Chandra Mouli R Madhuranthakam1, Arash Shakeri2, Praveen P N Rao2. 1. Chemical Engineering Department, Abu Dhabi University, P.O. Box 59911, Abu Dhabi, UAE. 2. School of Pharmacy, Health Sciences Campus, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada.
Abstract
The β-amyloid (Aβ) protein aggregation into toxic forms is one of the major factors in the Alzheimer's disease (AD) pathology. Screening compound libraries as inhibitors of Aβ-aggregation is a common strategy to discover novel molecules as potential therapeutics in AD. In this regard, thioflavin T (ThT)-based fluorescence spectroscopy is a widely used in vitro method to identify inhibitors of Aβ aggregation. However, conventional data processing of the ThT assay experimental results generally provides only qualitative output and lacks inhibitor-specific quantitative data, which can offer a number of advantages such as identification of critical inhibitor-specific parameters required to design superior inhibitors and reduce the need to conduct extensive in vitro kinetic studies. Therefore, we carried out mathematical modeling based on logistic equation and power law (PL) model to correlate the experimental results obtained from the ThT-based Aβ40 aggregation kinetics for small-molecule inhibitors curcumin, orange G, and resveratrol and quantitatively fit the data in a logistic equation. This approach provides important inhibitor-specific parameters such as lag time λ, inflection point τ, maximum slope v m, and apparent rate constant k app, which are particularly useful in comparing the effectiveness of potential Aβ40 aggregation inhibitors and can be applied in drug discovery campaigns to compare and contrast Aβ40 inhibition data for large compound libraries.
The β-amyloid (Aβ) protein aggregation into toxic forms is one of the major factors in the Alzheimer's disease (AD) pathology. Screening compound libraries as inhibitors of Aβ-aggregation is a common strategy to discover novel molecules as potential therapeutics in AD. In this regard, thioflavin T (ThT)-based fluorescence spectroscopy is a widely used in vitro method to identify inhibitors of Aβ aggregation. However, conventional data processing of the ThT assay experimental results generally provides only qualitative output and lacks inhibitor-specific quantitative data, which can offer a number of advantages such as identification of critical inhibitor-specific parameters required to design superior inhibitors and reduce the need to conduct extensive in vitro kinetic studies. Therefore, we carried out mathematical modeling based on logistic equation and power law (PL) model to correlate the experimental results obtained from the ThT-based Aβ40 aggregation kinetics for small-molecule inhibitors curcumin, orange G, and resveratrol and quantitatively fit the data in a logistic equation. This approach provides important inhibitor-specific parameters such as lag time λ, inflection point τ, maximum slope v m, and apparent rate constant k app, which are particularly useful in comparing the effectiveness of potential Aβ40 aggregation inhibitors and can be applied in drug discovery campaigns to compare and contrast Aβ40 inhibition data for large compound libraries.
Amyloid proteins are implicated in a number
of diseases including
Alzheimer’s disease (AD), Parkinson’s disease (PD),
prion disease, and so on.[1,2] These diseases are characterized
by the misfolding and aggregation of proteins such as amyloid-β
(Aβ), α-synuclein and prion proteins into toxic β-sheet-rich
species.[3−5] To develop potential therapeutics for these diseases,
preventing the misfolding and aggregation of amyloid proteins is considered
as an attractive strategy. Several studies have reported the design
of novel molecules capable of inhibiting or minimizing amyloid protein
aggregation.[6−10]In AD, Aβ40 and Aβ42 peptides are known to undergo
misfolding and aggregation to form neurotoxic species.[11,12] Consequently decreasing the accumulation of these neurotoxic peptides
is known to provide cognitive benefits in AD.[13−16] Considering the potential therapeutic
applications of Aβ aggregation inhibitors, it is critical to
understand the molecular mechanisms of Aβ aggregation to develop
novel therapies for AD. In this regard, the kinetics of Aβ aggregation
has been studied experimentally using fluorescent probes such as thioflavin
T (ThT) and other dyes.[17−20] These studies have helped in understanding the molecular
processes involved in Aβ aggregation. In vitro experiments have
shown that the Aβ aggregation process exhibits a sigmoidal curve,
where Aβ monomer gets converted to higher-order aggregates including
dimers, trimers, oligomers, protofibrils, and fibrils.[21−25] This time-dependent transition of Aβ monomer into higher-order
aggregates is represented by the initial lag phase, subsequent rapid
growth phase, followed by the saturation phase to give the sigmoidal
curve. Studies have also demonstrated that in vivo, Aβ undergoes
sigmoidal growth kinetics.[26] This evidence
suggests that investigating the Aβ-aggregation kinetics, by
applying the principles of mathematical modeling, and correlating
the outcomes to the experimental inhibition of Aβ aggregation,
in the presence of Aβ aggregation inhibitors, can be used as
a powerful tool to (i) understand the complex mechanisms of Aβ
aggregation and (ii) to predict the antiaggregation activity of potential
inhibitors. In this context, Michaels and co-workers have developed
elegant chemical reaction kinetics based on mathematical modeling,
to understand and study Aβ aggregation mechanisms using experimental
measurements based on growth kinetics.[25] The workflow includes (i) a differential rate law that provides
the rates of formation of various Aβ species as a function of
time, (ii) an integrated rate law that provides concentrations of
Aβ species as a function of time, and (iii) global curve fitting
of the experimental kinetic data obtained with the integrated rate
laws, to understand the mechanisms.[23,24] Other models
proposed to study drug dosage response includes the probit, Weibull,
and the all-hit-multi-target (AHMT) models.[1,2] For
example, Rial and co-workers used the Weibull distribution model instead
of the power law (PL) Model, to study the effect of heavy metals on
bacterial growth.[27] Peppas and Narasimhan[28] described the importance of establishing mathematical
models in the drug-delivery/release processes, where the models and
their parameters can lead to an advanced analysis of the system being
modeled. In another interesting study, a recent work used bivariate
sigmoidal equation, to model Aβ aggregation kinetics and their
inhibition by small molecules.[29] Therefore,
developing mathematical modeling to study the inhibitory effects of
known Aβ-aggregation inhibitors can help in understanding the
mechanisms of aggregation and predict the inhibitory profiles of unknown
compound libraries, without the need to conduct extensive experiments,
which has the potential to reduce the time and cost involved in compound
screening during drug discovery efforts. We used a bivariate mathematical
model using a logistic equation based on autocatalytic origin in combination
with a PL model for the compound concentration, to describe the Aβ40
growth inhibition kinetics of curcumin, orange G, and resveratrol
(Figure ).[7,29] These small molecules are known to bind between the β-sheet
assembly parallel to the fiber axis and prevent Aβ40 fibrillogenesis.[4,30] The Aβ40 growth kinetics was monitored at various concentrations
for the three inhibitors using the ThT-based fluorescence studies.
These investigations show that mathematical modeling of Aβ40
aggregation kinetics can be used as a valuable tool to study the mechanisms
of small-molecule inhibitors by calculating a number of parameters
such as lag time λ, inflection point τ, maximum slope vm, and apparent rate constant kapp for compound libraries, which can assist in (i) comparing
the efficiency of Aβ40 aggregation inhibitors, (ii) identifying
promising leads for further experimental analysis, and (iii) minimizing
the need to conduct extensive kinetic experiments.
Figure 1
Typical response of the
logistic equation and graphical representation
of the parameters (λ, τ, vm, and Xm).
Typical response of the
logistic equation and graphical representation
of the parameters (λ, τ, vm, and Xm).
Materials
and Methods
Thioflavin T-Based Aβ40 Kinetics Assay
The known
Aβ40 aggregation inhibitors curcumin, orange G, and resveratrol
were obtained from Sigma-Aldrich, Oakville, Canada, and Cayman Chemical
Company, Ann Arbor, and were >95% pure. The Aβ40 peptide
in
the form of hexafluoro-2-propanol (HFIP) film was obtained from rPeptide,
Georgia, and was >97% pure. The aggregation kinetics assay was
carried
out using thioflavin T (ThT)-based fluorescence spectroscopy.[17,19,31] The Aβ40 stock solution
(1 mg/mL) was prepared first by adding 1% NH4OH solution
and was diluted further to obtain 500 μM solution in phosphate
buffer (pH 8.0). Curcumin, orange G, and resveratrol stock solutions
(10 000 μM) were prepared in DMSO, diluted in phosphate
buffer (pH 8.0), and were sonicated for 30 min. The final DMSO concentration
per well was 1% v/v or lower. The ThT fluorescent dye stock solution
(15 μM) was prepared in 50 mM glycine buffer (pH 8.5), and the
aggregation kinetics assay was carried out using a Corning 384-well
flat, clear-bottom black plate with each well containing 44 μL
of ThT, 20 μL of phosphate buffer (pH 8.0), 8 μL of curcumin,
orange G, or resveratrol at different concentrations (1, 5, 10, and
25 μM), and 8 μL of Aβ40 (5 μM). The microplate
was incubated at 37 °C with a plate cover, under shaking, and
the fluorescence intensity was measured every 5 min using a SpectraMax
M5 multimode plate reader (excitation = 440 nm and emission = 490
nm), over a period of 24 h. Appropriate control experiments that contain
Aβ40 and buffer alone, and compounds alone, at different concentrations
were kept to monitor any interference in the fluorescence intensity
measurements. The percentage inhibition was calculated using the equation
100% control – [(IFi – IFo)],
where 100% control indicates no inhibitor and IFi and IFo are the fluorescence intensities in the presence and absence
of ThT, respectively. These control readings assist in accounting
for potential interference by test compounds by ThT fluorescence quenching.[32] The results were expressed as percentage inhibition
of three separate experiments in triplicate measurements (n = 3).
Mathematical Modeling
The aggregation
of Aβ40
peptide alone or the control group and in the presence of curcumin,
orange G, and resveratrol was modeled using the logistic equation,
which is a differential equation based on the known autocatalytic
reaction.[7] This model is given by eq .where X is the fluorescence
intensity of the Aβ peptide, which is an indirect measure of
aggregation growth, kapp is the apparent
rate constant (also called as specific rate constant), Xm is the fluorescence intensity corresponding to maximum
aggregation growth, and t is the time (Figure ).[29]Equation can be integrated
using the initial condition at time t = 0, X = X0, where X0 is the fluorescence intensity corresponding to the initial
aggregation growth. An explicit form for the solution of model as
per eq is given by eq , where X is obtained as a function of kapp, Xm, and X0.[29]A typical
response curve for X vs t is shown
in Figure . Some of
the important parameters that characterize
Aβ40 aggregation are obtained by estimating the lag phase (λ),
the maximum slope (vm), and the corresponding
time at the inflection point (τ), also referred to as the half-maximal
fluorescence time point (t50). These parameters
are very important in assessing the performance of compounds (curcumin,
orange G, and resveratrol) with respect to the inhibition of Aβ40
aggregation. The time corresponding to inflection point, τ,
can be obtained by equating the derivative in eq to zero, or it can also be obtained by substituting X = Xm/2 in eq , as it represents the time required
to obtain semimaximum fibrillation growth. The corresponding expression
for τ is given by eq .The slope at the inflection point, vm, was obtained by evaluating the derivative
dX/dt at time t = τ using eq , and the lag time λ was obtained using the definition of slope
(ΔX/Δt). Using these
definitions, eqs and 5 were obtained for calculating vm and λ in terms of known parameters (such as Xm, τ, and kapp).
Results and Discussion
Thioflavin T-Based Aβ40
Kinetics Assay
The aggregation
kinetic studies for Aβ40 alone show the typical sigmoidal curve
with a short lag phase, followed by a rapid growth phase and an elongation
phase in a 24 h period (Figure a).[22,31] Under our assay conditions, the
saturation phase tends to see a gradual decline in the ThT fluorescence
intensity for the growth kinetics of Aβ40 alone. Curcumin is
a hydrophobic polyphenol derived from the herb Curcuma
longa and is known to prevent Aβ aggregation.[33] The results from the ThT aggregation kinetics
for Aβ40 in the presence of curcumin clearly show its antiaggregation
properties. At 1 μM, curcumin did not show inhibition, and as
its concentration was increased to 5, 10, and 25 μM (Figure b), there was a concentration-dependent
decline in the fluorescence intensity and the Aβ40 aggregation
inhibition percent ranged from 40 to 52% at 24 h time point. Figure c shows the aggregation
kinetics data for orange G, which is a synthetic compound with known
Aβ-aggregation inhibition properties.[30] Similar to curcumin, at a lower concentration (1 μM), orange
G did not show inhibition; however, at increased concentrations, it
exhibited superior inhibition (63–86% range at 24 h time point)
compared to curcumin. The phenolic antioxidant resveratrol (trans-3,4′,5-trihydroxystilbene), another natural
compound known to inhibit Aβ aggregation,[34,35] exhibited antiaggregation properties (38–75% inhibition of
Aβ40 aggregation at 24 h time point) at all of the tested concentrations
as shown in Figure d, although it was not as potent as orange G.
Figure 2
ThT fluorescence intensity
vs time for (a) Aβ40 alone (5
μM), (b) curcumin, (c) orange G, and (d) resveratrol at concentrations
1, 5, 10, and 25 μM in the presence of Aβ40 (5 μM)
in phosphate buffer 37 °C at pH 8.0 (excitation = 440 nm; emission
= 490 nm). The results are based on three independent experiments
(n = 3).
ThT fluorescence intensity
vs time for (a) Aβ40 alone (5
μM), (b) curcumin, (c) orange G, and (d) resveratrol at concentrations
1, 5, 10, and 25 μM in the presence of Aβ40 (5 μM)
in phosphate buffer 37 °C at pH 8.0 (excitation = 440 nm; emission
= 490 nm). The results are based on three independent experiments
(n = 3).Figure a–d
shows the comparison of the anti-Aβ aggregation properties of
curcumin, orange G, and resveratrol at 1, 5, 10, and 25 μM,
respectively. It also shows that both curcumin and orange G were able
to extend the lag phase at 5 μM (Figure b), and as the concentration was increased
to 10 and 25 μM, all of the three compounds were able to extend
the lag phase duration (Figure c,d). This study also shows that orange G is a very effective
inhibitor of Aβ40 aggregation at higher concentrations compared
to curcumin or resveratrol.
Figure 3
Comparison of the ThT fluorescence intensities
of curcumin, orange
G, and resveratrol at concentrations of (a) 1 μM, (b) 5 μM,
(c) 10 μM, and (d) 25 μM in the presence of Aβ40
(5 μM) in phosphate buffer 37 °C at pH 8.0 (excitation
= 440 nm; emission = 490 nm). The results are based on three independent
experiments (n = 3).
Comparison of the ThT fluorescence intensities
of curcumin, orange
G, and resveratrol at concentrations of (a) 1 μM, (b) 5 μM,
(c) 10 μM, and (d) 25 μM in the presence of Aβ40
(5 μM) in phosphate buffer 37 °C at pH 8.0 (excitation
= 440 nm; emission = 490 nm). The results are based on three independent
experiments (n = 3).To quantitatively assess the
obtained results, the Aβ40 growth kinetics experimental data
for the control and in the presence of different concentrations of
Aβ40 aggregation inhibitors curcumin, orange G, and resveratrol
were modeled using the kinetics equation that describes the fluorescence
intensity as a measure of Aβ fibrillogenesis during the experimental
run period. The mathematical modeling was based on the assumptions
that compounds screened (i) are not promoters of Aβ40 aggregation;
(ii) exhibit noncovalent binding; and (iii) are small molecules. The
fluorescence intensities obtained from these experiments were fitted
with the logistic equation described earlier (eq ). The parameters kapp and Xm were estimated using a nonlinear
least-squares fit where the ordinary differential equation (ODE) with
the corresponding initial condition (X = X0 at t = 0) was also solved
simultaneously. A program in MATLAB (Version R2020b) with a built-in
function lsqcurvefit.m was used for the curve fitting and ode45.m
was used for solving the ODE. In all simulations, the initial condition
in ODE described in eq was modified such that at t = 0, X = 0. This was done so that the parameters such as Xm can be compared across the different concentration range
for the inhibitors used in this study. The logistic equation fits
well for all scenarios considered in this study such as different
inhibitors, at different concentrations. The degree of goodness of
fit was quantified using the correlation coefficient R2. The R2 value in all of
the scenarios considered was observed to be >0.95, which shows
that
the experimental results are in good agreement with the proposed logistic
model. In all of the mathematical simulations, the apparent rate constant kapp was estimated using Xm and X0 from the experimental
results. Other important parameters such as τ, vm, and λ, which are functions of kapp, Xm, and X0 were calculated using eqs –5, respectively.As an example, Figure a–d shows the comparison of the experimental results with
the model fitted using eq for Aβ40 alone and in the presence of inhibitors curcumin,
orange G, and resveratrol at 10 μM. The corresponding parameters
such as kapp, τ, vm, and λ obtained from estimation and calculation
based on eqs –5 are shown in Figure . Further, the effect of inhibitor concentration (C)
on the parameters Xm, kapp, and λ for all of the inhibitors was modeled
using a power law (PL) model as shown in eq . The logistic equation in combination with
the PL model forms a comprehensive bivariate model that can be used
to predict the effect of varying concentrations of different inhibitors
on Aβ40 aggregation.
Figure 4
Comparison of fluorescence intensity (X) and time
obtained from the fitted model and the experimental data for (a) Aβ40
alone, (b) Aβ40 and curcumin at 10 μM, (c) Aβ40
and orange G at 10 μM, and (d) Aβ40 and resveratrol at
10 μM.
Comparison of fluorescence intensity (X) and time
obtained from the fitted model and the experimental data for (a) Aβ40
alone, (b) Aβ40 and curcumin at 10 μM, (c) Aβ40
and orange G at 10 μM, and (d) Aβ40 and resveratrol at
10 μM.Tables and 2 shows the summary
of parameters obtained from the
mathematical simulations for different inhibitors at different concentrations.
From this, it is apparent that the kapp and Xm values decreased with an increase
in the compound concentration for all of the three inhibitors. Interestingly,
the lag time λ, which is an important compound-specific parameter,
increased with increasing concentration of curcumin, while that was
not the case for resveratrol, which exhibited reductions in lag time
with increasing concentrations (5, 10, and 25 μM respectively).
This highlights the value of using mathematical simulations to understand
the inhibition mechanisms of Aβ aggregation inhibitors by calculating
their lag time λ, which is not always possible by conventional
data processing for ThT-based aggregation kinetics. Furthermore, analysis
of vm data for Aβ40 alone and in
the presence of inhibitors clearly shows that effective Aβ40
aggregation inhibitors show a reduction in vm values, which was directly dependent on the inhibitor concentration
(Tables and 2).
Table 1
Mathematical Modeling
Parameters for
Aβ40 Aggregation Inhibition by Curcumin
Concentration of curcumin in μM
Parameters
Aβ40
peptide alone
1
5
10
25
R2
0.99
0.94
1.00
0.99
0.99
kapp (min–1)
0.0253
0.0205
0.0167
0.0150
0.0126
Xm (AU)
1836.71
1791.76
561.75
544.41
375.98τ
τ (min)
218.73
234.47
284.22
327.00
350.80
vm (AU/min)
11.5967
9.1777
2.3444
2.0388
1.1839
λ (min)
139.54
136.85
164.41
193.49
192.01
Table 2
Mathematical Modeling Parameters for
Aβ40 Aggregation Inhibition by Orange G and Resveratrol
Concentration of orange G in μM
Concentration of resveratrol in μM
Parameters
1
5
10
25
1
5
10
25
R2
0.98
0.99
0.98
0.98
0.98
0.99
0.99
0.99
kapp (min–1)
0.0254
0.0194
0.0169
0.0125
0.022
0.0274
0.0176
0.0214
Xm (AU)
1623.76
713.46
250.93
68.30
1353.34
1076.15
527.60
357.32
τ (min)
218.53
274.39
255.00
302.37
246.95
237.95
245.28
218.46
vm (AU/min)
10.3021
3.4550
1.0591
0.2142
7.4581
7.3816
2.3226
1.9114
λ (min)
139.72
171.14
136.54
142.90
156.22
165.05
131.70
124.99
Among the different parameters obtained from the modeling
of the
experimental data, the fluorescence intensity corresponding to maximum
aggregation growth (Xm) is of greater
importance, as it can be used to calculate the effectiveness of aggregation
inhibitors. The IC50 value is defined as the concentration
of the inhibitor (curcumin, orange G, and resveratrol) that reduces
the maximum fluorescence intensity of Aβ40 alone by 50%. A plot
of Xm versus concentration shows that
the obtained data can be conveniently modeled using a PL model described
by the following equation.where C is the compound concentration
in μM, and k1 and k2 are the corresponding constants.As an example,
the PL model versus experimental fitting for Xm and concentration C for orange G was solved
using eq as shown in Figure . The values of k1 and k2 were obtained
for different concentrations of curcumin, orange G, and resveratrol
using eq , as shown
in Table . It clearly
shows that the PL model is adequate to represent the relationship
between Xm and the inhibitor concentration.
This also shows the application of eq in calculating the IC50 values of inhibitors,
which is challenging for nonlinear outputs such as Aβ growth
kinetics by conventional data processing. The calculated IC50 values for curcumin, orange G, and resveratrol (Table ) show that orange G is a better
inhibitor of Aβ40 aggregation (IC50 = 2.6 μM)
compared to others (curcumin IC50 = 3.1 μM; resveratrol
IC50 = 3.4 μM). Furthermore, if we compare the performances
of these three inhibitors at lower concentrations, at 5 μM,
curcumin demonstrates better inhibition than orange G and resveratrol
based on Xm and lag time (λ) with
lower values (Tables and 2). The lag time λ in minutes is
a strong function of kapp. This is in
agreement with the smaller kapp values
observed for curcumin compared to kapp values obtained for orange G and resveratrol (Tables and 2) and demonstrates
that apparent rate constant kapp is another
important parameter, which can be calculated by mathematical simulation
that together with lag time λ can be analyzed to design better
Aβ40 aggregation inhibitors.
Figure 5
PL model versus experimental values for Xm versus concentration using orange G.
Table 3
Using the PL Equation to Calculate
the IC50 Values for Aβ40 Inhibitors
Inhibitor
R2
k1
k2
IC50 in μM
Curcumin
0.96
1585.8
–0.480
3.11 ± 1.06
Orange G
0.94
2118.6
–0.971
2.63 ± 0.85
Resveratrol
0.83
1548.0
–0.426
3.39 ± 1.96
PL model versus experimental values for Xm versus concentration using orange G.
Conclusions
The antiaggregation properties of curcumin,
orange G, and resveratrol
toward Aβ40 aggregation were investigated by the ThT-based fluorescence
aggregation kinetic study. These experiments showed that all of the
three compounds exhibited significant inhibitory effects in reducing
the Aβ40 fibrillogenesis in a concentration-dependent manner
with orange G, exhibiting superior inhibition at higher concentrations
compared to curcumin and resveratrol. The experimental data obtained
were correlated by calculating a number of compound-related parameters
by mathematical modeling using the bivariate model by combining the
logistic equation and autocatalytic model. The mathematical modeling
was used to estimate compound-specific parameters such as lag time
(λ), maximum slope (vm), and the
corresponding time at the inflection point (τ), which were correlated
with the experimentally obtained fluorescence intensity (Xm) as a function of time. Interestingly, the bivariate
model was able to highlight subtle differences in the antiaggregation
properties of compounds, which is difficult to identify by conventional
data processing. Parameters derived from the modeling such as lag
time (λ) and kapp values further
showed that curcumin was more effective at lower concentration compared
to orange G and resveratrol. Furthermore, the PL model provides a
simplified eq , to calculate
IC50 values, which is not adequately addressed in the literature,
for nonlinear outputs such as Aβ aggregation kinetics. The PL
model is able to provide precise IC50 values using the
experimental data, which assists in distinguishing better inhibitors
from the aggregation inhibition screen. These studies demonstrate
the application of bivariate modeling in correlating the experimental
data to analyze the antiaggregation properties of inhibitors and have
direct application in drug discovery campaigns[36] to identify and design novel Aβ aggregation inhibitors.
Authors: Jeff Sevigny; Ping Chiao; Thierry Bussière; Paul H Weinreb; Leslie Williams; Marcel Maier; Robert Dunstan; Stephen Salloway; Tianle Chen; Yan Ling; John O'Gorman; Fang Qian; Mahin Arastu; Mingwei Li; Sowmya Chollate; Melanie S Brennan; Omar Quintero-Monzon; Robert H Scannevin; H Moore Arnold; Thomas Engber; Kenneth Rhodes; James Ferrero; Yaming Hang; Alvydas Mikulskis; Jan Grimm; Christoph Hock; Roger M Nitsch; Alfred Sandrock Journal: Nature Date: 2016-09-01 Impact factor: 49.962
Authors: Georg Meisl; Xiaoting Yang; Erik Hellstrand; Birgitta Frohm; Julius B Kirkegaard; Samuel I A Cohen; Christopher M Dobson; Sara Linse; Tuomas P J Knowles Journal: Proc Natl Acad Sci U S A Date: 2014-06-17 Impact factor: 11.205