Blocking antibodies against integrin-α3, -αM, and -αMβ2 de-differentiate myofibroblasts, and improve lung fibrosis and kidney fibrosis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 09 2024
Historique:
received: 18 02 2024
accepted: 20 08 2024
medline: 17 9 2024
pubmed: 17 9 2024
entrez: 16 9 2024
Statut: epublish

Résumé

Fibrosis is involved in 45% of deaths in the United States, and no treatment exists to reverse the progression of lung or kidney fibrosis. Myofibroblasts are key to the progression and maintenance of fibrosis. We investigated features of cell adhesion necessary for monocytes to differentiate into myofibroblasts, seeking to identify pathways key to myofibroblast differentiation. Blocking antibodies against integrins α3, αM, and αMβ2 de-differentiate myofibroblasts in vitro, lower the pro-fibrotic secretome of myofibroblasts, and treat lung fibrosis and inhibit kidney fibrosis in vivo. Decorin's collagen-binding peptide can be used to direct functionalized blocking antibodies (against integrins-α3, -αM, -αMβ2) to both fibrotic lungs and fibrotic kidneys, reducing the dose of antibody necessary to treat fibrosis. This targeted immunotherapy blocking key integrins may be an effective therapeutic for the treatment of fibrosis.

Identifiants

pubmed: 39284829
doi: 10.1038/s41598-024-70737-4
pii: 10.1038/s41598-024-70737-4
doi:

Substances chimiques

Antibodies, Blocking 0
Integrin alpha3 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21623

Subventions

Organisme : NIH HHS
ID : F30DK123985
Pays : United States

Informations de copyright

© 2024. The Author(s).

Références

Wynn, T. A. Cellular and molecular mechanisms of fibrosis. J. Pathol. 214(2), 199–210 (2008).
pubmed: 18161745 pmcid: 2693329 doi: 10.1002/path.2277
Wynn, T. A. Fibrotic disease and the T(H)1/T(H)2 paradigm. Nat. Rev. Immunol. 4(8), 583–594 (2004).
pubmed: 15286725 pmcid: 2702150 doi: 10.1038/nri1412
Spagnolo, P. Novel treatments for idiopathic pulmonary fibrosis. Am. J. Med. 128, 447–449 (2015).
pubmed: 25613299 doi: 10.1016/j.amjmed.2015.01.003
Xaubet, A., Serrano-Mollar, A. & Ancochea, J. Pirfenidone for the treatment of idiopathic pulmonary fibrosis. Expert Opin. Pharmacother. 15(2), 275–281 (2014).
pubmed: 24308635 doi: 10.1517/14656566.2014.867328
Knuppel, L. et al. A novel antifibrotic mechanism of nintedanib and pirfenidone. Inhibition of collagen fibril assembly. Am. J. Respir. Cell Mol. Biol. 57(1), 77–90 (2017).
pubmed: 28257580 doi: 10.1165/rcmb.2016-0217OC
Raghu, G. et al. Long-term treatment with recombinant human pentraxin 2 protein in patients with idiopathic pulmonary fibrosis: An open-label extension study. Lancet Respir. Med. 7(8), 657–664 (2019).
pubmed: 31122893 doi: 10.1016/S2213-2600(19)30172-9
Madsen, D. H. et al. M2-like macrophages are responsible for collagen degradation through a mannose receptor-mediated pathway. J. Cell Biol. 202(6), 951–966 (2013).
pubmed: 24019537 pmcid: 3776354 doi: 10.1083/jcb.201301081
Klingberg, F., Hinz, B. & White, E. S. The myofibroblast matrix: Implications for tissue repair and fibrosis. J. Pathol. 229(2), 298–309 (2013).
pubmed: 22996908 pmcid: 4005341 doi: 10.1002/path.4104
Hinz, B. Formation and function of the myofibroblast during tissue repair. J. Investig. Dermatol. 127(3), 526–537 (2007).
pubmed: 17299435 doi: 10.1038/sj.jid.5700613
Liu, F. et al. Feedback amplification of fibrosis through matrix stiffening and COX-2 suppression. J. Cell Biol. 190(4), 693–706 (2010).
pubmed: 20733059 pmcid: 2928007 doi: 10.1083/jcb.201004082
Hinz, B. & Gabbiani, G. Fibrosis: Recent advances in myofibroblast biology and new therapeutic perspectives. F1000 Biol. Rep. 2, 78 (2010).
pubmed: 21170369 pmcid: 2998803 doi: 10.3410/B2-78
Hinz, B. Mechanical aspects of lung fibrosis: A spotlight on the myofibroblast. Proc. Am. Thorac. Soc. 9(3), 137–147 (2012).
pubmed: 22802288 doi: 10.1513/pats.201202-017AW
Tomasek, J. J. et al. Myofibroblasts and mechano-regulation of connective tissue remodelling. Nat. Rev. Mol. Cell Biol. 3(5), 349–363 (2002).
pubmed: 11988769 doi: 10.1038/nrm809
Lagares, D. et al. Targeted apoptosis of myofibroblasts with the BH3 mimetic ABT-263 reverses established fibrosis. Sci. Transl. Med. 9(420), eaal3765 (2017).
pubmed: 29237758 pmcid: 8520471 doi: 10.1126/scitranslmed.aal3765
Balestrini, J. L. et al. The mechanical memory of lung myofibroblasts. Integr. Biol. (Camb) 4(4), 410–421 (2012).
pubmed: 22410748 doi: 10.1039/c2ib00149g
Abe, R. et al. Peripheral blood fibrocytes: Differentiation pathway and migration to wound sites. J. Immunol. 166(12), 7556–7562 (2001).
pubmed: 11390511 doi: 10.4049/jimmunol.166.12.7556
Forbes, S. J. et al. A significant proportion of myofibroblasts are of bone marrow origin in human liver fibrosis. Gastroenterology 126(4), 955–963 (2004).
pubmed: 15057733 doi: 10.1053/j.gastro.2004.02.025
Direkze, N. C. et al. Multiple organ engraftment by bone-marrow-derived myofibroblasts and fibroblasts in bone-marrow-transplanted mice. Stem Cells 21(5), 514–520 (2003).
pubmed: 12968105 doi: 10.1634/stemcells.21-5-514
Hashimoto, N. et al. Bone marrow-derived progenitor cells in pulmonary fibrosis. J. Clin. Investig. 113(2), 243–252 (2004).
pubmed: 14722616 pmcid: 310750 doi: 10.1172/JCI200418847
Nakashima, T. et al. Lung bone marrow-derived hematopoietic progenitor cells enhance pulmonary fibrosis. Am. J. Respir. Crit. Care Med. 188(8), 976–984 (2013).
pubmed: 24010731 pmcid: 3826283 doi: 10.1164/rccm.201303-0479OC
Mori, L. et al. Fibrocytes contribute to the myofibroblast population in wounded skin and originate from the bone marrow. Exp. Cell Res. 304(1), 81–90 (2005).
pubmed: 15707576 doi: 10.1016/j.yexcr.2004.11.011
Murray, P. J. et al. Macrophage activation and polarization: Nomenclature and experimental guidelines. Immunity 41(1), 14–20 (2014).
pubmed: 25035950 pmcid: 4123412 doi: 10.1016/j.immuni.2014.06.008
Wynn, T. A. & Ramalingam, T. R. Mechanisms of fibrosis: Therapeutic translation for fibrotic disease. Nat. Med. 18(7), 1028–1040 (2012).
pubmed: 22772564 pmcid: 3405917 doi: 10.1038/nm.2807
Furuichi, K. et al. CCR2 signaling contributes to ischemia-reperfusion injury in kidney. J. Am. Soc. Nephrol. 14(10), 2503–2515 (2003).
pubmed: 14514728 doi: 10.1097/01.ASN.0000089563.63641.A8
Le, T. T. et al. Blockade of IL-6 Trans signaling attenuates pulmonary fibrosis. J. Immunol. 193(7), 3755–3768 (2014).
pubmed: 25172494 pmcid: 4169999 doi: 10.4049/jimmunol.1302470
Belperio, J. A. et al. The role of the Th2 CC chemokine ligand CCL17 in pulmonary fibrosis. J. Immunol. 173(7), 4692–4698 (2004).
pubmed: 15383605 doi: 10.4049/jimmunol.173.7.4692
Sahin, H. & Wasmuth, H. E. Chemokines in tissue fibrosis. Biochim. Biophys. Acta 1832(7), 1041–1048 (2013).
pubmed: 23159607 doi: 10.1016/j.bbadis.2012.11.004
Oikonomou, N. et al. Soluble TNF mediates the transition from pulmonary inflammation to fibrosis. PLoS ONE 1, e108 (2006).
pubmed: 17205112 pmcid: 1762410 doi: 10.1371/journal.pone.0000108
Cox, D., Brennan, M. & Moran, N. Integrins as therapeutic targets: Lessons and opportunities. Nat. Rev. Drug Discov. 9(10), 804–820 (2010).
pubmed: 20885411 doi: 10.1038/nrd3266
Anthis, N. J. et al. Structural diversity in integrin/talin interactions. Structure 18(12), 1654–1666 (2010).
pubmed: 21134644 pmcid: 3157975 doi: 10.1016/j.str.2010.09.018
Lawson, C. et al. FAK promotes recruitment of talin to nascent adhesions to control cell motility. J. Cell Biol. 196(2), 223–232 (2012).
pubmed: 22270917 pmcid: 3265949 doi: 10.1083/jcb.201108078
Anthis, N. J. et al. The structure of an integrin/talin complex reveals the basis of inside-out signal transduction. EMBO J. 28(22), 3623–3632 (2009).
pubmed: 19798053 pmcid: 2782098 doi: 10.1038/emboj.2009.287
Roca-Cusachs, P. et al. Clustering of alpha(5)beta(1) integrins determines adhesion strength whereas alpha(v)beta(3) and talin enable mechanotransduction. Proc. Natl. Acad. Sci. U. S. A. 106(38), 16245–16250 (2009).
pubmed: 19805288 pmcid: 2752568 doi: 10.1073/pnas.0902818106
Dugina, V. et al. Focal adhesion features during myofibroblastic differentiation are controlled by intracellular and extracellular factors. J. Cell Sci. 114(Pt 18), 3285–3296 (2001).
pubmed: 11591817 doi: 10.1242/jcs.114.18.3285
Hinz, B. & Gabbiani, G. Cell-matrix and cell-cell contacts of myofibroblasts: Role in connective tissue remodeling. Thromb. Haemost. 90(6), 993–1002 (2003).
pubmed: 14652629
Hoffman, B. D., Grashoff, C. & Schwartz, M. A. Dynamic molecular processes mediate cellular mechanotransduction. Nature 475(7356), 316–323 (2011).
pubmed: 21776077 pmcid: 6449687 doi: 10.1038/nature10316
Geiger, B., Spatz, J. P. & Bershadsky, A. D. Environmental sensing through focal adhesions. Nat. Rev. Mol. Cell Biol. 10(1), 21–33 (2009).
pubmed: 19197329 doi: 10.1038/nrm2593
De, R., Zemel, A. & Safran, S. A. Theoretical concepts and models of cellular mechanosensing. Methods Cell Biol. 98, 143–175 (2010).
pubmed: 20816234 doi: 10.1016/S0091-679X(10)98007-2
Parsons, J. T., Horwitz, A. R. & Schwartz, M. A. Cell adhesion: Integrating cytoskeletal dynamics and cellular tension. Nat. Rev. Mol. Cell Biol. 11(9), 633–643 (2010).
pubmed: 20729930 pmcid: 2992881 doi: 10.1038/nrm2957
Katsumi, A. et al. Integrins in mechanotransduction. J. Biol. Chem. 279(13), 12001–12004 (2004).
pubmed: 14960578 doi: 10.1074/jbc.R300038200
Praekelt, U. et al. New isoform-specific monoclonal antibodies reveal different sub-cellular localisations for talin1 and talin2. Eur. J. Cell Biol. 91(3), 180–191 (2012).
pubmed: 22306379 pmcid: 3629562 doi: 10.1016/j.ejcb.2011.12.003
Hyun, Y. M., Lefort, C. T. & Kim, M. Leukocyte integrins and their ligand interactions. Immunol. Res. 45(2–3), 195–208 (2009).
pubmed: 19184539 doi: 10.1007/s12026-009-8101-1
Podolnikova, N. P. et al. Ligand recognition specificity of leukocyte integrin alphaMbeta2 (Mac-1, CD11b/CD18) and its functional consequences. Biochemistry 54(6), 1408–1420 (2015).
pubmed: 25613106 doi: 10.1021/bi5013782
Satoh, T. et al. Identification of an atypical monocyte and committed progenitor involved in fibrosis. Nature 541(7635), 96–101 (2017).
pubmed: 28002407 doi: 10.1038/nature20611
Lomakina, E. et al. Activation of human neutrophil Mac-1 by anion substitution. Blood Cells Mol. Dis. 42(3), 177–184 (2009).
pubmed: 19246218 pmcid: 2671573 doi: 10.1016/j.bcmd.2009.01.006
Maiguel, D. et al. Small molecule-mediated activation of the integrin CD11b/CD18 reduces inflammatory disease. Sci. Signal 4(189), ra57 (2011).
pubmed: 21900205 pmcid: 4507414 doi: 10.1126/scisignal.2001811
Nishiuchi, R. et al. Characterization of the ligand-binding specificities of integrin alpha3beta1 and alpha6beta1 using a panel of purified laminin isoforms containing distinct alpha chains. J. Biochem. 134(4), 497–504 (2003).
pubmed: 14607975 doi: 10.1093/jb/mvg185
Katsumata, K. et al. Targeting inflammatory sites through collagen affinity enhances the therapeutic efficacy of anti-inflammatory antibodies. Sci. Adv. 5(11), eaay1971 (2019).
pubmed: 31723606 pmcid: 6834392 doi: 10.1126/sciadv.aay1971
White, M. J. V., Ozkan, M., Gomez-Medellin, J. E. & Hubbell, J. A. Myofibroblast differentiation is governed by adhesion mechanics, and inhibition of the stress sensor Talin2 reverses lung fibrosis. bioRxiv https://doi.org/10.1101/2021.06.07.447403 (2021).
doi: 10.1101/2021.06.07.447403 pubmed: 34845445 pmcid: 8629188
Walzog, B. et al. Beta2 integrins (CD11/CD18) promote apoptosis of human neutrophils. FASEB J. 11(13), 1177–1186 (1997).
pubmed: 9367353 doi: 10.1096/fasebj.11.13.9367353
Neumark, N. et al. The idiopathic pulmonary fibrosis cell atlas. Am. J. Physiol. Lung Cell Mol. Physiol. 319(6), L887–L893 (2020).
pubmed: 32996785 pmcid: 7792683 doi: 10.1152/ajplung.00451.2020
Camper, L., Heinegard, D. & Lundgren-Akerlund, E. Integrin alpha2beta1 is a receptor for the cartilage matrix protein chondroadherin. J. Cell Biol. 138(5), 1159–1167 (1997).
pubmed: 9281592 pmcid: 2136766 doi: 10.1083/jcb.138.5.1159
Diamond, M. S. & Springer, T. A. A subpopulation of Mac-1 (CD11b/CD18) molecules mediates neutrophil adhesion to ICAM-1 and fibrinogen. J. Cell Biol. 120(2), 545–556 (1993).
pubmed: 7678422 doi: 10.1083/jcb.120.2.545
Oxvig, C., Lu, C. & Springer, T. A. Conformational changes in tertiary structure near the ligand binding site of an integrin I domain. Proc. Natl. Acad. Sci. U. S. A. 96(5), 2215–2220 (1999).
pubmed: 10051621 pmcid: 26763 doi: 10.1073/pnas.96.5.2215
Gasse, P. et al. IL-1 and IL-23 mediate early IL-17A production in pulmonary inflammation leading to late fibrosis. PLoS ONE 6(8), e23185 (2011).
pubmed: 21858022 pmcid: 3156735 doi: 10.1371/journal.pone.0023185
Yogo, Y. et al. Macrophage derived chemokine (CCL22), thymus and activation-regulated chemokine (CCL17), and CCR4 in idiopathic pulmonary fibrosis. Respir. Res. 10, 80 (2009).
pubmed: 19715610 pmcid: 2741459 doi: 10.1186/1465-9921-10-80
Huaux, F. et al. A profibrotic function of IL-12p40 in experimental pulmonary fibrosis. J. Immunol. 169(5), 2653–2661 (2002).
pubmed: 12193738 doi: 10.4049/jimmunol.169.5.2653
Hubner, R. H. et al. Standardized quantification of pulmonary fibrosis in histological samples. Biotechniques 44(4), 507–11 (2008).
pubmed: 18476815 doi: 10.2144/000112729
Rabb, H. et al. Role of CD11a and CD11b in ischemic acute renal failure in rats. Am. J. Physiol. 267(6 Pt 2), F1052–F1058 (1994).
pubmed: 7810691
Dehnadi, A. et al. Prophylactic orthosteric inhibition of leukocyte integrin CD11b/CD18 prevents long-term fibrotic kidney failure in cynomolgus monkeys. Nat. Commun. 8, 13899 (2017).
pubmed: 28071653 pmcid: 5234083 doi: 10.1038/ncomms13899
Hinz, B. Masters and servants of the force: the role of matrix adhesions in myofibroblast force perception and transmission. Eur. J. Cell Biol. 85(3–4), 175–181 (2006).
pubmed: 16546559 doi: 10.1016/j.ejcb.2005.09.004
Tang, T. et al. A role for Mac-1 (CDIIb/CD18) in immune complex-stimulated neutrophil function in vivo: Mac-1 deficiency abrogates sustained Fcgamma receptor-dependent neutrophil adhesion and complement-dependent proteinuria in acute glomerulonephritis. J. Exp. Med. 186(11), 1853–1863 (1997).
pubmed: 9382884 pmcid: 2211718 doi: 10.1084/jem.186.11.1853
Lim, J. et al. An essential role for talin during alpha(M)beta(2)-mediated phagocytosis. Mol. Biol. Cell 18(3), 976–985 (2007).
pubmed: 17202407 pmcid: 1805113 doi: 10.1091/mbc.e06-09-0813
Zhang, X. et al. Talin depletion reveals independence of initial cell spreading from integrin activation and traction. Nat. Cell Biol. 10(9), 1062–1068 (2008).
pubmed: 19160486 pmcid: 2746969 doi: 10.1038/ncb1765
Austen, K. et al. Extracellular rigidity sensing by talin isoform-specific mechanical linkages. Nat. Cell Biol. 17(12), 1597–1606 (2015).
pubmed: 26523364 pmcid: 4662888 doi: 10.1038/ncb3268
Petrich, B. G. et al. The antithrombotic potential of selective blockade of talin-dependent integrin alpha IIb beta 3 (platelet GPIIb-IIIa) activation. J. Clin. Investig. 117(8), 2250–2259 (2007).
pubmed: 17627302 pmcid: 1906732 doi: 10.1172/JCI31024
Li, Y. F. et al. The cytosolic protein talin induces an intermediate affinity integrin alphaLbeta2. J. Biol. Chem. 282(33), 24310–24319 (2007).
pubmed: 17591777 doi: 10.1074/jbc.M701860200
Bruinsma, R. Theory of force regulation by nascent adhesion sites. Biophys. J. 89(1), 87–94 (2005).
pubmed: 15849245 pmcid: 1366582 doi: 10.1529/biophysj.104.048280
Chan, C. E. & Odde, D. J. Traction dynamics of filopodia on compliant substrates. Science 322(5908), 1687–1691 (2008).
pubmed: 19074349 doi: 10.1126/science.1163595
Li, Y., Bhimalapuram, P. & Dinner, A. R. Model for how retrograde actin flow regulates adhesion traction stresses. J. Phys. Condens. Matter 22(19), 194113 (2010).
pubmed: 21386439 doi: 10.1088/0953-8984/22/19/194113
Gallucci, R. M., Lee, E. G. & Tomasek, J. J. IL-6 modulates alpha-smooth muscle actin expression in dermal fibroblasts from IL-6-deficient mice. J. Investig. Dermatol. 126(3), 561–568 (2006).
pubmed: 16397521 doi: 10.1038/sj.jid.5700109
Beller, D. I., Springer, T. A. & Schreiber, R. D. Anti-Mac-1 selectively inhibits the mouse and human type three complement receptor. J. Exp. Med. 156(4), 1000–1009 (1982).
pubmed: 7153706 doi: 10.1084/jem.156.4.1000
Pilling, D., Vakil, V. & Gomer, R. H. Improved serum-free culture conditions for the differentiation of human and murine fibrocytes. J. Immunol. Methods 351(1–2), 62–70 (2009).
pubmed: 19818792 pmcid: 2783789 doi: 10.1016/j.jim.2009.09.011
Crawford, J. R., Pilling, D. & Gomer, R. H. Improved serum-free culture conditions for spleen-derived murine fibrocytes. J. Immunol. Methods 363(1), 9–20 (2010).
pubmed: 20888336 pmcid: 2997166 doi: 10.1016/j.jim.2010.09.025
Hinz, B. et al. Myofibroblast development is characterized by specific cell-cell adherens junctions. Mol. Biol. Cell 15(9), 4310–4320 (2004).
pubmed: 15240821 pmcid: 515361 doi: 10.1091/mbc.e04-05-0386
Rio, D. C. et al. Purification of RNA using TRIzol (TRI reagent). Cold Spring Harb. Protoc. 2010(6), pdb prot5439 (2010).
pubmed: 20516177 doi: 10.1101/pdb.prot5439
Dobin, A. et al. STAR: Ultrafast universal RNA-seq aligner. Bioinformatics 29(1), 15–21 (2013).
pubmed: 23104886 doi: 10.1093/bioinformatics/bts635
Liao, Y., Smyth, G. K. & Shi, W. featureCounts: An efficient general purpose program for assigning sequence reads to genomic features. Bioinformatics 30(7), 923–930 (2014).
pubmed: 24227677 doi: 10.1093/bioinformatics/btt656
Robinson, M. D., McCarthy, D. J. & Smyth, G. K. edgeR: A bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics 26(1), 139–140 (2010).
pubmed: 19910308 doi: 10.1093/bioinformatics/btp616
Huang, D. W. et al. DAVID bioinformatics resources: Expanded annotation database and novel algorithms to better extract biology from large gene lists. Nucleic Acids Res. 35, W169-75 (2007).
pubmed: 17576678 pmcid: 1933169 doi: 10.1093/nar/gkm415
Bergheim, I. et al. Critical role of plasminogen activator inhibitor-1 in cholestatic liver injury and fibrosis. J. Pharmacol. Exp. Ther. 316(2), 592–600 (2006).
pubmed: 16221737 doi: 10.1124/jpet.105.095042
Cochrane, A. L. et al. Renal structural and functional repair in a mouse model of reversal of ureteral obstruction. J. Am. Soc. Nephrol. 16(12), 3623–3630 (2005).
pubmed: 16221872 doi: 10.1681/ASN.2004090771
Subramanian, A. et al. Gene set enrichment analysis: A knowledge-based approach for interpreting genome-wide expression profiles. Proc. Natl. Acad. Sci. U. S. A. 102(43), 15545–15550 (2005).
pubmed: 16199517 pmcid: 1239896 doi: 10.1073/pnas.0506580102

Auteurs

Michael J V White (MJV)

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA.

Melis Ozkan (M)

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA.

Jorge Emiliano Gomez-Medellin (JE)

Committee on Immunology, University of Chicago, Chicago, IL, 60637, USA.

Michal M Rączy (MM)

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA.

Kyle M Koss (KM)

College of Medicine, University of Arizona, Tucson, AZ, 85724, USA.

Ani Solanki (A)

Animal Resources Center, University of Chicago, Chicago, IL, 60637, USA.

Zheng Jenny Zhang (ZJ)

Comprehensive Transplant Center & Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.

Aaron T Alpar (AT)

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA.

Bilal A Naved (BA)

Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.

Jason Wertheim (J)

College of Medicine, University of Arizona, Tucson, AZ, 85724, USA.

Jeffrey A Hubbell (JA)

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA. jhubbell@uchicago.edu.
Committee on Immunology, University of Chicago, Chicago, IL, 60637, USA. jhubbell@uchicago.edu.
Committee on Cancer Biology, University of Chicago, Chicago, IL, 60637, USA. jhubbell@uchicago.edu.

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