Literature DB >> 19290053

Human TRIM gene expression in response to interferons.

Laetitia Carthagena1, Anna Bergamaschi, Joseph M Luna, Annie David, Pradeep D Uchil, Florence Margottin-Goguet, Walther Mothes, Uriel Hazan, Catherine Transy, Gianfranco Pancino, Sébastien Nisole.   

Abstract

BACKGROUND: Tripartite motif (TRIM) proteins constitute a family of proteins that share a conserved tripartite architecture. The recent discovery of the anti-HIV activity of TRIM5alpha in primate cells has stimulated much interest in the potential role of TRIM proteins in antiviral activities and innate immunity. PRINCIPAL
FINDINGS: To test if TRIM genes are up-regulated during antiviral immune responses, we performed a systematic analysis of TRIM gene expression in human primary lymphocytes and monocyte-derived macrophages in response to interferons (IFNs, type I and II) or following FcgammaR-mediated activation of macrophages. We found that 27 of the 72 human TRIM genes are sensitive to IFN. Our analysis identifies 9 additional TRIM genes that are up-regulated by IFNs, among which only 3 have previously been found to display an antiviral activity. Also, we found 2 TRIM proteins, TRIM9 and 54, to be specifically up-regulated in FcgammaR-activated macrophages.
CONCLUSIONS: Our results present the first comprehensive TRIM gene expression analysis in primary human immune cells, and suggest the involvement of additional TRIM proteins in regulating host antiviral activities.

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Year:  2009        PMID: 19290053      PMCID: PMC2654144          DOI: 10.1371/journal.pone.0004894

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Introduction

Tripartite motif (TRIM) proteins constitute a protein family based on a conserved domain architecture (known as RBCC) that is characterized by a RING finger domain, one or two B-box domains, a Coiled-coil domain and a variable C-terminus [1] (Figure 1). Despite their common domain architecture, TRIM proteins are implicated in a variety of cellular functions, including differentiation, apoptosis and immunity [1]. Interestingly, an increasing number of TRIM proteins have been found to display antiviral activities or are known to be involved in processes associated with innate immunity [2], [3]. TRIM5α is responsible for a species-specific post-entry restriction of diverse retroviruses, including N-MLV and HIV-1, in primate cells [4], [5], [6], [7], [8], whereas TRIM1/MID2 also displays an anti-retroviral activity which affects specifically N-MLV infection [8]. TRIM22, also known as Staf50, has been shown to inhibit HIV-1 replication, although it is still unclear at what step the block occurs [9], [10], [11]. TRIM28 restricts MLV LTR-driven transcription in murine embryonic cells [12]. Furthermore, the inhibition of a wide range of RNA and DNA viruses by TRIM19/PML has been reported [13]. The most extensive screen performed to date showed that several TRIM proteins, including TRIM11, TRIM31 and TRIM62, can interfere with various stages of MLV or HIV-1 replication [14]. Finally, TRIM25 has been shown to control RIG-I-mediated antiviral activity through its E3 ubiquitin ligase activity [15].
Figure 1

Human TRIM proteins.

Classification of human TRIM proteins based on the nature of their C-terminal domains(s) as defined by Short and Cox [54] and modified by Ozato et al. [3]. The TRIM protein family is composed of 11 sub-families, from C-I to C-XI, whereas some TRIM proteins remain unclassified (UC), since they do not have a RING finger domain as “true” TRIM proteins. NHL, NHL repeats; COS, COS box motif; FN3, fibronectin type III motif; PHD, plant homeodomain; BROMO, bromodomain; MATH, meprin and TRAF homology domain; TM, transmembrane domain; AR, acid-rich region.

Human TRIM proteins.

Classification of human TRIM proteins based on the nature of their C-terminal domains(s) as defined by Short and Cox [54] and modified by Ozato et al. [3]. The TRIM protein family is composed of 11 sub-families, from C-I to C-XI, whereas some TRIM proteins remain unclassified (UC), since they do not have a RING finger domain as “true” TRIM proteins. NHL, NHL repeats; COS, COS box motif; FN3, fibronectin type III motif; PHD, plant homeodomain; BROMO, bromodomain; MATH, meprin and TRAF homology domain; TM, transmembrane domain; AR, acid-rich region. In one approach aimed to identify members of TRIM family with potential antiviral activity, Harmit Malik and colleagues sought TRIM proteins that have been under positive selection throughout evolution suggesting that they directly interface with ever evolving pathogens. Among these proteins are TRIM5 and TRIM22 [16], [17]. In an alternative approach, the identification of TRIM proteins up-regulated in response to interferons (IFNs) may pinpoint TRIM proteins with antiviral activities. IFNs are the main mediators of innate immunity against viral infection, by up-regulating the expression of many antiviral effectors within cells. Three classes of IFN have been identified, designated types I to III, and classified on the basis of the receptor complex they signal through, and their biological activities. Type I IFNs are a vast group of cytokines produced by most cells upon viral infection and trigger a signaling cascade that leads to the induction of many genes that control virus replication and spreading. Type I IFNs consist of multiple alpha interferon (IFN-α) subtypes and only one isoform of IFN-β, IFN-ω, IFN-ε or IFN-κ. Type II IFN only comprises one member, IFN-γ, and is produced exclusively by subsets of activated T lymphocytes and NK cells. The more recently described type III IFNs include three IFN-λ gene products. So far, little is known about the type III IFNs, although they are known to regulate the antiviral response and have been proposed to be the ancestral type I IFNs [18], [19]. Strikingly, most of the TRIM proteins implicated in antiviral response, including TRIM5 [20], [21], [22], TRIM19/PML [23], [24], [25], TRIM20/MEFV [26], TRIM21/Ro52 [27], [28], TRIM22 [9], [10], TRIM25 [29], [30] and TRIM34 [31] have also been found to be up-regulated by IFNs. In addition, microarrays have contributed to information about the gene expression of TRIM proteins. For example, in the human fibrosarcoma cell line HT1080, TRIM19 (PML) and TRIM21 (52-kD SS-A/Ro autoantigen) were found to be induced by both type I and II IFNs, whereas TRIM22 (Staf50) expression was only up-regulated by type I (α and β) IFN [32]. Similarly, TRIM19/PML, 21 (SSA1), 22 and 25 (ZNF147) were found to be up-regulated by pegylated interferon-alpha2b in human peripheral blood cells [33]. In murine cells, a recent study of gene expression of a significant proportion of TRIM proteins and an additional microarray study provided some insight into the expression of this protein family in mouse [34], [35]. However, no comprehensive study has been performed thus far for the entire TRIM protein family. Besides IFN, ITAM-coupled receptors for the Fc region of immunoglobulins (FcRs) regulate macrophage responses to pathogens [36]. Activating FcγR signaling via ITAM motifs not only triggers signaling pathways different from those activated by IFNs, but FcγR cross-linking by IC can negatively regulate IFN-induced signaling [37], [38]. We have shown that the aggregation of FcγR by immune complexes (IC) inhibits replication of HIV-1 and related lentiviruses in human monocyte-derived macrophages [39], [40]. FcγR-mediated restriction affects early pre-integrative steps of HIV-1 replication and might be compatible with a TRIM5α-like restriction mechanism [40]. No information is available on the regulation of TRIM protein expression following FcγR engagement. Here we report a systematic study of the expression of all TRIM genes and their sensitivity to type I IFN, type II IFN, and FcγR signaling in human primary lymphocytes and macrophages. We decided not to include type III IFNs in our study since, despite binding to distinct receptors from those of type I IFNs, type III IFNs induce antiviral activity using the same signaling pathway, the same IFN-stimulated response elements (ISREs), and lead to the induction of almost the same IFN-stimulated genes (ISGs) than type I (α and β) IFNs [18], [41]. We applied quantitative RT-PCR arrays to quantify the expression of the 72 human TRIM genes in treated or untreated cells. Although some of these genes cannot be considered as “real” TRIM genes since they encode proteins that do not contain an intact RBCC architecture, we decided to include them in our study, as they probably derive from a common ancestor gene.

Materials and Methods

Monocyte derived macrophages (MDM) and peripheral blood lymphocytes (PBL)

Blood samples were obtained through the French blood bank (Etablissement Français du Sang, EFS) in the setting of the EFS-Institut Pasteur Convention. A written informed consent was obtained from each donor to use the cells for clinical research according to French laws. The study was approved by two IRBs, one for EFS, as required by French law, and one for Pasteur Institute (the Biomedical Research Committee), as required by Pasteur Institute. Human monocytes and lymphocytes were isolated from buffy coats of healthy seronegative donors (Centre de Transfusion Sanguine Ile-de-France, Rungis and Hôpital de la Pitié-Salpêtrière, Paris, France) using lymphocyte separation medium (PAA laboratories GmbH, Pasching, Austria) density gradient centrifugation and plastic adherence as previously described [40]. Non adherent cells (PBL) were frozen in 90% fetal calf serum (FCS) and 10% DMSO at −80°C until the experiment of activation. Monocytes were then differentiated into macrophages by 7 to 11 days culture in MDM medium (RPMI 1640 medium supplemented with 200 mM L-glutamine, 100 U penicillin, 100 µg streptomycin, 10 mM HEPES, 10 mM sodium pyruvate, 50 µM β-mercaptoethanol, 1% minimum essential medium vitamins, and 1% nonessential amino acids) supplemented with 15% of human AB serum in hydrophobic Teflon dishes (Lumox™, Dominique Dutcher, Brumath, France) as previously described [40]. Monocyte-derived-macrophages (MDM) were then harvested, washed and resuspended in MDM medium containing 10% heat-inactivated FCS for experiments. Purity of MDM was assessed by flow cytometry by side and forward scattering and immunofluorescent staining. Cells obtained by this method are 91–95% CD14+, and express CD64, CD32, and CD16 FcγRs. One day before experiments, PBL were thawed and cultured in PBL medium (RPMI 1640 medium supplemented with 200 mM L-glutamine, 100 U penicillin, 100 µg streptomycin, 10% FCS). PBL and MDM were seeded in 6 well plates (2×106 PBL/well, 1×106 MDM/well) in the presence or not of 1000 UI/ml of IFN I (Universal type I IFN, PBL Biomedical Laboratories, New Brunswick, USA)(Universal type I IFN is an hybrid alpha interferon, constructed from recombinant human IFN-α A and human IFN-α D) or IFN II (IFN-γ, Peprotech EC Ltd, London, UK). MDM stimulation with preformed immune complexes (IC) was performed as previously described [40]. Briefly, culture plates were coated with 0.1 mg/ml dinitrophenyl-conjugated bovine serum albumin (DNP-BSA) by incubation for 2 hours at 37°C, saturated with 1 mg/ml BSA in PBS, and then incubated 1 h hour at 37°C with 30 µg/ml rabbit anti-DNP antibodies (Sigma, Saint Louis, USA) to form ICs. All reagents used were LPS-free. After washing of the plates with PBS, MDM were stimulated by plating on IC-coated wells. Eight hours after stimulation with either IFNs or IC, cells were finally washed and frozen at −80°C in the presence of 350 µl of RLT buffer/well (RNeasy Mini kit, Qiagen). RNA extractions were performed using RNeasy Mini Kit following manufacturer's instructions. Experiments were performed using PBL and MDM from 3 different donors.

qRT-PCR array analysis

We designed custom RT2 Profiler PCR arrays (SABiosciences, Frederick, USA) in order to quantify simultaneously the expression of 72 human TRIM genes and 14 other human genes for control. The complete list of the 86 screened genes is shown in Table 1. Briefly, total RNA from PBL or MDM isolated from 3 donors and treated or not with IFN I, IFN II or IC were reverse transcribed using the RT2 PCR array first strand kit (SABiosciences). PCR were performed using the RT2 Realtime SYBR Green PCR mix (SABiosciences) following manufacturer's instructions on a LightCycler 480 (Roche Diagnostics, Meylan, France). Data were analyzed by the 2−ΔΔCt method. Briefly, threshold cycle (Ct) values were converted to 2−Ct in order to be proportional to the amount of transcripts in the samples. For comparing samples between them, 2−ΔCt were calculated by normalizing the data by a housekeeping gene (HKG): 2−ΔCt = 2−Ct(sample)/2−Ct(HKG). Finally, in order to compare the data from different experimental conditions, we calculated 2−ΔΔCt values, which are obtained by normalizing the experimental data by reference data. For example, data from treated cells are normalized to untreated cells, according to the formula: 2−ΔΔCt = 2−ΔCt(treated cells)/2−ΔCt(untreated cells). Differentially expressed genes were defined as those that changed by >2-fold. Java TreeView was used to represent data as heat map representations [42].
Table 1

Genes screened in the PCR array analysis.

TRIMOfficialAccession No.AmpliconAmpliconTRIMOfficialAccession No.AmpliconAmplicon
symbol(Genbank)size (bp)positionsymbol(Genbank)size (bp)position
1 MID2NM_0122161552150–2168 45 NM_0251881232311–2331
2 NM_015271513325–3344 46 NM_0250581582184–2202
3 NM_0064581302032–2053 47 NM_0334521751304–1326
4 NM_0330171343081–3102 48 NM_02411489140–161
5 NM_033093111924–943 49 NM_0203581071245–1267
6 NM_0581661811035–1054 50 NM_1781251371197–1215
7 NM_033342159767–787 51 SPRYD5NM_032681191605–625
8 NM_0309121111450–1468 52 NM_032765191312–332
9 NM_015163931958–1976 53 XR_0161801811052–1071
10 NM_006778181785–807 54 NM_187841161752–771
11 NM_1452141581279–1299 55 NM_18408785662–681
13 NM_005798158389–411 56 NM_030961158459–477
14 NM_014788140559–577 58 NM_015431172948–966
15 NM_0332291002024–2048 59 NM_173084114541–561
16 NM_0064701481004–1022 60 NM_152620113266–284
16L NM_00103733012520–43 61 NM_001012414176431–453
17 NM_0161021531216–1234 62 NM_018207941177–1197
18 MID1NM_0003811392214–2232 63 NM_0325881001567–1588
19 PMLNM_033238671328–1348 64 XM_0618901911213–1233
20 MEFVNM_0002431651906–1924 65 NM_1735471412870–2888
21 NM_0031411731137–1159 66 XM_084529886581–6601
22 NM_0060741392293–2313 67 NM_0010043421858275–8296
23 NM_0016561433551–3574 68 NM_0180731801322–1341
24 NM_0038521912560–2581 69 NM_182985991409–1431
25 NM_005082161965–985 71 NM_0010391111712061–2079
26 NM_0034491541576–1595 72 NM_0010082741321504–1522
27 NM_0065101642735–2754 73 NM_1989241211195–1219
28 NM_0057621311737–1755 74 NM_198853123321–341
29 NM_012101842833–2851 L1 NM_1785561731138–1157
30 NM_0070281661723–1743PPIANM_021130191838–861
32 NM_012210179326–345STAT1NM_00731592199–221
33 NM_0159061323370–3391EIF2AK2NM_002759841395–1415
34 NM_021616134849–868HIST4H4NM_17505492120–141
35 NM_171982190421–439OAS2NM_002535139345–363
36 NM_018700165482–501MX1NM_0024621841883–1905
37 NM_015294942883–2902ADARNM_0011111503896–3918
38 NM_0063551721486–1505APOBEC3GNM_0218221561103–1124
39 NM_0212531311628–1649APOBEC3FNM_145298894610–4630
40 NM_138700105398–418CSF1NM_000757181523–545
41 NM_201627181868–889HPRT1NM_00019489974–993
42 NM_1526161012371–2391RPL13ANM_01242390940–960
43 NM_1388001571156–1176GAPDHNM_0020461751287–1310
44 NM_0175831201097–1119ACTBNM_0011011911202–1222

Phylogenetic analysis of human TRIM proteins

The amino-acid sequences of all human TRIM proteins were obtained from the “HUGO Gene Nomenclature Committee at the European Bioinformatics Institute” (http://www.genenames.org). A neighbor-joining tree was constructed with NJplot (from http://pbil.univ-lyon1.fr/software/njplot.html), on the basis of a ClustalX2 sequence alignment of all TRIM proteins deleted from their Ct domain(s) (http://www.clustal.org/), with a bootstrap trial of 1000. TRIM alignments are available from the authors by request.

Promoter in silico analysis

Promoter analysis was carried out using the PROMO virtual laboratory (http://alggen.lsi.upc.es/cgi-bin/promo_v3/promo/promoinit.cgi?dirDBTF_8.3) and Genomatix MatInspector (http://www.genomatix.de/products/MatInspector/) programs for identifying putative transcription factor binding sites [43], [44], [45]. Briefly, 1 kb of DNA upstream of the predicted transcription start site for each TRIM protein along with 100 bp reading into the mRNA (−1000 bp to +100 bp) was selected from the human genome for analysis. These sequences were analyzed in PROMO and MatInspector using versions 8.3 and 7.1 of the TRANSFAC matrix library respectively. For PROMO, hits were scored for specific transcription factors based on dissimilarity values of less than 0.1 and random expectation values of less than 0.01. For MatInspector, hits were scored on matrix similarities above 0.8. Genomic positive controls consisting of promoter regions known to possess binding sites for each selected transcription factor were used to evaluate the stringency of the PROMO and MatInspector algorithms to determine significant results (STAT1, OAS2, MX1, APOBEC3G, etc). Negative controls consisting of housekeeping genes (GAPDH, ACTB) and randomized DNA sequences were used to evaluate and eliminate less stringent matrices.

Results

In order to perform a comprehensive study of TRIM gene expression in human primary lymphocytes and macrophages, unstimulated peripheral blood lymphocytes (PBL) and monocyte derived macrophages (MDM) from 3 donors were either left untreated or stimulated with type I IFN, type II IFN or immune complexes (IC, in the case of MDM only), as indicated in the Materials and Methods section. After RNA extraction and cDNA preparation, we screened 86 gene transcripts by real-time quantitative PCR. In addition to the 72 TRIM gene transcripts, we also analyzed the expression of a number of housekeeping genes to standardize the assays, such as PPIA (peptidylprolyl isomerase A, cyclophilin A), HPRT1 (hypoxanthine phosphoribosyltransferase 1), RPL13A (ribosomal protein L13a), GAPDH (glyceraldehyde-3-phosphate dehydrogenase) and ACTB (actin beta) (Table 1). We also included some genes whose expression is known to be either down-regulated by IFN, such as HIST4H4 (histone cluster 4, H4) or up-regulated, such as STAT1 (signal transducer and activator of transcription 1, 91kDa), EIF2AK2 (Homo sapiens eukaryotic translation initiation factor 2-alpha kinase 2, PKR), OAS2 (2′-5′-oligoadenylate synthetase 2, 69/71 kDa), MX1 (myxovirus resistance 1), ADAR (adenosine deaminase, RNA-specific), APOBEC3G and APOBEC3F (apolipoprotein B mRNA editing enzyme, catalytic polypeptide-like 3G and 3F) (Table 1) [32], [46]. Furthermore, we analyzed CSF1 (or M-CSF, Macrophage colony-stimulating factor 1) expression as a control for IC-mediated MDM activation, since we have previously shown that CSF1 expression is up-regulated following FcγR cross-linking [39]. Finally, we included internal controls to account for genomic DNA contamination, reverse transcription efficiency and PCR efficiency, in order to validate the screen and allow proper comparison between experiments. All data were analyzed using the 2−ΔΔCt method. From the collected data, we first analyzed the basal expression of the screened genes in untreated MDM and PBL. In order to compare the basal expression of each gene in lymphocytes and MDM, we normalized our values by a housekeeping gene whose expression is as similar as possible in both cell types. Toward this end, we compared the mean Ct values for each housekeeping gene in untreated MDM and PBL. As shown in Figure 2A, RPL13A presents the smallest standard deviation values among the 5 selected housekeeping genes, demonstrating that its expression was almost identical in PBL and MDM. Therefore, we used RPL13A to compare TRIM gene expression between both cell types.
Figure 2

TRIM gene expression in human primary macrophages and lymphocytes.

cDNA was prepared from primary macrophages (MDM) and lymphocytes (PBL) from 3 donors, as described in the Materials and Methods section. The expression of 86 genes, including 72 TRIM genes and 5 housekeeping genes, was analyzed by quantitative RT-PCR array. A. Comparison of the expression of 5 housekeeping genes in untreated MDM and PBL. The mean Ct values for each gene in untreated cells from 3 donors are shown. Error bars show standard deviation. RPL13A presented the smallest standard deviation values and was therefore selected for normalization. B. Constitutive expression of TRIM genes in MDM (M) and PBL (P). Histograms represent mean 2−ΔCt values for each gene±SD. C. Relative expression of TRIM genes in MDM (M) and PBL (P). Mean 2−ΔCt values were determined by subtracting RPL13A, and each sample was normalized to the median expression of each gene in both cell types. Resulting 2−ΔΔCt values were represented as a heat map, using Java TreeView. Green: low relative expression; Yellow: median value (same expression in MDM and PBL); Red: high relative expression.

TRIM gene expression in human primary macrophages and lymphocytes.

cDNA was prepared from primary macrophages (MDM) and lymphocytes (PBL) from 3 donors, as described in the Materials and Methods section. The expression of 86 genes, including 72 TRIM genes and 5 housekeeping genes, was analyzed by quantitative RT-PCR array. A. Comparison of the expression of 5 housekeeping genes in untreated MDM and PBL. The mean Ct values for each gene in untreated cells from 3 donors are shown. Error bars show standard deviation. RPL13A presented the smallest standard deviation values and was therefore selected for normalization. B. Constitutive expression of TRIM genes in MDM (M) and PBL (P). Histograms represent mean 2−ΔCt values for each gene±SD. C. Relative expression of TRIM genes in MDM (M) and PBL (P). Mean 2−ΔCt values were determined by subtracting RPL13A, and each sample was normalized to the median expression of each gene in both cell types. Resulting 2−ΔΔCt values were represented as a heat map, using Java TreeView. Green: low relative expression; Yellow: median value (same expression in MDM and PBL); Red: high relative expression. Figures 2B and 2C compare absolute (2B) or relative (2C) TRIM gene expression in human MDM and lymphocytes. Among the 72 analyzed TRIM transcripts, 27 were not detectable in either MDM or PBL (TRIM6, 10, 15, 17, 18/MID1, 29, 31, 35, 36, 42, 43, 45, 46, 48, 49, 50, 51/SPRYD5, 53, 55, 60, 61, 63, 64, 67, 72, 74 and L1) (Figure 2B). Some were specifically expressed in MDM (TRIM7, 9, 40 and 54) or in PBL (TRIM20/MEFV, 23, 71 and 73) (Figures 2B and 2C). Next, we analyzed which genes are regulated by IFN in both cell types and by IC in MDM. As described above, we first determined the housekeeping gene that had the most stable expression in a given cell type upon IFN or IC treatment in order to normalize our results. Mean Ct values of the 5 screened housekeeping genes in untreated and treated cells with either type I or type II IFN (as well as IC in the case of MDM) were calculated, along with the corresponding standard deviation values (Figure 3A). Actin B (ACTB) expression was found to be almost identical in untreated and IFN-treated PBL and also in untreated, IFN- or IC-treated MDM and was thus selected as the most suitable gene to normalize our results in both cell types.
Figure 3

TRIM gene expression in response to IFN or immune complex.

Primary macrophages (MDM) or lymphocytes (PBL) from 3 donors were left untreated or were treated with type I IFN, type II IFN or preformed immune complexes (IC, in the case of MDM only), as described in the Materials and Methods section. The expression of 86 genes, including 72 TRIM genes and 5 housekeeping genes, was analyzed by PCR array. A. Selection of a housekeeping gene to normalize the expression of TRIM genes in untreated Vs IFN- or IC-treated cells. The diagram shows the mean expression of 5 housekeeping genes in untreated and treated MDM (squares) or PBL (triangles). The mean Ct values for each gene in untreated cells and IFN or IC-treated cells from 3 donors are shown. Error bars show standard deviation. ACTB presented the smallest standard deviation values and was therefore selected for normalization. B. Induction of TRIM genes in primary cells treated with type I IFN (I), type II IFN (II) or IC. Mean 2−Ct values for each gene in cells from 3 donors were normalized to ACTB expression to calculate 2−ΔCt values. Normalization to the mean expression of each gene in untreated cells gave the 2−ΔΔCt values, which were presented as a heat map using Java TreeView. Green: Down-regulation of gene expression; Yellow: No change; Red: Up-regulation of gene expression. A significant modification of gene expression was defined as a >2 down- (dark green) or up-regulation (dark red).

TRIM gene expression in response to IFN or immune complex.

Primary macrophages (MDM) or lymphocytes (PBL) from 3 donors were left untreated or were treated with type I IFN, type II IFN or preformed immune complexes (IC, in the case of MDM only), as described in the Materials and Methods section. The expression of 86 genes, including 72 TRIM genes and 5 housekeeping genes, was analyzed by PCR array. A. Selection of a housekeeping gene to normalize the expression of TRIM genes in untreated Vs IFN- or IC-treated cells. The diagram shows the mean expression of 5 housekeeping genes in untreated and treated MDM (squares) or PBL (triangles). The mean Ct values for each gene in untreated cells and IFN or IC-treated cells from 3 donors are shown. Error bars show standard deviation. ACTB presented the smallest standard deviation values and was therefore selected for normalization. B. Induction of TRIM genes in primary cells treated with type I IFN (I), type II IFN (II) or IC. Mean 2−Ct values for each gene in cells from 3 donors were normalized to ACTB expression to calculate 2−ΔCt values. Normalization to the mean expression of each gene in untreated cells gave the 2−ΔΔCt values, which were presented as a heat map using Java TreeView. Green: Down-regulation of gene expression; Yellow: No change; Red: Up-regulation of gene expression. A significant modification of gene expression was defined as a >2 down- (dark green) or up-regulation (dark red). The regulation of each TRIM gene after normalization to ACTB expression is shown in Figure 3B. We considered gene expression variations as significant when we observed a >2-fold variation compared to untreated cells. Genes that were significantly up- or down-regulated are represented in red and green in the heat map representation, respectively (Figure 3B). As expected, we found that STAT1, EIF2AK2, OAS2, MX1, ADAR, APOBEC3G and APOBEC3F were significantly up-regulated by both type I and type II IFN [32], and that TLR4 expression was up-regulated by type I IFN in MDM [46], whereas HIST4H4 expression was down-regulated upon IFN-treatment [32]. In MDM, type I IFN up-regulated the expression of 16 TRIM genes (TRIM5, 6, 14, 19/PML, 20/MEFV, 21, 22, 25, 26, 31, 34, 35, 38, 56, 58 and 69) and down-regulated the expression of 5 (TRIM28, 37, 54, 59 and 66). Among these TRIM genes, type II IFN only induced the up-regulation of 7 genes (TRIM19/PML, 20/MEFV, 21, 22, 25, 56 and 69) but induced the down-regulation of 11 (TRIM2, 4, 9, 16, 16L, 28, 32, 37, 54, 59 and 66). In PBL, 14 TRIM genes were up-regulated by type I IFN (TRIM5, 6, 14, 19/PML, 20/MEFV, 21, 22, 25, 26, 31, 34, 35, 38 and 56) and 7 by type II IFN (TRIM19/PML, 20/MEFV, 21, 22, 26, 56 and 69) (Figure 3B). The only gene whose expression was significantly down-regulated in PBL following IFN treatment was TRIM16L (Figure 3B). Interestingly, whereas TRIM6, TRIM31 and TRIM35 transcripts were undetectable in either untreated MDM or PBL, they could be detected in type I IFN-treated cells. The expression of TRIM9 in PBL was also weakly induced by type II IFN. Similarly, both type I and type II IFN induced the expression of TRIM20/MEFV in MDM, which was not detectable in unstimulated cells. As expected, the expression pattern of TRIM genes following IC-stimulation and activation of MDM through FcγR was completely different from what was observed with IFN. First of all, none of the IFN-induced positive controls were up-regulated. On the contrary, STAT1, OAS2 and APOBEC3F expression was found to be down-regulated by more than 2-fold. As expected, the expression of CSF1 was highly up-regulated in IC-stimulated MDM. Regarding TRIM genes, only 2 were significantly up-regulated: TRIM9 (3.9 fold) and TRIM54 (3.4 fold), whereas 8 of them were down-regulated (TRIM22, 32, 34, 44, 47, 58, 59 and 66). Quantitative data on the regulation of TRIM genes whose expression was significantly affected by type I or type II IFN in PBL or MDM or by IC in MDM is represented in Figure 4. It must be noted that IFN-treated MDM and PBL gave overall similar profiles, but variations of gene expression were usually more pronounced in MDM. This probably reflects their higher sensitivity to IFN. Among the 16 TRIM genes up-regulated by type I IFN, only TRIM5, TRIM19/PML and TRIM22 showed a >10-fold induction in MDM. TRIM genes were less susceptible to type II IFN, since only TRIM19/PML, TRIM22 and TRIM25 were up-regulated approximately 5-fold and MEFV/TRIM20 18-fold. TRIM54 was significantly down-regulated both by type I and type II IFN, 6 and 10-fold, respectively, as opposed to its up-regulation in IC-stimulated MDM.
Figure 4

TRIM genes whose expression is regulated by IFN or immune complex.

These diagrams show the TRIM genes whose expression is either up- (>2-fold increase compared to untreated cells) or down-regulated (>2-fold decrease compared to untreated cells) by type I IFN, type II IFN or Immune complex (IC). The effect of each treatment on the expression of non-TRIM genes included in the screen is also shown. Data are represented as fold induction.

TRIM genes whose expression is regulated by IFN or immune complex.

These diagrams show the TRIM genes whose expression is either up- (>2-fold increase compared to untreated cells) or down-regulated (>2-fold decrease compared to untreated cells) by type I IFN, type II IFN or Immune complex (IC). The effect of each treatment on the expression of non-TRIM genes included in the screen is also shown. Data are represented as fold induction.

Discussion

Our screen revealed that, 45 out of the 72 human TRIM genes show detectable ex vivo expression in blood lymphocytes or unstimulated MDM. Upon type I IFN treatment, 3 additional TRIM transcripts can be detected in both cell types. Twenty seven human TRIM genes were found to be sensitive to IFN treatment, among which 16 were up-regulated by type I IFN and 8 by type II IFN. Interestingly, our data partially overlap with a recent study performed on mouse TRIM genes [35] (Figure 5). For instance, TRIM6, 14, 19/PML, 20/MEFV, 21, 25, 26 and 34 were up-regulated in response to IFNs in our study and classified to cluster 2 or 3 by Rajsbaum et al. These two clusters comprise TRIM genes found to be highly expressed in macrophages and dendritic cells (DC) and whose expression is further induced following influenza virus infection in an IFN-dependent manner [35]. We also identified human TRIM5, 22, 31, 38, 56, 58 or 69 as additional genes induced by type I IFN, but these genes were not analyzed or have no homologue in mouse [35]. Our two studies also show that both constitutive expression and IFN-inducibility of TRIM genes are cell type dependent, which may have an impact on the antiviral properties of individual TRIM family members [35]. Our data also largely confirm a gene expression study performed by Martinez and colleagues [47] and re-analyzed by Rajsbaum et al. in order to examine TRIM gene expression in human macrophages stimulated with IFN-γ and LPS [35]. Despite different experimental conditions, a good overall agreement can be observed (Figure 5). The main discrepancies concern a number of TRIM genes (including TRIM2, 3, 10, 13, 17, 18, 29, 45, 46, 48 and 62) which were found to be up-regulated by IFN-γ/LPS treatment by Martinez et al., although they did not respond to IFNs in our study. It has to be noted that the study by Martinez et al. was performed on M-CSF-treated MDM, further activated for 18 h with LPS and IFN-γ [47]. In contrast, we avoided the use of exogenous cytokines, such as M-CSF, for differentiating monocytes into macrophages, since it may directly induce the expression of several genes [48], [49] and even influence retroviral replication [50]. In addition, we identified TRIM20/MEFV as being highly up-regulated by both type I and type II IFN, in accordance with another study [26], whereas Martinez et al. did not [35].
Figure 5

Summary of TRIM expression in mouse and human macrophages upon various stimuli and in silico promoter analysis.

TRIM expression in human macrophages upon IFN treatment. This part of the table shows the comparison of TRIM gene expression in mouse macrophages treated with LPS or poly(I:C) [35], in human macrophages upon IFN-γ and LPS treatment [35], [47], and in human macrophages stimulated with either type I or type II (γ) IFN (our study). In silico promoter analysis. Table illustrating potential transcription factor binding sites based on sequence analysis of 1 kb of genomic DNA upstream of each TRIM protein. IRF sites were scored using the PROMO virtual laboratory using matrices specific to selected human transcription factors (TFs). Highest scoring TF binding sites (+++) had dissimilarity values of less than 0.1 and random expectation values (noted RE within the table key) of less than 0.01. Calculated sites meeting only one of the above criteria (++) or neither (+) are indicated. ISRE/IRF sites were further corroborated with MatInspector. Highest scoring TF binding sites (+++) had similarity values above 0.9, (++) values between 0.85–0.89, and (+) values between 0.80–0.84. Numerous positive genomic controls (OAS2, MX1, STAT1, APOBEC3G, APOBEC3F, etc.) and their calculated TF profiles were used to evaluate the stringency of hits. Negative genomic controls GAPDH and ACTB were used to evaluate the stringency of the programs.

Summary of TRIM expression in mouse and human macrophages upon various stimuli and in silico promoter analysis.

TRIM expression in human macrophages upon IFN treatment. This part of the table shows the comparison of TRIM gene expression in mouse macrophages treated with LPS or poly(I:C) [35], in human macrophages upon IFN-γ and LPS treatment [35], [47], and in human macrophages stimulated with either type I or type II (γ) IFN (our study). In silico promoter analysis. Table illustrating potential transcription factor binding sites based on sequence analysis of 1 kb of genomic DNA upstream of each TRIM protein. IRF sites were scored using the PROMO virtual laboratory using matrices specific to selected human transcription factors (TFs). Highest scoring TF binding sites (+++) had dissimilarity values of less than 0.1 and random expectation values (noted RE within the table key) of less than 0.01. Calculated sites meeting only one of the above criteria (++) or neither (+) are indicated. ISRE/IRF sites were further corroborated with MatInspector. Highest scoring TF binding sites (+++) had similarity values above 0.9, (++) values between 0.85–0.89, and (+) values between 0.80–0.84. Numerous positive genomic controls (OAS2, MX1, STAT1, APOBEC3G, APOBEC3F, etc.) and their calculated TF profiles were used to evaluate the stringency of hits. Negative genomic controls GAPDH and ACTB were used to evaluate the stringency of the programs. Interestingly, our analysis revealed that TRIM genes are more sensitive to type I IFN, which is considered as the “antiviral IFN”, than to type II IFN. Up-regulation of TRIM genes by type I IFN may indicate the presence of interferon-stimulation response elements (ISREs) or closely related interferon regulatory factor elements (IRFEs) in the genomic regions upstream of TRIM genes that serve as docking sites for interferon regulatory factors (IRFs) involved in IFN gene regulation. Briefly, of the nine known mammalian IRFs, IRF-1 and IRF-2 have been extensively studied and are known to bind IRFE sequences (consensus: G(A)AAA) to activate or inactivate gene expression following type I or II IFN stimulation [51]. IRF3 and IRF7 bind ISRE sequences (consensus: ) [52] to activate gene expression; this has been most notably demonstrated for the IFN-β enhanceosome [53]. To look for regulatory elements that respond to type I IFN, we carried out an in silico analysis and identified putative ISREs and IRFEs within the upstream regions of several IFN-induced TRIM genes with matrix similarities exceeding 95% (Figure 5, and Table S1 with exact sequence and positions). We chose to focus on ISREs and IRFEs primarily because of their readily identifiable and conserved consensus sequences as well as their preference for type I IFN stimulated transcription factors. While our findings are no substitute for direct functional data on TRIM gene promoters, the correlation with the IFN stimulated up-regulation of TRIM genes is striking and provides a sound basis for future work on the mechanisms of TRIM gene regulation. There appears to be no correlation between the susceptibility to IFNs and the domain structure. Indeed, TRIM5, 6, 21, 22, 25, 26, 34, 35, 38, 58 and 69 present the RBCC/B30.2 structure characteristic of the C-IV TRIM subfamily, according to the Short and Cox classification [54] (Figure 1), whereas TRIM19/PML, TRIM31 and 56 belong to the C-V subfamily and TRIM14 and TRIM20/MEFV have not been sub-classified, since they lack the RING domain [54] (Figure 1). As shown in Figure 6, TRIM genes whose expression is up-regulated by type I IFN are dispersed throughout the phylogenetic tree of human TRIM genes. The only correlation concerns the TRIM genes localized in the 11p15.4 cluster, which comprise TRIM5, 6, 22 and 34, all of them being up-regulated by IFNs (Figure 6), an observation that has also been reported in murine cells [35]. Two other IFN-induced TRIM genes, TRIM26 (induced by both type I and II IFNs) and TRIM31 (only induced by type I IFN) are located within another major cluster of TRIM encoding genes (containing TRIM10, 15, 26, 31, 39 and 40) located in the major histocompatibility complex region on chromosome 6, at 6p21.33 [55].
Figure 6

Phylogenetic tree of human TRIM proteins.

This joining-neighbor-tree of human TRIM proteins deleted from their Ct domain(s) was constructed using the CLUSTALW and NJplot programs. Numbers indicate bootstrap proportions after 1000 replications. The scale bar represents 0.05 substitutions per amino acid position. Red boxes show TRIM genes which are up-regulated by type I IFN in macrophages, whereas blue boxes show TRIM genes which are up-regulated following activation of MDM with immune complex (IC). TRIM genes belonging to the 11p15.4 cluster are indicated.

Phylogenetic tree of human TRIM proteins.

This joining-neighbor-tree of human TRIM proteins deleted from their Ct domain(s) was constructed using the CLUSTALW and NJplot programs. Numbers indicate bootstrap proportions after 1000 replications. The scale bar represents 0.05 substitutions per amino acid position. Red boxes show TRIM genes which are up-regulated by type I IFN in macrophages, whereas blue boxes show TRIM genes which are up-regulated following activation of MDM with immune complex (IC). TRIM genes belonging to the 11p15.4 cluster are indicated. Whether induction of gene expression systematically correlates with an increased protein expression will require further studies. Although this is likely, such a correlation may be complicated by the fact that most TRIM genes, if not all, encode several protein isoforms, which may have different sub-cellular localization and stability. Thus, a study on TRIM protein expression would require TRIM isoform-specific antibodies directed against all known members. In consequence, induction by IFNs has been demonstrated at the protein level in the case of very few TRIMs, including TRIM5 [20], TRIM8 [56] and TRIM19/PML [23], [24]. Interestingly, among the 16 TRIM genes we found to be IFN-induced, 10 of them have previously been reported to have an antiviral activity or are involved in processes associated with innate immunity, including TRIM5 [20], [21], [22], TRIM19/PML [23], [24], [25], TRIM20/MEFV [26], TRIM21 [27], [28], TRIM22 [9], [10], TRIM25 [15], TRIM26 [14], TRIM31 [14], TRIM34 [57] and TRIM56 [14]. This observation re-emphasizes the link between IFN-regulation of gene expression and antiviral activity and further suggests a role in antiviral defence for the 6 additional proteins we identified as IFN-inducible (TRIM 6, 14, 35, 38, 58 and 69). Very little is known about these 6 TRIM proteins, apart the fact that TRIM6 can block HIV-1 when its RBCC motif is artificially fused to the B30.2 domain from rhesus macaque TRIM5α [58]. It has to be noted that, although IFN triggers an antiviral response and up-regulates the expression of many TRIM genes, IFN-inducibility is not an absolute prerequisite for displaying antiviral function. Indeed, several TRIM proteins which have been previously involved in innate immunity, such as TRIM1/MID2 [8], TRIM11 [14], TRIM28 [12] or TRIM62 [14], were not found to be induced by IFN. Thus, antiviral TRIM proteins may also be expressed constitutively or be induced through other stimuli, as illustrated by the case of TRIM20 and TRIM35, which were found to be up-regulated following influenza virus infection in murine macrophages and dendritic cells independently of type I IFN receptor expression [35], suggesting the existence of IFN-independent regulation(s) of TRIM expression. In parallel to IFN stimulation, we also investigated the effects of FcγR aggregation by IC on the expression of TRIM proteins. We have indeed shown that IC-stimulation of MDM via the activating FcγR induces the restriction of HIV-1 and related primate lentiviruses after entry [40]. The potential involvement of members of the TRIM family in the restriction should be considered. We were also interested in analyzing the effect of signaling pathways, such as those triggered by FcγR cross-linking by immobilized IC, which can intersect IFN induced Jak-STAT signaling [59], on TRIM gene expression. Interestingly enough, FcγR cross-linking-induced modulation produced a mirror image of IFN induced modulation, down-regulating several TRIM genes induced by IFNs, and up-regulating other genes such as TRIM9 or TRIM54 which were unaffected or highly down-regulated by IFNs, respectively. These last two genes encode TRIM proteins containing a COS box [54], which has been described as a microtubule binding motif [54]. TRIM9 and TRIM54 are only expressed in MDM in the absence of treatment and not in PBL where their expression can only be detected following type II IFN treatment. In mouse primary cells on the contrary, TRIM9 was found to be highly expressed in T-cells but less so or not at all in macrophages and DC [35]. Up-regulation of these two proteins might be related to the MTOC rearrangement in macrophages which is associated to FcγR-triggered phagocytosis [60]. Whether these genes are involved in the induction of an anti-retroviral response in FcγR-activated macrophages warrants further studies. In conclusion, our study revealed expression modulation of several TRIM genes by two different signaling pathways involved in triggering antiviral responses. Some of these TRIM members have not been previously described as being affected by either IFNs or FcγR engagement. Our results suggest a potential implication of these TRIM proteins in antiviral activities mediated by these stimuli in lymphocytes and MDM. Further functional studies are needed to address this hypothesis. In silico identification of IRF binding sites and ISRE within human TRIM gene promoters. Raw data sets for IRF binding sites and ISRE for both PROMO and MatInspector. Numbering is based on the transcription start site at position 1000. PROMO displays TRIMs and potential IRFs as indicated, along with calculated start and end positions of transcription factor (TF) binding sites. Dissimilarity values give the percent difference in sequence similarity between the input TRIM sequence and the calculated TF consensus matrix. RE, or random expectation, yields the probability that the TF consensus binding sequence would occur by chance, where 0.1 denotes 1 occurrence in every 10∧4 bases. MatInspector displays TRIMs, potential IRFs, start and end positions, as well as core and matrix similarities as indicated. Sequences for potential binding sites are shown from both programs. (0.04 MB XLS) Click here for additional data file.
  60 in total

1.  Stimulated trans-acting factor of 50 kDa (Staf50) inhibits HIV-1 replication in human monocyte-derived macrophages.

Authors:  Abdellatif Bouazzaoui; Marina Kreutz; Veronika Eisert; Norbert Dinauer; Anna Heinzelmann; Sabine Hallenberger; Jochen Strayle; Russel Walker; Helga Rübsamen-Waigmann; Reinhard Andreesen; Hagen von Briesen
Journal:  Virology       Date:  2006-08-22       Impact factor: 3.616

2.  Transcriptional profiling of the human monocyte-to-macrophage differentiation and polarization: new molecules and patterns of gene expression.

Authors:  Fernando O Martinez; Siamon Gordon; Massimo Locati; Alberto Mantovani
Journal:  J Immunol       Date:  2006-11-15       Impact factor: 5.422

3.  Immune complexes suppress IFN-gamma signaling by activation of the FcgammaRI pathway.

Authors:  Gunther H Boekhoudt; Michelle R Frazier-Jessen; Gerald M Feldman
Journal:  J Leukoc Biol       Date:  2007-01-16       Impact factor: 4.962

4.  A ubiquitin E3 ligase Efp is up-regulated by interferons and conjugated with ISG15.

Authors:  Norie Nakasato; Kazuhiro Ikeda; Tomohiko Urano; Kuniko Horie-Inoue; Satoru Takeda; Satoshi Inoue
Journal:  Biochem Biophys Res Commun       Date:  2006-10-18       Impact factor: 3.575

5.  Identification of the zebrafish IFN receptor: implications for the origin of the vertebrate IFN system.

Authors:  Jean-Pierre Levraud; Pierre Boudinot; Ingrid Colin; Abdenour Benmansour; Nadine Peyrieras; Philippe Herbomel; Georges Lutfalla
Journal:  J Immunol       Date:  2007-04-01       Impact factor: 5.422

6.  Functional replacement of the RING, B-box 2, and coiled-coil domains of tripartite motif 5alpha (TRIM5alpha) by heterologous TRIM domains.

Authors:  Xing Li; Yuan Li; Matthew Stremlau; Wen Yuan; Byeongwoon Song; Michel Perron; Joseph Sodroski
Journal:  J Virol       Date:  2006-07       Impact factor: 5.103

7.  The engagement of activating FcgammaRs inhibits primate lentivirus replication in human macrophages.

Authors:  Annie David; Asier Sáez-Cirión; Pierre Versmisse; Odile Malbec; Bruno Iannascoli; Florence Herschke; Marianne Lucas; Françoise Barré-Sinoussi; Jean-François Mouscadet; Marc Daëron; Gianfranco Pancino
Journal:  J Immunol       Date:  2006-11-01       Impact factor: 5.422

8.  Antiretroviral potential of human tripartite motif-5 and related proteins.

Authors:  Fengwen Zhang; Theodora Hatziioannou; David Perez-Caballero; David Derse; Paul D Bieniasz
Journal:  Virology       Date:  2006-07-10       Impact factor: 3.616

9.  The interferon-inducible ubiquitin-protein isopeptide ligase (E3) EFP also functions as an ISG15 E3 ligase.

Authors:  Weiguo Zou; Dong-Er Zhang
Journal:  J Biol Chem       Date:  2005-12-13       Impact factor: 5.157

10.  TRIM8/GERP RING finger protein interacts with SOCS-1.

Authors:  Elena Toniato; X Peter Chen; Julie Losman; Vincenzo Flati; Liz Donahue; Paul Rothman
Journal:  J Biol Chem       Date:  2002-08-05       Impact factor: 5.157

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  121 in total

1.  Adenovirus E4-ORF3-dependent relocalization of TIF1α and TIF1γ relies on access to the Coiled-Coil motif.

Authors:  Elizabeth I Vink; Mark A Yondola; Kai Wu; Patrick Hearing
Journal:  Virology       Date:  2011-11-27       Impact factor: 3.616

2.  Fas-associated death domain (FADD) and the E3 ubiquitin-protein ligase TRIM21 interact to negatively regulate virus-induced interferon production.

Authors:  Jennifer A Young; Decha Sermwittayawong; Hee-Jung Kim; Suruchi Nandu; Namsil An; Hediye Erdjument-Bromage; Paul Tempst; Laurent Coscoy; Astar Winoto
Journal:  J Biol Chem       Date:  2010-12-23       Impact factor: 5.157

3.  TRIM56 is a virus- and interferon-inducible E3 ubiquitin ligase that restricts pestivirus infection.

Authors:  Jie Wang; Baoming Liu; Nan Wang; Young-Min Lee; Chunming Liu; Kui Li
Journal:  J Virol       Date:  2011-02-02       Impact factor: 5.103

4.  TRIM9 short isoform preferentially promotes DNA and RNA virus-induced production of type I interferon by recruiting GSK3β to TBK1.

Authors:  Yunfei Qin; Qingxiang Liu; Shuo Tian; Weihong Xie; Jun Cui; Rong-Fu Wang
Journal:  Cell Res       Date:  2016-02-26       Impact factor: 25.617

5.  Induction of TRIM22 by IFN-γ Involves JAK and PC-PLC/PKC, but Not MAPKs and pI3K/Akt/mTOR Pathways.

Authors:  Bo Gao; Wei Xu; Yaxin Wang; Linmao Zhong; Sidong Xiong
Journal:  J Interferon Cytokine Res       Date:  2013-05-09       Impact factor: 2.607

Review 6.  Interferon-Stimulated Genes as Enhancers of Antiviral Innate Immune Signaling.

Authors:  Keaton M Crosse; Ebony A Monson; Michael R Beard; Karla J Helbig
Journal:  J Innate Immun       Date:  2017-11-30       Impact factor: 7.349

Review 7.  Precision autophagy directed by receptor regulators - emerging examples within the TRIM family.

Authors:  Tomonori Kimura; Michael Mandell; Vojo Deretic
Journal:  J Cell Sci       Date:  2016-02-15       Impact factor: 5.285

8.  Antiviral TRIMs: friend or foe in autoimmune and autoinflammatory disease?

Authors:  Caroline Jefferies; Claire Wynne; Rowan Higgs
Journal:  Nat Rev Immunol       Date:  2011-08-25       Impact factor: 53.106

9.  Transcriptional profiling of experimental CD8(+) lymphocyte depletion in rhesus macaques infected with simian immunodeficiency virus SIVmac239.

Authors:  Steven E Bosinger; Simon P Jochems; Kathryn A Folkner; Timothy L Hayes; Nichole R Klatt; Guido Silvestri
Journal:  J Virol       Date:  2012-10-24       Impact factor: 5.103

10.  Global genomic analysis reveals rapid control of a robust innate response in SIV-infected sooty mangabeys.

Authors:  Steven E Bosinger; Qingsheng Li; Shari N Gordon; Nichole R Klatt; Lijie Duan; Luoling Xu; Nicholas Francella; Abubaker Sidahmed; Anthony J Smith; Elizabeth M Cramer; Ming Zeng; David Masopust; John V Carlis; Longsi Ran; Thomas H Vanderford; Mirko Paiardini; R Benjamin Isett; Don A Baldwin; James G Else; Silvija I Staprans; Guido Silvestri; Ashley T Haase; David J Kelvin
Journal:  J Clin Invest       Date:  2009-12       Impact factor: 14.808

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