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Activated microglia–induced neuroinflammatory cytokines lead to photoreceptor apoptosis in Aβ-injected mice

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Abstract

Age-related macular degeneration (AMD) is mainly characterized by the progressive accumulation of drusen deposits and loss of photoreceptors and retinal pigment epithelial (RPE) cells. Because amyloid β (Aβ) is the main component of drusen, Aβ-induced activated microglia most likely lead to neuroinflammation and play a critical role in the pathogenesis of AMD. However, the relationship between activated microglia–mediated neuroinflammatory cytokines and photoreceptor death has not been clarified. By subretinal injection of Aβ42 in mice, we mimicked an inflammatory milieu of AMD to better understand how activated microglia–induced neuroinflammatory cytokines lead to photoreceptor apoptosis in the AMD progression. We demonstrated that subretinal injection of Aβ42 induces microglial activation and increases inflammatory cytokine release, which gives rise to photoreceptor apoptosis in mice. Our results were verified in vitro by co-culture of Aβ42 activated primary microglia and the photoreceptor cell line 661W. We also demonstrated that the p38 mitogen-activated protein kinase (MAPK) signaling pathway was involved in Aβ42-induced microglial activation and inflammatory cytokine release. Overall, our findings indicate that activated microglia–derived neuroinflammatory cytokines could contribute to photoreceptor apoptosis under the stimulation of Aβ42. Moreover, this study may provide a potential therapeutic approach for AMD.

Key messages

  • Further explore the association between activated microglia–derived neuroinflammatory cytokine secretion and photoreceptor apoptosis under the stimulation of Aβ42.

  • Subretinal injection of Aβ42 induces the activation of microglia and increases proinflammatory cytokines IL-1β and COX-2 expression in the retina, which could give rise to the deterioration of visual function and aggravate photoreceptor apoptosis in mice.

  • Primary microglial are activated and the levels of proinflammatory cytokines are increased by Aβ42 stimulation, which could increase the apoptosis of photoreceptor cell line 661W in vitro.

  • The p38 MAPK signaling pathway is involved in microglial activation and photoreceptor apoptosis under Aβ42 treatment.

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Data availability

Jingfa Zhang and Fang Liu are guarantors of this work, who have full access to all the data in this study and take responsibility for the integrity and accuracy of the data. Data are available from the corresponding authors on reasonable request.

References

  1. Wong WL, Su X, Li X, Cheung CMG, Klein R, Cheng C-Y, Wong TY (2014) Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. The Lancet Global Health 2:e106–e116

    Article  PubMed  Google Scholar 

  2. Sivak JM (2013) The aging eye: common degenerative mechanisms between the Alzheimer's brain and retinal disease. Invest Ophthalmol Vis Sci 54:871–880

    Article  PubMed  CAS  Google Scholar 

  3. Wu J, Zhang X, Azhati G, Li T, Xu G, Liu F (2020) Retinal microvascular attenuation in mental cognitive impairment and Alzheimerʼs disease by optical coherence tomography angiography. Acta ophthalmologica. 98. https://doi.org/10.1111/aos.14381

  4. Qu SC, Xu D, Li TT, Zhang JF, Liu F (2019) iTRAQ-based proteomics analysis of aqueous humor in patients with dry age-related macular degeneration. Int J Ophthalmol 12:1758–1766

    Article  PubMed  PubMed Central  Google Scholar 

  5. Ohno-Matsui K (2011) Parallel findings in age-related macular degeneration and Alzheimer’s disease. Progress in Retinal and Eye Research 30:217–238

    Article  PubMed  Google Scholar 

  6. Combadière C, Feumi C, Raoul W, Keller N, Rodéro M, Pézard A, Lavalette S, Houssier M, Jonet L, Picard E, Debré P, Sirinyan M, Deterre P, Ferroukhi T, Cohen SY, Chauvaud D, Jeanny JC, Chemtob S, Behar-Cohen F, Sennlaub F (2007) CX3CR1-dependent subretinal microglia cell accumulation is associated with cardinal features of age-related macular degeneration. Journal of Clinical Investigation 117:2920–2928

    Article  CAS  Google Scholar 

  7. Zhu M, Wang X, Schultzberg M, Hjorth E (2014) Differential regulation of resolution in inflammation induced by amyloid-β42 and lipopolysaccharides in human microglia. Journal of Alzheimerʼs Disease 43:1237–1250

    Article  CAS  Google Scholar 

  8. Cai Z, Hussain MD, Yan LJ (2014) Microglia, neuroinflammation, and beta-amyloid protein in Alzheimerʼs disease. The International journal of neuroscience 124:307–321

    Article  CAS  PubMed  Google Scholar 

  9. Felsky D, Roostaei T, Nho K, Risacher SL, Bradshaw EM, Petyuk V, Schneider JA, Saykin A, Bennett DA, De Jager PL (2019) Neuropathological correlates and genetic architecture of microglial activation in elderly human brain. Nature Communications 10:409

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Lu Y, Guo Z, Zhang Y, Li C, Zhang Y, Guo Q, Chen Q, Chen X, He X, Liu L et al (2019) Microenvironment remodeling micelles for Alzheimerʼs disease therapy by early modulation of activated microglia. Advanced science (Weinheim, Baden-Wurttemberg, Germany) 6:1801586

    Google Scholar 

  11. Braun DJ, Dimayuga E, Morganti JM, Van Eldik LJ (2020) Microglial-associated responses to comorbid amyloid pathology and hyperhomocysteinemia in an aged knock-in mouse model of Alzheimerʼs disease. J Neuroinflammation 17:274

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Dong ZZ, Li J, Gan YF, Sun XR, Leng YX, Ge J (2018) Amyloid beta deposition related retinal pigment epithelium cell impairment and subretinal microglia activation in aged APPswePS1 transgenic mice. Int J Ophthalmol 11:747–755

    PubMed  PubMed Central  Google Scholar 

  13. Puertas-Neyra K, Usategui-Martin R, Coco RM, Fernandez-Bueno I (2020) Intravitreal stem cell paracrine properties as a potential neuroprotective therapy for retinal photoreceptor neurodegenerative diseases. Neural regeneration research 15:1631–1638

    Article  PubMed  PubMed Central  Google Scholar 

  14. Gasparini SJ, Llonch S, Borsch O, Ader M (2019) Transplantation of photoreceptors into the degenerative retina: current state and future perspectives. Prog Retin Eye Res 69:1–37

    Article  CAS  PubMed  Google Scholar 

  15. Nebel C, Aslanidis A, Rashid K, Langmann T (2017) Activated microglia trigger inflammasome activation and lysosomal destabilization in human RPE cells. Biochemical and Biophysical Research Communications 484:681–686

    Article  CAS  PubMed  Google Scholar 

  16. Grimaldi A, Pediconi N, Oieni F, Pizzarelli R, Rosito M, Giubettini M, Santini T, Limatola C, Ruocco G, Ragozzino D, di Angelantonio S (2019) Neuroinflammatory processes, A1 astrocyte activation and protein aggregation in the retina of Alzheimerʼs disease patients, possible biomarkers for early diagnosis. Front Neurosci 13:925

    Article  PubMed  PubMed Central  Google Scholar 

  17. Perry VH, Nicoll JAR, Holmes C (2010) Microglia in neurodegenerative disease. Nature Reviews Neurology 6:193–201

    Article  PubMed  Google Scholar 

  18. Cheng YW, Chang CC, Chang TS, Li HH, Hung HC, Liu GY, Lin CL (2018) Aβ stimulates microglial activation through antizyme-dependent downregulation of ornithine decarboxylase. Journal of Cellular Physiology 234:9733–9745

    Article  PubMed  CAS  Google Scholar 

  19. Do KV, Kautzmann MI, Jun B, Gordon WC, Nshimiyimana R, Yang R, Petasis NA, Bazan NG (2019) Elovanoids counteract oligomeric beta-amyloid-induced gene expression and protect photoreceptors. Proc Natl Acad Sci U S A 116:24317–24325

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Fu Y, Hou B, Weng C, Liu W, Dai J, Zhao C, Yin ZQ (2017) Functional ectopic neuritogenesis by retinal rod bipolar cells is regulated by miR-125b-5p during retinal remodeling in RCS rats. Scientific Reports 7. https://doi.org/10.1038/s41598-017-01261-x

  21. Gao G, Zhao S, Xia X, Li C, Li C, Ji C, Sheng S, Tang Y, Zhu J, Wang Y, Huang Y, Zheng JC (2019) Glutaminase C regulates microglial activation and pro-inflammatory exosome release: relevance to the pathogenesis of Alzheimer’s disease. Frontiers in Cellular Neuroscience 13. https://doi.org/10.3389/fncel.2019.00264

  22. Pargellis C, Tong L, Churchill L, Cirillo PF, Gilmore T, Graham AG, Grob PM, Hickey ER, Moss N, Pav S, Regan J (2002) Inhibition of p38 MAP kinase by utilizing a novel allosteric binding site. Nature structural biology 9:268–272

    Article  CAS  PubMed  Google Scholar 

  23. Zhou T, Huang Z, Sun X, Zhu X, Zhou L, Li M, Cheng B, Liu X, He C (2017) Microglia polarization with M1/M2 phenotype changes in rd1 mouse model of retinal degeneration. Front Neuroanat 11:77

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  24. Wolf SA, Boddeke HW, Kettenmann H (2017) Microglia in physiology and disease. Annu Rev Physiol 79:619–643

    Article  CAS  PubMed  Google Scholar 

  25. Yeung YT, Aziz F, Guerrero-Castilla A, Arguelles S (2018) Signaling pathways in inflammation and anti-inflammatory therapies. Current pharmaceutical design 24:1449–1484

    Article  CAS  PubMed  Google Scholar 

  26. Schultz N, Byman E, Wennström M (2020) Levels of retinal amyloid-β correlate with levels of retinal IAPP and hippocampal amyloid-β in neuropathologically evaluated individuals. J Alzheimers Dis 73:1201–1209

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Qiu T, Liu Q, Chen YX, Zhao YF, Li YM (2015) Abeta42 and Abeta40: similarities and differences. J Pept Sci 21:522–529

    Article  CAS  PubMed  Google Scholar 

  28. Muraleva NA, Kozhevnikova OS, Fursova AZ, Kolosova NG (2019) Suppression of AMD-like pathology by mitochondria-targeted antioxidant SkQ1 is associated with a decrease in the accumulation of amyloid β and in mTOR activity. Antioxidants (Basel, Switzerland) 8. https://doi.org/10.3390/antiox8060177

  29. Parsons CG, Ruitenberg M, Freitag CE, Sroka-Saidi K, Russ H, Rammes G (2015) MRZ-99030 - a novel modulator of Aβ aggregation: I - Mechanism of action (MoA) underlying the potential neuroprotective treatment of Alzheimerʼs disease, glaucoma and age-related macular degeneration (AMD). Neuropharmacology 92:158–169

    Article  CAS  PubMed  Google Scholar 

  30. Aslanidis A, Karlstetter M, Scholz R, Fauser S, Neumann H, Fried C, Pietsch M, Langmann T (2015) Activated microglia/macrophage whey acidic protein (AMWAP) inhibits NFkappaB signaling and induces a neuroprotective phenotype in microglia. J Neuroinflammation 12:77

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Ma W, Silverman SM, Zhao L, Villasmil R, Campos MM, Amaral J, Wong WT (2019) Absence of TGFβ signaling in retinal microglia induces retinal degeneration and exacerbates choroidal neovascularization. eLife 8. https://doi.org/10.7554/eLife.42049

  32. Grimaldi A, Brighi C, Peruzzi G, Ragozzino D, Bonanni V, Limatola C, Ruocco G, Di Angelantonio S (2018) Inflammation, neurodegeneration and protein aggregation in the retina as ocular biomarkers for Alzheimer’s disease in the 3xTg-AD mouse model. Cell Death & Disease 9:685

    Article  CAS  Google Scholar 

  33. Haenseler W, Rajendran L (2019) Concise review: modeling neurodegenerative diseases with human pluripotent stem cell-derived microglia. Stem Cells 37:724–730

    Article  PubMed  PubMed Central  Google Scholar 

  34. He J, Zhao C, Dai J, Weng CH, Bian BSJ, Gong Y, Ge L, Fang Y, Liu H, Xu H, Yin ZQ (2019) Microglia mediate synaptic material clearance at the early stage of rats with retinitis pigmentosa. Front Immunol 10:912

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Karlstetter M, Scholz R, Rutar M, Wong WT, Provis JM, Langmann T (2015) Retinal microglia: just bystander or target for therapy? Prog Retin Eye Res 45:30–57

    Article  PubMed  Google Scholar 

  36. Kaur D, Sharma V, Deshmukh R (2019) Activation of microglia and astrocytes: a roadway to neuroinflammation and Alzheimer’s disease. Inflammopharmacology 27:663–677

    Article  PubMed  Google Scholar 

  37. Pennesi ME, Neuringer M, Courtney RJ (2012) Animal models of age related macular degeneration. Molecular aspects of medicine 33:487–509

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Cai X, McGinnis JF (2016) Nanoceria: a potential therapeutic for dry AMD. Advances in experimental medicine and biology 854:111–118

    Article  CAS  PubMed  Google Scholar 

  39. Weng NP, Pawelec G (2019) Research on immunity and ageing comes of age. Immunity & ageing : I & A 16:8

    Article  Google Scholar 

  40. Arroba AI, Campos-Caro A, Aguilar-Diosdado M, Valverde ÁM (2018) IGF-1, Inflammation and retinal degeneration: a close network. Front Aging Neurosci 10:203

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  41. Kim SY (2015) Retinal phagocytes in age-related macular degeneration. Macrophage (Houst) 2. https://doi.org/10.14800/macrophage.698

  42. Ding JD, Johnson LV, Herrmann R, Farsiu S, Smith SG, Groelle M, Mace BE, Sullivan P, Jamison JA, Kelly U, Harrabi O, Bollini SS, Dilley J, Kobayashi D, Kuang B, Li W, Pons J, Lin JC, Rickman CB (2011) Anti-amyloid therapy protects against retinal pigmented epithelium damage and vision loss in a model of age-related macular degeneration. Proc Natl Acad Sci U S A 108:E279–E287

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Spangenberg EE, Lee RJ, Najafi AR, Rice RA, Elmore MR, Blurton-Jones M, West BL, Green KN (2016) Eliminating microglia in Alzheimerʼs mice prevents neuronal loss without modulating amyloid-β pathology. Brain 139:1265–1281

    Article  PubMed  PubMed Central  Google Scholar 

  44. Spangenberg E, Severson PL, Hohsfield LA, Crapser J, Zhang J, Burton EA, Zhang Y, Spevak W, Lin J, Phan NY, Habets G, Rymar A, Tsang G, Walters J, Nespi M, Singh P, Broome S, Ibrahim P, Zhang C, Bollag G, West BL, Green KN (2019) Sustained microglial depletion with CSF1R inhibitor impairs parenchymal plaque development in an Alzheimerʼs disease model. Nat Commun 10:3758

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  45. Sosna J, Philipp S, Albay R 3rd, Reyes-Ruiz JM, Baglietto-Vargas D, LaFerla FM, Glabe CG (2018) Early long-term administration of the CSF1R inhibitor PLX3397 ablates microglia and reduces accumulation of intraneuronal amyloid, neuritic plaque deposition and pre-fibrillar oligomers in 5XFAD mouse model of Alzheimer's disease. Mol Neurodegener 13:11

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  46. Rathnasamy G, Foulds WS, Ling EA, Kaur C (2019) Retinal microglia - a key player in healthy and diseased retina. Prog Neurobiol 173:18–40

    Article  PubMed  Google Scholar 

  47. Smith JA, Das A, Ray SK, Banik NL (2012) Role of pro-inflammatory cytokines released from microglia in neurodegenerative diseases. Brain Res Bull 87:10–20

    Article  CAS  PubMed  Google Scholar 

  48. Joly S, Francke M, Ulbricht E, Beck S, Seeliger M, Hirrlinger P, Hirrlinger J, Lang KS, Zinkernagel M, Odermatt B, Samardzija M, Reichenbach A, Grimm C, Remé CE (2009) Cooperative phagocytes: resident microglia and bone marrow immigrants remove dead photoreceptors in retinal lesions. The American journal of pathology 174:2310–2323

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Freund A, Patil CK, Campisi J (2011) p38MAPK is a novel DNA damage response-independent regulator of the senescence-associated secretory phenotype. The EMBO journal 30:1536–1548

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Davis T, Brook A, Rokicki M, Bagley M, Kipling D (2016) Evaluating the role of p38 MAPK in the accelerated cell senescence of Werner syndrome fibroblasts. Pharmaceuticals 9. https://doi.org/10.3390/ph9020023

  51. Chen X, Chen X, Zhang X, Wang L, Cao P, Rajamanickam V, Wu C, Zhou H, Cai Y, Liang G et al (2019) Curcuminoid B63 induces ROS-mediated paraptosis-like cell death by targeting TrxR1 in gastric cells. Redox Biology 21. https://doi.org/10.1016/j.redox.2018.11.019

  52. Ma W, Cojocaru R, Gotoh N, Gieser L, Villasmil R, Cogliati T, Swaroop A, Wong WT (2013) Gene expression changes in aging retinal microglia: relationship to microglial support functions and regulation of activation. Neurobiology of Aging 34:2310–2321

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Shen W, Lee SR, Araujo J, Chung SH, Zhu L, Gillies MC (2014) Effect of glucocorticoids on neuronal and vascular pathology in a transgenic model of selective Muller cell ablation. Glia 62:1110–1124

    Article  PubMed  Google Scholar 

  54. Asih PR, Prikas E, Stefanoska K, Tan ARP, Ahel HI, Ittner A (2020) Functions of p38 MAP kinases in the central nervous system. Front Mol Neurosci 13:570586

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Yao PL, Zhuo S, Mei H, Chen XF, Li N, Zhu TF, Chen ST, Wang JM, Hou RX, Le YY (2017) Androgen alleviates neurotoxicity of beta-amyloid peptide (Abeta) by promoting microglial clearance of Abeta and inhibiting microglial inflammatory response to Abeta. CNS Neurosci Ther 23:855–865

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Gee MS, Son SH, Jeon SH, Do J, Kim N, Ju YJ, Lee SJ, Chung EK, Inn KS, Kim NJ, Lee JK (2020) A selective p38α/β MAPK inhibitor alleviates neuropathology and cognitive impairment, and modulates microglia function in 5XFAD mouse. Alzheimers Res Ther 12:45

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Kasuya Y, Umezawa H, Hatano M (2018) Stress-activated protein kinases in spinal cord injury: focus on roles of p38. Int J Mol Sci 19. https://doi.org/10.3390/ijms19030867

  58. Fu AK, Hung KW, Yuen MY, Zhou X, Mak DS, Chan IC, Cheung TH, Zhang B, Fu WY, Liew FY et al (2016) IL-33 ameliorates Alzheimerʼs disease-like pathology and cognitive decline. Proc Natl Acad Sci U S A 113:E2705–E2713

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Hanus J, Anderson C, Wang S (2015) RPE necroptosis in response to oxidative stress and in AMD. Ageing Res Rev 24:286–298

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Kim J-E, Park H, Choi S-H, Kong M-J, Kang T-C (2019) Roscovitine attenuates microglia activation and monocyte infiltration via p38 MAPK inhibition in the rat frontoparietal cortex following status epilepticus. Cells 8. https://doi.org/10.3390/cells8070746

  61. Conti P, Lauritano D, Caraffa A, Gallenga CE, Kritas SK, Ronconi G, Martinotti S (2020) Microglia and mast cells generate proinflammatory cytokines in the brain and worsen inflammatory state: Suppressor effect of IL-37. Eur J Pharmacol 875:173035

    Article  CAS  PubMed  Google Scholar 

  62. Ji RR, Suter MR (2007) p38 MAPK, microglial signaling, and neuropathic pain. Molecular pain 3:33

    Article  PubMed  PubMed Central  Google Scholar 

  63. Datta S, Cano M, Ebrahimi K, Wang L, Handa JT (2017) The impact of oxidative stress and inflammation on RPE degeneration in non-neovascular AMD. Prog Retin Eye Res 60:201–218

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Esteve-Rudd J, Hazim RA, Diemer T, Paniagua AE, Volland S, Umapathy A, Williams DS (2018) Defective phagosome motility and degradation in cell nonautonomous RPE pathogenesis of a dominant macular degeneration. Proc Natl Acad Sci U S A 115:5468–5473

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Kurihara T, Westenskow PD, Gantner ML, Usui Y, Schultz A, Bravo S, Aguilar E, Wittgrove C, Friedlander M, Paris LP et al (2016) Hypoxia-induced metabolic stress in retinal pigment epithelial cells is sufficient to induce photoreceptor degeneration. eLife:5. https://doi.org/10.7554/eLife.14319

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Acknowledgements

We are grateful to Binxin Wu (Tongji University School of Medicine, Shanghai, China) for technical assistance.

Funding

This work was supported by the National Natural Science Foundation of China (81570852, 81870667, 81970810, 81970811), the Science and Technology Commission of Shanghai Municipality (19495800700), and the Clinical Research and Cultivation Project of Shanghai Municipal Hospital, China (SHDC12019X30).

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Contributions

Conception and design: Jingfa Zhang, Fang Liu, and Guo-Tong Xu.

Methodology: Jing Wu, Fanjun Shi, Qian Yang, Dandan Liu, Sichang Qu, and Haifeng Qin.

Data analysis: Jing Wu, Ge Gao, Hai Xie, Chaoyang Zhang, Jingfa Zhang, and Guo-Tong Xu.

Writing original draft preparation: Jing Wu and Jingfa Zhang.

Writing—review and editing: Fang Liu, Jingfa Zhang, and Guo-Tong Xu. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Fang Liu or Jingfa Zhang.

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All procedures involving the animal studies were approved (Permit Number: SHDSYY-2020-2938) and conducted in accordance with the guidelines of the Committee on the Ethics of Animal Experiments of Tongji University School of Medicine and adhered to the principles of the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research.

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The authors declare no competing interests.

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Wu, J., Gao, G., Shi, F. et al. Activated microglia–induced neuroinflammatory cytokines lead to photoreceptor apoptosis in Aβ-injected mice. J Mol Med 99, 713–728 (2021). https://doi.org/10.1007/s00109-021-02046-6

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  • DOI: https://doi.org/10.1007/s00109-021-02046-6

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