Small-molecule-mediated OGG1 inhibition attenuates pulmonary inflammation and lung fibrosis in a murine lung fibrosis model.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
06 02 2023
Historique:
received: 25 10 2021
accepted: 26 01 2023
entrez: 6 2 2023
pubmed: 7 2 2023
medline: 9 2 2023
Statut: epublish

Résumé

Interstitial lung diseases such as idiopathic pulmonary fibrosis (IPF) are caused by persistent micro-injuries to alveolar epithelial tissues accompanied by aberrant repair processes. IPF is currently treated with pirfenidone and nintedanib, compounds which slow the rate of disease progression but fail to target underlying pathophysiological mechanisms. The DNA repair protein 8-oxoguanine DNA glycosylase-1 (OGG1) has significant roles in the modulation of inflammation and metabolic syndromes. Currently, no pharmaceutical solutions targeting OGG1 have been utilized in the treatment of IPF. In this study we show Ogg1-targeting siRNA mitigates bleomycin-induced pulmonary fibrosis in male mice, highlighting OGG1 as a tractable target in lung fibrosis. The small molecule OGG1 inhibitor, TH5487, decreases myofibroblast transition and associated pro-fibrotic gene expressions in fibroblast cells. In addition, TH5487 decreases levels of pro-inflammatory mediators, inflammatory cell infiltration, and lung remodeling in a murine model of bleomycin-induced pulmonary fibrosis conducted in male C57BL6/J mice. OGG1 and SMAD7 interact to induce fibroblast proliferation and differentiation and display roles in fibrotic murine and IPF patient lung tissue. Taken together, these data suggest that TH5487 is a potentially clinically relevant treatment for IPF but further study in human trials is required.

Identifiants

pubmed: 36746968
doi: 10.1038/s41467-023-36314-5
pii: 10.1038/s41467-023-36314-5
pmc: PMC9902543
doi:

Substances chimiques

Bleomycin 11056-06-7
DNA Glycosylases EC 3.2.2.-
Ogg1 protein, mouse EC 3.2.2.-

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

643

Subventions

Organisme : NIAID NIH HHS
ID : P01 AI062885
Pays : United States

Informations de copyright

© 2023. The Author(s).

Références

Raghu, G. et al. An official ATS/ERS/JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am. J. Respir. Crit. Care Med. 183, 788–824 (2011).
doi: 10.1164/rccm.2009-040GL
Chang, X. et al. Monocyte-derived multipotent cell delivered programmed therapeutics to reverse idiopathic pulmonary fibrosis. Sci. Adv. 6, eaba3167 (2020).
doi: 10.1126/sciadv.aba3167
Raghu, G. et al. Use of a molecular classifier to identify usual interstitial pneumonia in conventional transbronchial lung biopsy samples: a prospective validation study. Lancet Respir. Med. 7, 487–496 (2019).
doi: 10.1016/S2213-2600(19)30059-1
Martinez, F. J. et al. Idiopathic pulmonary fibrosis. Nat. Rev. Dis. Prim. 3, 17074 (2017).
doi: 10.1038/nrdp.2017.74
Kim, H. J., Perlman, D. & Tomic, R. Natural history of idiopathic pulmonary fibrosis. Respir. Med. 109, 661–670 (2015).
doi: 10.1016/j.rmed.2015.02.002
Landi, C. et al. Idiopathic Pulmonary Fibrosis Serum proteomic analysis before and after nintedanib therapy. Sci. Rep. 10, 9378 (2020).
doi: 10.1038/s41598-020-66296-z
Lederer, D. J. & Martinez, F. J. Idiopathic pulmonary fibrosis. N. Engl. J. Med. 378, 1811–1823 (2018).
doi: 10.1056/NEJMra1705751
Mora, A. L., Rojas, M., Pardo, A. & Selman, M. Emerging therapies for idiopathic pulmonary fibrosis, a progressive age-related disease. Nat. Rev. Drug Discov. 16, 755 (2017).
doi: 10.1038/nrd.2017.170
Guo, L. et al. Interrupted reprogramming of alveolar type II cells induces progenitor-like cells that ameliorate pulmonary fibrosis. NPJ Regen. Med. 3, 1–13 (2018).
doi: 10.1038/s41536-018-0052-5
Sampath, H., McCullough, A. K. & Lloyd, R. S. Regulation of DNA glycosylases and their role in limiting disease. Free Radic. Res. 46, 460–478 (2012).
doi: 10.3109/10715762.2012.655730
Mitra, S., Boldogh, I., Izumi, T. & Hazra, T. K. Complexities of the DNA base excision repair pathway for repair of oxidative DNA damage. Environ. Mol. Mutagen. 38, 180–190 (2001).
doi: 10.1002/em.1070
Zhang, S. et al. Nitric oxide synthase activity correlates with OGG1 in ozone-induced lung injury animal models. Front. Physiol. 8, 249 (2017).
doi: 10.3389/fphys.2017.00249
Pan, L. et al. Epigenetic regulation of TIMP1 expression by 8-oxoguanine DNA glycosylase-1 binding to DNA:RNA hybrid. FASEB J. 33, 14159–14170 (2019).
doi: 10.1096/fj.201900993RR
Tahara, Y. et al. Potent and selective inhibitors of 8-oxoguanine DNA glycosylase. J. Am. Chem. Soc. 140, 2105–2114 (2018).
doi: 10.1021/jacs.7b09316
Selman, M., King, T. E. Jr. & Pardo, A. Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann. Intern. Med. 134, 136–151 (2001).
doi: 10.7326/0003-4819-134-2-200101160-00015
Sheppard, D. Epithelial-mesenchymal interactions in fibrosis and repair. Transforming growth factor-β activation by epithelial cells and fibroblasts. Ann. Am. Thorac. Soc. 12, S21–S23 (2015).
doi: 10.1513/AnnalsATS.201406-245MG
Tang, N. et al. Lysophosphatidic acid accelerates lung fibrosis by inducing differentiation of mesenchymal stem cells into myofibroblasts. J. Cell. Mol. Med. 18, 156–169 (2014).
doi: 10.1111/jcmm.12178
Wynn, T. A. & Ramalingam, T. R. Mechanisms of fibrosis: therapeutic translation for fibrotic disease. Nat. Med. 18, 1028–1040 (2012).
doi: 10.1038/nm.2807
Luo, J. et al. 8-Oxoguanine DNA glycosylase-1-mediated DNA repair is associated with Rho GTPase activation and α-smooth muscle actin polymerization. Free Radic. Biol. Med. 73, 430–438 (2014).
doi: 10.1016/j.freeradbiomed.2014.03.030
Brasier, A. R. & Boldogh, I. Targeting inducible epigenetic reprogramming pathways in chronic airway remodeling. Drugs Context 8, https://doi.org/10.7573/dic.2019-8-3 (2019).
Vlahopoulos, S., Adamaki, M., Khoury, N., Zoumpourlis, V. & Boldogh, I. Roles of DNA repair enzyme OGG1 in innate immunity and its significance for lung cancer. Pharmacol. Ther. 194, 59–72 (2019).
doi: 10.1016/j.pharmthera.2018.09.004
Visnes, T. et al. Small-molecule inhibitor of OGG1 suppresses proinflammatory gene expression and inflammation. Science 362, 834 LP–834839 (2018).
doi: 10.1126/science.aar8048
Ba, X. & Boldogh, I. 8-Oxoguanine DNA glycosylase 1: beyond repair of the oxidatively modified base lesions. Redox Biol. 14, 669–678 (2018).
doi: 10.1016/j.redox.2017.11.008
Sampath, H. & Lloyd, R. S. Roles of OGG1 in transcriptional regulation and maintenance of metabolic homeostasis. DNA Repair 81, 102667 (2019).
doi: 10.1016/j.dnarep.2019.102667
Burchat, N. et al. Maternal transmission of human OGG1 protects mice against genetically- and diet-induced obesity through increased tissue mitochondrial content. Front. Cell Dev. Biol. 9, 718962 (2021).
doi: 10.3389/fcell.2021.718962
Sampath, H. et al. 8-Oxoguanine DNA glycosylase (OGG1) deficiency increases susceptibility to obesity and metabolic dysfunction. PLoS ONE 7, e51697 (2012).
doi: 10.1371/journal.pone.0051697
Dizdaroglu, M., Coskun, E. & Jaruga, P. Repair of oxidatively induced DNA damage by DNA glycosylases: Mechanisms of action, substrate specificities and excision kinetics. Mutat. Res. Mutat. Res. 771, 99–127 (2017).
doi: 10.1016/j.mrrev.2017.02.001
Beard, W. A., Horton, J. K., Prasad, R. & Wilson, S. H. Eukaryotic base excision repair: new approaches shine light on mechanism. Annu. Rev. Biochem. 88, 137–162 (2019).
doi: 10.1146/annurev-biochem-013118-111315
Banerjee, A., Yang, W., Karplus, M. & Verdine, G. L. Structure of a repair enzyme interrogating undamaged DNA elucidates recognition of damaged DNA. Nature 434, 612–618 (2005).
doi: 10.1038/nature03458
Pan, L. et al. Oxidized guanine base lesions function in 8-oxoguanine DNA glycosylase-1-mediated epigenetic regulation of nuclear factor κB-driven gene expression. J. Biol. Chem. 291, 25553–25566 (2016).
doi: 10.1074/jbc.M116.751453
Fleming, A. M., Ding, Y. & Burrows, C. J. Oxidative DNA damage is epigenetic by regulating gene transcription via base excision repair. Proc. Natl Acad. Sci. USA 114, 2604–2609 (2017).
doi: 10.1073/pnas.1619809114
Fleming, A. M. & Burrows, C. J. 8-Oxo-7,8-dihydroguanine, friend and foe: epigenetic-like regulator versus initiator of mutagenesis. DNA Repair 56, 75–83 (2017).
doi: 10.1016/j.dnarep.2017.06.009
Fleming, A. M. & Burrows, C. J. Interplay of guanine oxidation and G-quadruplex folding in gene promoters. J. Am. Chem. Soc. 142, 1115–1136 (2020).
doi: 10.1021/jacs.9b11050
Pastukh, V. et al. An oxidative DNA “damage” and repair mechanism localized in the VEGF promoter is important for hypoxia-induced VEGF mRNA expression. Am. J. Physiol. Cell. Mol. Physiol. 309, L1367–L1375 (2015).
doi: 10.1152/ajplung.00236.2015
Perillo, B. et al. DNA oxidation as triggered by H3K9me2 demethylation drives estrogen-induced gene expression. Science 319, 202–206 (2008).
doi: 10.1126/science.1147674
Wang, Y. et al. 8-Oxoguanine DNA glycosylase modulates the cell transformation process in pulmonary fibrosis by inhibiting Smad2/3 and interacting with Smad7. FASEB J. 34, 13461–13473 (2020).
doi: 10.1096/fj.201901291RRRRR
Tashiro, J. et al. Exploring animal models that resemble idiopathic pulmonary fibrosis. Front. Med. 4, 118 (2017).
doi: 10.3389/fmed.2017.00118
Tanner, L. & Single, A. B. Animal models reflecting chronic obstructive pulmonary disease and related respiratory disorders: translating pre-clinical data into clinical relevance. J. Innate Immun. 12, 203–225 (2019).
doi: 10.1159/000502489
Walton, K. L., Johnson, K. E. & Harrison, C. A. Targeting TGF-β mediated SMAD signaling for the prevention of fibrosis. Front. Pharmacol. 8, 461 (2017).
doi: 10.3389/fphar.2017.00461
Kendall, R. T. & Feghali-Bostwick, C. A. Fibroblasts in fibrosis: novel roles and mediators. Front. Pharmacol. 5, 123 (2014).
doi: 10.3389/fphar.2014.00123
Demichev, V., Messner, C. B., Vernardis, S. I., Lilley, K. S. & Ralser, M. DIA-NN: neural networks and interference correction enable deep proteome coverage in high throughput. Nat. Methods 17, 41–44 (2019).
doi: 10.1038/s41592-019-0638-x
Lee, S. B. & Kalluri, R. Mechanistic connection between inflammation and fibrosis. Kidney Int. Suppl. 119, S22–S26 (2010).
doi: 10.1038/ki.2010.418
Shi, L., Dong, N., Fang, X. & Wang, X. Regulatory mechanisms of TGF-β1-induced fibrogenesis of human alveolar epithelial cells. J. Cell. Mol. Med. 20, 2183–2193 (2016).
doi: 10.1111/jcmm.12918
Hakem, R. DNA-damage repair; the good, the bad, and the ugly. EMBO J. 27, 589–605 (2008).
doi: 10.1038/emboj.2008.15
Ding, Y., Fleming, A. M. & Burrows, C. J. Sequencing the mouse genome for the oxidatively modified base 8-oxo-7,8-dihydroguanine by OG-Seq. J. Am. Chem. Soc. 139, 2569–2572 (2017).
doi: 10.1021/jacs.6b12604
Seifermann, M. & Epe, B. Oxidatively generated base modifications in DNA: not only carcinogenic risk factor but also regulatory mark. Free Radic. Biol. Med. 107, 258–265 (2017).
doi: 10.1016/j.freeradbiomed.2016.11.018
Beeh, K. M. et al. Glutathione deficiency of the lower respiratory tract in patients with idiopathic pulmonary fibrosis. Eur. Respir. J. 19, 1119 LP–1111123 (2002).
doi: 10.1183/09031936.02.00262402
Kinnula, V. L. & Crapo, J. D. Superoxide dismutases in the lung and human lung diseases. Am. J. Respir. Crit. Care Med. 167, 1600–1619 (2003).
doi: 10.1164/rccm.200212-1479SO
Bocchino, M. et al. Reactive oxygen species are required for maintenance and differentiation of primary lung fibroblasts in idiopathic pulmonary fibrosis. PLoS ONE 5, e14003 (2010).
doi: 10.1371/journal.pone.0014003
Veith, C. et al. Profibrotic epithelial TGF-β1 signaling involves NOX4-mitochondria cross talk and redox-mediated activation of the tyrosine kinase FYN. Am. J. Physiol. Cell. Mol. Physiol. 320, L356–L367 (2020).
doi: 10.1152/ajplung.00444.2019
King, T. E. et al. A phase 3 trial of pirfenidone in patients with idiopathic pulmonary fibrosis. N. Engl. J. Med. 370, 2083–2092 (2014).
doi: 10.1056/NEJMoa1402582
Richeldi, L. et al. Efficacy and safety of nintedanib in idiopathic pulmonary fibrosis. N. Engl. J. Med. 370, 2071–2082 (2014).
doi: 10.1056/NEJMoa1402584
Somogyi, V. et al. The therapy of idiopathic pulmonary fibrosis: what is next. Eur. Respir. Rev. 28, 190021 (2019).
doi: 10.1183/16000617.0021-2019
Pastukh, V., Ruchko, M., Gorodnya, O., Wilson, G. L. & Gillespie, M. N. Sequence-specific oxidative base modifications in hypoxia-inducible genes. Free Radic. Biol. Med. 43, 1616–1626 (2007).
doi: 10.1016/j.freeradbiomed.2007.08.027
Touati, E. et al. Deficiency in OGG1 protects against inflammation and mutagenic effects associated with H. pylori infection in mouse. Helicobacter 11, 494–505 (2006).
doi: 10.1111/j.1523-5378.2006.00442.x
Ba, X. et al. 8-oxoguanine DNA glycosylase-1 augments proinflammatory gene expression by facilitating the recruitment of site-specific transcription factors. J. Immunol. 192, 2384–2394 (2014).
doi: 10.4049/jimmunol.1302472
Mabley, J. G. et al. Potential role for 8‐oxoguanine DNA glycosylase in regulating inflammation. FASEB J. 19, 1–18 (2005).
doi: 10.1096/fj.04-2278fje
Li, G. et al. 8-Oxoguanine-DNA glycosylase 1 deficiency modifies allergic airway inflammation by regulating STAT6 and IL-4 in cells and in mice. Free Radic. Biol. Med. 52, 392–401 (2012).
doi: 10.1016/j.freeradbiomed.2011.10.490
Bacsi, A. et al. Down-regulation of 8-oxoguanine DNA glycosylase 1 expression in the airway epithelium ameliorates allergic lung inflammation. DNA Repair 12, 18–26 (2013).
doi: 10.1016/j.dnarep.2012.10.002
Aguilera-Aguirre, L. et al. Innate inflammation induced by the 8-oxoguanine DNA glycosylase-1–KRAS–NF-κB pathway. J. Immunol. 193, 4643–4653 (2014).
doi: 10.4049/jimmunol.1401625
Waghray, M. et al. Hydrogen peroxide is a diffusible paracrine signal for the induction of epithelial cell death by activated myofibroblasts. FASEB J. 19, 1–16 (2005).
doi: 10.1096/fj.04-2882fje
Molina-Molina, M. et al. Anti-fibrotic effects of pirfenidone and rapamycin in primary IPF fibroblasts and human alveolar epithelial cells. BMC Pulm. Med. 18, 63 (2018).
doi: 10.1186/s12890-018-0626-4
Fernandez, I. E. & Eickelberg, O. New cellular and molecular mechanisms of lung injury and fibrosis in idiopathic pulmonary fibrosis. Lancet 380, 680–688 (2012).
doi: 10.1016/S0140-6736(12)61144-1
King, T. E. Jr, Pardo, A. & Selman, M. Idiopathic pulmonary fibrosis. Lancet 378, 1949–1961 (2011).
doi: 10.1016/S0140-6736(11)60052-4
Schafer, M. J. et al. Cellular senescence mediates fibrotic pulmonary disease. Nat. Commun. 8, 1–11 (2017).
doi: 10.1038/ncomms14532
David, L. et al. Targeted apoptosis of myofibroblasts with the BH3 mimetic ABT-263 reverses established fibrosis. Sci. Transl. Med. 9, eaal3765 (2017).
doi: 10.1126/scitranslmed.aal3765
Upagupta, C., Shimbori, C., Alsilmi, R. & Kolb, M. Matrix abnormalities in pulmonary fibrosis. Eur. Respir. Rev. 27, 180033 (2018).
doi: 10.1183/16000617.0033-2018
Wuyts, W. A. et al. The pathogenesis of pulmonary fibrosis: a moving target. Eur. Respir. J. 41, 1207 LP–1218 (2013).
doi: 10.1183/09031936.00073012
Glasser, S. W. et al. Mechanisms of lung fibrosis resolution. Am. J. Pathol. 186, 1066–1077 (2016).
doi: 10.1016/j.ajpath.2016.01.018
Murray, P. J. & Wynn, T. A. Protective and pathogenic functions of macrophage subsets. Nat. Rev. Immunol. 11, 723–737 (2011).
doi: 10.1038/nri3073
Wynn, T. A. & Vannella, K. M. Macrophages in tissue repair, regeneration, and fibrosis. Immunity 44, 450–462 (2016).
doi: 10.1016/j.immuni.2016.02.015
Kimura, T. et al. Polarization of M2 macrophages requires Lamtor1 that integrates cytokine and amino-acid signals. Nat. Commun. 7, 1–17 (2016).
doi: 10.1038/ncomms13130
Larson-Casey, J. L., Deshane, J. S., Ryan, A. J., Thannickal, V. J. & Carter, A. B. Macrophage Akt1 kinase-mediated mitophagy modulates apoptosis resistance and pulmonary fibrosis. Immunity 44, 582–596 (2016).
doi: 10.1016/j.immuni.2016.01.001
Su, S. et al. miR-142-5p and miR-130a-3p are regulated by IL-4 and IL-13 and control profibrogenic macrophage program. Nat. Commun. 6, 1–19 (2015).
doi: 10.1038/ncomms9523
Yi, W. et al. MBD2 serves as a viable target against pulmonary fibrosis by inhibiting macrophage M2 program. Sci. Adv. 7, eabb6075 (2021).
doi: 10.1126/sciadv.abb6075
Schiller, H. B. et al. Time- and compartment-resolved proteome profiling of the extracellular niche in lung injury and repair. Mol. Syst. Biol. 11, 819 (2015).
doi: 10.15252/msb.20156123
Klungland, A. et al. Accumulation of premutagenic DNA lesions in mice defective in removal of oxidative base damage. Proc. Natl Acad. Sci. USA 96, 13300–13305 (1999).
doi: 10.1073/pnas.96.23.13300
Redente, E. et al. Age and sex dimorphisms contribute to the severity of bleomycin-induced lung injury and fibrosis. Am. J. Physiol. Lung Cell Mol. Physiol. 301, L510–L518 (2011).
doi: 10.1152/ajplung.00122.2011
Percie du Sert, N. et al. The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research. PLOS Biol. 18, e3000410 (2020).
doi: 10.1371/journal.pbio.3000410
Bruderer, R. et al. Optimization of experimental parameters in data-independent mass spectrometry significantly increases depth and reproducibility of results. Mol. Cell. Proteom. 16, 2296–2309 (2017).
doi: 10.1074/mcp.RA117.000314
Mi, H., Muruganujan, A., Ebert, D., Huang, X. & Thomas, P. D. PANTHER version 14: more genomes, a new PANTHER GO-slim and improvements in enrichment analysis tools. Nucleic Acids Res. 47, D419–D426 (2019).
doi: 10.1093/nar/gky1038

Auteurs

L Tanner (L)

Respiratory Medicine, Allergology, & Palliative Medicine, Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, SE-221 84, Lund, Sweden. lloyd.tanner@med.lu.se.

A B Single (AB)

Respiratory Medicine, Allergology, & Palliative Medicine, Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, SE-221 84, Lund, Sweden.

R K V Bhongir (RKV)

Respiratory Medicine, Allergology, & Palliative Medicine, Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, SE-221 84, Lund, Sweden.

M Heusel (M)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.

T Mohanty (T)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.

C A Q Karlsson (CAQ)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.

L Pan (L)

Department of Microbiology and Immunology, University of Texas Medical Branch at Galveston, Galveston, TX, 77555, USA.

C-M Clausson (CM)

Division of Airway Inflammation, Department of Experimental Medical Sciences, Lund University, SE-221 84, Lund, Sweden.

J Bergwik (J)

Respiratory Medicine, Allergology, & Palliative Medicine, Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, SE-221 84, Lund, Sweden.

K Wang (K)

Department of Microbiology and Immunology, University of Texas Medical Branch at Galveston, Galveston, TX, 77555, USA.

C K Andersson (CK)

Respiratory Cell Biology, Department of Experimental Medical Sciences Lund, Lund University, SE-221 84, Lund, Sweden.

R M Oommen (RM)

Science for Life Laboratory, Department of Oncology-Pathology, Karolinska Institutet, SE-171 76, Stockholm, Sweden.

J S Erjefält (JS)

Division of Airway Inflammation, Department of Experimental Medical Sciences, Lund University, SE-221 84, Lund, Sweden.

J Malmström (J)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.

O Wallner (O)

Science for Life Laboratory, Department of Oncology-Pathology, Karolinska Institutet, SE-171 76, Stockholm, Sweden.

I Boldogh (I)

Department of Microbiology and Immunology, University of Texas Medical Branch at Galveston, Galveston, TX, 77555, USA.

T Helleday (T)

Science for Life Laboratory, Department of Oncology-Pathology, Karolinska Institutet, SE-171 76, Stockholm, Sweden.
Oxcia AB, Norrbackagatan 70C, SE-113 34, Stockholm, Sweden.
Weston Park Cancer Centre, Department of Oncology and Metabolism, University of Sheffield, Sheffield, S10 2RX, UK.

C Kalderén (C)

Science for Life Laboratory, Department of Oncology-Pathology, Karolinska Institutet, SE-171 76, Stockholm, Sweden.
Oxcia AB, Norrbackagatan 70C, SE-113 34, Stockholm, Sweden.

A Egesten (A)

Respiratory Medicine, Allergology, & Palliative Medicine, Department of Clinical Sciences Lund, Lund University and Skåne University Hospital, SE-221 84, Lund, Sweden.

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