Millicent Lin1,2, Brian Meckes2,3, Chaojian Chen2,3, Michelle H Teplensky2,3, Chad A Mirkin1,2,3. 1. Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, Illinois 60208, United States. 2. International Institute for Nanotechnology, 2145 Sheridan Road, Evanston, Illinois 60208, United States. 3. Department of Chemistry, Northwestern University, 2145 Sheridan Road, Evanston, Illinois 60208, United States.
Abstract
The plasma membrane and the actomyosin cytoskeleton play key roles in controlling how cells sense and interact with their surrounding environment. Myosin, a force-generating actin network-associated protein, is a major regulator of plasma membrane tension, which helps control endocytosis. Despite the important link between plasma membranes and actomyosin (the actin-myosin complex), little is known about how the actomyosin arrangement regulates endocytosis. Here, nanoscopic ligand arrangements defined by polymer pen lithography (PPL) are used to control actomyosin contractility and examine cell uptake. Confocal microscopy, atomic force microscopy, and flow cytometry suggest that the cytoskeletal tension imposed by the nanoscopic ligand arrangement can actively regulate cellular uptake through clathrin- and caveolin-mediated pathways. Specifically, ligand arrangements that increase cytoskeletal tension tend to reduce the cellular uptakes of cholera toxin (CTX) and spherical nucleic acids (SNAs) by regulating endocytic budding and limiting the formation of clathrin- and caveolae-coated pits. Collectively, this work demonstrates how the cell endocytic fate is regulated by actomyosin mechanical forces, which can be tuned by subcellular cues defined by PPL.
The plasma membrane and the actomyosin cytoskeleton play key roles in controlling how cells sense and interact with their surrounding environment. Myosin, a force-generating actin network-associated protein, is a major regulator of plasma membrane tension, which helps control endocytosis. Despite the important link between plasma membranes and actomyosin (the actin-myosin complex), little is known about how the actomyosin arrangement regulates endocytosis. Here, nanoscopic ligand arrangements defined by polymer pen lithography (PPL) are used to control actomyosin contractility and examine cell uptake. Confocal microscopy, atomic force microscopy, and flow cytometry suggest that the cytoskeletal tension imposed by the nanoscopic ligand arrangement can actively regulate cellular uptake through clathrin- and caveolin-mediated pathways. Specifically, ligand arrangements that increase cytoskeletal tension tend to reduce the cellular uptakes of cholera toxin (CTX) and spherical nucleic acids (SNAs) by regulating endocytic budding and limiting the formation of clathrin- and caveolae-coated pits. Collectively, this work demonstrates how the cell endocytic fate is regulated by actomyosin mechanical forces, which can be tuned by subcellular cues defined by PPL.
Cells recognize and adapt to the extracellular
matrix (ECM) through
focal adhesions (FAs), large protein assemblies that link the cellular
cytoskeleton to ECM proteins.[1−3] Critically, the organization of
FAs (size, density, spacing, and shape) mediates actomyosin assembly
to generate and regulate forces within cells.[2,4−8] The modulation of these forces and the accompanying membrane deformation
contribute significantly to the membrane and cytoskeletal tensions
that are known to mediate intracellular trafficking.[7,9,10] Specifically, plasma membrane
rigidity acts as a physical barrier, hindering the formation of clathrin-
or caveolae-coated vesicles.[10] Furthermore,
acute mechanical stresses generated by myosin contractility can lead
to the ejection of caveolae-coated pits.[11,12] Taken together, cell internalization (via clathrin- and caveolae-mediated
pathways) can be dramatically reduced by the FA-directed forces generated
both at the plasma membrane and in the actomyosin cytoskeleton.Altered uptake mechanisms have been observed in the context of
numerous diseases (notably, cancer,[13,14] osteoarthritis,[15] and fibrosis[16,17]), where modified
ECM landscapes and increased cellular contractility are frequently
observed.[14,18−20] Such changes could significantly
impact drug delivery,[21] as therapeutic
uptake often occurs through clathrin- and caveolae-mediated internalization
pathways.[10,12,22,23] Therefore, alterations in uptake mechanisms could
reduce therapeutic activity in target cells and thus limit efficacy.
The development of models that allow one to probe this phenomenon
in a controlled fashion could open new avenues for identifying next-generation
therapeutic targets. It is critical to understand how ECM-mediated
changes in the organization of the plasma membrane, particularly the
myosin components, directly influence endocytosis pathways.While previous studies have discussed the role of myosin as a regulator
of plasma membrane tension, little is known about how changes in actomyosin
organization affect endocytic trafficking and cellular uptake.[7,12,13,18] Recent data highlight the advantages of using ligand patterning
techniques to understand cell–ECM interactions.[2,6,24−31] In fact, micropatterning techniques have become essential tools
for reconstituting an ECM environment to examine the role of mechanical
and morphological cues on various cell behaviors.[6,8,32−35] While most conventional techniques
employ microscale features, it is understood that
the nanoscale arrangement of ECM ligands may provide
more powerful and precise control over cellular behavior.[32,36] However, generating features at such a small scale over large areas
is challenging.[8] A high-throughput, large-area
patterning technique capable of printing submicrometer ECM features
would be advantageous for exploring actomyosin organization and its
biological effects. In our previous work, polymer pen lithography
(PPL), a massively parallel, maskless, and cantilever-free scanning
probe lithography technique, was used to modulate the assembly of
the actin cytoskeleton independent of the cell shape by controlling
the arrangement of adhesion ligands at the submicrometer length scale.[37−42] Indeed, PPL has proven to be a powerful tool for investigating membrane
and cytoskeletal morphology-based parameters related to endocytosis.[37,41]In this study, nanopatterned geometric features that direct
FA
formation are used to control and study the cellular endocytic machinery
in a myosin contractility-dependent fashion. Specifically, we use
PPL to generate arrays of submicrometer features of 16-mercaptohexadecanoic
acid (MHA) and then fibronectin, a key constituent of the ECM that
promotes cell adhesion; these patterns can be used to dictate cytoskeletal
organization and contractility (vide infra). In general,
FA arrangements that increase cellular contractility lead to decreased
clathrin- and caveolae-mediated endocytosis. Specifically, changing
the cell architecture through pattern cues affects the cellular expression
of ρ-associated protein kinase and the subsequent endocytic
activities. Taken together, this work shows how pattern design parameters
at the nanoscale can be used to deliberately and systematically toggle
cell endocytic machinery for a variety of purposes in biology, the
life sciences, and biomedicine.
Results and Discussion
Generation of Circular Patterns with Unique Peripheral Fibronectin
Arrangements by PPL
To assess the effect of ligand arrangement
on endocytosis, substrates presenting spatially defined nanoscale
arrangements of fibronectin were synthesized using PPL following established
methods (Figure A).[40,41] For this study, circular patterns with different numbers of peripheral
features, but the same geometry and spreading area, were designed
and prepared to modulate cytoskeleton contractility and ultimately
endocytosis. To generate these patterns, PPL arrays consisting of
10 000 tips were inked with MHA and loaded into a TERA-Fab
PPL instrument. MHA was then deposited onto gold-coated glass slides
in defined geometries. To validate the patterns, a portion of the
patterned area was chemically etched and then visualized using an
optical microscope (Figure S1). The bare
gold was then backfilled by incubating the substrates in a bioinert
polyethylene glycol (PEG) thiol, which prevented the nonspecific adsorption
of proteins to the unpatterned regions (Figure A).[39] After backfilling,
following our reported protocol, the substrates were immersed in a
fibronectin solution to facilitate cell adhesion to the MHA-defined
patterns.[37] The carboxylic acids in MHA
will facilitate coordination with the proteins, allowing them to adsorb
onto the surface. The fibronectin localized on the MHA patterns was
visualized using immunofluorescence microscopy (Figure S2). Fibroblast cells were subsequently added to the
patterned substrates.
Figure 1
ECM protein patterns generated by PPL. (A) Schematic showing
the
key steps for generating molecular patterns: the deposition of MHA,
backfilling the unoccupied area with a passivation layer, ECM protein
immobilization on the patterned regions, and cell attachment to the
molecular patterns. (B) Illustration of mechanical tensions exerted
on the ECM by cells through focal adhesive contacts established by
the myosin–actin interaction. FAK represents focal adhesion
kinase. The figure was made using Biorender. (C) Representative pattern
designs with different numbers of peripheral features (left) and optical
micrographs of cell adhesion and cell morphology corresponding to
the underlying pattern designs (right). Scale bars represent 10 μm.
ECM protein patterns generated by PPL. (A) Schematic showing
the
key steps for generating molecular patterns: the deposition of MHA,
backfilling the unoccupied area with a passivation layer, ECM protein
immobilization on the patterned regions, and cell attachment to the
molecular patterns. (B) Illustration of mechanical tensions exerted
on the ECM by cells through focal adhesive contacts established by
the myosin–actin interaction. FAK represents focal adhesion
kinase. The figure was made using Biorender. (C) Representative pattern
designs with different numbers of peripheral features (left) and optical
micrographs of cell adhesion and cell morphology corresponding to
the underlying pattern designs (right). Scale bars represent 10 μm.
Actomyosin Architectures within Cells Seeded on the Patterns
To assess whether these patterns could be utilized to control cellular
properties, including the organization and contractility of the actin
cytoskeleton (Figure B), fibroblasts were cultured and immobilized on an array of patterns
at 3000 cells/cm2 to enable single-cell attachment to individual
patterns. The cells were incubated for 24 h and fully spread over
the fibronectin patterns. Bright-field micrographs confirm cell adhesion
to the fibronectin on the patterns and the adoption of the underlying
pattern geometry (Figure C). After being stained with vinculin, a FA marker, and nonmuscle
myosin IIa (NMMIIa), a primary force generator in the actin cytoskeleton,
the cells were subsequently imaged using confocal microscopy. In this
way, the changes in the actin cytoskeleton due to confinement of the
FAs to different arrangements of surface-bound ligands could be examined.
The immunofluorescence micrographs (Figure A) and heatmaps of the vinculin and NMMIIa
localization (Figure B, generated by stacking images of multiple cells) indicate that
more vinculin and NMMIIa are present at the cell peripheries directly
corresponding to the underlying patterns, regardless of the number
of peripheral features used.
Figure 2
Cytoskeletal organization of fibroblast cells
on patterns with
different geometric cues. (A) Fluorescence micrographs of cells in
5-, 20-, and 35-point circle shapes stained for myosin IIA (NMMIIa),
vinculin, and the nucleus. An overlay of these three micrographs is
also shown. (B) Immunofluorescence heatmaps of the assembly of contractile
fibers and focal adhesions generated by overlaying fluorescent micrographs
of cells (n = 8) as a quantitative measure of the
cell surface tension. Scale bars represent 5 μm.
Cytoskeletal organization of fibroblast cells
on patterns with
different geometric cues. (A) Fluorescence micrographs of cells in
5-, 20-, and 35-point circle shapes stained for myosin IIA (NMMIIa),
vinculin, and the nucleus. An overlay of these three micrographs is
also shown. (B) Immunofluorescence heatmaps of the assembly of contractile
fibers and focal adhesions generated by overlaying fluorescent micrographs
of cells (n = 8) as a quantitative measure of the
cell surface tension. Scale bars represent 5 μm.Importantly, for the cells on the patterns with
increased spacing
between peripheral features (5-point circle > 20-point circle >
35-point
circle), the vinculin and NMMIIa were consistently more intense and
more colocalized. The increased vinculin and NMMIIa intensities observed
in the cells where the peripheral features were spaced further apart
demonstrate that contractility increases with the ligand spacing,
which is consistent with literature precedent[33,41] (Figure ). These
data suggest that the cells on the 5-point circular patterns, which
had the largest spacing between the fibronectin features, were the
most contractile, while the cells on the 35-point circle pattern were
the least contractile. In addition, the focal adhesion kinase (FAK)
phosphorylation at tyrosine 397 (FAK[pY397]), an established response
to increased actin contractility, was also examined.[3,6,7] The total amount of FAK[pY397]
was found to be elevated in the cells seeded on the 5-point circles
compared to those seeded on the 35-point circles as measured by enzyme-linked
immunoassays (ELISA) (Figures A and S3). In addition, we also
found that patterned cells treated with blebbistatin,[33,43] a specific inhibitor of NMMIIa, showed decreased total amounts of
FAK[pY397] compared to patterned cells that were not treated with
blebbistatin (Figure S4A). Additionally,
cells cultured on 35-point circles with increasing aspect ratios displayed
increased total amounts of FAK[pY397] (Figure S4B). These results are consistent with the role of myosin
in influencing the number of focal adhesions, and features that promote
contractility also favor focal adhesion formation.
Figure 3
Mechanical differences
in cells on patterns. (A) Quantitative analysis
of the focal adhesion expression measured by ELISA. (B) Young’s
modulus values of cells with different numbers of peripheral features
as measured using AFM. Data are shown as mean ± SEM with n ≥ 3. Statistical analysis was performed using one-way
ANOVA, followed by a multiple comparison test using Tukey post hoc analysis. **p < 0.01, ****p < 0.0001.
Mechanical differences
in cells on patterns. (A) Quantitative analysis
of the focal adhesion expression measured by ELISA. (B) Young’s
modulus values of cells with different numbers of peripheral features
as measured using AFM. Data are shown as mean ± SEM with n ≥ 3. Statistical analysis was performed using one-way
ANOVA, followed by a multiple comparison test using Tukey post hoc analysis. **p < 0.01, ****p < 0.0001.The presence of actin and actomyosin organization
greatly influences
cell mechanical stiffness, so it was hypothesized that the cell stiffness
would change depending on the spacing of the peripheral features.[3,7,9,13] Therefore,
cell stiffness was examined as a function of pattern geometry using
atomic force microscopy (AFM). An analysis of the force curves generated
by pressing on the centers of the cells using AFM probes indicted
that stiffness increased as the number of peripheral features decreased
(Figure B). The cells
seeded on the 5-point circles had the highest Young’s modulus
of ∼68 kPa (most stiff), while the cells seeded on the 35-point
circles had the lowest Young’s modulus of ∼43 kPa (least
stiff). These results support the above observation that cells with
fewer peripheral features contain more vinculin and NMMIIa and have
higher total amounts of FAK[pY397] and confirm that patterns that
promoted greater actomyosin contractility also hosted cells with increased
stiffness.
Altering Endocytic Machinery by Controlling Actomyosin Contractility
It has been shown that the nanoscopic ligand arrangement can be
used to control the stress fiber architecture and force generation.
Next, we explored whether cell actomyosin tension could be used to
regulate endocytosis. Specifically, the uptake of cholera toxin (CTX)
protein complexes, which can enter cells through either clathrin-
or caveolae-mediated endocytosis,[22,44−46] were examined for cells seeded on the 5-, 20-, and 35-point circular
patterns. The cells adherent on the patterns were incubated with CTX
for 1 h, then the cellular uptake of CTX via each pathway were analyzed
using confocal microscopy (Figure A and B). To gain quantitative information, flow cytometry
was performed to measure changes in different uptake pathways following
the fixation and removal of the cells from the substrate. Therefore,
cell volume is not a parameter that will influence our measurements,
since we are reporting the fluorescence intensity of the entire cell.
Briefly, the cells were seeded on the patterns overnight to allow
their cytoskeletons to reach homeostasis. Then, they were treated
with fluorophore-labeled CTX for 1 h, and the CTX uptake was analyzed
(Figure C). The data
reveal that the uptake decreases as the contractility increases; the
cells seeded on the 5-point circles (highest contractility) took up
the least CTX, while those seeded on the 35-point circles (lowest
contractility) took up the most CTX. To determine how the CTX uptake
affected the cellular regulation of clathrin or caveolae vesicles,
the fixed and permeabilized cells were treated with antibodies against
clathrin and caveolae (Figures D and E). Interestingly, both clathrin and caveolin expression
were reduced in the cells that exhibited increased contractility.
Specifically, our data suggest the trend that clathrin and caveolae
expression was lowest in the cells seeded on the 5-point circular
patterns and greatest on those seeded on the 35-point circular patterns.
Figure 4
Cellular
uptakes of probes via clathrin- and caveolae-specific
pathways. (A) Confocal images showing caveolin (green), clathrin (red),
cholera toxin (CTX) (yellow), and the nucleus (blue). The overlay
images are in the rightmost column. (B) 3D confocal images of the
internalization of CTXs (yellow) through clathrin- (red) and caveolae-mediated
(green) pathways. (C–E) Flow cytometric analysis of the median
fluorescent intensity (MFI) of cholera toxin uptake (AF 647) and caveolae-
(AF 488) and clathrin-mediated (AF 594) endocytosis. The data are
shown as mean ± SEM with n = 3. Statistical
analysis was performed using one-way ANOVA, followed by multiple comparison
tests using Sidak post hoc analysis. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001. Scale bars represent
5 μm.
Cellular
uptakes of probes via clathrin- and caveolae-specific
pathways. (A) Confocal images showing caveolin (green), clathrin (red),
cholera toxin (CTX) (yellow), and the nucleus (blue). The overlay
images are in the rightmost column. (B) 3D confocal images of the
internalization of CTXs (yellow) through clathrin- (red) and caveolae-mediated
(green) pathways. (C–E) Flow cytometric analysis of the median
fluorescent intensity (MFI) of cholera toxin uptake (AF 647) and caveolae-
(AF 488) and clathrin-mediated (AF 594) endocytosis. The data are
shown as mean ± SEM with n = 3. Statistical
analysis was performed using one-way ANOVA, followed by multiple comparison
tests using Sidak post hoc analysis. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001. Scale bars represent
5 μm.Subsequently, the cells seeded on the contractility-promoting
5-point
circular patterns were treated with blebbistatin to partially negate
geometry-dependent contractility within them. When blebbistatin was
incubated with these cells overnight, CTX uptake and clathrin and
caveolae levels increased (Figure C–E, respectively). Conversely, cells were seeded
on 35-point circular patterns with larger spreading areas to increase
their contractility. In particular, the diameter of the 35-point circle
increased from 42 to 54 μm (a 65% increase in spreading area);
at the same time, the spacing between the external features also increased.
The cells on the larger patterns (54 μm) took up less CTX and
showed reduced clathrin and caveolae content compared to those on
the smaller diameter 35-point patterns (Figure C–E, respectively). Next, uptake with
pHrodo green dextran was analyzed to investigate the connection between
cell geometry and overall intracellular processing, which can reveal
the relative amounts of the pH-sensitive conjugates that were taken
up and encapsulated by phagocytosis or endocytosis vesicles. The data
indicate strong correlations between the cell geometry and the intracellular
fates of the probes; elevated fluorescent intensity was observed in
cells seeded on 20-point and 35-point patterns (Figure S5). These results point to the fact that elevated
contractility decreases endocytosis processes by downregulating clathrin
and caveolae expression. The trend matches with the visual inspection
of the confocal data and provides strong evidence that the material
uptake and endocytic regulation can be altered through the direct
manipulation of pattern geometry.
ρ-Associated Protein Kinase (ROCK) Regulates Clathrin-
and Caveolin-Mediated Endocytosis
To assess the pathway by
which clathrin and caveolae are reduced in the high-contractility
systems, a messenger that translates actomyosin contractility into
biochemical signaling cascades was examined. Specifically, the ROCK
pathway, a well-established messenger of stress at FAs that plays
a role in the disassembly of caveolae,[47−52] was investigated (Figure A and B). To quantitatively investigate the interplay between
ρ-kinase activity and endocytic behavior, particularly in the
caveolae-dependent pathway, the uptake of CTX and its subsequent trafficking
were further assessed. CTX uptake and caveolae expression (without
and with the addition of a ρ-kinase inhibitor) in patterned
cells followed the order 35-point circle > 20-point circle >
5-point
circle, likely due to the decreased degree of cellular stress and
membrane deformation with the cells with higher numbers of peripheral
features (Figure A
and B, vide supra). This ρ-kinase inhibitor
y-27632 should decrease processing along the ROCK pathway and perhaps
the ability to regulate endocytosis via contractility. In fact, the
cells treated with ρ-kinase inhibitor were found to have greater
caveolae activity than those that were not treated for the same number
of peripheral features. Therefore, decreases in caveolae activity
are correlated with increases in actin contractility.
Figure 5
CTX and Au-cored SNA
uptake experiments reveal that caveolae disassembly
is highly associated with pattern-induced ρ-kinase expression
and downstream myosin regulation. (A) Flow cytometric data shows that
ROCK expression is elevated in high-contractile fibroblasts. (B) The
addition of a ρ-kinase inhibitor promotes caveolae activity
compared to that of the ρ-kinase inhibitor-absent groups. (C)
Quantification of SNA uptake into cells on different patterns by ICP-MS.
Statistical analysis was performed using one-way ANOVA, followed by
multiple comparison tests using Tukey post hoc analysis
for panel A and Sidak post hoc analysis for panels
B and C. *p < 0.05, **p <
0.01, ***p < 0.001, ****p <
0.0001.
CTX and Au-cored SNA
uptake experiments reveal that caveolae disassembly
is highly associated with pattern-induced ρ-kinase expression
and downstream myosin regulation. (A) Flow cytometric data shows that
ROCK expression is elevated in high-contractile fibroblasts. (B) The
addition of a ρ-kinase inhibitor promotes caveolae activity
compared to that of the ρ-kinase inhibitor-absent groups. (C)
Quantification of SNA uptake into cells on different patterns by ICP-MS.
Statistical analysis was performed using one-way ANOVA, followed by
multiple comparison tests using Tukey post hoc analysis
for panel A and Sidak post hoc analysis for panels
B and C. *p < 0.05, **p <
0.01, ***p < 0.001, ****p <
0.0001.
Influence of Cell Geometry on SNA Uptake
To further
understand how the mechanical properties of the actin cytoskeleton
may regulate nanomaterial-based therapeutics, the uptake of gold nanoparticle-cored
spherical nucleic acids (SNAs) was investigated. SNAs typically consist
of a spherical nanoparticle core, which serves as a template for a
dense and highly oriented nucleic acid shell. Many different versions
of SNAs have been used extensively in biomedicine, especially in sensing
and biodetection, gene regulation, and immunotherapy.[53−55] Importantly, SNAs have been found to enter cells via caveolae-mediated
endocytosis pathways.[56] Thus, cells on
patterns with different numbers of features were treated with SNAs.
Then, inductively coupled plasma mass spectrometry (ICP-MS) was performed
on cell lysates to quantitatively evaluate the SNA uptake. Consistent
with previous observations, the uptake of SNAs was downregulated in
cells with elevated actin contractility, as dictated by the geometric
cues (Figure C). To
determine if this downregulation stemmed from actin contractility,
the most contractile cells (those seeded on the 5-point circles) were
treated with blebbistatin to inhibit NMMIIa. Consequently, increased
accumulation of SNAs was observed in those blebbistatin-treated cells
compared to those that were not treated with blebbistatin (Figure C). Moreover, the
cells patterned on the 35-point circles showed threefold higher gold
contents than those seeded on the 5-point patterns and twofold higher
gold contents than those cells seeded on the 20-point circular patterns.
The cells seeded on the larger-diameter 35-point circle patterns showed
a significant decrease in uptake compared to those seeded on the smaller-diameter
35-point patterns, indicating that the identical pattern designs with
increased diameters resulted in higher membrane stress and reduced
probe uptakes.
Conclusion
In summary, we have developed a way of using
PPL-generated nanopatterns
of ECM proteins to investigate the influence of such structures on
chemical cargo uptake by fibroblast cells. This work shows how the
endocytic process is coupled to the dynamic changes of plasma membrane
components. Importantly, cell shape, controlled using patterned geometric
cues on surfaces, strongly influences myosin assembly. Critically,
the shape–cue trends promoted by the patterns mediated the
organization of FAs and the actomyosin assembly that generated forces
within the cells. The modulation of those forces, which led to subsequent
membrane deformation, contributed significantly to the endocytic uptake
mechanism. Specifically, regulating matrix stiffness through PPL-based
pattern designs creates different myosin contractility profiles that
alter mechano-sensitive signaling pathways, ultimately leading to
differences in the numbers of clathrin- or caveolae-coated pits. This
work also reveals how changing myosin-based focal adhesions using
pattern-tuned mechanical tension and cytoskeletal reorganization can
promote specific downstream signaling pathways and different cellular
outcomes. Furthermore, this cell engineering approach enables one
to study or mimic complex biological systems that may provide insights
into new therapeutic approaches. Finally, it holds the capability
to expand ECM libraries to other connective tissue diseases or cell
types, and the high-throughput screening of cell–microenvironment
interactions can significantly augment the current drug development
processes.
Authors: Andrew Hamann; Alvin K Thomas; Tyler Kozisek; Eric Farris; Steffen Lück; Yixin Zhang; Angela K Pannier Journal: Exp Biol Med (Maywood) Date: 2020-03-17
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