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J. Embryol. exp. Morph. 82, 147-161 (1984) Printed in Great Britain © The Company of Biologists Limited 1984 147 Role of transferrin in branching morphogenesis, growth and differentiation of the embryonic kidney By IRMA THESLEFF AND PETER EKBLOM Department of Pathology, University of Helsinki, Haartmaninkatu 3, 00290 Helsinki 29, Finland SUMMARY Our previous work has suggested that transferrin is an important serum component for differentiation of the kidney. In this study we have analysed more closely the response of cultured mouse embryonic kidney to exogenous transferrin and the dependence of kidney tubule induction on transferrin. Our results show that transferrin causes a dose-dependent increase in cell proliferation in the differentiating kidney mesenchyme, but no stimulation of cell proliferation in the inductor tissue used, the embryonic spinal cord. In cultures of whole kidney rudiments a remarkable increase in the amounts of DNA and protein are caused by transferrin but not by other serum components present in a transferrin-depleted serum. The morphology of the explants was similar when cultured in the presence of human serum and in the transferrin-depleted serum supplemented with transferrin. In transferrincontaining chemically-defined medium the explants flattened and spread out, but the morphology of the kidney tubules was similar as in explants cultured in the presence of serum. Examination of the cultured explants by electron microscopy showed that in all transferrincontaining culture media the mesenchymal cells had differentiated into kidney tubules consisting of epithelial cells lined by a basement membrane. The experiments with the transferrin-depleted serum demonstrate that the main mitogen for kidney development is transferrin, and that other serum factors are mainly required for maintenance of tissue compactness. Our earlier studies have shown that exogenous transferrin is not needed for certain changes preceding overt tubule formation in the kidney mesenchyme, and we suggested that transferrin responsiveness is acquired during the induction of kidney mesenchyme. Our present results do not contradict the postulate, although they demonstrate that the acquisition of the responsiveness is more complicated than previously thought. When the mesenchyme is exposed to inductor tissue for 24 h without transferrin, and then subcultured without the inductor in the presence of transferrin, morphogenesis fails and there is no proliferation of the mesenchyme. The experiment shows that the inductor, the mesenchyme and transferrin must all three be simultaneously present for the acquisition of the transferrin responsiveness. Other experiments show that the induced mesenchyme can be a direct target tissue, since it can proliferate in response to transferrin also in the absence of the inductor. It is evident that the inductor is required for the acquisition of the responsiveness, as suggested. However, there is apparently a large overlap between the transferrin-independent and transferrin-dependent proliferation. The mesenchyme is not a synchronous cell population and cells do not become induced and transferrin-responsive at the same time. Therefore, in the organ culture, it is necessary to have transferrin present also during induction. Although this explanation seems most likely, we cannot exclude that transferrin has two actions, one measurable direct effect on the proliferation of induced mesenchymes, and another yet unidentified effect on the induction process. 148 I. THESLEFF AND P. EKBLOM INTRODUCTION Early kidney development is characterized by branching of the ureteric bud epithelium and differentiation of the metanephrogenic mesenchyme surrounding the ureteric bud into epithelial kidney tubules. These synchronous events are regulated by interactions between the ureteric epithelium and the mesenchyme (Grobstein, 1955; Saxen etal. 1968). The mechanisms underlying these developmental processes have been studied using organ cultures of either whole kidney rudiments or transfilter cultures where the epithelial and mesenchymal tissues have been separated. In transfilter cultures the epithelial ureteric bud is usually replaced by spinal cord tissue which is another potent inducer of kidney tubules (Grobstein, 1955, 1956). It has been shown that kidney tubules are induced in this system during the initial 24 h culture period and that tubule formation then proceeds to advanced stages even if the inducer is removed at this time (Grobstein, 1967; Saxen etal. 1968; Ekblom etal. 1981a). By using cultures of whole kidneys and transfilter explants we have shown that exogenous transferrin is necessary for differentiation of kidney tubules (Ekblom, Thesleff, Miettinen & Saxen, 1981ft). The induced kidney mesenchyme responds to transferrin by enhanced proliferation whereas uninduced mesenchymes remain unresponsive. Furthermore, transferrin is not needed during the 24 h induction period for certain characteristic changes which precede overt tubule formation in the mesenchyme. These include a rapid increase in cell proliferation between 12 and 24 h of culture and a shift in the extracellular matrix composition from a mesenchymal to an epithelial type. Based on these observations we have suggested that the responsiveness to transferrin is acquired during the induction of kidney mesenchyme (Ekblom et al. 1983a). In the present study, we have in detail studied two major aspects of the serum requirements. First, we have compared the effects of transferrin and a transferrin-depleted serum using a number of quantitative assays for cell growth, and studied the morphology by electron microscopy. This was done with whole kidneys since both the growth parameters and the compactness of the tissue could be well evaluated in these. Our data suggest that transferrin is the main mitogen for kidney differentiation, while other components are required for the maintenance of the compactness of the organ. Secondly, we have in detail investigated the relationship between embryonic induction and the acquisition of the transferrin responsiveness. This was performed in transfilter cultures which allow a good timing of the events and make it possible to remove the inductor at various times of culture (Grobstein, 1956). MATERIALS AND METHODS Organ culture Developing kidneys from 11-, 12- and 13-day-old hybrid mouse embryos, Stimulation of kidney differentiation by transferrin 149 CBA/C57B1 (day of vaginal plug = Day 0) were used. For transfilter cultures metanephric mesenchymes were dissected from day-11 kidneys in 0-02% EDTA. Two mesenchymes were used in each explant and a piece of spinal cord from the same embryos was used as an inductor on the opposite side of the filter (Grobstein, 1956). A Trowell-type organ culture system was used in which the transfilter explants as well as whole kidney explants were supported by a Nuclepore filter (pore size 1-0 jum, thickness lO/im) on a metal grid. Improved Minimum Essential Medium (I-MEM, Richter, Sanford & Evans, 1972) was prepared by adding amino acids, minerals and vitamins but no growth factors to Eagle's Minimum Essential Medium (Gibco, Paisley, Scotland). Glutamine (4 mM) was added to the medium prior to culture. Human transferrin (iron-free) was purchased from Sigma Chemical Company (St. Louis, Missouri). Normal human serum (NHS, Blood Transfusion Center, Finland) was used in control cultures and for transferrin-depleted serum, which was kindly prepared by A. Miettinen (Department of Bacteriology, Univ. of Helsinki). Transferrin was removed by immunoadsorption as previously described (Ekblom et al. 1983<z). As judged by the double immunodiffusion method, less than 0-3 jug/ml of transferrin is present in cultures when 10 % of the transferrin-depleted serum is used. Histology For light microscopy the explants were fixed in Zenker's solution, embedded in Tissue Prep (Fisher Scientific Co., Fairlawn, N. J.), serially sectioned at 5 jum and stained with haematoxylin-eosin. For electron microscopy the explants were fixed with 2-5 % glutaraldehyde in 0-1 M-phosphate buffer (pH7-4). They were postfixed with 1 % OsO4 in 0-1 % phosphate buffer, dehydrated in ethanol and embedded in Epon. One micron sections were stained with methylene blue and examined in light microscope. Silver to grey sections were taken for electron microscopy. They were poststained with uranyl acetate and lead citrate and examined with a Hitachi HS-7S electron microscope. Determinations of thymidine incorporation, and DNA and protein contents [3H]thymidine (specific activity 18-25 Ci/mmol, The Radiochemical Centre, Amersham, Buckinghamshire, England) was added to the culture medium for 3h at a concentration of 20juCi/ml. The explants were then placed on ice and sonicated in 0-5 ml distilled water. Aliquots were taken for the determination of radioactivity into trichloroacetic acid precipitable material (0-2 ml) and for measurement of DNA content (0-25ml). In the smaller tissue samples, only DNA content could be measured (Nordling & Aho, 1971), but in 13-day whole kidneys, protein content was also determined (Lowry, Rosebrough, Farr & Randall, 1951). The spinal cord was left in place in transfilter explants during the [3H] thymidine pulse only in experiments where thymidine incorporation in the spinal cord tissue was studied (Fig. 2). In all other experiments the spinal cord was removed prior to the radioactive pulse. In such explants the incorporation 150 I. THESLEFF AND P. EKBLOM of label to the mesenchymes was higher than in explants in which the spinal cord was present during labelling. RESULTS Effects of transferrin on proliferation in transfilter cultures Metanephric mesenchymes were cultured transfilter with a piece of spinal cord tissue. We now examined the effects of transferrin by measuring [3H]thymidine incorporation in the inducer tissue and in the mesenchyme after 42 h of culture. Transferrin stimulated kidney tubule differentiation (Fig. 1A, B) and increased thymidine incorporation in the differentiating mesenchyme in a dose-dependent manner (Fig. 2). The inductor tissue, the spinal cord, was unresponsive to transferrin at all concentrations tested (Fig. 2). The effect of transferrin on kidney tubulogenesis can apparently not be replaced by other serum components, since morphological differentiation does not take place in the presence of serum from which transferrin has been removed (Ekblom etal. 1983a). We now analysed thymidine incorporation into kidney mesenchymes after 42 h in transfilter cultures. In the presence of transferrin-depleted serum proliferation was stimulated about two-fold as compared to explants cultured in a transferrin-free, chemically-defined medium. The addition of 50 //g/ml transferrin to the medium containing transferrin-depleted serum caused an increase in incorporation to the same level as with normal human serum (Fig. 3). These observations indicated that also in the serum-containing culture media, differentiation of kidney tubules is associated with elevated cell proliferation. Fig. 1. Effect of transferrin on kidney tubulogenesis in transfilter cultures of spinal cord and metanephric mesenchyme after 72 h in culture. (A) In chemically defined medium (I-MEM) without transferrin the mesenchyme on top of the filter has remained undifferentiated. (B) When the medium was supplemented with 50 jug/ml transferrin epithelial kidney tubules have differentiated. Haematoxylin-eosin staining. X400. Stimulation of kidney differentiation by transferrin 2 5 Transferrin (fig/ml) 151 50 Fig. 2. Dose-response curve of the effect of transferrin on [3H]thymidine incorporation in transfilter cultures. A clear dose response is evident in kidney mesenchymes (—) whereas the inductor tissue (---) is unresponsive to transferrin. 20juCi/ml [3H]thymidine was present in the medium between 42 and 45 h of culture. One explant comprised two kidney mesenchymes and a piece of spinal cord tissue as the inductor. The inductor was present during labelling of the tissue unlike in the other experiments (Figs 3 and 4) where it was removed before the radioactive pulse. Each point represents the mean of 3-5 explants. Dependence of the transferrin responsiveness on embryonic induction The kidney mesenchyme is induced to form kidney tubules during the first 24 h of transfilter culture (Grobstein, 1967; Saxen etal. 1968; Ekblom et al. 1981a). At this time tubules have not yet formed but the inductor tissue can be removed and tubule formation proceeds in the mesenchyme. During the 24 h induction period there is an increase in cell proliferation in the mesenchyme which is not 152 I. THESLEFF AND P. EKBLOM dependent on exogenous transferrin (Ekblom etal. 1983a). To study the dependence of the induction on transferrin we exposed the explants to transferrin at different times of culture and measured thymidine incorporation at 42 h of culture. When the kidney mesenchymes were exposed to exogenous transferrin as well as to the inductor tissue throughout the 42 h culture, thymidine incorporation was at SSOOOc.p.m./jUg DNA (Fig. 4A). The removal of the inductor tissue after 24 h of culture caused a decrease in the proliferation rate at 42 h, suggesting that when the inductor is present the induction of new tubules proceeds even after the first 24h of culture (Fig. 4B). When the explants were cultured without transferrin for the entire culture period, differentiation did not take place and this was associated with a very low level of thymidine incorporation (3000c.p.m./jUg DNA, Fig. 4C). If transferrin was added to the cultures after 24 h and the inductor was left in place, thymidine incorporation at 42 h was at a higher level than in explants cultured in the presence of transferrin throughout the culture (Fig. 4D). However, if in such cultures the inductor was removed at 24h, i.e. at the same time that transferrin was added to the medium, thymidine incorporation stayed throughout culture at the same low level as in the explants cultured without transferrin (Fig. 4E) and the mesenchymes did not differentiate. Fig. 3. The effect of removal of transferrin from human serum on [3H]thymidine incorporation. The kidney mesenchymes were cultured as transfilter explants and labelled between 42 and 45 h of culture. Each bar represents the mean of three explants comprising two mesenchymes. A In I-MEM supplemented with 10 % transferrindepleted serum thymidine incorporation was at a low level although somewhat higher than in chemically defined medium (compare to Fig. 4C). No differentiation took place in this medium. B The addition of 50 |Ug/ml transferrin to this medium stimulated differentiation as well as proliferation. C Normal human serum supported thymidine incorporation similar to transferrin-depleted serum supplemented with transferrin (B). Stimulation of kidney differentiation by transferrin 153 < Z 5 Q 2 X E Q. Day Inductor Transferrin 1+1+ A Fig. 4. The dependence of the proliferative response in the kidney mesenchymes on exogenous transferrin and the inductor tissue. 20 juCi/ml [3H]thymidine was given to the cultures during 42-45 h of culture. Each bar represents the mean of 3-5 explants comprising two mesenchymes. A When transferrin was present in the medium and the inductor was left in place for the whole culture period (days 1 and 2), high thymidine incorporation was evident. B The removal of the inductor tissue after 24 h (day 1) of culture caused a decrease in incorporation. C The inductor tissue did not support proliferation in the absence of transferrin. D When the explants were cultured without transferrin for the first day, and transferrin was then added to the medium, incorporation at 42 h (day 2) was higher than in A. E If the explants were cultured as in D but the inductor tissue was removed at 24 h (at the same time that transferrin was added to the medium), very low thymidine incorporation was measured on day 2 and the mesenchymes did not differentiate. Effects of transferrin on branching morphogenesis of whole kidneys Transferrin was shown to be necessary for branching morphogenesis. In the presence of 10 % human serum the ureteric bud of 11-day kidney rudiments 154 5A I. THESLEFF AND P. EKBLOM P '* B Fig. 5. The dependence of branching morphogenesis on transferrin. The ureter bud of the day-11 kidney rudiments had not underwent branching prior to culture. (A) After 3 days of culture branching is evident when the kidneys were cultured in IMEM supplemented with 10 % human serum. (B) No branching has taken place in a medium containing 10 % transferrin-depleted serum. (C) The addition of 50 /ig/ml transferrin to the medium in B has restored the ability of normal human serum to support branching. (D) In a chemically defined medium supplemented with 50 jUg/ml transferrin branching morphogenesis is evident although the explant has lost its compactness and it spreads out. underwent branching morphogenesis which was accompanied by tubule formation in the surrounding mesenchyme (Fig. 5A). The substitution of the normal serum by transferrin-depleted serum resulted in inhibition of branching of the ureter as well as tubular differentiation (Fig. 5B). However, in this transferrindepleted medium the explants were compact even after 2 days of culture and they Stimulation of kidney differentiation by transferrin 155 were well preserved as seen in light and electron microscopy (Figs 6A, 7B). The addition of 50 //g/ml transferrin to this medium restored the ability of the serum to support branching as well as tubulogenesis (Fig. 5C) and the explants were identical to those cultured in the presence of normal human serum. Also in the chemically defined medium supplemented with 50 jug/ml transferrin branching and tubule formation took place but the explants flattened and spread out and the mesenchymal tissue surrounding the kidney tubules regressed (Fig. 5D). The morphology of the kidney tubules was, however, indistinguishable from explants cultured with serum (Fig. 6B). Electron microscopy of the kidney tubules in explants cultured in the various transferrin-containing culture media showed that they were surrounded by a normal basement membrane (Fig. 7A, C, D), whereas the cells in the explants cultured in the transferrin-depleted medium continued to show a mesenchymal morphology (Fig. 7B). Transferrin profoundly affected the DNA content of whole kidney explants. When 12-day kidneys were cultured without transferrin, either in transferrindepleted serum or in a chemically defined medium the DNA content stayed at the level of the onset of culture for the first 2 days. By day 4 the amount of DNA decreased indicating degeneration of the explants. The addition of 50/ig/ml transferrin to either of the media caused a two-fold increase in the DNA content by day 2 and a three-fold increase by day 4 (Fig. 8). A similar increase is not seen in transfilter cultures (Ekblom et al. 1983<z). The effect of transferrin on the protein content was studied in kidneys from 12£-13-day embryos. In these larger-size explants transferrin caused an approximately six-fold increase in the amount of proteins on day 3 of culture and this was accompanied by a four-fold increase in the DNA content (Fig. 8). By day 5 the amount of proteins as well as of DNA had somewhat decreased, which was evidently due to poorer survival of the larger-size explants. The protein content Fig. 6. Histological picture of a day-11 kidney rudiment cultured for 3 days in the presence of transferrin-depleted serum (A) and chemically defined medium containing transferrin (SOjUg/ml) (B). In transferrin-depleted serum the ureter bud has neither branched, nor has the mesenchyme differentiated, but the preservation of the tissue is good. In the chemically defined medium containing transferrin welldeveloped tubules are seen although the surrounding tissue has flattened. x200. 156 I. THESLEFF AND P. EKBLOM Stimulation of kidney differentiation by transferrin A # O A I-MEM + Tf serum + Tf serum - Tf I-MEM 2 4 157 I 3 Time (days) 5 3 5 Fig. 8. The effect of transferrin on the DNA content of day-12 embryonic kidneys (left) and on the DNA and protein contents of day 121-13 embryonic kidneys. Transferrin caused a two-fold increase in the DNA content of day-12 kidneys by day 2 and a three-fold increase by day 4. Similar effect was seen both when transferrin was added to chemically defined medium and to medium containing 10% transferrin-depleted serum. Without exogenous transferrin the DNA content first stayed at the level of the start of culture for 2 days and then decreased by day 4. In day 12^—13 kidneys the DNA content increased four-fold and the protein content six-fold by day 3 of culture in the presence of transferrin. Thefindingswere identical in chemically defined medium and in medium containing serum. In the presence of transferrin-depleted serum the DNA content stayed at the level of the start of culture for the first 3 days but the amount of proteins increased three-fold. In all culture media the amounts of DNA and protein decreased during prolonged culture. Fig. 7. Electron micrographs of day 11 whole kidney explants cultured for 3 days in the same media as the explants in Fig. 5. e = epithelial cell, m = mesenchymal cell, arrows indicate the basement membrane, x 10 000. (A) Ultrastructure of epithelial cells of a kidney tubule which has differentiated in the presence of 10 % normal human serum. The cells are lined by a basement membrane consisting of a typical basal lamina with associated filamentous material. (B) Undifferentiated mesenchymal cells in an explant cultured in the presence of transferrin-depleted serum. (C) The ultrastructure of the epithelial cells and the basement membrane are similar in kidney tubules differentiated in the presence of transferrin-depleted serum supplemented with transferrin (C) and in a chemically defined medium supplemented with 50jUg/ml transferrin (D), as compared to the explant cultured with normal human serum (A). EMB82 158 I. THESLEFF AND P. EKBLOM of the explants increased somewhat also in the absence of transferrin. This increase was more marked in the medium containing 10 % transferrin-depleted serum, indicating a positive effect of serum components on the metabolic activity of the explants. The DNA content did not increase in the absence of transferrin (Fig. 8). DISCUSSION We have shown that the differentiating kidney mesenchyme responds to transferrin by a dose-dependent increase in thymidine incorporation. This reflects an increase in cell proliferation, since the amount of DNA in whole kidneys increased significantly during culture when transferrin was present in the medium. Transferrin concentrations which support proliferation in monolayer cultures are in the same range (Vogt, Mishell & Dutton, 1969; Taub, Chuman, Saier & Sato, 1979; Rizzino & Crowley, 1980; Barnes & Sato, 1980) as those stimulating kidney development in the organ cultures. It is apparent that differentiation and transferrin-dependent proliferation are closely linked during morphogenesis of the kidney. The necessary serum component for myoblast fusion, the 'muscle trophic factor' was recently identified as transferrin (Ii, Kimura & Ozawa, 1982). We suggest that the primary effect of transferrin in both these developmental systems is a stimulation of cell proliferation. Our morphological data show that branching morphogenesis does not take place in the absence of transferrin although other serum factors are present. Quantitative measurements of DNA and protein content as well as cell proliferation revealed that the addition of transferrin to the transferrin-depleted serum enhanced growth to the same levels as seen in the presence of normal serum, and this was accompanied by branching morphogenesis. Ultrastructural studies showed that the epithelium and its basement membrane formed just as well in serum as in the defined medium with transferrin. The transferrin-depleted serum, however, contained factors which were beneficial for morphogenesis. Growth was slightly better in it than in the chemically defined, transferrin-free medium. The serum components had a clear effect on the overall morphology of the explants, since the compactness of the tissues was well preserved and the explants did not spread as they did in the chemically defined medium. The unidentified serum components responsible for these effects were non-dialysable. These factors are, however, not fibronectin or laminin (Thesleff et al. 1983, unpublished). In conclusion, it appears that the main mitogen in serum for kidney tubule differentiation is transferrin, while some other factors participate in the maintenance of the compactness of the organ. The nature of the transferrin requirements was studied in detail in transfilter cultures. The responsiveness of the metanephric mesenchyme to transferrin seems to be regulated by inductive tissue interactions, since isolated uninduced Stimulation of kidney differentiation by transferrin 159 mesenchymes do not respond to transferrin by cell proliferation (Ekblom et al. 1983a). Since our present study demonstrated that the inductor tissue, the spinal cord, also did not respond to transferrin, it appears that the target tissue for the action of transferrin during kidney tubule development is the induced mesenchyme. The role of the inductor is to make the cells responsive to transferrin. Previous studies have shown that the inductor tissue affects the composition of the extracellular matrix, and it is also mitogenic for the mesenchyme. These two effects of the inductor are in no way affected by transferrin, nor can transferrin mimick these effects (Ekblom etal. 1983a). Taken together, these results suggest that transferrin is not required for induction, but rather that the responsiveness to transferrin is acquired as a consequence of induction. It is possible that the inductor tissue acts by increasing the number of transferrin-responsive cells. Indeed, when transferrin is continuously present, the rate of thymidine incorporation at 42 h was higher in mesenchymes cocultured with inductor tissue for 42 h as compared with those explants where the inductor tissue was removed at 24 h. It suggests that the inductor tissue continuously can increase the number of transferrin-responsive cells also after the first 24h of culture. This effect of the inductor goes largely undetected in morphometrical studies (Saxen & Lehtonen, 1978). These results thus seem to provide strong evidence that transferrin has no role in the acquisition of the transferrin responsiveness, or in the related induction process. The crucial experiment is therefore to induce the mesenchyme in the absence of transferrin for 24 h, and then to remove the inductor and add transferrin. In such experiments, there are unexpectedly no signs of morphogenesis, and the mesenchyme does not respond at 42 h to transferrin by proliferation. Hence, a transferrin-dependent proliferation does not occur unless the mesenchyme, the inductor and transferrin all three simultaneously are present for some time. The significance of this is difficult to interpret at present. It could mean that transferrin nevertheless is needed for the acquisition of transferrin responsiveness. However, this seems very unlikely since serum factors do not induce their own responsiveness. Another explanation of the result is that transferrin is required for some yet unknown process during induction. Thirdly, it could be argued that the inductor has some role in the delivery of transferrin into the mesenchyme. It would leave unexplained, however, why induced cells at the later stages can proliferate in the absence of inductor tissue in response to transferrin (Ekblom et al. 1983a). A fourth possibility is that certain cells during the induction period already require transferrin while others are still induced to become responsive. Because of this asynchrony, there is a certain overlap between the transferrin-independent and transferrin-dependent periods. It is well known that some cells are induced already at 12-16 h in vitro (Nordling, Miettinen, Wartiovaara & Saxen, 1971; Lehtonen, 1976; Saxen & Lehtonen, 1978) and at 24 h a threshold has been reached when sufficient cells have been induced so that a complete tubular part of the nephron can form (Ekblom et al. 160 I. THESLEFF AND P. EKBLOM 1981&). Measurements of the cell cycle have also shown that the mesenchyme is not a synchronized cell population at any time (Saxen, Salonen, Ekblom & Nordling, 1983). Morphogenesis would thus fail in any situation where the amount of induced cells is not sufficient. In the experiment where transferrin is added only after removal of the inductor tissue, this would occur since all cells which were induced early (at 12-16 h) degenerate as they do not receive transferrin early enough. In the experiment where the inductor is not removed, the inductor continuously induces more transferrin-responsive cells and the degenerated cells are of no major significance. If one wishes to assume that transferrin has only one function in the model studied, then the explanation which considers the asynchrony of the cell population offers the best explanation for our previous and present results. It is possible that some of these issues will be resolved by studying the transferrin receptors. It is known that transferrin exerts its effects by binding to specific cell surface receptors. The transferrin receptor is found in increased amounts on proliferating cells and the regulation of the density (Shindelman, Ortmeyer & Sussman, 1981; Trowbridge & Lopez, 1982; Newman et al. 1982) and distribution (Ekblom, Thesleff, Lehto & Virtanen, 1983/?) is apparently important for the regulation of cell growth. 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