Abstract
Humans and guinea pigs are species which are unable to synthesize ascorbic acid (vitamin C) because, unlike rodents, they lack the enzyme L-gulonolactone oxidase (Gulo). Although the phenotype of lacking vitamin C in humans, named scurvy, has long been well known, information on the impact of lacking Gulo on the gene expression profiles of different tissues is still missing. This knowledge could improve our understanding of molecular pathways in which Gulo may be involved. Recently, we discovered a deletion that includes all 12 exons in the gene for Gulo in the sfx mouse, characterized by spontaneous bone fractures. We report here the initial analysis of the impact of the Gulo gene deletion on the murine gene expression profiles in the liver, femur and kidney.
Keywords: spontaneous fracture, bone, gene expression, L-gulonolactone oxidase, vitamin C
Introduction
In humans, the lack of vitamin C (L-ascorbic acid) causes scurvy, a disease characterized by spongy gums, loosening teeth, and bleeding into the skin and mucous membranes. Humans and guinea pigs have to obtain vitamin C from food, because they are unable to synthesize ascorbic acid, due to the absence of the gene that encodes L-gulonolactone oxidase (Gulo). There are numerous studies on scurvy using different animal models that show a wide range of bone and skeletal abnormalities associated with the lack of Gulo. However, spontaneous bone fracture has not been reported as a major defect caused by ascorbic acid deficiency.
The spontaneous bone fracture (sfx) mouse is a mouse model for stage-specific bone growth failure and fracture. Initial studies show that sfx mice have reduced bone mass, abnormalities of bone architecture and a predisposition to fracture spontaneously at a young age (Beamer et al., 2000). Heterozygous (sfx−/+) mice are indistinguishable from homozygous (+/+) wild-type mice at all ages. Mice which are homozygous for the sfx locus appear phenotypically normal until the end of weaning at 21 days of age. By 49–56 days of age, the mutants show radiographic evidence of compressional fractures of the distal femur and other skeletal sites such as the vertebrae. Histologically, bone sections from the axial and appendicular skeleton show decreased bone formation (with virtually no osteoid present) and decreased basophilia in the osteoblasts.
Using an integrated strategy that combines classical positional cloning and genome resource mapping, we have identified on chromosome 14 of the sfx mouse a deletion of approximately 38 kb of genomic DNA that includes the entire Gulo gene. Further studies showed that this deletion is responsible for the disease phenotypes in bone as well as in other tissues in the sfx mouse (Beamer et al., 2000; Jiao et al., 2005), suggesting that it has a wide pathological impact on different organs of the mouse.
In order to examine the molecular effects of the Gulo deletion in sfx mice, we conducted a preliminary study on the gene expression profile of sfx mice using cDNA micro-array. Our data show significantly altered gene expression profiles in the femur, kidney and liver. Different gene expression patterns in each of those tissues suggest that Gulo performs a variety of biological functions in different tissues.
Materials and Methods
Animals
Wild-type +/+ BALB/cBy and heterozygous sfx/+ mice were obtained from The Jackson Laboratory. The homozygous sfx/sfx mice were produced at the University of Tennessee Health Science Center (UTHSC) by intercrossing heterozygous sfx/+ mice. Mice were housed at the animal research facility, Coleman Building, UTHSC, Memphis, TN, under the conditions of 14 h light /10 h darkness, ambient temperature of 20 ± 2 °C, and relative humidity of 30–60%. Experimental procedures for this study were approved by the IACUC of the UTHSC. For microarray analysis, three age-matched, wild-type +/+ BALB/cBy, inbred strain mice (WT group; 2 males, 1 female) and 3 homozygous sfx/sfx mice (SFX group; 2 males, 1 female) were used. They were handled as previously described (Jiao et al., 2005). At the age of 6 weeks, they were sacrificed, and femur, liver and kidney specimens were immediately taken out and preserved in liquid nitrogen. For RT-PCR, another panel of age- and sex-matched wild-type and sfx/sfx mice (2 females and 2 males) was used and handled in the same way.
Total RNA extraction
Total RNAs were extracted from various tissues using Trizol Reagent (Life Technologies Inc.) (Gu et al., 2002a), and the quality of the resultant total RNA was determined by observing distinct 28S and 18S ribosomal bands on (a) formaldehyde-agarose gel. The yield and purity of the extracted RNA were quantified by spectrophotometry using an Eppendorf Biophotometer. Samples with a 28S/18S ratio of ≥ 1.8 and an A260/A280 ratio of 1.8-2.1 were chosen for this study.
Microarray analysis
Total RNAs were isolated from wild-type +/+ and the sfx mouse tissues (femur, liver, and kidney). Individual RNA samples in each group were pooled before use. Eight μg of total RNA for each group were used for cDNA synthesis by the SuperScript Choice System (Invitrogen, CA), followed by cRNA synthesis using an Enzo® BioArray HighYield RNA transcript labeling kit. Generated cRNA was hybridized to a GeneChip mouse genome U74Av2 array (Affymetrix, CA) representing ~12,000 mouse transcripts, at 45 °C for 16 h, as recommended by the manufacturer. The arrays were washed and stained in the Affymetrix Fluidics Station 400 and scanned using an Agilent GeneArray Scanner.
The original microarray data generated by using MAS 5.0 software (Affymetrix) were globally normalized with a target signal of 500. Chips with a < 3 fold resultant scale factor difference were included for data analysis. The dataset was divided into three subsets: bone, liver, and kidney, each with a pair of WT and SFX datasets. Using MAS 5.0 software, comparison analyses between WT and SFX subsets from different tissues were performed based on the Affymetrix change algorithm, in which Wilcoxon’s signed rank test is used to compute p-value of the change call, including Increase, Marginal Increase, No Change, Marginal Decrease, or Decrease. In addition, the intensity log ratio of SFX vs. WT was calculated for each probe set based on the Signal Log Ratio Algorithm. To identify differentially expressed genes between different groups, a cutoff value of twofold changes was chosen, based on most published studies (Schena et al., 1995; Gu et al., 2002b, 2003). To display distinct gene expression patterns and to find a possible gene interaction network based on gene expression pattern, hierarchical clustering was performed on three different data subsets using Cluster and TreeView software (Eisen et al., 1998). To estimate the biological meaning of gene expression changes, Gene Ontology (GO) functional analysis was conducted, using the GenMAPP 2.0 software according to the instructions (http://www.genmapp.org).
Semi-quantitative RT-PCR
The expression levels of five genes determined by microarray analysis were confirmed by end-point RT-PCR. These genes were selected based on their potential roles in the development of abnormal skeletal phenotypes. Individual total RNA samples were separately subjected to the assay. Reverse transcription (RT) and PCR were conducted using the One-step RT-PCR kit (Invitrogen Inc, Carlsbad, CA), as recommended by the manufacturer. Specific primers for selected genes are shown in Table 1. The reaction was performed in a total volume of 50 μL, at a final concentration of 4 ng/μL total RNA and 0.2 μM sense and anti-sense primers. cDNA synthesis and pre-denaturation were performed in 1 cycle of 50 °C for 40 min, and 94 °C for 2 min. PCR amplification was performed in 33 cycles of 94 °C for 30 s, 54-58 °C for 36 s, and 72 °C for 2 min. The PCR products were analyzed on a 2.0% agarose gel. Quantitative analysis of the PCR products was conducted using Scion Image software (http://rsb.info.nih.gov/nih-image). The final RT-PCR signal was obtained by averaging 2 replicates for each sample.
Table 1.
Gene | Sequence | Ps | |
---|---|---|---|
Mup1/2 | Forward
Reverse |
TGGTTGCTGACAAAACAGAA
TGAGACAGGATGGAATGCAG |
404 |
| |||
Mup3 | Forward
Reverse |
CTCTATGGCCGAGAACCAGA
ACGGGATTGCACTTCTCTGT |
404 |
| |||
Rag1 | Forward
Reverse |
CAGACCTCATTGCCAGGATT
TCACAAAGTGTGCTGGGAAG |
405 |
| |||
Hp | Forward
Reverse |
TGGTGGATATCGGGCTAATC
CATGTCATGAATGGCAAAGG |
362 |
| |||
Pou2af1 | Forward
Reverse |
GCCAGTGAAGGAGCTACTGAGAA
GAGTGGTGGAGAAGCATAGGTCA |
364 |
Ps: Product size.
Results
Differential gene expression profiles in bone, liver and kidney
According to the microarray measurements, the percentages of genes called present in the normal femur, liver and kidney, and in the sfx femur, liver and kidney were 53.3%, 38.1%, 53.1%, and 43.9%, 42.0%, 46.9%, respectively. It is known that Gulo catalyzes the terminal step in vitamin C biosynthesis. Although Gulo is expressed exclusively in murine liver, vitamin C is required in various tissues. So, we expected to find different effects of a Gulo mutation on the gene expression in different tissues. Our data suggest that, in addition to the difference in phenotype, there were also differences in the gene expression profiles in the femur, kidney and liver between normal and sfx mice (Table S1). Table 2 summarizes the gene expression changes in three different tissues from sfx mice. Although bone fracture is the most obvious pathologic phenotype, the number of dysregulated genes in the femur was smaller (n = 316) than in the liver (n = 398) and kidneys (n = 451).
Table 2.
Ratio of sfx/normal signals | Bone | Liver | Kidney |
---|---|---|---|
Range | 0.03 to 5.3 | 0.01 to 362.0 | 0.02 to 139.4 |
≤ 0.5 | 226 | 200 | 155 |
> 2 | 90 | 198 | 296 |
Interestingly, few common gene expression changes were identified among the different types of tissues. Only one gene (Cyp51) was downregulated in all three tissues. There were 22 transcripts (7 upregulated, 15 downregulated) that showed similar changes between bone and liver, 12 (5 upregulated, 7 downregulated) between liver and kidney, and 7 (2 upregulated, 3 downregulated) between kidney and bone.
To display the distinct gene expression patterns of the murine femur, liver and kidney and to find clues of a gene interaction network based on the transcript level, Cluster and TreeView software was applied for hierarchical clustering. Examples of six main clusters with more than 10 genes are shown in ± 1. The biological meaning of these gene expression changes was further investigated by GO functional annotation (Table 3).
Table 3.
Tissue-change | GOID1 | GO name | GO type | Number changed | Number measured | Number in GO | Percent changed | Percent present | Z score | Permute P |
---|---|---|---|---|---|---|---|---|---|---|
Bone-UP | 9605 | response to external stimulus | P | 10 | 17 | 463 | 58.8 | 3.7 | 3.4 | 0.004 |
4871 | signal transducer activity | F | 15 | 32 | 2831 | 46.9 | 1.1 | 3.2 | 0.003 | |
7165 | signal transduction | P | 16 | 36 | 2809 | 44.4 | 1.3 | 3.0 | 0.007 | |
6952 | defense response | P | 12 | 25 | 559 | 48.0 | 4.5 | 2.9 | 0.003 | |
6955 | immune response | P | 11 | 23 | 481 | 47.8 | 4.8 | 2.7 | 0.010 | |
9607 | response to biotic stimulus | P | 12 | 26 | 588 | 46.2 | 4.4 | 2.7 | 0.008 | |
7154 | cell communication | P | 21 | 60 | 3313 | 35.0 | 1.8 | 2.2 | 0.039 | |
Bone-DOWN | 7399 | nervous system development | P | 13 | 13 | 370 | 100.0 | 3.5 | 2.1 | 0.035 |
48731 | system development | P | 13 | 13 | 398 | 100.0 | 3.3 | 2.1 | 0.035 | |
9058 | biosynthesis | P | 19 | 20 | 1201 | 95.0 | 1.7 | 2.1 | 0.053 | |
Liver-UP | 5783 | endoplasmic reticulum | C | 20 | 29 | 443 | 69.0 | 6.5 | 2.3 | 0.026 |
48513 | organ development | P | 15 | 21 | 757 | 71.4 | 2.8 | 2.1 | 0.050 | |
Liver-DOWN | 16817 | hydrolase activity, acting on acid anhydrides | F | 13 | 17 | 451 | 76.5 | 3.8 | 2.1 | 0.051 |
16462 | pyrophosphatase activity | F | 13 | 17 | 447 | 76.5 | 3.8 | 2.1 | 0.051 | |
17111 | nucleoside-triphosphatase activity | F | 13 | 17 | 422 | 76.5 | 4.0 | 2.1 | 0.051 | |
5829 | cytosol | C | 13 | 16 | 237 | 81.3 | 6.8 | 2.4 | 0.013 | |
16787 | hydrolase activity | F | 42 | 60 | 1866 | 70.0 | 3.2 | 3.1 | 0.002 | |
Kidney-UP | 50789 | regulation of biological process | P | 76 | 88 | 2665 | 86.4 | 3.3 | 4.7 | < 0.001 |
50794 | regulation of cellular process | P | 71 | 82 | 2476 | 86.6 | 3.3 | 4.5 | < 0.001 | |
50791 | regulation of physiological process | P | 70 | 81 | 2425 | 86.4 | 3.3 | 4.4 | < 0.001 | |
51244 | regulation of cellular physiological | P | 66 | 76 | 2351 | 86.8 | 3.2 | 4.4 | < 0.001 | |
process | ||||||||||
5515 | protein binding | F | 90 | 113 | 3260 | 79.6 | 3.5 | 3.8 | < 0.001 | |
45449 | regulation of transcription | P | 35 | 39 | 1636 | 89.7 | 2.4 | 3.4 | 0.001 | |
31323 | regulation of cellular metabolism | P | 38 | 43 | 1774 | 88.4 | 2.4 | 3.3 | 0.001 | |
7165 | signal transduction | P | 49 | 58 | 2809 | 84.5 | 2.1 | 3.3 | 0.001 | |
7154 | cell communication | P | 63 | 78 | 3313 | 80.8 | 2.4 | 3.2 | < 0.001 | |
Kidney-DOWN | 9605 | response to external stimulus | P | 18 | 27 | 463 | 66.7 | 5.8 | 3.6 | < 0.001 |
9607 | response to biotic stimulus | P | 22 | 36 | 588 | 61.1 | 6.1 | 3.4 | < 0.001 | |
6952 | defense response | P | 21 | 35 | 559 | 60.0 | 6.3 | 3.3 | 0.001 | |
6955 | immune response | P | 20 | 34 | 481 | 58.8 | 7.1 | 3.0 | 0.001 |
The detailed description of GO ID, GO type, number changed, number measured, number in GO, percent changed, percent present, Z score, and permute P can be found on the website www.genmapp.org. The categories were selected based on Z score (≥2) and number changed (> 10). Redundant categories were disregarded.
Gene expression profiling in femurs of sfx mice
In this study, 316 transcripts were found to be differentially expressed in femurs from the sfx mice. Many dys-regulated genes in mutant femurs are involved in biosynthesis, response to external stimulus, signal transduction, and nervous system development (Table 3). Two major clusters are shown in Figure 1. The gene expression profile seems highly informative for osteoblasts, as the transcripts of several major genes known to be involved in the regulation of osteoblast differentiation and functions were found to be reduced in SFX mutant bones. These genes include distal-less homeobox 5 (Dlx5) (Sakaguchi and Melchers, 1986; Masuda et al., 2001), Twist1 (Sadofsky, 2001; Brunner et al., 2003), member 1 of melanoma antigen family D (Maged1) (Ikeda et al., 1998), and v-ets avian erythroblastosis virus E26 oncogene homolog 1 (Ets1) (Uchio et al., 2004) (Table 4; most of them are not shown, because their values were less than the cutoff value of two fold change used in this study). Thus, this model may be helpful for identifying transcriptional regulators of osteoblast differentiation and bone formation.
Table 4.
The value represents a ratio of SFX vs WT tissue signal intensity.
N/A indicates undetectable values using this method.
Recombination-activating gene 1 (Rag1) was one of the most depressed genes in the diseased femurs, which was validated by RT-PCR (Table 5). Rag1 is critical for lymphocyte development. We also noticed that the expression of immunoglobulin lambda chain 5 (Igll1), which is selectively transcribed in pre-B lymphocytes (Sakaguchi and Melchers, 1986), was moderately decreased. These findings suggest a clue to the mechanisms explaining the role of vitamin C in the regulation of immunity.
Table 5.
Gene | Array-based measurement1 | PCR-based measurement |
---|---|---|
Mup1/2 | 0.2 | 0.53 |
Mup3 | 0.2 | 0.36 |
Rag1 | 0.03 | −∞2 |
Hp | 2 | 1.8 |
Pou2af1 | 0.43 | 0.40 |
Gapdh | Internal control |
The value of measurement represents the ratio of SFX vs WT signal intensity.
Undetectable in the diseased femurs.
Gene expression profiling in liver of sfx mice
Consistent with a previous report on the effect of ascorbic acid deficiency in the rat liver (Ikeda et al., 1998), we found that a panel of major urinary protein (Mup) genes, including Mup1-5, was significantly suppressed in the sfx mouse liver. The mouse Mups proteins are encoded by a family of about 35 to 40 highly conserved genes. They are expressed in a number of different secretory tissues of the mouse, including the mammary, parotid, sublingual, submaxillary and lachrymal glands, as well as in the liver (Shahan et al., 1987). Interestingly, we found a highly abundant expression of Mup1/2 in the wild-type mouse femur. Moreover, a moderately decreased expression of Mup1/2 and Mup3 was found in the femurs of the sfx mice (Table 5). Since Mups are generally regarded as male-preferentially expressed genes, we validated our finding by RT-PCR using individual male and female mice (Figure 1). To our knowledge, this is the first time that non-gland tissue was found to express Mup genes in mammals.
Gene expression profiling in kidney of sfx mice
In the mutant kidney, the changes of gene expression were represented by decreased clusters 4–6 (Figure 2). It is clear that ascorbic acid deficiency exerts tissue-specific effects on gene expression. An increased expression of collagen synthesis genes such as Col15a1, Col1a1, Col1a2, Col4a4, Col4a5, Col6a1, and Col6a3 mRNAs was found in the sfx mouse kidney (Figure 3). Since enhanced collagen in renal fibroblasts is a major cause for renal fibrosis (Uchio et al., 2004), this finding suggests a mechanism for the role of ascorbic acid in the prevention of chronic renal diseases. In this study, the hepatic and renal cyclophilin (CYP) gene expression patterns in the sfx mice showed downregulation of several CYPs that demonstrated tissue-preferential or abundant expression, including Cyp4a12 and Cyp7b1 in the kidney.
RT-PCR confirmation of microarray data
We realized that the small number of animals per group and sample pooling might have biased the overall results. To validate the sensitivity and accuracy of this study, five genes with different expression patterns across different tissues were selected for semi-quantitative RT-PCR confirmation, using RNAs from femur, liver and kidney. Particularly, Rag1 was chosen because of its absence of expression in the femurs of sfx mice. Mup1 and Mup3 were chosen because of their gender expression specificity. The class 2 pou domain associating factor 1 (Pou2af1) was chosen for its significance in B cell response. Haptoglobin (Hp) was chosen because of its high expression in the sfx mice and in the rats lacking the Gulo gene (Ellender and Gazelakis, 1996; Ikeda et al., 1998). Their relation to Gulo deficiency ranges from well-documented to none reported, as will be discussed (in our) later on (see Discussion). As shown in Figure 3 and Table 5, most of the expression patterns of these genes were validated, except for genes Mup1/2 and Mup3, for which microarray analysis showed an opposite change trend in the diseased kidney.
Gender specificity of Mup1 and Mup3 genes in mouse kidney
Gender specificity of Mup genes expression has been reported previously (Mucignat-Caretta et al., 1998). However, our initial analysis in femurs using RT-PCR (Figure 3A) indicated that the expression levels of Mup1/2 and Mup3 were similar between male and female mice in both normal and sfx mice. Therefore, more RT-PCR assays were conducted, using RNAs from another panel of normal and diseased femurs, livers and kidneys. It turned out that gender specificity appeared mainly in the kidney, partially in the liver, but not in the femurs. As shown in Figure 3B, these two genes were highly expressed in the liver of male and female normal mice. However, in the kidney, they were only highly expressed in normal male mice. In the femur, their expressions showed a moderate level in both genders, compared to that in the liver and kidney. In sfx mice, the expression of these two genes was suppressed in both males and females in all three tissues.
Discussion
This is a primary microarray study of the sfx model, which we have recently confirmed to be a model of ascorbic acid deficiency (scurvy). Scurvy is typically characterized by a weakening of collagenous structures. The well-known function of ascorbic acid is the synthesis of collagen through post-translational modification, by promoting the formation of hydroxyproline. Our results agree with previous reports about the impact of scurvy on major molecules, especially in bone. In this study, our data indicated a significant effect of ascorbic acid deficiency on the regulation of the expression of several major subfamilies of collagen genes in bone and kidney, with both fibril-forming and non-fibril-forming collagen genes being affected (Figure 2). Collagen plays an important role in building up the body structure, including the skin, bones, teeth, blood vessels, cartilage, tendons and ligaments. The downregulation of Col15a1, Col3a1, Col4a5, Col6a2, and Col6a3 may account for the reported poor bone formation.
While most of the array data need to be validated, we confirmed the expression levels of several important genes, which are worthy of future study. The effects of ascorbic acid deficiency on Mup gene expression suggest the possibility of ascorbic acid involvement in the transcriptional regulation of hormone metabolism. The precise role of altered Mups expression in the development of scurvy is unclear. One of the well-documented functions of Mups is in chemical communication (Beynon and Hurst, 2003). The identification of Mup1/2 expression in the femur provides a clue for their possible role in bone formation. Previously, Metcalf et al. 2000 demonstrated a reduced level of Mup expression in mice lacking a suppressor of cytokine signaling-2 (SOCS-2). SOCS members are considered negative regulators of cytokine receptor signaling via the Janus kinase/signal transducer and activation of transcription (STAT) pathway (the JAK/STAT pathway) (Yoshikawa et al., 2001). Interestingly, SOCS-2−/− mice grow significantly more than normal mice, particularly regarding the length of their femurs and humeri (Metcalf et al., 2000). In the sfx mouse, the length of the femurs and humeri is significantly reduced (Beamer et al., 2000). No abnormalities in bone architecture were evident in adult SOSC2 mice, while the sfx mice have extremely fragile bones. Considering the negative effect of SOCS-2 on growth hormones (Turnley et al., 2002; Greenhalgh et al., 2005), Mup is potentially involved in the growth of skeletal tissues, especially the length of femurs and humeri, through the hormone metabolism. However, much work needs to be done to clarify the pathological significance of this unique change in the mouse with Gulo deficiency.
A previous study reveals that the hepatic Hp mRNA level is elevated in rats that are defective in ascorbic acid biosynthesis (Ikeda et al., 1998). Our data indicated that the expression level of Hp in the femur was slightly higher in the mutant mice. Since we had chosen a sample pooling approach, we thought that we might miss a lot of important genes with low-fold changes. So we did semi-quantitative RT-PCR to evaluate the expression status of Hp in these three tissues. Interestingly, we did confirm the upregulation of Hp in the femur. It has been recently reported that IL-6 induced the expression of the Hp and the suppression of the Mup gene in mice (Gervois et al., 2004). The upregulation of Hp and downregulation of Mup in the femur of the Gulo deficiency mouse raise the interesting question of whether they are functionally connected in the same pathway that is regulated by Gulo in the bone or skeletal development.
Since Rag1 plays an essential role in the diversity of cellular and humoral immunity (Sadofsky, 2001), the suppressed expression of Rag1 may be related to the decrease of Igl-5. By checking more evidence for dysregulated B cell development, we found that Pou2af1, which plays an important role in B cell development and function (Brunner et al., 2003), was slightly decreased in the sfx mouse femurs. Importantly, this finding was well confirmed by semi-quantitative RT-PCR (Figure 3, Table 5). This finding raises the possibility of ascorbic acid playing a role in the regulation of B lymphocyte development and functions.
Microarray analysis, however, could not distinguish between gene changes caused by the Gulo defect and changes resulting from the organism reacting to the sfx disease state. Many down- or upregulated genes identified in this study may be important for the physiology and pathology of bone, liver or kidney. However, further study is needed to clarify their exact role in the development of those organs. In the comparison of gene expression profiles in femurs, we were unable to wash away the bone marrow, because the bones of sfx mice are extremely fragile. Instead, we extracted RNA from whole bones. We feel that our approach likely probes the real biological events in the femur. An alternative way is using cultured osteoblasts, however, we are almost certain that the biology in cultured cells will differ from that of bone tissues. In this case, femur tissues and cultured cells each have their advantage and disadvantage. Furthermore, our previous study indicated that sfx mice nearly have no osteoblasts in their femurs (Beamer et al., 2000). Therefore, we feel confident that this study provides useful information on the sfx mouse.
Supplementary Material
Acknowledgments
Supported funding for WKG comes from the Center of Excellence for Genomics and Bioinformatics, Center of Excellence for Diseases of Connective Tissues at the University of Tennessee Health Science Center, and the Veterans Administration Medical Center, Memphis, TN; and from NIH (AR51190). Funding for WGB is from NIH AR43618 (WGB) and CA43619 (CORE grant, The Jack-son Laboratory).
Footnotes
Supplementary Material: Table S1. This material is available as part of the online article from http://www.scielo.br/gmb
Associate Editor: Emmanuel Dias Neto
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