Subtype selectivity represents a challenge in many drug discovery campaigns. A typical example is the FK506 binding protein 51 (FKBP51), which has emerged as an attractive drug target. The most advanced FKBP51 ligands of the SAFit class are highly selective vs. FKBP52 but poorly discriminate against the homologs and off-targets FKBP12 and FKBP12.6. During a macrocyclization pilot study, we observed that many of these macrocyclic analogs have unanticipated and unprecedented preference for FKBP51 over FKBP12 and FKBP12.6. Structural studies revealed that these macrocycles bind with a new binding mode featuring a transient conformation, which is disfavored for the small FKBPs. Using a conformation-sensitive assay we show that this binding mode occurs in solution and is characteristic for this new class of compounds. The discovered macrocycles are non-immunosuppressive, engage FKBP51 in cells, and block the cellular effect of FKBP51 on IKKα. Our findings provide a new chemical scaffold for improved FKBP51 ligands and the structural basis for enhanced selectivity.
Subtype selectivity represents a challenge in many drug discovery campaigns. A typical example is the FK506 binding protein 51 (FKBP51), which has emerged as an attractive drug target. The most advanced FKBP51 ligands of the SAFit class are highly selective vs. FKBP52 but poorly discriminate against the homologs and off-targets FKBP12 and FKBP12.6. During a macrocyclization pilot study, we observed that many of these macrocyclic analogs have unanticipated and unprecedented preference for FKBP51 over FKBP12 and FKBP12.6. Structural studies revealed that these macrocycles bind with a new binding mode featuring a transient conformation, which is disfavored for the small FKBPs. Using a conformation-sensitive assay we show that this binding mode occurs in solution and is characteristic for this new class of compounds. The discovered macrocycles are non-immunosuppressive, engage FKBP51 in cells, and block the cellular effect of FKBP51 on IKKα. Our findings provide a new chemical scaffold for improved FKBP51 ligands and the structural basis for enhanced selectivity.
Proteins often cluster in families with similar structure. The discovery of selective ligands that can discriminate between these close homologs remains a formidable challenge in chemical biology as well as in drug development. Most proteins are flexible and differential dynamics have been suggested as a way to distinguish between otherwise very similar proteins.A typical example is the family of FK506‐binding proteins (FKBPs) that possess a highly conserved binding pocket (Figure 1 A) but have diverged to perform diverse biological functions. The larger homolog FKBP51
is a regulator of glucocorticoid receptor (GR) signaling
and has emerged as a potential target for depression,
obesity‐induced diabetes
and chronic pain.
In contrast, the homologous proteins FKBP12, FKBP12.6 and FKBP52 are considered anti‐targets due to their important roles in cardiology, sexual development and female infertility, emphasizing the need for selective inhibition.
Figure 1
A) Superimposition of FKBP12 (red, PDB‐ID: 1FKJ), FKBP12.6 (blue, PDB‐ID: 5HKG), FKBP51 (yellow, PDB‐ID: 3O5R) and FKBP52 (magenta, PDB‐ID: 4LAX), in complex with FK506 or Rapamycin (not shown for clarity). B) The chemical structure of the FKBP ligands FK506 and SAFit1. The key interactions of SAFit1 with FKBP51 and the macrocyclization strategy are indicated. C) SAFit1‐analog iFit4 in complex with the FK1 domain of FKBP51 (PDB‐ID: 4TW7) highlighting the key interactions with the amino acid residues I87, Y113 and F67 and the structural basis for macrocyclization indicated by the black arrow.
A) Superimposition of FKBP12 (red, PDB‐ID: 1FKJ), FKBP12.6 (blue, PDB‐ID: 5HKG), FKBP51 (yellow, PDB‐ID: 3O5R) and FKBP52 (magenta, PDB‐ID: 4LAX), in complex with FK506 or Rapamycin (not shown for clarity). B) The chemical structure of the FKBP ligands FK506 and SAFit1. The key interactions of SAFit1 with FKBP51 and the macrocyclization strategy are indicated. C) SAFit1‐analog iFit4 in complex with the FK1 domain of FKBP51 (PDB‐ID: 4TW7) highlighting the key interactions with the amino acid residues I87, Y113 and F67 and the structural basis for macrocyclization indicated by the black arrow.The most advanced FKBP51 ligands are compounds of the SAFit class (Selective Antagonists of FKBP51 by induced fit),
which bind to a transient binding pocket unavailable to FKBP52
and are up to 10 000‐fold selective for FKBP51 over FKBP52.[
,
] However, SAFit‐like ligands still bind FKBP12 and its isoform FKBP12.6 with substantial affinities. These FKBPs are cofactors of the ryanodine receptor
and play an important role in fine‐tuning the excitability of smooth or heart muscle. FKBP12 knockout or knockdown lead to severe cardiac defects in mice,
underscoring the importance of selectivity for FKBP51 over FKBP12/12.6 in FKBP51‐based therapies.Macrocyclization is a popular approach to improve drug‐like properties for compounds outside the rule‐of‐five space
and is thought to be crucial for the unusually beneficial properties of the clinically used natural products FK506 (Figure 1 B), Rapamycin and Cyclosporin.
Macrocyclization was key to enhance the affinities or physicochemical properties of synthetic ligands for FKBP12
and cyclophilins.
In a pilot study on the macrocyclization of SAFit analogs,
we surprisingly observed a rearrangement of the FKBP51 binding pocket, which in turn allowed an unprecedented selectivity against the off‐targets FKBP12 and FKBP12.6.
Results and Discussion
Based on the structure–affinity relationship findings of SAFit analogs[
,
] and the highly conserved binding mode (Figure 1 C), we chose to keep the pipecolate, the chalcone‐derived A/B rings, and cyclohexyl ring constant and to cyclize between the latter two. The synthesis started from compound 1,
where the ketone was reduced by an asymmetric Noyori catalyst to the chiral alcohol 2 and then coupled with allyl bromide or linker 3 to the alcohols 4 a/b (Scheme 1). After coupling with Fmoc‐S‐pipecolate,
5 a/b were deprotected and coupled with 6.
The linear precursors 7 a/b were cyclized by RCM to yield 8 a and b. For 8 a we were able to separate both E and Z isomer (ratio in crude mixture=89:11) and for the larger macrocycle 8 b we only observed and isolated the E isomer. Unfortunately, none of these macrocycles showed detectable binding to FKBP51 in a fluorescence polarization assay.
To introduce additional functionalities into the linker, we further derivatized the E isomers of 8 a/b by Wacker oxidation, dihydroxylation or hydrogenation (9 a–g), which for 8 a/b resulted in only one Wacker product (9 b/f). After dihydroxylation of the smaller macrocycle, we obtained the diastereomers (9 c/d) and an inseparable dihydroxylated diastereomeric mixture (9 g, dr=1:1 by NMR). Gratifyingly, the dihydroxylated derivative 9 g of the larger macrocycle bound to FKBP51 with a K
i of 1.2 μm, whereas for 9 a–f no binding to FKBP51 could be detected. To our great surprise, 9 g did not bind to FKBP12 or FKBP12.6.
Scheme 1
First generation of SAFit‐derived macrocycles. a) RuCl2[(S)‐(DM‐SEGPHOS®)][(S)‐DAIPEN], THF, 10 bar H2, KOtBu, rt; b) K2CO3, allyl bromide or 3, MeCN, rt; c) DCC, DMAP, Fmoc‐S‐pipecolate, DCM; d) 20 % 4‐methylpiperidine in DMF; e) 6, HATU, HOAt, DIPEA, DMF; f) Grubbs‐2 cat., DCM; g) Wilkinson cat. or Pt/C, DCM/MeOH, 1 bar H2; h) PdCl2, p‐benzoquinone, THF/H2O; i) OsO4, NMO, Ac/H2O.
First generation of SAFit‐derived macrocycles. a) RuCl2[(S)‐(DM‐SEGPHOS®)][(S)‐DAIPEN], THF, 10 bar H2, KOtBu, rt; b) K2CO3, allyl bromide or 3, MeCN, rt; c) DCC, DMAP, Fmoc‐S‐pipecolate, DCM; d) 20 % 4‐methylpiperidine in DMF; e) 6, HATU, HOAt, DIPEA, DMF; f) Grubbs‐2 cat., DCM; g) Wilkinson cat. or Pt/C, DCM/MeOH, 1 bar H2; h) PdCl2, p‐benzoquinone, THF/H2O; i) OsO4, NMO, Ac/H2O.Therefore, we set out to investigate this finding in more detail, resorting to amino acids to rapidly explore the effect of the linker (Scheme 2). Using an Fmoc SPPS strategy, we started from the immobilized SAFit1 precursor 10
to introduce d‐cyclohexyl glycine as the FKBP52‐discriminating moiety, followed by coupling with a variety of amino acids yielding the immobilized intermediates. The deprotection of 11 had to be optimized to suppress diketopiperazine formation.
Prior to derivatization of the intermediates 12 a an optional N‐methylation sequence was included to probe the influence of the resulting amidegroups (12 a–c).
Finally, the linear peptides 12 a or 12 c were cleaved from the resin and cyclized by macrolactamization (13 a–o).
Scheme 2
Second generation of SAFit‐derived macrocycles. The steps e, f and g are optionally applied in case of N‐methylation. a) 20 % 4‐methylpiperidine in DMF, rt, 3×10 min; b) Fmoc‐d‐Chg‐OH, HATU, HOAt, DIPEA, DMF; c) 5 % 4‐methylpiperidine in DMF, 0 °C, 3×5 min; d) Fmoc‐AA‐OH, HATU, HOAt, DIPEA, DMF; e) NosCl, Collidine, DMF; f) PPh3, dry MeOH, DIAD, dry THF, rt, 3×10 min; g) 2‐mercaptoethanol, DBU, DMF, rt, 3×10 min; h) 20 % HFIP in DCM; i) 1 mm in DMF, HATU, DIPEA.
Second generation of SAFit‐derived macrocycles. The steps e, f and g are optionally applied in case of N‐methylation. a) 20 % 4‐methylpiperidine in DMF, rt, 3×10 min; b) Fmoc‐d‐Chg‐OH, HATU, HOAt, DIPEA, DMF; c) 5 % 4‐methylpiperidine in DMF, 0 °C, 3×5 min; d) Fmoc‐AA‐OH, HATU, HOAt, DIPEA, DMF; e) NosCl, Collidine, DMF; f) PPh3, dry MeOH, DIAD, dry THF, rt, 3×10 min; g) 2‐mercaptoethanol, DBU, DMF, rt, 3×10 min; h) 20 % HFIP in DCM; i) 1 mm in DMF, HATU, DIPEA.All final compounds were screened for affinity towards the FKBPs 12, 12.6, 51 and 52 in a competitive fluorescence polarization assay (Table 1).[
,
]
Table 1
Affinities of the macrocycles with amino acid containing linker determined by a competitive fluorescence polarization assay.
Cmpd.
Linker
FKBP51FK1
FKBP12
FKBP12.6
Ki [μm][a]
SAFit1
No linker
0.004±0.001[b]
0.163±0.009[b]
0.019±0.002[b]
FK506
Figure 1 A
0.104[c]
0.0006[c]
0.004[c]
13 a
2.30±0.05[d]
>80
>80
13 b
1.00
>80
>80
13 c
0.29±0.05[b]
>80
>80
13 d
0.40±0.05[b]
>80
>80
13 e
0.40
>80
>80
13 f
1.30
>80
>80
13 g
3.10
>80
>80
13 h
0.37
>80
>80
13 i
0.80
>80
>80
13 j
17
>80
>80
13 k
5.10
>80
>80
13 l
7.40
>80
>80
13 m
1.80
>80
>80
[a] The value >80 μm indicates the highest measurable concentration before compound precipitation; no binding to FKBP52FK1 was observed for any of the tested compounds up to 80 μm. [b] Standard error from three independent measurements. [c] Values derived from literature.
[d] Error from two independent measurements.
Affinities of the macrocycles with amino acid containing linker determined by a competitive fluorescence polarization assay.Cmpd.LinkerFKBP51FK1FKBP12FKBP12.6K
i [μm][a]SAFit1No linker0.004±0.001[b]0.163±0.009[b]0.019±0.002[b]FK506Figure 1 A0.104[c]0.0006[c]0.004[c]13 a2.30±0.05[d]>80>8013 b1.00>80>8013 c0.29±0.05[b]>80>8013 d0.40±0.05[b]>80>8013 e0.40>80>8013 f1.30>80>8013 g3.10>80>8013 h0.37>80>8013 i0.80>80>8013 j17>80>8013 k5.10>80>8013 l7.40>80>8013 m1.80>80>80[a] The value >80 μm indicates the highest measurable concentration before compound precipitation; no binding to FKBP52FK1 was observed for any of the tested compounds up to 80 μm. [b] Standard error from three independent measurements. [c] Values derived from literature.
[d] Error from two independent measurements.Gratifyingly, most of the macrocycles with amino acid‐based linkers bound to FKBP51 in the low to submicromolar range and as expected none to FKBP52 (not shown). The glycine derivative 13 a had an affinity of 2.3 μm, which gradually increased with increasing substitution (13 b (d‐Ala): 1.0 μm, 13 c (Aib): 0.29 μm). For geminal cyclic amino acids the affinity slightly decreased with size (13 d: 0.40 μm, 13 e: 0.40 μm, 13 f: 1.3 μm). N‐methylation and N‐cyclization did not substantially affect affinity [13 g (R2=Me): 3.1 μm), 13 h (Aib + R2=Me), 13 i (d‐Pro): 0.8 μm].In contrast, the l‐Ala derivative 13 j bound more weakly, consistent with the substantially reduced affinity of the l‐Pro derivative 13 k. Longer linkers such as β‐Ala 13 l and GABA (no binding, not shown) displayed reduced affinity, which could be compensated by appropriate rigidification as in 13 m (1.8 μm; other diastereomers were inactive, not shown). Notably, none of the tested linear precursors bound to FKBP51, underlining the significance of the macrocyclization. Most importantly, however, none of the macrocycles did show any affinity towards FKBP12 or FKBP12.6.The affinity of 13 a and d for FKBP51 was confirmed by isothermal calorimetry (ITC), yielding an enthalpy‐driven K
d=3.6 μm ±0.9 μm for 13 a and K
d=0.6 μm ±0.1 μm for 13 d, respectively (Figure S1).We also prepared the fluorescent analog 14 of the best binding compound 13 c (Figure 2 A, synthesis see Scheme S1), which bound in a fluorescence polarization assay with high affinity to FKBP51 (K
d=45±7 nm) but poorly to FKBP12, FKBP12.6 or FKBP52 (Figure 2 B). The affinity of the tracer was further confirmed in a FRET assay with a fluorescein‐labeled FKBP51FK1 domain (K
d=80±10 nm; Figure S2).
Figure 2
A) Structure of the TAMRA labelled tracer 14 [5/6‐TAMRA regio isomer]. B) Binding of the TAMRA‐tracer 14 to FKBPs 51, 52, 12 and 12.6 determined by a fluorescence polarization assay (K
d
FKBP51FK1=45±7 nm, K
d
FKBP12=6±1.4 μm, K
d
FKBP12.6=3.6±0.8 μm, K
d
FKBP52FK1 >80 μm). Error bars represent the standard deviation of three independent experiments. C) NanoBRET assay in HEK293T cells transiently expressing FKBP51‐NLuc. Data points represent means and standard deviations of three independent cellular assays per concentration. D) FK506, but not 13 d, blocks the phorbol/ionomycin‐induced IL8 secretion in Jurkat cells and 13 d does not interfere with FK506‐mediated immunosuppression. E,F) Inhibition of IKKα phosphorylation by 13 d and SAFit2 in murine microglia SIM‐A9 cells. Bars below represent means and standard errors of three and six independent cellular assays, respectively, quantified by Western blots (for full blots see Supporting Information). *: p<0.05, **: p<0.01, ***: p<0.001.
A) Structure of the TAMRA labelled tracer 14 [5/6‐TAMRA regio isomer]. B) Binding of the TAMRA‐tracer 14 to FKBPs 51, 52, 12 and 12.6 determined by a fluorescence polarization assay (K
d
FKBP51FK1=45±7 nm, K
d
FKBP12=6±1.4 μm, K
d
FKBP12.6=3.6±0.8 μm, K
d
FKBP52FK1 >80 μm). Error bars represent the standard deviation of three independent experiments. C) NanoBRET assay in HEK293T cells transiently expressing FKBP51‐NLuc. Data points represent means and standard deviations of three independent cellular assays per concentration. D) FK506, but not 13 d, blocks the phorbol/ionomycin‐induced IL8 secretion in Jurkat cells and 13 d does not interfere with FK506‐mediated immunosuppression. E,F) Inhibition of IKKα phosphorylation by 13 d and SAFit2 in murine microglia SIM‐A9 cells. Bars below represent means and standard errors of three and six independent cellular assays, respectively, quantified by Western blots (for full blots see Supporting Information). *: p<0.05, **: p<0.01, ***: p<0.001.To check if compounds of the new class of macrocycles were able to engage FKBP51 inside cells, we performed a NanoBRET assay using a transiently expressed FKPB51–NLuc construct. The assay utilizes a fluorescent tracer for the FKBP51–Nluc construct, which accepts the luminescent energy to generate a BRET signal. If compounds engage the FKBP–Nluc construct inside cells, the tracer is displaced, reducing the BRET signal and allowing direct quantification of FKBP51–NLuc occupation. Representative macrocyclic compounds 13 c, 13 e and 13 h as well as SAFit1 and ‐2 all dose‐dependently competed with a fluorescent NanoBRET tracer inside cells (Figure 2 C). The lower potencies of the macrocycles compared to SAFit1 and ‐2 are in line with the lower affinities of the macrocycles.FK506 works as an immunosuppressant by an FKBP12‐dependent gain‐of‐function mechanism. A cellular analysis showed that compound 13 d has neither immunostimulatory nor immunosuppressive properties on its own (Figure 2 D). Importantly, unlike the pan‐selective FKBP ligand [4.3.1]16h
(Figure S6A) 13 d also did not block the immunosuppressive activity of FK506, in line with its selectivity against FKBP12 (Figure 2 D).We next explored if the macrocyclic ligands could interfere with the cellular functions of FKBP51. We therefore treated SIM‐A9 cells, which were recently discovered as a SAFit‐sensitive cellular model for stress‐mediated secretory autophagy.
Compound 13 d (Figure 2 E) as well as compounds 13 c, 13 e, 13 h and 13 i (Figure S6B) all inhibited IKKα phosphorylation, similar to SAFit1 and SAFit2
(Figure 2 F and S6C). For compounds 13 e, 13 i, SAFit1 and SAFit2 a clear dose‐dependence was observed. For 13 c, 13 d and 13 h, the apparent maximal inhibition was already reached at the lowest tested concentration of 1 μm, possibly reflecting the higher affinities and/or improved cell permeability of 13 c, 13 d and 13 h compared to 13 e and 13 i. Taken together, these results show that the here discovered macrocycles can penetrate human cells, intracellularly occupy FKBP51 and interfere with its function.To clarify the structural basis for this unprecedented selectivity, we solved the cocrystal structures of 13 a, 13 d and 13 h in complex with FKBP51 (Figure 3 A and S7A/C; PDB‐ID: 7AOU, 7AOT, 7AWF).
Figure 3
A) Crystal structure of the FK1 domain of FKBP51 in complex with 13 d (pink‐colored sticks), key interactions with the residues I87, Y113 and Y57 indicated as orange broken line (distance annotated in Å), PDB‐ID: 7AOU. B) Crystal structure of the FK1 domain of FKBP51 (pale cyan) in complex with 13 d (pink‐colored sticks) superimposed to the cocrystal structure of the SAFit1‐analog iFit4 in complex with FKBP51FK1 (pale green, PDB‐ID: 4TW7, iFit4 has been omitted for clarity). The β3b strand is highlighted in cyan and green, respectively, and key residues Y57, D68 and H71 are shown as sticks. The key carbonyl of 13 d displacing D68 is highlighted in magenta and the new hydrogen bond between Y57 and the 13 d carbonyl is indicated as orange broken line (distance annotated in Å). C) Side view of FKBP51 from cocrystal structures with 13 d (pale cyan, 7AOU), with the SAFit analog iFit4 (pale green, 4TW7), and the conventional binding‐mode ligand [4.3.1]‐16h (pale magenta, 5OBK). The residues F67, D68 and H71 are shown as pale sticks. K58, K60 and K65 as the attachment point for the environment‐sensitive dye are highlighted as intense colored sticks. D) Fluorescence life‐time analysis of DBD‐labeled FKBP51FK1K58C in the presence of the indicated ligands.
A) Crystal structure of the FK1 domain of FKBP51 in complex with 13 d (pink‐colored sticks), key interactions with the residues I87, Y113 and Y57 indicated as orange broken line (distance annotated in Å), PDB‐ID: 7AOU. B) Crystal structure of the FK1 domain of FKBP51 (pale cyan) in complex with 13 d (pink‐colored sticks) superimposed to the cocrystal structure of the SAFit1‐analog iFit4 in complex with FKBP51FK1 (pale green, PDB‐ID: 4TW7, iFit4 has been omitted for clarity). The β3b strand is highlighted in cyan and green, respectively, and key residues Y57, D68 and H71 are shown as sticks. The key carbonyl of 13 d displacing D68 is highlighted in magenta and the new hydrogen bond between Y57 and the 13 d carbonyl is indicated as orange broken line (distance annotated in Å). C) Side view of FKBP51 from cocrystal structures with 13 d (pale cyan, 7AOU), with the SAFit analog iFit4 (pale green, 4TW7), and the conventional binding‐mode ligand [4.3.1]‐16h (pale magenta, 5OBK). The residues F67, D68 and H71 are shown as pale sticks. K58, K60 and K65 as the attachment point for the environment‐sensitive dye are highlighted as intense colored sticks. D) Fluorescence life‐time analysis of DBD‐labeled FKBP51FK1K58C in the presence of the indicated ligands.As intended, the interactions of the pipecolate, the A‐ and B‐rings, as well as the cyclohexyl group with FKBP51 were completely conserved in comparison to previous FKBP51‐SAFit co‐crystal structures (Figure 3 A). This includes a displacement of F67, which is responsible for the strong selectivity vs. FKBP52 of SAFit‐like ligands.[
,
] However, the β3b strand, which contains F67 and which we and others previously showed to display enhanced basal mobility,[
,
] was substantially rearranged (Figure 3 B and S7B/D). Strikingly, we observed that the carbonyl group of 13 a, 13 d and 13 h displaced D68 and replaced it as a hydrogen bond acceptor for the ϵ‐hydroxy group of Y57. The rearrangement of the β3b strand is stabilized by an inward flip of H71, which partially replaces S70 and substitutes the former as a hydrogen bond donor for the backbone carbonyl of Y57. A similar inward flip of H71 has previously been observed for FKBP51 in complex with Rapamycin and FRB (PDB‐ID: 4DRH).
Intriguingly, H71 is replaced in FKBP12 and FKBP12.6 by an arginine (R40 in FKBP12/12.6 numbering), which can be expected to be less efficient in stabilizing the 13 a‐binding conformation, providing a molecular rationale for the discrimination vs. FKBP12/12.6 observed for the macrocycles.To clarify if the structural rearrangement of the β3b strand was also stabilized in solution, we developed a set of conformation‐sensitive assays
that are responsive to alterations of the β3b strand. Towards this end, we introduced environment‐responsive dyes selectively at positions 58, 60 and 65 in the β2 strand below the β3 strand or in the β2–β3b loop (Figure 3 C). Remarkably, all three sensors clearly differentiated between ligands with canonical and a SAFit‐like binding mode (Figure 3 D and S8A/B). When using the K60C‐ and K65C‐based sensors, compound 13 d induced similar changes in fluorescence lifetime as SAFit1, but with lower potency in accordance with its lower affinity. However, the K58C‐based sensor clearly differentiated macrocycle 13 d from both SAFit1 as well as canonical FKBP ligands (Figure 3 D). This strongly suggests that the new peptide‐based macrocycles stabilize a new conformation in solution that is different from the known FK506‐like or SAFit‐like ligands.
Conclusion
Macrocycles have repeatedly been discussed to impart improved physicochemical properties. However, they have rarely been associated with selectivity. Here we show that macrocycles can also provide the basis for subtype selectivity. In this particular case, the macrocycles provide the scaffold for the proper positioning of the key carbonyl group that displaces Asp68, which was not possible in the linear analogs. With regards to FKBP51, our results provide the first ligands that robustly discriminate between FKBP51 and FKBP12/FKBP12.6 and provide a structural basis for the rational design for further optimization regarding affinity, stability, specificity and cellular activity.
Conflict of interest
The authors declare no conflict of interest.As a service to our authors and readers, this journal provides supporting information supplied by the authors. Such materials are peer reviewed and may be re‐organized for online delivery, but are not copy‐edited or typeset. Technical support issues arising from supporting information (other than missing files) should be addressed to the authors.SupplementaryClick here for additional data file.
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