The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 9 3322-3327
Copyright © 1999 by The Endocrine Society
Similar and Divergent Patterns in the Regulation of Matrix Metalloproteinase-1 (MMP-1) and Tissue Inhibitor of MMP-1 Gene Expression in Benign and Malignant Human Thyroid Cells1
S. Korem,
M. B. Resnick and
Z. Kraiem
Endocrine Research Unit (S.K., Z.K.), and Department of
Pathology (M.B.R.), Carmel Medical Center and Faculty of Medicine
(S.K., M.B.R., Z.K.), Technion, Haifa 34362, Israel
Address all correspondence and requests for reprints to: Z. Kraiem, Ph.D., Endocrine Research Unit, Carmel Medical Center, 7 Michal Street, Haifa 34362, Israel. E-mail: zkraiem{at}tx.technion.ac.il
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Abstract
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An imbalance between the activity of matrix metalloproteinases (MMPs)
(proteolytic enzymes that degrade protein components of the
extracellular matrix) and their inhibitors, the tissue inhibitors of
metalloproteinases (TIMPs), may be one of the mechanisms responsible
for tumor cell invasion. We have investigated the regulation of MMP-1
and TIMP-1 gene expression in benign and malignant (follicular,
anaplastic, and papillary) human thyroid cells. As expected of cells
with invasive potential, detectable MMP-1 messenger RNA (mRNA) levels
were observed in malignant cells under basal conditions, in contrast to
undetectable levels in benign cells. Exposure of these cells, for
1 h, to the active phorbol ester, phorbol 12-myristate 13-acetate
(TPA, 100 nmol/L), acting via protein kinase C (PKC), elicited an
increase in MMP-1 mRNA, with a peak stimulation after a 3- to 4-h
culture period. Epidermal growth factor (EGF, 25 ng/mL), however,
acting via protein tyrosine kinase (PTK), stimulated such gene
expression in malignant cells but failed to do so in benign cells.
TIMP-1 mRNA was not significantly altered by the TPA-PKC, EGF-PTK, or
TSH-protein kinase A (PKA) pathways in malignant cells. In benign
cells, however, TPA induced a small, though significant, increase in
TIMP-1. The MMP-1 stimulation by EGF and lack of TPA-induced rise in
TIMP-1 in malignant cells, in sharp contrast to the effects obtained in
benign thyrocytes, seems to indicate that the MMP:TIMP balance favors a
more extensive extracellular matrix protein breakdown by malignant
thyrocytes, as expected of cells exhibiting invasive capacity. TSH
(10500 µU/mL) failed to significantly influence basal MMP-1 or
TIMP-1 mRNA levels, but it caused a dose-dependent inhibition in TPA-
and EGF-induced MMP-1 mRNA in malignant cells, and TPA-stimulated MMP-1
and TIMP-1 in benign cells. The repressive action of TSH on MMP-1 mRNA
was mimicked by forskolin and 8-bromo-cAMP and was abrogated by the PKA
inhibitor, H-89, suggesting that the TSH inhibitory action is
PKA-mediated.
In conclusion, the present study provides novel data on MMP-1 and
TIMP-1 gene expression and their modulation by the major signal
transduction pathways operating in human thyroid cells. Similar and
divergent patterns have emerged in the regulation of such gene
expression in benign and malignant human thyrocytes, in many instances
in accord with the concept of MMP playing the role of stimulating, and
TIMP inhibiting, cell invasion. Although MMP-1 may be just one of the
many factors responsible for tumor cell invasion, the present findings
demonstrating the possibility, at least in vitro, of
repressing MMP gene expression may have important clinical
ramifications.
 |
Introduction
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THE MATRIX metalloproteinases (MMPs) are a
family of proteolytic enzymes that degrade protein components of the
extracellular matrix. Normal physiological processes involving tissue
remodeling, such as morphogenesis and angiogenesis, as well as a number
of pathological conditions whose pathogenesis involves matrix
degradation, such as arthritis and tumor invasion, are believed to
result from an imbalance between the activity of these proteinases and
their inhibitors, the tissue inhibitors of metalloproteinases (TIMPs)
(reviewed in Refs. 1, 2). The enhanced proteolytic activity
associated with tumor spread (local invasion and metastasis) could be
the result of increased MMP activity and/or the consequence of reduced
activity of their inhibitors (TIMPs). MMPs may thus function as
metastasis-promoting proteins that induce tumor cell invasion,
whereas TIMPs may act as metastasis-suppressing proteins.
Expression of the MMP-1 gene is activated by the transcription factor
AP-1 (3). AP-1 is a dimer whose subunits consist of the protein
products encoded by the jun and fos gene family.
We have previously reported that the major signal transduction pathways
regulating human thyroid function and growth, the protein kinase A, C,
and tyrosine kinase (PKA, PKC, and PTK) cascades exhibit antagonistic
interactions with regard to c-jun and c-fos gene
expression in human thyroid cells (4). TSH, acting via cAMP-PKA,
inhibited c-jun and c-fos gene expression induced
by either phorbol 12-myristate 13-acetate (TPA), acting via PKC, or
epidermal growth factor (EGF), acting via tyrosine kinase, in human
thyroid cells (4). Because, as mentioned above, c-jun and
c-fos dimer products (i.e. AP-1) activate MMP-1
gene expression, it was logical to test whether the antagonistic
interactions between the pathways noted above would also be reflected
in the expression of the MMP gene in these cells. Because MMP activity
is mainly regulated at the level of gene transcription and interaction
with specific inhibitors (TIMPs), we investigated MMP-1 and TIMP-1 gene
expression under the influence of the above three pathways in benign
and malignant human thyroid cells.
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Materials and Methods
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Cell culture
The method of preparation of benign human thyroid cells from
tissue obtained at thyroidectomy from patients with benign colloid
nodules, has been previously described in detail (5, 6). Regarding the
malignant cells, the following well-established and extensively studied
human thyroid carcinoma cell lines, kindly provided by Dr. G.
J. F. Juillard (University of California at Los Angeles, Los
Angeles, CA), were used: MRO 871 (follicular), ARO 811
(anaplastic), and NPA (papillary). These cell lines have TSH receptors
but may have postreceptor defects (7). For individual experiments, the
benign or malignant cells were plated onto Petri dishes in RPMI-1640
medium and 10% FCS. The following day, the medium was replaced with
serum-free medium (RPMI-1640 and 0.3% BSA) and cultured for an
additional 2 days, at the end of which, medium was replaced with
serum-free medium (RPMI-1640 and 0.3% BSA) containing the test agent
(e.g. TPA, EGF, TSH). Control consisted of serum-free medium
alone.
RNA isolation and analysis
The method for determination, by Northern blot of messenger RNA
(mRNA) MMP-1 and TIMP-1 levels in cultured human thyrocytes, was the
same as we previously reported for c-jun and
c-fos mRNA in the same cells (4). Total RNA was extracted
from thyroid cells with Tri-reagent. The RNA samples were denatured by
heating at 65 C for 15 min in 2 mol/L formaldehyde-50% formamide and
fractionated by electrophoresis (15 µg/lane) in 1% agarose gel
containing 0.66 mol/L formaldehyde and 3-(N-morpholino)propane-sulfonic
acid buffer. After separation, the RNA was transferred to
blotting membrane. MMP-1 and TIMP-1 mRNA were detected by hybridization
with oligonucleotide probes 5'-end-labeled with 32P,
autoradiographed at -70 C, and quantitated by densitometry. The
densitometric values were normalized to those for
glyceraldehyde-3-phosphate dehydrogenase (GAPDH). Probing, stripping,
and reprobing of MMP-1, TIMP-1, and GAPDH were performed on the same
membrane.
Each experiment was repeated at least three times using, in case of
benign cells, preparations obtained from separate patients for each
experiment. The mRNA data shown in the figures and in the text are
GAPDH-normalized. Statistical analysis of the data was performed using
Students t test when two treatments were compared and
ANOVA when more than two treatments were evaluated (e.g.
dose-dependent responses). P < 0.05 was considered
significant.
Materials
Materials needed for cell culture and all agents used were
obtained as described previously (5, 6). For RNA isolation and
analysis, the following sources were used: Tri-reagent from
Molecular Research Center, Inc. (Cincinnati, OH); blotting
membranes from Sartorius (Gottingen, Germany); MMP-1 and GAPDH
oligonucleotide probes from Oncogene Science, Inc.
(Cambridge, MA) and TIMP-1 oligonucleotide probe from Biognostik
(Gottingen, Germany). All other materials were from Sigma Chemical Co. (St. Louis, MO).
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Results
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Time-dependent stimulation of MMP-1 mRNA by TPA and EGF showed a
peak, after 34 h, in the benign cells and in all three cell lines
(see, for example, Fig. 1
). In contrast,
TIMP-1 mRNA was not significantly altered by these agents in all three
cell lines (see for example, Fig. 1
) but was altered in the benign
cells (see below). Addition of the protein synthesis inhibitor,
cycloheximide, inhibited the TPA- and EGF-induced MMP-1 mRNA
stimulation (Fig. 2
).

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Figure 1. Time course of MMP-1 and TIMP-1 mRNA levels
in cultured human thyroid follicular carcinoma cells exposed to TPA (A)
or anaplastic cells exposed to EGF (B). TPA (10-7 mol/L)
or EGF (25 ng/mL) was added to the culture medium for 1 h, the
medium was then replaced with fresh medium alone (RPMI-1640 and 0.3%
BSA), and MMP-1 and TIMP-1 mRNA were measured, after 14 h, by
Northern blot followed by densitometry. Each bar
represents the mean ± SE of four experiments.
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Figure 2. Effect of cycloheximide (CHX) on TPA-
or EGF-induced MMP-1 and TIMP-1 mRNA in cultured human thyroid
follicular carcinoma cells. Cycloheximide (10 µg/mL) was added to the
culture medium, and 30 min later, TPA (10-7 mol/L) or EGF
(25 ng/mL) was added for an additional hour. The medium was then
replaced with fresh medium (RPMI-1640 and 0.3% BSA) together with
cycloheximide (10 µg/mL), and MMP-1 and TIMP-1 mRNA were measured, 4
or 5 h later, by Northern blot. The autoradiograph shown is
representative of three experiments.
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TSH and the cAMP-elevating agents, 8-bromo-cAMP and forskolin, were
devoid of any significant effect on MMP-1 and TIMP-1 mRNA in anaplastic
(Fig. 3
), follicular (Fig. 4
), or papillary cells (data not shown).
The thyrotropic hormone, however, elicited a dose-dependent inhibition
(P < 0.01) of TPA-induced MMP-1 mRNA stimulation in
anaplastic cells (Fig. 3
). The repressive action of TSH was mimicked by
8-bromo-cAMP and forskolin (TPA alone, compared with TPA plus
8-bromo-cAMP/forskolin: P < 0.01) (Fig. 3
). The TSH,
8-bromo-cAMP, and forskolin inhibitory effect on TPA induction of MMP-1
mRNA was also observed in follicular carcinoma cells [TPA alone,
compared with TPA plus TSH (0.011 mU/mL): dose-dependent inhibition,
P < 0.01; and compared with TPA plus
8-bromo-cAMP/forskolin: P < 0.01, analyzing the data
of four experiments].

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Figure 3. Effects of TSH, 8-bromo-cAMP (8-Br-cAMP), or
forskolin (Fsk), alone and together with TPA, on MMP-1 and TIMP-1 mRNA
levels in cultured human thyroid anaplastic cells. TPA
(10-7 mol/L) was added in the absence or presence of TSH
(0.011 mU/mL), 8-Br-cAMP (1 mmol/L), or forskolin (20 µmol/L)
added 30 min before the addition of TPA. Culture was continued for an
additional hour, the medium was then replaced with fresh medium alone
(RPMI-1640 and 0.3% BSA), and MMP-1 and TIMP-1 mRNA were measured,
3 h later, by Northern blot followed by densitometry. Each
bar represents the mean ± SE of four
experiments. The autoradiograph shown is that of a representative
experiment.
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Figure 4. Effects of TSH or 8-Br-cAMP, alone and
together with EGF, on MMP-1 and TIMP-1 mRNA levels in cultured human
thyroid follicular carcinoma cells. EGF (25 ng/mL) was added in the
absence or presence of TSH (0.011 mU/mL) or 8-Br-cAMP (1 mmol/L)
added 30 min before the addition of EGF. Culture was continued for an
additional hour, the medium was then replaced with fresh medium alone
(RPMI-1640 and 0.3% BSA), and MMP-1 and TIMP-1 mRNA were measured,
3 h later, by Northern blot followed by densitometry. Each
bar represents the mean ± SE of four
experiments. The autoradiograph shown is that of a representative
experiment.
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In experiments testing EGF as the MMP-1 mRNA stimulatory agent, here
again a TSH dose-dependent repressive action was observed in follicular
carcinoma cells (P < 0.01, Fig. 4
), which was mimicked
by 8-bromo-cAMP (EGF alone, compared with EGF plus 8-bromo-cAMP:
P < 0.01, Fig. 4
). In anaplastic and papillary cells,
as well, TSH and 8-bromo-cAMP inhibited the EGF-induced stimulation of
MMP-1 mRNA (EGF alone, compared with EGF plus TSH (0.011 mU/mL):
dose-dependent inhibition, P < 0.01; and compared with
EGF plus 8-bromo-cAMP/forskolin: P < 0.01, analyzing
the data of four experiments). Fig. 5
demonstrates that the TSH- and 8-bromo-cAMP-induced inhibition of
EGF-stimulated MMP-1 mRNA was abolished by the PKA inhibitor, H-89.

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Figure 5. Effects of H-89 on EGF and TSH- or EGF and
8-bromo-cAMP (8Br)-induced MMP-1 and TIMP-1 mRNA levels in cultured
human thyroid anaplastic cells. EGF (25 ng/mL) was added in the absence
or presence of TSH (0.5 mU/mL) or 8-Br-cAMP (1 mmol/L) added 30 min
before the addition of EGF, or H-89 (10 mmol/L) added 30 min before the
addition of TSH or 8-Br-cAMP. Culture was continued for an additional
hour, the medium was then replaced with fresh medium alone (RPMI-1640
and 0.3% BSA), and MMP-1 and TIMP-1 mRNA were measured, 3 h
later, by Northern blot followed by densitometry. Each
bar represents the mean ± SE of three
experiments.
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In contrast to the detectable MMP-1 mRNA levels seen in malignant cells
under basal conditions (Figs. 3
and 4
), no detectable basal levels
could be observed in benign cells (Fig. 6
). TPA markedly stimulated MMP-1 and
slightly stimulated TIMP-1 mRNA in benign cells [856 ± 66%,
mean ± SE, compared with control, P
< 0.001 for MMP-1; and 176 ± 12%, mean ± SE,
compared with control, P < 0.05 for TIMP-1 (Fig. 6
)].
TSH and forskolin inhibited the TPA-induced MMP-1 and TIMP-1 mRNA in
these cells [TPA alone, compared with EGF plus TSH/forskolin:
P < 0.01 for MMP-1 and P < 0.05 for
TIMP-1 (Fig. 6
)]. The TSH inhibitory effect with regard to MMP-1 and
TIMP-1 mRNA was dose-dependent [TPA alone, compared with TPA plus TSH
(0.011 mU/mL), P < 0.05, analyzing the data of three
experiments].

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Figure 6. Effects of TSH or forskolin (FSK), alone and
together with EGF or TPA, on MMP-1 and TIMP-1 mRNA levels in cultured
human thyroid benign cells. EGF (25 ng/mL) or TPA (10-7
mol/L) was added in the absence or presence of TSH (0.5 mU/mL) or
forskolin (20 µmol/L) added 30 min before the addition of EGF or TPA.
Culture was continued for an additional hour, the medium was then
replaced with fresh medium alone (RPMI-1640 and 0.3% BSA), and MMP-1
and TIMP-1 mRNA were measured, 3 h later, by Northern blot
followed by densitometry. Each bar represents the
mean ± SE of five experiments, using cell
preparations obtained from separate patients for each experiment. The
autoradiograph shown is that of a representative experiment.
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Table 1
summarizes the effects of TPA,
EGF, and TSH/8-bromo-cAMP/forskolin on MMP-1 mRNA in the malignant and
benign human thyroid cells.
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Table 1. Effects of TPA, EGF, and TSH/8-bromo-cAMP/forskolin
on MMP-1 mRNA in the malignant and benign human thyroid cells
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Discussion
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As expected of cells with invasive potential, detectable MMP-1
mRNA levels were observed in malignant cells under basal conditions, in
contrast to undetectable levels in benign cells. Typical of a secondary
response gene, but not yet demonstrated in thyroid cells, the TPA- or
EGF-induced MMP-1 mRNA levels peaked later, remained stable, and were
blunted in the presence of an inhibitor of protein synthesis
(cycloheximide), compared with what we observed in the same cells
regarding the primary response genes, c-jun and
c-fos, i.e. a more rapid and transient rise in
mRNA that was superinduced when protein synthesis was inhibited
(4).
Only a few studies have examined MMP expression in thyroid cells. MMP-1
was found to be expressed in human thyroid carcinoma cells (8) and in
fibrous capsules of papillary carcinomas (9), and MMP-2 in thyroid
tumors (10) and stromal fibroblasts adjacent to invasive thyroid tumors
(11). Moreover, the invasive capacity of human follicular thyroid cells
correlated with increased synthesis of MMPs and ß1 integrins,
i.e. receptors to basement membrane and extracellular matrix
components (12). TPA was found to stimulate MMP-1 gene expression in
human thyroid anaplastic cells (13), similar to the increase we
observed in malignant and benign thyrocytes. It should be noted,
however, that in the latter study (13), as in most other studies on
TPA-induced MMP, the cells were exposed to the phorbol ester for as
long as 24 h, a time period that has been shown to induce PKC
down-regulation (14), unlike the 90-min exposure of thyrocytes to TPA
in our experiments.
In agreement with the TPA-stimulated c-jun and
c-fos mRNA we had observed in human thyrocytes (4), the
phorbol ester augmented the c-jun and c-fos
(i.e. AP-1)-dependent MMP-1 gene expression in these cells.
EGF (whose action has not yet been reported in this regard in thyroid
cells) only managed, however, to stimulate such gene expression in
malignant cells but failed, at the same concentration, to do so in
benign cells. This is contrary to the stimulation of c-jun
and c-fos elicited by EGF we observed in the same (benign)
cells at the same EGE concentration (4), i.e. genes which
encode the AP-1 transcription factor known to activate MMP-1 expression
(3). The underlying mechanism(s) that may explain this discrepancy
between c-jun/c-fos (i.e. AP-1) and
MMP-1 expression in benign cells is presently unknown, but the
following possibilities could be proposed: 1) The AP-1 complex is not
alone in its role as an MMP transcriptional activator, and other
transcriptional factors are necessary. Indeed, both PEA3 and NF
B
sites on MMP promoters have been shown to cooperate functionally with
AP-1 sites in MMP transcription (reviewed in Ref. 15). 2) Stimulation
of Jun B, a member of the Jun protein family, which has been shown to
inhibit the c-Jun-induced activation of the MMP-1 promoter (16) and
MMP-1 gene expression (17). 3) Lack of appropriate
posttranslational modification(s) of Jun and/or Fos necessary for AP-1
activation (reviewed in Ref. 18). The above possibilities need
of course to be substantiated by experimental verification in our
system.
TPA elicited a small, though significant, increase in TIMP-1 mRNA in
benign cells. In malignant cells, however, TIMP mRNA was not
significantly altered by the TPA-, EGF- or TSH/PKA-induced pathways.
The only other report on TIMP expression in thyroid cells noted a
TPA-induced increase in TIMP-1 expression in malignant cells (13). The
long duration of exposure of thyrocytes to the phorbol ester in that
study (13) (24 h, compared with 1 h in our experiments) is known
to induce, as mentioned above, PKC down-regulation (14) and this may
possibly explain the discrepancy with our data.
The MMP-1 stimulation by EGF and lack of TPA-induced rise in TIMP-1 in
malignant cells, in sharp contrast to the effect in benign thyrocytes,
seems to indicate that the MMP-TIMP balance favors a more extensive
extracellular matrix protein breakdown by malignant thyrocytes, as
expected of cells exhibiting invasive capacity. It is realized that
caution must be exercised regarding generalizations about thyroid
malignant cell behavior based on three cell lines. Nevertheless, the
results are in accordance with the demonstration that EGF enhances the
invasive capacity of human thyroid malignant cells (19). Moreover, when
comparing the data of the benign with those of the malignant
thyrocytes, it should be kept in mind that although the design and
conditions of the experiments were the same for both benign and
malignant cells, the former derived from primary culture whereas the
latter were established cell lines.
TSH failed to significantly influence basal MMP-1 or TIMP-1 mRNA levels
in malignant or benign cells but managed to inhibit TPA- and
EGF-induced MMP-1 mRNA in malignant cells and TPA-stimulated MMP-1 and
TIMP-1 in benign cells. The effects of TSH, alone and together with TPA
and EGF, were mimicked by the PKA stimulators, forskolin and
8-bromo-cAMP, and abrogated by the PKA inhibitor, H-89, suggesting that
the TSH inhibitory action is PKA-mediated. The data are consistent with
our previous findings (4), using the same cells, of similar
antagonistic interactions between TSH-PKA on the one hand and PKC or
tyrosine kinase on the other, with regard to c-jun and
c-fos, i.e. genes encoding an activator of MMP-1
gene expression, AP-1 (3).
This is the first report describing the influence of TSH or PKA action
on MMP/TIMP induction in thyroid cells, and the findings are in
agreement with the lack of effect of PKA alone on MMP expression in
other cell systems (reviewed in Ref. 3). Our results, that TPA
(i.e. PKC) enhances MMP-1 expression whereas PKA was devoid
of any such action, agree with the finding that PKC, but not PKA, was
shown to be capable of stimulating human thyrocyte invasive ability
(20). In the latter study (20), TSH was used as a PKC stimulator
because, at high concentrations, thyrotropin seems able to activate
the PKC pathway in human thyrocytes (21). Our data provide the first
demonstration of cross-talk between the PKA and EGF (i.e.
tyrosine kinase) pathways, in terms of MMP/TIMP expression, and agree
with the findings in the only other cell systems in which the PKA and
TPA (i.e. PKC) interactions have been studied in this
connection (human skin and synovial fibroblasts), in which PKA also
repressed PKC-induced MMP-1 (22, 23) and TIMP-1 (22).
In conclusion, the present study provides novel data on MMP-1 and
TIMP-1 gene expression and their modulation by the major signal
transduction pathways operating in human thyroid cells. Similar and
divergent patterns have emerged in the regulation of such gene
expression in benign and malignant human thyrocytes, in many instances
in accord with the concept of MMP playing the role of stimulating, and
TIMP inhibiting, cell invasion. Although MMP-1 may be just one of the
many factors responsible for tumor cell invasion, the present findings,
demonstrating the possibility (at least in vitro) of
repressing MMP gene expression, may have important clinical
ramifications.
 |
Footnotes
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1 This work was presented, in part, at the 71st Annual Meeting of The
American Thyroid Association, Portland, Oregon, 1998 (Abstract 28).
This work was supported by the Israel Cancer Association and the Middle
East Cancer Consortium. 
Received February 26, 1999.
Revised May 17, 1999.
Accepted June 1, 1999.
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