Abstract
Mutations of either PKD1 or PKD2 cause autosomal dominant polycystic kidney disease, a syndrome characterized by extensive formation of renal cysts and progressive renal failure. Homozygous deletion of Pkd1 or Pkd2, the genes encoding polycystin-1 and polycystin-2, disrupt normal renal tubular differentiation in mice but do not affect the early steps of renal development. Here, we show that expression of the C-terminal 112 amino acids of human polycystin-1 triggers branching morphogenesis and migration of inner medullary collecting duct (IMCD) cells, and support in vitro tubule formation. The integrity of the polycystin-2–binding region is necessary but not sufficient to induce branching of IMCD cells. The C-terminal domain of polycystin-1 stimulated protein kinase C-α (PKC-α), but not the extracellular signal–regulated kinases ERK1 or ERK2. Accordingly, inhibition of PKC, but not ERK, prevented polycystin-1–mediated IMCD cell morphogenesis. In contrast, HGF-mediated morphogenesis required ERK activation but was not dependent on PKC. Our findings demonstrate that the C-terminal domain of polycystin-1, acting in a ligand-independent fashion, triggers unique signaling pathways for morphogenesis, and likely plays a central role in polycystin-1 function.
Introduction
Autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary disease characterized by the development of gradually enlarging renal epithelial cysts that progressively impair renal function (recently reviewed in refs. 1–3). Most cases of ADPKD are caused by mutations of PKD1, a gene that encodes polycystin-1. Polycystin-1 is a large integral membrane protein with several domains that suggest a role in cell-cell or cell-matrix interactions (4, 5). It contains several transmembrane domains and a short intracellular C-terminal tail. The C-terminal polycystin-1 domain activates protein kinase C-α (PKC-α) and the c-Jun N-terminal protein kinase (JNK1) (6), and triggers the accumulation of cytoplasmic β-catenin (7), indicating that this domain may play a crucial role in the signaling of polycystin-1. Mutations in a second gene, PKD2, account for approximately 10–15% of all ADPKD cases (8). The disease is milder with this mutation than with the PKD1 mutation, and onset of end-stage renal disease occurs at a later age, but the phenotypic changes are otherwise similar. Since polycystin-1 and polycystin-2 interact via their C-terminal domains (9, 10), it has been postulated that both proteins participate in a common signaling pathway. Polycystin-2 is an integral membrane protein, with six transmembrane domains, that mediates nonselective cation currents in the presence of polycystin-1 (11). Both Pkd1 and Pkd2 gene deletions in mice result in embryonal or perinatal lethality, with cysts that originate in the second half of embryogenesis (12–16). These findings indicate that the polycystins are not required for mesenchymal-to-epithelial conversion and cell fate determination, but rather play a role in later stages of tubular epithelial cell differentiation and maturation. Recently, expression of polycystin-1 in Madin Darby canine kidney (MDCK) cells was shown to trigger the spontaneous formation of tubules (17). Based on our observation that the C-terminal domain of polycystin-1 can induce cellular activation and interaction with polycystin-2, we predicted that this region of polycystin-1 is critical for initiating morphogenesis of renal epithelial cells. We adopted a highly efficient retroviral gene transfer approach to express the cytoplasmic domain of polycystin-1 in inner medullary collecting duct (IMCD) cells, and demonstrate here that the C-terminal 112 amino acids of human polycystin-1 trigger spontaneous branching morphogenesis and migration of renal tubular epithelial cells.
Methods
Plasmids and viral vector construction.
The CD16-, CD7-, and PKD1-containing plasmids used to generate the retroviral transfer vectors have been described (6, 9). The plasmid pLXSN was kindly provided by D. Miller (Fred Hutchinson Cancer Research Center, Seattle, Washington, USA). The plasmids pMMP.IRES.gfp, pMD-G, and pMD-gp were a kind gift of R. Mulligan (Harvard Medical School, Boston, Massachusetts, USA). The retroviral transfer vectors pLXSN-CD16.7, -CD16.7.PKD1, -CD16.7.IRES.gfp, and -CD16.7.PDK1.IRES.gfp were generated using standard cloning techniques. CD16.7 denotes the extracellular domain of CD16 and the transmembrane domain of CD7; PKD1 denotes the C-terminal cytoplasmic domain of human polycystin-1 (amino acids 4077–4302). In a subset of experiments, the cytoplasmic domain of polycystin-1 was replaced by either the C-terminal 112 amino acids of polycystin-1 (amino acids 4191–4302) or a patient-derived truncation of the cytoplasmic domain at acid 4227 (amino acids 4077–4227). Point mutations of the C-terminal polycystin-1 were generated by standard techniques.
Cell culture, virus production, and transduction.
Immortalized mIMCD-3 cells (referred to as IMCD cells) (18) were grown in DMEM-F12 media supplemented with 10% FCS. The morphogenic response of these cells to EGF and HGF has been described (19, 20). The retroviral vector was produced by cotransfection of HEK 293T cells with three plasmids (2.5 μg of pMD-G, 7.5 μg of pMD-gp, and 10 μg of the retroviral transfer vector) using the calcium phosphate method. The supernatant was harvested, centrifuged to remove cellular debris, and filtered. The titer was determined by FACS analysis of serial dilutions of the virus-containing stock solution. Cells were infected in the presence of 8 μg/ml polybrene for 4 hours, and in some experiments were selected 3–4 days after viral transduction in neomycin (500 μg/ml) to achieve 100% positive cells. Virus transduction and transgene expression were monitored by fluorescent microscopy of the co-expressed GFPprotein and Western blot analysis.
Migration, branching process formation, and tubulogenesis assays.
Migration assays were performed using a modified Boyden chamber assay as previously described (20). For branching process formation assays, cells were plated in a three-dimensional matrix that was a mixture of rat-tail type I collagen (Upstate Biotechnology, Lake Placid, New York, USA), 10× DMEM,and 200 mM HEPES, pH 7.8 (8:1:1), and kept on ice, as previously described (21). IMCD cells were suspended at 1.5 × 105 cells/ml of the collagen mixture, and dispensed into a flat-bottomed 96-well-plate. After 10–15 minutes at 37°C, the polymerized collagen solution was overlaid with 100 μl of the culture media with 0.5–1% FBS, with or without 40 ng/ml HGF (R&D Systems Inc., Minneapolis, Minnesota, USA). Plates were maintained at 37°C in a CO2 incubator for 24 hours, and then observed and photographed. Quantification of branching process formation was performed by counting 40 randomly selected individual cells per well, and dividing the number of branches by the total number of cells counted. The formation of multicellular structures (in vitro tubulogenesis) was monitored in a matrix containing Matrigel (Becton Dickinson and Co., Franklin Lakes, New Jersey, USA) and type I collagen. Plates were maintained for up to 7 days. The reagents staurosporine, calphostin C, bis-indolylmaleimide I, and bis-indolylmaleimide V (Calbiochem-Novabiochem Corp., San Diego, California, USA) were used at the concentrations indicated. The MEK1 and MEK2 inhibitor U0126 (Promega, Madison, Wisconsin, USA) was used at a concentration of 10 μM. Each experiment was repeated at least three times. Statistical significance was determined using the Student t test.
Western blot analysis.
Western blot analysis and immunoprecipitation were performed as recently described (6, 22). Dually phosphorylated ERK1/2 was visualized with phosphospecific antiserum (New England Biolabs Inc., Beverly, Massachusetts, USA), while total amounts of Pyk2 and ERK1 were detected with activation-independent antisera (New England Biolabs Inc.). Equal loading was confirmed by amido black staining. The polycystin-2–specific antiserum has been recently described (23). A phospho-PKC (pan) antiserum (New England Biolabs Inc.) was utilized to detect activated PKC isoforms (PKC-α, -β1, -β2, -ε, -η, and -δ).
In vitro kinase assay.
The cellular activity of PKC-α was determined by an in vitro kinase assay as previously described (23). Briefly, HEK 293T cells were lysed 24 hours after transfection with PKC-α and expression plasmids as indicated. PKC-α was immunoprecipitated using a monoclonal antibody against PKC-α (Transduction Laboratories, Lexington, Kentucky, USA). Immobilized PKC-α was then incubated with neurogranin (as an exogenous substrate) and 5 μCi of [γ-32P]ATP. The incorporated radioactivity was determined, after two washes with 75 mM phosphoric acid, by liquid scintillation spectrophotometry with a phosphocellulose membrane (Pierce Chemical Co., Rockford, Illinois, USA).
Results
Retroviral gene transfer does not alter the biological properties of IMCD cells.
Two immortalized renal epithelial cell lines, MDCK and IMCD, have been widely used to study tubular kidney epithelial morphogenesis in vitro. Since clonal selection of these cells can result in phenotypic changes not related to the expressed transgene, we chose to adopt a highly efficient retroviral gene transfer to manipulate IMCD cells (24). To monitor transduction efficiencies, the cDNA of enhanced green fluorescent protein (GFP) was inserted downstream of an internal ribosome entry site (IRES), resulting in the simultaneous expression of GFP and the transgene of interest. Figure 1a demonstrates that after two to three repetitive retroviral infections, nearly all IMCD cells express β-galactosidase. To avoid multiple integration events, cells were infected at a low multiplicity of infection (two to five). Approximately 60–80% of cells were found to be GFP-positive at this multiplicity of infection; virtually all cells became GFP-positive after a brief selection in neomycin. Since the integration site of the transgene in the host chromosome after viral transduction is nearly random, each GFP-positive, neomycin-resistant cell represents an independent integration event.
As demonstrated in Figure 1b, transduction of IMCD cells did not influence branching morphogenesis, or alter the migratory response of tubular epithelial cells to chemotactic stimuli (Figure 1c). In addition, retroviral infection did not affect mitogen-activated protein (MAP) kinase signaling, as shown for the HGF-induced activation of the MAP kinases ERK1 and ERK2 (Figure 1d). Thus, this retroviral gene transfer approach allows highly efficient expression of transgenes without detectable effects on branching morphogenesis, migration, or MAP kinase signaling in IMCD cells.
The C-terminal domain of polycystin-1 triggers spontaneous branching morphogenesis.
We have previously shown that a membrane-anchored C-terminus of polycystin-1 activates signaling pathways such as PKC-α and JNK1 in HEK 293T cells (6). The recent finding that wild-type polycystin-1 triggers branching morphogenesis in MDCK cells (17) prompted us to examine the question of whether the C-terminal cytoplasmic domain of polycystin-1 is sufficient to trigger complex biological programs. IMCD cells were transduced with either a CD16.7- or CD16.7.PKD1-expressing retrovirus, and briefly selected in neomycin to obtain a pool of 100% positive cells. When wild-type IMCD cells are cultured in type I collagen in the absence of HGF, these cells form few processes, and fail to develop into tubules (19). In the presence of HGF or EGF, these cells form elongated branching processes and proliferate to form branching tubular structures. Expression of the membrane-anchored cytoplasmic tail of polycystin-1 triggered branching morphogenesis in these tubular kidney cells in the absence of an additional stimulus (Figure 2a). This effect could also be demonstrated in a matrix (Matrigel) that usually induces cyst development in vitro (Figure 2b), and was similarly observed with MDCK cells (data not shown). In response to treatment with HGF, CD16.7-expressing control cells showed the expected increase in branching morphogenesis (Figure 2a). In cells expressing the cytoplasmic domain of polycystin-1, basal branching morphogenesis was equivalent to the maximal degree of branching seen in response to HGF. Interestingly, stimulation of the polycystin-1–expressing cells with HGF resulted in a further augmentation of the branching phenotype (Figure 2c), suggesting that polycystin-1 activates signaling pathways distinct from those that are critical for HGF-mediated morphogenesis. Since we have recently demonstrated that HGF requires activation of the ERK1/2 MAP kinase pathway for branching morphogenesis and migration (25), we examined the effects of inhibition of MEK1/2 in polycystin-1–mediated branching morphogenesis. As previously reported for native IMCD cells (25), treatment of control cells expressing CD16.7 with the MEK-specific inhibitor U0126 completely prevented HGF-dependent branching morphogenesis (Figure 3a). In contrast, branching induced by the expression of membrane-tagged polycystin-1 was only modestly diminished. In polycystin-1–expressing cells stimulated with HGF, the component of increased branching attributable to the HGF stimulation was abolished by treatment with U0126, whereas the basal increase in branching due to polycystin-1 expression was not altered. Western blot analysis revealed that ERK1 and 2 were not activated in IMCD cells expressing the C-terminal domain of polycystin-1, nor did polycystin-1 influence the HGF-stimulated ERK1/2 activation (Figure 3b).
Polycystin-1 triggers spontaneous migration of IMCD cells.
It has been postulated that tubulogenesis requires cell migration and cell proliferation prior to the formation of lumen-containing tubules (26). We tested whether the C-terminal domain of polycystin-1 mediates growth factor–independent cell migration. As demonstrated in Figure 4, IMCD cells expressing the C-terminal domain of polycystin-1 displayed an increase in undirected migration, and significantly exaggerated the response to the HGF-mediated chemotactic stimulus. The MEK inhibitor U0126 markedly inhibited the HGF-stimulated migration in control cells, but had only a modest inhibitory effect on the polycystin-induced migratory response. Taken together, these findings suggest that polycystin-1 triggers migration of IMCD cells through a largely ERK1/2-independent pathway.
The C-terminal 112 amino acids of polycystin-1 mediate branching and migration.
It has been shown that the direct interaction between polycystin-1 and polycystin-2 involves the coiled-coil domain contained within the C-terminus of the polycystin-1 protein (9, 10). In addition, this region triggers recently described intracellular signaling pathways (6, 7), leading us to hypothesize that the specific protein interactions mediated by the coiled-coil domain of polycystin-1 might be responsible for the induction of branching morphogenesis and migration. A truncated construct encoding only the C-terminal 112 amino acids of polycystin-1, but still including the entire coiled-coil region, was generated to examine this possibility. As shown in Figure 5, the 112 amino acids of the membrane-anchored C-terminal of polycystin-1 mediated branching morphogenesis and migration in a manner that was indistinguishable from that mediated by the full-length cytoplasmic domain, suggesting that this part of the cytoplasmic tail of polycystin-1 serves as a ligand-independent, constitutively active form of polycystin-1.
Truncation of the C-terminal domain of polycystin-1 prevents in vitro tubulogenesis.
To demonstrate that short-term branching of IMCD cells expressing the C-terminal domain of polycystin-1 is closely linked to the formation of lumen-containing tubules, we performed long-term tubulogenesis assays in IMCD cells expressing either full-length C-terminal polycystin-1 (CD16.7.PKD1), or a naturally occurring truncation mutation of the C-terminus that has been detected in several patients with PKD (CD16.7.R4227X). In a Matrigel/type I collagen matrix, IMCD cells expressing the full-length C-terminal domain of polycystin-1 underwent extensive branching and elongation during the first several days of culture, resulting in the formation of multicellular branching linear structures by day 4 (Figure 6). These structures further developed into tubules with central lumens, beginning on culture day 5. In contrast, expression of the R4227X truncation mutant of polycystin-1 failed to support branching during the initial days of culture, and ultimately resulted in the formation of multicellular spherical structures, with or without lumens, by culture days 4 and 5. Thus, loss of the C-terminal 75 amino acids of polycystin-1 abrogated the initiation of branching morphogenesis, and ultimately prevented tubulogenesis in these cells.
The integrity of the polycystin-2–binding domain is necessary, but not sufficient, to trigger branching morphogenesis.
It has been postulated that polycystin-1 and polycystin-2 participate in a common signaling cascade that prevents the formation of renal tubular cysts during embryogenesis (9, 10). To test the hypothesis that branching morphogenesis triggered by polycystin-1 requires interaction with polycystin-2, we mutated the polycystin-2–binding domain of polycystin-1. The polycystin-2–binding region has been mapped to the coiled-coil domain of polycystin-1 (9, 10), which contains five heptad repeats (COILS version 2.1, window 28;http://www.ch.embnet.org/software/COILS_form.html) (10). This domain of polycystin-1 is preceded by two additional heptad repeats and a proline-rich linker region. Using the Lupas coiled-coils prediction at low stringency (27) (COILS version 2.1, window 14), we introduced single amino acid substitutions to independently disrupt the upper two heptad repeats and the coiled-coil structure. Although all constructs were correctly targeted to the plasma membrane (data not shown), disruption of either the upper two heptad repeats mutant PKD1 L4196D) or the coiled-coil structure (mutant PKD1 V4235D/L4238D) completely abrogated polycystin-1–mediated branching of IMCD cells (Figure 7). Similarly, the R4227X truncation mutation of polycystin-1, which eliminates the coiled-coil structure, abolished the ability of polycystin-1 to induce branching of IMCD cells (Figure 8). In contrast, binding of polycystin-2 was prevented by disruption of the coiled-coil domain (Figure 9), but not by disruption of the upper two heptad repeats (Figure 9). These findings indicate that the integrity of all heptad repeats of polycystin-1 are required for polycystin-1–mediated branching of IMCD cells, whereas only the coiled-coil structure of polycystin-1 is essential for interaction with polycystin-2. It is interesting to note that the extent of branching of IMCD cells expressing the polycystin-1 mutants remained well below the level of branching of control cells. Since IMCD cells express endogenous polycystins (data not shown), the polycystin-1 mutants appear to exert a dominant negative effect on branching induced by endogenous proteins.
Branching morphogenesis by polycystin-1 is mediated by PKC.
We have previously demonstrated that the C-terminal domain of polycystin-1 activates PKC-α (6). To test whether morphogenesis requires activation of PKC, we examined the effects of the protein kinase inhibitor staurosporine and the nonselective PKC inhibitor calphostin C on branching morphogenesis and migration triggered by polycystin-1. As demonstrated in Figure 10a, polycystin-1–mediated branching was potently inhibited by either 100 pM staurosporine or 100 nM calphostin C. Furthermore, the PKC inhibitor bis-indolylmaleimide I inhibited branching of IMCD cells expressing the C-terminal domain of polycystin-1, whereas its inactive isomer bis-indolylmaleimide V had no detectable effect (Figure 10a). Finally, Gö6976, a PKC inhibitor selective for the calcium-dependent PKC isoforms α, β, and δ (28), blocked polycystin-1–mediated branching of IMCD cells in a dose-dependent fashion (Figure 10b). Similarly, inhibition with Gö6976 markedly diminished polycystin-1–dependent IMCD cell migration (Figure 10c); identical effects were obtained for staurosporine and calphostin C (data not shown).
To further explore our observation that HGF and polycystin-1 use different signaling pathways for their morphogenic responses, we compared the effects of inhibition of PKC-α on HGF- and polycystin-1–mediated branching morphogenesis. In contrast to the marked inhibition of branching morphogenesis that is seen in CD16.7.PKD1-expressing cells treated with Gö6976 (Figure 10d), inhibition of PKC-α failed to prevent HGF-stimulated IMCD cell branching (Figure 10d, compare columns 5 and 6). Stimulation of polycystin-1–expressing cells with HGF resulted in a further increase in branching that was inhibited back to the level of branching seen with polycystin-1 alone following Gö6976 treatment (Figure 10d). Since these results suggest that branching morphogenesis is closely linked to the polycystin-1–mediated activation of PKC, we postulated that the polycystin-1 mutants that fail to mediate branching would lack the ability to activate PKC. Figure 11 demonstrates that the C-terminal domain of polycystin-1 increased the activity of PKC-α, while neither the two polycystin-1 mutants (PKD1 L4196D and PKD1 V4235D/L4238D), nor the patient-derived truncated form of polycystin-1, had any significant effect on the activity of PKC-α. Increased endogenous PKC activity was detectable in IMCD cells expressing the C-terminal domain of polycystin-1 (Figure 11, b and c). Taken together, these results indicate that activation of PKC is an essential component of polycystin-1–mediated branching morphogenesis and migration.
Discussion
Normal renal development requires the presence of polycystin(s). Homozygous inactivation of either Pkd1 or Pkd2 results in the development of renal cysts and embryonal lethality (12, 14, 16). The cysts first become apparent at embryonic day 15.5, a time when renal tubules are undergoing progressive lengthening and maturation (12, 16). Interestingly, the polycystins do not appear to affect the earliest steps of renal embryogenesis, since neither the repetitive branching of the ureteric bud, nor mesenchymal-to-epithelial conversion with the generation of new nephron precursors, appears to be affected by the absence of either polycystin (12, 14, 16). Despite the apparently normal early tubule formation in PKD1–/– mice, there are several lines of evidence suggesting a role for polycystin-1 in tubulogenesis. Incubation of ex vivo renal organ cultures with short peptides, homologous to the PKD repeats, blocked branching of the ureteric bud (29), while overexpression of wild-type polycystin-1 triggered spontaneous tubulogenesis in MDCK cells (17). Our findings confirm the observation that expression of polycystin-1 can support tubulogenesis in vitro, and demonstrate that the morphogenic changes triggered by polycystin-1 are mediated by the C-terminal domain. In fact, the C-terminal 112 amino acids of polycystin-1 are sufficient to initiate both branching morphogenesis and spontaneous migration of tubular epithelial cells, whereas loss of the integrity of the coiled-coil region prevents these events. Whether the ability of polycystin-1 to promote morphogenic changes in tubular epithelial cells is important during developmental tubulogenesis (and is replaced by redundant pathways in the PKD1–/– mouse), or whether the signaling events directed by polycystin-1 instead play a role in the maintenance of normal tubular architecture, remains to be determined.
We have previously demonstrated that the C-terminal domain of polycystin-1, fused to the extracellular domain of CD16 and the transmembrane domain of CD7, mediates the activation of PKC-α and JNK1 (6), as well as the accumulation of cytoplasmic β-catenin (7). However, in contrast to the extensively studied epithelial morphogen HGF, the C-terminal domain of polycystin-1 does not activate the MAP kinases ERK1 or ERK2 (6). HGF is a secreted glycoprotein that stimulates the motility as well as the branching of several types of epithelial cells, including renal MDCK and IMCD cells. The receptor for HGF is the transmembrane tyrosine kinase p190Met, encoded by the c-met proto-oncogene. Autophosphorylation of p190Met in response to HGF triggers binding of several SH2 domain-containing proteins that are critical for its morphogenic actions, including phosphoinositide 3-kinase, Grb2-associated binder 1 (GAB1), and phospholipase C-γ (reviewed in ref. 30). In addition, the MAP kinases ERK1 and ERK2 were recently identified as essential components of HGF-mediated renal epithelial morphogenesis (25). In the present study, we demonstrate that polycystin-1–mediated morphogenesis is not dependent on MAPK activation, suggesting that polycystin-1 triggers branching through signaling pathways that are distinct from those activated by HGF. Since the C-terminal domain of polycystin-1 triggers activation of PKC-α (6), we delineated the role of PKC-α in polycystin-1–mediated branching morphogenesis and migration. Both nonselective PKC inhibitors and a PKC inhibitor that is specific for the calcium-dependent isoforms PKC-α and PKC-β1, inhibited polycystin-1–mediated branching and migration, but failed to prevent HGF-mediated branching morphogenesis. Furthermore, polycystin-1 mutations that failed to trigger branching lack the ability to activate PKC-α, confirming that PKC-α plays a central role in polycystin-1–mediated morphogenic signaling.
The mutational analysis of polycystin-1 revealed that the integrity of the polycystin-2–binding domain of polycystin-1, located within the coiled-coil structure, is necessary to mediate branching of IMCD cells. However, association of polycystin-1 with polycystin-2 is clearly not the only interaction that is required, since mutation of the two N-terminal heptad repeats, which did not affect the interaction of polycystin-1 with polycystin-2, completely eliminated polycystin-1–mediated branching morphogenesis. These findings suggest that the interaction with polycystin-2 is necessary, but not sufficient, to mediate branching morphogenesis of IMCD cells. Of note, since the polycystin-1 L4196D point mutation preserves the coiled-coil domain, but abrogates branching, polycystin-1–mediated morphogenesis of IMCD cells is not simply the result of nonspecific recruitment of cellular proteins that bind to coiled-coil domains. Instead, we speculate that the assembly of a multimeric protein complex, mediated by distinct regions of the cytoplasmic tail of polycystin-1, is required to trigger branching morphogenesis of tubular epithelial cells.
Our findings have several important implications: (a) the C-terminal 112 amino acids of polycystin-1 are sufficient to trigger ligand-independent migration and branching of IMCD cells; (b) polycystin-1–mediated branching and migration involve activation of PKC-α, but not activation of ERK1 or ERK2; (c) the polycystin-2–binding domain of polycystin-1 is necessary, but not sufficient, for branching morphogenesis; and (d) the heterologous expression of the C-terminal domain of polycystin-1 resembles wild-type polycystin-1 expression, and provides a simple model system to further delineate polycystin-1–mediated signaling.
Acknowledgments
We thank the members of the Cantley and Walz laboratories for helpful discussion. This work was supported by NIH grant DK-52897 (to L.G. Cantley and G. Walz) and Deutsche Forschungsgemeinschaft grants Wa 597 (to G. Walz) and Be 2212 (to T. Benzing).
Footnotes
Christian Nickel and Thomas Benzing contributed equally to this work.
The laboratories of Lloyd G. Cantley and Gerd Walz contributed equally to this work.
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