A Single Cysteine, Cys-64, Is Essential for Assembly of Tenascin-C Hexabrachions*

Jennifer A. Luczak, Sambra D. RedickDagger §, and Jean E. Schwarzbauer

From the Department of Molecular Biology, Princeton University, Princeton, New Jersey 08544-1014 and Dagger  Department of Biology, University of North Carolina, Chapel Hill, North Carolina 27599

    ABSTRACT
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Abstract
Introduction
Procedures
Results
Discussion
References

Tenascin-C is a large, multimeric extracellular matrix protein that is found in a variety of tissues and can have profound effects on cell adhesion. It is secreted from cells as a hexamer of six identical chains called a hexabrachion. Disulfide bonding among tenascin subunits mediates intracellular assembly into hexamers. The amino-terminal assembly domain consists of heptad repeats and at least six cysteine residues (Cys-64, -111, -113, -140, -146, -147) that could be involved in multimerization. We have now determined the requirements for these cysteine residues during hexamer assembly. Our results show that only Cys-64 is required to form the hexameric structure. Mutation of Cys-64 to glycine resulted in release of trimer intermediates, which probably form via the heptad repeats, but no hexamers were secreted. In contrast, individual or pairs of mutations of each of the other cysteines had no effect on tenascin hexamer formation, and inclusion of any other cysteine mutations along with C64G did not further disrupt the multimer pattern. However, when all six cysteines were mutated, monomers were the major extracellular form. Together, these results show that trimers are an intermediate of tenascin-C assembly and that Cys-64 is essential for formation of hexabrachions.

    INTRODUCTION
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Abstract
Introduction
Procedures
Results
Discussion
References

Tenascin-C is a large extracellular matrix glycoprotein that functions during embryogenesis, in the nervous system, and in tumors (1-4). Tenascin is able to interact with cell surface receptors including integrins (5-10) and also binds to extracellular matrix proteins such as fibronectin (11, 12). It is secreted as a large hexabrachion composed of six identical subunits disulfide-bonded together at their amino termini, yielding a hexamer as large as 2 MDa. Subunits range in size from 180 to 320 kDa depending on species and on alternative splicing within the type III repeats. Each subunit consists of an amino-terminal assembly domain containing heptad repeats and multiple cysteine residues, a domain of epidermal growth factor like repeats, fibronectin type III repeats, and a terminal knob that is homologous to fibrinogen (13-17). Tenascin-C is a member of a family of related proteins containing varying numbers of type III and epidermal growth factor repeats. All family members, TN-C,1 TN-R, TN-X, and apparently TN-Y (18) are multimeric but can differ in the numbers of subunits per multimer (2).

The conservation of the amino-terminal assembly domain among all family members suggests that the multimeric structure of the tenascin family is important for function. During tenascin-C biosynthesis, the hexamer is detected very rapidly without accumulation of intermediates, suggesting that tenascin multimers form by association of nascent polypeptides during translation (19). Within the assembly domain reside at least six cysteine residues that are available for interchain disulfide bonding in the hexabrachion. Some or all of these cysteines are likely to function in maintaining the disulfide-bonded structure. To determine which cysteines are required for hexamer assembly and to identify any disulfide-bonded assembly intermediates, we have mutagenized these cysteine residues and have used a transient expression system based on COS-1 cells to analyze the requirements for each of these cysteines and for combinations of cysteines in the formation of tenascin hexamers. Our results clearly show that only Cys-64 is essential for hexamer formation. Mutant recombinant tenascins lacking Cys-64 are assembled into trimers but not hexamers, demonstrating that trimers are an intermediate in hexamer assembly. In addition, mutation of four cysteine residues flanking the heptad repeat region does not prevent hexamer formation, indicating that trimers might form by noncovalent interactions mediated by the heptad repeats, and these trimer intermediates are then assembled into hexamers by disulfide bonding via Cys-64. The disulfide bonds surrounding the heptad repeats probably function to stabilize the trimeric intermediate structure.

    EXPERIMENTAL PROCEDURES
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Abstract
Introduction
Procedures
Results
Discussion
References

Cysteine Mutations and Plasmid Preparation-- Mouse tenascin cDNA encoding the large isoform and containing the alternatively spliced type III repeats A-D was isolated from a bone marrow stromal cell cDNA library (provided by Dr. Ihor Lemischka, Princeton University) using a human tenascin cDNA probe (20). The tenascin cDNA encoding the large isoform was inserted into the vector pcDNAI (Invitrogen). Restriction and other enzymes used in the construction of these plasmids were purchased from New England Biolabs or Boehringer Mannheim. The 5' end of the cDNA is a BamHI site engineered at the NcoI site at position 125 of mouse tenascin, and a XhoI site was engineered within the 3'-untranslated region at an ApaI site, position 6,222 (17). Polymerase chain reaction (PCR) amplification was used to generate the small splice variant (TN-S). Two fragments were amplified, one ending at the 3' end of repeat III5 and the other beginning with the 5' end of III6. These fragments were ligated together to exclude the alternatively spliced repeats and then inserted into tenascin cDNA in pcDNAI, yielding a plasmid encoding TN-S.

All cysteine mutations were made by site-directed mutagenesis using primers with the desired nucleotide substitutions in conjunction with appropriate flanking primers to amplify segments of tenascin by PCR. Below is a list of mutant primers with nucleotide changes underlined. Each primer contained a nearby restriction site (in italics) that was used in combination with a site on the other side of the mutation in the tenascin cDNA to generate a short fragment for insertion into the TN-S cDNA in pcDNAI. The pairs of restriction sites are listed at the right with the first of each pair being the site within the mutant primer. An asterisk indicates an antisense orientation for the primer.

TNC64G* CCAGATCCACTGAGCCTTGGGA, BstYI to PpuMI

TNC111A GCCGGGCCGCTGGCTGTGCTGCAG, Nci I to ApaLI

TNC113A GCCGGGCCTGTGGCGCTGCTGCAG, NciI to ApaLI

TNCCGG GGGTACAGGCGGTGGCCTCCAACCTGC, RsaI to XcmI

TNC140A* ACCCATGGTGGCCTGCTCCCTT, NcoI to BstYI

TNCGC111 CGCCGGGCCGGTGGCGGTGCTGCAGC, NciI to ApaLI

PCR amplification with mutant primers was carried out for 30 cycles under the following conditions: 94 °C, 30 s; 37 °C, 1 min; 72 °C, 30 s. The DNA sequences of all PCR products were verified using Sequenase (U. S. Biochemical Corp.).

For construction of multiple mutant combinations, convenient restriction sites were used to prepare fragments containing the desired mutations, and these were ligated into the tenascin cDNA. In those cases where the complexity of the construction precluded using convenient restriction fragments, mutant tenascin cDNA was used as a template for PCR amplification using primers containing additional mutations (from the list above). To confirm the presence of each of the mutations within the cDNA before transfection, the assembly domain sequence in pcDNAI was determined for each mutant construct.

Cell Culture, Transfections, and Metabolic Labeling-- BHK-HxB.S cells (provided by Dr. Harold Erickson, Duke University) (21) were cultured in Dulbecco's modified Eagle's medium (Life Technologies, Inc.) plus 10% fetal calf serum (Hyclone Laboratories). COS-1 cells (provided by Dr. Ihor Lemischka, Princeton University) were grown in Dulbecco's modified Eagle's medium supplemented with 10% calf serum. DEAE-dextran transfections were performed essentially as described (22) using 3.3 µg of plasmid DNA with 4 × 105 COS-1 cells/6-cm dish.

Cells in 35-mm culture dishes were labeled for 24 h with [35S]methionine (NEN Life Science Products) at 25 µCi/ml in Dulbecco's modified Eagle's medium minus methionine supplemented with 10% calf serum (or fetal calf serum for BHK cells) and unlabeled methionine at one-tenth the normal concentration. Labeled conditioned medium was collected and stored at -20 °C with protease inhibitors (19).

Immunoprecipitations and SDS-PAGE-- Equal volumes of conditioned medium from transfected cells were used to isolate 35S-labeled normal and mutant tenascins by immunoprecipitation with R759, an anti-tenascin antiserum (19). Protein samples were separated in SDS-polyacrylamide gels either reduced with 100 mM dithiothreitol or nonreduced. Nonreduced samples were separated in 2-5% polyacrylamide gradient SDS gels with a 2.5% stacking gel. Reduced samples were electrophoresed in a 5% polyacrylamide-SDS gel. Prestained molecular mass standards (Sigma), fibronectin isolated from COS-1 cell medium, and purified laminin-1 (provided by Dr. Peter Yurchenco, Robert Wood Johnson Medical School, Piscataway, NJ) were used as markers. Two-dimensional nonreduced/reduced gels were performed as described (23). After electrophoresis, gels were fixed and stained with Coomassie Brilliant Blue to visualize laminin and dried and exposed to a storage phosphor screen (Molecular Dynamics) for 15-72 h. PhosphorImager counts per band were quantified using ImageQuant NT software. In addition, gels were exposed to Kodak XAR-5 film at -80 °C for 2-4 weeks. Autoradiographs were scanned using a UMAX flatbed scanner with transparency adapter, and scans were used to prepare these figures.

    RESULTS
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Abstract
Introduction
Procedures
Results
Discussion
References

Construction of Cysteine Mutations and Expression in COS-1 Cells-- The amino-terminal assembly domain of tenascin-C spans the first 150 residues of the protein. Several interesting structural features within this region include a set of three to four heptad repeats composed of residues 118-142, cysteines that can participate in multimerization, as well as two N-linked glycosylation sites. The locations of six cysteines and of the heptad repeats are shown in Fig. 1. Mutations of cysteines at positions 64, 111, 113, 140, 146, and 147 were prepared and expressed individually or in combinations in the tenascin-C small isoform (TN-S).


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Fig. 1.   Amino-terminal assembly domain of tenascin. This diagram shows the position of the three to four predicted heptad repeats (cross-hatched box) relative to the six cysteine residues analyzed in this study. Amino acid numbering is according to Spring et al. (14). C, cysteine.

To analyze the multimers formed by tenascin chains lacking one or more cysteine residues, reasonable quantities of recombinant proteins were needed. Therefore, we tested transfected COS-1 cells for the ability to assemble tenascin into hexamers. The full-length tenascin cDNA encoding the small splice variant was inserted into the vector pcDNAI, which has an SV40 origin for increased expression in COS cells with a cytomegalovirus promoter to drive tenascin transcription. The pcDNAI-TN-S plasmid was transfected into COS-1 cells. 24 h after transfection, cells were metabolically labeled with [35S]methionine for 24 h, and tenascin was isolated from labeled cell-conditioned media by immunoprecipitation with an anti-tenascin polyclonal antiserum. The level of secretion of tenascin from COS-1 transfectants was compared with a BHK cell line expressing HxB.S, the small isoform of human tenascin-C, which has previously been shown by electron microscopy to secrete recombinant tenascin hexabrachions (21). Fig. 2 shows that transient expression of recombinant tenascin in COS-1 cells results in secretion of tenascin multimers with an identical pattern to the HxB.S tenascin. The major band represents hexamers. A minor band is observed migrating at the predicted size for trimers, about 700 kDa, as determined by comparison to laminin-1 (800-850 kDa) and fibronectin (500 kDa). Thus COS-1 cells are able to assemble and secrete tenascin hexamers and can be used to examine the behavior of mutant tenascins.


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Fig. 2.   Comparison of tenascin expressed in BHK HxB.S cells and in COS-1 transfectants. COS-1 cells transiently expressing TN-S cDNA and BHK HxB.S cells were metabolically labeled with [35S]methionine. Culture media were collected and used for immunoprecipitations with anti-tenascin antiserum. Samples were electrophoresed under nonreducing conditions. Hexamer (H) and trimer (T) bands are indicated along with molecular mass standards laminin-1 (L, 800-850 kDa) and fibronectin (F, 500 kDa).

Effects of Cysteine Mutations on Tenascin Assembly-- To determine the roles for the individual cysteines, we have used PCR-directed mutagenesis to mutate each of the six cysteines surrounding the heptad repeats. Cysteines were mutated to either glycine or alanine codons by changing appropriate bases within oligonucleotide primers used for PCR amplification. PCR-amplified products were then inserted into the tenascin-C small splice variant cDNA in the vector pcDNA1 for transient expression in COS-1 cells. Each mutation was tested individually except for C146,147G, which was synthesized as a double mutation. Secreted recombinant tenascins containing each of the cysteine mutations were electrophoresed under nonreducing and reducing conditions. All transfectants secreted recombinant tenascins that migrated as single bands of about 230 kDa upon reduction (Fig. 3B). In all but one case, the proteins were present mainly as hexamers (Fig. 3A), and there was no difference in the multimer patterns between mutants and TN-S. The one exception is C64G, which was secreted largely as trimers with variable amounts of dimer-sized material. Two-dimensional nonreduced/reduced SDS-PAGE was used to show that these multimers are composed of tenascin subunits (Fig. 3C). Clearly, trimers are a major intermediate in an assembly pathway that is dependent on Cys-64 for formation of hexamers.


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Fig. 3.   Multimeric structures of individual cysteine mutants. Labeled cell culture medium for COS-1 cells expressing various cysteine mutant polypeptides as indicated was used for immunoprecipitation. Samples were electrophoresed under nonreducing (A) and reducing (B) conditions. C, nonreduced/reduced two-dimensional gel electrophoresis was used to show that multimers are composed of tenascin subunits. Note that the C64G polypeptide does not form hexamers. Hexamer (H), trimer (T), and dimer (D) locations are marked. Dashes (at right) indicate molecular mass standards: laminin-1 at 800-850 kDa and prestained molecular weight markers at 600 and 360 kDa.

To determine whether multiple cysteine mutations might have an effect on tenascin assembly, the mutations were expressed in combination. C64G in combination with any other cysteine mutation always gave a pattern of multimers identical to C64G alone (Fig. 4). The pattern of secreted multimers was unaffected by the presence of additional mutations. We conclude that the inclusion of additional cysteine mutations along with C64G does not further affect the types of multimers that form.


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Fig. 4.   C64G tenascin with other cysteine mutations form trimers. The C64G mutation was expressed along with other cysteine mutations as indicated. Nonreduced samples from immunoprecipitations are shown in comparison to TN-S with hexamer (H), trimer (T), and dimer (D) locations marked.

Two pairs of cysteines, Cys-111, -113 and Cys-146, -147, flank the heptad repeats. It is possible that these cysteines are involved in forming disulfide bonds that stabilize tenascin subunit interactions within a trimer intermediate structure. Mutation of all four of these residues might result in a further reduction in multimer size. A recombinant tenascin cDNA with mutations in the codons for these four cysteines (4×C) was constructed, and secreted products from transfected COS-1 cells were examined. A number of additional intermediates appeared consisting of between one and five subunits (Fig. 5). However, the majority of multimers were composed of four or more subunits. Therefore, in the absence of disulfide bonds flanking the heptad repeats, hexamers are still able to form. Significantly fewer large multimers were seen with the addition of a fifth mutation at Cys-140 (5×C).


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Fig. 5.   Multimers formed with multiple cysteine mutations. Multimers formed by polypeptides with four (4×C = C111G, C113G, C146G, C147G), five (5×C = C111G, C113G, C146G, C147G,C140A), or all six (6×C) cysteine mutations were analyzed by immunoprecipitation and nonreduced SDS-PAGE. Fibronectin (FN) dimers at 500 kDa are shown as a marker. Tenascin hexamers (H), trimers (T), dimers (D), and monomers (M) are indicated.

Mutation of All Six Cysteines Yields Monomers-- As Cys-64 is required for hexamer formation and the other cysteines participate in disulfide bonding to stabilize the hexamer and trimer intermediates, then mutation of all six cysteines should result in release of tenascin monomers. Transient expression of a mutant lacking all six cysteines (6×C) yielded monomers (Fig. 5), demonstrating that the hexamers and other multimers present in 4×C and 5×C mutants are held together by disulfide bonds involving Cys-64. Quantification revealed that 80% of the 6×C subunits were in the monomer band. The remainder of the subunits were present in dimer-sized material, which could result from disulfide bonds involving the two conserved cysteines that lie 14 and 25 residues downstream of Cys-147 at positions 161 and 172, respectively.

The results of our mutational analyses are summarized in Table I. Recombinant tenascin-C expressed in either BHK or COS-1 cells showed the same pattern of multimers, which is largely hexameric with variable small amounts of trimer-sized complexes. Each individual mutation, Cys-111 through Cys-147, yielded the same multimeric pattern as intact tenascin. Mutation of Cys-64 either alone or in combination with any of the other cysteine mutations ablated hexamer formation and resulted in secretion of trimers. With Cys-64 intact, the absence of cysteines flanking the heptad repeats did not eliminate hexamers but caused the appearance of monomer, dimer, and trimer intermediates (4 × C, 5 × C). Mutation of all six cysteines gave mainly monomers. Together, these results show that Cys-64 is essential for hexamer formation.

                              
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Table I
Multimer proportions for intact and mutant tenascins

    DISCUSSION
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Abstract
Introduction
Procedures
Results
Discussion
References

The multimeric structure is conserved among the tenascin family of proteins. Each type of tenascin has a set of heptad repeats within the amino-terminal assembly domain, and these are predicted to form a triple coiled-coil structure. We have analyzed the roles of each of the six cysteines in and around the heptad repeats and have found that only one cysteine, Cys-64, is essential for hexamer formation. Mutation of the other cysteines did not prevent the secretion of hexamers, and mutation of Cys-64 resulted in assembly and secretion of trimers but no higher multimers. Our results also demonstrate that tenascin is assembled through a trimer intermediate. Apparently, tenascin follows a stepwise process of assembly into hexamers beginning with trimer formation among subunits followed quickly by linking of two trimers into a hexabrachion.

Previously we had shown that the rapid intracellular assembly of tenascin did not involve detectable intermediates (19). Only hexamers were found at even the earliest time points, suggesting cotranslational assembly. Based on our mutational analyses, we propose that noncovalent trimers are formed via the heptad repeats as soon as the chains are sufficiently long to contact each other. Upon further translation elongation, the trimers would then be assembled into disulfide-bonded hexamers via the essential Cys-64 residue. At some point during this process, interchain disulfide bonds form between the other cysteines in this domain and help to stabilize the trimer structure. However, not all cysteines flanking the heptad repeats are essential for hexamer or trimer secretion as evidenced by efficient production, even with multiple cysteine mutations.

Analyses of secreted products composed of 4×C and 5×C polypeptides showed a significant level of dimers and monomers. These might represent tenascins that are secreted as dimers and monomers. An alternative explanation seems more likely, i.e. that these intermediates actually represent subunits dissociated from secreted hexamers that are not completely disulfide-bonded. Tenascin trimers probably form by association of three subunits through their heptad repeats. Such noncovalent coiled-coil interactions could be sufficient for trimer or hexamer secretion. However, if they are not stabilized by disulfide bonds, the interchain interactions would not withstand SDS denaturation before SDS-PAGE. Therefore, multimers lacking stabilizing disulfide bonds among all chains would dissociate into smaller intermediates upon denaturation. In addition to dimers and monomers, SDS-PAGE of 4×C and 5×C mutant tenascins also reveals a subfraction of disulfide-bonded multimers containing four or more subunits. Covalent interactions between a subset of subunits and involving one other cysteine in addition to Cys-64 would be sufficient to produce these higher multimers. Cysteines 161 or 172 downstream of the heptad repeats could participate in their formation.

Apparently, not all chains are disulfide-bonded together in intact tenascin, as SDS-PAGE of HxB.S tenascin showed some multimers consisting of five, four, and three subunits, although only hexamers were seen by electron microscopy of purified protein (21). Disulfide bonding at both ends of the coiled-coil is also not necessary for efficient expression of hexamers. Both C146,147G and C111,113G mutants had structures indistinguishable from native tenascin. Thus, within a population of normal or mutant tenascins, there can be multimers with interchain disulfide bonds between different numbers and combinations of subunits. In intact tenascin, one hexamer can have six disulfide-bonded chains, whereas another might have only four or five. This indicates that assembly of specific disulfide bonding partners is not a fixed process but is stochastic.

Fibrinogen is a major secreted hexameric protein that shows several structural similarities with tenascin, including coiled-coil regions and interchain disulfide bridges (24). Additionally, both have cysteines flanking the coiled-coil region as well as one or more cysteines near the amino terminus that are important for hexamer formation (25, 26). One major difference between these two proteins is in the roles of the disulfides that flank the coiled-coil domains. In tenascin, we have shown that these disulfides are dispensible, and hexamer assembly and secretion proceed very efficiently without them. In contrast, the disulfide rings of fibrinogen, particularly the carboxyl-terminal ring, must be properly formed in order for hexamers to be secreted (27-29). The differing roles of the disulfides used to assemble fibrinogen versus tenascin might reflect differences in the mechanism of assembly of these hexamers. As fibrinogen is formed from three different gene products (alpha , beta , gamma ), assembly must occur post-translationally. Therefore, it is possible that proper alignment of the cysteines is important for proper register of the coiled-coil. In addition, the coiled-coil of fibrinogen is significantly longer than that of tenascin, which could make molecular register more critical. The complex disulfide bonding pattern of fibrinogen would also assure that all three chains are present in the hexamer. As all six tenascin chains are identical, this is not a concern with this hexamer.

The crystal structures of three- and five-chain parallel coiled-coils have been reported (30, 31). Comparison of the positioning of cysteine residues in and around the heptad repeats of tenascin to trimeric coiled-coil peptides did not reveal any obvious orientiation of cysteine side chains that might predict disulfide bonding partners. In the case of the five- stranded coiled-coil of cartilage oligomeric matrix protein, there are two cysteines at the carboxyl terminus of the heptad repeats, and these form the interchain disulfide bonds (31). Although these residues lie at the end of the heptad repeats, they are not part of the coiled-coil structure. In fact, the coiled-coil is disrupted just before these residues, and they actually reside within a type III beta  turn. Thus, other determinants bring the cysteine residues into a favorable position for disulfide bridge formation. Using the Multicoils2 program (32) to predict heptad repeats in the assembly domain of tenascin indicated that Cys-111,-113 and Cys-146,-147 are just outside of the heptad repeats and not likely to be involved in coiled-coil interactions.3 Therefore, tenascin may resemble cartilage oligomeric matrix protein and use structures in addition to a coiled-coil to bring cysteines into proximity for disulfide bonding.

Whereas tenascin-C is a hexamer, tenascin-R has only been isolated as trimers or dimers (33), and tenascin-X (34) and tenascin-Y (18) contain unknown numbers of chains. Comparison of the assembly domains from these three shows that they are highly conserved. However, there are several differences that could account for the different numbers of subunits in the multimers. We have shown that tenascin-C uses Cys-64 to form hexamers. This cysteine is absent from tenascin-X (35), indicating that this tenascin is probably trimeric. However, a cysteine equivalent to Cys-64 (at position 79) is present in tenascin-R (36-38). Why have only trimers and dimers been observed? In addition to Cys-79, mammalian tenascin-R has an additional cysteine 48 amino acids upstream (37, 38). Perhaps these two cysteines can form an intrachain disulfide bond, preventing them from participating in hexamer assembly and thus yielding only trimers. This potential mechanism could also hold for chicken tenascin-R, which has three extra cysteines in the first 78 amino acids (36). All have cysteines flanking the heptad repeats, suggesting a functional role for these residues. Tenascins probably need to withstand a certain amount of tension within the extracellular matrix, and disulfide bonding around the coiled-coil could serve to prevent unraveling of the trimers in these situations. Clearly, nature has evolved a very complex set of interactions to produce tenascin family members consisting of different numbers of chains and has added extra cysteines for stability, probably to strengthen the hexabrachion for its structural role within the extracellular matrix.

    ACKNOWLEDGEMENTS

We would like to thank Harold Erickson for providing the BHK-HxB.S cell line, Ihor Lemischka for the COS-1 cells and the stromal cell cDNA library, and Peter Yurchenco for laminin-1. We are also grateful to Michael Fitzgerald for technical assistance and Melissa Wenk for critically reading the manuscript.

    FOOTNOTES

* This work was supported by American Cancer Society Grant CB-79.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ Recipient of a predoctoral fellowship from the New Jersey affiliate of the American Heart Association.

To whom correspondence should be addressed. Tel.: 609-258-2893; Fax: 609-258-1035; E-mail: jschwarzbauer{at}molbio.princeton.edu.

1 The abbreviations used are: TN, tenascin; TN-S, small alternatively spliced form of tenascin; PCR, polymerase chain reaction; PAGE, polyacrylamide gel electrophoresis; BHK, baby hamster kidney.

2 Internet address: ostrich.lcs.mit.edu/cgi-bin/score

3 J. A. Luczak, S. D. Redick, and J. E. Schwarzbauer, unpublished observations.

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Abstract
Introduction
Procedures
Results
Discussion
References

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