(The FASEB Journal. 1999;13:1839-1844.)
© 1999 FASEB
Kallikrein-binding protein is induced by growth hormone in the dwarf rat
HEATHER C. HATCHER*,
NANCY M. WRIGHT
,
JULIE CHAO
,
LEE CHAO
and
JIAN-XING MA*1
* Department of Ophthalmology,
Department of Pediatrics, Division of Endocrinology,
Department of Biochemistry and Molecular Biology, Medical University of South Carolina, Charleston, South Carolina 29425, USA
1Correspondence: Medical University of South Carolina, Department of Ophthalmology, 171 Ashley Ave., Charleston, SC 29425, USA. E-mail majx{at}musc.edu
 |
ABSTRACT
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Rat kallikrein-binding protein (KBP), a member of the serpin family, is
a tissue kallikrein inhibitor. It has been shown to be a potential
pathogenic factor of diabetic retinopathy and may play a role in animal
development and growth. To determine whether reduced KBP expression is
involved in retarded animal growth, we examined the in
vivo effect of growth hormone (GH) deficiency on the expression
of KBP in the Lewis dwarf (dw/dw). We found that serum
levels of functionally active KBP were reduced in the dwarf rat
(P<0.05) as determined by complex formation assay
between serum KBP and 125I-labeled rat tissue kallikrein.
Enzyme-linked immunosorbent assay showed that KBP levels were
significantly reduced in the serum of the dwarf rat compared to the
Lewis rat (213.8 ng/ml vs. 413.8 ng/ml, n=4,
P<0.01). The decreased KBP levels were confirmed by
Western blot analysis. Moreover, treatment of the dwarf rat with
recombinant human GH for 4 wk resulted in a significant increase in KBP
activity (P<0.01) and serum KBP levels compared with
the untreated dwarf rat (549.8 ng/ml, n=5, vs. 213.8
ng/ml, n=4, P<0.02). Northern blot
analysis and densitometry showed that liver KBP mRNA levels were
reduced by fivefold in the dwarf rat compared to the Lewis rat and the
decrease was reversed by the GH treatment. These results indicate that
the KBP levels are regulated at the RNA level. Furthermore, in
vitro studies using cultured rat hepatocytes showed that GH may
have a direct regulatory effect on KBP expression since KBP levels
increased in the conditioned media of cells treated with GH. These
results demonstrated that KBP is reduced in the genetic dwarf rat and
is restored to normal by GH; therefore, KBP is a GH-dependent protein
and may be a new target for studying the mechanism of pathological
animal growth.Hatcher, H. C., Wright, N. M., Chao, J.,
Chao, L., Ma, J.-x. Kallikrein binding protein is induced by growth
hormone in the dwarf rat.
Key Words: growth hormone deficiency serpins tissue kallikrein
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INTRODUCTION
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THE MECHANISMS SURROUNDING the growth-promoting
actions of growth hormone (GH)2
are not well understood, although several lines of evidence suggest
that GH and somatomedin/insulin-like growth factors coordinate to
promote growth (1)
. It is unclear whether the effects of
GH result from direct action on target cells or are mediated indirectly
by stimulation of growth factors (1)
. Since the liver is a
major site of serum protein synthesis, GH may have a significant effect
on this organ. Investigation of those proteins responsive to GH thus
may generate a greater understanding of the molecular mechanisms
pertaining to growth hormone action. The exact mechanisms of growth
hormone action in the liver and GH regulation of gene transcription are
unknown. Liver proteins initially identified as being GH responsive
include
2u-globulin (2
3
4
5)
,
insulin-like growth factor 1 (IGF-1) and its binding proteins
(6)
, and a protein called `growth hormone-responsive
acidic protein' (7
8
9)
, identified as kallikrein binding
protein (KBP) (10
, 11)
.
KBP is a potent modulator of tissue kallikrein activity and
bioavailability (12)
. KBP, which is produced primarily in
the liver, is induced by multiple hormones including GH,
triiodothyronine, glucocorticoid hormones, estrogen, and progesterone.
Its expression levels correlate with animal growth rates, indicating it
may play a role in animal development in addition to modulating
kallikrein activity (8
, 9
, 11
, 13)
. A growth
hormone-response element in the 5' flanking region of the KBP gene may
mediate the induction of KBP by growth hormone (14
, 15)
.
The physiological function of KBP is currently unknown; however,
several lines of evidence indicate that it may participate in blood
pressure regulation, inflammatory response, growth, and development
(8
, 12
, 16
17
18)
.
KBP has been proposed to have a role in the development of hypertension
(10
, 16
, 17)
and diabetes (19
, 20)
. Studies
in both diabetic animal models and diabetic humans reveal potential
involvement of the tissue kallikreinkinin system in diabetes mellitus
(21
, 22)
. Our recent studies have suggested the potential
function of KBP in ocular tissues as high levels of KBP were identified
in human retinal neuronal and capillary endothelial cells
(23)
. Vitreous KBP concentrations in diabetic humans were
significantly lower than those in nondiabetic vitreous fluids
(19)
. This finding was supported by our results showing
that retinal and serum KBP levels were significantly reduced in the
streptozotocin (STZ) -induced diabetic rat (20)
. Although
the mechanism of the decreased KBP in diabetes is unknown, these
studies suggest the potential involvement of KBP in the development of
diabetic retinopathy.
Several studies have shown that GH levels are decreased in the
STZ-induced diabetic rat and diabetic (db/db) mouse
(24
25
26
27)
. Therefore, alterations in levels of GH in the
STZ-diabetic rat may directly or indirectly regulate KBP expression.
The aim of this study is to examine GH regulation of KBP in the genetic
GH-deficient dwarf rat by measuring liver and serum levels of KBP and
to determine whether KBP deficiency is involved in the retarded animal
growth in the genetic dwarf rat. The genetic dwarf rat is known to be
deficient in GH while having normal secretion of all other pituitary
hormones (28)
. The amount of GH secreted from the
pituitary by homozygous dwarf female rats is only 6% that of normal
controls (28)
. Therefore, the effects of GH treatment on
KBP can more readily be determined when using this animal model.
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MATERIALS AND METHODS
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Animals
Three age- and gender-matched animal groups were studied: the
untreated and GH-treated dwarf rat and the Lewis rat. Homozygous dwarf
(dw) rat breeding pairs (dw-4-ola-hsd) were
obtained from Harlan Olac (Bicester, England) and bred as previously
reported (29)
. Female offspring were used for this study.
The mutation was originally discovered in an inbred colony of the Lewis
rat in Oxford, U.K. Breeding difficulty required the mutation to be
introduced onto the NIMR/AS rat strain, with subsequent back-crossing
onto the Fischer rat strain (Harlan Olac). Timed pregnant Lewis rats
were obtained from Harlan Sprague-Dawley (Indianapolis, Ind.) and
female offspring were used as controls. Animals were housed in standard
rat cages in controlled animal facilities (23°C, 14 h light)
according to procedures outlined in the NIH Guide for
the Care and Use of Laboratory Animals. All animals were weaned at
3 wk of age, fed standard rat chow ad libitum, and allowed
continuous access to water.
Recombinant human growth hormone (rhGH, Humatrope) was kindly provided
by Eli Lilly and Co. (Indianapolis, Ind.). Animals in the treatment
group received 200 µg/day subcutaneously (s.c.) of rhGH from weeks 2
to 6. Serum was obtained from the animals by cardiac puncture at the
time of death.
Tissue kallikrein-KBP complex formation
Serum (1 µl/animal) was incubated with
[125I]-labeled rat tissue kallikrein (10,000
cpm per sample) in 10 mM sodium phosphate buffer, pH 7.0, at 37°C for
1 h as described previously (16)
. The binding was
stopped by adding one-third volume of 3x sodium dodecyl sulfate (SDS)
sample buffer (0.125 M Tris-Cl, pH 6.8, 30% glycerol, and 5% SDS) and
boiling for 5 min. The mixture was then resolved by SDS-polyacrylamide
gel electrophoresis (PAGE) under nonreducing conditions and stained
with Coomassie blue. The gel was dried and exposed to Kodak X-Omat
film. The band formed by the complex (92 kDa) was analyzed by
densitometry using NIH Image V1.57 (NIH, Bethesda, Md.).
Enzyme-linked immunosorbent assay (ELISA)
The ELISA was modified from a previously described method
(30)
. A 96-well microtiter plate was coated with unlabeled
anti-KBP IgG [1 µg/ml in phosphate-buffered saline (PBS), 100
µl/well] overnight at 4[de]C. The plate was then blocked with 200
µl/well of PBS (10 mM sodium phosphate, pH 7.4, 150 mM NaCl)
containing 1% BSA at 37°C for 1 h and washed three times with
PBS containing 0.1% Tween-20 (washing solution). Dilutions of purified
KBP (0.4 to 25 ng/ml) and rat sera, which were diluted in 100 ml of
freshly made dilution buffer (PBS containing 0.05% Tween-20 and 0.5%
gelatin), were added to individual wells. The plate was incubated at
37°C for 90 min and washed three times with the washing solution.
Biotin-labeled anti-KBP antibody (31)
was added into each
well at a concentration of 1 µg/ml in a total volume of 100 ml. The
plate was incubated at 37°C for 1 h and washed three times with
the washing solution and once with PBS. Freshly prepared substrate
solution [10 µl of 0.1 M citrate buffer, pH 4.3, 3 mg of
2,2'-azino-bis(3-ethylbenzthiazoline-sulfonic acid), and 10 µl of 3%
H2O2] were added into each
well (100 µl/well). After 30 min the plate was measured with an ELISA
reader at 414 nm for absorbance.
Western blot analysis
Rat sera or purified KBP was resolved on SDS/PAGE and
electrotransferred onto nitrocellulose membranes. The antigen overlay
method for immunoblotting has been described previously
(32)
. Briefly, the membranes were blocked with BLOTTO
solution [5% (w/v) nonfat dry milk in TBST (20 mM Tris base, 137 mM
sodium chloride, pH 7.6, and 0.05% (w/v) polyoxyethylene sorbitan
monolaurate (Tween 20)] overnight at 4°C. The membranes were then
incubated with rabbit anti-KBP antiserum (1:250 in BLOTTO solution) for
3 h with gentle shaking. The membranes were washed three times
with BLOTTO, followed by an incubation with
[125I]-labeled KBP for 1.5 h. The
membranes were washed three times with BLOTTO and once with TBST,
air-dried, and exposed to Kodak X-Omat film. All procedures were done
at room temperature. Densitometry of the specific KBP band was done
using NIH Image V1.57.
RNA extraction and Northern blot analysis
RNA was isolated from rat livers as previously
(20)
. RNA was electrophoresed through a 1.2% agarose gel
containing formaldehyde. The samples were prepared by mixing the
following in a sterile Microfuge tube: 4.5 µl (20 µg) RNA, 2.0 µl
5x MOPS running buffer [1x MOPS running buffer = 20 mM
3-(N-morpholino)propanesulfonic acid, pH 7.0, 8 mM sodium citrate,
1 mM ethylenediaminetetraacetic acid (EDTA)], 3.5 µl formaldehyde,
and 10.0 µl formamide. The samples were heated for 15 min at 65°C,
then chilled on ice. After a brief centrifugation, 2 µl of
formaldehyde gel-loading buffer (50% glycerol, 1 mM EDTA, 0.25%
bromphenol blue, 0.25% xylene cyanol FF) was added to each tube. The
gel was run submerged in 1x MOPS buffer at 34 V/cm for ~3 h. At
the end of the run, the molecular weight marker was cut from the gel,
stained with ethidium bromide for 30 min, and photographed under UV
light. The RNA from the gel was transferred to a nylon membrane by
capillary transfer using 20x SSC (1x SSC = 0.15 M sodium
chloride, 15 mM sodium citrate, pH 7.0). The RNA was UV-cross-linked to
the nylon membrane. Full-length KBP and ß-actin cDNAs were
nick-translated with [
-32P]dCTP and
hybridized with the membrane in a hybridization solution containing 5x
SSPE (1x SSPE = 0.18 M NaCl, 10 mM
NaH2PO4, 1 mM EDTA, pH
7.4), 5x Denhardt's solution (0.1% Ficoll 400, 0.1%
polyvinylpyrrolidone, 0.1% bovine serum albumin), 0.5% SDS, and 100
µg/ml denatured herring sperm DNA at 42°C overnight
(11)
. The membrane was washed in a final solution of 6x
SSPE, 0.1% SDS twice at 42°C, and exposed to Kodak X-Omat film at
-70°C. To account for loading efficiency of the gel, the membrane
was stripped, boiled, and reprobed with ß-actin cDNA. Densitometry of
the KBP band was measured using NIH Image V1.57. KBP mRNA levels in the
three groups were normalized by the ß-actin mRNA level.
Cell culture
Rat hepatocytes (HF1B) obtained from frozen stock were
grown on 75 cm2 tissue culture flasks and
incubated under constant humidity in an atmosphere of 5%
CO2 at 37°C in Dulbecco's modified Eagle
medium supplemented with 10% fetal bovine serum and
antibiotic/antimycotic mixture (200 U/ml penicillin, 200 µg/ml
streptomycin, and 0.5 µg/ml amphotericin B). The cells were
subcultured by enzymatic dissociation using 0.05% trypsin/0.53 mmol/l
EDTA solution. All cell culture reagents were obtained from Gibco/BRL
Life Technologies (Gaithersburg, Md.). To study the effects of growth
hormone, cells were cultured in OptiMEM serum-free medium for 48 h
with the addition of 500 ng/ml rhGH or albumin. After 48 h, the
conditioned media was collected and an ELISA was performed as described
previously.
Statistical analysis
Serum KBP levels were averaged within a group and presented as
the mean ± SE. The significance of the difference
between two groups was determined by Student's t test.
Differences were considered significant at a value of
P<0.05.
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RESULTS
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Kallikrein binding activity in rat sera
The activity of KBP was assayed by the ability to bind to
[125I]-labeled rat tissue kallikrein.
Figure 1
shows the formation of a tissue kallikreinKBP complex on SDS-PAGE as
visualized by autoradiography. The molecular mass of the complex (92
kDa) is identical to that of the complex formed from purified KBP and
tissue kallikrein (10)
, indicating the existence of a
functional KBP. Functionally active KBP in the serum of the dwarf rat
(Fig. 1
, lanes 3, 4) showed a twofold decrease compared to the Lewis
rat (Fig. 1
, lanes 1, 2) when the same amount of protein was used for
the complex formation assay (Fig. 1)
. After GH treatment of the dwarf
rat for 4 wk, the binding activity of KBP increased nearly twofold
(Fig. 1
, lanes 5, 6) compared to the untreated dwarf rat.

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Figure 1. KBPkallikrein complex formation in rat serum. Serum (1 µl/animal)
was incubated with 125I-labeled rat tissue kallikrein and
resolved by SDS-PAGE. The unbound kallikrein and the high molecular
mass complex (92 kDa) formed between kallikrein and KBP, indicated at
the left, were visualized by autoradiography. Lanes 1, 2: Lewis rat;
lanes 3, 4: dwarf rat; lanes 5, 6: GH-treated dwarf rat. Functionally
active KBP decreased twofold in the dwarf rat compared to the Lewis rat
(P<0.05) and increased nearly twofold in the GH-treated
dwarf compared to the untreated dwarf rat (P<0.01).
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Immunoreactive KBP levels in rat sera
An ELISA using a polyclonal antibody specific for KBP was
performed to quantify KBP expression in the rat sera. As shown in
Fig. 2
A, the serial dilution curve of the rat sera is parallel to
that of the KBP standard, suggesting its immunological identity. KBP
levels in the dwarf rat were decreased compared to the Lewis rat (213.8
ng/ml of protein vs. 413.8 ng/ml of protein) (Fig. 2B
). GH
treatment of the dwarf rat for 4 wk restored serum KBP levels (549.8
ng/ml protein) (Fig. 2B
). Immunoreactive KBP levels in sera
were analyzed by Western blot using an antibody specific for KBP and
the antigen overlay method. As shown in Fig. 3
, the immunoreactive protein has a molecular mass of 60 kDa, which is
identical to purified KBP (10)
. The semiquantitative
immunoblot showed that serum KBP expression was decreased in the dwarf
rat and increased in the GH-treated dwarf rat (Fig. 3)
. As shown by
Wright and colleagues (29)
, body weight, length, and serum
IGF-I levels were decreased in the dwarf rat compared to the Lewis and
the GH-treated dwarf rat. Our data show that KBP levels are correlated
with body weight and length and the serum IGF-I levels of the animals.
These results suggest that KBP expression is correlated with animal
growth rates.

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Figure 2. A) Enzyme-linked immunosorbent assay of KBP in rat sera.
The standard curve of KBP, which ranges from 0.4 to 25.0 ng/ml, is
represented by solid squares. Serial dilution curve of rat sera (solid
circles) are parallel to the KBP standard curve. B)
Immunoreactive KBP levels in rat sera. Sera from Lewis, dwarf, and
GH-treated dwarf rats were subjected to an ELISA. KBP levels were
expressed as the mean ± SE. The white bar represents
the control Lewis rat, n=4; the black bar represents the
dwarf rat, n=4; the striped box represents the
GH-treated dwarf rat, n=5. KBP levels were significantly
reduced in the untreated dwarf rat compared to the control Lewis rat
(P<0.01) and the GH-treated dwarf rat
(P<0.05).
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Figure 3. Western blot analysis of KBP in rat sera. Sera (2 µl/animal) and
purified KBP (6.6 µg) were resolved on SDS-polyacrylamide gel
electrophoresis and electrotransferred onto an Immobilon-P filter,
which was blotted by an antigen overlay method. The membrane was
blotted with rabbit anti-KBP antiserum, incubated with
125I-labeled KBP, and measured by densitometry as described
in Materials and Methods.
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Northern blot analysis of KBP expression in rat liver
To determine whether the changes in KBP levels occurred at the
translation or transcription level, the KBP mRNA from rat liver was
measured, as the liver is the major source for KBP. Total RNA (15 µg)
from each group was subjected to Northern blot analysis using a
full-length KBP cDNA probe. The Northern blot was stripped and reprobed
with ß-actin, a housekeeping gene, to account for loading accuracy.
KBP mRNA levels were normalized by the mRNA levels of ß-actin
(Fig. 4
A), using densitometry. The normalized levels are shown in
Fig. 4B
. A fivefold decrease was observed in the KBP mRNA
level in the liver of the dwarf rat compared to the Lewis rat (Fig. 4A, B
). GH treatment of the dwarf rat showed a nearly
fourfold increase in KBP mRNA expression compared to the untreated
dwarf rat (Fig. 4A, B
). Therefore, the decrease of hepatic
KBP in the dwarf rat occurred at the transcription level.

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Figure 4. Northern blot analysis of KBP mRNA level in rat liver.
A) Total RNA (15 µg) from the liver of Lewis, dwarf,
and GH-treated dwarf rats were hybridized with a
32P-labeled RKBP and ß-actin cDNA probes.
B) KBP mRNA levels were normalized by the mRNA levels of
ß-actin. The white bar represents the control Lewis rat, the black
bar represents the dwarf rat, and the striped box represents the
GH-treated dwarf rat.
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Measurement of KBP in cultured rat hepatocytes
To examine whether GH has a direct effect on KBP expression, we
assayed the conditioned serum-free media from rat hepatocytes that were
cultured for 48 h with rhGH. The result of the 2 day treatment of
rat hepatocytes with rhGH is presented in Fig. 5
. KBP levels in the conditioned media from GH-treated rat hepatocytes
increased significantly compared to that of the control albumin-treated
cells (0.572 ng/ml vs. 0.407 ng/ml, n=4, P <
0.002) (Fig. 5)
. These results are consistent with the in
vivo studies, indicating that GH directly regulates KBP
expression.

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Figure 5. Immunoreactive KBP levels in conditioned media. Media from rat
hepatocytes cultured for 48 h with 500 ng/ml rhGH or albumin were
subjected to an ELISA. KBP levels were expressed as the mean ±
SE. The white bar represents the media from the cells
cultured in the albumin control, n=4; the black bar
represents the media from the cells cultured in GH,
n=4.
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 |
DISCUSSION
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It has been suggested that the tissue kallikreinkinin system may
participate in several pathophysiological processes including
hypertension, diabetes, and allergic responses (21
, 33)
.
KBP binds covalently with tissue kallikrein and inhibits its activities
in vitro (10
, 34)
. In addition, KBP has a
profound effect on the clearance rate of tissue kallikrein in
vivo as KBP prolongs the half-life of kallikrein
(35)
. Therefore, KBP is a potent modulator of tissue
kallikrein activity and bioavailability (12)
. The tissue
kallikreinkinin system participates in the regulation of vascular
function and has been implicated in the diabetic complications of
animal models and patients (36
37
38)
. Our previous studies
showed that an endogenous kallikreinkinin system exists in ocular
tissues (23)
. KBP is decreased in the retina and serum of
the STZ-induced diabetic rat (20)
; kallistatin, the human
counterpart to KBP, is decreased in the vitreous of diabetic patients
(19)
. The decreased level of retinal KBP in diabetes may
allow overproduction of kinin due to increased kininogenase activity of
tissue kallikrein, and thus may contribute to retinal vasodilation.
Moreover, as KBP is an independent vascular regulator
(18)
, the decreased KBP production may be involved in
vascular abnormalities in diabetic retina. The direct cause of the KBP
decrease in STZ-diabetic rats is unknown. The present studies suggest
that the reduced GH may be one of the mechanisms leading to the KBP
reduction in STZ-diabetic rats.
The biological effect of GH is mediated by GH-dependent growth factors,
such as IGF-1. In GH deficiency, these growth factors have been shown
to be decreased (39
, 40)
. The present studies present a
novel observation to show that KBP is decreased in the genetic dwarf
rat and KBP levels are restored by GH treatment. Furthermore, KBP
levels paralleled the animal body weight and IGF-1 levels in the dwarf
rat in response to GH treatment (29)
. Wright and
colleagues found that IGF-1 levels and body weight were reduced in the
dwarf rat, but restored to the level of the control rat after GH
treatment (29)
. These findings support the notion that KBP
may function as a GH-dependent growth factor in addition to acting as a
kallikrein inhibitor. KBP is a major protein in the serum and is
endogenously expressed in the neural retina, suggesting its
physiological significance (12
, 19)
. However, the
physiological function of KBP is uncertain. Previous studies showed
that KBP might have other activities independent of interactions with
the kallikreinkinin system (18)
. The present results
support the role of KBP in retarded animal development resulting from
GH deficiency, which may provide a clue to understand its physiological
significance.
To explore the mechanism for the reduction of KBP in the dwarf rat, we
treated rat hepatocytes, which endogenously express KBP, with GH. Our
results showed that GH increased KBP expression in rat hepatocytes.
This result indicates that decreased KBP may be a direct effect of
reduced growth hormone or a growth-hormone dependent growth factor
produced in the hepatocytes rather than a nonspecific secondary effect
in dwarf rat. Further investigation of the mechanisms underlying the
reduced KBP expression may reveal its significance in GH deficiency and
diabetes. This may lead to beneficial clinical interventions to reverse
this decrease of KBP in these disease processes.
 |
ACKNOWLEDGMENTS
|
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The authors would like to thank the laboratory of Dr. Rosalie K.
Crouch in the Department of Ophthalmology (MUSC) for technical support
and Zhirong Yang in the Department of Biochemistry (MUSC) for
performing ELISA. This work was supported by a grant from Research to
Prevent Blindness and an NIH grant EY12600.
 |
FOOTNOTES
|
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2 Abbreviations: EDTA, ethylenediaminetetraacetic acid; ELISA, enzyme-linked immunoassay; GH, growth hormone; IGF,
insulin-like growth factor; KBP, kallikrein binding protein; PBS, phosphate-buffered saline; rhGH, recombinant human growth hormone;
s.c., subcutaneously; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis; STZ, streptozotocin. 
Received for publication November 30, 1998. Revised for publication May 11, 1999.
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