FASEB J.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


FJ EXPRESS SUMMARY ARTICLE
The
Full-length version of this article is also available, published online May 5, 2005 as doi:10.1096/fj.04-3144fje.
Published as doi: 10.1096/fj.04-3144fje.
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
19/9/1146
04-3144fjev1    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jørgensen, S. B.
Right arrow Articles by Pilegaard, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jørgensen, S. B.
Right arrow Articles by Pilegaard, H.
(The FASEB Journal. 2005;19:1146-1148.)
© 2005 FASEB

Effects of {alpha}-AMPK knockout on exercise-induced gene activation in mouse skeletal muscle

Sebastian B. Jørgensen*,1, Jørgen F. P. Wojtaszewski*, Benoit Viollet{dagger}, Fabrizio Andreelli{dagger}, Jesper B. Birk*, Ylva Hellsten*, Peter Schjerling{ddagger}, Sophie Vaulont{dagger}, P. Darrell Neufer§, Erik A. Richter* and Henriette Pilegaard||

* Copenhagen Muscle Research Centre, Department of Human Physiology, Institute of Exercise and Sport Sciences, University of Copenhagen, Copenhagen, Denmark;
{dagger} Institut Cochin, INSERM, CNRS, Rene Descartes University, Department of Genetic, Development and Molecular Pathology, Paris, France;
{ddagger} Copenhagen Muscle Research Centre, Department for Molecular Muscle Biology, Rigshospitalet, Copenhagen, Denmark;
§ The John B. Pierce Laboratory, Department of Cellular and Molecular Physiology, Yale University, New Haven, Connecticut, USA; and
|| Copenhagen Muscle Research Centre, University of Copenhagen, Copenhagen, Denmark

1 Correspondence: Copenhagen Muscle Research Centre, Dept. of Human Physiology, Inst. of Exercise and Sport Sciences, 13-Universitetsparken. University of Copenhagen, Copenhagen 2100, Denmark. E-mail: sbjorgensen{at}ifi.ku.dk

SPECIFIC AIMS

The aim of the study was to investigate whether the exercise-induced activation of genes encoding metabolic proteins was reduced when the principal catalytic isoform ({alpha}2) of AMPK in muscle was knocked out. Selected data were also collected in mice in which the {alpha}1-AMPK subunit was knocked out. Because evidence indicates that AMPK may be important in regulating the energy balance in exercising muscle, adenine nucleotide levels were measured. Mice were exercised 1.5 h by treadmill running and hindlimb muscles were removed from whole-body {alpha}1 or {alpha}2-AMPK knockout (KO) or wild-type (WT) mice either at rest or 0, 1, or 3 h after running. In an additional experiment, WT and {alpha}2-AMPK KO mice were injected with saline or AICAR and muscles were removed 6.5 h after injection to investigate the role of {alpha}2-AMPK in gene activation in resting muscles. AMPK kinase activity was measured in vitro and by phosphorylation of {alpha}-AMPK thr172 and ACCß ser227. Gene transcription was measured by a RT-PCR based nuclear run-on technique and mRNA content by RT-PCR using real time PCR. Adenine nucleotides were measured by HPLC in extracts from freeze dried muscles.

PRINCIPAL FINDINGS

1. AMPK activity was markedly reduced both at rest and during exercise in {alpha}2-AMPK knockout muscles
Judged from {alpha}-AMPK phosphorylation, exercise increased (P<0.05, main effect) AMPK activity in both {alpha}2-WT (240%) and {alpha}2-KO (510%) quadriceps muscles, confirming that AMPK was activated during treadmill running. When the {alpha}2-isoform was lacking, AMPK phosphorylation was reduced on average by 69% (P<0.05, main effect) at rest, during running, and in recovery but still displayed the same relative response to exercise. Phosphorylation of the AMPK substrate ACCß showed essentially the same pattern (P<0.05, main effect). This was seen although the remaining {alpha}1-protein content increased (67%, P<0.05). Despite the increased {alpha}1-AMPK protein expression, the {alpha}1-AMPK activity was increased (P<0.05, main effect) to the same extent in {alpha}2-WT (226%) and {alpha}2-KO (256%) muscles in response to running. The {alpha}2-AMPK activity in {alpha}2-WT muscles increased (180%, P<0.05) in response to running. In {alpha}1-AMPK KO muscles, the increase in AMPK-P and ACCß-P during running was similar to the increase in WT muscles. The markedly decreased phosphorylation of AMPK and ACCß in {alpha}2-AMPK KO muscles shows that the {alpha}2-AMPK isoform is the main donor of AMPK activity in exercising mouse skeletal muscle in vivo.

2. Gene transcription was reduced in {alpha}2-AMPK knockout muscles
Exercise increased (P<0.05, main effect) HKII gene transcription similarly in {alpha}2-WT (119%) and in {alpha}2-KO (204%) muscles, and PGC-1{alpha} transcription tended (P=0.08) to increase in {alpha}2-WT (203%) and {alpha}2-KO (512%) muscles 1 h after treadmill running with no difference between the genotypes (Fig. 1 ). The {alpha}2-knockout was associated with a reduction (P<0.05, main effects) in transcriptional activity of PGC-1{alpha} (66%) and UCP3 (58%), whereas HKII transcription tended (44%, P=0.08) to be decreased (Fig. 1) . This novel finding indicates that AMPK plays a role in regulating basal transcription of genes encoding metabolic enzymes in skeletal muscles.



View larger version (20K):
[in this window]
[in a new window]
 
Figure 1. Transcriptional activity of PGC-1{alpha} (A), HKII (B), and UCP3 (C) genes in gastrocnemius muscle of {alpha}2-WT and {alpha}2-KO mice at rest, immediately after exercise and at 1h and 3h of recovery. *Main effect: {alpha}2-KO groups significantly different from {alpha}2-WT groups (P<0.05). {dagger}Significantly different from nonexercised group (P<0.05, main effect). Data are presented as geometric means with confidence intervals, n = 8–10.

3. The {alpha}2-AMPK knockout did not reduce the exercise-induced increases in mRNA but abolished AICAR-induced increases in PGC-1{alpha} and HKI mRNA in muscle
Treadmill running increased (P<0.05, main effects) the mRNA content of PGC-1{alpha} (~300–500%), FOXO1 (~50-200%), HKII (~40-70%), and PDK4 (~80-140%) after 1 h and 3 h of recovery, and FOXO1 mRNA was also increased during exercise. These exercise-induced mRNA responses were, however, similar in both {alpha}2-WT and {alpha}2-KO muscles (Fig. 2 ), indicating that {alpha}2-AMPK is not essential for the exercise-induced increase in mRNA of the investigated metabolic genes. Exercise-induced increases of mRNA coding for the four proteins mentioned above were also unaffected by knockout of the {alpha}1-AMPK subunit. The CPT1 mRNA content was reduced (26%, P<0.05, main effect) in {alpha}2-KO muscle at all time points compared with {alpha}2-WT muscles, indicating that AMPK is involved in regulating the basal expression of this mitochondrial protein. When AICAR was injected subcutaneously increases (P<0.05) in mRNA content of PGC-1{alpha} (164%) and HKII (539%) occurred in {alpha}2-WT muscles compared with saline controls but the AICAR response was abolished in {alpha}2-KO muscles. In response to AICAR, FOXO1 (~90%-100%), PDK4 (~300%-500%), and UCP3 (~50%-100%) mRNA content were all increased (P<0.05, main effects) in both {alpha}2-WT and {alpha}2-KO muscles compared with the saline group. This indicates that the {alpha}2-isoform is indispensable for AICAR-induced increases in PGC-1{alpha} and HKII mRNA but not for FOXO1, PDK4 and UCP3 mRNA.



View larger version (34K):
[in this window]
[in a new window]
 
Figure 2. PGC-1{alpha} (A), FOXO1 (B), HKII (C), and PDK4 (D) mRNA content in quadriceps muscle of {alpha}2-WT and {alpha}2-KO mice at rest, immediately after exercise and at 1h and 3h of recovery. {dagger}Significantly different from nonexercised group (P<0.05, main effect). Data are presented as geometric means with confidence interval, n = 8–10.

4. The {alpha}2-knockout was associated with a decreased ATP content and increased IMP content during exercise
Muscle content of ATP, ADP, AMP, and inosine monophosphate (IMP) was measured to evaluate the metabolic stress induced by treadmill running and the impact of the {alpha}2-knockout on nucleotide balance. A notable finding was that the exercise bout induced a transient reduction (22%, P<0.05) in ATP content only in {alpha}2-KO muscles while the ATP content in {alpha}2-WT muscles was unaffected. Another observation was that the lack of the {alpha}2-isoform was associated with a lower (12%, P<0.05) ATP content in both nonexercising and recovering muscles. The ATP reduction in KO muscles during exercise (P<0.05) was paralleled with a dramatic increase (P<0.05) of the AMP deamination product IMP. IMP was raised by 28.1-fold above the detection limit (0.2 µmol g-1 d.w.) during exercise only in the {alpha}2-KO muscles, while no IMP was detected in {alpha}2-WT muscles at any time.

CONCLUSIONS AND SIGNIFICANCE

The observations that AMPK is activated in skeletal muscle during exercise and that pharmacological activation of AMPK is associated with increases in mRNA content of exercise-responsive enzymes suggest that AMPK is a likely candidate involved in transmitting an exercise signal to the nucleus of the muscle fiber. The genes investigated in the present study have all previously been demonstrated to be activated in response to exercise in human and/or rodent skeletal muscle. In the present study knockout of the {alpha}1- or {alpha}2-AMPK isoform had no effect on the exercise-induced increases in transcription or mRNA content of PGC-1{alpha}, HKII, PDK4, and FOXO1 observed in WT mice, providing evidence that neither {alpha}1- nor {alpha}2-AMPK activation is essential for the acute responses of these genes to exercise. In resting muscle, previous studies have shown that chronic activation of AMPK with AICAR or ß-GPA activates several genes (GLUT4, UCP3, PGC-1{alpha}, and HKII). In the present study we show that the {alpha}2-isoform is solely responsible for activation of the PGC-1{alpha} and HKII gene in response to AICAR. While these findings collectively illustrate that stimulating AMPK activity in resting muscle can activate genes, our data also demonstrate that neither {alpha}1- nor {alpha}2-AMPK is mandatory for exercise-induced activation of several metabolic genes. The reason for the different results in resting and exercising muscles may be explained by additional signaling induced by exercise (e.g., a calcium- or MAPK-dependent signaling) (Fig. 3 ).



View larger version (25K):
[in this window]
[in a new window]
 
Figure 3. Schematic illustration of a suggested role of AMPK in regulating gene activation and energy homeostasis in resting and exercising muscle. AMPK does not seem to be mandatory for exercise-induced gene responses in skeletal muscle, suggesting that alternative mechanisms are operative. However, AMPK appears to be important in the regulation of gene transcription in resting muscle and for energy homeostasis during exercise.

The {alpha}2-knockout was associated with a reduced transcription of PGC-1{alpha}, HKII, and UCP3 both at rest and after exercise. This is a novel finding and may, in contrast to previous beliefs, indicate that AMPK is more important in resting than exercising muscles in mediating gene activation. The finding that the {alpha}2-knockout decreased gene transcription was not followed by a decreased mRNA content suggests that AMPK also influences mRNA stability, maybe via its interactions with the mRNA stabilizing protein HuR.

Several studies suggest that AMPK is of potential importance in regulating muscle metabolism during and after exercise. In the present study, the {alpha}2-KO muscles had a lower resting ATP content which was even further reduced during running while {alpha}2-WT ATP content was maintained at resting levels. The observed reduction of ATP content in {alpha}2-KO muscles during running indicates that {alpha}2-KO muscles had a reduced capacity to rephosphorylate ATP during exercise. The finding of a substantial increase in IMP content during exercise only in {alpha}2-KO muscle supports the notion that {alpha}2-KO muscles were more metabolically stressed than {alpha}2-WT muscles during exercise.

FOOTNOTES

To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.04-3144fje; doi: 10.1096/fj.04-3144fje




This article has been cited by other articles:


Home page
J. Appl. Physiol.Home page
G. K. McConell, A. Manimmanakorn, R. S. Lee-Young, B. E. Kemp, K. C. Linden, and G. D. Wadley
Differential attenuation of AMPK activation during acute exercise following exercise training or AICAR treatment
J Appl Physiol, November 1, 2008; 105(5): 1422 - 1427.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
E. Vieira, E. C. Nilsson, A. Nerstedt, M. Ormestad, Y. C. Long, P. M. Garcia-Roves, J. R. Zierath, and M. Mahlapuu
Relationship between AMPK and the transcriptional balance of clock-related genes in skeletal muscle
Am J Physiol Endocrinol Metab, November 1, 2008; 295(5): E1032 - E1037.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
A. S. Mathai, A. Bonen, C. R. Benton, D. L. Robinson, and T. E. Graham
Rapid exercise-induced changes in PGC-1{alpha} mRNA and protein in human skeletal muscle
J Appl Physiol, October 1, 2008; 105(4): 1098 - 1105.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
Y. C. Long and J. R. Zierath
Influence of AMP-activated protein kinase and calcineurin on metabolic networks in skeletal muscle
Am J Physiol Endocrinol Metab, September 1, 2008; 295(3): E545 - E552.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
K. E. Pandke, K. L. Mullen, L. A. Snook, A. Bonen, and D. J. Dyck
Decreasing intramuscular phosphagen content simultaneously increases plasma membrane FAT/CD36 and GLUT4 transporter abundance
Am J Physiol Regulatory Integrative Comp Physiol, September 1, 2008; 295(3): R806 - R813.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
J. A. Calvo, T. G. Daniels, X. Wang, A. Paul, J. Lin, B. M. Spiegelman, S. C. Stevenson, and S. M. Rangwala
Muscle-specific expression of PPAR{gamma} coactivator-1{alpha} improves exercise performance and increases peak oxygen uptake
J Appl Physiol, May 1, 2008; 104(5): 1304 - 1312.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
S. L. McGee, K. J. Mustard, D. G. Hardie, and K. Baar
Normal hypertrophy accompanied by phosphoryation and activation of AMP-activated protein kinase {alpha}1 following overload in LKB1 knockout mice
J. Physiol., March 15, 2008; 586(6): 1731 - 1741.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
D. M. Thomson, S. T. Herway, N. Fillmore, H. Kim, J. D. Brown, J. R. Barrow, and W. W. Winder
AMP-activated protein kinase phosphorylates transcription factors of the CREB family
J Appl Physiol, February 1, 2008; 104(2): 429 - 438.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
L. Leick, J. F. P. Wojtaszewski, S. T. Johansen, K. Kiilerich, G. Comes, Y. Hellsten, J. Hidalgo, and H. Pilegaard
PGC-1{alpha} is not mandatory for exercise- and training-induced adaptive gene responses in mouse skeletal muscle
Am J Physiol Endocrinol Metab, February 1, 2008; 294(2): E463 - E474.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
P. Philip-Couderc, N. I. Tavares, A. Roatti, R. Lerch, C. Montessuit, and A. J. Baertschi
Forkhead Transcription Factors Coordinate Expression of Myocardial KATP Channel Subunits and Energy Metabolism
Circ. Res., February 1, 2008; 102(2): e20 - e35.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
O. H. Mortensen, P. Plomgaard, C. P. Fischer, A. K. Hansen, H. Pilegaard, and B. K. Pedersen
PGC-1beta is downregulated by training in human skeletal muscle: no effect of training twice every second day vs. once daily on expression of the PGC-1 family
J Appl Physiol, November 1, 2007; 103(5): 1536 - 1542.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
A. Nedergaard, K. Vissing, K. Overgaard, M. Kjaer, and P. Schjerling
Expression patterns of atrogenic and ubiquitin proteasome component genes with exercise: effect of different loading patterns and repeated exercise bouts
J Appl Physiol, November 1, 2007; 103(5): 1513 - 1522.
[Abstract] [Full Text] [PDF]


Home page
FASEB J.Home page
Pieter de Lange, M. Moreno, E. Silvestri, A. Lombardi, F. Goglia, and A. Lanni
Fuel economy in food-deprived skeletal muscle: signaling pathways and regulatory mechanisms
FASEB J, November 1, 2007; 21(13): 3431 - 3441.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
S. D. Mason, H. Rundqvist, I. Papandreou, R. Duh, W. J. McNulty, R. A. Howlett, I. M. Olfert, C. J. Sundberg, N. C. Denko, L. Poellinger, et al.
HIF-1{alpha} in endurance training: suppression of oxidative metabolism
Am J Physiol Regulatory Integrative Comp Physiol, November 1, 2007; 293(5): R2059 - R2069.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
A. J. Rose, C. Frosig, B. Kiens, J. F. P. Wojtaszewski, and E. A. Richter
Effect of endurance exercise training on Ca2+ calmodulin-dependent protein kinase II expression and signalling in skeletal muscle of humans
J. Physiol., September 1, 2007; 583(2): 785 - 795.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
S. Jager, C. Handschin, J. St.-Pierre, and B. M. Spiegelman
AMP-activated protein kinase (AMPK) action in skeletal muscle via direct phosphorylation of PGC-1{alpha}
PNAS, July 17, 2007; 104(29): 12017 - 12022.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
T. E. Jensen, A. J. Rose, Y. Hellsten, J. F. P. Wojtaszewski, and E. A. Richter
Caffeine-induced Ca2+ release increases AMPK-dependent glucose uptake in rodent soleus muscle
Am J Physiol Endocrinol Metab, July 1, 2007; 293(1): E286 - E292.
[Abstract] [Full Text] [PDF]


Home page
DiabetesHome page
A. Sriwijitkamol, D. K. Coletta, E. Wajcberg, G. B. Balbontin, S. M. Reyna, J. Barrientes, P. A. Eagan, C. P. Jenkinson, E. Cersosimo, R. A. DeFronzo, et al.
Effect of Acute Exercise on AMPK Signaling in Skeletal Muscle of Subjects With Type 2 Diabetes: A Time-Course and Dose-Response Study
Diabetes, March 1, 2007; 56(3): 836 - 848.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
J. T. Treebak, J. B. Birk, A. J. Rose, B. Kiens, E. A. Richter, and J. F. P. Wojtaszewski
AS160 phosphorylation is associated with activation of {alpha}2beta2{gamma}1- but not {alpha}2beta2{gamma}3-AMPK trimeric complex in skeletal muscle during exercise in humans
Am J Physiol Endocrinol Metab, March 1, 2007; 292(3): E715 - E722.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
D. Freyssenet
Energy sensing and regulation of gene expression in skeletal muscle
J Appl Physiol, February 1, 2007; 102(2): 529 - 540.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
S. B. Jorgensen, J. T. Treebak, B. Viollet, P. Schjerling, S. Vaulont, J. F. P. Wojtaszewski, and E. A. Richter
Role of AMPK{alpha}2 in basal, training-, and AICAR-induced GLUT4, hexokinase II, and mitochondrial protein expression in mouse muscle
Am J Physiol Endocrinol Metab, January 1, 2007; 292(1): E331 - E339.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
H.-J. Koh, D. E. Arnolds, N. Fujii, T. T. Tran, M. J. Rogers, N. Jessen, Y. Li, C. W. Liew, R. C. Ho, M. F. Hirshman, et al.
Skeletal Muscle-Selective Knockout of LKB1 Increases Insulin Sensitivity, Improves Glucose Homeostasis, and Decreases TRB3
Mol. Cell. Biol., November 15, 2006; 26(22): 8217 - 8227.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
S. B. Jorgensen, E. A. Richter, and J. F. P. Wojtaszewski
Role of AMPK in skeletal muscle metabolic regulation and adaptation in relation to exercise
J. Physiol., July 1, 2006; 574(1): 17 - 31.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
R. M. Reznick and G. I. Shulman
The role of AMP-activated protein kinase in mitochondrial biogenesis
J. Physiol., July 1, 2006; 574(1): 33 - 39.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Biol.Home page
D. A. Hood, I. Irrcher, V. Ljubicic, and A.-M. Joseph
Coordination of metabolic plasticity in skeletal muscle
J. Exp. Biol., June 15, 2006; 209(12): 2265 - 2275.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
A. Sriwijitkamol, J. L. Ivy, C. Christ-Roberts, R. A. DeFronzo, L. J. Mandarino, and N. Musi
LKB1-AMPK signaling in muscle from obese insulin-resistant Zucker rats and effects of training
Am J Physiol Endocrinol Metab, May 1, 2006; 290(5): E925 - E932.
[Abstract] [Full Text] [PDF]


Home page
PhysiologyHome page
D. G. Hardie and K. Sakamoto
AMPK: A Key Sensor of Fuel and Energy Status in Skeletal Muscle
Physiology, February 1, 2006; 21(1): 48 - 60.
[Abstract] [Full Text] [PDF]


Home page
J. Gerontol. A Biol. Sci. Med. Sci.Home page
J. C. Corton and H. M. Brown-Borg
Peroxisome Proliferator-Activated Receptor {gamma} Coactivator 1 in Caloric Restriction and Other Models of Longevity
J. Gerontol. A Biol. Sci. Med. Sci., December 1, 2005; 60(12): 1494 - 1509.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
19/9/1146
04-3144fjev1    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jørgensen, S. B.
Right arrow Articles by Pilegaard, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jørgensen, S. B.
Right arrow Articles by Pilegaard, H.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS