- 1Section on Cellular Signaling, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States
- 2Institute for Biological Research “Siniša Stanković”, University of Belgrade, Belgrade, Serbia
- 3Department of Cellular and Molecular Neuroendocrinology, Institute of Physiology Academy of Sciences of the Czech Republic, Prague, Czechia
Gonadotrophs are basophilic cells of the anterior pituitary gland specialized to secrete gonadotropins in response to elevation in intracellular calcium concentration. These cells fire action potentials (APs) spontaneously, coupled with voltage-gated calcium influx of insufficient amplitude to trigger gonadotropin release. The spontaneous excitability of gonadotrophs reflects the expression of voltage-gated sodium, calcium, potassium, non-selective cation-conducting, and chloride channels at their plasma membrane (PM). These cells also express the hyperpolarization-activated and cyclic nucleotide-gated cation channels at the PM, as well as GABAA, nicotinic, and purinergic P2X channels gated by γ-aminobutyric acid (GABA), acetylcholine (ACh), and ATP, respectively. Activation of these channels leads to initiation or amplification of the pacemaking activity, facilitation of calcium influx, and activation of the exocytic pathway. Gonadotrophs also express calcium-conducting channels at the endoplasmic reticulum membranes gated by inositol trisphosphate and intracellular calcium. These channels are activated potently by hypothalamic gonadotropin-releasing hormone (GnRH) and less potently by several paracrine calcium-mobilizing agonists, including pituitary adenylate cyclase-activating peptides, endothelins, ACh, vasopressin, and oxytocin. Activation of these channels causes oscillatory calcium release and a rapid gonadotropin release, accompanied with a shift from tonic firing of single APs to periodic bursting type of electrical activity, which accounts for a sustained calcium signaling and gonadotropin secretion. This review summarizes our current understanding of ion channels as signaling molecules in gonadotrophs, the role of GnRH and paracrine agonists in their gating, and the cross talk among channels.
Introduction
Gonadotrophs are the anterior pituitary cell lineage specialized for synthesis and release of two gonadotropins, such as follicle-stimulating hormone and luteinizing hormone (LH) (1). In addition to genes encoding beta subunits of gonadotropins, Fshb and Lhb (2, 3), gonadotrophs are defined by at least two other genes not expressed in other secretory pituitary cell types, such as gonadotropin-releasing hormone (GnRH) receptor (GnRHR) gene (Gnrhr) (4) and dentin matrix protein 1 gene (5). Together with thyrotrophs, gonadotrophs express the Cga gene encoding the α glycoprotein subunit (6). Ontogenetically, the lineage commitment is associated with the expression of the orphan nuclear receptor NR5A1, a transcriptional factor that also plays a role in the expression of gonadotroph-specific genes in the postnatal animals (7).
Gonadotrophs are neuron-like; they express numerous voltage-gated sodium (Nav), calcium (Cav), potassium (Kv), and chloride channels at the plasma membrane (PM), and fire action potentials (APs) spontaneously (8). These cells also express ligand-gated ion channels at PM, which activation by hypothalamic and intrapituitary ligands leads to increase in firing frequency and facilitation of Ca2+ influx and hormone release (9). The function of gonadotrophs is regulated by several Ca2+-mobilizing receptors capable of modulating electrical activity and AP-dependent Ca2+ influx and hormone release (10). The main Ca2+-mobilizing receptor for these cells is GnRHR, signaling through heterotrimeric Gq/11 proteins (11), which α subunit activates phospholipase C-β1, leading to generation of inositol-1,4,5-trisphosphate (IP3) and diacylglycerol (12) and release of Ca2+ from endoplasmic reticulum (ER) through IP3 receptor (IP3R) channels (9).
Here, we focus on the role of ion channels in electrical/Ca2+ signaling and Ca2+-controlled cellular functions in gonadotrophs. We will first review the expression and roles of voltage-gated channels in spontaneous excitability and accompanied Ca2+ influx in these cells, followed by description of additional channels contributing to facilitation or modulation of excitability of these cells. These include the hyperpolarization-activated and cyclic nucleotide-gated (HCN) channels, acetylcholine (ACh)-gated receptor (AChR) channels, γ-aminobutyric acid (GABA)-gated A-type receptor (GABAAR) channels, and ATP-gated receptor (P2XR) channels, all expressed at PM, and IP3R channels expressed at ER membranes.
Signaling by Voltage-Gated Channels
The superfamily of voltage-gated ion channels of more than 140 members, including Nav, Cav, Kv, and numerous less selective channels, is one of the largest groups of signal transduction proteins (13). These channels are also expresses in gonadotrophs and account for spontaneous and receptor-controlled electrical and Ca2+ signaling (9).
Nine members of Nav channels are expressed in mammals, which contribute to the initiation and propagation of APs (14). The inward Nav current has been identified in rat (15, 16), ovine (17), fish (18, 19) and mouse native (20, 21), and immortalized gonadotrophs (22, 23). Figure 1A shows traces of Nav currents in cultured rat gonadotrophs. It appears that the level of Nav channel expression is greater in these cells than in other secretory anterior pituitary types (16). Voltage-insensitive Na+ conductance is also present in all endocrine pituitary cells, including gonadotrophs (24, 25).
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Figure 1. The expression of voltage-gated and ligand-gated ion channels in identified rat pituitary gonadotrophs. (A) Voltage-gated sodium current traces elicited by 100 ms voltage steps from holding potentials (HPs) of −117 mV. (B) Voltage-gated calcium current traces elicited by 400 ms voltage-steps. (C) Voltage-gated potassium current traces elicited by 1.5 s voltage steps. (D) Cells expressing HCN current display inward rectification in response to hyperpolarizing current pulses of −5 pA that are suppressed by 1 mM Cs+, a blocker of HCN channels. (E) Spontaneous electrical activity can be observed in about 50% of cultured gonadotrophs. (F) 8-Br-cAMP stimulates electrical activity. (G) γ-aminobutyric acid (GABA)-induced current recorded using gramicidin-perforated patch from cells held at different membrane potentials. (H) GABA-stimulated electrical activity. (I) Concentration-dependent effects of acetylcholine (ACh) on the amplitude of nicotinic current. (Top) Representative traces. (Bottom) Mean ± SEM values. (J) ACh-induced electrical activity. (K) Concentration-dependent effects of ATP on peak P2XR current response. (L) ATP-induced firing of action potentials. Derived from data shown in Ref. (16, 41, 50, 52, 63, 67); no permission is required from the copyright holder.
The Cav channels have a dual role in excitable cells: they generate inward currents that can initiate APs and are also critical for coupling of electrical signals on PM with physiological intracellular events by generating intracellular Ca2+ signals. There are 10 members of these channels that exhibit different electrophysiological and pharmacological properties (26). Pituitary gonadotrophs express at least inactivating T-type and non-inactivating L-type Cav currents, as documented in cultured cells from rat (16), mouse (21), ovine (27), fish (19), as well as in αT3-1 immortalized gonadotrophs (22). Figure 1B shows a representative trace of Cav current in rat gonadotrophs.
The Kv channels are composed of at least four functional classes: fast activating delayed rectifier, slow activating delayed rectifier (including M channels), A-type Kv channels, and ether-a-go-go-gene channels (28). Figure 1C illustrates total Kv currents in rat pituitary gonadotrophs, which are driven by several Kv channels. αT3-1 gonadotrophs (22) and native goldfish (19), rat (16) and ovine (29) gonadotrophs express delayed rectifiers, which expression is controlled by estrogens (29). The A-type Kv channels are also expressed in αT3-1 cells (22) as well as in native fish (18, 19, 30), frog (31), and rat (16, 32, 33) gonadotrophs. In rats, the expression level of these channels is much higher in gonadotrophs than somatotrophs (16). Functional M-type channels are expressed in mouse gonadotrophs and GnRH through a still uncharacterized signal cascade inhibits these channels (34). Moreover, our transcriptome study implies that a pulsatile GnRH application downregulates the expression of Kcna2 (Kv 1.2) and Kcnh6 (ether-a-go-go), while it upregulates Kcnk10 (outward rectifier) and Na+/Ca2+ exchanger Slc24a3, indicating that GnRHR may indirectly be involved in regulation of cell excitability (5).
Calcium-activated K+ channels (KCa) are composed of two families: three small-conductance K+ (SK) channels and one intermediate-conductance channel are members of the first family and the high-conductance K+ (BK) channels belong to the second family. These channels are activated by elevation in cytosolic Ca2+ and play a critical role in control of firing properties of excitable cells (35), including pituitary cells (36). The expression of SK channels is well documented in fish (37), rat (38, 39), mouse (40), and ovine gonadotrophs (17), and the level of their expression is dependent on estradiol (20). Whole-cell current recordings confirmed the presence of BK current in several pituitary cell types but not in gonadotrophs (16).
Gonadotrophs also express the hyperpolarization-activated and cyclic nucleotide-gated (HCN) channels (41), which are permeable to both K+ and Na+ and play a critical role in cardiac rhythmicity (42). As their name indicates, HCN channels are activated by voltage (Figure 1D) and cyclic nucleotides. Rat gonadotrophs and other pituitary cell types also express the cation-conducting transient receptor potential (TRP) cation-like channels (43), initially characterized by their role in Drosophila phototransduction (44). Mouse gonadotrophs express TRPC5 subtype of these channels, which are activated by GnRH and promote Ca2+ influx (45). Finally, Ca2+-activated non-selective cationic currents are present in rat gonadotrophs, but the nature of these channels has not been identified (46).
The expression of voltage-gated channels in gonadotrophs makes them electrically excitable cells, i.e., capable of exhibiting regenerative and propagated APs spontaneously or in response to stimulation. In general, the membrane potential (Vm) of single gonadotrophs in culture is not stable but fluctuates from resting potentials of −60 to −50 mV due to spontaneous activity of hyperpolarizing and depolarizing channels. When the depolarization waves reach the threshold level, gonadotrophs fire tall and narrow APs (Figure 1E), with spiking frequency of ~0.7 Hz, amplitude of more than 60 mV, and half-width of about 50 ms (47). Ovine gonadotrophs also fire single APs spontaneously (17). In contrast to gonadotrophs, other pituitary cell types predominantly exhibit bursting pattern of spontaneous electrical activity, i.e., periodic depolarized potentials with superimposed small-amplitude spikes (47–50).
Depolarizing currents are pacemaking currents, accounting for a gradual reduction of PM resting potential toward the threshold for AP firing, and spike depolarization currents, accounting for the upstroke of an AP. The nature of channels contributing to pacemaking depolarization in gonadotrophs is not well characterized. The ongoing work is focused on the potential role of background Na+ (24) and TRP channels (43) in this process. The cell permeable cAMP analog 8-Br-cAMP initiates AP firing in quiescent gonadotrophs (Figure 1F) and increases the frequency of spikes in spontaneously firing cells (41), an action consistent with the expression of HCN channels (Figure 1D) and/or protein kinase A-mediated phosphorylation of some other channels in gonadotrophs (51).
The main function of Nav channels is to depolarize cells and generate the upstroke of the AP, controlling the firing amplitude in excitable cell. In gonadotrophs, they act in conjunction with Cav channels to generate APs (17) or Cav channels are exclusively responsible for the spike depolarization (52). Simultaneous measurements of Vm and [Ca2+]i showed that the bulk Ca2+ levels are low (50–100 nM) in spontaneously spiking gonadotrophs, in contrast to spontaneously bursting lactotrophs, somatotrophs and GH3B6 cells, which generate much higher (300–1,200 nM) and clearly oscillatory Ca2+ transients (48, 52, 53). In gonadotrophs, AP-driven Ca2+ influx is below the threshold needed to trigger exocytosis (52), whereas the bursting type of electrical activity in lactotrophs and somatotrophs accounts for high basal hormone secretion (48, 52). Because in intact tissue pituitary cell lineages are organized as complex networks (54–56), further studies are needed to characterize the excitatory and secretory patterns in pituitary cells with preserved tridimensional structure.
Signaling by Ligand-Gated Receptor Channels
Ligand-gated receptors channels are activated by chemical signals (ligands) rather than to changes in the Vm. These proteins are typically composed two different domains: a pore forming transmembrane domain and an extracellular domain containing the ligand binding site. There are three families of these channels: the Cys-loop family of channels activated by ACh, 5-HT, GABA, and glycine (57), glutamate-gated receptor-channels (58), and ATP-gated purinergic P2XR channels (59). Pituitary gonadotrophs express GABAAR, nicotinic AChR, and P2X2R channels (9).
γ-Aminobutyric acid is acting through GABAAR and GABACR channels permeable to Cl−; in the central nervous system, GABA usually silences electrical activity and Ca2+ signaling (60). However, in gonadotrophs GABA and muscimol, a GABAAR agonist, increase intracellular Ca2+, suggesting that chloride-mediated depolarization activates Cav channels. Furthermore, the GABAAR channel reversal potential for chloride ions is positive to the baseline Vm (Figure 1G), and the activation of these channels results in depolarization of cells and initiation of AP firing (Figure 1H) and stimulation of Fshb and Lhb expression (61) and LH release (62). The lower expression of cation/chloride transporter KCC2 in rat pituitary cells probably accounts for the depolarizing nature of GABAAR channels in cultured gonadotrophs (63).
The binding of nicotine, ACh, or other ligands to AChR channels stimulates cation (Na+ and K+ and for some neuronal subtypes Ca2+ as well) influx through a channel and generally results in membrane depolarization. Seventeen subunits of nicotinic AChR have been identified and were shown to assemble into a variety of receptor subtypes (64, 65). We have shown recently the expression of β2, β1, α9, and α4 mRNAs in cultured rat pituitary cells and β2, α4, and α1 in immortalized LβT2 mouse gonadotrophs. We also showed the expression of β2 subunit protein in gonadotrophs (50). These cells express nicotinic AChR channels capable of generating an inward current (Figure 1I) and facilitating electrical activity (Figure 1J) and Ca2+ influx (not shown). We also found that GnRHR stimulation downregulates gene expression of both α4 and α9 subunits (5, 50), suggesting that the expression of nicotinic AChR in gonadotrophs in vitro compensates for the loss of GnRH stimulation.
ATP is not only an intracellular molecule but is also released by cells and acts as an extracellular ligand for P2XR family of channels, composed of three subunits, each composed of a large ectodomain, two transmembrane domains and the N- and C-terminus facing the cytoplasm (59). In intact gonadotrophs, ATP-induced extracellular Ca2+-dependent rise in cytosolic Ca2+ (66). In voltage-clamped cells, extracellular ATP-induced non-oscillatory current composed of rapidly depolarizing, slowly desensitizing, and rapidly deactivating phases, with the peak amplitudes and the rates of current desensitization determined by ATP concentration (Figure 1K). In current-clamped gonadotrophs, ATP induces a rapid depolarization that initiated firing of APs in quiescent cells, an increase in the frequency of firing in spontaneously active cells (Figure 1L), and a transient stimulation of LH release (67). The biophysical and pharmacological investigations suggested that gonadotrophs express the P2X2R subtype of these channels (67). Consistent with this conclusion, the full size and several splice forms of P2X2 subunit were identified in pituitary gland (68).
ATP is released by GnRH-secreting GT1 cells and cultured pituitary cells and metabolized by ectonucleotidase (69). Furthermore, GnRH increases ATP release in cultured pituitary cells (66). In accordance with these observations, it has been shown that ATP is co-secreted with GnRH from the median eminence into the hypophyseal-portal vasculature in ovariectomized sheep and that gonadotrophs have intrinsic ability to metabolize ATP in the extracellular space (70). This is consistent with the autocrine actions of extracellular ATP, where this molecule amplifies GnRH-induced Ca2+ signaling and LH secretion by activating P2X2Rs (67, 70). Pituitary cells other than gonadotrophs also express pannexin-1 and -2 channels (71), which contribute to ATP release in the extracellular medium in cultured pituitary cells (72). Thus, ATP and its degradation products ADP and adenosine may serve as paracrine factors to provide a cross talk between cell lineages within the pituitary gland via P2X2R (67), P2X4R (73), G-protein-coupled P2YRs (74), and adenosine receptors (75). By physical association with P2XRs, pannexin-1 may also provide a mechanism for autocrine control of functions of pituitary cell types expressing both proteins (76).
Signaling by Channels Expressed in ER Membranes
Two families of structurally and functionally similar Ca2+ release channels, ryanodine receptors and IP3Rs, are expressed in the ER membrane. Ryanodine receptors account for intracellular transduction and translation of PM electrical signals by Ca2+-induced Ca2+ release from ER, whereas IP3Rs are activated by Ca2+-mobilizing receptors. In non-excitable cells, the IP3R-induced depletion of ER-Ca2+ stores facilitates Ca2+ influx through store-operated Ca2+-conducting PM channels. Two proteins, named stromal-interacting molecule and Orai, are critical for this Ca2+ entry pathway (77). IP3Rs are expressed in all secretory pituitary cells as indicated by ability of numerous Ca2+-mobilizing agents to trigger Ca2+ release from ER (9). In contrast, no conclusive evidence was presented about the expression and role of ryanodine receptors and Orai channels in gonadotrophs and other secretory pituitary cell types (36).
The Ca2+-mobilizing pathway is operative in gonadotrophs and is activated by GnRH as well as by pituitary adenylate cyclase-activating peptides, endothelins, ACh, vasopressin and oxytocin (50, 78–80). Among pituitary cells, a unique characteristic of mammalian gonadotrophs is the oscillatory pattern of Ca2+ release through IP3Rs. Figure 2A illustrated GnRH-induced Ca2+ oscillations. In contrast, αT3-1 (Figure 2B) and LβT2 gonadotrophs (not shown) release Ca2+ in a non-oscillatory manner when stimulated with GnRH (81, 82). GnRH-induced calcium signaling is also non-oscillatory in fish pituitary cells (83) as well as in rat Leydig cells (Figure 2B) (84). In rat gonadotrophs, the frequency of Ca2+ oscillations is determined by GnRH concentration and varies between 3 and 20 pulses per minute (85, 86). In neonatal rat gonadotrophs, GnRH-induced, but not IP3-stimulated, Ca2+ oscillations are inhibited by melatonin (87–90).
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Figure 2. Influence of Ca2+ mobilization on excitability of pituitary gonadotrophs. (A,B) Gonadotropin-releasing hormone (GnRH)-induced calcium oscillations in rat pituitary gonadotrophs (A) and non-oscillatory calcium signals in immortalized αT3-1 pituitary gonadotrophs and testicular Leydig cells (B). (C,D) GnRH-induced membrane potential (C) and small-conductance K+ (SK) current (D) oscillations in rat gonadotrophs. (E,F) Increase in the amplitude of GnRH-induced SK current oscillations by depolarization (E) and activation of P2X2R channels by extracellular ATP (F) in rat gonadotrophs. Current oscillations were initiated by 0.1 nM GnRH (E) and 1 nM GnRH (F). Calcium recordings were done in intact Indo-1-loaded cells (A,B), whereas electrophysiological recordings were done in nystatin-perforated cells voltage-clamped (D–F) or in current-clamped cells (C). Vm, membrane potential; I, SK current; HP, holding potential. Derived from data shown in Ref. (36, 50, 63, 91); no permission is required from the copyright holder.
Gonadotropin-releasing hormone-induced Ca2+ oscillations have profound effects on electrical activity of these cells. In current-clamped gonadotrophs, GnRH-induced a transient hyperpolarization, followed by a bursting pattern episode of tall electrical spikes (Figure 2C). When the membrane was voltage-clamped, GnRH-induced current oscillations were observed (Figure 2D) (91, 92). Patterns of Ca2+ and current oscillations are highly comparable in the same cell and current oscillations coincide with transient hyperpolazation of PM. It is well established that Ca2+-activated SK channels account for coupling from the ER to PM in rat gonadotrophs (16, 38, 46, 93), whereas BK channels may also contribute to such coupling in mice gonadotrophs (40). In non-oscillatory αT3-1 gonadotrophs, GnRH stimulates L-type Ca2+ channels, leading to protein kinase C-dependent ERK activation (94), a process that requires dynamin GTP-ase activity (95).
The physiological relevance of bursting electrical activity in GnRH-stimulated gonadotrophs has been shown in voltage-clamped cells. By controlling the holding potential (HP) of the cell, this procedure provides a way to control the Ca2+ influx rate. In hyperpolarized cells with silent Cav channels, GnRH-induced current oscillations persist for about 5 min, reflecting a gradual depletion of the ER Ca2+ content. However, when the HP was more depolarized, many Cav channels are open and GnRH-induced current oscillations last much longer (Figure 2E), indicating that voltage-gated Ca2+ influx sustains signaling (91). Facilitation of Ca2+ influx through P2X2R channels also increases amplitudes of sustained GnRH-stimulated current oscillations (Figure 2F), a finding consistent with effect of ATP on GnRH-induced Vm oscillations and LH release (67).
The gating properties of IP3R channels in gonadotrophs were not studied directly, and our understanding of kinetics of opening and closing is based on analysis of GnRH/IP3-induced Ca2+/current oscillations. IP3 is needed to initiate the ER-dependent Ca2+ signaling, oscillations in intracellular IP3 are not required to generate oscillatory Ca2+ release as documented by injection of non-metabolizable IP3 analogs, and the concentration of IP3 underlines the frequency of spiking (96). Furthermore, cytosolic Ca2+ influences IP3-dependent Ca2+ release in these cells bidirectionally, stimulatory at lower concentrations and inhibitory at higher concentrations. The rapid stimulatory effect of Ca2+ on IP3-depenent Ca2+ release is shown by phase resetting of GnRH-induced oscillations by a brief pulse of voltage-gated Ca2+ entry (97). The inhibitory effect of high Ca2+ concentrations on GnRH-induced Ca2+ oscillations was also shown (98).
Intercellular Signaling by Gap Junction Channels
Secretory cells are not randomly spread throughout the pituitary gland but represent very organized three-dimensional network structures critical for the proper cell-type function (54, 99). Tridimensional imaging also suggested that pituitary gonadotrophs form a homotypic network (55). These and other pituitary cells express connexin-43 (100). In general, coupling of cells through connexin gap junctions provides a pathway for the passage of ions, metabolites, small molecules, and second messengers from cell to cell, without exposure to the extracellular environment (101, 102). However, the roles of connexins in synchronization of gonadotroph activity in intact tissue have not been systematically investigated.
Conclusion
This short review clearly indicates the complexity in expression and role of PM and ER channels in gonadotrophs. Various voltage-gated and related channels provide a background pathway for spontaneous firing of APs and Ca2+ signaling. In contrast to other secretory pituitary cells, spontaneous electrical activity is not coupled to exocytosis, i.e., Ca2+ signals generated by APs are subthreshold. However, the excitability of gonadotrophs is facilitated by activation of nicotinic AChRs, GABAAR, and P2X2Rs, and the accompanied Ca2+ signals can trigger gonadotropin secretion. Activation of GnRHR and other Ca2+-mobilizing receptors in gonadotrophs leads to Ca2+ release from ER through IP3R channels coupled with a rapid LH secretion, and switch in the pattern of firing of APs from tonic single spiking to periodic plateau bursting, the latter being essential for sustained Ca2+ signaling and LH secretion. Further studies are needed to detail the role of ion channels in intracellular signaling cascade, gene expression, Ca2+ secretion coupling, and mechanism of synchronous activation of gonadotrophs in intact tissue.
Author Contributions
All the authors participated in writing; SS prepared figures.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Funding
This work was supported by the National Institute of Child Health and Human Development Intramural Program—Project ZIA HD 000195-22 (SS), Ministry of Education, Science and Technological Development of the Republic of Serbia, Grant III 41014 (IB), and by the Grant Agency of the Czech Republic (16-12695S), LQ1604 NPU II provided by MEYS, and Z.1.05/1.1.00/02.0109 BIOCEV provided by ERDF and MEYS (HZ).
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Keywords: gonadotrophs, gonadotropin-releasing hormone, voltage-gated channels, ligand-gated channels, electrical activity, calcium signaling, luteinizing hormone secretion
Citation: Stojilkovic SS, Bjelobaba I and Zemkova H (2017) Ion Channels of Pituitary Gonadotrophs and Their Roles in Signaling and Secretion. Front. Endocrinol. 8:126. doi: 10.3389/fendo.2017.00126
Received: 12 April 2017; Accepted: 24 May 2017;
Published: 09 June 2017
Edited by:
María M. Malagón, Instituto Maimónides de Investigación Biomédica de Córdoba, SpainReviewed by:
Gábor B. Makara, Hungarian Academy of Sciences, HungaryTullio Florio, Università di Genova, Italy
Copyright: © 2017 Stojilkovic, Bjelobaba and Zemkova. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Stanko S. Stojilkovic, stojilks@mail.nih.gov