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IL-17 Signaling in Keratinocytes Orchestrates the Defense against Staphylococcus aureus Skin Infection

  • Sonja Moos
    Affiliations
    Department of Dermatology, Heidelberg University Hospital, Heidelberg, Germany

    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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  • Tommy Regen
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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  • Florian Wanke
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Neuroscience and Rare Diseases (NRD), Discovery and Translational Area, Roche Pharma Research & Early Development (pRED), Roche Innovation Center, Basel, Switzerland
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  • Yizhu Tian
    Affiliations
    Department of Dermatology, Heidelberg University Hospital, Heidelberg, Germany
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  • Lucas T. Arendholz
    Affiliations
    Department of Dermatology, Heidelberg University Hospital, Heidelberg, Germany
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  • Judith Hauptmann
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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  • André P. Heinen
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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  • Lisa Bleul
    Affiliations
    Interfakultäres Institute for Microbiology, Infectious Diseases, Eberhard Karls University, Tübingen, Germany

    Cluster of Excellence EXC 2124 “Controlling Microbes to Fight Infections", Eberhard Karls University, Tübingen, Germany
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  • Katharina Bier
    Affiliations
    Division of Dermatooncology, Department of Dermatology, Eberhard Karls University, Tübingen, Germany
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  • Khalifa El Malki
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Department of Pediatric Hematology/Oncology, Center for Pediatric and Adolescent Medicine, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
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  • Christoph Reinhardt
    Affiliations
    Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    German Center for Cardiovascular Research (DZHK), Partner Site RhineMain, 55131 Mainz, Germany
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  • Immo Prinz
    Affiliations
    Institute of Immunology, Hannover Medical School, Hannover, Germany

    Institute of Systems Immunology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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  • Andreas Diefenbach
    Affiliations
    Institute for Medical Microbiology and Hygiene, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Institute of Microbiology, Infectious Diseases and Immunology, Charite University Medical Center Berlin, Berlin, Germany
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  • Christiane Wolz
    Affiliations
    Interfakultäres Institute for Microbiology, Infectious Diseases, Eberhard Karls University, Tübingen, Germany

    Cluster of Excellence EXC 2124 “Controlling Microbes to Fight Infections", Eberhard Karls University, Tübingen, Germany
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  • Birgit Schittek
    Affiliations
    Division of Dermatooncology, Department of Dermatology, Eberhard Karls University, Tübingen, Germany
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  • Author Footnotes
    16 These authors contributed equally to this work.
    Ari Waisman
    Footnotes
    16 These authors contributed equally to this work.
    Affiliations
    Institute for Molecular Medicine, Paul Klein Center for Immune Intervention, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Focus Program Translational Neurosciences, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Research Center for Immunotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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  • Author Footnotes
    16 These authors contributed equally to this work.
    Florian C. Kurschus
    Correspondence
    Correspondence: Florian C. Kurschus, Department of Dermatology, Heidelberg University Hospital, Im Neuenheimer Feld 440, Heidelberg D-69120, Germany.
    Footnotes
    16 These authors contributed equally to this work.
    Affiliations
    Department of Dermatology, Heidelberg University Hospital, Heidelberg, Germany
    Search for articles by this author
  • Author Footnotes
    16 These authors contributed equally to this work.
Published:February 01, 2023DOI:https://doi.org/10.1016/j.jid.2023.01.016
      Keratinocytes (KCs) form the outer epithelial barrier of the body, protecting against invading pathogens. Mice lacking the IL-17RA or both IL-17A and IL-17F develop spontaneous Staphylococcus aureus skin infections. We found a marked expansion of T17 cells, comprised of RORγt-expressing γδ T cells and T helper 17 cells in the skin-draining lymph nodes of these mice. Contradictory to previous suggestions, this expansion was not a result of a direct negative feedback loop because we found no expansion of T17 cells in mice lacking IL-17 signaling specifically in T cells. Instead, we found that the T17 expansion depended on the microbiota and was observed only when KCs were deficient for IL-17RA signaling. Indeed, mice that lack IL-17RA only in KCs showed an increased susceptibility to experimental epicutaneous infection with S. aureus together with an accumulation of IL-17A−producing γδ T cells. We conclude that deficiency of IL-17RA on KCs leads to microbiota dysbiosis in the skin, which triggers the expansion of IL-17A−producing T cells. Our data show that KCs are the primary target cells of IL-17A and IL-17F, coordinating the defense against microbial invaders in the skin.

      Graphical abstract

      Abbreviations:

      IMQ (imiquimod), KC (keratinocyte), mLN (mesenteric lymph node), pLN (peripheral skin-draining lymph node), Th (T helper)
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      References

        • Angkasekwinai P.
        • Chang S.H.
        • Thapa M.
        • Watarai H.
        • Dong C.
        Regulation of IL-9 expression by IL-25 signaling.
        Nat Immunol. 2010; 11: 250-256
        • Bitschar K.
        • Sauer B.
        • Focken J.
        • Dehmer H.
        • Moos S.
        • Konnerth M.
        • et al.
        Lugdunin amplifies innate immune responses in the skin in synergy with host- and microbiota-derived factors.
        Nat Commun. 2019; 10: 2730
        • Cai Y.
        • Xue F.
        • Fleming C.
        • Yang J.
        • Ding C.
        • Ma Y.
        • et al.
        Differential developmental requirement and peripheral regulation for dermal Vγ4 and Vγ6T17 cells in health and inflammation.
        Nat Commun. 2014; 5: 3986
        • Cho J.S.
        • Guo Y.
        • Ramos R.I.
        • Hebroni F.
        • Plaisier S.B.
        • Xuan C.
        • et al.
        Neutrophil-derived IL-1beta is sufficient for abscess formation in immunity against Staphylococcus aureus in mice.
        PLOS Pathog. 2012; 8e1003047
        • Cho J.S.
        • Pietras E.M.
        • Garcia N.C.
        • Ramos R.I.
        • Farzam D.M.
        • Monroe H.R.
        • et al.
        IL-17 is essential for host defense against cutaneous Staphylococcus aureus infection in mice.
        J Clin Invest. 2010; 120: 1762-1773
        • Chong W.P.
        • Mattapallil M.J.
        • Raychaudhuri K.
        • Bing S.J.
        • Wu S.
        • Zhong Y.
        • et al.
        The cytokine IL-17A limits Th17 pathogenicity via a negative feedback loop driven by autocrine induction of IL-24.
        Immunity. 2020; 53: 384-397.e5
        • Christmann C.
        • Zenker S.
        • Martens L.
        • Hübner J.
        • Loser K.
        • Vogl T.
        • et al.
        Interleukin 17 promotes expression of alarmins S100A8 and S100A9 during the inflammatory response of keratinocytes.
        Front Immunol. 2020; 11: 599947
        • Diefenbach A.
        • Colonna M.
        • Koyasu S.
        Development, differentiation, and diversity of innate lymphoid cells.
        Immunity. 2014; 41: 354-365
        • Dong X.
        • Limjunyawong N.
        • Sypek E.I.
        • Wang G.
        • Ortines R.V.
        • Youn C.
        • et al.
        Keratinocyte-derived defensins activate neutrophil-specific receptors Mrgpra2a/b to prevent skin dysbiosis and bacterial infection.
        Immunity. 2022; 55: 1645-1662.e7
        • El Malki K.
        • Karbach S.H.
        • Huppert J.
        • Zayoud M.
        • Reissig S.
        • Schüler R.
        • et al.
        An alternative pathway of imiquimod-induced psoriasis-like skin inflammation in the absence of interleukin-17 receptor a signaling.
        J Invest Dermatol. 2013; 133: 441-451
        • Fellmann F.
        • Angelini F.
        • Wassenberg J.
        • Perreau M.
        • Arenas Ramirez N.
        • Simon G.
        • et al.
        IL-17 receptor A and adenosine deaminase 2 deficiency in siblings with recurrent infections and chronic inflammation.
        J Allergy Clin Immunol. 2016; 137: 1189-1196.e2
        • Haas J.D.
        • Ravens S.
        • Düber S.
        • Sandrock I.
        • Oberdörfer L.
        • Kashani E.
        • et al.
        Development of interleukin-17-producing γdelta T cells is restricted to a functional embryonic wave.
        Immunity. 2012; 37: 48-59
        • Hartwig T.
        • Pantelyushin S.
        • Croxford A.L.
        • Kulig P.
        • Becher B.
        Dermal IL-17-producing γdelta T cells establish long-lived memory in the skin.
        Eur J Immunol. 2015; 45: 3022-3033
        • Heilig J.S.
        • Tonegawa S.
        Diversity of murine gamma genes and expression in fetal and adult T lymphocytes.
        Nature. 1986; 322: 836-4010
        • Heinen A.P.
        • Wanke F.
        • Moos S.
        • Attig S.
        • Luche H.
        • Pal P.P.
        • et al.
        Improved method to retain cytosolic reporter protein fluorescence while staining for nuclear proteins.
        Cytometry A. 2014; 85: 621-627
        • Ishigame H.
        • Kakuta S.
        • Nagai T.
        • Kadoki M.
        • Nambu A.
        • Komiyama Y.
        • et al.
        Differential roles of interleukin-17A and -17F in host defense against mucoepithelial bacterial infection and allergic responses.
        Immunity. 2009; 30: 108-119
        • Kao C.Y.
        • Huang F.
        • Chen Y.
        • Thai P.
        • Wachi S.
        • Kim C.
        • et al.
        Up-regulation of CC chemokine ligand 20 expression in human airway epithelium by IL-17 through a JAK-independent but MEK/NF-kappaB-dependent signaling pathway.
        J Immunol. 2005; 175: 6676-6685
        • Kiouptsi K.
        • Pontarollo G.
        • Todorov H.
        • Braun J.
        • Jäckel S.
        • Koeck T.
        • et al.
        Germ-free housing conditions do not affect aortic root and aortic arch lesion size of late atherosclerotic low-density lipoprotein receptor-deficient mice.
        Gut Microbes. 2020; 11: 1809-1823
        • Kumar P.
        • Monin L.
        • Castillo P.
        • Elsegeiny W.
        • Horne W.
        • Eddens T.
        • et al.
        Intestinal interleukin-17 receptor signaling mediates reciprocal control of the gut microbiota and autoimmune inflammation.
        Immunity. 2016; 44: 659-671
        • Lakhundi S.
        • Zhang K.
        Methicillin-resistant Staphylococcus aureus: molecular characterization, evolution, and epidemiology.
        Clin Microbiol Rev. 2018; 31 (e00020–18)
        • Lee J.W.
        • Wang P.
        • Kattah M.G.
        • Youssef S.
        • Steinman L.
        • DeFea K.
        • et al.
        Differential regulation of chemokines by IL-17 in colonic epithelial cells.
        J Immunol. 2008; 181: 6536-6545
        • Lévy R.
        • Okada S.
        • Béziat V.
        • Moriya K.
        • Liu C.
        • Chai L.Y.
        • et al.
        Genetic, immunological, and clinical features of patients with bacterial and fungal infections due to inherited IL-17RA deficiency.
        Proc Natl Acad Sci USA. 2016; 113: E8277-E8285
        • Liu H.
        • Archer N.K.
        • Dillen C.A.
        • Wang Y.
        • Ashbaugh A.G.
        • Ortines R.V.
        • et al.
        Staphylococcus aureus epicutaneous exposure drives skin inflammation via IL-36-Mediated T cell responses.
        Cell Host Microbe. 2017; 22: 653-666.e5
        • Luo J.
        • An X.
        • Yao Y.
        • Erb C.
        • Ferguson A.
        • Kolls J.K.
        • et al.
        Epigenetic regulation of IL-17-induced chemokines in lung epithelial cells.
        Mediators Inflamm. 2019; 2019: 9050965
        • Martin B.
        • Hirota K.
        • Cua D.J.
        • Stockinger B.
        • Veldhoen M.
        Interleukin-17-producing gammadelta T cells selectively expand in response to pathogen products and environmental signals.
        Immunity. 2009; 31: 321-330
        • Monin L.
        • Gaffen S.L.
        Interleukin 17 family cytokines: signaling mechanisms, biological activities, and therapeutic implications.
        Cold Spring Harb Perspect Biol. 2018; 10 (a028522)
        • Moos S.
        • Mohebiany A.N.
        • Waisman A.
        • Kurschus F.C.
        Imiquimod-induced psoriasis in mice depends on the IL-17 signaling of keratinocytes.
        J Invest Dermatol. 2019; 139: 1110-1117
        • Mrochen D.M.
        • Grumann D.
        • Schulz D.
        • Gumz J.
        • Trübe P.
        • Pritchett-Corning K.
        • et al.
        Global spread of mouse-adapted Staphylococcus aureus lineages CC1, CC15, and CC88 among mouse breeding facilities.
        Int J Med Microbiol. 2018; 308: 598-606
        • Nagata T.
        • McKinley L.
        • Peschon J.J.
        • Alcorn J.F.
        • Aujla S.J.
        • Kolls J.K.
        Requirement of IL-17RA in Con A induced hepatitis and negative regulation of IL-17 production in mouse T cells.
        J Immunol. 2008; 181: 7473-7479
        • Nakagawa S.
        • Matsumoto M.
        • Katayama Y.
        • Oguma R.
        • Wakabayashi S.
        • Nygaard T.
        • et al.
        Staphylococcus aureus virulent PSMalpha peptides induce keratinocyte alarmin release to orchestrate IL-17-dependent skin inflammation.
        Cell Host Microbe. 2017; 22: 667-677.e5
        • Papini M.
        • Natalini Y.
        Candida infections in psoriatic patients on anti-IL17 therapy: a case series.
        J Dermatolog Treat. 2018; 29: 3-4
        • Planet P.J.
        • Narechania A.
        • Chen L.
        • Mathema B.
        • Boundy S.
        • Archer G.
        • et al.
        Architecture of a species: phylogenomics of Staphylococcus aureus.
        Trends Microbiol. 2017; 25: 153-166
        • Puel A.
        • Cypowyj S.
        • Bustamante J.
        • Wright J.F.
        • Liu L.
        • Lim H.K.
        • et al.
        Chronic mucocutaneous candidiasis in humans with inborn errors of interleukin-17 immunity.
        Science. 2011; 332: 65-68
        • Ramírez-Valle F.
        • Gray E.E.
        • Cyster J.G.
        Inflammation induces dermal Vγ4+ γδT17 memory-like cells that travel to distant skin and accelerate secondary IL-17-driven responses.
        Proc Natl Acad Sci USA. 2015; 112: 8046-8051
        • Regen T.
        • Isaac S.
        • Amorim A.
        • Núñez N.G.
        • Hauptmann J.
        • Shanmugavadivu A.
        • et al.
        IL-17 controls central nervous system autoimmunity through the intestinal microbiome.
        Sci Immunol. 2021; 6 (eaaz6563)
        • Renner E.D.
        • Rylaarsdam S.
        • Anover-Sombke S.
        • Rack A.L.
        • Reichenbach J.
        • Carey J.C.
        • et al.
        Novel signal transducer and activator of transcription 3 (STAT3) mutations, reduced T(H)17 cell numbers, and variably defective STAT3 phosphorylation in hyper-IgE syndrome.
        J Allergy Clin Immunol. 2008; 122: 181-187
        • Rodríguez-Cerdeira C.
        • González-Cespón J.L.
        • Martínez-Herrera E.
        • Carnero-Gregorio M.
        • López-Barcenas A.
        • Sergeev A.
        • et al.
        Candida infections in patients with psoriasis and psoriatic arthritis treated with interleukin-17 inhibitors and their practical management.
        Ital J Dermatol Venerol. 2021; 156: 545-557
        • Saunte D.M.
        • Mrowietz U.
        • Puig L.
        • Zachariae C.
        Candida infections in patients with psoriasis and psoriatic arthritis treated with interleukin-17 inhibitors and their practical management.
        Br J Dermatol. 2017; 177: 47-62
        • Schwarzenberger P.
        • Kolls J.K.
        Interleukin 17: an example for gene therapy as a tool to study cytokine mediated regulation of hematopoiesis.
        J Cell Biochem Suppl. 2002; 38: 88-95
        • Smith E.
        • Stark M.A.
        • Zarbock A.
        • Burcin T.L.
        • Bruce A.C.
        • Vaswani D.
        • et al.
        IL-17A inhibits the expansion of IL-17A-producing T cells in mice through "short-loop" inhibition via IL-17 receptor.
        J Immunol. 2008; 181: 1357-1364
        • Taylor P.R.
        • Roy S.
        • Leal Jr., S.M.
        • Sun Y.
        • Howell S.J.
        • Cobb B.A.
        • et al.
        Activation of neutrophils by autocrine IL-17A-IL-17RC interactions during fungal infection is regulated by IL-6, IL-23, RORγt and dectin-2.
        Nat Immunol. 2014; 15: 143-151
        • van de Veerdonk F.L.
        • Plantinga T.S.
        • Hoischen A.
        • Smeekens S.P.
        • Joosten L.A.
        • Gilissen C.
        • et al.
        STAT1 mutations in autosomal dominant chronic mucocutaneous candidiasis.
        N Engl J Med. 2011; 365: 54-61
        • Wanke F.
        • Tang Y.
        • Gronke K.
        • Klebow S.
        • Moos S.
        • Hauptmann J.
        • et al.
        Expression of IL-17F is associated with non-pathogenic Th17 cells.
        J Mol Med (Berl). 2018; 96: 819-829
        • Wanke I.
        • Skabytska Y.
        • Kraft B.
        • Peschel A.
        • Biedermann T.
        • Schittek B.
        Staphylococcus aureus skin colonization is promoted by barrier disruption and leads to local inflammation.
        Exp Dermatol. 2013; 22: 153-155
        • Wohn C.
        • Ober-Blöbaum J.L.
        • Haak S.
        • Pantelyushin S.
        • Cheong C.
        • Zahner S.P.
        • et al.
        Langerin(neg) conventional dendritic cells produce IL-23 to drive psoriatic plaque formation in mice.
        Proc Natl Acad Sci USA. 2013; 110: 10723-10728
        • Yao Z.
        • Fanslow W.C.
        • Seldin M.F.
        • Rousseau A.M.
        • Painter S.L.
        • Comeau M.R.
        • et al.
        Herpesvirus Saimiri encodes a new cytokine, IL-17, which binds to a novel cytokine receptor.
        Immunity. 1995; 3: 811-821
        • Ye P.
        • Rodriguez F.H.
        • Kanaly S.
        • Stocking K.L.
        • Schurr J.
        • Schwarzenberger P.
        • et al.
        Requirement of interleukin 17 receptor signaling for lung CXC chemokine and granulocyte colony-stimulating factor expression, neutrophil recruitment, and host defense.
        J Exp Med. 2001; 194: 519-527

      Supplementary References

        • Adhikari R.P.
        • Arvidson S.
        • Novick R.P.
        A nonsense mutation in agrA accounts for the defect in agr expression and the avirulence of Staphylococcus aureus 8325–4 traP::kan.
        Infect Immun. 2007; 75: 4534-4540
        • Clausen B.E.
        • Burkhardt C.
        • Reith W.
        • Renkawitz R.
        • Förster I.
        Conditional gene targeting in macrophages and granulocytes using LysMcre mice.
        Transgenic Res. 1999; 8: 265-277
        • Eberl G.
        • Littman D.R.
        Thymic origin of intestinal alphabeta T cells revealed by fate mapping of RORgammat+ cells.
        Science. 2004; 305: 248-251
        • El Malki K.
        • Karbach S.H.
        • Huppert J.
        • Zayoud M.
        • Reissig S.
        • Schüler R.
        • et al.
        An alternative pathway of imiquimod-induced psoriasis-like skin inflammation in the absence of interleukin-17 receptor a signaling.
        J Invest Dermatol. 2013; 133: 441-451
        • Enright M.C.
        • Day N.P.
        • Davies C.E.
        • Peacock S.J.
        • Spratt B.G.
        Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus.
        J Clin Microbiol. 2000; 38: 1008-1015
        • Geisinger E.
        • Chen J.
        • Novick R.P.
        Allele-dependent differences in quorum-sensing dynamics result in variant expression of virulence genes in Staphylococcus aureus.
        J Bacteriol. 2012; 194: 2854-2864
        • Haas J.D.
        • Ravens S.
        • Düber S.
        • Sandrock I.
        • Oberdörfer L.
        • Kashani E.
        • et al.
        Development of interleukin-17-producing γδ T cells is restricted to a functional embryonic wave.
        Immunity. 2012; 37: 48-59
        • Hafner M.
        • Wenk J.
        • Nenci A.
        • Pasparakis M.
        • Scharffetter-Kochanek K.
        • Smyth N.
        • et al.
        Keratin 14 Cre transgenic mice authenticate keratin 14 as an oocyte-expressed protein.
        Genesis. 2004; 38: 176-181
        • Lee J.W.
        • Wang P.
        • Kattah M.G.
        • Youssef S.
        • Steinman L.
        • DeFea K.
        • et al.
        Differential regulation of chemokines by IL-17 in colonic epithelial cells.
        J Immunol. 2008; 181: 6536-6545
        • Moos S.
        • Mohebiany A.N.
        • Waisman A.
        • Kurschus F.C.
        Imiquimod-induced psoriasis in mice depends on the IL-17 signaling of keratinocytes.
        J Invest Dermatol. 2019; 139: 1110-1117
        • Schwenk F.
        • Baron U.
        • Rajewsky K.
        A cre-transgenic mouse strain for the ubiquitous deletion of loxP-flanked gene segments including deletion in germ cells.
        Nucleic Acids Res. 1995; 23: 5080-5081