1632 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Noriyuki Sakata et al.: "Immunohistochemical localization of different epitopes of advanced glycation end products in human atherosclerotic lesions" Atherosclerosis. 141. 61-75 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ling,X.et al.: "Immunohistochemical distribution and subcellular localization of three distinct specific molecular structures of advanced glycation end products in human tissues" Lab.Invest.78. 1591-1606 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Masahiko Kushiro et al.: "Accumulation of N-episilon-(carbox ymethyllysine)and changes in glomerular extracellular matrix components in Otsuka Long-Evans Tokushima fatty rat:a model of sponteneous NIDDM" Nehpron. 79. 458-468 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hiroyuki Sano et al.: "Insulin enhances macrophage scavenger receptor-mediated endocytic uptake of advanced glycation end products" The Journal of Biological Chemistry. (in press). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshiteru Jinnouchi et al.: "Glycolaldehyde-modified low density lipoprotein leads macrophages to foam cells via the macrophage scavenger receptor" Journal of Biochemistry. (in press). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Bard Smedsrφd et al.: "Advanced glycation end products are eliminated by scavenger-receptor-mediated endocytosis in hepatic sinusoidal Kupffer and endothelial cells" Biochemical Journal. 322. 567-573 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Takayuki Higashi et al.: "The receptor for advanced glycation end products mediates the chemotaxis of rabbit smooth muscle cells" Diabetes. 46. 463-472 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Hiroshi Suzuki et al.: "A role for macrophage scavenger receptors in atherosclerosis and susceptibility to infection" Nature. 386. 292-296 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 佐野裕之 他(分担): "糖尿病の最前線(新臨床医のための分子医学シリーズ、門脇 孝編) 糖尿病性細小血管症とAGE(p140-154)" 羊土社, 199 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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