<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJBIPHY</journal-id><journal-title-group><journal-title>Open Journal of Biophysics</journal-title></journal-title-group><issn pub-type="epub">2164-5388</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojbiphy.2018.83009</article-id><article-id pub-id-type="publisher-id">OJBIPHY-85791</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject><subject> Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  The Quantum-Mechanical Sensitivity of Cell Hydration in Mammals
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Anna</surname><given-names>Nikoghosyan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Lilia</surname><given-names>Narinyan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Armenuhi</surname><given-names>Heqimyan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sinerik</surname><given-names>Ayrapetyan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Life Sciences International Postgraduate Educational Center, UNESCO Chair in Life Sciences, Yerevan, Armenia</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>info@biophys.am(SA)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>29</day><month>05</month><year>2018</year></pub-date><volume>08</volume><issue>03</issue><fpage>104</fpage><lpage>116</lpage><history><date date-type="received"><day>12,</day>	<month>April</month>	<year>2018</year></date><date date-type="rev-recd"><day>30,</day>	<month>June</month>	<year>2018</year>	</date><date date-type="accepted"><day>3,</day>	<month>July</month>	<year>2018</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  The elucidation of the mechanism on the biological effects of weak chemical and physical factors on cells and organism is one of the modern problems in life sciences. According to the Receptor Theory of Prof. Bernard Katz the impact of the biological substances on cells is realized through the activation of ligand-gated ion channels in the membrane. However, this theory doesn’t provide a satisfactory explanation on the similar biological effects of extremely low concentrations of different chemical substances, which are unable to activate the ionic channels in the membrane and have non-linear dose-dependent effect on cells. Previously we have suggested that the metabolic control of cell hydration serves as a universal quantum-mechanical sensor for different weak physical and chemical signals. For supporting this hypothesis, in this article the comparative study of the effects of low concentrations of both cold (non-radioactive) and [
  <sup>3</sup>H]-ouabain (specific inhibitor for Na
  <sup>+</sup>/K
  <sup>+</sup>-ATPase) on the hydration in different tissues of rats has been performed. The obtained data have shown that cold and [
  <sup>3</sup>H]-ouabain have different effects on cell hydration and such a difference depends on the initial metabolic state of tissues. On the basis of our previous and present results it is suggested that such a quantum-mechanical sensitivity of cell hydration is realized through the cyclic-nucleotides-dependent Na
  <sup>+</sup>/Ca
  <sup>2+</sup> exchange, having a crucial role in the metabolic regulation of cell hydration.
 
</p></abstract><kwd-group><kwd>Rat</kwd><kwd> Hydration</kwd><kwd> Ouabain</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The elucidation of the mechanism on the biological effects of weak chemical and physical factors on cells and organism is one of the modern problems in life sciences. At present, our knowledge on signal transduction in cells is based on the Membrane Theory which explains this transduction by the changes of cell membrane permeability for inorganic ions leading to generation of transient ionic currents through cell membrane [<xref ref-type="bibr" rid="scirp.85791-ref1">1</xref>] . However, this theory based on classical thermodynamic approaches, cannot explain the biological effects of extremely low concentrations of chemical substances [<xref ref-type="bibr" rid="scirp.85791-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref3">3</xref>] and weak physical signals [<xref ref-type="bibr" rid="scirp.85791-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref5">5</xref>] , which are unable to activate ionic channels in the membrane and have non-linear dose-dependent effect.</p><p>The main omission of the Membrane Theory is that it does not consider the direct role of cell metabolism in generation of cell membrane potential. Although the existence of the metabolic component of membrane potential in the living cells has been revealed in a number of studies [<xref ref-type="bibr" rid="scirp.85791-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref7">7</xref>] , there isn’t any reliable theory explaining the sensitivity of cells to weak physical and chemical signals.</p><p>Based on our previous research data we have developed a new approach on quantum-mechanical sensitivity of living cells to different weak factors, which are realized through the metabolic control of cell hydration [<xref ref-type="bibr" rid="scirp.85791-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref10">10</xref>] . According to this hypothesis a water molecule, having valence angle with quantum-mechanical sensitivity to different factors, serves as a primary messenger for signal transduction in cells. The metabolically generated water efflux from the cell balances the osmotic water uptake and has inhibitory effect on inward going ionic currents [<xref ref-type="bibr" rid="scirp.85791-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref12">12</xref>] serving as a gate by which the weak signals modulate cell metabolic activity. Therefore, the metabolic control of cell hydration has been suggested as a universal quantum-mechanical sensor through which the biological effects of extremely weak chemical and physical signals on cells and organisms are realized [<xref ref-type="bibr" rid="scirp.85791-ref9">9</xref>]</p><p>It is known that the Na<sup>+</sup>/K<sup>+</sup> pump is a key mechanism through which the metabolic control of cell hydration is realized. In excitable membranes three isoforms (α<sub>1</sub>, α<sub>2</sub>, α<sub>3</sub>) of α catalytic subunit of Na<sup>+</sup>/K<sup>+</sup>-ATPase (working molecule for Na<sup>+</sup>/K<sup>+</sup> pump) are identified [<xref ref-type="bibr" rid="scirp.85791-ref13">13</xref>] . They are characterized by different affinities to cardiac glycoside ouabain (specific inhibitor for Na<sup>+</sup>/K<sup>+</sup>-ATPase) as well as functional roles: α<sub>1</sub> (with low affinity) and α<sub>2</sub> (with middle affinity) isoforms are involved in transportation of Na<sup>+</sup> and K<sup>+</sup>, while α<sub>3</sub> (with high affinity) is not directly involved in transporting Na<sup>+</sup> and K<sup>+</sup> and has only signaling function [<xref ref-type="bibr" rid="scirp.85791-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref15">15</xref>] . Our previous studies have shown that these isoforms are extremely sensitive not only to ouabain but also to extremely low concentrations of other biologically active substances [<xref ref-type="bibr" rid="scirp.85791-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref16">16</xref>] as well as to weak intensity of electromagnetic fields [<xref ref-type="bibr" rid="scirp.85791-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref18">18</xref>] . From these data it is followed that the same chemical substances with different quantum-mechanical structures (e.g. non-radioactive ouabain and [<sup>3</sup>H]-ouabain) can have individual effects on cell hydration. It has been shown that Na<sup>+</sup>/K<sup>+</sup> pump is a key mechanism in regulation of cell hydration and its age-dependent dysfunction brings to tissue dehydration, which is accompanied by the decrease of α<sub>3</sub> isoform’s affinity to ouabain [<xref ref-type="bibr" rid="scirp.85791-ref19">19</xref>] . Therefore, in the presented article the age-dependent comparative study of the effects of pM (agonist for α<sub>3</sub>) and nM (agonist for α<sub>2</sub>) concentrations of cold (non-radioactive) ouabain and [<sup>3</sup>H]-ouabain on the hydration of different tissues was performed.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Animals</title><p>All procedures performed on animals were carried out following the protocols approved by Animal Care and Use Committee of Life Sciences International Postgraduate Educational Centre (LSIPEC, Yerevan, Armenia).</p><p>The experiments were performed on young (6 weeks old) and old (18 months old) Wistar rats. They were regularly examined, kept under control of the veterinarians in LSIPEC and reserved in a specific pathogen-free animal room under optimum conditions of 12 h light/dark cycles, at temperature of 22˚C &#177; 2˚C, with a relative humidity of 50% and were fed ad libitum on a standard lab chow and water.</p></sec><sec id="s2_2"><title>2.2. Chemicals</title><p>Tyrode’s Physiological solution (PS) containing (in mM) 137 NaCl, 5.4 KCl, 1.8 CaCl<sub>2</sub>, 1.05 MgCl<sub>2</sub>, 5 C<sub>6</sub>H<sub>12</sub>O<sub>6</sub>, 11.9 NaHCO<sub>3</sub>, and 0.42 NaH<sub>2</sub>PO<sub>4</sub> and adjusted to pH 7.4 with NaOH was used. All chemicals were obtained from “Medisar” Industrial Chemical Importation Company (Yerevan, Armenia). The [<sup>3</sup>H]-ouabain with specific activity (25.34 Ci/mM) (PerkinElmer, Massachusetts, USA) and cold (non-radioactive) ouabain at pM (10<sup>−11</sup> M) and nM (10<sup>−9</sup> M) concentrations dissolved in PS were used for tissue injection and incubation. All ouabain solutions were also adjusted to pH 7.4.</p></sec><sec id="s2_3"><title>2.3. Experimental Design</title><p>It is well known that the anesthetics with different chemical and pharmacological profiles significantly affect metabolic processes, which play an important role in regulation of cell volume [<xref ref-type="bibr" rid="scirp.85791-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref21">21</xref>] . Therefore, in the present experiments animals were sharply immobilized by freezing method (dipping their noses into liquid nitrogen for 3 - 5 sec) and decapitated [<xref ref-type="bibr" rid="scirp.85791-ref22">22</xref>] . After such a procedure the full absence of somatic reflexes on extra stimuli was recorded.</p><p>For in vivo experiments 15 young and 15 old animals were taken. Each animal group was divided into five subgroups (n = 3). The animals of the control group were injected with PS (according to the animal weight) and the animals of the next four subgroups were injected with 10<sup>−11</sup> M and 10<sup>−9</sup> M concentrations of cold and 10<sup>−11</sup> M and 10<sup>−9</sup> M concentrations of [<sup>3</sup>H]-ouabain. After the 15th min the animals were decapitated. Brain cortex, heart muscle and liver tissues were isolated. From each animal 5 samples of each tissue were taken, washed in PS three times and then weighed (15 samples from each tissue). The protocol of experiments was the same for both young and old animals. All data were received from three independent experiments.</p><p>For investigation of the water content variations and ouabain effect in in vitro conditions 15 young and 15 old animals were taken. After their decapitation 5 samples of the above mentioned tissues were taken from each animal (similar to in vivo experiments). These samples (n = 15) were incubated in PS (as sham), cold ouabain solution (10<sup>−11</sup> M, 10<sup>−9</sup> M) and [<sup>3</sup>H]-ouabain solution (10<sup>−11</sup> M, 10<sup>−9</sup> M) for 15 min, then washed in PS three times and weighed.</p></sec><sec id="s2_4"><title>2.4. Definition of Water Content of Brain Tissues</title><p>The water content of brain cortex, heart muscle and liver tissues was determined by traditional “tissue drying” method [<xref ref-type="bibr" rid="scirp.85791-ref23">23</xref>] . After measuring the wet weight (w.w.) of tissue samples they were dried in oven (Factory of Medical Equipment, Odessa, Ukraine) for 24 h at 105˚C for determination of dry weight (d.w.). The quantity of water in 1 g of d.w. tissue was counted by the following equation: (w.w. − d.w.)/d.w.</p></sec><sec id="s2_5"><title>2.5. Counting of [<sup>3</sup>H]-Ouabain Receptors in the Membrane</title><p>The tissue samples from in vivo experiments, which were subjected to [<sup>3</sup>H]-ouabain, were homogenized in 50 &#181;l of 68% HNO<sub>3</sub> solution after determination of wet and dry weights. Then 2 ml of Bray’s scintillation fluid was added and chemoluminescence of samples was quantified with 1450-MicroBeta liquid scintillation counter (Wallac, Turku, Finland). The number of [<sup>3</sup>H]-ouabain molecules’ binding with cell membranes was defined per mg of dry weight of samples.</p><p>The same procedure (the definition of the number of [<sup>3</sup>H]-ouabain molecules) was performed on the tissue samples from in vitro experiments after removing them from the oven and determining wet and dry weights.</p></sec><sec id="s2_6"><title>2.6. Statistical Analysis</title><p>Microsoft Excel and Sigma-Plot (Version 8.02A, NY, USA) were used for data analyses. The statistical significance in comparison with the sham group was calculated with Student’s t-test with the following symbols (*p &lt; 0.05; **p &lt; 0.01; ***p &lt; 0.001).</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Investigation of Brain Cortex Tissue Hydration</title><p>The comparative study of the hydration sensitivity of excitable (brain cortex, heart muscle) and non-excitable (liver) tissues to pM and nM concentrations of cold and [<sup>3</sup>H]-ouabain in in vivo and in in vitro experimental conditions was performed. In in vivo experiments the animals were preliminarily i/p injected with ouabain-free PS and 10<sup>−11</sup> M and 10<sup>−9</sup> M concentrations of cold and [<sup>3</sup>H]-ouabain, while in in vitro experiments the tissue samples were incubated in the same solutions for 15 min.</p><p>As can be seen from <xref ref-type="fig" rid="fig1">Figure 1</xref>(a), after i/p injection with 10<sup>−11</sup> M cold ouabain</p><p>insignificant dehydration in brain cortex tissues of young animals was observed compared with the control (injected with ouabain-free PS), while 10<sup>−9</sup> M cold ouabain brought to significant hydration. The data on [<sup>3</sup>H]-ouabain i/p injection (<xref ref-type="fig" rid="fig1">Figure 1</xref>(a)) revealed the opposite effect on brain tissue hydration, i.e. significant hydration at 10<sup>−11</sup> M and expressed dehydration at 10<sup>−9</sup> M [<sup>3</sup>H]-ouabain.</p><p>In in vitro experiments (<xref ref-type="fig" rid="fig1">Figure 1</xref>(b)), where the metabolic activity of tissues was impaired, brain tissue hydration sensitivity to ouabain had a reverse character compared with those in vivo studies (<xref ref-type="fig" rid="fig1">Figure 1</xref>(a)): pM cold ouabain had hydration effect, while pM [<sup>3</sup>H]-ouabain had dehydration effect. In case of nM cold ouabain there was no effect but nM [<sup>3</sup>H]-ouabain had hydration effect on the tissues. <xref ref-type="fig" rid="fig1">Figure 1</xref>(c) illustrated that at each concentration of [<sup>3</sup>H]-ouabain the number of ouabain molecules was higher in in vivo experiment compared with in vitro one.</p><p>According to the fact that aging leads to the depression of the metabolic activity, in the next series of experiments we repeated the above-mentioned protocol on old animals. As can be seen on <xref ref-type="fig" rid="fig2">Figure 2</xref>(a), the hydration level in brain cortex tissue of old animals in in vivo experiments upon the impact of 10<sup>−11</sup> M cold ouabain was significantly higher compared with the control, while the same concentration of [<sup>3</sup>H]-ouabain sharply dehydrated the tissues. In case of 10<sup>−9</sup> M cold ouabain the dehydration effect was observed, while the same concentration of [<sup>3</sup>H]-ouabain had slight hydration effect on the tissues compared with the control.</p><p>In in vitro experiments (<xref ref-type="fig" rid="fig2">Figure 2</xref>(b)) the hydration levels of brain cortex samples at all concentrations of ouabain were nearly the same. Compared with the control data at both concentrations of cold and [<sup>3</sup>H]-ouabain the dehydration effect was observed. As indicated on the data presented on <xref ref-type="fig" rid="fig2">Figure 2</xref>(c) the number of ouabain molecules at 10<sup>−11</sup> M concentration of [<sup>3</sup>H]-ouabain in in vivo as well as in in vitro experiments was the same, while the number of ouabain</p><p>molecules at 10<sup>−9</sup> M concentration of [<sup>3</sup>H]-ouabain was much higher in in vivo experiment than in in vitro one.</p></sec><sec id="s3_2"><title>3.2. Investigation of Heart Muscle Tissue</title><p>Considering the fact that unlike brain tissue hydration heart muscle hydration significantly depends on myosin contraction, in the next series of experiments the above mentioned protocol was performed on heart muscle tissues. The data of in vivo experiments presented on <xref ref-type="fig" rid="fig3">Figure 3</xref>(a) showed that the pM cold ouabain had significant dehydration effect on heart muscle tissue of young rats, while the same concentration of [<sup>3</sup>H]-ouabain had hydration effect.</p><p>The effects of both nM cold ouabain and [<sup>3</sup>H]-ouabain were similar to the effects of pM ouabain, but nM ouabain effect was less pronounced. In in vitro experiments the pM cold ouabain had slight hydration effect, while the same concentration of [<sup>3</sup>H]-ouabain had expressed hydration effect on heart muscle tissue. The nM cold ouabain had more pronounced hydration effect than pM ouabain, while nM [<sup>3</sup>H]-ouabain had less expressed hydration effect than pM [<sup>3</sup>H]-ouabain (<xref ref-type="fig" rid="fig3">Figure 3</xref>(b)). As can be seen from <xref ref-type="fig" rid="fig3">Figure 3</xref>(c), the number of ouabain molecules binding with cell membrane in in vivo and in in vitro experiments was the same.</p><p>The investigation of heart muscle tissues in old rats in in vivo condition (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)) showed significant over hydration at both concentrations (10<sup>−11</sup> M and 10<sup>−9</sup> M) and types of ouabain. However at 10<sup>−9</sup> M [<sup>3</sup>H]-ouabain the hydration level was higher.</p><p>As can be seen from <xref ref-type="fig" rid="fig4">Figure 4</xref>(b), 10<sup>−11</sup> M cold ouabain in in vitro experiments led to significant dehydration in old animals, while 10<sup>−11</sup> M [<sup>3</sup>H]-ouabain to hydration. As for the effects of 10<sup>−9</sup> M ouabain the hydration reached to the level recorded at control, but 10<sup>−9</sup> M [<sup>3</sup>H]-ouabain brought to significant dehydration.</p><p>However, in spite of different effects on tissue hydration in in vivo and in in vitro conditions the number of ouabain molecules at [<sup>3</sup>H]-ouabain was approximately the same at two different ouabain concentrations (<xref ref-type="fig" rid="fig4">Figure 4</xref>(c)).</p></sec><sec id="s3_3"><title>3.3. Investigation of Liver Tissue</title><p>It is known that in soft tissues of healthy animals only a<sub>1</sub> isoform of Na<sup>+</sup>/K<sup>+</sup>-ATPase with low affinity to ouabain is expressed [<xref ref-type="bibr" rid="scirp.85791-ref24">24</xref>] . At the same time our previous study has shown that nM and pM ouabain concentrations activate cyclic nucleotides-dependent Na<sup>+</sup>/Ca<sup>2+</sup> exchange without any effect on Na<sup>+</sup>/K<sup>+</sup> pump activity [<xref ref-type="bibr" rid="scirp.85791-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref26">26</xref>] . Therefore, it was interesting to perform the same protocol used for the previous series of experiments on non-excitable tissues, such as liver.</p><p>Although in liver cell membrane a<sub>2</sub>/a<sub>3</sub> isoforms of Na<sup>+</sup>/K<sup>+</sup>-ATPase were not expressed the data presented on <xref ref-type="fig" rid="fig5">Figure 5</xref> indicated the modulation effect of pM and nM ouabain on its tissue hydration. Moreover, the modulation effects of low concentrations of cold and [<sup>3</sup>H]-ouabain on liver tissue hydration were different compared with the effects on brain cortex and heart muscle tissues.</p><p>In in vivo experiments (<xref ref-type="fig" rid="fig5">Figure 5</xref>(a)) cold ouabain led to dose-dependent hydration, while [<sup>3</sup>H]-ouabain brought to dehydration. The significant hydration at 10<sup>−9</sup> M cold ouabain turned to dehydration at 10<sup>−9</sup> M [<sup>3</sup>H]-ouabain. In in vitro experiments (<xref ref-type="fig" rid="fig5">Figure 5</xref>(b)) the incubation of liver samples at 10<sup>−11</sup> M cold ouabain brought to more pronounced dehydration, while 10<sup>−11</sup> M [<sup>3</sup>H]-ouabain had weak dehydration effect on it. Cold ouabain at 10<sup>−9</sup> M had no effect on tissue hydration, while [<sup>3</sup>H]-ouabain at the same concentration had dehydration effect on it. It is worth to note that the ouabain binding with cell membrane at both concentrations was higher in in vivo state than in in vitro one. In old animals the effects of both cold and [<sup>3</sup>H]-ouabain i/p injections on liver tissue hydration were more pronounced than in young animals (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)). It is interesting to note that there was no difference between cold and isotope ouabain effects on cell hydration, while 10<sup>−9</sup> M cold ouabain-induced hydration was more expressed than 10<sup>−9</sup> M [<sup>3</sup>H]-ouabain-induced effect.</p><p>The incubation of the samples in cold ouabain solutions led to significant dehydration at 10<sup>−11</sup> M, while at the same concentration of [<sup>3</sup>H]-ouabain had hydration effect (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)). Both cold and [<sup>3</sup>H]-ouabain at 10<sup>−9</sup> M concentration had hydration effect on tissue but [<sup>3</sup>H]-ouabain effect was less pronounced than the effect of the cold ouabain. It is interesting to note that the ouabain binding with cell membrane in in vivo experiment had dose-dependent increasing character, while in in vitro experiment it had dose-dependent weakening character (<xref ref-type="fig" rid="fig6">Figure 6</xref>(c)).</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>Previously it was shown that in brain and heart tissues of rats the pM [<sup>3</sup>H]-ouabain stimulated the cGMP-dependent Na<sup>+</sup>/Ca<sup>2+</sup> exchange in forward (F) mode [<xref ref-type="bibr" rid="scirp.85791-ref27">27</xref>] which was accompanied by cell dehydration in young and hydration in old animals [<xref ref-type="bibr" rid="scirp.85791-ref26">26</xref>] . The pM [<sup>3</sup>H]-ouabain-induced cell dehydration in young animals was explained by the activation of Na<sup>+</sup>/K<sup>+</sup> pump as a result of Na<sup>+</sup>/Ca<sup>2+</sup> exchange-induced decrease of intracellular contents of [Ca<sup>2+</sup>]<sub>i</sub>, while its hydration effect on the tissues of old animal was explained by the direct effect of F Na<sup>+</sup>/Ca<sup>2+</sup> exchange because of high [Ca<sup>2+</sup>]<sub>i</sub> [<xref ref-type="bibr" rid="scirp.85791-ref10">10</xref>] . The nM [<sup>3</sup>H]-ouabain activated the cAMP-dependent Na<sup>+</sup>/Ca<sup>2+</sup> exchange in reverse mode (R) [<xref ref-type="bibr" rid="scirp.85791-ref28">28</xref>] , having age-dependent weakening character which was reversed in old animals [<xref ref-type="bibr" rid="scirp.85791-ref18">18</xref>] . It is worth to note that though [<sup>3</sup>H]-ouabain has been used in biological experiments for 5 decades [<xref ref-type="bibr" rid="scirp.85791-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref30">30</xref>] the comparative studies of cold and [<sup>3</sup>H]-ouabain effects on cell metabolism have not been considered. As the metabolic control of cell hydration has quantum-mechanical sensitivity [<xref ref-type="bibr" rid="scirp.85791-ref10">10</xref>] it becomes possible to estimate the different effects of ouabain molecules with different quantum-mechanical structure, such as cold and [<sup>3</sup>H]-ouabain, on cell hydration. The data presented in this article clearly indicate that the biological effects of cold and [<sup>3</sup>H]-ouabain are not identical.</p><p>The data presented on <xref ref-type="fig" rid="fig1">Figure 1</xref>(a) showed that the 10<sup>−11</sup> M and 10<sup>−9</sup> M cold ouabain, as was noted above (<xref ref-type="fig" rid="fig1">Figure 1</xref>(a)), had dehydration and hydration effects on brain tissues in in vivo experiments, respectively, while their effects were reversed in in vitro experiments (<xref ref-type="fig" rid="fig1">Figure 1</xref>(b)), where the metabolic state of the slices was depressed. The pM and nM concentrations of [<sup>3</sup>H]-ouabain injection had opposite effects on brain tissue hydration compared with cold ouabain injection. Moreover, the reverse of dose-dependent effect of [<sup>3</sup>H]-ouabain on tissue hydration in in vitro experiments indicated that the modulation effect of the same doses of cold and [<sup>3</sup>H]-ouabain had different metabolic nature.</p><p>Previously it has been shown that [<sup>3</sup>H]-ouabain binding with cell membrane depends on both the number of ouabain receptors and their affinity: the number of receptors increases with cell swelling [<xref ref-type="bibr" rid="scirp.85791-ref30">30</xref>] , while ouabain receptors affinity increases with the decrease of [Ca<sup>2+</sup>]<sub>i</sub> [<xref ref-type="bibr" rid="scirp.85791-ref19">19</xref>]. The data obtained in in vivo experiment indicating that the number of ouabain molecules at pM concentration was higher than at nM ouabain (<xref ref-type="fig" rid="fig1">Figure 1</xref>(c)) can be explained by the pM ouabain-induced activation of F Na<sup>+</sup>/Ca<sup>2+</sup> exchange leading to the decrease of [Ca<sup>2+</sup>]<sub>i</sub> and increase of receptors affinity to ouabain, while the decrease of ouabain binding with cell membrane in in vitro experiments can be a result of [Ca<sup>2+</sup>]<sub>i</sub> increase.</p><p>The received data allow us to suggest that different effects of pM and nM ouabain as well as the difference in the effects of radioactive and cold ouabain is due to the initial level of [Ca<sup>2+</sup>]<sub>i</sub><sub>.</sub> This suggestion is consistent with the data of the same protocol of experiments performed on old rats, when the initial level of [Ca<sup>2+</sup>]<sub>i</sub> in brain tissues was higher than in young animals [<xref ref-type="bibr" rid="scirp.85791-ref31">31</xref>] .</p><p>The data obtained in old animals showed that in vivo experiment the pM cold ouabain led to hydration, while [<sup>3</sup>H]-ouabain had strong dehydration effect on brain cortex tissues (<xref ref-type="fig" rid="fig2">Figure 2</xref>(a)). In case of the nM ouabain i/p injection we recorded opposite data: cold and [<sup>3</sup>H]-ouabain had dehydration and slight hydration effect on tissue, respectively. Moreover, in in vitro experiments, in which the tissue samples had high Ca<sup>2+</sup> contents compared with that in in vivo experiments, both concentrations of cold and [<sup>3</sup>H]-ouabain ouabain had dehydration effect on tissues. The differences between the effects of pM and nM as well as between cold and isotope ouabain were inconsistent (<xref ref-type="fig" rid="fig2">Figure 2</xref>(b)).</p><p>The data on dose-dependent binding with membrane in the cortex tissue of old animals indicated that there was dose-dependent increase of ouabain binding (<xref ref-type="fig" rid="fig2">Figure 2</xref>(c)). These age-dependent differences can be explained by the fact that in old animals [Ca<sup>2+</sup>]<sub>i</sub> is higher. As a result of this, the activation of cGMP-dependent F Na<sup>+</sup>/Ca<sup>2+</sup> exchange had its direct hydration effect on cells [<xref ref-type="bibr" rid="scirp.85791-ref18">18</xref>] .</p><p>Thus, the obtained data indicating that the same concentrations of cold and [<sup>3</sup>H]-ouabain had different effects on cortex tissue hydration. The fact that the effect of pM [<sup>3</sup>H]-ouabain was approximately the same as in case of cold nM ouabain clearly indicates that the existence of [<sup>3</sup>H] in ouabain molecules increases its effect on cell hydration. This suggestion is supported by the obtained data of the similar study on heart muscle tissues.</p><p>It is known that approximately 50% of cardiomyocyte volume consists of myofibrils [<xref ref-type="bibr" rid="scirp.85791-ref32">32</xref>] and [Ca<sup>2+</sup>]<sub>i</sub>-dependent contractility of the latter has a determining role in muscle tissues hydration. The data presented on <xref ref-type="fig" rid="fig3">Figure 3</xref> and <xref ref-type="fig" rid="fig4">Figure 4</xref> indicate that as in case of cortex tissue (<xref ref-type="fig" rid="fig1">Figure 1</xref> and <xref ref-type="fig" rid="fig2">Figure 2</xref>) the cold and [<sup>3</sup>H]-ouabain at the same concentrations had different effects on heart tissue hydration. The i/p injection of cold ouabain in young animals had dose-dependent dehydration effects on muscle compared with control, while [<sup>3</sup>H]-ouabain had dose-dependent weakening effect on hydration in heart muscle tissue (<xref ref-type="fig" rid="fig3">Figure 3</xref>(a)). The data that in heart muscle tissues of old animals (containing higher [Ca<sup>2+</sup>]<sub>i</sub> than in young animals) when the cold and [<sup>3</sup>H]-ouabain injection led to the same dose-dependent hydration effect on muscle (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)) indicate that their effects on cell hydration is realized by different mechanisms controlling [Ca<sup>2+</sup>]<sub>i</sub>. The data on the difference between cold and [<sup>3</sup>H]-ouabain effects appeared in heart muscle samples incubated in in vitro experiments seem extremely interesting. The facts that in in vitro experiments where [Ca<sup>2+</sup>]<sub>i</sub> is considered to be higher than in in vivo experiments and the increase of [Ca<sup>2+</sup>]<sub>i</sub> activates cGMP-dependent F Na<sup>+</sup>/Ca<sup>2+</sup> exchange through the activation of Ca<sup>2+</sup>-calmodulin-induced NO production, which in its turn stimulates cGMP formation, allow us to suggest that the modulation effect of [<sup>3</sup>H]-ouabain on cell hydration is realized through this chain. However, to prove this suggestion more detailed investigation is needed.</p><p>It is known that all three isoforms of Na<sup>+</sup>/K<sup>+</sup>-ATPase are expressed in excitable tissues (nerve and muscle membrane), while in soft tissues of healthy animals only a<sub>1</sub> isoform is expressed [<xref ref-type="bibr" rid="scirp.85791-ref24">24</xref>] . At the same time by our previous experiments performed on snail neurons [<xref ref-type="bibr" rid="scirp.85791-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref30">30</xref>] , heart muscles and brain tissues of rats [<xref ref-type="bibr" rid="scirp.85791-ref18">18</xref>] it was shown that pM and nM ouabain-induced modulation of Na<sup>+</sup>/Ca<sup>2+</sup> exchange did not depend on Na<sup>+</sup>/K<sup>+</sup> pump and it was realized through the changes of intracellular nucleotides [<xref ref-type="bibr" rid="scirp.85791-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.85791-ref18">18</xref>] .</p><p>The data presented on <xref ref-type="fig" rid="fig5">Figure 5</xref>(a) indicate that after pM and nM cold ouabain injections of young animals the liver tissue hydration increased by dose-dependent manner, while the same concentrations of [<sup>3</sup>H]-ouabain injections led to dehydration effect. These data support the above suggestion that cold and isotope had different biological effects on cells. It is worth to note that as in case of excitable tissues, the sensitivity of liver tissue hydration to low concentrations of both cold and [<sup>3</sup>H]-ouabain was higher in old animals as well as in the samples incubated in in vitro experiment, when the metabolic activity of tissues was depressed. Therefore, the data that such low concentrations of non-radioactive and radioactive ouabain effects depend on [Ca<sup>2+</sup>]<sub>i</sub> and the data that [<sup>3</sup>H]-ouabain binding with cell membrane is depressed in in vitro experiments allow us to suggest that the modulation of tissue hydration at both concentrations of cold and [<sup>3</sup>H]-ouabain takes place through the changes of [Ca<sup>2+</sup>]<sub>i</sub>.</p><p>Thus, the obtained data bring us to the following conclusions:</p><p>1) Cold and [<sup>3</sup>H]-ouabain at pM and nM concentrations have different effects on cell hydration;</p><p>2) The different effects of cold and [<sup>3</sup>H]-ouabain on cell hydration is due to their different activities on cGMP-dependent Na<sup>+</sup>/Ca<sup>2+</sup> exchange controlling intracellular Ca<sup>2+</sup> concentration. Therefore, these data allow us to conclude that in biological experiments cold ouabain and radioactive ouabain effects cannot be considered as equivalent. These data indicate that Na<sup>+</sup>/Ca<sup>2+</sup> exchange is Na<sup>+</sup>/K<sup>+</sup> pump-independent mechanism in the membrane having quantum-mechanical sensitivity.</p></sec><sec id="s5"><title>Cite this paper</title><p>Nikoghosyan, A., Narinyan, L., Heqimyan, A. and Ayrapetyan, S. (2018) The Quantum-Mechanical Sensitivity of Cell Hydration in Mammals. Open Journal of Biophysics, 8, 104-116. https://doi.org/10.4236/ojbiphy.2018.83009</p></sec></body><back><ref-list><title>References</title><ref id="scirp.85791-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Hodgkin, A.L. (1964) The Ionic Basis of Nervous Conduction. Science, 145, 1148-54. https://doi.org/10.1126/science.145.3637.1148</mixed-citation></ref><ref id="scirp.85791-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N. and Carpenter, D.O. (1991) Very Low Concentrations of Acetylcholine and GABA Modulate Transmitter Responses. Neuroreport, 2, 563-565. https://doi.org/10.1097/00001756-199110000-00002</mixed-citation></ref><ref id="scirp.85791-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N. and Carpenter, D.O. (1991b) The Modulatory Effect of Extremely Low Doses of Mediators on Functional Activity of the Neuronal Membrane. Zhurnal Evoliutsionnoi Biokhimii, 27, 146-151. (In Russian)</mixed-citation></ref><ref id="scirp.85791-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Devyatkov, N.D. (1973) Influence of Millimeter-Band Electromagnetic Radiation on Biological Objects. Uspekhi Fizicheskih Nauk, 110, 453-454. (In Russian) https://doi.org/10.3367/UFNr.0110.197307l.0453</mixed-citation></ref><ref id="scirp.85791-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Adey, W.R. (1981) Tissue Interactions with Non Ionizing Electromagnetic Fields. Physiological Reviews, 61, 435-514. https://doi.org/10.1152/physrev.1981.61.2.435</mixed-citation></ref><ref id="scirp.85791-ref6"><label>6</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ayrapetyan</surname><given-names> S.N. </given-names></name>,<etal>et al</etal>. (<year>1969</year>)<article-title>Metabolically Dependent Fraction of Membrane Potential and Electrode Properties of the Membrane of Giant Neurons in Mollusks</article-title><source> Biofizika</source><volume> 14</volume>,<fpage> 1027</fpage>-<lpage>1031</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.85791-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Thomas, R.C. (1972) Electrogenic Sodium Pump in Nerve and Muscle Cells. Physiological Reviews, 52, 563-594. https://doi.org/10.1152/physrev.1972.52.3.563</mixed-citation></ref><ref id="scirp.85791-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N., Nasarenko, S.A. and Sorokhina, Z.A. (1971) Dependence of Active Ion Transport in Snail Neurons on the Ionic Composition of Extracellular Medium. Biofizika, 16, 1037-1042. (In Russian)</mixed-citation></ref><ref id="scirp.85791-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S. (2015) The Dysfunction of Metabolic Controlling of Cell Hydration Precedes Warburg Phenomenon in Carcinogenesis. Journal of Bioequivalence &amp; Bioavailability, 7, 59. https://doi.org/10.4172/jbb.10000e59</mixed-citation></ref><ref id="scirp.85791-ref10"><label>10</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ayrapetyan</surname><given-names> S.N. </given-names></name>,<etal>et al</etal>. (<year>2016</year>)<article-title>The nM Ouabain-Induced Tissue Dehydration as a Novel Diagnostic Marker for Neuronal Pathology</article-title><source> Global Drugs and Therapeutics</source><volume> 2</volume>,<fpage> 1</fpage>-<lpage>2</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.85791-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N., Rychkov, G.Y. and Suleymanyan, M.A. (1988) Effects of Water Flow on Transmembrane Ionic Currents in Neurons of Helix Pomatia and in Squid Giant Axons. Comparative Biochemistry and Physiology, 89, 179-186. https://doi.org/10.1016/0300-9629(88)91076-6</mixed-citation></ref><ref id="scirp.85791-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Suleymanian, M.A., Ayrapetyan, V.Y., Arakelyan, V.B., et al. (1993) The Effect of Osmotic Gradient on the Outward Potassium Current in Dialyzed Neurons of Helix Pomatia. Cellular and Molecular Neurobiology, 13, 183-190. https://doi.org/10.1007/BF00735374</mixed-citation></ref><ref id="scirp.85791-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Juhaszova, M. and Blaustein, M. (1997) Na&lt;sup&gt;+&lt;/sup&gt; Pump with Low and High Ouabain Affinity Apha Subunit Isoforms Are Differently Distributed in Cells. Proceedings of the National Academy of Sciences, 94, 1800-1805. https://doi.org/10.1073/pnas.94.5.1800</mixed-citation></ref><ref id="scirp.85791-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Xie, Z. and Askari, A. (2002) Na&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase as a Signal Transducer. European Journal of Biochemistry, 269, 2434-2439. https://doi.org/10.1046/j.1432-1033.2002.02910.x</mixed-citation></ref><ref id="scirp.85791-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Liu, J., Tian, J., Haas, M., Shapiro, J., Askari, A. and Xie, Z. (2000) Ouabain Interaction with Cardiac Na&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase Initiates Signal Cascades Independent of Changes in Intracellular Na&lt;sup&gt;+&lt;/sup&gt; and Ca&lt;sup&gt;2+&lt;/sup&gt; Concentrations. The Journal of Biological Chemistry, 275, 27838-27844.</mixed-citation></ref><ref id="scirp.85791-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Dadalyan, S.S., Azatyan, K.V. and Ayrapetyan, S.N. (1988) Effect of Small Concentrations of Neurotransmitters on the Antigradient Transport of Sodium Ions and on the Intracellular Level of the Cyclic Nucleotide in Helix Pomatia Neurons. Neurochemistry, 7, 18-25. (In Russian)</mixed-citation></ref><ref id="scirp.85791-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Narinyan, L., Ayrapetyan, G. and Ayrapetyan, S. (2013) Age-Dependent Magnetosensitivity of Heart Muscle Ouabain Receptors. Bioelectromagnetics, 34, 312-322. https://doi.org/10.1002/bem.21769</mixed-citation></ref><ref id="scirp.85791-ref18"><label>18</label><mixed-citation publication-type="book" xlink:type="simple">Heqimyan, A., Narinyan, L., Nikoghosyan, A. and Ayrapetyan, S. (2015) Age-Dependent Magnetic Sensitivity of Brain and Heart Muscles. In: Markov, M., Ed., Electromagnetic Fields in Biology and Medicine, CRC Press, Boca Raton, 217-230. https://doi.org/10.1201/b18148-15</mixed-citation></ref><ref id="scirp.85791-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Heqimyan, A., Narinyan, L., Nikoghosyan, A., et al. (2012) Age Dependency of High Affinity Ouabain Receptors and Their Magnetosensitivity. The Environmentalist, 32, 228-235. ttps://doi.org/10.1007/s10669-011-9383-0</mixed-citation></ref><ref id="scirp.85791-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Krnjevic, K. (1992) Cellular and Synaptic Actions of General Anaesthetics. General Pharmacology, 23, 965-975. https://doi.org/10.1016/0306-3623(92)90274-N</mixed-citation></ref><ref id="scirp.85791-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Heqimyan, A., Deghoyan, A. and Ayrapetyan, S. (2011) Ketamine-Induced Cell Dehydration as a Mechanism of Its Analgesic and Anesthetic Effects. Journal of International Dental and Medical Research, 4, 42-49.</mixed-citation></ref><ref id="scirp.85791-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Takahashi, R. and Aprison, M. (1964) Acetylcholine Content of Discrete Areas of the Brain Obtained by a Near-Freezing Method. Journal of Neurochemistry, 11, 887-892. https://doi.org/10.1111/j.1471-4159.1964.tb06740.x</mixed-citation></ref><ref id="scirp.85791-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Adrian, R.H. (1956) The Effect of Internal and External Potassium Concentration on the Membrane Potential of Frog Muscle. Journal of Physiology, 133, 631-658. https://doi.org/10.1113/jphysiol.1956.sp005615</mixed-citation></ref><ref id="scirp.85791-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Blaustein, M.P. and Lederer, W.J. (1999) Na&lt;sup&gt;+&lt;/sup&gt;/Ca&lt;sup&gt;2+&lt;/sup&gt;Exchange. Its Physiological Implications. Physiological Reviews, 79, 763-854. https://doi.org/10.1152/physrev.1999.79.3.763</mixed-citation></ref><ref id="scirp.85791-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N., Suleymanyan, M.A., Saghyan, A.A. and Dadalyan, S.S. (1984) Autoregulation of Electrogenic Sodium Pump. Cellular and Molecular Neurobiology, 4, 367-383. https://doi.org/10.1007/BF00733598</mixed-citation></ref><ref id="scirp.85791-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S., Heqimyan, A. and Nikoghosyan, A. (2012) Age-Dependent Brain Tissue Hydration, Ca Exchange and Their Dose-Dependent Ouabain Sensitivity. Bioequivalence &amp; Bioavailability, 4, 60-68. https://doi.org/10.4172/jbb.10000114</mixed-citation></ref><ref id="scirp.85791-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S. (2012) The Dysfunction of Metabolic Controlling Cell Hydration Is a Primary Mechanism for Generation of Aging-Related Nerve Disorders. Bioequivalence &amp; Bioavailability, 4, 9-12. https://doi.org/10.4172/jbb.10000e15</mixed-citation></ref><ref id="scirp.85791-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Sagian, A.A., Ayrapetyan, S.N. and Carpenter, D.O. (1996) Low Concentrations of Ouabain Stimulate Na:Ca Exchange in Neurons. Cellular and Molecular Neurobiology, 16, 489-498. https://doi.org/10.1007/BF02150229</mixed-citation></ref><ref id="scirp.85791-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Baker, P.F. and Willis, J.S. (1970) Potassium Ions and the Binding of Cardiac Glycosides to Mammalian Cells. Nature, 226, 521-523. https://doi.org/10.1038/226521a0</mixed-citation></ref><ref id="scirp.85791-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Ayrapetyan, S.N., Suleymanyan, M.A., Saghyan, A.A. and Dadalyan, S.S. (1984) Autoregulation of the Selectrogenic Na Pump. Cellular and Molecular Neurobiology, 4, 367-384. https://doi.org/10.1007/BF00733598</mixed-citation></ref><ref id="scirp.85791-ref31"><label>31</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Khachaturian</surname><given-names> Z.S. </given-names></name>,<etal>et al</etal>. (<year>1989</year>)<article-title>The Role of Calcium Regulation in Brain Aging: Reexamination of a Hypothesis</article-title><source> Aging</source><volume> 1</volume>,<fpage> 17</fpage>-<lpage>34</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.85791-ref32"><label>32</label><mixed-citation publication-type="book" xlink:type="simple">Nakano, S., Muramatsu, T., Nishimura, S. and Senbonmatsu, T. (2012) Cardiomyocyte and Heart Failure. In: Sugi, H., Ed., Current Basic and Pathological Approaches to the Function of Muscle Cells and Tissues, Intech, London, 161-182. https://doi.org/10.5772/47772</mixed-citation></ref></ref-list></back></article>